Health and wellbeing smart life

Smart Growth and Health Care City – to live a healthier life trough

preventive careThe 7th World Technopolis Association

International Conference,Industrial Technology Research

Institute, Hsinchu City, Taiwan R.O.C.

BETTER LIFE, BETTER CITY-sharing inspiration

Finland, the living laboratory of the aging societies

http://www.newsweek.com/feature/2010/the-world-s-best-countries.html

DIRECTOR, DR. TUIJA HIRVIKOSKILAUREA UNIVERSITY OF APPLIED SCIENCES,

COUNCIL MEMBER OF THE EUROPEAN NETWORK OF LIVING LABS (ENOLL),

STEERING GROUP MEMBER AT HELSINKI LIVING LABS, IN SENDAI-FINLAND WELLBEING CENTRE AND IN THE AMBIENT ASSISTED LIVING E2C PROJECT

PhD (Industrial Management)

MSc (Public Administration)

MSc (Physical Education)

Laurea with multiple Centre of Excellence awardsin the Helsinki Metropolitan Area

My heart resonates for:The reconciliation of the controversial realities

related to innovation -the Virtuous Innovation Circle

we believe it is possible to create a holistic healthcare ecosystem in which

diverse healthcare service end users, different healthcare service companies, research and development institutions, and the governmental healthcare agencies across different European’s countries will gather together to generate both

incremental and radical systemic solutions to fulfill future global healthcare needs, involving the Social and physical health promotion, disease prevention, cure and rehabilitation

global needs and healthy living, and

supplementery, and Integrated,

and leveraged resources

Borderless open and systemic innovation for

Tailored local solutions

and shared knowledgeSocial cultural insights

for “unstructured problems”,

and market opportunities related to

healthy aging of societies.

A COMMUNITY DEVELOPMENT APPROACH TO HEALTH PROMOTION

Adapted from Labonte, R. (1998), A community development approach to health promotion:a background paper on practice, tensions, strategic models and accountability requirements for healthauthority work on the broad determinants of health, Health Education Board of Scotland, ResearchUnit on Health and Behaviour Change, University of Edinburgh, Edinburgh.

“The most positive thing we can say about aging today is that we accept it, if it is followed by youthful behaviour.” (Blaakilde, 2008)

Health and wellbeing

Quality of life, functional independence,

wellbeing mortality, morbidity, disability

Labonte, R. (1998)

The factors affecting health and wellbeing

Protective factors

Risk factors

Physiological

risk factors

Behavioural factors

Risk conditions

Psychosocial factors

Healthy

lifestyles

Effective health

services

Healthy conditions and environments

Psychosocial factors

mortality, morbidity, disability

Quality of life, functional independence,

wellbeing

Labonte, R. (1998)

Quality of life, functional independence,

wellbeing mortality, morbidity, disability

Quality of life, functional independence,

wellbeingmortality, morbidity, disability

DEMAND AND USER DRIVEN POLICY –“NEW WELLSPRINGS OF VITALITY IN FINLAND AFTER THE CRISIS”

Finland highlights the human centric and systemic nature of innovation when dealing with unstructured problems. On a global scale, climate economics, global networks and open innovations will create new growth and businesses

www.udi.fi

Average growth of turnover in Danish firms, 2005-2007 (Source: Fora & Statistics Denmark, 2010)

Finland, Ministry of Employment and the Economy Innovation department(www.TEM.fi/INNO)

User-driven

innovation

Rethinking the value creation

opportunities to users

New competitive advantages

Transformation of industry &

societyKONE

NOKIA

RAUTARUUKKI

TAPIOLA

WÄRTSILÄ

MIKKELI

HELSINKI

(Source on case studies: Gemic 2010, forthcoming)

Petri lehto, Ministry of Employment and the Economy Innovation department(www.TEM.fi/INNO)

Knowledge and

capability

development

• Research- More emphasis on user-driven

innovation

- Development of indicators for

user-driven innovation

• Education- Users’ role as an active and

responsible participants

- Multi-disciplinary education

and multi-skilled citizens

- Emphasis on arts and design

related knowledge and skills

- Strategic design as a business

development tool (e.g. service

design)

