Implementing a digital public health project - lessons learned?

Abstract The demand for the digitalisation of public health has been ongoing for more than a decade. The COVID-19 pandemic was the tipping point that accelerated the ideation, implementation, and scale-up of such public health projects. Despite the well-needed push, the same challenges that face every similar implementation will nonetheless be the same if not accentuated. The scope of the presentation is to highlight the difficulties and facilitators that such implementations and evaluations bring forward. We will also see what we can learn as public health professionals to ensure that present and future information systems are well-planned. We have to ensure that they do not succumb to the pressure of well-intended stakeholders who are yearning for such solutions to help their business workflows. This presentation will be enhanced with the lessons learned from implementing, monitoring, and following up on Malta's national contact tracing app and Customer Relationship Management systems based on Microsoft Dynamics 365 technologies that tackled the Test, Track and Trace workflows that were integral to the COVID response in Malta.

St. GallenSwitzerland

Leibniz ScienceCampus Digital Public Health
BremenGermany

Ministry for Health
VallettaMalta

Department GF Ingrassia
University of Catania
CataniaItaly

GISIO
SItI
RomeItaly

Department of Medicine and Ageing Sciences
University of Chieti-Pescara
ChietiItaly

Health Management of ''SS. Spirito'' Hospital
Local Health Authority of Pescara
PescaraItaly

Spin-Uti Network 
Leibniz ScienceCampus Digital Public Health
BremenGermany

Leibniz ScienceCampus Digital Public Health
BremenGermany

GISIO
SItI
RomeItaly

Health Management of ''SS. Spirito'' Hospital
Local Health Authority of Pescara
PescaraItaly

Cedrone F Fabrizio 
Cedrone 
BIPS
BremenGermany

Leibniz ScienceCampus Digital Public Health
BremenGermany

Human-Computer-Interaction
University of St
Gallen, St. GallenSwitzerland

Leibniz ScienceCampus Digital Public Health
BremenGermany

Ministry for Health
VallettaMalta

Department GF Ingrassia
University of Catania
CataniaItaly

GISIO
SItI
RomeItaly

Department of Medicine and Ageing Sciences
University of Chieti-Pescara
ChietiItaly

Health Management of ''SS. Spirito'' Hospital
Local Health Authority of Pescara
PescaraItaly

P Di Giovanni 
Institute of Public Health and Nursing Research
University of Bremen
BremenGermany

Digital Health Malta
VallettaMalta

University of Sassari
SassariItaly

G Di Martino 
EUPHA-DH


University of Malta
VallettaMalta

F Romano 
T Staniscia 
BIPS
BremenGermany

Human-Computer-Interaction
University of St
Gallen, St. GallenSwitzerland

Ministry for Health
VallettaMalta

Department GF Ingrassia
University of Catania
CataniaItaly

Department of Medicine and Ageing Sciences
University of Chieti-Pescara
ChietiItaly

Highlighting the 'public 'in digital public health -a critical reflection
D30FC3F78524F1ADE1E08575D1FEF8D4
discuss the challenges and facilitators in implementing and evaluating digital public health interventions.The last presentation will cover the need for governmental support in the future to ensure the success of digital public health interventions and holistic systems.The workshop will take place as a round table discussion.Each panellist will give a short (7 minute) input talk on the specific properties of digital public health tools.After the panellists present their opinion, we will open the floor for a discussion.Here, the audience is invited to share their knowledge and experiences to build a mutual understanding of the crucial steps in digital public health interventions.After the workshop, we will create a white paper on digital public health ba ed on the panellists' input and the discussion results.Key messages:A mutual understanding of digital public health may facilitate public sector cooperation and aim towards needsbased and society-centred technology development to improve the population's health.Digital public health offers unique challenges, and there is an opportunity to outline these specific nuances to ensure maximum success in implementing such projects.

The digitised society promises technological solutions to support mental and physical health and well-being.Amongst others, the consumer market, health insurance providers, and companies offer technologies to, among other things, track one's mood, improve diet and fitness habits, foster healthy sleep patterns or track our brain waves to enhance relaxation.However, while the potential benefits of such technologies are apparent and technologies might increase individual and public health, long-term engagement with health technologies is comparably low.This hints at ineffective solutions and insufficient knowledge of user needs.Understanding the specific context of use and user needs is vital to increasing technology adoption, personal benefits, and profitability of health technologies.Taking the user perspective into account when designing technologies is essential to support health and well-being.To foster long-term engagement with health technologies, we argue for considering the broader social context of digital health tools and reflecting on ways how we can empower society to design better and more inclusive health technologies.Hence, when developing digital public health tools, it is essential to go beyond conceptualising people as users and instead shift the focus to humans as part of society and embed such consideration in the design process.

