Breaking Down Silos, Accelerating Mobile Health

through Ecosystems

Andrew McCormickPermanent Secretary DHSSPS, and

Chief Executive Health and Social Care Northern Ireland25 February 2014

Mobile World CongressBarcelona

Chronic Disease Challenge

Department of Health (2008 ) Raising the profile of long term conditions careINIsPHO (2010) Making Chronic Conditions Count

60% of all GP visits

72% acute bed days

69% of health &

social care spend

2/3s of over 75s

Population 1.8M

H&SC budget £4.5bn

Rising to £4.66Bn in 2014/2015

Leadership of ChangePolitical mandate for Reform to all aspects of health and social care services in “Transforming Your Care”Quality 2020 and new Public Health strategy – in context of integrationeHealth as a tactical game-changer that can:– show everyone the possibilities for change– facilitate new business models– raise quality and effectiveness – Promote innovation and technology

Connected and Mobile Health

Information (and all its uses) is the key to changing the paradigmNeed for focus on real aims – better outcomes for patients– better management of care– better ways of working for staff– better use of resources

Connected and Mobile Health

A New and Clearer Focus, for the times we are in– Triple aim (IHI) of improving population

health, patient outcomes and efficiency – a value based, clinician led care model

– Enhancing value depends fundamentally on information – ideally at patient level

– Enabling technology is obviously central– Making the most of the opportunities for

integration

Aspects of eHealth in the Northern Ireland EcosystemHelping the health and social care system work better – useable, interoperable devices and systems for professionals and support staff to use to do their jobs

Aspects of eHealth in the Northern Ireland EcosystemHelping the health and social care system work better – useable, interoperable devices and systems for professionals and support staff to use to do their jobsGathering, compiling and processing population level data for research and planning

Aspects of eHealth in the Northern Ireland EcosystemHelping the health and social care system work better – useable, interoperable devices and systems for professionals and support staff to use to do their jobsGathering, compiling and processing population level data for research and planningApplying devices to measure and transmit data to improve the speed and effectiveness of care

Strategic Benefits Quality/Safety Service

Efficiency/Use of resources

Patient Experience

Economic Growth

SupportSystems

Data Processing

Care Devices

Change of Paradigm

OldthinkEpisodic CareLogic and AnalysisHierarchiesBig plans big implementationSelf contained system siloes

NewthinkContinuous CareValue based directionMotivation of allSmall works

Interaction, fertile creativity of new ideas

All enabled by better integration of services, as information breaks down the silos

Connected Health and Prosperity Agenda in Northern Ireland

Memorandum of Understanding signed December 2011 by Health and Economy Ministers

Steering Group – Government agencies, universities and private sectorAction Plan September 2012- mandate for innovation, including:

Development of the NI Connected Health Eco System, along with international linkages

Eco-System tasked with addressing health and social care priorities to support implementation of the Northern Ireland Health and Social Care Transformation programme

Health & Social Care

Services

Education &TrainingResearch

Ecosystems: a driver for integration & economic development with Healthcare as an investment not cost

Engine for investment growth and economic development

Primary, Secondary and Community Care

Domiciliary services

Assisted Living

services

Care Homes services

Technology devices, equipment and services

Consumer healthcare products and services

Industry

Commissioners of HealthcareCommissioners of Social Care

PharmaceuticalICT / telecoms

CONSUMERS

PATIENTS

PEOPLE

US

Public Providers University & Research Organisations

Benefits from the Eco-SystemImproved engagement across the sectorsResearchers and industry understand health prioritiesInnovation and R&D can be targeted more effectivelySupports the dual objectives of improving health and well-being and developing a sustainable economyIdentified opportunities for innovative procurement and a project on medicines adherence is underway

Overview of an ECH Alliance Ecosystem

1. Collaboration of the willing2. Flexibility about how each is organised

– evolving, work in progress & not prescriptive3. Virtual Operating Board4. Regular Members Business Meetings5. ECH Alliance promotes dissemination of

best practice, ideas & solutions between its Ecosystems & wider international collaboration.

PERM

ANEN

T ECO

SYST

EMS

Thank you

• andrew.mccormick@dhsspsni.gov.uk• www.dhsspsni.gov.uk• www.hscni.net• http://www.telemonitoringni.info/• http://www.echalliance.com/