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Healthcare Transformation Project CATÓLICA LISBON

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Germany, Zeppelin University Strategy & Entrepreneurship

Portugal, Universidade Europeia Strategy & Entrepreneurship

Portugal, Católica  Lisbon SBE Strategy & Consulting

Austria, WU Vienna Entrepreneurship & Innovation

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Who is involved? Involves several parties Requires the participation of key Stakeholders

How to implement? Develop strategies Identify/Understand Problem Potential causes of Problem Potential Solutions – Brainstorm with several parties/organs Work together to achieve common goals

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Impact Analysis Strategy   for  Change Approve or Deny  Rethink and Improve Implement  Change & Review  Request  for  Change

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Portugal EU Portugal EU Age Range Men Women Men Women Total Total 30–59  3 324  2 047  169 475  95 735  5 371  265 210  60-74 10836 18144 520483 818437 28980 1338920 75-90 38401 83672 1742931 3597054 122073 5339985 90+ 7 401  29 664  388 754  1 552 233  37 065  1 940 987  Population 30+ 59 989  133 527  2 821 643  6 063 458  193 516  8 885 101  % of Population 1.88% 1.73%

The  number   of   people   with   dementia  in  the  EU & Portugal in 2018

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Portugal 2018 2025 2050 1.88 2.29 2.7 3.11 3.52 3.82 EU 2018 2025 2050 -0.14999999999999991 -0.29000000000000004 -0.30000000000000027 -0.39666666666667005 -0.47166666666667023 -0.54

Numbers of people with dementia will more than double  Portugal exceeds the European trend: dementia is expected to double by 2050 Key factor for change    significant increase in the number of people aged over 70 (Populations ageing) Causes for Dementia are unknown    Technology advancement fails, especcially concerning the later stages of the desease.  Increase in the demand for smart home technology and assistive robots: Physical    eg.: carry heavier patients Cognitive challenges of people with dementia Reducing the burden of caregivers and challenges of an ageing workforce

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Disease pattern and development Difficulty of prevention Continuous deterioration Examination Options Limited screening by phone Insufficient  medical examination Burden Caregivers Constant documentation of symptoms Subjective assessment

Waiting Periods Lack of regularity Limited NHS Services due to Covid Hospital IT System Complex, time-consuming, cost-intensive Support to Patients Insufficient options for  early to mid-stage patients

Methods Literature research Interviews: Dr. Ana Valverde, Dr. Filipe  Godinho ,  Dr. Ana  Cavaleiro (Portuguese Alzheimer Association)

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Time-related issues
Insufficient Support for
Patients with Dementia
Caregiver-related
issues
Disease-related issues
Too many patients per doctor
Strained NHS services due to
COVID
Lack of Dementia know-how to
spot symptoms
Lack of resources to properly
accompany patient
During COVID, difficult to
communicate with doctor
No viable treatment for
Alzheimer's (60-80% of cases)
Past certain point, patients aren't
capable of cooperating
Many patients refuse to accept
the diagnosis
Age of Patients
Low # of doctors
Increasing number of patients
Less available resources
Conditioning on in-person appointments
No Tools at their disposal
No Financial capacity for supporting the
patient
Older Patients may never be able to
cooperate with more technological solutions
Patient lose mental dexterity needed to
cooperate with treatments
Majority is still 65+ years old
Number of Young (454) patients increased
by 300% in 2020

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Interconnected App for multiple parties  Patients with dementia Caregivers Doctors & Nurses Teams Functionalities: GPS function Track of time, Schedule and daily activities/medications Diary tracker - Memos Forum for Questions Q&A Connected with other platforms with cognitive tests ( CogWeb )

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Sign   in E-mail Password Sign in Forgotten your Password? Create an Account

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Patient Name E-mail Phone Doctor Name E-mail Phone Others’ data...

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Patient Calendar GPS Memos Follow-up Exams Chat

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Care   Giver Calendar GPS Memos Follow-up Exams Chat

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Doctor Calendar Memos Name of Patient? Exams Follow-up Chat patient/caregiver

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Add new activity/symptom Check Progress Check Treatment in place Unknown   Jane

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See Appointments See Exam Results Do Mental Dexterity Test ® Unknown Jane

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Please describe the situation. Be sure to mention when it happened, for how long, regularity and behaviors shown

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What‘s needed for a successful implementation: Treat as a Project Nominate a team and a project leader The Team must include: people from the Hospital Prof Dr Fernando Fonseca (Doctors & therapists), representative from the Dementia Association, caregivers and a App developer The Project team should start by clearly listing the objectives of the Project

The APP will have to be intuitive and simple, having in mind that most caregivers are not young and struggle to deal with technology

The Project team to clearly identify the needs for change management, meaning what will change in the processes/communication and from that, identify who will need help/training

Start with an „easy“ implementation = pilot, meaning select the users that are likely to succeed so that it can be publicized and rolled out afterwards

Dementia

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