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Transcript of Agneta granström
eHealth in Norrbotten County
Luleå, 2011-0429
Agneta GranströmCounty Council Commissioner, (Norrbotten, Sweden)
Chairperson of the AER e-he@lth network
Content
County of Norrbotten
Regional partnership for e-health
International networks
Internal e-health projects
Cross boarder projects
Collaborative projects
Content
County of Norrbotten
Regional partnership for e-health
International networks
Internal e-health projects
Cross boarder projects
Collaborative projects
Great distances
Rural areas Environment/climate
Resources
Individual needs Age structureInfrastructure
The county of Norrbotten – an exciting part of Europe
Area: 98 911 km² (25 % of Sweden’s total area)Room for Belgium, the Netherlands and Luxemburg together within our boundaries
Population: 251 886 (2,8 % of Sweden’s population)
Municipalities: 14
LuleåThe County of Norrbotten- An exiting part of Europe
Facts about Norrbotten
• Growing elderly population among a decreasing overall population
• Extremely sparsely populated‐ 250,600 inhabitants in an area representing ¼
of Sweden (population 9 million)
‐ Most sparsely populated area of the European Union
‐ Extensive ICT structure
• High level of ICT awareness in society
• >93% of the population has broadband access
• Healthcare‐ 5 hospitals
‐ 33 health centres
‐ 34 dental clinics
‐ 8,000 county council employees
Our vision, our motto…
A care-smart regionVISIONDistance-independent everyday healthcare
anybody
anywhere
anytime
One StreamThe largest open broadband network in Europe
Lumiora in NorrbottenYears 2000 -2010• 9,000 km of fibre optic network• ~73 million euro has been invested in the IT
infrastructure• ~ 7 million euro from EU structural funds • > 93 % of the people has a broadband
connection
A care-smart region
Content
County of Norrbotten
Regional partnership for e-health
International networks
Internal e-health projects
Cross boarder projects
Collaborative projects
Growth Areas
• Test operations, space, automotive etc
• Creative industries, tourism, media, design, culture etc
• Basic industries and processing
• Technology, eHealth, innovations, ICT etc
• Energy and environmental technologies
Triple Helixpublic sector, enterprise
and (in our case) Luleå University of
Technology
VisionariesGrowth Areas
Triple Helixpublic sector, enterprise
and (in our case) Luleå University of
Technology
20002001200220032004200520062007200820092010201120122013
Analysis
Policy Intelligence
Dialogue
Drafts
Parties’positions
Programmes,strategies
Dialogue
Financingpriorities
EvaluationDialogue
Development cycle- an ongoing process
Formal Structures
Informal Structures
Political Structure Partnerships
Structural Funds
Networks Preparatory
Working groups etc
An acceptance between the parties - a joint agreement
Partnerships
Visionary humans Development cycle Partnerships Growth areas ICT Infrastructure Policies and strategies Development funds Triple Helix
eHealth as a part of the growth policy and therefore a part of the sustainable development
The challenge for the public sector is to create conditions that stimulates growth
www.cdh.ltu.se Page: 142008-08-21
eHealth Innovation Centre, EIC
Main eHealth research milieu at LTU
Main eHealth research milieu at LTU
Department of Health Science: Nursing Physiotherapy Health Science
Department of Computer Science and Electrical Engineering: Embedded Systems Media Technology Biomedical Engineering
Department of Health Science: Nursing Physiotherapy Health Science
Department of Computer Science and Electrical Engineering: Embedded Systems Media Technology Biomedical Engineering
Current owners and partnersCurrent owners and partners
Luleå University of Technology, LTU
Norrbotten County Council
City of Luleå
City of Piteå
City of Boden
Luleå University of Technology, LTU
Norrbotten County Council
City of Luleå
City of Piteå
City of Boden
www.cdh.ltu.se Page: 152008-08-21
An unique multi-disciplinary research and innovation milieu! – Triple Helix comes true!
Wide and deep collaboration with all actors in the healthcare chain since a long time:
County Council Cities and Municipalities University Industry
Short lead time from need to practical invention
www.cdh.ltu.se Page: 162008-08-21
Purpose
The purpose of the center is to stimulate the emergence and growth of an innovation system for the area of e-health and to become a common platform for the fundamental activities essential for regional business growth:
Coordinate, disseminate and use research efforts within the e-health research area at Luleå University of Technology.
Ensure clear innovation paths between e-health research and business development.
Become a central node of cooperation within a dynamic e-health innovation system.
Content
County of Norrbotten
Regional partnership for e-health
International networks
Internal e-health projects
Cross boarder projects
Collaborative projects
Assembly of European Regions - AER
• The Assembly of European Regions (est.1985) is the largest independent network of regions in the wider Europe.