- Intellectual property and

intellectual asset management

in open innovation context

• Methods and tools- Better availability and use of

advanced methods including

foresight , business

ethnography, internet and user

needs analysis

Regulatory reform

• Better utilisation of

public sector held data

and user information- Evaluation of data protection

and privacy regulations

- Making public sector held data

more readily usable for user-

driven innovation activities

• Collaboration with

users- Regulatory reform to empower

citizens influence and ability to

make choices

- Stimulus for partnerships in

public service production

• Intellectual property- Renewal of the institutional

framework to make it more

suitable and supportive for

open and user-driven

innovation

- More consistent regulation of

the intangible value and

liabilities resulting from user-

driven innovation activities

Infrastructure

improvements

• ICT infrastructure

- Improvements targeting better

quality, trust and more open

architectures

- Open and interoperable ICT-

infrastructure supporting user-

driven innovation especially

within the public sector

• Development platforms

and environments for

public private

partnership

- Support for networks that

enable user-driven innovation

activities reaching across

different sectors and branches

of administration

• Renewal of public

sector services - Promoting user-driven

development as a mainstream

activity within the public sector

- Adoption of service design

principles in the public sector

Incentives for user-

driven innovation

• Financial incentives

- New instruments for supporting

user-driven innovation

- New financing criteria for

existing instruments enabling

better support for user-driven

innovation

- Other new types of incentives

for open innovation and for

public sector context

• Building user

awareness and

channels of influence- Raising awareness of user-

driven innovation among

citizens, businesses and public

sector

- Stimulus for user influence

through empowerment and

improved channels of influence

Policy framework Ministry of Employment and the Economy

The central elements of user-driven innovation policy

Knowledge and

capability

development

• Research- More emphasis on user-driven

innovation

- Development of indicators for

user-driven innovation

• Education- Users’ role as an active and

responsible participants

- Multi-disciplinary education

and multi-skilled citizens

- Emphasis on arts and design

related knowledge and skills

- Strategic design as a business

development tool (e.g. service

design)

- Intellectual property and

intellectual asset management

in open innovation context

• Methods and tools- Better availability and use of

advanced methods including

foresight , business

ethnography, internet and user

needs analysis

Regulatory reform

• Better utilisation of

public sector held data

and user information- Evaluation of data protection

and privacy regulations

- Making public sector held data

more readily usable for user-

driven innovation activities

• Collaboration with

users- Regulatory reform to empower

citizens influence and ability to

make choices

- Stimulus for partnerships in

public service production

• Intellectual property- Renewal of the institutional

framework to make it more

suitable and supportive for

open and user-driven

innovation

- More consistent regulation of

the intangible value and

liabilities resulting from user-

driven innovation activities

Infrastructure

improvements

• ICT infrastructure

- Improvements targeting better

quality, trust and more open

architectures

- Open and interoperable ICT-

infrastructure supporting user-

driven innovation especially

within the public sector

• Development platforms

and environments for

public private

partnership

- Support for networks that

enable user-driven innovation

activities reaching across

different sectors and branches

of administration

• Renewal of public

sector services - Promoting user-driven

development as a mainstream

activity within the public sector

- Adoption of service design

principles in the public sector

Incentives for user-

driven innovation

• Financial incentives

- New instruments for supporting

user-driven innovation

- New financing criteria for

existing instruments enabling

better support for user-driven

innovation

- Other new types of incentives

for open innovation and for

public sector context

• Building user

awareness and

channels of influence- Raising awareness of user-

driven innovation among

citizens, businesses and public

sector

- Stimulus for user influence

through empowerment and

improved channels of influence

Policy framework

The central elements of user-driven innovation policyUser-innovations by opening of public sector

information

− Influencing the development of legislation (especially Act on Criteria for Charges Payable to the State), availability and improvement of information and conditions for usage (working groups in MTC, MF and ME)

− Assessing together with stakeholders the need to set up a national contact point for speeding up the opening of public sector information, distribution of information and networking of players

− Piloting user-innovations in Helsinki Region Infoshare –project and spreading good practices and operating models more widely in Finland

New Tekes funding for user driven innovation

• Background: o User driven innovation is often performed

on research and development platformso Market validation is often the bottleneck for

commercialisation and especially crucial for user driven innovation

• Pilots, demonstrations, Living Labs, testbeds, learning environments

• Earlier: only the platform usage was funded

• Now also investments in platforms are being funded

Enhancing Design-thinking

− Formulating common development objectives and assessing the need to strengthen and centralise national tasks in promoting design (e.g. UK Design Council)

