ibm health and social programs summit: trends & directions
DESCRIPTION
Hear from: Martin Duggan, Director, IBM Curam Research Institute Hans-Horst Konkolewsky, Secretary General, International Social Security Association (ISSA) Tracy Wareing, Executive Director, American Public Human Services Association (APHSA) John Halloran, CEO, European Social Network (ESN) Steven Lieber, President and CEO, Health Information and Management Systems Society (HIMSS) Learn more: http://www.ibm.com/software/products/en/category/health-social-programsTRANSCRIPT
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Day Two General Sessions
1. Trends & Directions
• Martin Duggan, Director, IBM Curam Research Institute
• Hans-Horst Konkolewsky, Secretary General, International Social Security Association (ISSA)
• Tracy Wareing, Executive Director, American Public Human Services Association (APHSA)
• John Halloran, CEO, European Social Network (ESN)
• Steven Lieber, President and CEO, Health Information and Management Systems Society (HIMSS)
2. Innovation That Matters: Roadmap for Smarter Care & Social Programs
• Oisin Clark, Director, Director, IBM Smarter Care & Social Programs Development and Product Management
• Amy Santenello, Director, Director, IBM Smarter Care & Social Programs Product Management
• Ronan Rooney, Director, Programs of Care, IBM Research
3. Innovation That Matters: Partner Ecosystem
Mike Hortatsos, Channels IBM Smarter Care & Social Programs
Panel 1: Solution Delivery with System Integrators
• Andrew Wishart, Partner, Deloitte
• Ashish Mukherji, President, eSystems
• Thomas Stockdale, Business Development Manager, Wipro
Panel 2: New Solution Capabilities with Technology Partners
• Mahesh Chavan, President & CEO, Connvertex
• Patty Donaldson, Executive Vice President, Diona
• Daniel Lakier, Director, RedMane
• Dr. Robert J. Dudzinski, Executive Vice President, West
Corporation
© 2014 IBM Corporation
Martin Duggan
Director, IBM Cúram Research
Institute
#ibmhsps14
Trends & Directions
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Bridging the Gap Between Policy and Service Delivery
Visit us at:
www.ibm.com/curam-research-institute
IBM Cúram Research Institute
Linkedin Group
http://linkd.in/1yv7fme
Research Partners
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New Thought Leadership
Papers in Production
• “Integrating Health and Social
Care – a global perspective of
experience, best practice and
the way forward”
• “Can Social be Social:
Empowering Citizens toward
Social and Economic
Participation Through Social
Media and Mobility”
Evaluating 2015 program
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Promoting excellence in
Social Security
Hans-Horst Konkolewsky
Secretary General
International Social
Security Association
(ISSA)
Promoting excellence
in social security
www.issa.int
Proactive and preventive social security:
Investing in people
Hans-Horst Konkolewsky
ISSA Secretary General
IBM Health and Social Programs Summit, October 20-21, 2014 ǀ Washington, DC
www.issa.int
Promoting excellence
in social security
06/11/2014 9
International Social Security Association
The leading international organization for social security institutions,
departments and agencies
Headquarters based in Geneva (ILO)
Founded in 1927, ISSA counts today around 340 members in 160 countries
Provides international professional standards in social security
administration and services to support their implementation as well as
databases, information, research, expert advice and platforms for
members to build and promote dynamic social security systems
worldwide
www.issa.int
Promoting excellence
in social security
06/11/2014
The ISSA Strategic Vision
“To promote dynamic social security as the social dimension in a
globalizing world through supporting excellence in social security
administration”
Proactive and preventive approaches represent a key dimension
of dynamic social security
www.issa.int
Promoting excellence
in social security
Supporting sustainability
Supporting employment
and activity
Proactive and Preventive Social Security
Promoting health
Sustaining responsibility and
capacity for action
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Part 1 «Because everyone matters»
A new, integrated prevention approach addressing
both safety, health and well-being at work
www.issa.int
Promoting excellence
in social security
06/11/2014 13 13
Prevention is facing increasing complexity
A changing world of work Impact of globalization An ageing workforce Trend from safety to health and wellbeing
Work and non-work related factors
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Promoting excellence
in social security