• Bringing together over 270 regions from 33 countries and 16 interregional organisations, AER's mission is to:
• Promote the principle of subsidiarity and regional democracy;
• Increase the regions' political influence within the European institutions;
• Support the regions in the process of European enlargement and globalisation;
• Facilitate interregional cooperation across wider Europe and beyond
Regions' e-Health - AER e-He@lth network
Aims
• The aim of the network is to create a platform where regions can engage in interregional cooperation projects to develop e-health tools and where they can contribute to European Union policies on e-health.
Objectives
• Raise awareness and disseminate knowledge on the potential of e-health
• Gather information on existing tools and policies and carry out studies
• Work together with other regions and partners and coordinate our e-health tools and strategies
• Stimulate the development of products and services for the commercial market
• Encourage research and education in the e-health sector
Content
County of Norrbotten
Regional partnership for e-health
International networks
“Internal” e-health projects
Cross boarder projects
Collaborative projects
• 5 hospitals
• 33 health centres
• 40 dental care centres
• A uniform system for allmedical records
VAS – The County Councils own EHR system
• Single sign-on
• Independent modules can be merged
• Integrated with other systems (economy, PACS, IMACS, ECG, Pharmacy, among others)
• Designed for the users, by the users
Specialist health care during ambulance transport
Norrbotten’s ambulances are equipped with 3 integrated electronic information systems connected to VAS
Paratus+ Connected to SOS Alarm (Sweden’s emergency call service)+ Displays emergency call details, including: • Status information • Location on map • Navigation aid
MobiMed+ Mobile monitoring system for vital patient data, including: • Pulse • Blood pressure • ECG+ Ambulance journal for documentation of evaluation and treatment+ Alerted hospitals have real-time access to data and can follow the patient’s condition live
Ambulink+ Web-based patient journal system for documentation of all transport and medical information+ Hospital staff have access to all data through VAS
Benefits > Direct contact between specialized hospital staff and ambulances> Real-time monitoring of vital patient data > Specialist consultation through the system> Simultaneous preparation for treatment at the hospital> In some cases, treatment can begin before arrival at the hospital.
Neonatal nursing care at home
Neonatal intensive care unit (NICU) at Sunderby Hospital offers• ICT-based support of parents of prematurely born infants during the first trial leave from hospital (ändra! Barnen är bara dagtid hemma/några timmar/permission!)• Videoconferencing system installed at parents’ home, connected to neonatal unit
Benefits for
Patients
• Round-the-clock access to neonatal nurses from home• Audio-visual contact
• Increased actual and perceived safety in a critical period of their child’s life• No need to travel• Greater security for parentsMidwives• Complement to ordinary care• Almost as real-life encounterRegion- Reliable and comfortable access to neonatal care from everywhere in a sparsely populated area- Cost and pollution reduction through less home visits
Videoconferencing in Psychiatry
Use of videoconferencing• Daily video conferences between hospital and local psychiatric units• Planning of care activities• Information on patients in need of specialist inpatient treatment> Enables countywide collaboration between specialist and primary psychiatric care irrespective of large geographical distances
Benefits:• Less traveling• Reduction of cost and pollution • Time-saving• Access to (limited) specialist competence despite large geographical distances
Regionalization of medical training At Sunderby Hospital - A vital future for the entire county
Medical regionalization of medical school at Umeå University to the Norrbotten, Jämtland and Västernorrland counties (4 places)
260 km
365 km
270 km
Content
County of Norrbotten
Regional partnership for e-health
International networks
“Internal” e-health projects
Cross boarder projects
Collaborative projects
A care-smart region
Cross-border Healthcare in Torne Valley (Sweden/Finland)
Aims to Develop and deepen the healthcarecooperation between healthcare
providers in Torne Valley in order to create high
qualitycross-border care
Benefits for patient Access to cross-border healthcare High quality of care regardless of
workplace or place of residence
Benefits for the region Better utilization of resources Improvement of existing collaboration Better information flow between
healthcare providers in the region
PartnersHealthcare centres in Sweden and Municipalities and their care centres in Finland
Funding~ 800 000 Euro - EU Structural funds~ 540 000 Euro - Regional funding
Partners
epSOS – European patients Smart open Services
epSOS - Large Scale Pilot
• Patient Summery and ePrescribing (cross border)
• 23 beneficiaries, 12 countries
• 6 national Ministries of Health
• 15 Competence Centers
• 31 companies through IHE-Eur
• 11 Million Euro EC funding
• 36 months duration
Content
County of Norrbotten
Regional partnership for e-health
International networks
“Internal” e-health projects
Cross boarder projects
Collaborative projects
• The aim of the MyHealth@Age project is to offer the ageing population in the Northern Periphery region improved Health, Safety and Well being through the use of new products and services.
