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Do you want to try a danish…
Health & Care system
Int’l Biz Dev Manager
Claus F. Nielsen, DELTA, Denmark

HealthBridge 2013, Boston
December 5, 2013
11%
GDP in Health
17%
GDP in Health
Homecare
Notifications
Care reports
Doctors Letters

Hospital

Pharmacy

Discharge
Outpatients
Referral
Specialist

Prescription

Radiology
Request
Reports

Laboratories
Chemical, pathology
and microbiology
Results and request

Insurance
Reimbursements
99 %
Private specialist

GP

Citisen

Hospital

Pharmacy

Home Care

MEDICINPROFIL/
RECEPTSERVER

Doc – Call center

Nursing homes
Private specialist

GP

Citizen

Hospital

Doc Call Center

Nursing homes

Pharmacy

Home Care
27
48
Cheap
…. but good looking
Efficient
20 km/L
5,0L/100 km
47 miles/Gallon
Safe
9 airbags
1200
200
Goal 2020:
75% Less hospital
beds!
Innovating health care systems
No thanks!
We do not
have time

59
Price/performance

Computertechnology
Telecommunication
New materials

Time
Possibilities/usage

Technical possibilities

Our ability to use it
Normal

Politicians
Time
61
62
x
Hi, do you
feel OK?

Hmm…Not
according to my
iPhone

75
77
3,7 l/100
International Biz Dev Manager
Claus F. Nielsen
DELTA
cfn@delta.dk
http://www.madebydelta.com
Twitter: clausfn
Linkedin: clausfn
114
115
116
117
Price/performance

Computertechnology
Telecommunication
New materials

Time
Possibilities/usage

Technical possibilities

Our ability to use it
Normal

Politicians
Time
123
124
Technological trends
Technology ”push”
Nano, wireless, intelligence, mobile, cloud, big data

Care/rehab
disabled
Technology
Low

Healthy
”Consumer”
Technology

Hospitals
Patients
Technology
heavy

Regulatory demands

Wellness/f
itness

Care/
rehab

Independent
Living
Technology

Chronic
Patients

Wellness/f
itness

Health Care
Technology/
Medico

125
Open
International

12/5/2013

Continua Health Alliance Confidential

135
Ageing Independently

Fitness

Managing Chronic Decease

136
Aggregation
Manager

Personal Device

Telehealth
Service
Center

Health
Records

Thermometer
Pulse
Oximeter
Pulse /
Blood
Pressure
Weight Scale

CCD
PCD 01

Continua
BT Profiles

Glucose Meter

EHR
HIE
PHR

Cardio /
Strength
Independent
Living
Activity
Peak Flow
Medication
Adherence
Physical
Activity

Device
Connectivity

Wide
Area
Network
(WAN)
Interface

Health
Record
Network
Interface
139

NHIN
Key Points
The danish Middle-out approach have
proven to be a succes

Building own standards for HER was not a
good idea
Public sector demand can stimulate the
Mobile health market = empowerment
Lack of standards & interoperability for
health related products are a huge
barrierer
Non conducive re-imbursement system is
a barrier that easily can be removed (if
there is a political will to do so)
63.5 Miles per gallon
Healthbridge 2013 claus_b_nielsen

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Healthbridge 2013 claus_b_nielsen

Editor's Notes

  1. Develop andpublish Design Guidelines that combine & apply existing standardsCertify products, systems and services for compliance with Continua’s Design GuidelinesPromote favorable operating climate for PCH through advocacy & coordinationCreating a global market for personal connected healthConnect leading technology developers, innovators and healthcare organizations
  2. A volunteer army, driven by members. Frequent F2F meetings to help drive us forward.
  3. Background: New kinds of treatment, an aging population and an increasing number patients with chronic diseases put pressure on resources allocated to health services. Telemedicine can renew and streamline public service, treatment and care. At the same time, telemedicine can equip the health system to perform tasks more efficiently
  4. Transport layer independentIndividual profiles – STILL interoperability – compatible versions
  5. The Danish government, municipalities and regions have agreed upon a national action plan for dissemination of telemedicineThe aim is to speed up dissemination of well-functioning telemedicine solutions Approx. 11 million EUR has been allocated to completely or partially finance the initiatives of the action plan. (UK or Germany equivalence apprpx 200 mill. Euro !!!)The action plan is an initiative in the Danish eGovernment Strategy 2011-2015. The results of the plan will form part of the work of future digitalisation reform of social welfare areas.
  6. Purpose:To gain experience of well-documented telemedicine solutions in large-scale operation:New common concepts for assessing telemedicine projectsEstablishing reference architectures and it-standards in close dialogue with Continua Health Alliance
  7. Background: New kinds of treatment, an aging population and an increasing number patients with chronic diseases put pressure on resources allocated to health services. Telemedicine can renew and streamline public service, treatment and care. At the same time, telemedicine can equip the health system to perform tasks more efficiently
  8. “Our Mission is to establish an eco-system of interoperable personal health systems that empower people & organizations to better manage their health and wellness”
  9. Whatopportunitiesdoes the EIP bring to your regionHow do yousee