European Health Campus

Dare to cross the line - TOGETHER

Broadband Revolution!

How we got here

• A quick journey from code weaving to gloal we services, via St Patrick and the Wild West

• Surfing the 21st century web services ocean

St Patrick – Patron Saint of IP

Digital Health can optimise improvement of efficiency, equity, and quality, easing troublesome tradeoffs

Digital He@lth

Equity

Efficiency Quality

Taking ICTs & Biz Models to Rural India

Power Connectivity

Website Interactivity

Old landscape:

Customer faced with multiple choices:

• Where do I go?

• Who do I call?

• Who can I call?

• If not “999”, is there another number?

• I can’t remember the number, should I call “999”?

Sel

f ass

essm

ent Patients are currently asked to self

diagnose in order to select the best available option.

Some may not be aware of all the services available

As a result, patients often touch multiple services at a cost to NHS

0845

WebOOH local?

999

Pharmacy

Clinic specific

A&E

GP

??

??

?

Target landscape

Customer faced with 1 choice:

• Do I need to call “999”?

• If not, patients can dial “111” or go online

Sin

gle

acce

ss “999” deals with emergency only. Category C calls transferred to NHSD

“111” deals with non-emergency calls only. Category A & B calls transferred to “999”

Web resolves query or refers to “999” or “111”

A&EOOH

999

Web

Resolve

Cat C calls

Cat A and B calls

Ambulance

Info

res

olv

eR

efe

rral

P

rimar

y ca

re

• Clinic• GP• Pharmacy• Walk in

?

111

Ambulance Service Call

Centre

NHSD

Initial assessment tool - NHS Pathways

Case StudyUnited Kingdom – Connecting for Health

• NHS Connecting for Health supports the NHS in providing better, safer care, by delivering computer systems and services that improve how patient information is stored and accessed.

Burden of Care – Chronic Non-Communicable Disease

Myths and Misunderstandings• Chronic diseases are thought to be the cause of twice the number of deaths of infectious diseases• Chronic disease affects not only the elderly. The number of cases reported in populations under 60 years is

increasing year on year• 80% of chronic disease deaths are believed to occur in low or middle income countries in part as a result

of globalisation

Chronic Non-Communicable Disease is a global burden across age groups

Chronic Costs• The total health care costs of heart disease and stroke in the United States, including health care

expenditures and lost productivity from deaths and disability, is projected to be more than $475 billion in 2009

• Americans make more than 72 million doctor visits every year for treatment and management of cardiovascular diseases.

Incidents of Chronic Non-Communicable Disease are rising at a growing cost to the global health economy

Goals and Objectives – United Nations Digital Health Initiative

• Ensure the current inequity of the global health and digital divides do not become a digital health divide;

• Guarantee that the crises of the global decline in health systems and shortfall of skilled health workers are addressed head-on and within a normative framework;

• Realize universal access and the inter-linked MDG Health agenda for Goals Reduce child poverty, Improve maternal health and Combat HIV/AIDS, tuberculosis and other infectious diseases“ via the strategic and innovative use of mobile, internet, health, and pharmaceutical technologies for scaling-up within the 2015 timeframes;

• Confront new and re-emerging infectious and Neglected Tropical Diseases as well as the developing world pandemic of Chronic Non-Communicable Diseases with all available health, technology and development means

• Define relevant partner roles & responsibilities for emerging & existing players in discovery, development and delivery with full privates sector and civil society engagement;

• Deliver on the promise of MDG Goal 8 to “Develop A Global Partnership for Development” in cooperation with the pharmaceutical and information and communication technology sectors.

What is Digital Health?

Digital Health:The use of information and communication technologies (ICT) and related technologies to improve the health of a given population

Different types of Digital Health initiatives include, but are not limited to:• Point of Care support (Telemedicine,

Clinical Decision Support, Etc.)

• Patient support and information (SMS reminders for drug companies, online health information, etc.)

• Electronic Health Records (HER), Electronic Medical Records (EMR), Patient Health Records (PHR)

• eLearning for physicians, nurse, healthcare personal training, research access

• Inventory management for supplies

• Faster and more efficient orders and results (e.g. lab work)

Key Players

InsuranceField

Pharmacy

Patient Hospital

Field Lab

Field Health Profes-sional

Health Advocate,

NGS, Medical Rep.

Information Systems

Insurance

Field Pharmac

y

Patient Hospital

Field Lab

Field Health Profes-sional

Health Advocate

, NGS, Medical

Rep.

Results Interpretation

Fill orders Pharmacist data base

M/I/HT/P Health Players

Health Education Materials

Epidemic Warning System

Health Professional data base

Patients data base

Route Programmes

Reporting time, expenses, sales, KPIs

Telemedicine

Digital Health can optimise improvement of efficiency, equity, and quality, easing troublesome tradeoffs

Digital He@lth

Equity

Efficiency Quality

•