06/11/2014 14 14
From work accidents to diseases
Global incident rates for fatal accidents
have over 10 years (1998-2008) been
reduced by more than one third from
16.4 to 10.7, while incident rates for fatal
diseases are stagnating
85 % of all 2.3 million work-related
fatalities annually are caused by
occupational diseases
Source: ILO 2011
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in social security
06/11/2014 15 15
WHO (2010) OECD (2010)
Increase in chronic diseases
and mental health disability inflows
Percentage of new disability grants due to mental ill-health, 1990-2008
www.issa.int
Promoting excellence
in social security
Model by Dr. Paul A. Schulte (NIOSH) 2013
A holistic view on prevention needed
Well-being of
the workforce
Well-being of
the population P
r
e
v
e
n
t
i
o
n
Work
threats to
well-being
Non-work
threats to
well-being
Work-
related
factors
Non-
work-
related
factors P r o m o t i o n
www.issa.int
Promoting excellence
in social security
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The individual at the centre of
prevention
The health and well-being of
the individual must be at the
centre of prevention
Not only as a worker, but as a
whole person
Not only at the workplace,
but in society at large
www.issa.int
Promoting excellence
in social security
The ISSA’s 3-dimensional approach to prevention
06/11/2014 18
www.issa.int
Promoting excellence
in social security
The ISSA’s 3-dimensional approach to prevention
06/11/2014 19
www.issa.int
Promoting excellence
in social security
The ISSA’s 3-dimensional approach to prevention
06/11/2014 20
www.issa.int
Promoting excellence
in social security
The ISSA’s 3-dimensional approach to prevention
06/11/2014 21
www.issa.int
Promoting excellence
in social security
Socio-economic benefits of prevention
Various studies calculating the potential return on
occupational risk prevention come to a similar
cost-benefit result of 1:2.2 (EC benOSH, ISSA RoP and OPPBTP, France)
Workplace health promotion leads to reductions of
approximately 25% in sick leave, health plan costs
and workers’ compensation and disability
insurance costs (Meta-evaluation by Larry S. Chapman, USA)
The potential benefits of return-to-work
programmes are likewise considerable, both for
employees, enterprises and social security
systems e.g. a RoI for SocSo, Malaysia, of 1:2.4
06/11/2014 22
The ISSA Centre
for Excellence:
A roadmap to good
governance, high
performance and
service quality in
social security
administration
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Stage 1:
Obtain knowledge
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Promoting excellence
in social security
Obtain knowledge: The ISSA Guidelines
Guidelines for 8 core areas: Good Governance
Service Quality
Information and Communication Technology
Contribution Collection and Compliance
Investment of Social Security Funds
Return to Work and Reintegration
Workplace Health Promotion
Prevention of Occupational Risks
Guidelines in preparation
Actuarial Valuations
Communication by Social Security Institutions
Extension of Coverage to Difficult-to-Cover Groups
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Part 2 – From «Payer» to «Player»
The ISSA’s prevention guidelines and new Centre for
Excellence in social security administration
Social Security - from “Payer” to “Player”
3 ISSA Prevention Guidelines
www.issa.int
Promoting excellence
in social security
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ISSA Guidelines on risk prevention
Chapters and topics (37 guidelines)
Basic conditions for prevention programmes –
framework for prevention (legal, programme and
stakeholders) and institutional settings (strategy,
resources, infrastructure)
Prevention activities and services – information &
communication, economic incentives, occupational
diseases, consultation service, R&D, skills and training,
collaboration and networking, prevention culture,
SME’s, specific risks
06/11/2014
www.issa.int
Promoting excellence
in social security
The guideline:
standard or principle
What: Structure
How: Mechanism
Selected good
practices
Improving health and well-being
at the workplace
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Promoting excellence
in social security
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ISSA Guidelines on health promotion
Chapters and topics (29 guidelines)
Establishment of basic conditions for WHP - legal
framework, role of institution, synergies and
partnerships
Needs assessment, planning and priority setting
WHP activities and services – motivation and
incentives, services and support to workplaces
06/11/2014
www.issa.int
Promoting excellence
in social security
