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TeleCare Nordhomemonitoring of COPD patients 
From pilots to big scale implementation 
Tina Archard Heide 
Project manager TeleCare Nord 
Tah@rn.dk
Global healthcarechallenge 
860 mn. lives with at least one chronic disease 
In 2020 it is expected: 
-the number of people with diabetes has doubled 
-deaths due to heart disease will be 20 mn./year 
-chronic diseases will be the course of 75% of deaths 
2
1,7 mn. Danes lives with one, or more, chronic diseases 
Chronic diseases exceeds80% of the national public healthcare budget. 
Estimated 0,5 mn. Danes lives with reduced lung capacity 
App. 22.700 hospitalizations a year due to COPD 
App. 50.600 COPD Outpatient visits a year due to COPD 
Danish context
Pilot trails and research projects indicates potential in telemedicine 
Results from Aalborg University : Using telemedicine over a period of 4 month, for patients with COPD 
Reduction in 
-the number of hospitalizations 
-the average number of days hospitalized 
-the number of outpatient visits 
Increased 
-patient security at home 
-patient quality of life 
-patient empowerment
0.6 M 
1.2 M 
1.2 M 
0.8 M 
1.6 M 
CentralDenmark 
Region 
NorthDenmark 
Region 
Regionof 
SouthernDenmark 
Region 
Zealand 
CapitalRegion 
of Denmark 
Hjørring 
Jammerbugt 
Brønderslev 
Thisted 
Morsø 
Vest-himmerland 
Rebild 
Mariagerfjord 
Aalborg 
Frederiks-havn 
Læsø 
TeleCare Nord participants 
 1256 Patients 
 The Danish Lung Association 
 The municipalities in North 
Jutland 
 The GPs in North Jutland 
 The North Denmark Region 
 The 4 hospitals in North Jutland 
 Aalborg University
TeleCare Nord full-scale goals 
Collaboration across sectors involved in the healthcare system, including the patient. Finding and implementing solutions that meet technical, organizational, legal and economic challenges of deploying full-scale operation. 
Realizing the potential of telemedicine, demonstrated in pilot and research projects 
Up scaleto normal operation with1400 COPD patients from the 11 municipalities in North Jutland 
Based on COPD secure a generic technical solution for other chronic disease groups 
Ensure close coordination and use of national strategies, infrastructure and standards 
Support patient empowerment, increasing patient confidence and satisfaction, and strengthen competences for self-care in the patients´own homes.
4 Ph.ds at Aalborg University 
-Health literacy 
-Intersectoralcooperation 
-Patient empowerment and quality of treatment 
-Health economy and the economic impact of telemedicine. 
Randomized controlled trial with one group offered telemedicine and a control group for comparison purposes. 
Scientific evidence for the effects and benefits of telemedicine 
Already strong indicators of patient empowerment 
Ambitious research
Roles and responsibility
National 
DB 
Home 
mon. Data 
Technical solution concept
Patient feedback 
Examples of patient empowerment 
Examples of patients preventing hospitalization 
Gives network with others in the same situation 
The relatives is an active part 
Takes advantage of the mobility of the solution 
Finds it easy to use
Feedback from healthcare professionals 
Early intervention and prevention of hospitalization 
Healthcare side effects 
Closer collaboration with GPs 
New tasks and need for new competences
In North Jutland 
TeleCare North as a project runs until June 2015 
Home monitoring continues 
Decision on new patient group for telemedicine 
National 
Preparation of national implementation of home monitoring to COPD patients –with TeleCare North as a role model. 
Identification of new patient groups and areas for large scale 
Aroundthe corner

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Tina Heide's presentation from the Healthcare DENMARK Ambassador Summit

  • 1. TeleCare Nordhomemonitoring of COPD patients From pilots to big scale implementation Tina Archard Heide Project manager TeleCare Nord Tah@rn.dk
  • 2. Global healthcarechallenge 860 mn. lives with at least one chronic disease In 2020 it is expected: -the number of people with diabetes has doubled -deaths due to heart disease will be 20 mn./year -chronic diseases will be the course of 75% of deaths 2
  • 3. 1,7 mn. Danes lives with one, or more, chronic diseases Chronic diseases exceeds80% of the national public healthcare budget. Estimated 0,5 mn. Danes lives with reduced lung capacity App. 22.700 hospitalizations a year due to COPD App. 50.600 COPD Outpatient visits a year due to COPD Danish context
  • 4. Pilot trails and research projects indicates potential in telemedicine Results from Aalborg University : Using telemedicine over a period of 4 month, for patients with COPD Reduction in -the number of hospitalizations -the average number of days hospitalized -the number of outpatient visits Increased -patient security at home -patient quality of life -patient empowerment
  • 5. 0.6 M 1.2 M 1.2 M 0.8 M 1.6 M CentralDenmark Region NorthDenmark Region Regionof SouthernDenmark Region Zealand CapitalRegion of Denmark Hjørring Jammerbugt Brønderslev Thisted Morsø Vest-himmerland Rebild Mariagerfjord Aalborg Frederiks-havn Læsø TeleCare Nord participants  1256 Patients  The Danish Lung Association  The municipalities in North Jutland  The GPs in North Jutland  The North Denmark Region  The 4 hospitals in North Jutland  Aalborg University
  • 6. TeleCare Nord full-scale goals Collaboration across sectors involved in the healthcare system, including the patient. Finding and implementing solutions that meet technical, organizational, legal and economic challenges of deploying full-scale operation. Realizing the potential of telemedicine, demonstrated in pilot and research projects Up scaleto normal operation with1400 COPD patients from the 11 municipalities in North Jutland Based on COPD secure a generic technical solution for other chronic disease groups Ensure close coordination and use of national strategies, infrastructure and standards Support patient empowerment, increasing patient confidence and satisfaction, and strengthen competences for self-care in the patients´own homes.
  • 7. 4 Ph.ds at Aalborg University -Health literacy -Intersectoralcooperation -Patient empowerment and quality of treatment -Health economy and the economic impact of telemedicine. Randomized controlled trial with one group offered telemedicine and a control group for comparison purposes. Scientific evidence for the effects and benefits of telemedicine Already strong indicators of patient empowerment Ambitious research
  • 9. National DB Home mon. Data Technical solution concept
  • 10. Patient feedback Examples of patient empowerment Examples of patients preventing hospitalization Gives network with others in the same situation The relatives is an active part Takes advantage of the mobility of the solution Finds it easy to use
  • 11. Feedback from healthcare professionals Early intervention and prevention of hospitalization Healthcare side effects Closer collaboration with GPs New tasks and need for new competences
  • 12. In North Jutland TeleCare North as a project runs until June 2015 Home monitoring continues Decision on new patient group for telemedicine National Preparation of national implementation of home monitoring to COPD patients –with TeleCare North as a role model. Identification of new patient groups and areas for large scale Aroundthe corner