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2nd MOMENTUM Workshop Overview and summary of responses WP3: Knowledge gathering and consolidation Claus Duedal Pedersen and Diane Whitehouse Berlin
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Overview and summary of responses
Knowledge gathering and pre-consolidation stage Country reports Cross-SIG observations
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Overview and summary of responses
Knowledge gathering and pre-consolidation Berlin
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Knowledge gathering & pre-consolidation - 1 Blueprint for European telemedicine deployment A consolidated set of methods supporting deployment of telemedicine services in daily practice. Gather good practices/existing methods Organize material for further investigation Eventually, consolidate practices Berlin
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Knowledge gathering & pre-consolidation - 2 Nine months of investigation since workshop 1 Questionnaire – circulated Nov 2012 Discussion and analysis – Jan-Mar 2013 Identified challenges in PSC – February 2013 EXCO (cross-SIG) conference calls; individual SIG calls and co-working Four special interest groups (SIGs) Each SIG – a writing and an editorial team Berlin
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Knowledge gathering & pre-consolidation - 3
First workshop – ALEC – June 2012 Second workshop – ConHIT – April 2013 (8-9 April 2013) Third workshop – early 2014? Berlin
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Purpose of today’s workshop
Validate the findings Comment on and discuss each SIG’s findings Spot what seems appropriate or strange or missing Afterwards, take this workshop’s comments on board Berlin
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Overview and summary of responses
Country reports
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Country reports - 1 Eleven (11) countries
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Country reports - 2 Eleven (11) countries Nine are within the EU-28; two are near neighbours – Israel and Norway. Involving more countries e.g., France, Germany and Italy. Plenty of background info from some and pending info from others: (1) Denmark, Estonia, Greece, Netherlands, Spain (Catalunya), Sweden (2) Austria, Slovenia, and the UK (Scotland) Berlin
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Country reports - 3
Content of the country reports Health and care system organisation. Health and care system financing. Telemedicine or other IT-related strategies (e.g., related to health IT or to Digitisation in general). Berlin
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Country report - Denmark
The national health authority has a strategy for telemedicine – since 2012. The national authority has a strategy in other health-related or IT domains (called Health IT) that include telemedicine – since 2008. Berlin
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Country reports - Estonia
A strategy for telemedicine – since 2005. Has strategies for Health IT and IT/Digitisation – since 2005. The regional authority involved – chronic care management strategy – since 2008. 8 April 2013
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Country reports - Norway A strategy for telemedicine – since 2008. A Cooperation Reform ST. meld. nr. 47 (2008-2009). A Personal Health Data Filing System Act (Act 2001-05-18-24). Article 13 of the Act is viewed as “a barrier” to implementing electronic cooperation platforms for integrated care. Berlin
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Overview and summary of responses
General findings
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Cross-SIG observations - 1 Twenty-six (26) descriptions of telemedicine services. Twenty-one (21) operational telemedicine services. Five discontinued (or non-operational or insufficient information) services (in Austria, Estonia, Greece, Slovenia, and Spain) Berlin
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Cross-SIG observations - 2
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Cross-SIG observations - 3
Thanks to work undertaken by Marc Lange and Peeter Ross
Purpose of the service. Initiator of the service. Financing of the “project” or piloting phase. Financing of the service in routine care. Degree of interaction with another service. Disruption of current workflow. A real spread in numbers of clients/patients using the service on a monthly basis. Service “parties” or partners e.g., healthcare providers Berlin
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Purpose of the service
Most of the 21 operational applications are related to the delivery of healthcare (15/21). Smaller numbers are about rehabilitation (3), provision of second opinion (3), and education (2) as well as administration (2). To date, none were about self-care (0). Berlin
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Financing Attribute
Mix
Other
Tax based
Other
Financing of the service in routine care Insurance based (Social insurance)
Public
Among the applications we can observed so far most are in countries that are public sectorfinanced (12/21) and with a financing mechanism that is taxbased (12/21) or insurance-based (4/21).
Service
Private
Financing of the project phase
1Estonia - doc@HOME
2Israel - Chronic disease management
3United Kingdom - The telescot programme
4United Kingdom - Teledyalisis
Norway - Electronic platform for integrated home care of long lasting and chronic 5ulcers, www.pleie.net 6Norway- Teledialysis
Norway - decentralized psychiatrist on call service collaboration using 7videoconferencing
8Norway - COPD patients briefcase Denmark - Teleinterpreting: Improving interpreting services in health care throu the 9use of video conference equipment. 10Denmark - COPD briefcase
11Denmark - Health Optimum - Tele-consultations - Diabetes
12Greece - Telehealth Service of the Municipality of Trikala
13Greece - Telecardiology Service of CardioExpress SA
Spain - ECOPIH -Eina de comunicació entre Primaria i Hospital- (Communication 14tool among Primary and Acute care)
15Spain - Xarxa TeleIctus
Spain - ITHACA -Innovant en el Tractament de la Hipertensió Augmentant el 16Compliment i l’Adherència
17Spain - ENDOBLOC (virtual community for clinical practice in endocrinology)
18Spain - Guttmann NeuroPersonalTrainer
19Netherlands - Remote intraoperative neuromonitoring
20Sweden - Electronic healthcare
21Sweden - RxEye Remote Reading Discontinued / Do not know services 22Slovenia - home care for chronic pulmonary patients Estonia - Home monitoring of diabetic patients (insulin dependent diabetes 23mellitus) 24Austria - no name Greece - SISMANOGLIO GENERAL HOSPITAL GROUP TELEMEDICINE 25CENTRE (COORDINATOR OF NATIONAL TELEMEDICINE NETWORK) 26SPAIN - Telepresons
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Initiator leading to routine care Other
Private initiative
GP initiative
Hospital initiative
National or regional programme
Initiator of the project leading to a service in routine care
More than half of the 21 operational applications were initiated by a regional or national programme (13/21). Smaller numbers were initiated either by a hospital (4/21) or by a private initiative (3/21). Berlin
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Degree of interaction with another organisation
There is a real mix of different types of interaction here. The largest numbers operate across institutional borders or between secondary care and patient. Very few are limited to a single healthcare organisation. Very few operate across regional or national borders. Berlin
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Disruption to current workflow Other
Supporting service
including excluded patients in current workflow
Completely new service. Disruption of current workflows Increasing efficiency/effectiveness of current workflows
Interference to current workflow
Common developments include: - Increasing the effectiveness of the current workflow (10/21). - Introducing a completely new service (7/21). - At least two applications included “excluded’ patients – teledialysis and psychiatric care (2/21). Respondents could tick more than one8 April box.2013 Berlin
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Overall
Looking forward to interacting more with the national champions. Looking forward to having more cross-SIG related collaboration. Looking forward to exploring how we need to enrich or expand the numbers of telemedicine applications and in what countries. Berlin
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For your consideration Twenty-six cases – a limited number. Limited sample has impacts on the actual data received and the interpretation of the questions. Missing, unfinished, or unclear responses. We will continuously incorporate the knowledge and information obtained in MOMENTUM. Process will continue. This is now “work in process”. Berlin
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Summary and overview
Your feedback?
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Summary and overview
Thank you! It has been great to get so much enthusiastic input so far, and long may it continue ;-) Berlin
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