− Piloting service design projects as part of the World Design Capital project and raising awareness about opportunities of service design in renewing public services

− Activating utilisation of design in small and medium sized enterprises with the help of developer organisations and networks, renewing public enterprise services for supporting utilisation of design (e.g. DesignStart)

Strengthening utilisation of user-driven innovation platforms

− Setting up a national Living Labs network and mechanism to lead it. The objective is to develop the network and methodology and opportunities for businesses to utilise it, linking the network with EU network

Increasing awareness for user-driven innovation

− A new website (Udi.fi) will be established for spreading awareness of user-driven innovation and for networking actors in the field

− Inno-Suomi Award 2010 to highlight user-driven innovation

What is demand and user-driven innovation aiming

at?

14

.10

.2

00

9

Tekes activities

on UDI

NEW TOOLS

IMAGE CHANGE

DESIGNCOMPATIBILITY

OF DATA SYSTEMS

USER DRIVEN DESIGN OF REGIONS AND

BUILDINGS

ENERGY METERS

INFRASTRUCTURE

(PATIENT INFORMATION)

COMPATIBILITY

NEW USER DRIVEN MARKETS

SOCIETIES

REGULATION

SERVICE PROVIDING SOFTWARE

Telecom andelectronicsindustries

Bio and healthtechnologies

Machinery, mate-rials, production

Energy and environment

Health and wellbeing, services

Forest and chemicals

Real estate andconstruction

Tekes activities in customer interface; the darker the colour, the more strongly the activity promotes UDI

User driven innovation: Less organized, yet success stories can be recognized

• Open source software, Google, Facebook

• Service voucher

• Personified medicaltreatment

• Demola.fi

• IDEAnet, Vectia: everyday observation

• Design of oil destruction service

• In developing countries involving civic organizations in development work

• Forum Virium: Healthy city

• Software concept

• Foresight and innovation research

• PROFCOM

• Tee Parannus campaign

•Tekes Tori web portal

• User Driven Openinnovation

• Theseus: User focused product design

• Hapimm: Usability study of mobile equipment

• SUXES

• Field of ICT (CSTI)

• Fimecc (CSTI)

• Cleen (CSTI)

• Built Environment Innovations (CSTI)

Software and digital media industries

Throughout LinvingLabs - towards the supported

self-care and participation to health and inclusion

Engage people to the preventive health and social care service and productdevelopment and to the development of the mechanisms affecting the awareness, values and believes, emotions and behavior related to self care

Multi-innovation in a multilayer environment

macro level

A country as a LL for wellbeing and good life

meso level

City and service providers as a bases for a LL

micro level

Citizens, clients, users as the experts of good life

the core of LLs

• facilitate innovation generation and innovation diffusion

• good life & cost efficiency

• develop and apply innovative services

• permanent transformation in ones own behaviour and habits

-technological innovation

-product innovation

-service innovation

-social innovation

-process innovation

-societal innovation

-managerial innovation

-business innovation

-...

=> Wellbeing ecosystem based on the public-private-people partnership

Human centric design and participation in all levelssupportive self-care

Transforming Medicine in the 21st Century E.A. Zerhouni, Director, National

Institute of Health

• Pre-emptive - Better means for prevention

• Predictive - Predictive tools, genome mapping

• Personalized - Individually tailored interventions for patients

• Participatory - Participation of citizens and patients, team work, networking, change of information

Health promotion

"the science and art of helping people change their lifestyle to move toward a state of optimal health“

a health promotion strategy "aimed at informing, influencing and assisting both individuals and organizations so that they will accept more responsibility and be more active in matters affecting mental and physical health"

“community and individual measures which can help... [people] to develop lifestyles that can maintain and enhance the state of well-being".

what a specific product or a

predetermined solution must do to facilitate the user in accomplishing his/her goal?

...from an obligation and responsibility towards a supported opportunity and enjoyment!

