Chronic Care Improvement: Different Worlds, Similar Needs in Chronic Care

Posted by admin on February 22, 2005 – 11:06 pm -

This is a presentation I gave on February 22, 2005 at a conference in London about a common theme and issue that affects people and governments in Europe, Asia and America: How can we create a better model of care to serve the rising incidence of chronic illness and the aging population?

HEALTH HERO NETWORK CEO STEVE BROWN TO ADDRESS
ASIA-EUROPE MEETING IN LONDON
Home Health Monitoring Pioneer to Demonstrate how the Health Buddy® System
Is Being Globally Adopted to Improve Chronic Care

London – February 22, 2005 – Nations around the world can use similar approaches – including deploying home health monitoring technologies for people with chronic illness – in dealing with the challenge of aging populations, Health Hero Network CEO Steve Brown will tell an audience of European and Asian government and business leaders today.

Brown will deliver his address, “Advancing Chronic Care with eHealth Technologies in Japan: Proving Global Solutions for an Aging Population” at the annual Asia-Europe Meeting (ASEM) Conference on eCommerce in London. Health Hero Network markets the Health Buddy® system, a comprehensive technology solution for home health monitoring of people with chronic illness. In his speech, Brown will compare the implementation of home health monitoring in Japan in partnership with Yamatake and the deployment of the Health Buddy system in the Netherlands in partnership with Sananet.

“The need to improve chronic care for aging populations is driving very different health care systems to adopt very similar technology solutions,” Brown will say in his speech. “The Health Buddy system has led to dramatic improvements in the health of chronically ill patients in the U.S. and reductions in cost, and our partners are starting to experience similar successes in their initial efforts in their countries.”

ASEM is a multilateral forum for action-orientated debate between the EU Member States and Asian partner countries: Brunei, Burma, Cambodia, China, Indonesia, Japan, Korea, Laos, Malaysia, the Philippines, Singapore, Thailand, and Vietnam. The objective of this conference is to identify ways of increasing trade and investment through the use of online technologies.

About Health Hero Network
Health Hero Network develops and markets the Health Buddy® system for health improvement. The Health Buddy system serves as the interface between patients at home and care providers, facilitating patient education and monitoring of chronic conditions. The system includes monitoring technologies, clinical information databases, Internet-enabled decision support tools, health management programs and content development tools. Through increased communication, behavior modification, and prevention, the Health Buddy system improves the quality of care. Based in Mountain View, California, Health Hero Network’s systems are protected by over 55 issued US patents. http://www.healthhero.com

eHealth Programme

 

Monday 21 February 2005

08.30 Arrival and Registration

09.30 Plenary Session. Oficial Opening & Introduction
Conference Chairperson: Prof. John OÕReilly, CEO, Engineering and Physical Sciences Research Council

Keynote Speakers:
The Hon. Mike O’Brien, the UK Minister for eCommerce
Sir Richard Sykes, Rector Imperial College, London
Mr Takeshi Natsuno, Managing Director of Planning, i-mode Business Division, NTT DoCoMo Inc. Japan

Summary & Information on Streams

11.00 Coffee Break

11.30 eHealth Stream Session 1
Theme: Medical & Technology Future Convergence.
Chairperson: Professor Ricky Richardson: Vice President, ISFT, Chairman, UK eHealth Association

11.35 AneHealth, Anywhere. Professor Ricky Richardson, Chairman, UK eHealth Association

11.55 The Biological Continuum. Professor Richard Kitney, OBE, Professor of Biomedical Systems Engineering, Imperial College

12.15 The Impact of Molecular Biology on the Practice of Medicine.
Professor Stephen Smith, Dean of Medicine, Imperial College, London

12.35 Interactive Discussion. Chairperson: Professor Ricky Richardson, Vice President, ISFT, Chairman, UK eHealth Association

Professor Ricky Richardson
Professor Richard Kitney, OBE
Professor Stephen Smith

13.00 Lunch – Buffet in Conference Centre

14.00 eHealth Stream: Session 2
Theme: Telemedicine and International Outcomes.
Chairperson: Dr Niels Rossing, Danish Society of Clinical Telemedicine, Hon. Fellow of the European Federation for Medical Informatics

14.05 A European Perspective on eHealth as an agent for reform
Mats Larson; President European Health Telematics Association

