1. ICF education: rationale
First International Symposium: ICF Education
5 June, Helsinki, Finland
Stefanus SNYMAN1, Heidi Anttila2 &
Olaf KRAUS de CAMARGO3
1 University of Stellenbosch, South Africa
2 National Institute for Health and Welfare, Finland
3 CanChild, McMaster University, Canada
@icfmobile

2. Stefanus Snyman @stefanussnyman
Interprofessional collaboration and transforming health professions education
Stefanus
5 June 2015

5. November 2010

6. INTEGRATED COMMUNITY-BASED CARE
HEALTH EQUITY
PATIENT- CENTREDNESS
INTEGRATED COMMUNITY-BASED CARE
INSTRUCTIONAL TRANSFORMATION (health professions education)
INSTITUTIONAL REFORM
(interdependence in providing healthcare)
INTERPROFESSIONAL EDUCATION & COLLABORATIVE PRACTIVE (catalyst for change)

7. RATIONALE HEALTH EQUITY is driven by the global priority to achieve
TRANSFORMING HEALTH PROFESSIONS EDUCATION
REFORMING
SYSTEMS FOR HEALTH
through

8. HOLISTIC CARE, SHARED DECISION-MAKING AND PERSON-REPORTED OUTCOMES
TRANSFORMING HEALTH PROFESSIONS EDUCATION
through
a person-centred approach
which required competencies related to a
Bio-psycho-social-spiritual approach incorporating the complex interrelatedness of:
changes in body functions and body structures,
functioning and fulfilling life roles, in the context of
the barriers and facilitators of environmental factors influencing health (including social determinants of health)
personal factors influencing health
resulting in
HOLISTIC CARE, SHARED DECISION-MAKING AND PERSON-REPORTED OUTCOMES
creating the opportunity for
PERSON-DRIVEN DATA

9. RATIONALE HEALTH EQUITY is driven by the global priority to reach
TRANSFORMING HEALTH PROFESSIONS EDUCATION
REFORMING
SYSTEMS FOR HEALTH
through

10. Integrated community-based care – reforming systems for health
Heidi Anttila
@anttilaheidi
5 June 2015

11. Universal health coverage
World Health Organization (WHO) aims at re-engineering primary health care with emphasis on community-based, person-centered care
The International Classification of Functioning, Disability and Health (ICF), provides standardized information structure and common language across professionals, to describe the lived experience of a person’s real life situation
5 June 2015

12. Reforming systems for health– universal health coverage
From
Institutionalized care
Silos and professional tribalism
Hierachical power relations
Linearity (cell-organ-body-disease-disability)
Professional only (”objective”)
Crisis-focussed and reactive
Towards
Community-based
Embracing interprofessional collaborative practise
Holistic care, shared decision-making
Complexity (interactive bio-psycho-social)
Person-reported (”subjective”)
Preventative and predictive
5 June 2015

13. Health care reform: Example: Sub-Saharan Africa
To ensure effective interprofessional communication and continuity of care
Nurses, community health workers, other health professionals
Example:
Challenge by 2015: 1 million community health workers needed
One of the solutions: Mobile phones
5 June 2015

14. Health and social care reform: Example: Finland
To create a novel service structure for Finland's public social welfare and health services.
Equal, client-centred and high-quality services, smooth service and care chains throughout the country.
Services should be close to the users, situated quite close for many people or provided electronically or as a mobile service as part of people's everyday lives.
5 June 2015

15. Omahoitopolut.fi
Support for the citizen to actively maintain healthy and active lifestyle
Use of web:
27% y
92% y
FT Heidi Anttila

16. Renewal of services must be supported by ICT solutions
5 June 2015
mICF International Partnership

17. REFORMING SYSTEMS FOR HEALTH
implying
a focus on community-based practice through
health-education harmonisation interdependence),
breaking down silo's and professional tribalism,
embracing interprofessional collaborative practice,
decreasing power relations,
and using information technology
to provide
universal health coverage,
reducing institutionalised care and
focusing on preventative healthcare
ultimately resulting in
PREDICTIVE HEALTH CARE
which is dependent on
BIG DATA
obtained by utilising paradigm-shifting
PERSON-DRIVEN DATA