Survey of Health, Ageing and Retirement in Europe (SHARE)

• about 10 per cent of the population is engaged in voluntary work, about 17 per cent in informal help and about 5 per cent in caring for a sick or disabled person

• a consistent association is found between engagement in one of these activities and well-being. Men and women who are socially productive exhibit significantly better self-rated health, less depressive symptoms and bodily symptoms and their quality of life is higher

• the experience of reciprocity within social engagement matters quite substantially for well-being

Johannes Siegrist and Morten Wahrendorf

Ranking care for the dying - Quality of deathA ranking of care for the dying by country

• It rates 40 mostly rich countries by how well they care for the dying. Britain tops the table. For all the health care system's faults, British doctors tend to be honest about prognoses, the mortally ill get plentiful pain killers and a well-established hospice movement cares for people near death.

• Countries such as Denmark and Finland rank lower because they concentrate more on preventing death than on helping people die without suffering pain, discomfort and distress.

WHAT IF?in the future, healthcare systems will integrate the best parts of Asian and European knowledge and the concepts of good life

User centered wellbeing

and related methods

Wellbeing technology

Quality of wellbeing

cervices

Business models and

industry transformation

Anticipation and

evaluation

Preventive healthcare - operative environment

East-Asian-European Aging Societies

Integrated RDI and Education

Co

reco

mp

eten

ces

RD

I pro

ject

s an

d

edu

vati

on

Enab

lers

professionals with the students

Nursing ProcessessKIBS international expertice

Accountancy ehealth user centerd methodsHu

man

re

sou

rces

IIn

no

vati

on

se

rvic

es Business innovations (arvontuotanto,prosessit)

Development of Nursing and related service (user centered, proactive,)

Wellbeing technology (e-health palvelut)

National& EU

Funding

e.g. Laurea LLTUE

e.g. NTU

e.g. TFU

e.g. Aalto/SF

e.g. Hallym Unv.

Kn

ow

edge p

rod

uctio

n

RDI portfolio andEducational servises

studypath

Every exercise in the NW group was supervised by 2-3 experienced trainers and community volunteers.

Liveliness Promotion for health and wellbeing NORDIC WALKING IN JAPAN; JAPAN-

FINLAND JOINT PROJECT by Takayuki Kawamura, TFU Proactive Health and Wellbeing Center

Liveliness Promotion for health and wellbeing, NORDIC WALKING IN JAPAN; JAPAN-FINLAND JOINT PROJECT by Takayuki

Kawamura, TFU Proactive Health and Wellbeing Center

• Prevention– implies negative message (i.e. Life-threatening

conditions) for promoting health

– measured and evaluated as medical point of view

• Liveliness– gives positive message for promoting better

(holistic) health

– is contagious: the more lively the community appears to be, the more likely an individual is to participate.

LAUREA ORCHESTRATES THE DIFFERENT MEANINGS

how can the higher education institution play its own role?

http://lbdconference.laurea.fi/index.html

Political guideline

Institutionmeaning

enviroment

Design environment

Developer

Execution enviroment

User

Personal meaning

enviroment

Utilizer

Business environment

Strategic environment

Enablers

franchiser…licence,

Third side

To learn cultural meanings is social activity, and to think about those meanings is anticipation of social activity.

Meaning is use. The action and its consequence must be joined in perception. This relationship is what gives meanings to grasp it is

the objective of intelligence (J.Dewey)

Table for orchestration

Laurea LbD Living Lab

EMPOWERING METHODSpromote good life among the senior citizens

Passion for life - Jönköping & Espoo

To develop conditions for a full healthy life with a high quality of life for elderly people

To test procedures to find new methods that can affect the overall goal we all probably aim for: best possible life – the whole life

To incite senior citizens to take their own responsibility for preventive work for as rich and healthy a life as possible

To find messengers who can communicate knowledge and methods and spread ideas

www.lj.se/passionforlivet

Passion for life - life cafés, which are rooms of possibilities where everybody´s experiences

contribute to improvements

Constant renewal is necessarywww.lj.se/passionforlivet

Passion for life- good health and quality of life

six life cafes

SMART CITIES

Advanced and Connected Smart Cities - towards digital, green and open communities

Europe 2020 StrategyA strategy for smart, sustainable and inclusive growth

• Smart growth: developing an economy based on knowledge and innovation

• Sustainable growth: promoting a more resource efficient, greener and more competitive economy.

