The Norwegian Experience

1. The Remote
Care Of Mental
Health Patients
THE NORWEGIAN EXPERIENCE
LARS C. DAHLE
CEO

2. England – Norway partnership - long history

3. Who we are and what we do?
▪ We are a five year old Telehealth Solutions Provider
based in Norway.
▪ We have a tried and tested, cloud based, ready-to-go
solution.
▪ It’s effectiveness has been independently validated by
the Norwegian government
▪ Dignio is a synthesis of
▪ Preventive Medicine,
▪ Nursing Science,
▪ Physiotherapy and
▪ Nutrition.
▪ Our methodology enables the patient to learn about
their condition and take control

4. The challenge: heavy users of healthcare
▪ Chronic diseases affects “everybody” –
20% of population have hypertension in China
▪ Huge burden on health systems –
60 % of health budgets in UK (Primary Care + Hospital sector)
▪ Reactive Healthcare –
First you have to be seriously ill – then we will treat you!
▪ Crowded hospitals –
less time for those in real need
Slide 4
30%
30%Budget

5. Meet Mick

6. Patients Experience A Higher Quality Of Life.
▪ The Patient feels safe and cared for
▪ Increasing Patient Empowerment
▪ Patient Becomes Pro-Active
Step 3
Correct Behavior Increasingly Active
Step 2
Patient Gains
Knowledge
Becomes Self-
Managing
Step 1
Remote Care Center High Monitoring Rate

7. Dignio Remote Care methodology
2017.06.22 Slide 7
Diagnose
Treatment
Rehabili-
tation
Living well
Symtoms
Life Health Cycle
Compliance
Rehab plan
Motivation
Early Detection
Preventive Medicine

8. MyDignio and Dignio Prevent
▪ Designed for older users with little or
no previous digital experience and/or
their carers.
▪ Patients own journal plus clinician
notes.
▪ Daily measurements and clinical
discussions.
▪ Connects with all associated medical
devices.
▪ All measurements automatically
uploaded.
▪ Easy patient two-way
communications.
▪ Where all data is processed and
stored.
▪ Cloud based for high availability and
security.
▪ Alerts and notifications prioritized and
displayed on clinicians dashboard.
▪ Clinicians can involve specialists,
create reminders, update the patients
medical record and remotely manage
devices in the patients own home.
▪ Alerts and notifications can be shared
by the system with specialists, family
members, carers or other medical
personnel
▪ Easy to implement – no IT
department required

9. Medication Adherance
▪ Electronic Pill dispenser with
“SIM card”
▪ 28 compartments for medication
▪ Visual and/or sound alert when
to take medication
▪ Notification to nurse or family if
medication is not taken
▪ Can adjust timing and number of
doses remotely
▪ Allows to manage 1000’s

10. How Does This Work In Practice?
Retro Fitting a digital solution onto an existing non digital health care system isn’t always easy.
For four years Dignio has worked closely with the City of Oslo successfully deploying our solution in four of their
primary care districts plus several dozen other municipalities in Norway.
During this time we have gained valuable practical experience about what it takes to successfully implement
Remote Patient Care across a wide range of medical conditions.
The key is to be “disruptive but not disrupting”.
Disruptive meaning free yourself from past limitations and rethink how we offer high quality healthcare services
using today’s technology and reducing or eliminating all the workflow friction which can get in the way of delivering
cost effective, patient centric care.
At the same time not disrupting, in fact enhancing, the most important relationship, the one between the clinician
and the patient.

11. What Was The Outcome In Norway?
▪ 32% Fewer hospital admissions
▪ Outpatient consultations down 42%
▪ 39% Less hospital bed days
▪ 59% Less home nursing
▪ Numbers are taken from the VIS-study in Oslo Municipality (2016)

12. Adding new functionality - Sleep Monitoring
We all know how important sleep is to mental health.
We have an exciting new device which is being launched in Q3 this year.
It’s non contact, non intrusive, connects to Dignio Prevent and allows us to
detect:
▪ The time the patient goes to bed
▪ The time it takes for them to get to sleep
▪ When REM sleep is reached and the duration
▪ If the patient gets out of bed
▪ If the patient is lying down but not in bed
▪ When the patient gets up in the morning
▪ The patients respiration rate
No Movement
Movement
Breathing
Respirations
per minute
1.st
REM Sleep
2.nd
REM Sleep
3.d
REM S
Log of sleep data

13. We would love to hear from you
Ken.garner@dignio.com
Read more at
www.dignio.com