Abstract citation ID: ckac129.150A framework for developing and evaluating digital and public health tools Saskia Muellmann B Schu ¨z1,2 , S Mu ¨l The digitised society promises technological solutions to support mental and physical health and well-being.Amongst others, the consumer market, health insurance providers, and companies offer technologies to, among other things, track one's mood, improve diet and fitness habits, foster healthy sleep patterns or track our brain waves to enhance relaxation.However, while the potential benefits of such technologies are apparent and technologies might increase individual and public health, long-term engagement with health technologies is comparably low.This hints at ineffective solutions and insufficient knowledge of user needs.Understanding the specific context of use and user needs is vital to increasing technology adoption, personal benefits, and profitability of health technologies.Taking the user perspective into account when designing technologies is essential to support health and well-being.To foster long-term engagement with health technologies, we argue for considering the broader social context of digital health tools and reflecting on ways how we can empower society to design better and more inclusive health technologies.Hence, when developing digital public health tools, it is essential to go beyond conceptualising people as users and instead shift the focus to humans as part of society and embed such consideration in the design process.
Abstract citation ID: ckac129.150A framework for developing and evaluating digital and public health tools Saskia Muellmann B Schu ¨z1,2 , S Mu ¨llmann 2,3 , C-C Pan 2,3 , T Jahnel 1,2 , S Forberger 2,3 , D Ju ¨rgens 1,2 , N Pedros Barnils 1,2 , A Gerhardus To paraphrase a classic, evaluating digital technologies in health is a bit like eating spinach -no one is against it in principle because it is good for you.However, no one would do it unless being asked to.In recent years, the sheer number of digital health technologies that potentially fulfil public health purposes has increased tremendously.The basis for evaluating such tools for public health purposes however has not met this pace, and in particular frameworks for the systematic development and evaluation of digital technologies in public health are rare.Existing frameworks for digital technologies focus on clinical aspects of digital health applications (e.g., NICE Evidence standards framework for digital health technologies), thus lacking both a population and prevention focus.Generic frameworks such as the Health Technology Assessment (HTA) methodology do not contain items specific to digital technologies and public health purposes.Here, we describe the process of developing a framework specific for the development and evaluation of digital public health technologies based on the core HTA model.We conduct a scoping review of frameworks for the development and the evaluation of technologies in public health and digital health, following PRISMA-SCR guidelines.The identified frameworks are then mapped onto the core HTA model to develop additional items specific for the development and the evaluation of digital technologies in public health.These additional items can be used to integrate the development and evaluation of digital technologies for public health purposes within the wider HTA context, making this process both transferable and scalable.
mann 2,3 , C-C Pan 2,3 , T Jahnel 1,2 , S Forberger 2,3 , D Ju ¨rgens 1,2 , N Pedros Barnils 1,2 , A Gerhardus To paraphrase a classic, evaluating digital technologies in health is a bit like eating spinach -no one is against it in principle because it is good for you.However, no one would do it unless being asked to.In recent years, the sheer number of digital health technologies that potentially fulfil public health purposes has increased tremendously.The basis for evaluating such tools for public health purposes however has not met this pace, and in particular frameworks for the systematic development and evaluation of digital technologies in public health are rare.Existing frameworks for digital technologies focus on clinical aspects of digital health applications (e.g., NICE Evidence standards framework for digital health technologies), thus lacking both a population and prevention focus.Generic frameworks such as the Health Technology Assessment (HTA) methodology do not contain items specific to digital technologies and public health purposes.Here, we describe the process of developing a framework specific for the development and evaluation of digital public health technologies based on the core HTA model.We conduct a scoping review of frameworks for the development and the evaluation of technologies in public health and digital health, following PRISMA-SCR guidelines.The identified frameworks are then mapped onto the core HTA model to develop additional items specific for the development and the evaluation of digital technologies in public health.These additional items can be used to integrate the development and evaluation of digital technologies for public health purposes within the wider HTA context, making this process both transferable and scalable.

Abstract citation ID: ckac129.151Implementing a digital public health project -lessons learned?

The demand for the digitalisation of public health has been ongoing for more than a decade.The COVID-19 pandemic was the tipping point that accelerated the ideation, implementation, and scale-up of such public health projects.Despite the well-needed push, the same challenges that face every similar implementation will nonetheless be the same if not accentuated.The scope of the presentation is to highlight the difficulties and facilitators that such implementations and evaluations bring forward.We will also see what we can learn as public health professionals to ensure that present and future information systems are well-planned.We have to ensure that they do not succumb to the pressure of well-intended stakeholders who are yearning for such solutions to help their business workflows.This presentation will be enhanced with the lessons learned from implementing, monitoring, and following up on Malta's na Abstract citation ID: ckac129.151Implementing a digital public health project -lessons learned?
The demand for the digitalisation of public health has been ongoing for more than a decade.The COVID-19 pandemic was the tipping point that accelerated the ideation, implementation, and scale-up of such public health projects.Despite the well-needed push, the same challenges that face every similar implementation will nonetheless be the same if not accentuated.The scope of the presentation is to highlight the difficulties and facilitators that such implementations and evaluations bring forward.We will also see what we can learn as public health professionals to ensure that present and future information systems are well-planned.We have to ensure that they do not succumb to the pressure of well-intended stakeholders who are yearning for such solutions to help their business workflows.This presentation will be enhanced with the lessons learned from implementing, monitoring, and following up on Malta's national contact tracing app and Customer Relationship Management systems based on Microsoft Dynamics 365 technologies that tackled the Test, Track and Trace workflows that were integral to the COVID response in Malta.

onal contact
tracing app and Customer Relationship Management systems based on Microsoft Dynamics 365 technologies that tackled the Test, Track and Trace workflows that were integral to the COVID response in Malta.