• Inclusive growth: fostering a high-employment economy delivering social and territorial cohesion.

[email protected]

Digital Agenda for Europe

• Consumers: a vibrant digital Single Market and high-speed internet access.

• Workers – rifgt skills for the digital era.

• Patients and doctors – using ICT for sustainable healthcare.

• Manufacturing industry – the oportunities of an interoperable digital economy.

• The ICT industry – research and innovation for the digital economy.

• Small and medium-size enterprizes (SMEs) – eGovernment to ease the functioning of SMEs.

• Artists, authors, musicians.

• The environment – using ICT to reduce our environmental footprint.

• Researchers – increased and joined-up ICT researching funding.

• Pre-commercial Procuremment of Innovation.

• Chilçdren and their parents: being safer online.

• Older and disabled people – new opportunities.

• People in rural and remote areas – connecting communities.

[email protected]

European RDI Policies• FP7 Programme

• CIP Programme

• Thematic Domains

• Smart Cities

• Smart Regions

• PPP Programmes

• Future Internet

• Factory of the Future

• Electric Car

• Efficient Buildings

• Regional and cross-border development.

• Pre-Commercial Procurement of Innovation.

[email protected]

The European RDI policies foster partnerships for collaborative human-centric, user-driven open innovation methodologies as provided by

Living Lab eco-systems.

European RDI System

[email protected]

UserCitizen

ConsumerCommunities

ENoLL

Early Adopters / Lead Markets

Pre-CommercialProcurement of Innovation

GlobalMarket

EuropeanInstitute of Technology

Innovation PolicyInstruments

European Network of Living Labs (ENoLL)

(212)

1st Wave – 19

2nd Wave – 32

3rd Wave – 68

4th Wave – 93

[email protected]

EU promotes Advanced and Connected Smart Cities - towards digital, green and open

communities• New and innovative ways of using information and

communication technologies to support the planning and implementation of strategies and services which will contribute to urban sustainability

• E.g. Helsinki Region Infoshare opens up regional public databases. Information will be available for citizens, corporations, universities, research institutes and municipal administration free of charge. By opening up their databases, the Helsinki Region Infoshare cities wish to increase their citizens’ understanding of the development of the cities and to improve opportunities for citizen participation through transparency. Open and easy availability of regional information can create new services and business in the region, and it can boost research and development activities.

Ubicom - Embedded ICT 2007-2013

The Ubicom – Embedded ICT program run by Tekes is focused on developing and piloting embedded IT solutions. The area is expected to play a key role in the next stages of the development of IT, offering promising opportunities for business growth. In addition to the development of technology solutions and applications, the program also provides support for business development.

Finland at the top of the IT worldExtensive study finds: Finland has the best business environment in the world and the second-most competitive operating environment for IT businesses.

Healthy Helsinki Living Lab of wellbeing in Helsinki

a comprehensive approach to the challenges in disease prevention and health promotion: e.g. Personal Health Record (web service), Mobile Health (feedback on your exercise habits), Mobile dental care (high risk

groups), Sport equipment from the library

[email protected]

Healthy Helsinki Living Lab - Solutions are needed in three substance areas and in one

enabling area

SAFE HOME [email protected]

http://www.caringtv.fi/

Investigates, develops, produces and evaluates interactive program and wellbeing services for promoting the health and wellbeing of various client groups, broadcasts interactive program and e-services via CaringTV and other technological platforms

seniors’ comments:“dignity to life”“a stimulating moment in everyday life”“It is good to noticethat there are aging also in

other parts of Finland”

44

Laurea CaringTV

CaringTV is a pioneer in producing fresh andincreasingly more versatile services. WithCaringTV it is possible to bring differentprogrammes and services directly to homesthrough television.

CaringTV maintains and supports cognition andcommunicational skills and social relations of theelderly. It also provides stimulating activity andtherefore reduces feelings of loneliness within

the elderly.

In the future it is important to develop CaringTVto be even more individualized and versatile toserve the needs of different target groups.

