12.02.2009 the three ages of ehealth dr. martin d. denz – ehtel president balkan ehealth...
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12.02.2009
The Three Ages of eHealth
Dr. Martin D. Denz – EHTEL President
Balkan eHealth Conference, Sofia
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EHTEL's DNA is Cross-Border
The European Health Telematics Association isa pan-European & multi-stakeholder forum
Our Members
Industry
Competence Centre
Health Care Authorities
Insurers
Health ProfessionalsAcademics
Dissemination Organisations
Citizens/Patient Representative
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EHTEL’s Mission
To be the “grid” which creates trust, coherence and consensus between all stakeholders who are interested in using ICT as an enabling tool
Founded in 1999, EHTEL is celebrating its 10th Anniversary
During this Decade, EHTEL accompanied and helped to shape eHealth in Europe
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A Decade of eHealth
The three ages of eHealth are
- discovery
- acceptance
- deployment
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The age of discovery1989 – 1999
A health community was starting to develop which saw IT as more than just patient administration
The idea of technology for health emerged as "Health Telematics"
An informal group became a community with a mission
The goal was common platforms, standards and networks
Lots of local, national and some European initiatives appeared
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The age of discovery...and it's limits
Enthusiasm not enough - need for structure, stakeholders, vision and some high level encouragement.
Ministries, hospitals, the medical profession and the large technology companies all had their own agendas
Common approaches regarded with suspicion and scepticism, denounced as unrealistic
But the box was open!
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The age of acceptance1999 – 2009
Health Telematics had arrived – well established eHealth conferences popped up all over the world
An Health IT community began to emerge
1000+ people were working on health IT standards and for "E"-projects were under way
But they were talking to the converted and no-one else was listening
Out of this emerged EHTEL encouraged by EC
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After ten years many are on board, but...
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Current Collaboration Models
Lack of sensible collaboration model
Need to overcome silos and protective interests
Current model is still the old Turf War approach:- between primary and secondary health- between specialties- against change- against the citizen service model
Focus on cost, generating zero-sum competition
Business models not oriented to collaboration
Balkan eHealth Conference, Sofia
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The age of deployment In 2009 – Where are we?
Aware there are no simple answers, no one way forward, no panacea.
Clear that eHealth / technology is just one enablerfor Transformation
Close to having the technology we need but not yet to change mentality / culture
Starting to see stakeholder awareness that they are all in this together
Agreed about direction but roadmap still unclear
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The age of deployment Where we are going
Models for
Focussing on local care
Evidence based medicine
Information based care
Collaborative care
Informed self management
An integral technology baseline for balancing resources and demand
Chinese walls between stakeholders no longer relevant
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Mobility as a key factor
Centrifugal mobility"Follow me" services
Needs: "Doc around the world"
Young and highly mobile citizens
Transferring the point of care worldwide
Centripetal mobility"Come to me" services
Needs: "My home is my castle"
Elder citizens and patients at home
Bringing services into the living room
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Demographic, logistic & personal needs
$10,000$1,000$100$10$1
Qualityof Life
Cost of Care / Day
Specialty Clinic
Community Hospital
ICU
Acute Care
Independent, Healthy Living
Community Clinic
Chronic DiseaseManagement
Doctor’s Office
Telehomecare
Assisted Living
Skilled Nursing Facility
Residential Care
By courtesy of Intel
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Integrating Telemonitoring…
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…and Consumer Electronics…
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…into new Ecosystems!
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End-Users:•Elderly•Patients
Family andPersonal Carers
Service Providers Service Recipients
MedicineTelemedizin Ärztenetze
SpitälerTelenursingTelehomecare
Telebiomonitoringetc.
Health/RehabilitationWellness
Fitness
PublichealthBeweg.Förderungen
etc.
Therapien
Infrastructure andHome Management
Consumer elec.
Intelligent HomeSensorik;Robotik
etc.
Facility Mgmt
Educational HealthHealth gaming
Teleeducation
Gesundheitsbildung
etc.
Edutainment
Shopping
Trust Center
Balkan eHealth Conference, Sofia
CharacteristicsTypically SMEs, public and private sector, outpatientInnovative health service providers/entrepreneursStatutory reimbursement and private business models
Integrating high medical quality and premium health:less disease-centred, more QoL, holistic approach"Next Gen" health professionals, health retailers
Current stage of developmentCall centres, competence centres, payers/insurersIndependently contracting health professional groupsTelemonitoring, continuity of care, personal healthTelehomecare/AAL, Home care logistics & security
Emerging "new" service industry
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Connecting people in health and social care will benefit from the application of ICT in support of
Continuity of careCollaboration between stakeholders, better Communication safeguarded Confidentiality.
A fourth age will emerge, when the "E" prefix is no longer needed and IT will be an integral day to day part of delivering, managing and receiving care.
Balkan eHealth Conference, Sofia
The age of integrationWhere might we be in 2019?
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Thank you for you attention!
EHTEL is here as a forum for All Stakeholders
Several publications of EHTEL are available at www.ehtel.org
You can contact us at [email protected]
Balkan eHealth Conference, Sofia