DIGITAL'INNOVATION'IN' HEALTHCARE:'' THE'SMART'CARE'SYSTEM'

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1 DIGITAL'INNOVATION'IN' HEALTHCARE:'' THE'SMART'CARE'SYSTEM'

2 MARIANO'CORSO' ' SCIENTIFIC'DIRECTOR'OF'THE'OBSERVATORY'ON'' DIGITAL'INNOVATION'IN'HEALTHCARE' ' SCHOOL'OF'MANAGEMENT,'POLITECNICO'DI' MILANO! DIGITAL'INNOVATION' IN'HEALTHCARE:'' THE'SMART'CARE' SYSTEM' ' 29/09/14! 2!

3 Digital'Innova,on'in'Healthcare:'The'Smart'Care'System' Table'of'Contents' Observatory on L Osservatorio Digital Innovation ICT in Sanità in Healthcare Il contesto di The Italian context riferimento Questa ICT ICT expenditures non basta Lo Smart Care System

4 Digital'Innova,on'in'Healthcare:'The'Smart'Care'System' Table'of'Contents' Observatory on L Osservatorio Digital Innovation ICT in Sanità in Healthcare Il contesto di The Italian context riferimento Questa ICT ICT expenditures non basta Lo Smart Care System

5 Observatory'on'Digital'InnovaAon'in'Healthcare' Main'objec,ves'! Studying how digital technologies enhance innovation! Facilitating the debate and promoting collaboration between players in the social & healthcare system! Acting as a benchmark for decisionmakers in the social & healthcare system

6 Observatory'on'Digital'InnovaAon'in'Healthcare' Deliverables' Report Change management Conferences and Workshops Articles «ICT in Healthcare» Award Online Community

7 Digital'InnovaAon'in'Healthcare:'The'Smart'Care'System' Table'of'Contents' Observatory on L Osservatorio Digital Innovation ICT in Sanità in Healthcare The Italian context Questa ICT ICT expenditures non basta Lo Smart Care System

8 The'Italian'context' What'we'talk'about'when'we'talk'about'Healthcare?' InnovaAon' Copays' Errors' PoliAcs' Scandals' Appropriateness' Equity' Referrals' ' Spending'Review' Inefficiency' Inappropriateness' Cut'offs' Online'cerAficates'

9 The'Italian'context' What'we'talk'about'when'we'talk'about'Healthcare?' Actual healthcare expenditures Demographic aging Germany Italy 21.2 France Germany 20.7 England EU mean 18.2 EU mean Spain 17.7 Spain France 17.6 Italy England 17.2 [US$ PPP] OECD 2013 [% Over 65] Eurostat 2013 Germany France England EU mean Spain Italy Italian balance between active and passive international mobility Generic -41 Highly specialized care [Score] EuroHealth CI 2013 [M ] Intern. Mobility Quality of healthcare services Healthcare internationalization

10 The'Italian'context' What'we'talk'about'when'we'talk'about'Healthcare?' Actual healthcare expenditures Demographic aging Italy has one of Germany France the lowest England healthcare EU mean expenditures in Spain Europe Italy [US$ PPP] OECD 2013 Italia Germany EU mean Spain France England [% Over 65] Italy is 21,2 the 20,7 Country with 18,2 the highest 17,7 median age in 17,6 Europe 17,2 Eurostat 2013 Germania France The quality of England healthcare EU mean Spain services is Italy declining [Score] EuroHealth CI Italian balance between active and passive international mobility Generic -41 Highly specialized care Deregulation will catch the healthcare system [Mln ] unprepared Intern. Mobility Quality of healthcare services Healthcare internationalization

11 Digital'InnovaAon'in'Healthcare:'The'Smart'Care'System' Table'of'Contents' Observatory on L Osservatorio Digital Innovation ICT in Sanità in Healthcare Il contesto di The Italian context riferimento ICT expenditures Lo Smart Care System

12 ICT'expenditures' Italian'Na,onal'Health'System'ICT'expenditures'' Hospitals 800 m Regions 295 m GPs 60 m Ministry of Health 19 m Estimates are based on data collected in 2013

13 ICT'expenditures' Italian'Na,onal'Health'System'ICT'expenditures'' Hospitals 800 m ICT total expenditures: 1.17 bn Regions 295 m GPs 60 m Ministry of Health 19 m Estimates are based on data collected in 2013

14 ICT'expenditures' Italian'Na,onal'Health'System'ICT'expenditures'' 5% 5% 1.3'bn' ' 1.23'bn' ' 1.17'bn' ' Year' 2011' 2012' 2013'

15 ICT'expenditures' Digital'Technologies'in'theory' Shifting the focus from the hospital to the territory Appraising the re-use of effective solutions Systematizing local excellence Speeding up the change

16 ICT'expenditures' Digital'Technologies'in'prac,ce' Healthcare system Welfare system

17 ICT'expenditures' This'ICT'is'not'enough!' This'ICT'' is'not'enough!'?'

18 Digital'InnovaAon'in'Healthcare:'The'Smart'Care'System' Table'of'Contents' Observatory on L Osservatorio Digital Innovation ICT in Sanità in Healthcare Il contesto di The Italian context riferimento Questa ICT ICT expenditures non basta Smart Care System

19 Smart'Care'System' The'main'aGributes'of'the'Smart'Care'System' HolisAc'and'integrated'vision'of'the'levels'of'care'

20 Smart'Care'System' The'main'aGributes'of'the'Smart'Care'System' ICT'as'an'enabling'factor'of'collaboraAon'between'players'

21 Smart'Care'System' The'main'aGributes'of'the'Smart'Care'System' Shared'governance'of'innovaAon'

22 Smart'Care'System' Toward'the'Smart'Care'System' Healthcare system Smart Care System Welfare system

23 MARIANO'CORSO' ' SCIENTIFIC'DIRECTOR'OF'THE'OBSERVATORY'ON'' DIGITAL'INNOVATION'IN'HEALTHCARE' ' SCHOOL'OF'MANAGEMENT,'POLITECNICO'DI' MILANO! DIGITAL'INNOVATION' IN'HEALTHCARE:'' THE'SMART'CARE' SYSTEM' ' 29/09/14! 23!

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