A European Falls Road Map Nick Guldemond

Dr. Nick Guldemond, n.a.guldemond@umcutrecht.nl
27‐3‐2015
Roadmap
1 | Healthcare paradigm shift
‘A
European Falls Road Map’
context
2 | Health & Technology
European Falls Festival, Stuttgart 25-03-2015
3 | EIP – Active and Healthy Ageing
current status
Dr. Nick Guldemond | Associate Professor Integrated Care & Technology
4 | Community centred health solutions
5 | Steps to take in the EU roadmap
Dr. Nick Guldemond
Paradigm shift
medical curative model
social (interconnected)
health perspective
community care
community care
Healthcare paradigm shift
local institutions
advanced local
care centres
specialized institutions
high
specialized
cure
Dr. Nick Guldemond
Integrated Care
Community
Health Systems
supportive environment
public
health
clinical pathway / patient journey
information systems
self
management
delivery
system
decision
support
community
action
productive
interactions
activated community
improved outcomes
support
Dr. Nick Guldemond
Mobile: +31 6 48 26 19 29
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Dr. Nick Guldemond, n.a.guldemond@umcutrecht.nl
27‐3‐2015
Chain of (planned) care
Integrated approach falls prevention
Balance training
Home monitoring
admission
before
Prevention
fitness
community care
CURE
after
recovery
maintenance
community care
fitness 
hospital
Nutricial intervention
Critical
zone
screening +
assessment
Fall detection
time 
intervention
rehabilitation
Integrated Care
monitoring
Education
Dr. Nick Guldemond
Dr. Nick Guldemond
Smartphones communicator & Sensor of Human Behavior
INFORMATION
Health & technology
Commuting
Travels
Meetings
Communications
Sleeping
Wake‐up times
Office time
Location patterns
People’s behavior
User attention
Emotion
USER PROFILE
& SERVICE
INTEGRATION
INTERACTION
Dr. Nick Guldemond
Environment
Real-time interaction research & care
Society
Health
promotion
Disease
interaction
Knowledge
institutions
Localities
Point of Care
Diagnostics
INFORMATION
Quatified
Self
Determinants,
risk factors
& pathways
Systems medicine
INTERACTION
Personalised local
Care
Dna transscription
Mobile: +31 6 48 26 19 29
Dr. Nick Guldemond
Dr. Nick Guldemond
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Dr. Nick Guldemond, n.a.guldemond@umcutrecht.nl
27‐3‐2015
Challenges healthcare transformation
Research
Fragmentation of Initiatives
Research to Practise
Evidence
Interoperability
Technology
Services
Regulatory aspects
Privacy & security
Safety
Quality
Healthcare
Hospital to Home
Healthcare & social care
Collaboration
Social innovation
Public‐private
Cross‐sectorial
Medicine–Consumer domain
EIP – Active and Healthy Aging
Sustainability
Business models
Service models
Dr. Nick Guldemond
Critical mass on falls prevention & management
organisations, best practices, technologies & regions
6 themes where among
falls prevention (A2)
Implementation
& Up-scaling
Nature of special practices
20 x
prevention
Main Successes of the Action Group so far
fitness 
5 x technology /
general measures
Home monitoring
Inventory of special practices on scale
• 33 across 9 countries > seniors
2.013.152
Setting to which pratices apply
• Home setting/community
• Primary care
• Care homes/Nursing homes
• Inpatient hospital care
• General (technology) infrastructure
12
2
6
6
7
Status of practices
• Planning/development
• Pilot/testing
• Implementing or implemented
• Upscaling
2
10
19
10
Fall detection
screening +
assessment
23 x
identication
intervention
rehabilitation
monitoring
22 x
intervention and follow-up
Mobile: +31 6 48 26 19 29
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Dr. Nick Guldemond, n.a.guldemond@umcutrecht.nl
27‐3‐2015
EU strategy up-scaling good practices
Creating community
centred
health solutions
Dr. Nick Guldemond
Community Based Co-creation
Multi‐level framework for community based
co‐creation of health Health insurers
Patient
organisations &
consumers
Healthcare
professionals
Industry
EU
National
Knowledge
institutions
Regional
community
based
co‐creation
Social workers
& charities
Local
Public organisations
Technoloy
Service models
Business models
Local government
Inventors
Local SME’s
Dr. Nick Guldemond
Dr. Nick Guldemond
EU Framework for development,
implementation & up-scaling innovations
Policy level
e.g Horizon 2020
e.g EIP‐AHA / KIC
EU
Steps to take in the EU roadmap
National
….for falls prevention and management
Regional
Local
community
based
co‐creation
infrastructure
Dr. Nick Guldemond
Mobile: +31 6 48 26 19 29
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Dr. Nick Guldemond, n.a.guldemond@umcutrecht.nl
27‐3‐2015
Roadmap towards implementation & up-scaling
integrated falls prevention
European Road Map Falls Prevention
2007 - 2013
Framework Program
International
guideline
Mobilse stakeholders & activities
2012
EIP-AHA A2 action plan
ProFouND / E-NO-FALLS
Community
+
Action plan
Alignment
Action plan 2.0
vision +
road map
2016
international
initiative
on
Falls Prevention
Position
paper
2013
Horizon 2020
Point of
departure
2014
KIC Health
2015
European Falls Festival
2015
European initiative
on Falls Prevention
Stuttgart
Dr. Nick Guldemond
Dr. Nick Guldemond
Multi-level strategy framework
Steps to European/International standards
mapping issues on interoperability of technology & service aspects
High
• Technology
• Process
Int’l
Workshop
Agreement
(IWA)
• Governance
CEN
Workshop
Agreement (CWA)
Int’l
Standards
(ISO)
European
Standards
(EN)
National Technical
Agreement
(NTA)
National norms
(NEN)
Private Standards
INFORMAL
FORMAL
Dr. Nick Guldemond
Dr. Nick Guldemond
What we should (continue to) do….
• Building a multidisciplinary critical mass
Thank you!
• Building on what we already have
• Contribute to multi‐level/dimensional framework falls prevention
• Lets translate this into a guideline and standards
• Contribute to and endorse ongoing implementation & up‐scaling
Dr. Nick Guldemond
Email: n.a.guldemond@umcutrecht.nl
Mobile: +31 6 48 26 19 29
• Spread the word…
collaboration, communication, coordination is key
Dr. Nick Guldemond
Mobile: +31 6 48 26 19 29
Dr. Nick Guldemond
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