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DIGITAL INNOVATION IN HEALTHCARE: THE SMART CARE SYSTEM

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DIGITAL'INNOVATION'IN'HEALTHCARE:''THE'SMART'CARE'SYSTEM'

DIGITAL'INNOVATION'IN'HEALTHCARE:''THE'SMART'CARE'SYSTEM''

MARIANO'CORSO''SCIENTIFIC'DIRECTOR'OF'THE'OBSERVATORY'ON''DIGITAL'INNOVATION'IN'HEALTHCARE''SCHOOL'OF'MANAGEMENT,'POLITECNICO'DI'MILANO!

29/09/14! 2!

L’Osservatorio ICT in Sanità

Observatory on Digital Innovation

in Healthcare

Il contesto di riferimento The Italian context

Lo Smart Care System

Smart Care System

Questa ICT non basta ICT expenditures

Digital'Innova,on'in'Healthcare:'The'Smart'Care'System'Table'of'Contents'

L’Osservatorio ICT in Sanità

L’Osservatorio ICT in Sanità

Il contesto di riferimento The Italian context

Questa ICT non basta ICT expenditures Lo Smart

Care System Smart

Care System

Observatory on Digital Innovation

in Healthcare

Digital'Innova,on'in'Healthcare:'The'Smart'Care'System'Table'of'Contents'

Observatory on Digital Innovation

in Healthcare

!  Studying how digital technologies enhance innovation

!  Facilitating the debate and promoting collaboration between players in the social & healthcare system

!  Acting as a benchmark for decision-makers in the social & healthcare system

Observatory'on'Digital'InnovaAon'in'Healthcare'Main'objec,ves'

Observatory'on'Digital'InnovaAon'in'Healthcare'Deliverables'

Report

Conferences and Workshops

«ICT in Healthcare»

Award

Online Community

Change management

Articles

Questa ICT non basta ICT expenditures Lo Smart

Care System Smart

Care System

L’Osservatorio ICT in Sanità

Observatory on Digital Innovation

in Healthcare

The Italian context

Digital'InnovaAon'in'Healthcare:'The'Smart'Care'System'Table'of'Contents'

The Italian context

Spending'Review'Scandals'

Inefficiency'

PoliAcs'Appropriateness'

Cut'offs'

Equity'

Inappropriateness'

InnovaAon'

Errors'

Online'cerAficates'

Copays'ACCENDENDO'LE'TV'E'LEGGENDO'I'GIORNALI'OGGI'IN'SANITÀ'SI'

PARLA'SOLO'DI'SPENDING'REVIEW'

The'Italian'context'What'we'talk'about'when'we'talk'about'Healthcare?'

Referrals''

Animazione'della'slide'successiva'

The'Italian'context'What'we'talk'about'when'we'talk'about'Healthcare?'

[US$ PPP] OECD 2013

3.012

3.072

3.309

3.405

4.118

4.495

Italy

Spain

EU mean

England

France

Germany

Actual healthcare expenditures Demographic aging

Eurostat 2013 [% Over 65]

17.2

17.6

17.7

18.2

20.7

21.2

England

France

Spain

EU mean

Germany

Italy

Quality of healthcare services

EuroHealth CI 2013 [Score]

651

663

670

719

777

796

Italy

Spain

EU mean

England

France

Germany

Healthcare internationalization

Intern. Mobility [M €]

-41

-25

Highly specialized care

Generic

Italian balance between active and passive international mobility

POCHISSIMI'PARLANO'DEI'QUATTRO'VERI'PROBLEMI'DELLA'NOSTRA'SANITÀ'

The'Italian'context'What'we'talk'about'when'we'talk'about'Healthcare?'

