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

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

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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

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  • Dr. Nick Guldemond +31648261929

10‐06‐2014 n.a.guldemond@umcutrecht.nl 1

Keep People Healthy as Long as Possible! transformation and innovation in healthcare

Innovation Day Israel-Netherlands 10-06-2014

  • Dr. Nick Guldemond | Associate Professor Integrated Care & T

echnology Chief Innovation Officer & Business Development

1 | Social-economic developments 2 | Healthcare paradigm shift 3 | Health & Technology 4 | Data, information, intelligence 5 | Patient centred health solutions

Roadmap

  • Dr. Nick Guldemond

Social-economic developments

2007 EU

  • average ≈ 1:4
  • differences between countries

2050 EU

  • 1:3 (NL)
  • 1:1.5 (Italy and Spain)
  • average ≈ 1:2

2050 China

  • average ≈ 1:<1

population aged (>65) in proportion to working population (15-65)

  • Dr. Nick Guldemond

% population with 1 or more chronic diseases

2005

> 1 chronic disease 1 chronic disease 0 chronic disease NL population

age

  • Dr. Nick Guldemond

Overall increase since 2005 17% Increase co‐morbidity since 2005 26% Dutch population with co‐morbidity 11.3%

…current healthcare system sustainable?

  • Dr. Nick Guldemond
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  • Dr. Nick Guldemond +31648261929

10‐06‐2014 n.a.guldemond@umcutrecht.nl 2

Healthcare paradigm shift

medical curative model

community care specialized institutions local institutions

social (interconnected) health perspective

community care advanced local care centres high specialized cure

Paradigm shift

  • Dr. Nick Guldemond

self management delivery system decision support information systems supportive environment public health community action

Integrated Care

Health Systems Community improved outcomes interactions productive

activated community support

  • Dr. Nick Guldemond

clinical pathway / patient journey

  • Dr. Nick Guldemond

Example falls prevention

Critical zone

fitness 

time 

assessment screening + intervention rehabilitation monitoring

Education Integrated Care

Fall detection Home monitoring Nutricial intervention Balance training

  • Dr. Nick Guldemond

Health & Technology

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SLIDE 3
  • Dr. Nick Guldemond +31648261929

10‐06‐2014 n.a.guldemond@umcutrecht.nl 3

Breakdown healthcare spending

Health status over time

0‐35 36‐65 66‐80 > 80

healthy healthy chronic chronic acute care acute care

life style ‐ health education ‐ risk monitoring self‐management support tools (home) care technology dependent independent assisted dependent

age living

health status

no technology with technology

health techology

  • Dr. Nick Guldemond

Life-style management & health technology

cure technology

  • Dr. Nick Guldemond

central control internal orientation past Closed innovation

  • utward focus

co-creation present Open innovation dynamic organization trans-disciplinary future Innovation Networks

Trends in R& D

  • pen innovation – public private partnership – co-creation

Med-tech & eHealth Public-Private Partnerships

….the transition engine for sustainable health care

Cardiovascular Care Cycle Process

  • Dr. Nick Guldemond

Home care technology & Assisted Living

  • Dr. Nick Guldemond
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  • Dr. Nick Guldemond +31648261929

10‐06‐2014 n.a.guldemond@umcutrecht.nl 4

  • Dr. Nick Guldemond

Interactive Health Information Anytime, Anywhere, AnyDevice, Real-time

Health data & informatics

INTERACTION

USER PROFILE & SERVICE INTEGRATION

Commuting Travels Meetings Communications Sleeping Wake‐up times Office time Location patterns People’s behavior User attention Emotion

Smartphones communicator & Sensor of Human Behavior

INFORMATION

  • Dr. Nick Guldemond

Building Engagement by stimulating reprocity

Interconnected community

  • Dr. Nick Guldemond

Health prom otion System s m edicine Determ inants, risk factors & pathw ays Disease interaction

Dna transscription

  • Dr. Nick Guldemond

Environm ent Society

Data analytics & clinical decision support

  • Dr. Nick Guldemond

Descriptive Diagnostic Predictive Prescriptive

Added value Difficulty

What? Actual status Why? Cause‐Effect Anticipate? Argumented pro‐actions How? Scenarios & likelihood

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  • Dr. Nick Guldemond +31648261929

10‐06‐2014 n.a.guldemond@umcutrecht.nl 5

Big data

  • Dr. Nick Guldemond
  • Velocity
  • Volume
  • Q‐variability

Creating community centred health solutions

Policy level

e.g Horizon 2020 e.g EIP‐AHA

EU National Regional Local

community based co‐creation infrastructure

  • Dr. Nick Guldemond

EU Framework for development, implementation & up-scaling innovations

Community Based Co-creation

Health insurers Healthcare professionals Patient

  • rganisations &

consumers Social workers & charities I nventors Local SME’s Local government Public organisations Knowledge institutions I ndustry

  • Dr. Nick Guldemond

Organising informal and professional care

social (interconnected) health team

instruction advise task allocation planning monitoring & control coordination

  • Dr. Nick Guldemond

Decision making Logistics

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  • Dr. Nick Guldemond +31648261929

10‐06‐2014 n.a.guldemond@umcutrecht.nl 6

  • Dr. Nick Guldemond

Thank you!

  • Dr. Nick Guldemond

Email: n.a.guldemond@umcutrecht.nl Mobile: +31 6 48 26 19 29

  • Dr. Nick Guldemond