Join the conversation on Twitter!@eHealthIreland #ehealth4all@echalliance @investnetevents

WIFI DetailsNetwork: Guest IVIUsername: ga161Password: TU5A9JF1M

Keynote: Innovating for Sláintecare: Care Closer to Home

Martin Curley, Chief Information Officer, HSE

eHealth Ireland Ecosystem members of the ECHAlliance International Ecosystem Network

@ehealthireland

eHealth Ireland will be Enabling Connected Health Through Digital @ehealthireland

Stay Left, Shift Left! A Moore’s Law for Irish Healthcare

Innovating for SlainteCare: Care Closer to Home

Name Martin CurleyTitle Chief Information Officer, HSE, CO, eHealth IrelandTwitter @martingcurley1Email martin.curley@hse.ie

@ehealthireland

Transforming Health through Digital @ehealthireland

“The dogmas of the quiet past

are inadequate to the stormy

present.”Abraham Lincoln

@ehealthireland

Who knows best?

@ehealthireland

Moore’s Law

@ehealthireland

SHIFT LEFT: Highest Quality of Life at the Lowest Possible Cost

Shift Left StrategyDevelop Moore’s Law For Irish Healthcare

Find and sequence eHealth interventions to

drive and improve quality of life and

reduce cost of care

@ehealthireland

Stay Left, Shift Left: Moore’s Law for Healthcare

Cost of Care

Qu

ality of Life

The Continuum of Care

“Shift Left !”

Independent Healthy Living

Doctor’s OfficeChronic Disease

Management

CommunityClinic

Home Care

Primary/Community Care

Skilled Nursing Facility

Assisted Living

Acute Care

Speciality Clinic

ICU

Community Hospital

Shift Left – Highest Quality of Life at the highest possible cost avoidance

Preventative/Proactive Healthcare

Life Style Nutrition

Scanning Monitoring

Genetics Environment

Primary Care Centre

Qu

ality of C

are

Immunisation

B

ACurrent Situation:50% backlog90 day average wait5% prescribing errors

€ € € € € € € € € €

Clin

ician Exp

erience

@ehealthireland

Stay Left, Shift Left: Moore’s Law for Healthcare

Cost of Care

Qu

ality of Life

The Continuum of Care

“Shift Left !”

Independent Healthy Living

Doctor’s OfficeChronic Disease

Management

CommunityClinic

Home Care

Primary/Community Care

Skilled Nursing Facility

Assisted Living

Acute Care

Speciality Clinic

ICU

Community Hospital

Shift Left – Highest Quality of Life at the highest possible cost avoidance

Preventative/Proactive Healthcare

Life Style Nutrition

Scanning Monitoring

Genetics Environment

Primary Care Centre

Qu

ality of C

are

Immunisation

€ € € € € € € € € €

Clin

ician Exp

erience

@ehealthireland

Open Innovation 2.0: The new mode for Digital Innovation; enabled, fuelled and built using Digital Technology – Virtuous Cycle

Source: M Curley/B Salmelin

Leveraging Collective Intelligence and Energy;Multiplicative, Synergy and network effects

Hospital

Start-up

University

Company

Primary CareCentre

User

Co-innovator

CreativeCommons

GovernmentEcosystemsupport

Students

Home

@ehealthireland

Quadruple Helix Innovation

Government, Academia, Industry and Citizens collaborating together to drive structural changes far beyond the scope of

any one organization could achieve on it’s own

Government/Public

Academic

Industry

Citizen

Copyright © Intel 2015

@ehealthireland

@ehealthireland

Personalised Care shift from population-based to person-based prevention and treatment

Care Networkingshift from institutions to preventative, proactive, mobile, home-based, & community care.

Care Anywhereshift from solo to community and team-based care across orgs and IT systems

Evolve Strategy to a Shared Vision

@ehealthirelandThe Problem

$50 Billion of Chronic Injectables

Medications are self administered in

the home.

Why do they stop?

Forget

Feel BetterFeel Worse

Wrong Treatment

Wrong Dose

@ehealthirelandThe Solution

HealthBeacon is a smart sharps bin that helps people who use home injected medications to manage long term conditions.

