The Danish Digitalization Strategy Hans%Erik%Henriksen%

CEO,%Healthcare%DENMARK%

E8mail:%heh@healthcaredenmark.dk%

03.03.14&

Healthcare%DENMARK%is%a%public8private%partnership%

Healthcare%DENMARK%acBviBes%

•  DelegaBon%visits%to%Denmark%

•  Danish%delegaBons%abroad%•  Conferences%•  Press%and%communicaBon%%

•  Healthcare%DENMARK%website%

“In%Denmark,%our%focus%on%puJng%the%paBent%

first%–%combined%with%constant%efforts%to%

improve%efficiency%and%quality%–%has%resulted%

in%a%wide%array%of%innovaBve%healthcare%

soluBons.%

I%sincerely%believe%Danish%technologies,%

products%and%experBse%can%have%a%posiBve%

impact%on%global%health.”%

03/03/14% 4%

Her%Royal%Highness%Crown%Princess%Mary%is%patron%for%Healthcare%Denmark%

Agenda

• The%Danish%Healthcare%System%

• E8health%in%Denmark%

• Telehealth%in%Denmark%

• Ambient%Assisted%Living%

The Danish Healthcare System – main characteristics •  Free%and%equal%access%to%public%healthcare%(5,5%mio.%people)%

•  Universal%coverage%(same%system%for%everyone)%

•  Tax%financed%(84%pct.)%–%4.348%USD%pr.%capita%•  Private%co8payment%in%certain%areas%(16%pct.)%

03/03/14% 6%

Regional responsibilities

• Hospital%and%psychiatric%treatment%

• Primary%health%care%/%public%health%•  General%PracBBoners%(family%doctors)%

•  Private%pracBcing%specialists%•  Adults%dental%services%•  Physiotherapy%

03/03/14% 7%

Municipal responsibilities

• PrevenBve%care%and%health%promoBon%

• RehabilitaBon%outside%hospital%•  Treatment%of%alcohol%and%drug%abuse%

• Co8financing%regional%health%care%• Child%nursing%• Child%dental%services%•  School%health%care%• Home%nursing%

03/03/14% 8%

9%

Danish%ciBzens%are%happy%with%their%lives%and%with%healthcare%services%

Denmark&ranking,&&Quality&of&life&in&Europe&report&2012&

A consistent focus on healthcare efficiency and quality help ensure equal access to sustainable healthcare

•  Shortest%average%EU%admission%Bme%per%paBent%

•  Focus%on%moving%healthcare%services%closer%to%the%paBent%

•  AmbiBous%producBvity%improvement%targets%each%year%

•  Lean%and%accreditaBon%•  100%%hospital%EMR%coverage%

•  Focus%on%clinician%support%•  Highly%structured%EMR’s%

16 new hospitals will be the backbone of patient centric healthcare

•  Public>private&partnerships&•  New&innovaDons&•  Danish&design&•  Green&&%

Agenda

• The%Danish%Healthcare%System%

• E8health%in%Denmark%

• Telehealth%in%Denmark%

• Ambient%Assisted%Living%

A long term focus on health data networks and on e-health provide efficient access to healthcare information

MedCom Health Data Network 1994 -

Sundhed.dk E-health Portal 2003 -

Who is behind? Ministry of Health, Danish Regions, Ministry of Interior, National Association of Local Authorities, National Board of Health, Copenhagen Hospital Corporation, Danish

Pharmaceutical Association

SERVICES FOR CITIZENS •  Access to personal health data on treatment

•  E.g. e-Record from hospitals and GPs and Shared Medication Card

•  Communication with health care providers •  E.g. Contact information and e-services like booking, prescription renewals and electronic

communication

•  General information on health service •  E.g. quality in health care, patient rights

•  Accurate and updated information on health, disease and treatment

•  E.g. medical handbook

•  Personal home care/hospital solutions •  E.g. diabetes and anticoagulant therapy

•  Patient to patient dialogue

SERVICES FOR HEALTH CARE PROFESSIONALS •  Access to personal health data on patients

–  E.g. e-Record, laboratory data and Shared Medication Card

•  Contact and service information on other health care providers

•  General information on health service –  E.g. waiting lists, quality in health care, health and prevention programs, visitation