[US$ PPP] OECD 2013

3.012

3.072

3.309

3.405

4.118

4.495

Italy

Spain

EU mean

England

France

Germany

Actual healthcare expenditures Demographic aging

Eurostat 2013 [% Over 65]

17,2

17,6

17,7

18,2

20,7

21,2

England

France

Spain

EU mean

Germany

Italia

Quality of healthcare services

EuroHealth CI 2013 [Score]

651

663

670

719

777

796

Italy

Spain

EU mean

England

France

Germania

Healthcare internationalization

Intern. Mobility [Mln €]

-41

-25

Highly specialized care

Generic

Italian balance between active and passive international mobility

Italy has one of the lowest healthcare

expenditures in Europe

Italy is the Country with the highest

median age in Europe

Deregulation will catch the

healthcare system

unprepared

The quality of healthcare services is declining

Lo Smart Care System

Smart Care System

L’Osservatorio ICT in Sanità

Observatory on Digital Innovation

in Healthcare

Il contesto di riferimento The Italian context

ICT expenditures ICT expenditures

Digital'InnovaAon'in'Healthcare:'The'Smart'Care'System'Table'of'Contents'

Ministry of Health

19 m €

GPs

60 m €

ICT'expenditures'Italian'Na,onal'Health'System'ICT'expenditures''

Regions

295 m €

Hospitals

800 m €

Estimates are based on data

collected in 2013

ABBIAMO'DETTO'PER'SEI'ANNI'CHE'

BISOGNAVA'SPENDERE'DI'PIÙ'

'QUESTA'ICT'NON'BASTA'PERCHÈ'SI'SPENDE'POCO'

ICT

tota

l exp

endi

ture

s: 1

.17

bn €

Ministry of Health

19 m €

GPs

60 m €

Regions

295 m €

Hospitals

800 m €

ANIMAZIONE'

Estimates are based on data

collected in 2013

ICT'expenditures'Italian'Na,onal'Health'System'ICT'expenditures''

1.3'bn'€'

2011'

1.23'bn'€'

2012'

1.17'bn'€'

2013'

– 5% – 5%

Year'

ABBIAMO'DETTO'PER'SEI'ANNI'CHE'

BISOGNAVA'SPENDERE'DI'PIÙ'

'QUESTA'ICT'NON'BASTA'PERCHÈ'SI'SPENDE'SEMPRE'

MENO'COL'PASSARE'DEL'

TEMPO'

ICT'expenditures'Italian'Na,onal'Health'System'ICT'expenditures''

Shifting the focus from the hospital to the territory Appraising the re-use of effective solutions

Systematizing local excellence Speeding up the change

ICT'expenditures'Digital'Technologies'in'theory'

Healthcare system Welfare system

ICT'expenditures'Digital'Technologies'in'prac,ce'

?'

This'ICT''is'not'enough!'

ICT'expenditures'This'ICT'is'not'enough!'

L’Osservatorio ICT in Sanità

Observatory on Digital Innovation

in Healthcare

Il contesto di riferimento The Italian context

Smart Care System

Questa ICT non basta ICT expenditures

Digital'InnovaAon'in'Healthcare:'The'Smart'Care'System'Table'of'Contents'

Smart Care System

HolisAc'and'integrated'vision'of'the'levels'of'care'

Smart'Care'System'The'main'aGributes'of'the'Smart'Care'System'

IMPORTANTE SOTTOLINEARE RUOLO DELLE SOLUZIONI DI TELEMEDICINA

ICT'as'an'enabling'factor'of'collaboraAon'between'players'

Smart'Care'System'The'main'aGributes'of'the'Smart'Care'System'

Shared'governance'of'innovaAon'

Smart'Care'System'The'main'aGributes'of'the'Smart'Care'System'

Healthcare system Welfare system Smart Care System

Smart'Care'System'Toward'the'Smart'Care'System'

DIGITAL'INNOVATION'IN'HEALTHCARE:''THE'SMART'CARE'SYSTEM''

MARIANO'CORSO''SCIENTIFIC'DIRECTOR'OF'THE'OBSERVATORY'ON''DIGITAL'INNOVATION'IN'HEALTHCARE''SCHOOL'OF'MANAGEMENT,'POLITECNICO'DI'MILANO!

29/09/14! 23!