Agneta granström
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  • Slide 1
  • Varför har vi utvecklat dessa tjänster inom e-hälsa. De faktorer vi har att förhålla oss till.
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  • VAS – an Integrated Healthcare Adminstration System Integrated healthcare administration system for primary and specialist health care in local healthcare centres and hospitals (in-patient and out-patient) Tool for planning, controlling and monitoring of virtually all healthcare activities Owned and developed by Norrbotten County Council in close cooperation with the care sector Used in all care facilities run by Norrbotten County Council and two other counties Examples for modules and functions one medical journal per patient accessible from every healthcare centre and hospital in Norrbotten internal electronical referrals (100% in Norrbotten) electronic prescriptions ( 98% in Norrbotten, accessible all over Sweden) Closely integrated with (alt.: interoperable with) external 3 rd party systems Can exchange information within the framwork of the National Healthcare System Benefits for Patient Focus on the patient Reduced waiting times Integrity of patient data Health care personell Facilitates and improves administrative work at district health centres and hospitals Simplifies and speeds up monotonous and time-consuming routines Easier to plan and follow up care activities More time for the patient Clinicians, unit managers, political decision makers Comprehensive source of information for planning, decision making and follow up when developing healthcare in the light of new legislative and political demands Region Cost reduction through effective utilisation of resources
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  • Här vill vi beskriva hur det faktiskt är idag och vad det skapar för potentialer. Här är också viktigt att inte prata om ”distansöverbryggande” utan om ”vårt distansoberoende liv”.

Transcript

  • 1. eHealth in Norrbotten County Luleå, 2011-0429 Agneta Granström County Council Commissioner, (Norrbotten, Sweden) Chairperson of the AER e-he@lth network
  • 2. Content
    • County of Norrbotten
    • Regional partnership for e-health
    • International networks
    • Internal e-health projects
    • Cross boarder projects
    • Collaborative projects
  • 3. Content
    • County of Norrbotten
    • Regional partnership for e-health
    • International networks
    • Internal e-health projects
    • Cross boarder projects
    • Collaborative projects
  • 4. Great distances Rural areas Environment/ climate Resources Individual needs Age structure Infrastructure
  • 5. The county of Norrbotten – an exciting part of Europe Area: 98 911 km² (25 % of Sweden’s total area) Room for Belgium, the Netherlands and Luxemburg together within our boundaries Population: 251 886 (2,8 % of Sweden’s population) Municipalities: 14 Luleå The County of Norrbotten - An exiting part of Europe
  • 6. Facts about Norrbotten
    • Growing elderly population among a decreasing overall population
    • Extremely sparsely populated
      • 250,600  inhabitants in an area representing ¼ of Sweden (population 9 million)
      • Most sparsely populated area of the European Union
      • Extensive ICT structure
    • High level of ICT awareness in society
    • >93% of the population has broadband access
    • Healthcare
      • 5 hospitals
      • 33 health centres
      • 34 dental clinics
      • 8,000 county council employees
  • 7. Our vision, our motto… A care-smart region VISION D istance-independent everyday healthcare anybody anywhere anytime
  • 8.
    • One Stream
    • The largest open broadband network in Europe
    • Lumiora in Norrbotten
    • Years 2000 -2010
    • 9,000 km of fibre optic network
    • ~73 million euro has been invested in the IT infrastructure
    • ~ 7 million euro from EU structural funds
    • > 93 % of the people has a broadband connection
    A care-smart region
  • 9. Content
    • County of Norrbotten
    • Regional partnership for e-health
    • International networks
    • Internal e-health projects
    • Cross boarder projects
    • Collaborative projects
  • 10. Growth Areas
    • Test operations , space, automotive etc
    • Creative industries, tourism, media, design, culture etc
    • Basic industries and processing
    • Technology , eHealth , innovations, ICT etc
    • Energy and environmental technologies
    Triple Helix public sector, enterprise and (in our case) Luleå University of Technology Visionaries Growth Areas Triple Helix public sector, enterprise and (in our case) Luleå University of Technology
  • 11. 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Analysis Policy Intelligence Dialogue Drafts Parties’ positions Programmes, strategies Dialogue Financing priorities Evaluation Dialogue Development cycle - an ongoing process
  • 12. Formal Structures Informal Structures
    • Political Structure
    • Partnerships
    • Structural Funds
    • Networks
    • Preparatory
    • Working groups
    • etc
    An acceptance between the parties - a joint agreement Partnerships
  • 13.
