Beyond Connected Health to Connected Wellbeing Prof. Jonathan Wallace Professor of Innovation Director of Knowledge & Technology Transfer, Faculty of Computing & Engineering, University of Ulster, Northern Ireland Faculty of Computing & Engineering Innovation Support On Your Doorstep
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Beyond Connected Health to Connected Wellbeing Prof. Jonathan Wallace Professor of Innovation Director of Knowledge & Technology Transfer, Faculty of Computing.
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Beyond Connected Health
to Connected Wellbeing
Prof. Jonathan WallaceProfessor of Innovation
Director of Knowledge & Technology Transfer,Faculty of Computing & Engineering, University of Ulster, Northern Ireland
Faculty ofComputing &Engineering
InnovationSupportOn Your
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Not Here To . . .
Faculty ofComputing &Engineering
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Doorstep
Demographic Ageing – The Ticking Timebomb
• According to the most recent United Nations estimates, the human population of the world is expected to reach 8 billion people in the spring of 2024.
• These are the first fully aged societies in human existence
• Manifest shift from institutional to community care
• Vocabulary of improved “individual autonomy” and “quality of life”
• Demographic & social trends suggest supply of family / informal care is finite:– people living longer
– declining birth rate
– greater inclusion of women into the work force
– spiralling divorce rate
Faculty ofComputing &Engineering
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Doorstep5
Healthy Ageing In Place
Many people experience unwanted or avoidable care encounters
• High costs and poor accessibility may mean putting off seeking care when early intervention would be better
• Many chronic patients are poorly served by care in hospitals – yet for many that is where they end up
• Systems often reward activity regardless of the overall outcomes
Infectious diseases1900-1950
Episodic care1950-2000
Personalised care 2000-
Health needs are evolving yet services have been slow to catch up
Transformation from Industrial Age Medicine to Information Age Connected Healthcare
Source: Adapted from Malaysian Telemedicine Blueprint
Industrial Age MedicineInformation Age Medicine
& Connected Health
Transformation Through Cost-Effective Use of Information & Communication Technologies
Person
Community
Primary
Secondary
Tertiary
Individual Self-Care
Friends and Family
Community Networks
Professionals as Facilitators
Professionals as Partners
Professionals as Authorities
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Level 0: Population Wide Prevention
Level 1: Self Care / Supported Self Management (70-80% of chronic disease patients)
Level 2: Disease Management
(High Risk)
Level 3: Case Management
(Complex Risk)
Kaiser Triangle Model
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What Exactly Is Connected Health ?
• Not one specific technology !
• Spans every echelon of health care from first response/emergency medical systems through tertiary medical speciality consultations to the support of informal care in the home including motivation and behavioural change, medical education and information dissemination.
• It needs to be standards-based e.g. HL-7 and ensure interoperability.
“TECHNOLOGY”
IT IS NOT JUST SIMPLY NEITHER CAN WEFaculty of
Computing &Engineering
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Faculty ofComputing &Engineering
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More Than TechnologyAt Home
Provision of IntegratedTechnologies & Services
Tailored to SupportIndependent Living
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“The Wellness Paradigm”• The “Wellness Paradigm” – shift of responsibility
for health and well-being into patients’ hands
• “Home-centred capability is expected to become a catalyst for a huge health paradigm shift from last-minute heroic intervention to consumer-driven individualised prediction, prevention, early detection and maintenance”
(Herman, 2001)
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Expanded Chronic Care Model
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Faculty ofComputing &Engineering
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Faculty ofComputing &Engineering
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Information Veracity
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Social Media
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“DON’T SAY anything online that you wouldn’t want plastered on a billboard with your face on it” Chris Pirillo
Social Media• The impact of social media on how people now communicate
cannot be underestimated.
• Social media can be used both as an engagement tool and to analyse public, stakeholder and service user perceptions.
• Mental health service providers in the US are increasingly using social media to disseminate information, provide preventative and after-care, and reach out to those averse to receiving care.
• Social media can be invaluable as a way of providing 24/7 contact with mental healthcare professionals, A&E or after-hours GP care.
• To be successful, social media activity needs careful planning and to be properly resourced with a social media policy in place.
Faculty ofComputing &Engineering
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• App for identification and support of clients with Perinatal and Postnatal Depression
• EQ5D QoL Self Assessment App
New Research Student Projects in Collaboration with Local Trusts
3 key themes emerging that are critical for change:
• Creating and deploying stratified medicine
• Challenging established structures through commercial model innovation
• Including greater patient insight
• Changing reimbursement to reward population health
Delivery of more effective patient outcomes based on the integration of new technologies, business models and partnerships
Patient Centric Healthcare
• Removing cost and improved access to new models of healthcare delivery.
• Patients becoming active partners in care management
• Accessing new data and information
• Developing eHR, medical devices, virtual health and wider technical infrastructure
Effective use of connected technologies is enabling a shift from curative/reactive healthcare to prevention and health management
Intelligent Health
Delivering health reforms to create healthier communities and maintain universal access
Healthcare Reforms
• Keeping universal access affordable
• Re-organising health services around people’s needs and expectations