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  • THINK INNOVATION

    Jaap Trappenburg

    eHealth innovation in the Netherlands, the Utrecht region and THINC.

    Hi Emma, I am your assistant doctor

    https://www.google.nl/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=2ahUKEwjgmpLOtvndAhUGfFAKHZEiA5sQjRx6BAgBEAU&url=https://store.google.com/gb/product/google_home&psig=AOvVaw0YukXPUr5Mq-xoH58KgEvd&ust=1539176817629544

  • Outline

    • eHealth – some framing • eHealth innovation in the Netherlands • regional innovation ecoystem eHealth

    Utrecht • THINC. - The Healthcare Innovation Center • My own research – example projects

  • ehealth

    ehealth

    ehealth

    http://www.google.nl/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=2ahUKEwj-z_Tz_PbdAhUH3aQKHYysCPMQjRx6BAgBEAU&url=http://colmi.manufacturer.globalsources.com/si/6008846317686/pdtl/Activity-tracker/1161695077/Smart-Wearables-Health-Smartwatch.htm&psig=AOvVaw2q_n6fMt0Ff9tDRrppP6Bg&ust=1539092554361430 http://filmi-onlain.info/jpgspng-slim-textiel.shtml https://www.google.nl/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=2ahUKEwjgmpLOtvndAhUGfFAKHZEiA5sQjRx6BAgBEAU&url=https://store.google.com/gb/product/google_home&psig=AOvVaw0YukXPUr5Mq-xoH58KgEvd&ust=1539176817629544 https://www.google.nl/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=2ahUKEwi9w4L9nffdAhVE66QKHV2WD2oQjRx6BAgBEAU&url=https://www.onlinewebfonts.com/icon/535483&psig=AOvVaw06dZfFuCv8khqVs-lUbRwW&ust=1539101481062987

  • Different (& less strict) regulatory evaluation process • To market after CE approval (if required) • The focus is on ‘safety and techical feasibility’ i.s.o. clinical effectiveness • Different market – shorter life cycle • Lower budgets – less time

    Increasingly data driven + autonomous Emerging technologies: AI, precision medicine, genomics, blockchain etc.

    Increasingly disruptive Digital transformation, substitution, citizen-centric,

    Democratized, digital innovation is increasingly a non- academic activity Global market: 2017 - USD 47.60 billion, 2023 - USD 132.35 billion

    They come with many + highly diverse i.e. > 335.000 mobile health apps

  • Outline

    • eHealth – some framing • eHealth innovation in the Netherlands • regional innovation ecoystem eHealth

    Utrecht • The Healthcare Innovation Center • My own research – example projects

  • Drivers eHealth innovation in NL

    • Because we need it • Policy (top down) • Knowledge economy / innovation

    (bottom up)

  • Because we need it

    Healthcare expenditure Annual increase of 2.9%

    By 2040  174 billion Euro (9.6 K / person)

    By 2022, a shortage of 100 to 125 thousand healthcare employees is

    expected

  • Active policy • Set SMART goals

    – >80% of chronically ill access to their medical records – 75% of chronically ill able to monitor certain aspects of their own health and share the data with their health

    provider – People receiving care at home should be able to communicate with their care provider 24 hours a day via a

    screen, if they wish.

    • Measure longitudinal trends in eHealth uptake / barriers / facilitators (annual eHealth monitor)

    • Sharing knowhow (i.e. annual eHealth week) • Improve digital integration and harmonized national data standards (i.e. Legal

    framework for mandatory exchange of data, legal certification for a digital ledger solution  blockchain) • Stimulate innovation (i.e. Research Grants, public private partnership matching,

    ZorgInnovatie.nl : community for innovation in healthcare and wellbeing, providing a platform and database for more than 3300 communities and 700 innovations.

    Set SMART goals • >80% of chronically ill access to their medical records • 75% of chronically ill able to monitor certain aspects of

    their own health and share the data with their health provider

    • People receiving care at home should be able to communicate with their care provider 24 hours a day via a screen, if they wish

    Measure longitudinal trends in eHealth uptake, barriers and facilitators annual eHealth monitor

    Improve digital integration and harmonized national data standards i.e. Legal framework for mandatory exchange of data, legal certification for a digital ledger solution incl. blockchain

    Stimulate innovation i.e. Research Grants, public private partnership matching, ZorgInnovatie.nl : community for innovation in healthcare and wellbeing, providing a platform and database for more than 3300 communities and 700 innovations.

