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

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!

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

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

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

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

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'

The'Italian'context' What'we'talk'about'when'we'talk'about'Healthcare?' Actual healthcare expenditures Demographic aging Germany 4.495 Italy 21.2 France 4.118 Germany 20.7 England 3.405 EU mean 18.2 EU mean 3.309 Spain 17.7 Spain 3.072 France 17.6 Italy 3.012 England 17.2 [US$ PPP] OECD 2013 [% Over 65] Eurostat 2013 Germany France England EU mean Spain Italy 796 777 719 670 663 651-25 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

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 4.495 4.118 3.405 3.309 3.072 3.012 [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] 796 777 719 670 663 651 EuroHealth CI 2013-25 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

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

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

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

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

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

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

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

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

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

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

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

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

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!