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Welcome to the Science Summit at UNGA76, a major contribution to advancing Science for the UN SDGs. Online from 14- September - 5 October 2021.
ISC will organise the second edition of the UNGA76 Science Summit around the 76th United Nations General Assembly (SSUNGA76) in September 2021. The objective of the virtual meeting will be to raise awareness of the role and contribution of science to the attainment of the United Nations Sustainable Development Goals. It will demonstrate initiatives that provide models for global science mechanisms and activities in support of the SDGs, particularly in science infrastructure and capacity building. Science is and will enable sustainable economic, environmental, and societal development. Science is more than a funding prioritisation exercise: science is impacting all areas of policy-making and is playing a more critical role in how policy objectives are achieved and the consequent benefit to people everywhere, including responses to global challenges.
Engagement with policy leadership is more important than ever: UNGA76 is a unique forum for science to demonstrate how policy and political leadership can benefit from innovation. Central to this is the role of nonstate actors and the multilateral fora, which increasingly determine how priorities are set. Science needs to be part of this dialogue and inform outputs through thought leadership, evidence, insights, analysis, and innovation.

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Tuesday, September 28 • 3:00pm - 6:00pm
(REF DT28) SDG 3: Good Health and Wellbeing. Digital Transformation for Health for the SDGs

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The Digital Transition for Healthcare – Stay Left, Shift Left [DT 28]
A paradigm, policy, platform and prescription for wellness and better health

Prof. Martin Curley, Director Digital Transformation and Innovation, HSE
Declan Kirrane, CEO, ISC Intelligence in Science

The broad adoption of Digital Health as a paradigm, platform and a policy will be fundamentally important to the achievement of SDG #3; Ensure Healthy Lives and promote wellbeing for all at all ages.
Introduction – Why?
All around the world healthcare systems are facing increasing pressures and demands. Well developed countries are facing epidemics such as Diabetes or Obesity while developing countries struggle to leverage diagnostics and access to medicines. All health systems have struggled to cope with the Covid 19 pandemic but there has been a benefit in that many health systems turned to digital solutions to cope. Despite the progress many countries have runaway health budgets with rates of growth which are unsustainable. Arguably Digital is the best Medicine for our sick healthcare systemi. Leading physicians such as Erik Topol and Robert Wachter have written about the creative destruction of medicine and digital doctors respectively but how do we make the digital transition of healthcare as quickly and sustainably as possible. Michael Porter and Elizabeth Teisberg have long advocated for redefining healthcare using value based competition. In this context a new paradigm is emerging, Open Innovation 2.0 which helps enable structural transformation of an Industry through digital technologies and trust based co-opetition1.

In the past the arrival of a single disruptive technology such as railways or the internal combustion engine drove dramatic societal change and benefit. Today we are at a unique point in history where we have multiple digital disruptive technologies all showing up at the same time. Technologies such as Cloud Computing, Mobile and Social, Artificial Intelligence and the Internet of Things create opportunities to radically transform healthcare. According to the OECD Healthcare is a decade behind other industries in digitalizing https://www.oecd.org/health/health-in-the-21st-century-e3b23f8e-en.htm but the time is now to harness these digital technologies to help lengthen life expectancy and provide more effective and cost efficient care. Covid 19 has been a big bang disruptor forcing the healthcare industry to adopt digital solutions – necessity is the mother of invention. Digital technology can be a democratizing force for achieving health equality with digital solutions enabling remote diagnostics, consultations and more effective medicines for all.
The opportunity: The Digital Dividend
Digital Technologies create the opportunity for the dominating paradigm of healthcare to change. Today’s healthcare systems are reactive and focussed on trying to restore health to ill people. The opportunity exists to shift resources and focus to keep well people well or helping treat people with
chronic conditions mainly in their homes or in the community. With digital technologies it is becoming possible to offer citizens equivalent or better care in their homes than in a hospital or clinic and at lower infection risk. Acute Hospital services consume much of healthcare systems budget but basing the healthcare system on secondary care is inefficient – there is a higher return both financially and in terms of patient outcomes by applying a proactive healthcare approach, for example monitoring citizens proactively to detect chronic disease emergence allowing for earlier more holistic interventions.
What? - Stay Left, Shift Left
To align and accelerate progress we propose that countries adopt a Stay Left, Shift Left paradigm, policy and platform for adopting digital health solutions. The HSE's digital innovation strategy is called Stay Left, Shift Left (SL2) and extends the concept of "Shift Left" which was first introduced by Intel Corporation's Doug Busch and Andy Grove and is an approach to using solutions to make people's health better. SL2 helps implement the Irish Government Health policy Slaintecare.
Stay Left: is about keeping well people well or if you happen to have a chronic condition you can be managed best of all at home
Shift Left: is about moving patients as quickly as possible from an acute to community to a home setting

Each time we seek a disruptive technology outcome we look for four linked outcomes, the so called quadruple aim, improvement in quality of care, quality of life, clinician experience and reduction in cost of care. 2 For such a complex transition we need take a new approach, choosing platforms not products for building next generation healthcare systems. By using interoperable platforms with open programmable interfaces (APIs) we create a platform for both significantly improved healthcare and
further innovation. The use of digital and other technologies can achieve 10X impacts in cost or quality of care and life.