    Sharing knowhow i.e. annual eHealth week

    Government policy

    https://www.google.nl/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&ved=2ahUKEwjyz8jEzbviAhUNGewKHcEWDxIQjRx6BAgBEAU&url=https://www.volkskrant.nl/nieuws-achtergrond/tweede-kamer-krijgt-er-een-hoofdpijndossier-bij-verbouwing-van-het-eigen-binnenhof%7Eb7418d58/&psig=AOvVaw3oT6FZhvwDeQ51U__tPh-b&ust=1559042897002260

  • (1) Are we doing well ? (online access)

    88%

    50%Any form of online contact with HC provider

    E-consultation 55% 22%

    Video consultation 2% 26%

    Make an online appoinment 53% 23%

    Primary care Secondary care

    eHealth monitor 2019, RIVM, NICTIZ

  • (2) Are we doing well ? (self-management / personal health environments)

    64%Seeks information on internet

    Uses internet to decide to consult a GP 37%

    Tracking of physical activity

    Yes 14%

    Tracking health (general)

    34%

    Any user

    eHealth monitor 2019, RIVM, NICTIZ

    Chronic disease

    Yes 10%

  • (3) Are we doing well ? (remote support)

    47% 37%Telemonitoring

    Personal alarm

    Movement sensors

    GPS trackers / door sensors

    Primary care Secondary care

    eHealth monitor 2019, RIVM, NICTIZ

    14%

    87%

    66%

    23%

    Nursing home / elderly care

    Care robots 10%

  • Dutch Innovation ecosystem

  • Worlds most concentrated Life Sciences & Health cluster • Worldwide #1 for number of medical technology patents • #1 EuroHealth Consumer Index 2014, 2015, 2016, 2017 • 3rd for number of biotechnology patents • 7th for number of pharmaceutical patents • Areas and diseases of focus include:

    • Biopharmaceuticals • Biotech • Molecular imaging • Medical technology • e-Health • One Health

    • Biomaterials and regenerative medicine • Biobanking • Vaccines • Oncology • Cardiovascular diseases • Health systems and research infrastructure

  • Life Sciences & Health cluster

  • Regional Health Innovation hubs

  • Health Hub Utrecht – Healthy Urban Living

  • Utrecht region

    • Most highly educated workforce in the Netherlands: 46% of working population has a university degree

    • 8 million skilled employees within an hour’s travel of Utrecht.

    • Life science and health community: 1,700 researchers and 1,750 PhD candidates

    The Utrecht region has been ranked the most competitive place on the European

    mainland by the European Commission since 2010

  • Health Hub Utrecht

    • Most highly educated workforce in the Netherlands: 46% of working population has a university degree

    • 8 million skilled employees within an hour’s travel of Utrecht.

    • Life science and health community: 1,700 researchers and 1,750 PhD candidates

    27,200 jobs 108 companies 51.500 students

  • Health Hub Utrecht

    Community-focused prevention

    (lifestyle, health literacy etc.)

    A dynamic regio-alliance that aims at highlighting ‘the sense of urgency’ (increasing costs and lack of personnel) and ‘the sense of opportunity’ (unique regional proposition)

    Digital transformation

    (eHealth, personal health environments, serious

    games)

    Attractive job market

    (professional development,

    leadership)

  • Innovation journey – an iterative multi-stakeholder proces

    Idea Research | Development | Validation Commercialisation Or implementation

    Scaling up

    Science-based & user centered development

  • Innovation journey - a bumpy road

    EFFECTIVE

    USED

    REACH

    ? ? ?

    Health benefits Cost-effectiveness

    Many innovation are not effective, are not used or do not reach limited value for patients professionals and society

    Systematic flaws, fragmentation and limited streamlining of the innovation process

    Researcher Professional User Designer Techno- logical/ ICT

    Entre- preneurial

  • There’s an urgent need for

    • Faster and better available science • Flexible methodology & tailored

    scientific services • …that are offered agile through

    public-private partnerships

  • The Healthcare Innovation Center

  • Access to patients

    Network of experts

    Experience and cases

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