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eHealth - the only option


State visit by President Medvedev
          Fredrik Syversen
   Director Industry Development
IKT-Norge
• Largest business association for the ICT industry.
• Membership of 400 companies with total turnover of 15 bill. Euro
  50% of the Norwegian market.
• Represents all parts of the ICT value chain, telcos, content
  providers, software and services.
• International network
   o member of EICTA, WITSA, and ICC
• Sets the ICT industry on the agenda – in politics, in media, in the
  business and financial community and in the the general public.
• Promotes R&D, innovation and export- and internationalization
  within the ICT industry
• Organize Norwegian eHealth Association
Solutions

•   Preventive care
•   Co-ordination
•   More for less
•   Consolidation          ICT
•   Transparency
•   Quality in care
•   EPJ
Digitaldictation
                                           Pasient terminal
              Audio/Video Patient signal                 TV distribution


                                                                                                   IP Telephony
                                                                                                   Fixed/wireless
   Pheripherals
                                               Profesor
                                                                        Student



                                Doctor                                                            Alarm/911
     Message server                                  Pasient                      Admin
                                                                                  worker


                                                                                                        Active Directory
                                      Syke-
   Log on/                            pleier                            Bio-Ing.
   auhentication
                                                          Assistant
                                                          nurse
                                                                                                          MDA
Operating systems/
Tools                                                                         Norsk
                                                                              Helsenett
                                                                                                      Intelligent
                                                                                                      wiring
                                                   Applik.                       Applik.
                     Network            Data                          Data
                     Fixed/wireless
                                               DMF/NTNU                      St. Olav
Video communication in healthcare – strategic tool
 in clinical and administrative applications
New Way of Working
Norsk
                  Helsenett
                              Offshore installasjon
                              med video på
                              sykestue




                               På plattformen kan man
                                 diagnose pasient ha
                              ekspertise hvor som helst i
                                   Norsk Helsenett.


Diagnose live fra PC
Russian Telemedicine Association
 Russian Telemedicine Association helps physicians in distant cities
  and remote areas consult with specialists in Moscow
 Ambulance crews can report directly to hospitals and public authorities
  from the scene of emergencies
 In total more than 2000 video consultations are completed every year!
Telemedicine applications
Video communication in healthcare can be used for many different
purposes as a clinical, educational and administrative tool.
Among others:

    Care planning/ discharge conferences
    Diagnostics
    Therapy
    Staff and/or board meetings
    Follow up
    Interpreter services
    Monitoring
    Education
    Research
    Seminars
Wellness
&
preven+on
programmes
via
mobile
phones
and
PC
/
internet

Reduce
alcohol,
quit
smoking,
eat
healthier,
increased
physical
ac+vity

Proprietary
technology,
PsyBase,
combining
psychology
and
technology

Tested
in
clinical
trials
–
studies
published
in
highly
ranked
scien+fic
journals




To help as many as possible to the best life possible
Stop
smoking
for
good!
The
worlds
most
effec+ve
web‐based

                   quit
smoking
program.
Tested
in
clinical
trials.
                   45
days
program,
up
to
1
year
follow
up.

                   Internet,
PC,
mobile
phones,
smartphones.



                   Reduce
your
drinking
with
ac+ve
psychology!
                   Set
your
own
drinking
level.

                   58
days
Individualized
program.
1
year
follow
up.
                   Internet,
PC,
mobile
phones,
smartphones.




To help as many as possible to the best life possible
Health Information Systems Program (HISP)
•   District Health Information System (DHIS)
     – Governance of health care programs (Vaccination, mother-child, HIV/AIDS)
     – Patient treatment
•   Started in South Africa ’94, initiated and coordinated by University of Oslo
•   Open source software; combining research, education (PhD and Master level), and
    software development (including organizational implementation and use)
•   Used in
     – 15 African countries and 3 Asian (India, Vietnam and Bangladesh).
     – Several International Masters programs and 35 PhD students (15 completed).
•   India: in use in more than 20 states. Now selected as national standard.
•   WHO is adopting DHIS as key component of their Public Health Information Toolkit
DHIS Mobile: Mobile phones for effective data
    exchange and communication in public health
•   Mobile‐based
Sub‐center
Data
Repor5ng
    with
Seamless
integra5on
with
DHIS
     – Weekly
and
monthly
reports
sent
from
       facili+es

at
the
lowest
level
where
no
       computers
nor
Internet
exist
     – May 2009 : Pilots
started
at
300
sub‐
       centers
in
5
states
in
India
     – 7
states
have
decided
to
scale
to
the
whole
       state
     – Pilots
in
2
states
in
Nigeria

•   Patient Record System for community health workers
    – Mobile phone based access
    – Individuals are registered and tracked throughout the duration of the
      health program they are enrolled in
    – Implementation started in 2 states in India
World Medical Card - Three products
              in one


          onWeb                       onMobile                        onCard
    Your online web portal      A tool that helps you         onCard is a sealed card that
    where you store and         communicate your health       contains your most vital
    manage all your personal    information regardless of     health information.
    information.                language barriers.
                                                              Ensure that doctors and
    Allows you to stay in                                     health personnel receive
                                onMobile is at your service
    charge of your health and                                 accurate and reliable
                                whenever you are away from
    personal information in                                   information about your health
                                home, and need assistance
    your daily life.                                          – for safer medical treatment.
                                with communicating your
                                information.
A huge problem

- for productivity
The Solution: DIPS Paperless EPR

 Electronic referrals and booking
 Electronic internal communication
 Electronic ordering of tests and examinations
 Information is documented only once
 Electronic ordination of medicine
 Results from tests and examinations are available electronic
 Dictation is done digitally and is available immediately
 Communication with primary care and other hospitals are
  electronic
 Quick and easy single sign on in all systems.
Norway: World Leader in EPR
• 2001: The first paperless EPR Hospital in Norway:
  Arendal
• This was a big success
• Large parts om the Norwegian Health care have today
  abandoned the system of paper-based medical record
The situation in Norway: EPR
Looking forward to further co-operation
Thank you!

