Presentatie in het kader van de opening van het academisch jaar bij Medische Informatiekunde van het AMC. De rol van actionable data en het belang van ondernemerschap in de zorg

1. Data and entrepreneurship
Projects overview
1

2. 2
Martijn Kriens
m.kriens@ahti.nl, @martijnkriens
• Ahti
• Director business development
• Medical Data Recorder
• Founder
• Radboudumc
• Member patient safety committee
• Industrial engineering & Informatics
• Technical University Twente
• Director BSO/Quality Innovation, CTO Human
Inference, Manager BD Telematica Institute,
Program director Healthlab

3. 3
Complexity of healthcare market
CompaniesConsumers
Science

4. 4
Complexity of healthcare market
Payers
(insurance/Government)
CompaniesPatients
Science
Providers
Regulators
?

5. 5
Complexity of healthcare market
CompaniesConsumers
Science
Payers
(insurance/Government)
CompaniesPatients
Science
Providers
Regulators
3 nodes is 3 connections
6 nodes is 15 connections
# nodes! / 2

6. Desire paths

9. 9
Amsterdam health & technology institute
“By establishing a leading knowledge
institute like ahti in Amsterdam, international knowledge
and talent will be attracted
to Amsterdam and new jobs will be created. Healthy
citizens make a healthy city and
a healthy city a healthy economy.”
Eric van der Burg
Health and Welfare City Council Member

10. Actionable data
“Is this policy or did someone
think this through?”
Jan Schaefer
Alderman Amsterdam (1978 – 1986) 10

11. Entrepreneurship
• Accelerator program
together with Startup
Bootcamp
• Development of the AHTC
and the Amsterdam Life
Science District

12. Real world evidence / actionable data
Identify
sources
Cleanse and
Interpret
Combine and
Analyze
Aggregate and
Visualize

13. agregated data
Individual data
InterventionPolicy
Zicht en grip op
sociaal
Prisma
Wijkbrede
aanpak Nivel
monitoring
Kraken keten
spoedeisende
zorg
Top 600
H-team

14. Projects in
Amsterdam

15. 15
Psychological disorders in Amsterdam
Bron: GGD Gezondheidsmonitor

16. 16
Total healthcare costs in Amsterdam
Noot: Gecorrigeerd voor leeftijd
Bron: Vektis Open Data 2012
Centrum Nieuw-West Noord Oost West Zuid Zuidoost
Totale kosten: gem pp 2155 euro

17. Delivery of psychological aid in costs in Amsterdam
Centrum Nieuw-West Noord Oost West Zuid Zuidoost
Totale kosten tov gem pp 2155 euro Noot: Gecorrigeerd voor leeftijd
Bron: Vektis Open Data 2012
GGZkosten tov gem pp 2155 euro

18. 18
Supply of psychological aid
Bron: Stichting Eerste Lijn

19. 19
Mismatch supply and demand (geographically)
Bron: Stichting Eerste Lijn / GGD Gezondheidsmonitor

20. 20
City health dashboard
1
2

21. 21

22. 22
Econometrics
Patterns in Wmo use: 2016 AO, Vervoer  Hbh

23. 23
City Rhythm
Escamp, Den Haag Wormerveer, Zaanstad

24. 24
H-TEAM (HIV Transmission Elimination Amsterdam)
Amsterdam context
• 30% of individuals with a new HIV diagnosis present to care in late stage of infection
• Estimated 400 individuals are unaware of their infection
H-TEAM
• Development of better strategies to
• Diagnose HIV ealier
• Lower the proportion of people who are unaware of their infection
Objective
• Explore how GIS analysis can help in achieving these goals
Method
• Visualization of HIV-trends across Amsterdam to identify risk areas and risk population
• Combination with HIV testing trends and demographic data on neighborhood level
• Advise local policy making in effective interventions
• Creating actionable data

25. 25
H-TEAM (HIV Transmission Elimination Amsterdam)

26. 26
Data analysis Amsterdamse Aanpak Gezond Gewicht
Context
• Two interventions
• Healthy Food Counters
• Supermarket coach
• Estimate their effect using bonus card data
Ahti
• Support in choosing intervention locations (supermarkets and schools)
• Analysis sales data

27. 27

28. 28
Healthy + unhealthy
healthy
unhealthy
Food pressure

29. Cohort data
Personalised
risk model
Personalised
intervention
plan
Intervention
support
Individual feedback
Systematic feedback
Citizen science
personal data
Personalisation
Heterogeneous
data
Behavioural
economics
CVRM risk personalisation
Home monitoring

30. 30
Krakende Ketens
15.000.000 €
(1)
141.000.000 €
(2)
3,539,302 €
(4)
53,955,438 €
(3)
13,143,691 €
(5)
Bron: Vektis 2015, Kosten 75 plussers in Amsterdam
50,094,744 €
(6)
262,034,896 €
(7)
3,000,000 €
(1)
11,500,000 €
(2)

31. 31
Totaaloverzicht
HIS
POIN
T
Zorg
domein
EPD
KIS
RIS
Wz
iWMO
ZIS
LIS
?Tel
?Amb

33. 33
Pilot Wijkbrede Aanpak
Issue: there is lots of data but little of it is used in local
practice and different professionals have different
perspectives
• Learning local professionals to use and understand data
• From social, safety and care domain as well as citizens
• Supply them with high resolution data on the neighbourhood
• Let them develop plans for local priorities
 There is a lot of data available at the different organizations.
 Professionals learn to compare & translate the data from different sources
into actionable information.

34. 34
1st line monitoring data
• Combination of
• HIS (GP information system)
• 1,7 million people
• WMO (social services municipality)
• CBS (Demographics)
• GP information collected on a weekly
basis
• (almost) realtime monitoring of policy

36. Scientist
Activist
Pragmatist

38. Health systems
focus on cure
rather than
prevention

39. Funding Population Prevention
Remaining Healthy
Early Treatment
Cure
Primary
Secondary
Tertiary
Misallocation of resources

40. Compound annual growth rates
HealthCare HealthTech AI in healthCare
45%
40%
35%
30%
25%
20%
15%
10%
5%
0%

41. 41
Developing fields: Machine learning

42. 42
Science alone
leads to paper(s)

43. 43
Science
implemented by
entrepreneurs
leads to innovation
(sometimes)

44. 44
Student Incubator
• When are you flabbergasted about in healthcare?
• Pitch for innovative ideas that you believe in
• Combination of MIK and Medical students
• Involvement of patients
• Support of AMC and ahti
• Working space and entry to the health ecosystem

45. 45

46. 46