Abstract citation ID: ckac129.152Making the case for the governance of (digital public) health futures


Brian Li Han Wong

B Wong 1, Abstract citation ID: ckac129.152Making the case for the governance of (digital public) health futures

Brian Li Han Wong
B Wong 1,2 1 GHFutures2030 Commission Secretariat, Geneva, Switzerland 2 EUPHA-DH Contact: Brian.Wong@graduateinstitute.ch Digital and data tools are fundamentally changing approaches to health and the design of health systems, but governance models have neither followed nor kept up with the pace of innovation.In response to this challenge, The Lancet & Financial Times Commission on Governing health futures 2030: Growing up in a digital world explores the convergence of digital health, artificial intelligence, and other frontier technologies with universal health coverage to support attaining the SDG 3. Children and young people are crucial groups requiring particular attention to ensure that no one is left behind in achieving universal health coverage and SDG 3 amidst the digital transformation in health.Today, there are 1.8 billion people between the ages of 10 and 24 -the largest youth population in history -90 percent of whom live in developing countries.This cohort represents an unprecedented powerhouse of human potential and digital engagement that could transform health to reach sustainable development goals.This presentation introduces several key findings from the Commission's report which pertain to the governance of (digital public) health futures amidst digital transformations in health.It will highlight how human-centred approaches to health are vital to navigating the digital transformations and maximising their benefits for population health and wellbeing.Further, it will provide an action plan for meaningful youth engagement in the design, development, implementation, and evaluation of digital public health policies, programmes, and services.

1 GHFutur
s2030 Commission Secretariat, Geneva, Switzerland 2 EUPHA-DH Contact: Brian.Wong@graduateinstitute.ch Digital and data tools are fundamentally changing approaches to health and the design of health systems, but governance models have neither followed nor kept up with the pace of innovation.In response to this chall

ge, The L
ncet & Financial Times Commission on Governing health futures 2030: Growing up in a digital world explores the convergence of digital health, artificial intelligence, and other frontier technologies with universal health coverage to support attaining the SDG 3. Children and young people are crucial groups requiring particular attention to ensure that no one is left behind in achieving universal health coverage and SDG 3 amidst the digital transformation in health.Today, there are 1.8 billion people between the ages of 10 and 24 -the largest youth population in history -90 percent of whom live in developing countries.This cohort represents an unprecedented powerhouse o

human potenti
l and digital engagement that could transform health to reach sustainable development goals.This presentation introduces several key findings from the Commission's report which pertain to the governance of (digital public) health futures amidst digital transformations in health.It will highlight how human-centred approaches to health are vital to navigating the digital transformations and maximising their benefits for population health and wellbeing.Further, it will provide an action plan

r meaningful y
uth engagement in the design, development, implementation, and evaluation of digital public health policies, programmes, and services.


Background:

Preventing the spread of hea

Background:
Preventing the spread of healthcare-associated infections (HAIs) in Intensive Care Units (ICUs) constitutes a priority for Public Health.In a country with decentralized healthcare system, the comparison between and within regions might represent a useful approach to identify what hospital and ICU indicators are associated with HAIs.

Methods:
Using data from the SPIN-UTI (''Sorveglianza attiva Prospettica delle Infezioni Nosocomiali nelle Unita `di Terapia Intensiva'') network, the present analyses aimed to identify the main hospital and ICU indicators associated with HAI incidence at national level, and to stratify the analyses between Italian regions.

Results:
No associations between hospital/ICU characteristics and HAIs were evident at national level.However, ICUs in Southern Italy showed the highest incidence density of HAIs if compared with those in Central and Northern Italy (p < 0.001).Stratified analyses found a positive association of incidence density of HAIs and total days in ICU in Northern Italy (b = 0.3; SE = 0.1; p = 0.002); a positive associations with ICU size (b = 1.8;SE = 0.7; p = 0.020), total days in hospital (b = 0.06; SE = 0.02; p = 0.037) and total days in ICU (b = 0.5; SE = 0.1; p = 0.006) in Center Italy; a positive association with hospital size in Southern Italy (b = 20.3;SE = 9.4; p = 0.033).

Conclusions:
Although our study confirms that HAIs still represent an important issue in Italian ICUs, there is some variation between regions from Northern, Central and Southern Italy.In general, we found that HAI incidence increased with increasing number of beds in hospital and in ICU, as well as with the the increasing number of patient-days.However, further research is necessary to better understand if additional hospital and ICU characteristics could motivate the observed regional differences.