Beyond Connected Health to Connected Wellbeing Prof. Jonathan Wallace Professor of Innovation Director of Knowledge & Technology Transfer, Faculty of Computing & Engineering, University of Ulster, Northern Ireland Faculty of Computing & Engineering Innovation Support On Your Doorstep

Not Here To...

Faculty of Computing & Engineering Innovation Support On Your Doorstep Demographic Ageing – The Ticking Timebomb According to the most recent United Nations estimates, the human population of the world is expected to reach 8 billion people in the spring of These are the first fully aged societies in human existence Manifest shift from institutional to community care Vocabulary of improved “individual autonomy” and “quality of life” Demographic & social trends suggest supply of family / informal care is finite: –people living longer –declining birth rate –greater inclusion of women into the work force –spiralling divorce rate

Faculty of Computing & Engineering Innovation Support On Your Doorstep 5 Healthy Ageing In Place

Many people experience unwanted or avoidable care encounters High costs and poor accessibility may mean putting off seeking care when early intervention would be better Many chronic patients are poorly served by care in hospitals – yet for many that is where they end up Systems often reward activity regardless of the overall outcomes Infectious diseases Episodic care Personalised care Health needs are evolving yet services have been slow to catch up Source: George MacGinne - © PA Knowledge Limited 2012.

Faculty of Computing & Engineering Innovation Support On Your Doorstep Transformation from Industrial Age Medicine to Information Age Connected Healthcare Source: Adapted from Malaysian Telemedicine Blueprint Industrial Age Medicine Information Age Medicine & Connected Health Transformation Through Cost-Effective Use of Information & Communication Technologies Person Community Primary Secondary Tertiary Individual Self-Care Friends and Family Community Networks Professionals as Facilitators Professionals as Partners Professionals as Authorities

Faculty of Computing & Engineering Innovation Support On Your Doorstep Level 0: Population Wide Prevention Level 1: Self Care / Supported Self Management (70-80% of chronic disease patients) Level 2: Disease Management (High Risk) Level 3: Case Management (Complex Risk) Kaiser Triangle Model

Faculty of Computing & Engineering Innovation Support On Your Doorstep What Exactly Is Connected Health ? Not one specific technology ! Spans every echelon of health care from first response/emergency medical systems through tertiary medical speciality consultations to the support of informal care in the home including motivation and behavioural change, medical education and information dissemination. It needs to be standards-based e.g. HL-7 and ensure interoperability.

“TECHNOLOGY” IT IS NOT JUST SIMPLYNEITHER CAN WE Faculty of Computing & Engineering Innovation Support On Your Doorstep

Faculty of Computing & Engineering Innovation Support On Your Doorstep More Than Technology At Home Provision of Integrated Technologies & Services Tailored to Support Independent Living

Faculty of Computing & Engineering Innovation Support On Your Doorstep “The Wellness Paradigm” The “Wellness Paradigm” – shift of responsibility for health and well-being into patients’ hands “Home-centred capability is expected to become a catalyst for a huge health paradigm shift from last-minute heroic intervention to consumer- driven individualised prediction, prevention, early detection and maintenance” (Herman, 2001)

Faculty of Computing & Engineering Innovation Support On Your Doorstep Expanded Chronic Care Model

Faculty of Computing & Engineering Innovation Support On Your Doorstep

Faculty of Computing & Engineering Innovation Support On Your Doorstep 16

Faculty of Computing & Engineering Innovation Support On Your Doorstep

Faculty of Computing & Engineering Innovation Support On Your Doorstep Information Veracity

Faculty of Computing & Engineering Innovation Support On Your Doorstep Social Media

Faculty of Computing & Engineering Innovation Support On Your Doorstep “DON’T SAY anything online that you wouldn’t want plastered on a billboard with your face on it” Chris Pirillo Social Media The impact of social media on how people now communicate cannot be underestimated. Social media can be used both as an engagement tool and to analyse public, stakeholder and service user perceptions. Mental health service providers in the US are increasingly using social media to disseminate information, provide preventative and after-care, and reach out to those averse to receiving care. Social media can be invaluable as a way of providing 24/7 contact with mental healthcare professionals, A&E or after- hours GP care. To be successful, social media activity needs careful planning and to be properly resourced with a social media policy in place.

Faculty of Computing & Engineering Innovation Support On Your Doorstep

App for identification and support of clients with Perinatal and Postnatal Depression EQ5D QoL Self Assessment App New Research Student Projects in Collaboration with Local Trusts

3 key themes emerging that are critical for change: Creating and deploying stratified medicine Challenging established structures through commercial model innovation Including greater patient insight Changing reimbursement to reward population health Delivery of more effective patient outcomes based on the integration of new technologies, business models and partnerships Patient Centric Healthcare Removing cost and improved access to new models of healthcare delivery. Patients becoming active partners in care management Accessing new data and information Developing eHR, medical devices, virtual health and wider technical infrastructure Effective use of connected technologies is enabling a shift from curative/reactive healthcare to prevention and health management Intelligent Health Delivering health reforms to create healthier communities and maintain universal access Healthcare Reforms Keeping universal access affordable Re-organising health services around people’s needs and expectations Securing healthier communities Source: George MacGinne - © PA Knowledge Limited 2012.

Faculty of Computing & Engineering Innovation Support On Your Doorstep Thank You 24