   Contact:
fs@ikt-norge.no

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Ehealth, Norway medvedev.final

  • 1. eHealth - the only option State visit by President Medvedev Fredrik Syversen Director Industry Development
  • 2. IKT-Norge • Largest business association for the ICT industry. • Membership of 400 companies with total turnover of 15 bill. Euro 50% of the Norwegian market. • Represents all parts of the ICT value chain, telcos, content providers, software and services. • International network o member of EICTA, WITSA, and ICC • Sets the ICT industry on the agenda – in politics, in media, in the business and financial community and in the the general public. • Promotes R&D, innovation and export- and internationalization within the ICT industry • Organize Norwegian eHealth Association
  • 3.
  • 4.
  • 5.
  • 6. Solutions • Preventive care • Co-ordination • More for less • Consolidation ICT • Transparency • Quality in care • EPJ
  • 7.
  • 8. Digitaldictation Pasient terminal Audio/Video Patient signal TV distribution IP Telephony Fixed/wireless Pheripherals Profesor Student Doctor Alarm/911 Message server Pasient Admin worker Active Directory Syke- Log on/ pleier Bio-Ing. auhentication Assistant nurse MDA Operating systems/ Tools Norsk Helsenett Intelligent wiring Applik. Applik. Network Data Data Fixed/wireless DMF/NTNU St. Olav
  • 9. Video communication in healthcare – strategic tool in clinical and administrative applications New Way of Working
  • 10. Norsk Helsenett Offshore installasjon med video på sykestue På plattformen kan man diagnose pasient ha ekspertise hvor som helst i Norsk Helsenett. Diagnose live fra PC
  • 11. Russian Telemedicine Association  Russian Telemedicine Association helps physicians in distant cities and remote areas consult with specialists in Moscow  Ambulance crews can report directly to hospitals and public authorities from the scene of emergencies  In total more than 2000 video consultations are completed every year!
  • 12. Telemedicine applications Video communication in healthcare can be used for many different purposes as a clinical, educational and administrative tool. Among others:  Care planning/ discharge conferences  Diagnostics  Therapy  Staff and/or board meetings  Follow up  Interpreter services  Monitoring  Education  Research  Seminars
  • 14. Stop
smoking
for
good!
The
worlds
most
effec+ve
web‐based
 quit
smoking
program.
Tested
in
clinical
trials. 45
days
program,
up
to
1
year
follow
up.
 Internet,
PC,
mobile
phones,
smartphones. Reduce
your
drinking
with
ac+ve
psychology! Set
your
own
drinking
level.
 58
days
Individualized
program.
1
year
follow
up. Internet,
PC,
mobile
phones,
smartphones. To help as many as possible to the best life possible
  • 15. Health Information Systems Program (HISP) • District Health Information System (DHIS) – Governance of health care programs (Vaccination, mother-child, HIV/AIDS) – Patient treatment • Started in South Africa ’94, initiated and coordinated by University of Oslo • Open source software; combining research, education (PhD and Master level), and software development (including organizational implementation and use) • Used in – 15 African countries and 3 Asian (India, Vietnam and Bangladesh). – Several International Masters programs and 35 PhD students (15 completed). • India: in use in more than 20 states. Now selected as national standard. • WHO is adopting DHIS as key component of their Public Health Information Toolkit
  • 16. DHIS Mobile: Mobile phones for effective data exchange and communication in public health • Mobile‐based
Sub‐center
Data
Repor5ng with
Seamless
integra5on
with
DHIS – Weekly
and
monthly
reports
sent
from facili+es

at
the
lowest
level
where
no computers
nor
Internet
exist – May 2009 : Pilots
started
at
300
sub‐ centers
in
5
states
in
India – 7
states
have
decided
to
scale
to
the
whole state – Pilots
in
2
states
in
Nigeria • Patient Record System for community health workers – Mobile phone based access – Individuals are registered and tracked throughout the duration of the health program they are enrolled in – Implementation started in 2 states in India
  • 17. World Medical Card - Three products in one onWeb onMobile onCard Your online web portal A tool that helps you onCard is a sealed card that where you store and communicate your health contains your most vital manage all your personal information regardless of health information. information. language barriers. Ensure that doctors and Allows you to stay in health personnel receive onMobile is at your service charge of your health and accurate and reliable whenever you are away from personal information in information about your health home, and need assistance your daily life. – for safer medical treatment. with communicating your information.
  • 18. A huge problem - for productivity
  • 19. The Solution: DIPS Paperless EPR  Electronic referrals and booking  Electronic internal communication  Electronic ordering of tests and examinations  Information is documented only once  Electronic ordination of medicine  Results from tests and examinations are available electronic  Dictation is done digitally and is available immediately  Communication with primary care and other hospitals are electronic  Quick and easy single sign on in all systems.
  • 20. Norway: World Leader in EPR • 2001: The first paperless EPR Hospital in Norway: Arendal • This was a big success • Large parts om the Norwegian Health care have today abandoned the system of paper-based medical record
  • 21. The situation in Norway: EPR
  • 22. Looking forward to further co-operation
  • 23. Thank you! Contact: fs@ikt-norge.no