Deriving more value from real world evidence to ensure timely access of medic...
Wragge & Co Mobile Healthcare Industry Summit 2012 Bleddyn Rees
1. Making Permanent mHealth
Ecosystems Work
Bleddyn Rees
• Non Executive Director – European Connected Health Alliance
• Partner, Head of Healthcare – Wragge & Co LLP
Mobile Healthcare Industry Summit September 2012
2. 1. What is the European Connected Health Alliance?
Europe’s largest Connected
Not for Profit
Health Membership
Company
Organisation
1 2
Membership includes
Promotes the deployment of
Departments of Health,
Connected Health (devices &
Hospitals, Care Homes, GP’s,
services) at scale
Commissioners,
on commercial terms.
Universities & Industry 3
4
Provides International
Sets up Ecosystems to deploy
leadership
Connected Health & transfer
for the development of
best practice & solutions
Connected Health – has
from region to region. 5
international Advisory panel
5 6
3.
4.
5. 2. What is Healthcare?
WHO defines health
The Northern Ireland as “a state of complete
System & Model physical, mental and
Integrated Health & social wellbeing and not
Social Care merely the absence of
disease or infirmity.
The Compton
‘Circle of Care’
6. 2. Scene Setting: Barriers to deployment
Paradox
• We know we have the tools to address a
massive societal and healthcare challenge
• But - Limited uptake, limited engagement.
Why?
7. 2. Scene Setting: Barriers to deployment
Challenges to eHealth Implementations
Requirement to
Complexity of Restrictions
change working
Health related on data Processing
practices &
information & (free movement
organisational
services of data v Privacy)
change
1 2 3
4 5 6
Requirements for Legal uncertainty
Interoperability of
evidence & no clear
Health Information
based medicine legal framework
Systems
for eHealth
8. 2. Scene Setting: Barriers to deployment
Challenges to eHealth Implementations
No pilot-to-
Poor User Point not whole
deployment
Acceptance System solutions
plan
7 8 9
10 11
Poor understanding
Failure to build
of public / private
partnerships
PPP business
models
9. 2. Scene Setting: Barriers to deployment
Limiting Factors
• Doubts about evidence – or limited authoritative
evaluation?
• Limited political advocacy
• Silos – connections missed and opportunities
lost
• Regulatory concerns
• Limits of conventional procurement
• Ineffective payment mechanisms
10. 3. ECHAlliance Ecosystems – What are they all about?
ECHAlliance Partners – working together focused on.....
…....“Delivering leadership for the development
of Connected & mHealth markets
and practice across Europe and beyond”
11. 3. ECHAlliance Ecosystems – What are they all about?
Introducing ECHAlliance Ecosystems
…an answer and solution to these
barriers
12. 3. What is a Connected Health Ecosystem?
Dictionary – “a system involving the interactions between a community and its non-living
environment.”
Commissioners of Healthcare
Commissioners of Social Care
CONSUMERS
PATIENTS
PEOPLE
Secondary Community Primary Domiciliary Assisted Care Homes
US
care care care services Living services
services
Public Providers Industry University & Research Organisations
• Health and social care providers • Pharmaceutical
• Technology devices, equipment and • ICT software (telecoms)
services equipment and services
• Consumer healthcare products and • Research
services
13. 3. ECH Alliance Ecosystems – What are they all about?
PERMANENT ECOSYSTEMS
15. 3. ECH Alliance Ecosystems – What are they all about?
Developing existing networks
Focusing on doing rather than just talking
Connect to the ECHAlliance international network
16. 3. ECH Alliance Ecosystems – What are they all about?
Ecosystems: a driver for integration & economic development with
HEALTHCARE AS AN INVESTMENT NOT COST.
Engine for investment growth and economic development
17. 4. Business Models for Connected Health
• Telecommunications or healthcare regulation
products/services or a combination?
• Sale of equipment (devices) v supply of services
• Need for Health Commissioners to find savings to
avoid denial of services
• Revenue (services) v Capital (IT) budgets
• “Disruptive” Business Models (Clayton
Christensen)
• Consortiums? Collaborations and Partnerships?
18. 4. Business Models for Connected Health
Managed Service – A Shift in Concept and Language
Buying Buying a service
Technology Becomes
Selecting Defining your
Technology Becomes
service
requirements
Buying Buying Monitoring
Becomes days
Equipment
Building service Building capability
delivery Becomes
to use the service
capability
20. 4. Business Models for Connected Health
Managed Services Model –
Conclusions and Lessons from the Northern Ireland Ecosystem
• Provides clear basis to incentivise the provider to deliver
services that the commissioner wants
• Significant up-front investment on both sides to define
service requirements and design how the service will
integrate with other services
• Focus on defining what service is required and not how
to arrange people, process and technology to deliver the
service
• Demands a high level of working in partnership through
service definition and design
• Shares the risk of delivery between the commissioner and
provider
21. 5. Conclusions
• Need for a European Legal Connected Health
framework but should be permissive not prescriptive
• In the meantime risks from variations in National Laws
in EU and Telecommunications v Health
• Jurisdiction “shopping” so pan European businesses
need to be careful!
• Major information/communication exercise with
citizens (patients) to explain the benefits of Connected
Health and information sharing in health systems.
• Technology must be an enabler of “Patient centric”
services/treating patients as consumers and involving
them in the design of devices and/or services.
22. 6. ECH Alliance: How can you help us?
• Become members! (www.echalliance.com
)
• Tell us about any ideas you have to
improve patient services
• Tell us about any solutions (devices or
services) you would like to deploy in our
Ecosystems
• Help us make our Ecosystems a success