It replaces conventional waste disposal bins with an patient support tool to help patients start and remain on time in taking injections.

@ehealthireland

Patient Centric Design

@ehealthirelandThe HealthBeacon Ecosystem

Head & Neck Cancer

(Rabbit)

Pre-Injection 5 min 24 hours 4 days

Increased Adherence

Real world insights

Reduce waste / unused medication

@ehealthirelandChanges the Doctor / Patient Conversation

Titrate Maintain

Intervention Switch

100%

100%

Clinical Outcomes

Personal Adherence

Score

@ehealthireland

Globally Embraced

Belgium

Netherlands

Portugal

Italy

Germany

Canada

Israel

Silicon Republic 24th May 2018

@ehealthireland

19

@ehealthireland

Aligning and Orchestrating the eHealth Ireland EcoSystem to Implement Shift Left Strategy

DynamicPortfolioApproach

Shift Left

Budget

- Slainte Care- eHealth Strategy- Healthy Ireland

Conversion Efficiency = Value/Spend

is HIGHeHealth Capability

Alignment, Acceleration, Amplification, Adoption

Better Outcomes,Efficiencies,Economic Growth

Reinvestefficiencies

Societal, Political , Economic Context

EIIDASFI

S;a

Slaintecare Report May 17

Quadruple Aim

@ehealthireland

eHealth Ireland will be Enabling Connected Health Through Digital @ehealthireland

IT-CMF

Significantly Improve

IT Capabilityand Capacity

www.ivi.ie

@ehealthireland

Intel Confidential | 22

Build a Roadmap for Ambition, Implementation

and Success

eHealthBudget

eHealthCapability

eHealth Business

Model

eHealth Macro Capabilities

SustainableEconomic

Model

FundingAmplification

ManagedSpending

Full Visibility ofSpending

European Leader

Mediocre

Average

Managed Yield and Portfolio

Optimized TCO

EstablishBenchmark

ServiceCentre

Cost Centre

InvestmentCentre

Beginning

OptimizedValue

World Class

Initial

Basic

Advanced

Intermediate

MaturityLevels

Optimizing

3.

2.

4.

5.

1.

Value Centre

2018

2020

2023

Timeline

0.85% ofBudget

2% Budget

3% Budget

eHealthValue

Better Outcomes

Resource Efficiencies

Wealth Creation

@ehealthireland

HIMSS – EMRAM for spectrum of healthcare delivery

@ehealthireland

OCIO Victoria developed an Interoperability Maturity framework linked to HIMSS EMRAM

…however, it does not show significant differentiation…

@ehealthireland

Transforming Health through Digital @ehealthireland

“In the next ten years Data Science

will do more for medicine than all of

the biological sciences combined.”

Vinod Khosla

@ehealthireland

New modelsof care forced

to emerge: Patient Centric

Shortage of Healthcare Professionals

Rising Costs of Healthcare

Aging Population

Perfect storm in healthcare…

eHealth IrelandSlainte Care

@ehealthireland

Small Business Innovation Research [SBIR]

HSE CHALLENGE

SBIR INDUSTRY

INNOVATION

SMART SOLUTIONS to Solve HSE Challenges

SHIFT LEFT: Highest Quality of Life & Care at Lowest Possible Cost

Small Business Innovation Research

@ehealthireland

Science Foundation Ireland Challenges

Shift Left – Digital Diabetes Management

Shift Left – Capacity and Demand Modelling

Shift Left – Flu and Trolley Crisis

Shift Left – Open Data

Shift Left – Datathon

Shift Left – Novel Instruments, Techniques and Technologies

Shift Left – Integrated Health Exchange

@ehealthireland

Transforming Health through Digital @ehealthireland

“You make a living by what you get, you

make a life by what you give.”

Winston Churchill

@ehealthireland

eHealth Ireland will be Enabling Connected Health Through Digital @ehealthireland

Thank you!

Name Martin CurleyTitle Chief Information Officer, HSE, CO, eHealth IrelandTwitter @martingcurley1Email martin.curley@hse.ie