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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
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Stefanus Snyman @stefanussnyman
Interprofessional collaboration and transforming health professions education Stefanus 5 June 2015
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November 2010
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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)
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RATIONALE HEALTH EQUITY is driven by the global priority to achieve
TRANSFORMING HEALTH PROFESSIONS EDUCATION REFORMING SYSTEMS FOR HEALTH through
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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
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RATIONALE HEALTH EQUITY is driven by the global priority to reach
TRANSFORMING HEALTH PROFESSIONS EDUCATION REFORMING SYSTEMS FOR HEALTH through
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Integrated community-based care – reforming systems for health
Heidi Anttila @anttilaheidi 5 June 2015
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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
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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
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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
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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
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Omahoitopolut.fi Support for the citizen to actively maintain healthy and active lifestyle Use of web: 27% y 92% y FT Heidi Anttila
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Renewal of services must be supported by ICT solutions
5 June 2015 mICF International Partnership
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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
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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
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Patient-Driven Big Data – Towards Personalized Care
Olaf Kraus de Camargo 5 June 2015 mICF International Partnership
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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
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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.
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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
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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
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Example: mICF Information System
5 June 2015
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mICF International Partnership
What is Big Data? 5 June 2015 mICF International Partnership
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mICF International Partnership
Desire Lines 5 June 2015 mICF International Partnership
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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
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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
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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
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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
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mICF International Partnership
mHealth solution based on International Classification of Functioning, Disability and Health The mobile ICanFunction App Facebook: ICanFunction 5 June 2015
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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
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