e-Innovation procurement

Hospital Sant Pau - UPC Barcelona Tech

Experience

Josep Picas

Hospital Sant Pau. CIO

• Significant and sustainable improvements in the

quality and efficiency of health and social care

can be obtained trough the procurement of

R&D services that can lead to solutions and

technologies that do not yet exist and that will

outperform the solutions available on market

Accelerating the Development of the eHealth Market in Europe

eHealth Taskforce report 2007

European Commission

Information Society and Media

Agenda

• First project. e-dis Dysphagia Tele-Rehabilitation

• Projects in development and assessment.

• Last challenge: e-blood Living Lab.

• Conclusion: R2R methodology for e-Innovation.

• Where & How: SP-KC & ACO

e-dis. Disphagia Tele-Rehabilitation

Why exercise with ?

It exits evidence that swallow

musculature increase strength/tone

with non-swallow excercises and

increased strength/tone translates into

improved function.• Clark H: Therapeutic exercise in dysphagia management: philosophies, practices, and challenges. Perspectives on swallowing and

swallowing disorders. Newsletter for the Dysphagia Special Interest Division of the American Speech-Language-Hearing

Association 14(2):24–27, 2005

• Logemann J: The role of exercise programs for dysphagia patients. Dysphagia 20(2):139–140, 2005.

• Robbins J et al. The effects of lingual exercise on swallowing in older adults. J Am Geriatr Soc. 2005;53(9):1483-9.

• Burkhead LM et al. Strength-Training Exercise in Dysphagia Rehabilitation: Principles,Procedures, and Directions for Future

Research. Dysphagia 2007; 22: 251–65.

6

7

How much costs a dysphagic pt?

Presential

• Videofluoroscopy: 381,25 €

• Dysphagia clinical evaluation

and treatment: 146,80€ x pt

• Transportation if needed x 15

days.

Distance treatment

• Videofluoroscopy: 381,25 €

• Dysphagia clinical evaluation

and treatment:

• 19,57€ (2 inhospital

visits).

• 1 therapist / 2 pts: 63,61€

• Total cost: 83,18€ x pt

• Transportation if needed x

2 days.• Computer: 304,99€

• Modem + internet connection: 30€/month

7

Projects in development & assessment.

Patient

Therapist

Projects in development & assessment.

Last challenge: e-blood Living Lab

Simulator for theoretical assessments.

Blood Bank

Blood Donor

Patient

Conclusion.

R2R methodology for e-Innovation.

Market

Multidisciplinary

ResearchMedical / Business / Technology

Health System and authorities

Users of

ServicesHospital

Primary

Care

Knowledge Center

as a driver of innovation at Sant Pau University Hospital

Center of Biotechnological Knowledge and Industrialists Demonstrator for

Innovation in Public Health

Sant Pau - Knowledge Center (SP-KC)

Funded: 1.3 M Euros:

NATIONAL PLAN OF SCIENTIFIC RESEARCH, DEVELOPMENT AND

TECHNOLOGICAL INNOVATION (2008-2011)

• Platform of Innovation - Mision

• To improve patient care by facilitating collaboration among patients, scientists, engineers/technologists and clinicians

• To catalyze the discovery, development and implementation of innovative technologies

• Emphasizing minimally invasive approaches, e-health and primary care

The need and the opportunity – Sant

Pau’s Knowledge Centre (SP-KC)• A „Multi-tasking Simulation Environment‟

• an area that could simulate one or more real-

world health-related settings, allowing rigorous

testing and rapid improvement of eHealth

innovations before they are introduced into real

environments

• equipped with high-capacity graphic

workstations with supercomputing and server

capabilities, data gathering equipment

(cameras, video network processors, etc.),

high-quality printing devices, complete

hardware for the simulation of various modular

environments, testing and observation rooms,

and work stations.

• A „Demonstrator Area‟

• Space for the

demonstration of

the products

generated in the

laboratory itself or

transferred to

industry or other

researchers who

wish to convene its

products and its

customers /

audiences in an

environment of

health validation

‘e-Health

• Laboratory

• Demonstrator

Simulation

• Citizens

SURGICAL

PROCEDURES

EMERGENCY

SERVICES +

CRITICAL

CARE

DIAGNOSTIC

PROCEDURES

ACO: Accountable Care Organizations

HOSPITAL

A.P. H.Primary

Care

Center

PATIENT CENTERED

“MEDICAL HOME”

?

Supporting

Clinical

Leadership

Accountable care organizations

Accountable care organizations: A new idea for managing Medicare

The goal of ACOs is to encourage physicians and hospitals to

integrate care by holding them jointly responsible for Medicare

quality and costs.

By Jane Cys, amednews correspondent. Posted Aug. 31, 2009

Dartmouth Institute for Health Policy and Clinical Practice and the Engelberg Center for

Health Care Reform at Brookings Institution

The ACO also would need a designated administrator and a formal

organization that could serve as a point of contact, work with

payers, monitor performance and collect any shared savings. The

physicians, hospital and other ACO members would need to agree

on how to divide any earned bonuses.

Summary

• e-Innovation procurement

• Traslational Research

• Living labs platforms (Tech + Ideas + Business

Models + Citizens)

• R2R methodology for e-Innovation.

• Approach to a sustainable model of funding

www.santpau.cat

Thank you !!

Josep M Picas

Sant Pau Hospital. CIO

jmpicas@santpau.cat

Josep M Monguet

UPC- I2 Cat. Professor

monguet.upc@gmail.com

Jaume Kulisevsky

Sant Pau Hospital Research Institute. Director

jkulisevsky@santpau.cat