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ISSA Guidelines on Return-To-Work (RTW)
Chapters and topics (32 guidelines):
Basic RTW principles and guidelines – arguments in
favour, legal and policy basis, stakeholders, promotion
Specific RTW principles and guidelines – holistic
approach, early intervention, individual approach, active
participation, collaboration with stakeholders,
qualification of experts, monitoring and evaluation
06/11/2014
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Stage 2
Self-assessment – define priorities
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Stage 3
Implement improvements
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Stage 4
Achieve recognition
www.issa.int
Promoting excellence
in social security
Summary - 5 steps to excellence
1. Select the sets of Guidelines important to your organization
2. Complete the online self-assessment, and receive a prioritized action
plan
3. Connect with the ISSA Support Centre for advice in implementation,
and access to experts in your field
4. Participate in the ISSA Academy workshops for practical support
5. Evaluate your progress and gain ISSA recognition
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www.issa.int
Promoting excellence
in social security
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Conclusion
Proactive and preventive approaches represent a key dimension of
dynamic social security; an investment in people and in the
sustainability of social security and health systems
At the workplace the risk of exclusion is growing, as health and well-
being at work increasingly are influenced by both occupational and
non-occupational factors
More unified approaches are needed with focus on the individual,
supplementing classical risk prevention measures with health
promotion and return to work programmes
ISSA prevention guidelines and Centre for Excellence strengthen the
prevention capacities of workers compensation boards and promote a
major change in their role from “Payer” to “Player” in that process
06/11/2014
THANK YOU
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Transforming the Human
Services System
Tracy Wareing
Executive Director
American Public Human
Services Association (APHSA)
What’s Shaping the Path Forward?
Integrated Policy
Modern Platforms
Innovation Labs
Investing in Outcomes
Science Co-creation
Integrated Policy Setting the Stage to Integrate
• Multiple Federal-level cross agency efforts underway
• OMB as a key influence
• Busting confidentiality myths
• A-87 Cost Allocation Exception
• State and Local Agencies Leveraging Opportunities
Modern Platforms Enabling Transformation • Modernizing legacy systems • Designing Apps supporting
modern customer interfaces • Aligning business processes and
flow to modern service delivery • Aligning workforce capacities
with modern approaches • Attracting the Millennial
workforce to the public sector
Innovation Labs Creating Learning Opportunities
• Embedding R&D in business model; use of learn by doing approaches
• Consumer voice driving change
• Offices of innovation at federal, state and local levels; growing numbers of innovation grants
• Similar efforts underway in other countries
Investing in Outcomes Identifying & Scaling What Works
• Data-driven reporting tools; transparency in reporting
• Predictive Analytics
• Rapid Cycle Evaluation
• Social Impact Financing
Science Applying What Science Tells Us
• Brain Science; Executive Functioning
• Behavioral Economics
• Framing – how to tell the story of impact
Co-creation Partnering for Collective Impact
• Requires new and sometimes unlikely alliances
• Eyes on the same prize – shared ownership in measuring and articulating impact
• Shift from linear/contractual to dynamic/outcome driven public-private partnerships
What is government’s (and the public’s) tolerance level for creativity (a necessary component to innovation)? What are the short and long term implications of the highly polarized political environment? How will changing demographics (e.g., aging population) impact service delivery? •How will technology advance or disrupt the path ahead? Can government keep pace with the rapid change in technology?
•What “known knowns” will be unknown tomorrow?
The Unknowns
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15 Years promoting
Social Services in Europe
John Halloran
CEO
European Social Network
(ESN)
John Halloran CEO, European Social Network
esn-eu.org
About ESN
Setting
the context
Challenges
So
what’s new?
Making
a difference
Making a difference
Some examples…
Education - Sweden
Elderly - Germany
Disability - Netherlands
Mental health - Ireland
…? Data
Planning
Personalised
Evidence
So
what’s
next?
