This document summarizes a presentation given at a CASA Seminar in Flanders on scaling up innovative healthcare services. The presentation discusses moving pilot projects to routine care by engaging stakeholders across various sectors. It identifies four key domains for deployment guidelines: strategy and management, legal/regulatory issues, organizational change management, and technical/market considerations. Each domain contains critical success factors, such as ensuring cultural readiness for changes, addressing needs of clients, and maintaining technology that can scale up. The overall challenge is integrating new technologies into existing care systems.

1. CASA Seminar - Flanders 17 June 2014
Scaling-up?
From pilot to routine care …
1

2. Scaling up innovation
in healthcare
Marc Lange, EHTEL Secretary General
CASA Seminar - Flanders 17 June 2014

3. Competence
Centre
Health Care
Authorities
Industry
Health Care
Delivery
Citizens/Patient
Representative
Innovation
Agency
Insurers
Social Care
Dissemination
Organisation
European Health TELematics
A cross-(any)border and multidisciplinary
collaboration forum
CASA Seminar - Flanders 17 June 2014
Sustainable and large scale
eHealth deployment
requires engagement and synergies
3

4. Innovation in healthcare:
CASA Seminar - Flanders 17 June 2014 4
Patient’s home Hospital or primary care or eHealth centre
SERVER
PATIENT
REGIONAL CENTRE’S
OPERATOR
TELEMONITORING
DEVICES
GENERAL
PRACTITIONER
CARDIOLOGIST
AT HOSPITAL OR
LOCAL HEALTH
DISTRICT
OTHER INVOLVED
HEALTHCARE
PROFESSIONALS
GATEWAY
& APP

5. eHealth actions in DAE
KA 13 Undertake pilot actions to equip Europeans
with secure online access to their medical
health data by 2015 and to achieve by 2020
widespread deployment of telemedicine
services;
EMPOWERING
17 June 2014 CASA Seminar - Flanders
5

6. European Innovation Partnership on Active & Healthy Ageing
health &
quality of
life of
European
citizens
growth &
expansion
of EU
industry
sustainabl
e&
efficient
care
systems
+2 HLY by 2020
Triple win for Europe
Improving prescriptions and
adherence to treatment
Better management of health:
preventing falls
Preventing functional decline
& frailty
Integrated care for chronic
conditions, inc. telecare
ICT solutions for independent
living & active ageing
Age-friendly cities and
environments
Specific Actions
crosscutting, connecting & engaging stakeholders across sectors, from private & public sector
Pillar I
Preventio
n
screening
early
diagnosis
Pillar II
Care &
cure
Pillar III
Independe
nt living &
active
ageing
17 June 2014 CASA Seminar - Flanders 6

7. Identify the problem
Recognize the
need for change
Explore
Search for a solution
Build
Create, test and
assess potential
impact
Apply, scale-up and
monitor
Real-life solution
CASA Seminar - Flanders
17 June 2014
7
Innovation and
Service
Redesign

8. Testing of Service Routine Care Service
Small Scale
Deployment
Large Scale
Deployment
Hospital Group
Department
Department
HealthCare
System
Piloted Service
Lessons learned from
deployment inside an
organisation
 Local champions
 Limited constraints
(e.g. at legal level)
 Cost and benefit analysis
 …
Lessons learned from
deployment across organisations
(for servicing the healthcare system)
 Institutional endorsement
 Legal constraints (if it is a D2P relationship)
 Need for robust methods
 Socio-economic analysis
 …
From pilot to routine care
17 June 2014CASA Seminar - Flanders
8

9. Tools and methods are needed to deploy
telehealth services
Impact assessment framework
The results and lessons learned from Renewing Health
The approach of United4Health
Guidelines for large-scale deployment
The Momentum blueprint
Cost and benefit analysis toolkit
Innovation governance
…
17 June 2014CASA Seminar - Flanders
9

10. 17 June 2014
A European
Telemedicine
Deployment Blueprint
CASA Seminar - Flanders
10

11. Strategy
&
Management
Legal,
Regulatory
&
Security
Organisation
&
Change
Mgmt.
Technical
&
Market
relations
Four domains for deployment guidelines
17 June 2014CASA Seminar - Flanders 11

12. Critical Success Factors for
Deployment Strategy
CASA Seminar - Flanders 17 June 2014
1. Check that there is cultural readiness towards
telemedicine and the need to change the way to
care.
2. Ensure leadership through a champion.
3. Create a community consensus on the
compelling need to address
4. Put together the resources needed for
deployment.
Strategy
&
Management
Legal,
Regulatory
&
Security
Organisation
&
Change
Mgmt.
Technical
&
Market
relations
12

13. Critical Success Factors for
Organisational Change
CASA Seminar - Flanders 17 June 2014
5. Address the needs of the primary client(s).
6. Involve health care professionals and decision-
makers.
7. Prepare and implement a financial plan.
8. Prepare and implement a change management plan.
9. Put the patient at the centre
of the service.
Strategy
&
Management
Legal,
Regulatory
&
Security
Organisation
&
Change
Mgmt.
Technical
&
Market
relations
13

14. Strategy
&
Management
Legal,
Regulatory
&
Security
Organisation
&
Change
Mgmt.
Technical
&
Market
relations
Critical Success Factors for Legal,
Regulatory and Security Compliance
CASA Seminar - Flanders 17 June 2014
10. Establish the conditions under which the service
is legal.
11. Seek for advice from legal, ethical, privacy and
security experts.
12. Seek for relevant legal and security operational
guidelines to help setting the service up
13. Ensure that telemedicine doers and users have
“privacy awareness”.
14

15. Strategy
&
Management
Legal,
Regulatory
&
Security
Organisation
&
Change
Mgmt.
Technical
&
Market
relations
Critical Success Factors for
Technology Decisions
and Procurement
CASA Seminar - Flanders 17 June 2014
14. Ensure that the IT and eHealth infrastructures
needed are in place.
15. Ensure that the technology is user-friendly.
16. Put in place the technology and processes
required to monitor the service.
17. Maintain good procurement practices.
18. Guarantee that the technology has
the potential for scale-up
(i.e., “think big”).
15

16. The challenge for scaling-up innovative
services in healthcare
This is about moving
From building tools and infrastructure
to developing service, redesigning care pathways
From collecting data
to integrating data into care processes
New Technology
+ Old System
= New Old System
CASA Seminar - Flanders
17 June 2014
16

17. Any questions?
More at www.telemedicine-momentum.eu
CASA Seminar - Flanders 17 June 2014 17
Marc Lange
Secretary general
EHTEL Association
49/51, rue de Trèves
B-1040 Brussels Belgium
Tel: +32 (0)2 230 15 34
Fax: +32 (0)2 230 84 40
Mobile: +32 (0)475 27 71 45
Marc.Lange@ehtel.eu
www.ehtel.eu