Leap Frog Strategy

With the confluence of different digital technologies there is the possibility for both developing and developed countries to agree and execute a Leapfrog strategy. Instead of concentrating on deploying monolithic electronic healthcare record systems in acute hospitals, countries should focus on deploying home and community based solutions and shared care records that are mobile and cloud based. Advances in the Medical Internet of Things mean that low cost but effective remote monitoring and consultation tools can be deployed. Health system wide efficiency and effectiveness can be significantly improved as well as individual outcomes being be significantly better.

We propose that countries move their healthcare systems from paper and presence based systems to digital, virtual and cloud based systems where healthcare takes place primarily in the home and community. In this new model the focus shift to proactive, preventative and predictive health. Data is more joined, linked and used to better specify and target interventions. The use of closed loop digital systems which enable precision real-time care to be provided. Digiceuticals and digital theraputics will become common place with physicians or real-time AI systems suggesting and actioning new or modified titrations of medicine. Already Germany has moved to put in place a registry and approval progress for so called DIGAs.3

Many countries lack of a roadmap for digital health progression. Together with the Innovation Value Institute and other stakeholders we have set a collective goal of building a Digital Health Capability Maturity Framework which will allow countries assess their current level of digital health maturity and determine next actions to improve outcomes. Having a simple common model will streamline how all actors in the digital health ecosystem can innovate and work together to provide best outcomes for all.

The capability maturity framework consist of four macro capabilities and maturity paths how much and how we spend our digital health budget, how we develop and orchestrate collective digital health capability, how we measure and manage digital health value and finally the business model we deploy and use for digital health. We expect that in the future all health will become digital health but for now it is useful to discuss and measure digital health maturity.
Determinants of Health

Most healthcare spending is focussed on Healthcare Delivery but paradoxically healthcare outcomes are only 10% determined by Healthcare delivery. Other factors such as behaviour, genetics and public health are far more impactful as shown in the attached figure. The emergence of digital technologies such as the internet of things and artificial intelligence can significantly influence and change behaviours and create precision medicines for people with certain genetic dispositions. The digital transition thus can also enable a shift in policy, budget and emphasis on proactive/preventative healthcare.


avatar for declan kirrane

declan kirrane

Chairman, Science Summit UNGA78
Declan Kirrane is the Founder and Managing Director of ISC Intelligence in Science, the chairman and managing director of the science Summit at the United Nations General assembly, and co-founder of Medicines for Future (MAF). He has over 25 years of experience as a global senior... Read More →
avatar for Mei Lin Fung

Mei Lin Fung

CEO, People Centered Internet
Actively working with the World Summit on the Information Society to make participation by women to the 50/50 level for speakers and participants by 2022. Chair and co-founder with Vint Cerf of the People-centred Internet, gave the keynote on Decade of Digital Transformation at t... Read More →
avatar for Ogan Gurel

Ogan Gurel

CEO, NovumWaves
I serve as Chief Science Officer for FLITE Material Sciences and hold academic appointments at the Solbridge International School of Business and DGIST (Daegu Gyeongbuk Institute of Science & Technology). I also serve as a Venture Partner at The Yozma Group and as Chief Marketing... Read More →
avatar for Marleen Temmerman

Marleen Temmerman

Professor, The Aga Khan University, Kenya
Prof dr Marleen Temmerman, MD, MPH, PhD, FRCOG, FAAS, MBS, AAS, AAAS, NAM, leads the Centre of Excellence in Women and Child Health, Aga Khan University, Nairobi, Kenya. Prior she was the Director of the Department of Reproductive Health and Research (RHR) at the World Health Organization... Read More →
avatar for Rigveda Kadam

Rigveda Kadam

Head of Digital Access, FIND
Rigveda Kadam joined FIND in 2018 and is currently Head of Digital Access.As part of her work, Rigveda has worked with national and local governments, private sector laboratories, pharmaceutical and diagnostic device manufacturers and other development sector partners for increasing... Read More →
avatar for Intisar Soghayroun

Intisar Soghayroun

Arab League Educational, Cultural and Scientific Organisation, Sudan
Professor Intisar  Soghayroun, professor of Archaeology, University of Khartoum 1991-2022, Sudan. Minister of Higher Education and Scientific Research from 2019 to October 2021. My particular interest in my field includeTheoretical archaeology, Medieval civilization, heritage management... Read More →
avatar for Regina Nthenya

