Dr. Nick Guldemond +31648261929 10 06 2014 population aged - PDF document

Dr. Nick Guldemond +31648261929 10 ‐ 06 ‐ 2014 population aged (>65) in proportion to working population (15-65) 2007 EU Keep People Healthy as Long as Possible! • average ≈ 1:4 • differences between countries transformation and innovation in healthcare 2050 EU • 1:3 (NL) • 1:1.5 (Italy and Spain) Innovation Day Israel-Netherlands 10-06-2014 • average ≈ 1:2 Dr. Nick Guldemond | Associate Professor Integrated Care & T echnology Chief Innovation Officer & Business Development 2050 China • average ≈ 1:<1 Dr. Nick Guldemond Roadmap % population with 1 or more chronic diseases 1 | Social-economic developments > 1 chronic disease 1 chronic disease 0 chronic disease 2 | Healthcare paradigm shift 3 | Health & Technology NL population 4 | Data, information, intelligence 2005 age 5 | Patient centred health solutions Overall increase since 2005 17% Increase co ‐ morbidity since 2005 26% Dutch population with co ‐ morbidity 11.3% Dr. Nick Guldemond Dr. Nick Guldemond …current healthcare system sustainable? Social-economic developments Dr. Nick Guldemond n.a.guldemond@umcutrecht.nl 1

Dr. Nick Guldemond +31648261929 10 ‐ 06 ‐ 2014 clinical pathway / patient journey Healthcare paradigm shift Dr. Nick Guldemond Paradigm shift Example falls prevention social (interconnected) medical curative model health perspective Balance training Home monitoring community care community care fitness  Nutricial intervention local institutions Critical Fall detection zone advanced local time  care centres screening + intervention rehabilitation monitoring specialized institutions assessment high specialized cure Education Integrated Care Dr. Nick Guldemond Dr. Nick Guldemond Integrated Care Community Health Systems supportive environment information systems public self delivery health management system decision Health & Technology community support action productive interactions activated community support improved outcomes Dr. Nick Guldemond n.a.guldemond@umcutrecht.nl 2

Dr. Nick Guldemond +31648261929 10 ‐ 06 ‐ 2014 Med-tech & eHealth Public-Private Partnerships Breakdown healthcare spending …. the transition engine for sustainable health care Cardiovascular Care Cycle Process Life-style management & health technology acute care acute care no technology with technology cure technology health techology health status (home) care technology chronic chronic self ‐ management support tools healthy healthy life style ‐ health education ‐ risk monitoring age 0 ‐ 35 36 ‐ 65 66 ‐ 80 > 80 living dependent independent assisted dependent Health status over time Dr. Nick Guldemond Dr. Nick Guldemond Home care technology & Assisted Living Trends in R& D open innovation – public private partnership – co-creation past present future central control outward focus dynamic organization internal orientation co-creation trans-disciplinary Closed innovation Open innovation Innovation Networks Dr. Nick Guldemond Dr. Nick Guldemond n.a.guldemond@umcutrecht.nl 3

Dr. Nick Guldemond +31648261929 10 ‐ 06 ‐ 2014 Building Engagement by stimulating reprocity Interconnected community Interactive Health Information Anytime, Anywhere, AnyDevice, Real-time Dr. Nick Guldemond Dr. Nick Guldemond Environm ent Society Health prom otion Disease interaction Health data & informatics Determ inants, risk factors & pathw ays System s m edicine Dna transscription Dr. Nick Guldemond Smartphones communicator & Sensor of Human Behavior Data analytics & clinical decision support Anticipate? Argumented pro ‐ actions Prescriptive How? INFORMATION Scenarios & likelihood Added value Predictive Why? Commuting Cause ‐ Effect Travels Meetings Diagnostic Communications What? USER PROFILE Sleeping & SERVICE Actual status Wake ‐ up times INTEGRATION Office time Descriptive Location patterns People’s behavior User attention Emotion INTERACTION Difficulty Dr. Nick Guldemond Dr. Nick Guldemond n.a.guldemond@umcutrecht.nl 4

Dr. Nick Guldemond +31648261929 10 ‐ 06 ‐ 2014 Community Based Co-creation Big data Patient organisations & Healthcare Health insurers consumers professionals I ndustry Knowledge institutions • Velocity • Volume • Q ‐ variability Social workers & charities Public organisations I nventors Local SME’s Local government Dr. Nick Guldemond Dr. Nick Guldemond Organising informal and professional care Creating community centred health solutions EU Framework for development, social (interconnected) health team implementation & up-scaling innovations coordination e.g Horizon 2020 e.g EIP ‐ AHA monitoring Policy level & control advise EU Decision making National planning Regional community based co ‐ creation Logistics instruction infrastructure Local task allocation Dr. Nick Guldemond Dr. Nick Guldemond n.a.guldemond@umcutrecht.nl 5

Dr. Nick Guldemond +31648261929 10 ‐ 06 ‐ 2014 Dr. Nick Guldemond Thank you! Dr. Nick Guldemond Email: n.a.guldemond@umcutrecht.nl Mobile: +31 6 48 26 19 29 Dr. Nick Guldemond n.a.guldemond@umcutrecht.nl 6