The document discusses how the Copenhagen Wound Healing Centre (CWHC) in Denmark implemented telemedicine to improve patient care for wound healing. Previously, general practitioners and other medical facilities had to refer patients to the CWHC, often resulting in long wait times. Now, district nurses can directly refer patients and use telemedicine to evaluate wounds via photo documentation and receive supervision from CWHC specialists. If further treatment is needed, patients are seen either at the outpatient clinic or by an out-function nurse who provides in-home care in collaboration with district nurses. This dynamic model of shared care between primary and secondary sectors using telemedicine has helped ensure continuity of care for weak and elderly patients in a more direct way while

1. SHARED CARE
Improving patient pathways
across sectors.
Copenhagen Wound Healing Centre (CWHC) Denmark
Anne-Mette H. Rølling (RN)
Ina Kastrup (RN)
Susan Bermark (RN.DH)

2. Wound healing specialist.
 Prior to 2012, patients in the
Copenhagen area were
referred to treatment at the
CWHC by GP or other
Medical facility.
 This often prolonged
treatment by weeks or
months because of waiting
lists.

3.  After the implementation of Telemedicine in
the Copenhagen area, the district nurses are
able to refer the patients directly to the
CWHC.

4. Telemedicine
 The CWHC uses
Telemedicine to:
 Evaluate wound
healing via photo
documentation.
 Supervise the district
nurses.

5. Consultation Options
 If the patients need treatment
beyond what is possible
through Telemedicine.
 They will get an
appointment with either:
 1) The Out-Patient clinic.
 2) The Out-Function Nurse

6. Out-Function Nurse
 A Nurse specialist acting on
behalf of the CWHC in
collaboration with the district
nurses of Frederiksberg and
Copenhagen municipalities.
 Providing the benefits of the
multidisciplinary team in the
patients own home.

7. The dynamic
patient pathway
Patient
Out-
patient
Clinic
Out-
Function
Nurse
Primary
sector
Tele
Medicine

8. Shared Care through collaboration
between primary and secondary sector.
 Telemedicine, alone or in
combination with the Out-
function, is a valuable
addition to the public
health care system.
Especially in wound care
to the weak and elderly.
 Ensuring continuity and
save both patient and
hospital resources.

9. Conclusion
Telemedicine has contributed to:
 A dynamic treatment process.
 Shared care and responsibility.
 The patients have a sense of
being closer to the specialists.
 In the comfort of their own
home.
 Ongoing dialog about the
treatment and wound care.
 Securing a more direct and
fluent patient pathway across
sectors.

10. Thank you for your attention.
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 For further information please visit our Danish website:
www.cwhc.dk or email Wounddk@regionh.dk