From the home and the body - to the nurse and the GP

Transcription

1 From the home and the body - to the nurse and the GP 1. National action plan for Telemedicine 2. National infrastructure and standards for home monitorering 3. The long and winding road to national dissemination The vision: Simple and easy connectivity between home monitoring systems and the national ehealth infrastructure - and existing EPR systems in all parts of the Danish health care sector Support of a multi-supplier strategy and the market of home monitoring systems Deputy Manager LHF@medcom.dk

2 What is MedCom? MedCom is a partnership of authorities, organisations and private enterprise associated with the Danish health sector. In the 1999 financial agreement between the counties and the government, it was decided to make MedCom permanent, with the following aims: MedCom shall contribute to the development, testing, dissemination and quality assurance of electronic communication and information in the health sector with a view to supporting good practice in patient care. MedCom is financed by: The Ministry of Health The Danish Regions Local Government Denmark

3 Telemedicine in Denmark - 12 years after 2001 Small scale pilots Focus on hospitals Radiology, pathology Today Focus on large scale implementation of mature telemedicine concepts Cooperation between hospital and district nurses Video conference Home monitorering

4 National action plan for dissemination of telemedicine (August 2012) A common plan for the Public Health Sector Danish Government Danish Regions Local Government Denmark Dissemination of mature telemedicine concepts 80 million DKK (10.7 million Euros) from the Danish Government and a significant contribution from regions and municipalities A part of the egovernment Strategy and the National ehealth Strategy

5 Moving from pilot projects within telemedicine to national scale implementation What is a mature telemedicine solution? 1) Well functioning technical solution and infrastructure 2) Good user experiences or even clinical evidence 3) Positive businesscase Good Danish tradition for IT supported cross sector cooperation Lack of national IT standards and IT infrastructure to the patients home Lack of large scale experience and strong documentation Lack of knowlegde about how to share the costs and benefits between the hospitals, municipalities, and GPs Lack of national tariffs for cross sector telemedicine

6 National action plan for dissemination of telemedicine (August 2012)

7 Clinical Integrated Home monitoring Large scale demonstration (4,5 million euros) Large scale demonstration of home monitoring 5 clinical trials/patient groups, 1000 patients 2 regions and 5 municipalities Technical part: National database for data from patients home National standards/profiles for integration to EPR and the national ehealth portal Developed in cooperation with the Tele Care Nord project

8 IT-infrastructure and homemonitoring National ehealth Infrastructure & standards

9 Laboratory Report from the home and the body Version 1.0: 18 typical home monitorering parameters ( KIH and Telecare Nord ) Generic interface easy to extend with further parameters Based on international NPU codes for laboratory medicine Documented in OIO-XML and translated to HL7/PHMR (MedCom HL7 profile)

10 Technical status on Clinical Integrated Home monitoring National database version 1.0 in use Placed in Region Nord, accessible from the National Health Net Interface for data collection from different home monitoring systems Interface for data sharing with EPR / health portal Interfaces based on OIO-XML (Laboratory Report) Interfaces based HL7/PHMR standards (Personal Health Monitoring Report) Solution prepared for adoption in the National Service Platform Solution prepared for XDS (national/regional patient index) Access to data for patients at the national ehealth Portal sundhed.dk Status January 31, uniqe patients in the national database specific home monitoring results in the national database Primary focus in 2014: Support to the 5 clinical pilot-projects in Clinical Integrated Home monitorering and Telecare Nord : Clinical usefullness and Business Case validation Secondary focus in 2014: Test and integration with different suppliers of home monitoring solutions Reuse in any other Danish home monitorering projects / activities

11 Three steps to cross sector dissemination - The MedCom way 1) National consensus Standards and infrastructure: To ensure a multi-supplier strategy National business case and project plan: To ensure the marked for ecollaboration 2) Pilot projects First pilots : Testing in daily use National infrastructure for Home Monitoring, February Secondary pilots: Implementation in all relevant IT systems 3) National dissemination - all relevant users Patient groups Hospitals Municipalities GPs

12 Challenges and Requirements - Cross sector large scale dissemination Implies huge investments Healthcare organisations IT vendors Requires strong leadership Courage: Selecting priority areas within telemedicine Persistence: Ongoing support - all the way Patience: The long and winding road to full dissemination 100% MedCom emessages Thank you for your attention! 0% Deputy Manager LHF@medcom.dk