Tina Heide’s presentation on "Telehealth – from pilot to big scale implementation" at the Healthcare DENMARK Ambassador Summit 2014 in Copenhagen.

1. TeleCare Nordhomemonitoring of COPD patients
From pilots to big scale implementation
Tina Archard Heide
Project manager TeleCare Nord
Tah@rn.dk

2. Global healthcarechallenge
860 mn. lives with at least one chronic disease
In 2020 it is expected:
-the number of people with diabetes has doubled
-deaths due to heart disease will be 20 mn./year
-chronic diseases will be the course of 75% of deaths
2

3. 1,7 mn. Danes lives with one, or more, chronic diseases
Chronic diseases exceeds80% of the national public healthcare budget.
Estimated 0,5 mn. Danes lives with reduced lung capacity
App. 22.700 hospitalizations a year due to COPD
App. 50.600 COPD Outpatient visits a year due to COPD
Danish context

4. Pilot trails and research projects indicates potential in telemedicine
Results from Aalborg University : Using telemedicine over a period of 4 month, for patients with COPD
Reduction in
-the number of hospitalizations
-the average number of days hospitalized
-the number of outpatient visits
Increased
-patient security at home
-patient quality of life
-patient empowerment

5. 0.6 M
1.2 M
1.2 M
0.8 M
1.6 M
CentralDenmark
Region
NorthDenmark
Region
Regionof
SouthernDenmark
Region
Zealand
CapitalRegion
of Denmark
Hjørring
Jammerbugt
Brønderslev
Thisted
Morsø
Vest-himmerland
Rebild
Mariagerfjord
Aalborg
Frederiks-havn
Læsø
TeleCare Nord participants
 1256 Patients
 The Danish Lung Association
 The municipalities in North
Jutland
 The GPs in North Jutland
 The North Denmark Region
 The 4 hospitals in North Jutland
 Aalborg University

6. TeleCare Nord full-scale goals
Collaboration across sectors involved in the healthcare system, including the patient. Finding and implementing solutions that meet technical, organizational, legal and economic challenges of deploying full-scale operation.
Realizing the potential of telemedicine, demonstrated in pilot and research projects
Up scaleto normal operation with1400 COPD patients from the 11 municipalities in North Jutland
Based on COPD secure a generic technical solution for other chronic disease groups
Ensure close coordination and use of national strategies, infrastructure and standards
Support patient empowerment, increasing patient confidence and satisfaction, and strengthen competences for self-care in the patients´own homes.

7. 4 Ph.ds at Aalborg University
-Health literacy
-Intersectoralcooperation
-Patient empowerment and quality of treatment
-Health economy and the economic impact of telemedicine.
Randomized controlled trial with one group offered telemedicine and a control group for comparison purposes.
Scientific evidence for the effects and benefits of telemedicine
Already strong indicators of patient empowerment
Ambitious research

8. Roles and responsibility

9. National
DB
Home
mon. Data
Technical solution concept

10. Patient feedback
Examples of patient empowerment
Examples of patients preventing hospitalization
Gives network with others in the same situation
The relatives is an active part
Takes advantage of the mobility of the solution
Finds it easy to use

11. Feedback from healthcare professionals
Early intervention and prevention of hospitalization
Healthcare side effects
Closer collaboration with GPs
New tasks and need for new competences

12. In North Jutland
TeleCare North as a project runs until June 2015
Home monitoring continues
Decision on new patient group for telemedicine
National
Preparation of national implementation of home monitoring to COPD patients –with TeleCare North as a role model.
Identification of new patient groups and areas for large scale
Aroundthe corner