The Secrets of Telehealth: How to deploy services in routine care? Marc Lange

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1 The Secrets of Telehealth: How to deploy services in routine care? Marc Lange

2 Table of Content There are more pilots in telemedicine The Project Mind the Gaps Working approach Critical Success Factors and 4 Use cases Next steps 2

3 A holistic concept for ehealth The ehealth infrastructure Technical building blocks, legal framework Issue: interoperability for system openness and agility Challenge: an infrastructure does not deliver much value, it is mainly an enabler ehealth and Telemedicine services for caring Clinical evidence, organisation change management Issue: meeting the needs of health professionals and patients Challenge: clinical and economic evidence 3

4 The challenge for developing ehealth and Telemedicine services This is about changing from Data to services Data collection to data integration in processes Tools to process redesign / new care pathways If not, then one get the equation: New Technology + Old System = New Old System 4

5 Tools and methods are required for deploying services Impact assessment framework The results and lessons learned from Renewing Health The approach of United4Health Guidelines for large scale deployment The blueprint of Momentum Business development tool kit Innovation Governance 5

6 The Project A CIP ICT-PSP thematic network Running from February 2012 until January 2015 The consortium: 19 organisations Telemedicine associations / competence centres from Denmark, United Kingdom, Estonia, Norway, Spain, France, Sweden, Germany, Greece and Poland European stakeholder associations representing Health professionals and health care organisations, health insurers, technology vendors A growing network of partners ehealth Forum - Athens 14 May

7 ehealth actions in DAE KA 13 Undertake pilot actions to equip Europeans with secure online access to their medical health data by 2015 and to achieve by 2020 widespread deployment of telemedicine services; EMPOWERING 14 May 2014 ehealth Forum - Athens 7

8 European Innovation Partnership on Active & Healthy Ageing crosscutting, connecting & engaging stakeholders across sectors, from private & public sector Specific Actions +2 HLY by 2020 Triple win for Europe sustainabl e& efficient care systems health & quality of life of European citizens growth & expansion of EU industry Pillar I Preventio n screening early diagnosis Pillar II Care & cure Pillar III Independe nt living & active ageing Improving prescriptions and adherence to treatment Better management of health: preventing falls Preventing functional decline & frailty Integrated care for chronic conditions, inc. telecare ICT solutions for independent living & active ageing 14 May 2014 ehealth Forum - Athens 8 Age-friendly cities and environments

9 The Secret? From pilot to routine care 9

10 From pilot to routine care Department Department Hospital Group HealthCare System Piloted Service Testing of Service Small Scale Deployment Routine Care Service Large Scale Deployment Lessons learned from deployment inside an organisation Local champions Limited constraints (e.g. at legal level) Cost and benefit analysis Lessons learned from deployment across organisations (for servicing the healthcare system) Institutional endorsement Legal constraints (if it is a D2P relationship) Need for robust methods Socio-economic analysis ehealth Forum - Athens 14 May

11 A European Telemedicine Deployment Blueprint ehealth Forum - Athens 14 May

12 4 themes of investigations Strategy & Management Organisation & Change Mgmt. Legal, Regulatory & Security Technical & Market relations ehealth Forum - Athens 14 May

13 Working method Doers and Stakeholder representatives Existing experience Outline of the Framework Strategy & Management Org. & Change Mgmt. Legal & Regulatory Technical & Market The Momentum Blueprint 13

14 What s next Refining and validated the Critical Success Factors with Doers and stakeholders Consolidated them into the Momentum Blueprint Testing it against an use case under deployment using TREAT, a Telemedicine Readiness Assessment Tool Spreading the Blueprint over Europe 14

15 Maccabi Chronic Disease Telemedicine Centre A call centre in Israel, operated by trained nurses Dedicated proactive professional care to patients and their family Use of computerized clinical protocols Availability and accessibility 24/7 Coordinated & integrated with community network Advanced technology platforms Telephone calls Video conference Tele-medicine (transmitter scale, tele-wound, tele-stoma) 15

16 RXEye Remote Reading An online brokering service in Sweden, To share competence and resources within Medical Imaging particularly in Radiology and Pathology A platform using e-marketplace concept Health care providers can offer and purchase all types of radiology and pathology reviews 16

17 Teledialysis A dialysis service using video-conference in Norway Used in health care centres without specialists in kidney disease is available For helping local staff caring patients Also deployed also in Scotland 17

18 ITHACA An integrated platform in Cataluña For following up and promoting the adhesion to treatment of chronic hypertension patients Stratification carried out through web portal Cardiovascular Risk Illness Complexity 18

19 Any questions? Marc Lange Secretary general EHTEL Association 49/51, rue de Trèves B-1040 Brussels Belgium Tel: +32 (0) Fax: +32 (0) Mobile: +32 (0) More at 19

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