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  1. 1. Baltic eHealth - empowering regional development in the Baltic Sea Region eHealth 2005 Tromsø 23-24 May 2005
  2. 2. Speakers Henning Voss Project Manager Danish Centre for Health Telematics & Dr. Peeter Ross Director of Research and Development East-Tallinn Central Hospital
  3. 3. Partners Facts: • Ten partners • Five countries • Start: 2004 • End: 2007 • Budget: 2 M€
  4. 4. Benefits of telemedicine • Mobility: Move the data – not the patient • Better referral procedures • Improved access to more specialized healthcare • Reduction of bottlenecks • Avoid doctors migration
  5. 5. Barriers to telemedicine • Interoperability – Networks and security – Standards, terminology and semantics • Reimbursement not settled • Legal issues • Cultural and linguistic differences
  6. 6. Objectives of Baltic eHealth • Promote telemedicine to decision makers – Create secure infrastructure to ensure interoperability – Address legal, financial and cultural barriers – Demonstrate cross-border mobility
  7. 7. Interoperability  We need: 1) Standards, terminology and semantic consensus 2) Network and security
  8. 8. Standards and semantic consensus in Denmark
  9. 9. Standards and semantic consensus in Denmark
  10. 10. Network and security in Denmark • Internet-based • Any data type • From push to pull: Receiver in charge Patients access own data
  11. 11. Network and Security in the BSR - one step towards interoperability Sweden Norway Vilnius Tallinn Denmark BHN ???
  12. 12. The Baltic Health Data Network
  13. 13. Tools on the network • Service Portal (yellow pages) • Videoconferencing broker • Collaboration Platform • Other? – Telemedicine broker – Common archive for hospitals – Etc.
  14. 14. Guidelines & business model • Legal • Reimbursement • Organisational • Cultural / linguistic Business model
  15. 15. eUltrasound • Classical Second opinion approach: • Mid-wives and doctors in Västerbotten • The Norwegian Centre for Fetal Medicine • First step – off-line consultation • Second step – on-line consultation
  16. 16. eRadiology • Lack of Radiologists in Funen hospital Waiting lists and traveling to other hospitals. • Solution: • Images are taken in Funen • Reports are made in Vilnius and Tallinn • Start with conventional radiology • Multi-lingual standardized reporting schemes • Goal: From pilot to production (incl. business model)
  17. 17. Teleradiology in Estonia
  18. 18. Teleradiology in Estonia • 44 modalities: • 10 CT (Computed Tomography) • 2 MR (Magnetic Resonance Imaging) • 1 NM (Nuclear Medicine) • 1 PET (Positron Emission Tomography) • 14 workstations
  19. 19. Conclusions • Solves interoperability problem • Addresses other eHealth problems • Demonstrates patient mobility • If successful the BHN could be the model for an European-wide secure and interoperable infrastructure.
  20. 20. Thank you for your attention ! Dr. Peeter Ross: peeter.ross@itk.ee Henning Voss: hvo@health-telematics.dk website: www.Baltic-eHealth.org Baltic eHealth is co-financed by the BSR Interreg III B programme

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