Re-Health (Ricardo Devis) [BHS, Basque Government]

8/6/2019 Re-Health (Ricardo Devis) [BHS, Basque Government]

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A Responsive Digital Strategy for

tackling the challenge ofChronicity


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14 Strategic Projects on Chronicity


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based on 5 Strategic Policies


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But we need a Digital Strategy!


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For Designing a Strategy we need

A clear Direction

A solid Architecture fordealing properly with

the relationshipbetween the parts andthe whole

A Response for

everyone of the groupsof actors involved in theHealth System.


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RE-HEALTH AIMSResponsiveness and Sustainability


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Towards a Definition (?!)


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What direction?


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The [assumed] e-Health Path


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The e-Health Simplistic Process


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e-Addition Explained!

The same aim, but now with a plus: e-lectricity


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Bridging the gap!
http://www.cartoonbank.com/product_details.asp?sitetype=1&sid=40967


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Responsive e-Health


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The e-Health Revised Process


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A Transitional Path

Discourse Half-Duplex Dialogue

Dialogue Conversation


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The Conversational Health System


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The Pivoting Aim: Chronicity

In the Basque Country,

chronic illnesses representthe dominantepidemiological situation ofthe country. It is estimatedthat they currently represent80% of the interactions withthe Basque Health System(BHS) and account for more

than 77% of healthexpenditure

Rafael Bengoa


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Re-Health is

Responsive

Sustainable

Conversational

Adapted to HC actors

Integrated

Chronicity-aware

Supported by realcommunities of practice


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AN INTEGRATED

ARCHITECTURE

An Organically Ordered Web Architecture for

HealthCare


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We need a sense of info-order


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A well balanced Architecture

Organic Order: The kind of

order that is achieved when thereis a perfect balance between theneeds of the parts and the needsof the whole

The principle of organic order:

Planning and construction will beguided by a process which allows

the whole to emerge graduallyfrom local acts

Christopher Alexander, 1975


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Different Needs


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Does the Elastic User exist?


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A Common Solution?


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Real (different) Objectives

To flirt

For kids

To Work


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The Big Picture


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Architectural Drivers


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And Inside? The Integration Bus

Monitoring Brokers

Pharmaceutical e-Care

e-HealthIdentifierrs

Health 3.0

Re-Health!

Tele-Health

WirelessMonitoring

Mobile Health

Mobile Dispatch

Health Domoticse-Health

Integration

Bus


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The biggest Chronicity Living Lab


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OSAKIDETZA ORAINThe Basque Health Systems Web Portal


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The Integrated Web Initiative


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Brand New Features


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Multimode Assistance


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A Multi-Channel Web Portal

Integrates all

previous portals

Virtual Web Assistant Web Appointments

Instant Medical

Assessment by

Phone

iPhone, iPad,

Android support

Integrated with a

powerful Patient

Relationship

Management (PRM)infrastructure

902 20 30 20 Extended to

social networks

www.osakidetza.euskadi.net
http://www.osakidetza.euskadi.net/http://www.osakidetza.euskadi.net/


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fed with 14 Chronicity Projects


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PRO-SAKIDETZA

An online network of real professional communities

of practice


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Pro by Pros for Pros


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Unpredictable Master Plans

Master plans have 2 unhealthy characteristics

Its existence alienates the users

the members of the community can

have little impact on the future shape

of their community

Because most of the importantdecisions have already been made

users live in a frozen future, able to

affect only relatively trivial details

Neither the users nor the key decision

makers can visualize the actual

implications of the master plan.

Extracted from Christopher Alexander, 1975


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Master Plans as skyscrapers!

A modern skyscraper has a fixed

inflexible interior, which is secondary to

the designed beauty of the exterior.

Little attention is paid to the natural

light, and often the interiors are

constructed as flexible office space,

which means cubicles. The flexibility is

for management to set up offices for the

company, not for the inhabitants the

employees- to taylor their own space.

When you run out of space in the

skyscraper, you build another; you dontmodify the existing one or add to it.

Richard P. Gabriel, 1996


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Habitability

Healthcare professionals are not mere users, butinhabitants of the Health System, andconsequently they need a sense of

Ownership

Professionals need to feel that they havesome authority over what they are

responsible for

and also a sense of elitism that holdthem together and makes each member ofthe team feel responsible for the otherssuccess (Richard P. Gabriel)

Professionals know what they need, and despiteof the BHS master plans, theyre engaged with

their own (usually modest) marginal communities,with their own look & feel and a consensus-basedflexible structure.

so they can comfortably inhabit them.


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A Network of Pro Communities

Pro Community #4

Agora

Pro Community #2


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Our First Pro Community


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A Pro Social Network


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KRONIKOEN SAREA

A Community of Patients based on emotional

elective affinities


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The Patients Associative Platform


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Identifying Moods as Objectives

Patients objectivesuse to be related totheir moods andstates-of-mind. But its not always

easy to recognizethem!

We needed to useInteraction Designtechniques for comingout with effective

results that have being

successfully validatedby Chronic Patients


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Chronic Patients Emotional Cycle


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mixing patients and carers!


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promoting an Emotional Approach


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to the way Patients want to share!


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Patients in their own way!

ll h f d


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Following the Patients State of Mind


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SUMMARYKey Ideas: Drivers. Digital Architecture, Re-Health

Diff N d Diff D i


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Different Needs, Different Drivers

A R f BHS


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A Response for every BHS group

R R R R R R H lth


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ReReReReReRe-Health

o Re[sponsive]-Health is our way of saying that

We need to react in front of the mere technology

sublimation, reformulate our schemes in order to achieve

a revolutionary road to an integrated health system,

responding to its main actors, and reinserting all their

values in it.

R i H lth!!!


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Responsive e-Health!!!


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ESKERRIK ASKO

Thank you very much for your attention!

Muchsimas Gracias


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Re-Health (Ricardo Devis) [BHS, Basque Government]

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