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The Secret of Telehealth: How to deploy large scale?
Marc Lange, EHTEL Secretary General
Brussels 2015
Momentum: the Project
A CIP ICT-PSP thematic network
Running from February 2012 until December 2014
The consortium: 20 organisations
Telemedicine associations and competence
centres from
Denmark, United Kingdom, Estonia, Norway, Spain,
France, Sweden, Germany, Greece, Netherlands, Poland,
Switzerland
European stakeholder associations representing
Health professionals and health care organisations, health
insurers, technology vendors
2015Brussels
Brussels 2015
Scaling-up?From pilot to routine care …
Tools and methods are needed to deploy telehealth
Impact assessment framework
The results and lessons learned from Renewing Health
The deployment study of United4Health
Business Model Canvas
Cost and benefit analysis toolkit
Guidelines/Gap Analysis for large-scale deployment
2015 Brussels
The challenge: NT+OS=NOS
New Technology + Old System =
New Old System
Brussels 2015
2015
A European Telemedicine Deployment Blueprint
Brussels
By Doers,
for Doers
Strategy
& Management
Legal,,
Regulatory&
Security
Organisation Implementation
&
Change Management
Technical
&
Market relations
Four domains for deployment guidelines
2015Brussels
Telemedicine
service
Run
Plan
People
Context
IT & eHealth
infrastructure
16Legal & sec.
guidelines
13
Legal & sec.
conditions
11
Legal & sec.
experts
14
Market
procurement
18
Service
monitoring
17
Change
management
10
Cultural
readiness
1
Leadership
3
Compelling
need
2
User
friendliness
6
Potential
to scale-up
12
Primary
client
8
Business
plan
9
Privacy
awareness
15Patient
centeredness
5
Stakeholder
involvement
4
Resource
aggregation
7
Strategy and management
Organisation and management
Legal and security
Technology and market
Enabling service deployment:
18 Critical success factors
2015Brussels
Brussels 2015
With TREAT (Telemedicine REadiness Assessment Tool)
A Doer working on a deployment plan
for a particular telehealth service
Will use these 18 Critical Success Factors to assess
his plan – collectively – against a set of indicators
CSF 1. Assure that there is cultural readiness for the telemedicine service
In my organisation/region, • doctors and other healthcare professionals are ready to share clinical
information with each other and with the patient• financial and other incentives are aligned with the service to be deployed• an underpinning culture embraces technology• an underpinning culture welcomes and even promotes change
MOMENTUM – TREAT workshop
Brussels 2015
Based on the results from the online tool
Key players in the telemedicine project are
brought together to examine their local strategy
and their execution targets
Expected outcome:
A common understanding between stakeholders on
the challenges that they are facing
Input for issues that need to be changed or adapted in
existing strategies
A first draft of an action plan for the large-scale
implementation of telemedicine
Scaling-up?From pilot to routine care
Brussels 2015
Testimonials (to date)
Brussels 2015
October 2014
April 2015
Any questions?
More at www.telemedicine-momentum.eu
Brussels 2015
Marc Lange
Secretary general
EHTEL Association49/51, rue de Trèves
B-1040 Brussels Belgium
Tel: +32 (0)2 230 15 34
Fax: +32 (0)2 230 84 40
Mobile: +32 (0)475 27 71 45
www.ehtel.eu
Reserve
Brussels 2015
Critical Success Factors for Deployment Strategy
Brussels 2015
1. Ensure that there is cultural readiness for
telemedicine services.
2. Ensure leadership through a champion.
3. Come to a consensus on the advantage of
telemedicine in meeting compelling need(s)
4. Put together the resources needed for
deployment.
Strategy
& Management
Legal,
Regulatory&
Security
Organisation &
Change Mgmt.
Technical
&
Market relations
Critical Success Factors for Organisational Change
Brussels 2015
5. Address the needs of the primary client(s).
6. Involve health care professionals and decision-
makers.
7. Prepare and implement a business plan.
8. Prepare and implement a change management plan.
9. Put the patient at the centre
of the service.
Strategy
& Management
Legal,
Regulatory&
Security
Organisation &
Change Mgmt.
Technical
&
Market relations
Strategy
& Management
Legal,
Regulatory&
Security
Organisation &
Change Mgmt.
Technical
&
Market relations
Critical Success Factors for Legal, Regulatory and Security Compliance
Brussels 2015
10. Assess the conditions under which the service
is legal.
11. Identify and apply relevant legal and security
guidelines.
12. Involve legal and security experts.
13.Ensure that telemedicine doers and
users are “privacy aware”.
Strategy
& Management
Legal,
Regulatory&
Security
Organisation &
Change Mgmt.
Technical
&
Market relations
Critical Success Factors for Technology Decisions and Procurement
2015
14. Ensure that the IT and eHealth infrastructures
needed are available.
15. Ensure that the technology is user-friendly.
16. Put in place the technology and processes
required to monitor the service.
17. Maintain good procurement processes.
18. Guarantee that the technology has
the potential for scale-up
(i.e., “think big”).Brussels