18. HOW ?? HEALTH EQUITY PATIENT-DRIVEN DATA through through
TRANSFORMING HEALTH PROFESSIONS EDUCATION
REFORMING
SYSTEMS FOR HEALTH
contributing to reaching
ultimately resulting in
through
HOW ??
person-centred approach
predictive health care
which is dependent
resulting in
holistic care, shared decision-making, patient-reported outcomes
big data
creating the opportunity for
PATIENT-DRIVEN DATA
obtained by utilising paradigm-shifting

19. Patient-Driven Big Data – Towards Personalized Care
Olaf Kraus de Camargo
5 June 2015
mICF International Partnership

20. Striving to personalize care
Anticipate/predict the needs of the user
Use the most common codes necessary to describe a certain condition
Development of Core-Sets:
: 26 publications
: 76 publications
: 110 publications
Stroke, Depression, Breast Cancer, Chronic Ischaemic Heart Disease, Rheumatoid Arthitis, Osteoporosis, Low Back Pain, Pain, Chronic Health Conditions, Head and Neck Cancer, Spinal Cord Injury, Sleep Disorders, Guillain-Barré-Syndrome, Hearing Loss, Incapacity to Work, Shoulder and Hand Problems, Traumatic Brain Injury, Cerebral Palsy, Autism Spectrum Disorders, etc.
Care follows diagnostic or functional labels
5 June 2015

21. Evidence Based Practice includes the Patient
5 June 2015
mICF International Partnership
EBM Triad copryright 2013 Florida State University, College of Medicine. All rights reserved.

22. You Need to Empower to Engage
Institute of Medicine, I. O. M. (2013). Partnering with Patients to Drive Shared Decisions, Better Value, and Care Improvement: Workshop Proceedings. The National Academies Press. Retrieved from
5 June 2015
mICF International Partnership

23. Shared Decisions Need Clear Information
Institute of Medicine, (2013). Partnering with Patients to Drive Shared Decisions, Better Value, and Care Improvement: Workshop Proceedings, The National Academies Press.
5 June 2015
mICF International Partnership

24. Example: mICF Information System
5 June 2015

25. mICF International Partnership
What is Big Data?
5 June 2015
mICF International Partnership

26. mICF International Partnership
Desire Lines
5 June 2015
mICF International Partnership

27. How will mICF be developed?
Data will be person-driven, facilitating shared decision-making and well-coordinated, holistic, continuity of care across various service settings
Personal health data will be processed securely, informing a patient-empowering bio-psycho-social approach
Big data analytics will enable personalised, predictive care
Proof-of-concept validation across the globe will include low-and middle income countries
5 June 2015

28. Clinical studies will focus on older people, as well as children and adults with chronic diseases
State-of-the-art service design will entail iterative in-market experimentation, and impact and economic evaluation
An extensive dissemination strategy, in close collaboration with the International mICF Partnership, will focus on change management, allowing new patient pathways and interprofessional collaboration
Lean, agile commercialisation will ensure sustainability and the development of new business and service solutions adhering to ethical and legal regulations
5 June 2015

29. Our Desire Lines…
ICF big data describe each person with an personalized functional profile, focusing on the lived experience and taking into account relevant localized environmental factors.
ICF big data avoid labeling by diagnostic or functional category
ICF big data facilitate personalized care
5 June 2015

30. Cor(e)sets are getting out of fashion!
ICF big data describe each person with an personalized functional profile, focusing on the lived experience and taking into account relevant localized environmental factors.
ICF big data avoid labeling by diagnostic or functional category
ICF big data facilitate personalized care
5 June 2015

31. mICF International Partnership
mHealth solution based on International Classification of Functioning, Disability and Health The mobile ICanFunction App Facebook: ICanFunction
5 June 2015

32. TECHNOLOGY UTILISING ICF
RATIONALE FOR ICF EDUCATION
is driven by the global priority to achieve
through
HEALTH EQUITY
through
TRANSFORMING HEALTH PROFESSIONS EDUCATION
REFORMING
SYSTEMS FOR FEALTH
contributing to reaching
Personalised healthcare in a strengthened systems for health
through
ultimately resulting in
person-centred approach
predictive health care
resulting in
which is dependent
resulting in
holistic care, shared decision-making, patient-reported outcomes
TECHNOLOGY UTILISING ICF
big data
made possible by
creating the opportunity for
obtained by utilising paradigm-shifting
PATIENT-DRIVEN DATA