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1% for the 99%

Towards an Open Platform in Health & Care

#1percentfund

Dr. Tony Shannon @frectally

Ewan Davis @WoodcoteEwan

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2017: Brexit: Trump-it

Property
Monopoly
Contracts

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21st C Healthcare: Ambition v Reality

Designed by Freepik

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Why is digital health hard?

Healthcare is complex

Technically
Politically
Culturally
Regulatory

Designed by Freepik

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Sources of Innovation

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The case for an open platform

Designed by Freepik

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We are not alone

The interconnection of all digital-health stakeholders through an open innovation platform can save more than 11% of total health care costs

McKinsey and Co 2016

McKinsey report: How healthcare systems can become digital-health leaders

Designed by Freepik

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Definition of an open platform

Open Standards Based
Shares Common Information Models
Supports Application Portability
Federatable
Vendor and Technology Neutral
Supports Open Data
Provides Open APIs

Designed by Freepik

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SUPPORTING THE ADOPTION OF AN OPEN HEALTH AND CARE PLATFORM

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Wachter (2015) The Digital Doctor

A Vision for Health Information Technology

“In essence, there will no longer be an EHR in the traditional sense, an institution-centric record whose patient portal is a small tip of the hat to patient-centeredness. Rather, there will be one digital patient-centered health record that combines clinician-generated notes and data with patient-generated information and preferences. Its locus of control will be, unambiguously, with the patient”

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Open Digital Platform Challenge: 1%

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1% Open Digital Platform push

Tony

We’re well aware that folk are busy and the more traditional approaches to health IT are keeping folk busy+

We however see that healthcare is conservative part of public sector, public sector is conservative part of industry, and the forces of change that have disrupted other industries are coming to healthcare, its just a Q of time.

Some of us have already started down this road, next steps..rather than big bang change with billions ( as has been wasted before) that we start to shift a % of investment towards open platform.

So we suggest a 1% shift, 1% of 4Bn is 40million, modest within grand scheme of things.

We know the change wont come from incumbents , but suggest to divert some funding to encouraging new entrants and developing 21st century digital technology.

So we began to solicit interest in this wiht a public push of Open Digtal Challenge Fund push

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How should the fund be spent?

Enabling infrastructure, tools and services

Exemplar applications

Education

Many projects

All outputs open source and shareable

Designed by Freepik

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Governance

Open competition

Oversight by an independent CIC such as the Apperta Foundation

Designed by Freepik

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Eligibility

UK Registered for-profit commercial entities

UK Registered not-for-profit entities

UK Public Sector bodies

Designed by Freepik

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Success Criteria

Collaboration

Action (Connectathon)

Open

Designed by Freepik

Ewan

While the main aim of all projects will be to improve NHS services towards personalised health and care 2020, the criteria by which the funding from this fund will be allocated will depend on the concurrent creation of value add in the form of;

Collaborative – all projects must establish open channels of communication and means of engagement with other parties in the bid at the time of their application (e.g. INTEROPen Ryver etc).
Transparent – all projects must be willing and evidence how they will partake in regular clinical and technical reviews. We suggest these should be in the form of bi-annual CCIO Network led review along with INTEROPen led Connectathons with a minimum of 3 out of 6 Connectathons undertaken.
Share Ideas, Knowledge, Experience – i.e. willing and able to openly collaborate with others in this initiative (e.g via online community building via tools such as the Open Health Hub, Ryver etc) and partake in Open Data connectathon against INTEROPen FHIR APIs

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Open Digital Platform Challenge: 1%

Received a total of 48 bids across the 5 nations
39 England ( 20 Personalised Health & Care Innovation exemplar / 19 Open Platform Infrastructure )
5 Northern Ireland (4 Personalised Health & Care Innovation exemplar / 1 Open Platform Infrastructure )
2 Republic of Ireland (2 Personalised Health & Care Innovation exemplar)
1 Scotland (Personalised Health & Care Innovation exemplar)
1 Wales (Open Platform Infrastructure)

Totalling £57,540,086.90 Sterling and €3,636,717.00 Euro
15 matched submissions £25,560,100

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Open Digital Platform Challenge: 1%

27 Personalised Health & Care Innovation exemplar submissions (£42,460,000, €3,636,717.00)

Open platform innovation exemplar:

EPR submissions including OpenMinds, OpenGPsoc, OpenOdonto, OpenEyes, Mater
PHR submissions from Leeds and Bristol
IDCR submissions including- Great North Care Record, Taunton and Somerset with SIDeR, Belfast H&SC with OCEANIC

21 Open Platform Infrastructure submissions (£15,080,086.9)

Open platform innovation exemplar;

OpenID and Access management,
OS Reporting,
Open scheduling
OS terminology server,
Tooling for standards
Workflow support

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Leadership
Connect Community

Ideas

Integrated Action
Share messages

Build Support

Push / Contribution

We want your ideas, support �and participation

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#1percentfund workshop @ DH CCIO/CIO Summer School

Manchester�Fri 14th July�1435-1525h

NHS Expo, Sept

1% workshop @ London�Tue 3rd Oct

EHILive, Nov

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1% for the 99%

Towards an Open Platform in Health & Care

http://ripple.foundation/2017/01/open-digital-platform-challenge-fund/

1percentfund@ripple.foundation

�#1percentfund