Reference: Laurea Thesis, Field researchHyvinvointiTV Vantaan kotihoidon asiakkaiden

elämänlaadun edistäjänä by Saksi, Anna and Nupponen, Sirpa (2008)

[email protected]

E2C

Ethnographic methods unfold the hidden needs

E2C develops, test s and deploys a web service, which stimulate and facilitates personal storytelling, and enable interest-based connections and communication among elderly and thereby empower them and enrich their life. The E2C focuses on finding a solution to the very challenging issues:

1. Preventing the internal experience of loneliness as this is strongly associated with dissatisfaction with life.

2. Develop a new innovative solution for an emergent EU market for “preventive social technology”, consisting of the increasing part of elderly people age 65+

3. Creating implementation strategies that allow the solution a place in the service ecology of elderly care by contributing to a stop in the predicted rise (up by 4 – 8 % of GDP in 2025) in costs of health and long term [email protected]

MULTI-INNOVATION APPROACH as long as most of the senior citizens keep going with their lives with less than one thousand Euros per month cities cannot rely only on expensive technological and service solutions

Societal innovation (ACSI) Koskela community

Societal innovation (ACSI) Koskela community and Loppukiri in Finland

• a sustainable business model for a community with world class utilities and services and a growing proportion of elderly–All the necessary means (financial innovations, methods and knowledge) are already here! The main challenge is our traditional mindset...

• how already available, tested financial models and organisational forms, can be put together in new ways to reap the benefits of both traditional and new models in combination

Koskela Community - A new living laboratoryguiding principles:

1. Testbed: The community is a testbed for new combinations and developments of social and financial approaches to improve citizens’ lifes.

2. User-driven and –governed: The community and its development should naturally be user-driven and –governed, also when it comes to financial issues.

3. Monitor what works – in a lifelong perspective: As a testbed, the community regularly must monitor ”what works”, what ”pays back” and what increases satisfaction and attractiveness of the community for the people living there.

4. Don’t experience with people’s lifes: it only uses well-tested models and concepts in its financial model to begin with – but has the liberty of utilising them in new ways and combinations.

5. Smart incentives: From the onset (planning phase) the community will embed a long term, positive SROI incentive structure: To maximise use of social and intellectual capital – and to minimise use of non-returnable financial capital.

6. From service to collaboration: The community will explore how much mutual help can be moved from the ”service-domain” (i.e. With a provider and user-subject) to the collaborative domain (i.e. With partners and fellows collaborating and mutually helping each other)

7. Craddle to craddle: Just as the community is for all ages, it should be build and managed on the ”craddle to craddle” environmental principle

Community - What could it look like?The Community Investment Committee CIC invests in e.g. a new, evidence based approach or tool to minimize the need for special reading classes in the local education for small children. The tool requires extra gadgets and training for the teachers. However, over time it saves substantial resources in the education system by reducing special needs. CIC invests in the gadgets and training and over time the ROI is split between the community and the municipal government (co-investors).

Public or public-private models for essential community services, that could include:•Primary and secondary health care• Education• etc.

Social enterprise models for contractual community services could include:• Collective afternoon childcare, gardening, etc.• Or financial councelling, community homepages, IT-centres, etc.• But also community cafe’s, restaurants, cultural centres

”ACSI Silver Potential” or a new Finnish subsidiary of The Specialist People Foundation (a global foundation providing new work opportunities for people with special needs – cf. http://www.specialistpeople.com/ ).

Voluntary organisation for ad hoc and open community services or collaborations could include:• parenting groups; cultural groups, etc.• mentors, coaches and enablers for difficult situations (from parenthood challenges to career considerations and third career/”encore” opportunities); • versatile cultural, sport and edutational activities (from basketball to digital cocking classes)

The Community need/opportunity exchange, CEX, connects people with special needs and people with special abilities and willingness to help on an ongoing basis. Every month community service credits are dispersed to the active contributors, ”hero’s” among specially active or inventive contributors or ”couples” are systematically promoted, etc.

With an encouraging, transparent setup, the people of the community will most certainly over time develop numerous new variants of how to help each other and optimise life in the community...

Lars Jannick Johansen, Director at Monday Morning, at [email protected]

urban planning as a Living Lab- Sweden

LoppukiriUrban planning in a Living Lab

• LOPPUKIRI is a housing community for mid-life and elderly people in urban surroundings in Helsinki.

A final spurt

by seniors and for

themselves

(Arabianranta)

Liveliness promotion for health and wellbeing

Thank you!

Passion for good life

[email protected]