    • Visionary humans
    • Development cycle
    • Partnerships
    • Growth areas
    • ICT Infrastructure
    • Policies and strategies
    • Development funds
    • Triple Helix
    • eHealth as a part of the growth policy and therefore a part of the sustainable development
    The challenge for the public sector is to create conditions that stimulates growth
  • 14. eHealth Innovation Centre, EIC Main eHealth research milieu at LTU
    • Department of Health Science:
      • Nursing
      • Physiotherapy
      • Health Science
    • Department of Computer Science and Electrical Engineering:
      • Embedded Systems
      • Media Technology
      • Biomedical Engineering
    Current owners and partners
    • Luleå University of Technology, LTU
    • Norrbotten County Council
    • City of Luleå
    • City of Piteå
    • City of Boden
  • 15. An unique multi-disciplinary research and innovation milieu ! – Triple Helix comes true!
    • Wide and deep collaboration with all actors in the healthcare chain since a long time:
      • County Council
      • Cities and Municipalities
      • University
      • Industry
    • Short lead time from need to practical invention
  • 16. Purpose
    • The purpose of the center is to stimulate the emergence and growth of an innovation system for the area of e-health and to become a common platform for the fundamental activities essential for regional business growth:
      • Coordinate, disseminate and use research efforts within the e-health research area at Luleå University of Technology.
      • Ensure clear innovation paths between e-health research and business development.
      • Become a central node of cooperation within a dynamic e-health innovation system.
  • 17. Content
    • County of Norrbotten
    • Regional partnership for e-health
    • International networks
    • Internal e-health projects
    • Cross boarder projects
    • Collaborative projects
  • 18. Assembly of European Regions - AER
    • The Assembly of European Regions (est.1985) is the largest independent network of regions in the wider Europe.
    • Bringing together over 270 regions from 33 countries and 16 interregional organisations, AER's mission is to:
      • Promote the principle of subsidiarity and regional democracy;
      • Increase the regions' political influence within the European institutions;
      • Support the regions in the process of European enlargement and globalisation;
      • Facilitate interregional cooperation across wider Europe and beyond
  • 19. Regions' e-Health - AER e-He@lth network
    • Aims
    • The aim of the network is to create a platform where regions can engage in interregional cooperation projects to develop e-health tools and where they can contribute to European Union policies on e-health.
    • Objectives
    • Raise awareness and disseminate knowledge on the potential of e-health
    • Gather information on existing tools and policies and carry out studies
    • Work together with other regions and partners and coordinate our e-health tools and strategies
    • Stimulate the development of products and services for the commercial market
    • Encourage research and education in the e-health sector
  • 20. Content
    • County of Norrbotten
    • Regional partnership for e-health
    • International networks
    • “ Internal” e-health projects
    • Cross boarder projects
    • Collaborative projects
  • 21. • 5 hospitals • 33 health centres • 40 dental care centres • A uniform system for all medical records VAS – The County Councils own EHR system • Single sign-on • Independent modules can be merged • Integrated with other systems (economy, PACS, IMACS, ECG, Pharmacy, among others) • Designed for the users, by the users
  • 22. Specialist health care during ambulance transport Norrbotten’s ambulances are equipped with 3 integrated electronic information systems connected to VAS Paratus + Connected to SOS Alarm (Sweden’s emergency call service) + Displays emergency call details, including: • Status information • Location on map • Navigation aid MobiMed + Mobile monitoring system for vital patient data, including: • Pulse • Blood pressure • ECG + Ambulance journal for documentation of evaluation and treatment + Alerted hospitals have real-time access to data and can follow the patient’s condition live Ambulink + Web-based patient journal system for documentation of all transport and medical information + Hospital staff have access to all data through VAS Benefits > Direct contact between specialized hospital staff and ambulances > Real-time monitoring of vital patient data > Specialist consultation through the system > Simultaneous preparation for treatment at the hospital > In some cases, treatment can begin before arrival at the hospital.
