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Commercialization of Mhealth & Ehealth Technology in Canada

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Commercialization of Mhealth & Ehealth Technology in Canada Commercialization of mHealth & eHealth technology in Canada Dia Rahman MSc Student – Ubilab School of Public Health and Health Systems University of Waterloo Canada @diatrUW Acknowledgement Learning objectives A resource for developing new mHealth and eHealth focused interventions: Define the gaps within current Canadian Healthcare system Define eHealth and mHealth Identify go to market commercialization strategy Application of Human Factors in order to fill those gaps Better understanding of market landscape of mHealth and eHealth all across Canada ‘Medicare’ Comprised of ten provincial and 3 territorial government health insurance plans Provinces are responsible for the planning, financing and managing costs Adhere to national healthcare principles set at the federal level Public Administration Comprehensiveness Accessibility Universality Portability Challenges with the System Wide spread of land with about 30 million people Increase in aging population Structure of funding (From federal provincial LHINs) Increase in total healthcare spending (11.5% of total GDP= 242 bn) Decrease in patient satisfaction Information Communication Technologies (ICTs) in Canada Integration of information and communication technologies (ICTs) to support health infrastructure in Canada mHealth and eHealth “e-Health is a consumer-centered model of health care where stakeholders collaborate, utilizing ICTs, including Internet technologies to manage health, arrange, deliver and account for care, and manage the health care system”* “mHealth (health through the use of mobile devices)”* *Ontario Hospital Association Ontario Hospital e-Health Council draft blueprint. December 2001. http://www.oha.com mHealth and eHealth Growth mHealth is a rapidly growing area of research that constantly changes to meet new technology and needs of the population. As the scope of mHealth grows, so does the diversity of the challenges in the knowledge needed to support the growth (Canada Health Infoway, 2016). Problem space Tension between the private digital health market and public healthcare system Disconnect between demand and provision Healthcare = inherently risk-adverse May lead those in charge to seek less innovative solutions (Scarffe, Smith, & Barrett, 2017). Go to Market Commercialization Strategy Human Factors Approach Balancing people-centric needs and commercial interest is a fine line in designing and developing innovative, sustainable and successful health care systems (Shorrok, & Williams, 2016). Individual Perception of mHealth and eHealth Technology Key Findings Based on literature review and interviews Lack of consistent terminology defining mHealth and eHealth technology Lack of definition between go to market tools vs. wearables vs. EHR’s vs. efficiency in Canadian and North American Market Lack of multidisciplinary expertise representation within mHealth and eHealth technology space Relevance to HFES Community The gap between the Tools to bring various private healthcare stakeholders and decision Navigate the ecosystem industry and public makers to be on the healthcare system’s same page perception of risk Create a culture designed More collaboration and to share, communicate, Increase trust among transparency for and collaborate on health stakeholders in the stakeholders to work innovation focused healthcare system together projects instead of being in silos. Decision Making Frameworks 1 2 Health Technology Assessment (HTA) Committee An in-depth examination of human Decision- making frameworks factors research that examines essential for the success of barriers and facilitators of Intellectual Property (IP) innovation in healthcare. management and commercialization of mHealth Alternative Funding Model Alternative Funding Models Social Impact Bonds (SIBs) were introduced back in 2014 at the federal Alternative funding models have been level between Public Health Agency of introduced in Canada to test a new Canada, the Health and Stroke way to innovate and foster various Foundation and the MaRS Centre for forms of partnership across research Impact Investing with the desired institutions, government agencies and outcome of lowering blood pressure innovation incubators. for about 7,000 seniors who