14.20 Asian Perspectives on eHealth as an agent for reform
Ki-Chan Ahn, Korean eHealth Association
Tan Sri Dató Dr Abu Bakar bin Suleiman, President, International Medical University, Malaysia
Dr Sablee Aspar - Brunei
Prof. Wang Cai-you, Deputy Director of the Centre for Health Statistics and Information, Department of Health, The Peoples Republic of China

15.30 Interactive Discussion

15.45 Afternoon Tea

16.00 eHealth Stream: Session 3
Theme: Global Applications for eHealth.
Chairperson: Professor Ricky Richardson: Vice President, ISFT, Chairman, UK eHealth Association

Professor Jean-Claude Healy; World Health Organisation
WHO eHealth Strategy
The WHO Health Academy
eHealth for Crisis Management

16.30 Interactive Discussion

17.00 Streams Close. Exhibition and Networking.

17.30 Close of day 1

18.30 Meet and Travel to Dinner

19.30 Conference Reception & Dinner; The Royal Naval College, Greenwich

23.00 End

Tuesday 22 February 2005

08.30 Arrival, coffee, exhibitions

09.00 eHealth Stream Session 4
Theme: Putting eHealth Into Practice.

Chairperson: Professor Richard Kitney (OBE), Professor of Biomedical Systems Engineering, Imperial College

09.05 The National Programme for Information Technology (NPfIT):
Implementation and beyond
. Richard Granger, Director General of IT for the NHS

09.20 NPfIT Local Service Providers: Perspectives on Achieving Successful Implementation.
Tim Smart - President, Consulting & Systems Integration, British Telecomm
Ken Lacey - Global Managing Partner Health & Life Sciences, Accenture
David Baker - NHS Account Director, CSC Alliance
Peter Hutchinson - Managing Director, UK Public Sector, Fujitsu Alliance

10.20 Interactive Discussion
Richard Granger
Tim Smart
Ken Lacey
David Baker
Peter Hutchinson

Conor Ward – Partner, Lovells Solicitors

10.40 Morning Coffee

11.00 eHealth Stream: Session 5
Theme: Realising Benefits from eHealth - Europe.
Chairperson: Mats Larson, President, European Health Telematics Association

Selected Case Studies:
The Danish eHealth Experience – Dr Arne Kverneland, Head of Department of Health Informatics, National Board of Health in Denmark.
Telemedicine Clinic, Barcelona – Dr Henrik Agrell, Vice President, European Telemedicine Clinic,
Current Finnish eHealth experiences and International Society for Telemedicine update – Dr Jarmo Reponen, President, Finnish Society of Telemedicine
Provision of regional cross-border eHealth programmes in Europe - Mark Simon, Chief Executive, ComMedica
NHS Direct New Media – Prof. Bob Gann, Director, NHS Direct New Media
HINE European eHospital Survey - Murray Bywater, Silicon Bridge Research

12.45 Lunch – Buffet in Conference Centre

14.00 eHealth Stream Session 6
Theme: Realising Benefits from eHealth - Asia
Chairperson: Tan Sri Dató Dr Abu Bakar bin Suleiman, President, International Medical University, Malaysia

Selected Case Studies:
The Ministry of Health hospital IT project, Malaysia - Dató Dr A Jai Mohan, Vice-President, Malaysian Health Informatics Association
Longitudinal population health records on a single platform in Hong Kong - Dr Chun Por Wong, Immediate past President of the Asia Pacific Association for Medical Informatics
An eHealth solution in Japan – Steve Brown, President and CEO, Health Hero Network Ltd

15.00 eHealth Stream Session 7
Theme: Looking To The Future; eHealth Innovation
Chairperson: Professor Ricky Richardson, Chairman, UK eHealth Association

Microwave Endometrial Ablation To Treat Heavy Menstrual Bleeding - Mr Ellis Downes MRCOG, Consultant Gynaecologist & Obstetrician, Chase Farm Hospital, North London UK
Technology & The Patient - Jo Wright, Managing Director of Global Health Business, British Telecom & Dr William Rutter, Chairman, iMetrikus
DVD-based training in the recognition of autism and Asperger syndrome
Prof. David Skuse; Institute of Child Health, Great Ormond Street Hospital for Children

16.00 Afternoon Tea

16.30 Plenary

Keynote Speakers:
European Commission: tbc
Mr Wang Zhong Min, Vice Administrator of the Standards Administration of China