Thank you! esn-eu.org
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Transforming
Healthcare Through IT
Steven Lieber
President & CEO
Health Information and
Management Systems
Society (HIMSS)
Better Health Through IT:
Quality, Value and
Continuity of Care
H. Stephen Lieber
President & CEO, HIMSS [email protected]
Model Information
http://himssanalytics.org/emram/continuity.aspx
• Mission: Transform health through information technology
• Services: Education, events, analytics & consulting, media, communities
• Reach:
– Operate in 20+ countries
– Annually reach more than 600,000 professionals
Introduce You To HIMSS
Quality
– IT is a Strategic Asset
Value
– ROI is a Must
Executive Engagement
– Change executive perception of IT
Key IT Strategic Themes Today
• Better care outcomes at lower consumption of resources
• Break down silos across care providers to achieve:
– A dynamic interconnected community wide focus:
• Health Information Exchange
• Coordinated patient care
• Patient engagement
• Advanced analytics
• HIMSS has developed global model to provide comparative framework, gap analysis, and directional guidance
How: Focus on Patient not Episode
• Provide new perspective (to America) and guidance
• Support strategies towards a dynamic interconnected community wide focus:
• Healthcare Information Exchange
• Coordinated patient care
• Patient engagement
• Advanced analytics
• Complement to existing EMR Adoption Models
• EMRAM
• A-EMRAM
Model Purpose
• Global applicability
• Primary Target Audiences:
– Regional & National Health Authorities / Ministries of Health
– Integrated Delivery Networks (IDN’s)
– Health Management Organizations (HMO’s) /
Accountable Care Organizations (ACO’s)
– (Private) care chains
– Large hospitals with tethered care providers
Target Audiences
IT S
yste
m
Ca
pa
bili
ties
Org
an
ization
Str
ate
gy
Sta
nd
ard
s &
Inte
ropera
bili
ty
Health
Info
rmation
Exch
an
ge
Patient C
are
Coo
rdin
ation
Patient &
Citiz
en
Em
pow
erm
ent &
Engagem
ent
Advan
ced
Analy
tics
Pan
-
org
aniz
ational
Cap
abili
ties
Po
licy-l
evel
Initia
tives
Model Scope
Health
Information
Exchange
Care
Coordination
Citizen
Engagement
Advanced
Analytics
• Basic Health Information Exchange Focus
– Stage 0 – Data Capture, Very Limited Data Exchange
• Essentially no electronic exchange
– Stage 1 – Basic Peer to Peer Data Exchange
• View only portals, push pull on demand
– Stage 2 – Basic System to System Exchange
• Both structured and unstructured data
• Patient access to administrative functions and education content
• Care Coordination
– Stage 3 – Normalized Patient Record
• Normalized data, agreed upon formats, de-duplication
• Composite patient record taking shape, orders, results of participants
– Stage 4 – Actionable Data
• Standardized data, semantic interoperability
• Event based actions fire across the multi-provider care team
Different Stage Expectations
• Patient Engagement
– Stage 5 – Applied Information
• Bi-directional real time or near real time data
• Solid communal governance processes
• Risk stratification begins
• Patient & Consumer submitted data
• Advanced Analytics
– Stage 6 – Closed Loop Care Coordination
• Community wide record including paraclinical care team
• Cross vendor, cross provider workflows & predictive alerting
• Non sharing due to competition is out of the question
– Stage 7 – Knowledge Driven Engagement
• All provider types
• Completely coordinated, including health maintenance and wellness
• Patient control of PHR
Different Stage Expectations
Summary Considerations
• The Journey to better health
– Few have it figured out as care changes unfold more rapidly than health care
responds
– You have to know where you are to know where you need to go
(Assess Plan Act)
– Government plays a critical role; issues bigger than a single setting
– IT is a strategic assets just like facilities, medical staff, financial resources; use it
that way
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Panel
• Hans-Horst Konkolewsky, ISSA
• John Halloran, ESSN
• Tracy Wareing, APHSA
• Steven Lieber, HIMSS
• Moderator: Martin Duggan
BREAK