Healthcare health perspective paradigm shift community care - - PDF document

• Dr. Nick Guldemond +31 6 48 26 19 29

09/03/2017

‘Age Friendly Cities’ conference

03‐10‐2017 The Hague

• Dr. Nick Guldemond

Professor Integrated Care & Technology MD Eng

…current healthcare system sustainable?

• Dr. Nick Guldemond
• Dr. Nick Guldemond

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 re-design decision support information systems supportive environment public health community action

Health Systems Community Improved outcomes interactions productive

activated community support

• Dr. Nick Guldemond

Integrated Care

• Dr. Nick Guldemond

Critical zone

fitness 

time



assessment screening + intervention rehabilitation monitoring

Education Integrated Care

Fall detection Home monitoring Nutricial intervention Balance training

Example falls prevention & management

• Dr. Nick Guldemond +31 6 48 26 19 29

09/03/2017

• Dr. Nick Guldemond

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

Health status & technology

cure technology

Home care technology & Assisted Living

• Dr. Nick Guldemond

Quantified Self Personalised local Care Point of Care Diagnostics

INTERACTION INFORMATION

Connecting data to daily care

Knowledge institutions Localities

• Dr. Nick Guldemond

social (interconnected) health team

• Dr. Nick Guldemond

instruction advise task allocation planning monitoring monitoring & control coordination

Decision making Logistics

Socially connected

Interconnected community

Situation A + B discussed chatting chatting volunteers

Real world Virtual world

• Dr. Nick Guldemond

education inform ation decision m aking logistics planning m obilise com m unity support inform al care self- m anagem ent m onitoring diagnosis collaboration w ork floor m anagem ent support professional care decision m aking adm inistration strategic planning

Functional applications (app’s) digital health

• Dr. Nick Guldemond

• Dr. Nick Guldemond +31 6 48 26 19 29

09/03/2017

Digital Functionality

data security & Privacy

Functionality

• f data

Legislation Technology

• Dr. Nick Guldemond
• Dr. Nick Guldemond

Multi‐level framework

interoperability of technology & services

Engaged Co‐creation in communities

• Dr. Nick Guldemond

Design thinking & co‐creation process

• Dr. Nick Guldemond
• 1. Groups take on a

‘archetype’

• 1. Groups take on a

‘archetype’

• 2. identify & discuss issues
• 2. identify & discuss issues
• 3. Prioritise issues
• 3. Prioritise issues
• 4. Debate & discuss

solutions to key issues

• 4. Debate & discuss

solutions to key issues

• 5. Select best solutions
• 5. Select best solutions
• 6. Present a narrative
• 6. Present a narrative

Community Living Labs

• Dr. Nick Guldemond

EU National Regional Local

community community based co-creation Service models Technology Business models

Relation co-creation, Policy alignment & up-scaling

• Dr. Nick Guldemond

• Dr. Nick Guldemond +31 6 48 26 19 29

09/03/2017

• Dr. Nick Guldemond

Regional co‐creation & up‐scaling

Co‐creation

European Innovation Partnership

• n Active & Healthy Ageing
• Dr. Nick Guldemond
• Dr. Nick Guldemond

Reference sites

Regions dedicated to im plem ent & up-scale Active & Healthy Ageing innovations

Nick Guldemond guldemond@bmg.eur.nl +31 6 48 26 19 29

Thank you!!