Conference Chairman’s Summary:
Prof. John O’Reilly, CEO, Engineering and Physical Sciences Research Council

18.00 Official Close of Conference

18.30 Reception at ExCel, Exhibition and Conference Centre

20.30 End

Transcript

Slide 1: Mainstreaming eHealth

Slide 2: Advancing Chronic Care with eHealth Technologies in Japan: Proving Global Solutions for an Aging Population Steve Brown CEO Health Hero Network Ltd Mainstreaming eHealth

Slide 3: The Aging Population Challenge in Japan • Total population drops from 120M (2000) to 100M (2050) • Population over 65 rises from 18% (2000) to 37% (2050) • Traditional familial care of elderly declining rapidly • • New solutions needed for chronic care Mainstreaming eHealth

Slide 4: What can eHealth do? • Tools to support and educate patients to improve self- care, wellness, and health behavior • Tools to support caregivers in the monitoring and management of patients with chronic disease • Value to patients, caregivers, and society: Prevent the worsening of chronic disease Increase access to chronic care Lower the burden and cost of chronic care Mainstreaming eHealth

Slide 5: Tools to support and educate patients • Easy-to-use interactive countertop device • Daily personalized dialogue and guidance • Communication hub for home medical devices Behavior modification Mainstreaming eHealth

Slide 6: Personalized daily guidance and feedback • Congestive Heart Failure • Chronic Obstructive Pulmonary Disease • Coronary Artery Disease • Diabetes • Hypertension • Asthma • Depression • Senior Wellness (diet, activity, medications) Development tools and platform approach enables adaptation to local needs Mainstreaming eHealth

Slide 7: Fully customizable dialogue content • Example from Dutch COPD program operated by Sananet BV in Netherlands Mainstreaming eHealth

Slide 8: Communication hub for home medical devices * Subject to appropriate regulatory approvals Open system can serve devices from many different vendors Mainstreaming eHealth

Slide 9: Tools to support caregivers • Web-based application services for caregivers • Daily patient status and needs stratification • Symptoms, behavior, knowledge Monitor everyone but manage by exception Mainstreaming eHealth

Slide 10: Systems approach Enabling an improved model of chronic care Mainstreaming eHealth

Slide 11: Yamatake Corporation – Pioneer of chronic care improvement in Japan • Over 90 years experience in innovating in process automation and factory automation • Develops new business in the fields of health care, energy conservation and food safety and agriculture • 7,100 employees, over 1.4 billion (USD) in sales – 2003 • Created the Safety Service Centre which runs a personal emergency response service • Developed chronic care improvement system and service based on Health Buddy® system in partnership with Health Hero Network • Chronic care improvement services through Safety Service Centre Mainstreaming eHealth

Slide 12: Obstacles to improving chronic care in Japan • Insufficient economic incentives for healthcare providers to focus on prevention • Entrenched healthcare interests and institutions are slow to change • Population health factors are moving in the wrong direction (obesity, diabetes, lung disease all rising) Does this sound familiar? Mainstreaming eHealth

Slide 13: Situation in Japan is model for global needs to improve chronic care for aging population • Very different healthcare systems in Japan, Europe, USA • Very similar needs to improve chronic care for aging populations Leading toward similar eHealth solutions Mainstreaming eHealth

Slide 14: Video example is from Health Buddy® program in Netherlands operated by Sananet BV Mainstreaming eHealth

Slide 15: Similar chronic care improvement programsand pilots underway in 2005 • Japan (Yamatake) • Netherlands (Health Ministry, hospital pilots with Sananet) • USA (Veterans Affairs national program, Medicare pilots) Opportunity to learn from examples around the world New body of evidence being generated to support systems approach to improving chronic care for aging patients Based on eHealth enabling tools Mainstreaming eHealth

Slide 16: Future developments will further increase capabilities applications globally Health Buddy® 2 Processor: Samsung ARM 2410 Memory: 64MB Persistent Storage: 32 MB Operating System: Linux Screen: 640 x 240 Color LCD Ports: 4 USB, 1 RJ45 Serial Modem: 33.6 kbs Multiple languages Remote configuration 45 health applications Mainstreaming eHealth

Slide 17: Contact Information Steve Brown CEO Health Hero Network Ltd 40 Abbey Road Monkstown, Co. Dublin Ireland Tel: 00353 1 280 3997 Fax: 00353 1 280 9806 stevebrown@healthhero.com Mainstreaming eHealth


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