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Example of the way new technology is used in the field of health (E-Health)
Elena Vio - Arsenàl.IT Veneto’s Research Centre for eHealth Innovation
Moving to ehealth
Healthcare
Telemedicine
Store&Forward
Telehomecare
Telesurgery
eHealth
E-health Plan in Europe 2012-2020
CHALLANGES:
to improve chronic disease and multimorbidity
to increase sustainability and efficiency of health systems by unlocking
innovation,enhancing patient/citizen-centric care and citizen empowerment and
encouraging organisational changes;
to foster cross-border healthcare, health security, solidarity, universality and
equity;
to improve legal and market conditions for developing eHealth products and
services
Do you need only technical innovation?
We need a HTA approach
Technology
Clinical
efficacy
efficency
Economy
User
Perception
Organization
Etical
Legal
E-Health
ICT applied to Health
TelemedicineTelemedicineTelemedicineTelemedicine
TelehealthTelehealthTelehealthTelehealth
e-Healthe-Healthe-Healthe-Health
m-Healthm-Healthm-Healthm-Health
ConsultazioneConsultazioneConsultazioneConsultazione
DiagnosiDiagnosiDiagnosiDiagnosi
monitoringmonitoringmonitoringmonitoring
Remote assistanceRemote assistanceRemote assistanceRemote assistance Health educationHealth educationHealth educationHealth education
Health&epidemiologyHealth&epidemiologyHealth&epidemiologyHealth&epidemiology
Environment and industrial healthEnvironment and industrial healthEnvironment and industrial healthEnvironment and industrial health
Health policyHealth policyHealth policyHealth policy
EHREHREHREHR
Health dataHealth dataHealth dataHealth data
Decision supportDecision supportDecision supportDecision support
Order entryOrder entryOrder entryOrder entry Clinical supportClinical supportClinical supportClinical support
Clinicians supportClinicians supportClinicians supportClinicians support
Remote data collectionRemote data collectionRemote data collectionRemote data collection
ICT applied ICT applied
to healthto health
ICT applied ICT applied
to healthto health
TelemedicineTelemedicineTelemedicineTelemedicine
consultationconsultationconsultationconsultation
diagnosisdiagnosisdiagnosisdiagnosis
networknetworknetworknetwork
Health in Veneto Region:
7
21 Local Health Authorities
• Healthcare assistance (Hospitals)
• Territorial assistance and social issues
(GPs, outpatients’ clinics, elderly care,
in-home assistance, mental health,
disability, drug addiction, ecc…)
• Prevention department
2 Hospital Trusts
• University education and research
• High-specialty services
• 4,9 M inhabitants (2013 data)• 18.391 km2 of land surface
The Consortium Arsenàl.IT:Veneto’s Research Center for eHealth Innovation
Founded in 2005 as “Telemedicine Consortium”, currently groups all the 23 Local Health Authorities afferent to the Veneto Region.
Has succeeded in highlighting the critical issues of interoperability, standardization and organizational impact as key factors for driving Telemedicine applications to the mainstream of the care delivery process.
eHealth service in Veneto Region:
HEALTH OPTIMUM European Project – European Telemedicine Project aimed to diffuse
and pilot-test some telemedicine services for neurosurgical telecounselling (2007-2009)
VENETO ESCAPE - giving to patient and to healthcare professional the possibility to
obtain digitally signed electronic medical reports (2009-2012)
Doge: the GPs Network - Regional project aimed to set up a network of services for
information and document exchange between GPs, Hospitals and LHAs (2009-2010)
SUSTATINS: European Project - study and implement services that permit direct access
online by citizens to their personal healthcare data and other service so as to improve
their empowerment and administrative management (2012-2015).
RENEWING HEALTH - validation in real life settings and with a common assessment
methodology of the use of Personal Health Systems for innovative Telemedicine
services (2009-2012)
NEUROSURGICAL TELECOUNSELLING
ICT allows to sharing information and CT images between peripheral hospital and central hospital with Neurosurgeon - in all hospitals of Veneto region and in 4 european regions
Central hospital
Peripheral Hospital
Form for request+images
Form for response
Emergency roomNeurosurgery
Neuroradiology
X
NEUROSURGICAL TELECOUNSELLING
ICT allows to sharing information and CT images between peripheral hospital and central hospital with Neurosurgeon - in all hospitals of Veneto region and in 4 european regions
Results:•Equity of treatment•Saved time and unnecessary transfers of patient and physicians (75%)•Legal value of remote consultation•3200 telecounselling/year – over 1000 clinical users
Digitalization and Management of clinical reports
ICT allows to eliminate paper for clinical report, guaranteed legal validity (signature, certification, storage, distribution, extraction, conservation, delivery via on line) – in all Veneto region
Results:•Less trips: 120 M€/years saved for citizens•Reuse of human resource (33)•Opportunity to process or share data in order to better treat the patient•60% of downloaded clinical reports
MANAGEMENT OF E-PRESCRIPTION
ICT allows to manage electronic prescriptions and referrals: from the production of document to the dispensation of it – in all Veneto region
Results:•Better use of common resources•Better identification of citizen•To avoid errors•Use of decision support system for prescription
ON LINE SERVICES FOR CITIZENS
Access to their health data online, online payment, online booking, access to waiting lists, digital consensus management, communication between citizens and specialists.Focus group
Results:•Authonomy of citizens•Self-management•Empowerment of citizens
TELEMONITORING OF CHRONIC PATIENTS
ICT allows to physician to manage the chronic patient (COPD, Diabetes, CVD) in remote way
Patient’s home Regional eHealth Centre
5
32
4
GENERAL
PRACTITIONER
SERVER
DATA TRANSMISSION DATA ACCESS THROUGH HOME CARE PORTAL
CONTACT WITH PATIENTALARM MANAGEMENT
PATIENT
1
GATEWAY
ALARM
DEVICE
HOSPITAL OR
LOCAL HEALTH
DISTRICT
INTERVENTION
SERVICE
SOCIAL WORKER
FAMILY
6
7TELEMONITORING
DEVICES
REGIONAL CENTRE’S
OPERATOR
GREECE
FINLAND
SPAIN
NORWAY
DENMARK
ITALY
AUSTRIA
GERMANY
SWEDENTELEMONITORING OF CHRONIC PATIENTS
• 3,332 enrolled patients in Veneto Region
• Over 7,000 enrolled patients at european level
• 10 involved LHA in Veneto Region
• Clinical Staff involved:• Cardiologists• Electrophysiologists• Pulmonologists• Diabetologists• Nurses• GPs
Evaluation•Clinical aspects•Organizational aspects•Economical aspects•User and patients perceptions•Social aspects
Tools to support the healthcare processes
Bottom-up model: to involve 1000 operators for the realization
Thank you for your attention
@Consorz_Arsenal
MRCLIC Veneto ESCAPE
www.youtube.com/user/consorzioarsenal
www.youtube.com/user/RENEWINGHEALTH
www.linkedin.com/company/arsen-l.it
consorzioarsenal_it
