mhealth & integrated care

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1 mhealth & integrated care 2nd Shiraz International mhealth Congress February 22th, 23th 2017, Shiraz - Iran Nick Guldemond Associate Professor Integrated Care & Technology

2 Roadmap 1 Healthcare paradigm shift 2 Health & Technology 3 mhealth applications 4 Data, information, intelligence 5 Digital issues & considerations

3 Paradigm shift

4 current healthcare system sustainable?

5 Paradigm shift medical curative model social (interconnected) health perspective community care community care local institutions advanced local care centres specialized institutions high specialized cure

6 Integrated Care Community Health Systems public health supportive environment community action self management delivery system re-design information systems decision support activated community productive support interactions Improved outcomes

7 clinical pathway / patient journey

8 Important discussions in health value based healthcare holistic patient journey physical functioning Daily activities mental health Social participation Quality of life Inspiration spirituality evidence based practise

9 Health & Technology

10 healthy chronic acute care health status Health status & technology no technology with technology cure technology (home) care technology self-management support tools life style - health education - risk monitoring health techology age living > 80 dependent independent assisted dependent Health status over time

11 Home care technology & Assisted Living

12 mhealth applications

13 Smartphones communicator & Sensor of Human Behavior INFORMATION Commuting Travels Meetings Communications Sleeping Wake-up times Office time Location patterns People s behavior User attention Emotion USER PROFILE & SERVICE INTEGRATION INTERACTION

14 Functional applications (app s) digital health strategic planning administration mobilise community support informal care logistics planning diagnosis intervention monitoring information education decision making support professional care decision making collaboration work floor management

15 Hospital of the future a mobile enterprise

16 Hospital of the future a mobile enterprise Static Mobile Planned & scheduled Pull Ad-hoc Push EHR Mobile platform Signed & validated Diagnose & treatments Information rich Quick estimates Alarm & Vital - parameters Splitsecond decision

17 Hospital of the future a mobile enterprise

18 Hospital of the future a mobile enterprise Assign information

19 Data information intelligence

20 Connecting data to daily care Point of Care Diagnostics Localities INFORMATION Quantified Self Knowledge institutions Personalised local Care INTERACTION

21 Releasing data

22 Personalised Medicine quality standards monitoring effect outcome Data device environment demographic data Classification annotation tagging behaviour Conversion tailored care algorithms rules Practise team Cloud Information patient profile personalised Plan Context data data fusion protocols guidelines decision support Interpretation reference data

23 volunteers Virtual world Socially connected Real world chatting chatting Situation A + B discussed Interconnected community

24 Digital issues & Considerations

25 Multi-level framework interoperability of technology & services

26 Digital Functionality data security & Privacy Technology Functionality of data Legislation

27 Data as Business digital platform economy Services Connecting stakeholders activity & data Communication channels Demand transactions Users > N!!! Supply Host Financers Providers Developers/Integrators

28 Policy alignment implementation & up-scaling EU National Regional Local community based co-creation Service models Technology Business models

29 Roadmap 1 Healthcare paradigm shift 2 Health & Technology 3 mhealth applications 4 Data, information, intelligence 5 Digital issues & considerations

30 Mobile:

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