  • 23. Neonatal nursing care at home
    • Neonatal intensive care unit (NICU) at Sunderby Hospital offers
    • ICT-based support of parents of prematurely born infants during the first trial leave from hospital (ändra! Barnen är bara dagtid hemma/några timmar/permission!)
    • Videoconferencing system installed at parents’ home, connected to neonatal unit
    • Benefits for
    • Patients
    • • Round-the-clock access to neonatal nurses from home • Audio-visual contact
    • • Increased actual and perceived safety in a critical period of their child’s life • No need to travel • Greater security for parents Midwives • Complement to ordinary care • Almost as real-life encounter Region - Reliable and comfortable access to neonatal care from everywhere in a sparsely populated area - Cost and pollution reduction through less home visits
  • 24. Videoconferencing in Psychiatry
    • Use of videoconferencing
    • Daily video conferences between hospital and local psychiatric units
    • Planning of care activities
    • Information on patients in need of specialist inpatient treatment
    • > Enables countywide collaboration between specialist and primary psychiatric care irrespective of large geographical distances
    • Benefits:
    • Less traveling
    • Reduction of cost and pollution
    • Time-saving
    • Access to (limited) specialist competence despite large geographical distances
  • 25. Regionalization of medical training At Sunderby Hospital - A vital future for the entire county
    • Medical regionalization of medical school at Umeå University to the Norrbotten, Jämtland and Västernorrland counties (4 places)
    260 km 365 km 270 km
  • 26. Content
    • County of Norrbotten
    • Regional partnership for e-health
    • International networks
    • “ Internal” e-health projects
    • Cross boarder projects
    • Collaborative projects
  • 27. Cross-border Healthcare in Torne Valley (Sweden/Finland)
    • Aims to
    • Develop and deepen the healthcare
    • cooperation between healthcare providers in
    • Torne Valley in order to create high quality
    • cross-border care
    • Benefits for patient
    • Access to cross-border healthcare
    • High quality of care regardless of workplace or place of residence
    • Benefits for the region
    • Better utilization of resources
    • Improvement of existing collaboration
    • Better information flow between healthcare providers in the region
    A care-smart region Partners Healthcare centres in Sweden and Municipalities and their care centres in Finland Funding ~ 800 000 Euro - EU Structural funds ~ 540 000 Euro - Regional funding Partners
  • 28. epSOS – European patients Smart open Services
    • epSOS - Large Scale Pilot
      • Patient Summery and ePrescribing (cross border)
      • 23 beneficiaries, 12 countries
      • 6 national Ministries of Health
      • 15 Competence Centers
      • 31 companies through IHE-Eur
      • 11 Million Euro EC funding
      • 36 months duration
  • 29. Content
    • County of Norrbotten
    • Regional partnership for e-health
    • International networks
    • “ Internal” e-health projects
    • Cross boarder projects
    • Collaborative projects
  • 30.
    • The aim of the MyHealth@Age project is to offer the ageing population in the Northern Periphery region improved Health, Safety and Well being through the use of new products and services.
    • The products and services focus on:
      • mobile safety alarms ,
      • prescribed self treatment and
      • social networks .
    • The products and services are developed in close co-operation between elderly people, healthcare and welfare staff, ICT companies and healthcare and welfare researchers.
    • The products and services are evaluated and improved during field trials in Sweden, Norway and Northern Ireland.
  • 31. RENEWING HEALTH, RE gioNs of E urope W ork IN g to G ether for HEALTH
    • RENEWING HEALTH is the second Pilot Type A eHealth project funded under the new European Union ICT-PSP (Information and Communications Technologies – Policy Support Programme)
    • Project start date: 1st of February 2010
    • Project duration: 32 months
    • Total budget: 14.000.000 Euros
    • EU contribution: 7.000.000 Euros
    • 26 pilot sites, grouped in 9 clusters and distributed over 9 EU regions
    • 7.900 patients in the Intervention Group
    www.renewinghealth.eu
  • 32. Future Innovative Work Practices in health care in the home, (FIA)
    • Reengineering of work processes at primary care centers, nursing homes and own houses
      • The patients accessibility to care is in focus
      • The care professionals are mobile and do the work at the patients home
        • Which products and services do they need to do their work?
