This document discusses how ecosystems can support mobile health (mHealth). It notes that mHealth brings improved population wellbeing, more efficient health services, and economic opportunities through technology-enabled solutions. The document outlines several health system challenges like rising chronic diseases and aging populations. It states that mHealth transforms healthcare delivery from an industrial model to an information-based model. MHealth provides opportunities like empowered patients and safer, higher quality services. However, barriers include complex healthcare transactions, legal and technology issues, and privacy concerns. The Dublin Declaration agreed to strengthen eHealth ecosystems through multi-sector partnerships to support innovation and health system reforms.

1. How ecosystems can support
mHealth?
Bringing improved population wellbeing, health service efficiencies and economic
opportunity through the use of technology enabled solutions.

2. Background
• Drivers for mHealth and for eHealth are
obvious for many
• Not always very well understood by
policy makers
• The challenges are universal

3. Health systems challenges …..we all know
them…..
• Increasing Demand due to:
• Ageing Populations
• Rise of Chronic Diseases
• Already Stretched Services
• Planned Reform of Health
Services in Ireland
• Universal Health Insurance
• Money Follows the Patient
• Formation of Hospital Groups

4. 4
mHealth is about transformation
Person
Community
Primary
Secondary
Tertiary
Individual Self-care
Friends & Family
Community Networks
Professionals as Facilitators
Professionals as Partners
Professionals as Authorities
Transformation
Through
Cost-Effective Use
of Information &
Communication
Technologies
Industrial Age Healthcare Information Age Healthcare
Source: Adapted from Malaysian Telemedicine Blueprint

5. Opportunities that mHealth provides
• Empowered patients
•
• Safer and better quality services
• More efficent services by eliminating multiple
transactions

6. What are the barriers to m-health
enablement
• Health Care transactions
– Are complex
– About people when they are vulnerable
– Services delivered by multiple professionals, multiple
providers over many locations
– Change processes to bring about change are not
simple
– Legal issues
– Technology issues
– Privacy and confidentiality issues

7. Privacy is a key issue …..

8. Ireland’s contribution
• Ireland held the EU Presidency in Jan-June 2013
• We held eHealth week last May
• Meeting of EU Ministers and Experts
• The Irish Declaration agreed at that meeting
about ehealth ecosystems

9. The Dublin Declaration, May 2013
• “A strong commitment to developing eHealth ecosystems in
support of reforming health systems and innovation was
demonstrated by all participants”.
• “eHealth ecosystems, comprising health and social care
providers, industry, research institutions, authorities and …..
represent a positive response to the opportunities and
challenges in a specific geographical area, and can accelerate
the development and adoption of innovative solutions …..
providing real and tangible …. benefits for individual patients
and other citizens”.

10. Intel Quadruple Helix Innovation
Government, Academia, Industry and Citizens collaborating together to
drive structural changes far beyond the scope of any one organization could
achieve on it’s own
Government/Public
Academic
Industry
Citizen

11. What did the Declaration say about
ecosystems?
• Improve the understanding of healthcare needs
• Support the health reform process
• Improve user acceptance for improved process
management
• Increase understanding and exploitation of new
and innovative public/ private business models
• Provide the rationale to build the necessary
partnerships
• Incentivise plans for pilot-to-deployment, and
• Create multi sector synergies

12. All parties agreed to..
• Strengthen the coordination of all policies
related to e-Health
• Promote an ecosystem dialogue
• Implement disruptive innovation schemes,
• Facilitate the use of cross-sectoral high risk,
but high value solutions
• Accelerate the implementation of existing and
proven devices and processes

13. Ecosystems Innovation …..moving
out of the LabIntel
Centralized inward
looking innovation
Closed Innovation
Ecosystem centric,
cross-organizational
innovation
Innovation Networks
Ecosystems
Externally
focused,
collaborative
innovation
Open Innovation

14. Ireland update
• eHealth strategy finalised and
published
• eHealth Ireland entity
• CIO
• Health Identifiers Bill
• APJ 2014
• MoU with NI

15. Its only beginning……
American Health care is one of the last great industries to
remain largely undisturbed by information technology
revolution of the past few decades
– Vijay Vaitheeswaran, The Economist, November 22, 2010
Medicine has built on a long history of innovation, from the
stethoscope and roentgenorgram, to the MRI. Doctors have
embraced each new technology to advance patients care. But
nothing has changed clinical practice more fundamentally
than one recent innovation: the Internet.
Pamela Hartzband and Jerome Groopman , New England Journal of Medicine.

16. Ecosystems supporting mHealth
Thank you for your time…….