are on the verge of developing hypertension (Ciufo, & Jagelewski, 2014). Innovation Superclusters A latest trend forming within the health innovation ecosystem, where innovation super clusters are forming around educational institutions, teaching hospitals and incubators (Toronto Start, 2016). Summary mHealth and eHealth space is growing rapidly Roles of healthcare providers, decision makers and innovators are continually evolving Government and regulations need to keep up with the change Human centered and patient centered approach need to be taken to form a partnership between public system and private industry Patients are becoming consumers of their health and have access to options to gather insights/data on their health How can we work together to help clinicians become social agents for our patients with the help of mHealth and eHeatlh technology? Thank you! Dia Rahman MSc Student – Ubilab School of Public Health and Health Systems University of Waterloo Canada @diatrUW References Borrelli, B., & Ritterband, L. M. (2015). Special issue on eHealth and mHealth: Challenges and future directions for assessment, treatment, and dissemination. Health Psychology,34(Suppl), 1205-1208. doi:10.1037/hea0000323 Ciufo, G., & Jagelewski, A. (2014). Social Impact Bonds in Canada – MaRS Centre for Impact Investing. Retrieved September 17, 2017, from https://impactinvesting.marsdd.com/resource/social-impact-bonds-canada- investor-insights/ Cooper, Ansulie and Michael Kubzansky. 2013. m-Enabled Inclusive Business Models: Applications for Health. Bethesda, MD: SHOPS Project, Abt Associates. Gavefalk, S., & Widén, L. (2016). International market selection : Assessing opportunities in the European Union for a mHealth consumer medical device start-up (Dissertation). Retrieved from http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-188829 Horst, E. V. (2016, January 01). Discursive legitimation: The influences of organizational and product aspects on the discursive legitimation practices of mHealth vendors. Retrieved September 6, 2017, from https://dspace.library.uu.nl/handle/1874/334213 J. Dykeman, D., E. Taylor, N., & A. von Reyn, J. (2014). Mobile Health Technologies Face A Changing Regulatory And Patent Landscape. ABA The SciTech Lawyer,10(3). Retrieved September 13, 2017, from https://www.gtlaw.com/en/insights/2014/5/mobile-health-technologies-face-a-changing-regulatory-and-patent-landscape. Labajo, V. C., & Xiao, J. (2015, June 12). Market Entry, Strategy and Business Development in Mobile Health (mHealth) Industry. Retrieved September 12, 2017, from http://www.diva- portal.org/smash/record.jsf?pid=diva2%3A820337&dswid=-6922 Looyestyn, J., Kernot, J., Boshoff, K., Ryan, J., Edney, S., & Maher, C. (2017). Does gamification increase engagement with online programs? A systematic review. Plos One,12(3). doi:10.1371/journal.pone.0173403 Pham, Q., Wiljer, D., & Cafazzo, J. A. (2016). Beyond the Randomized Controlled Trial: A Review of Alternatives in mHealth Clinical Trial Methods. JMIR mHealth and uHealth,4(3). doi:10.2196/mhealth.5720 Putting the heart in investing. (2017, July 10). Retrieved September 13, 2017, from http://startupheretoronto.com/partners/marsdd/putting-the-heart-in-investing/ Ravindra Jog, C. (2012). Healthcare technology, patient engagement and adherence: systems and business opportunity analysis. Massachusetts Institute of Technology,63-64. Retrieved September 12, 2017, from http://hdl.handle.net/1721.1/76493 Report on Digital Health: The economics of digital health. (2015, November 27). Retrieved September 17, 2017, from https://www.infoway-inforoute.ca/en/component/edocman/2821-infographic-report-on-digital- health-the-economics-of-digital-health/view-document?Itemid=0 Scarffe, A. D., Smith, A. D., & Barrett, D. (2017). Reshaping Health Care Through mHealth: Lessons from the On-Demand Economy. The Digitization of Healthcare,23-37. doi:10.1057/978-1-349-95173-4_2 Shorrok, S., & Williams, C. (2016). Human Factors and Ergonomics Practice in Healthcare. In Human Factors & Ergonomics in Practice- Improving System Performance and Human Well-Being in the Real World (pp. 181- 191). New York, FL: CRC Press- Taylor & Francis Group. Wickramasinghe, N., Goldberg, S., & Bali, R. K. (2008). Enabling superior m-health project success: a tricountry validation. International Journal of Services and Standards,4(1), 97. doi:10.1504/ijss.2008.016087.
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