      • Empowerment of the heath professionals
      • Enhanced collaboration between health professionals from different organisations
  • 33. Future Innovative Work Practices in health care in the home, (FIA)
    • Web based Clinic-specific services for citizens
    • Safe management of drugs for elderly people
    • Discharge planning with patients and kin - creating better quality of care
    • Mobile IT services connect nursing and care teams
    • Remote consultations with specialists via video conferencing
  • 34. Regional Telemedicine Forum (RTF)
    • 1. Region of Southern Denmark (Coordinator)
    • 2. Veneto Region, Italy
    • 3. Catalonia, Spain
    • 4. Northern Norway Regional Health Authority, Norway
    • 5. Estonian eHealth Foundation, Estonia
    • 6. Regional Council of Auvergne, France
    • 7. Scottish Centre for Telehealth, Scotland
    • 8. Norrbotten County, Sweden
    • 9. Malopolska, Poland
    • 9 European regions working together
    • The partnership of 9 European regions aims to release the potential of wider implementation and deployment of telemedicine services at the regional level. Over the three years the partners will organise workshops, four study visits and virtual meetings to focus on telemedicine services related to three major chronic diseases: diabetes, smokers’ lung disease, and cardiovascular disease.
    • Results with effect
    • The project results in policy recommendations, developed on the basis of identification and analysis of barriers and facilitators at clinical, strategy, and market levels.
    regional-telemedicine.eu
  • 35. Thank you!
  • 36. Distance-independent everyday life is: A care-smart region THE CONCEPT Distance-independent everyday healthcare Well-proven Connected Prosperous Progressive Collaborative Sustainable
  • 37. Distance-independent every day life is WELL-PROVEN : Patient security Privacy Implemented and practised solutions A care-smart region WELL-PROVEN CONNECTED COLLABORATIVE SUSTAINABLE PROSPEROUS PROGRESSIVE Distance-independent everyday healthcare
  • 38. Distance-independent everyday life is CONNECTED : A care-smart region WELL-PROVEN CONNECTED COLLABORATIVE SUSTAINABLE PROSPEROUS PROGRESSIVE Distance-independent everyday healthcare Interaction Accessibility Interoperability
    • One Stream
    • The largest open broadband network in Europe
    • Lumiora in Norrbotten
    • Years 2000 -2010
    • 9,000 km of fibre optic network
    • ~73 million euro has been invested in the IT infrastructure
    • ~ 7 million euro from EU structural funds
    • > 93 % of the people has a broadband connection
    A care-smart region
  • 39. Distance-independent everyday life is COLLABORATIVE : A care-smart region WELL-PROVEN CONNECTED COLLABORATIVE SUSTAINABLE PROSPEROUS PROGRESSIVE Distance-independent everyday healthcare Developments driven by citizens’ needs Addresses the entire care-chain Close collaboration between University, business and care providers
  • 40. Distance-independent everyday life is SUSTAINABLE : A care-smart region WELL-PROVEN CONNECTED COLLABORATIVE SUSTAINABLE PROSPEROUS PROGRESSIVE Distance-independent everyday healthcare Environment Economy Social S U S T A I N A B I L I T Y
  • 41. Distance-independent everyday life is PROSPEROUS : Enormous growth potential Increased demand for preventive healthcare Worldwide market A care-smart region WELL-PROVEN CONNECTED COLLABORATIVE SUSTAINABLE PROSPEROUS PROGRESSIVE Distance-independent everyday healthcare
  • 42. Distance-independent everyday life is PROGRESSIVE : New methods, products and services New fields of research opportunities Innovations and business start-ups A care-smart region WELL-PROVEN CONNECTED COLLABORATIVE SUSTAINABLE PROSPEROUS PROGRESSIVE Distance-independent everyday healthcare