• The products and services focus on:
• mobile safety alarms,
• prescribed self treatment and
• social networks.
• The products and services are developed in close co-operation between elderly people, healthcare and welfare staff, ICT companies and healthcare and welfare researchers.
• The products and services are evaluated and improved during field trials in Sweden, Norway and Northern Ireland.
RENEWING HEALTH, REgioNs of Europe WorkINg toGether for HEALTH
RENEWING HEALTH is the second Pilot Type A eHealth project funded under the new European Union ICT-PSP (Information and Communications Technologies – Policy Support Programme)
Project start date: 1st of February 2010
Project duration: 32 months
Total budget: 14.000.000 Euros
EU contribution: 7.000.000 Euros
26 pilot sites, grouped in 9 clusters and distributed over 9 EU regions
7.900 patients in the Intervention Group
www.renewinghealth.eu
Future Innovative Work Practices in health care in the home, (FIA)
Reengineering of work processes at primarycare centers, nursing homes and ownhouses
The patients accessibility to care is in focus The care professionals are mobile and do the work
at the patients home—Which products and services do they need to do
their work? Empowerment of the heath professionals Enhanced collaboration between health professionals from different
organisations
Future Innovative Work Practices in health care in the home, (FIA)
Web based Clinic-specific services for citizens Safe management of drugs for elderly people Discharge planning with patients and kin - creating better
quality of care Mobile IT services connect nursing and care teams Remote consultations with specialists via video conferencing
Regional Telemedicine Forum (RTF) 1. Region of Southern Denmark (Coordinator) 2. Veneto Region, Italy 3. Catalonia, Spain 4. Northern Norway Regional Health Authority, Norway 5. Estonian eHealth Foundation, Estonia 6. Regional Council of Auvergne, France 7. Scottish Centre for Telehealth, Scotland 8. Norrbotten County, Sweden 9. Malopolska, Poland
9 European regions working together The partnership of 9 European regions aims to release the potential of
wider implementation and deployment of telemedicine services at the regional level. Over the three years the partners will organise workshops, four study visits and virtual meetings to focus on telemedicine services related to three major chronic diseases: diabetes, smokers’ lung disease, and cardiovascular disease.
Results with effectThe project results in policy recommendations, developed on the basis of identification and analysis of barriers and facilitators at clinical, strategy, and market levels.
regional-telemedicine.eu
Thank you!
Distance-independent everyday life is:
A care-smart regionTHE CONCEPTDistance-independent everyday healthcare
Well-proven Connected
Prosperous Progressive
Collaborative
Sustainable
Distance-independent every day life is WELL-PROVEN:Patient security
Privacy
Implemented and practised solutions
A care-smart regionWELL-PROVEN CONNECTED COLLABORATIVE SUSTAINABLE PROSPEROUS PROGRESSIVEDistance-independent everyday healthcare
Distance-independenteveryday life is CONNECTED:
A care-smart regionWELL-PROVEN CONNECTED COLLABORATIVE SUSTAINABLE PROSPEROUS PROGRESSIVEDistance-independent everyday healthcare
Interaction
Accessibility
Interoperability
One StreamThe largest open broadband network in Europe
Lumiora in NorrbottenYears 2000 -2010• 9,000 km of fibre optic network• ~73 million euro has been invested in the IT
infrastructure• ~ 7 million euro from EU structural funds • > 93 % of the people has a broadband
connection
A care-smart region
Distance-independenteveryday life is COLLABORATIVE:
A care-smart regionWELL-PROVEN CONNECTED COLLABORATIVE SUSTAINABLE PROSPEROUS PROGRESSIVEDistance-independent everyday healthcare
Developments driven by citizens’ needs
Addresses the entire care-chain
Close collaboration between University, business and care providers
Distance-independent everyday life is SUSTAINABLE:
A care-smart regionWELL-PROVEN CONNECTED COLLABORATIVE SUSTAINABLE PROSPEROUS PROGRESSIVEDistance-independent everyday healthcare
Environment Economy SocialS U S T A I N A B I L I T Y
Distance-independent everyday lifeis PROSPEROUS:Enormous growth potential
Increased demand for preventive healthcare
Worldwide market
A care-smart regionWELL-PROVEN CONNECTED COLLABORATIVE SUSTAINABLE PROSPEROUS PROGRESSIVEDistance-independent everyday healthcare
Distance-independent everyday lifeis PROGRESSIVE:New methods, products and services
New fields of research opportunities
Innovations and business start-ups
A care-smart regionWELL-PROVEN CONNECTED COLLABORATIVE SUSTAINABLE PROSPEROUS PROGRESSIVEDistance-independent everyday healthcare