Regina Nthenya

AOSK Health Association coordinator, AOSK
I am a catholic Nun working with the Association of sisterhoods of Kenya. A nurse by profession and passionate about mental health and well-being of people.Currently a student at Tangaza University College pursuing BA in Counselling Psychology. My greatest desire is to reduce the... Read More →
avatar for Martin Curley

Martin Curley

Director, Digital Transformation and Open Innovation at Health Service Executive
Tech Innovator I Global Thought Leader I Enabling Industry Transformation I Competitive Advantage I Driving Business Value I New Revenue GrowthDynamic IT and Innovation and Research Director with a track record of building high performance innovation teams and consistently delivering... Read More →
avatar for George Crooks

George Crooks

CEO, DHI Scotland
avatar for K Ananth Krishnan

K Ananth Krishnan

Executive Vice President & Chief Technology Officer, Tata Consultancy Services
Ananth directs Research, Innovation and Co-Innovation in TCS. Under his leadership, TCS has created significant range of new products and services with a wide IP portfolio. Ananth has architected an agile model for innovation at scale, across the entire organization. He has been a... Read More →
avatar for Bob Wachter

Bob Wachter

Professor and Chair of the Department of Medicine, University of California, San Francisco
Robert M. Wachter, MD is Professor and Chair of the Department of Medicine at the University of California, San Francisco (UCSF). In 2021-22, the Department was ranked the best internal medicine department in the nation by U.S. News & World Report. Wachter is author of 300 articles... Read More →
avatar for Jeffrey Braithwaite

Jeffrey Braithwaite

Founding Director, Australian Institute of Health Innovation
Professor Jeffrey Braithwaite, BA, MIR (Hons), MBA, DipLR, PhD, FIML, FCHSM, FFPHRCP (UK), FAcSS (UK), Hon FRACMA, FAHMS is Founding Director of the Australian Institute of Health Innovation, Director of the Centre for Healthcare Resilience and Implementation Science, and Professor... Read More →
avatar for Henrik Matthies

Henrik Matthies

Managing Director, Health Innovation Hub (hih)
Supporting the German Ministry of Health and all national stakeholders in their efforts to digitize the German healthcare system - with an awesome team of very experienced & impact-driven experts;Serial Entrepreneur (Mimi Hearing, Jodel app, managerfragen.org);Digital Health Enthusiast... Read More →
avatar for David DeAngelis

David DeAngelis

Global Healthcare GM, Dell Technologies Corporation
Dave DeAngelis provides senior leadership for the global healthcare market as the Healthcare GM for Dell Technologies. The global healthcare ecosystem is a strategic Dell Technologies investment area. Dave is chartered to build and oversee our successful healthcare strategy, develop... Read More →
avatar for Francesca Colombo

Francesca Colombo

Head, Health Division at OECD
As Head of the OECD Health Division, Francesca Colombo (M.Sc) oversees OECD work on health, which aims at providing internationally comparable data on health and health systems, and at applying economic analysis to health policies, advising policy makers, stakeholders and citizens... Read More →
avatar for Anne Quaadgras

Anne Quaadgras

Director MIT Sloan Health Systems Initiative, MIT
Anne Quaadgras is the Director of the MIT Sloan Health Systems Initiative and a Senior Lecturer at MIT Sloan. Her work focuses on health systems transformation, and the role of information technology in supporting that change. Prior to her doctoral work, Anne was a management consultant for fifteen years, specializing in improving decision-making and investme... Read More →
avatar for Teresa Graham

Teresa Graham

Head of Global Product Strategy, Roche Pharmaceuticals
Teresa Graham is Head of Global Product Strategy and a member of the Pharma Leadership Team.Teresa joined Genentech in 2005 and has led teams across life-cycle management, access, marketing and commercial in the US and globally. Prior to her current role, she served as Lifecycle Leader... Read More →
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Darin Wilson

Darin Wilson leads Medtronic’s Gastrointestinal Operating Unit in Western Europe. With over 30 years’ experience building new markets, and access to innovative technology in the US, Europe, and Asia he has been at the forefront of less invasive medicine. As a founding leader of... Read More →
avatar for Teisberg, Elizabeth

Teisberg, Elizabeth

Cullen Trust Distinguished University Chair of Value-Based Care Executive Director, , Dell Medical School and McCombs School of Business University of Texas, Austin
Professor Elizabeth Teisberg, Ph.D., is Executive Director of the Value Institute for Health and Care, the nexus of an international community working to improve health and care outcomes for each and for all. She is the co-creator of the concept of value-based health care delivery... Read More →

Tuesday September 28, 2021 3:00pm - 6:00pm CEST