•  Accurate and updated information on health, disease and treatment

–  E.g. medical handbook, treatment feedback and benchmarking

•  Personal home care/hospital solutions –  E.g. diabetes and anticoagulant therapy

INTERNATIONAL RECOGNITION

%

%• %CiBzens%can%be%traced%from%the%cradle%to%the%grave%

• %Diseases%can%be%traced%through%generaBons%• %We%have%data%on%millions%of%individuals%(whole%populaBon)%

• %Research%results%with%great%certainty%

Personal%idenBficaBon%%

number%given%at%birth%

Diseases%

Microbiological%diagnoses%

Medicine%usage%

VaccinaBons%

Laboratory%results%

Biological%samples%

EducaBon%%

Family,%residence,%profession%

%

%

%

%

Danish healthcare data are unique for research and telehealth

03/03/14% 18%

In 2013 Denmark launched the strategy for the next 4 years

•  NaBonal%EHR%and%E8health%architecture%%•  InternaBonal%standards%%

•  HL7%•  ConBnua%Health%Allicance%

•  First%fully%regional%telehealth%implementaBons%

•  Coordinated%strategy:%•  Ministry%of%Health%and%PrevenBon%

•  Danish%Regions%•  Danish%MunicipaliBes%

%

19%

The%NaBonal%Health8IT%strategy%and%Telehealth%plan%will%expand%the%NaBonal%Service%plalorm%during%the%coming%years%%

2014:&NaDonal&Image&Index&•  Radiology%

•  Ultrasound%

•  Telehealth%

2015>&:&NaDonal&Telehealth&•  Device%data%%

•  General%(e.g.%weight)%

•  DiagnosBc%(e.g.%ECG)%

Other&naDonal&iniDaDves:&•  New%re8imbursement%soluBon%

•  NaBonal%%cancer%screening%

•  NaBonal%Biobank%

•  IT%standards%development%

•  HL7%

•  SNOMED%CT%

•  ConBnua%Health%Alliance%

%

Agenda

• The%Danish%Healthcare%System%

• E8health%in%Denmark%

• Telehealth%in%Denmark%

• Ambient%Assisted%Living%

Telehealth improve quality of life for chronic patients and elderly citizens

•  Chronic%diseases%–%e.g.%diabetes:%•  80%years%diabetes%research%excellence%•  NaBonwide%Ulcer%telehealth%•  Medical%Home%telehealth%support%

•  Elderly%ciBzens%•  Keeping%ciBzens%healthy%in%their%own%home%

•  Technology/personal%care%balance%

%

03/03/14% 22%

The Danish Telehealth plan will establish a mature market for Telehealth solutions

Telecare%North:%%

•  COPD%paBents%•  Diabetes%paBents%•  Heart%paBents%

CIH%(Clinically%Integrated%Home%monitoring):%%

•  Ulcer%paBents%•  COPD%paBents%•  Diabetes%paBents%•  Pregnancy%

Agenda

• The%Danish%Healthcare%System%

• E8health%in%Denmark%

• Telehealth%in%Denmark%

• Ambient%Assisted%Living%

03/03/14% 24%

The e-health and telehealth strategy will align with the 2013 – 2020 Assisted Living strategy

•  Full%scale%implementaBon%of%proven%soluBons%•  Ceiling%lins%•  Digital%rehabilitaBon%•  Selected%robot%technology%

•  Full%scale%Smart%Home%implementaBon%

•  Smart%Home%technology%for%disabled%ciBzens%

•  Coordinated%strategy:%•  Ministry%of%Health%and%PrevenBon%

•  Danish%Regions%•  Danish%MunicipaliBes%

%

03/03/14% 25%

Ambient Assisted Living technology Reducing%%homecare%%

resources%

Home%rehabilitaBon%

Robot%technology%

Surveillance%and%smart%home%

Conclusion

• Denmark%is%one%of%the%most%mature%e8health%countries%in%the%world%

• A%naBonal%e8health%service%plalorm%

• Moving%towards%full%scale%Telehealth%implementaBon%

• AssisBng%Living%innovaBon%• Full%scale%Smart%Homes%

03/03/14% 26%

Hans%Erik%Henriksen,%CEO%Healthcare%DENMARK%

heh@healthcaredenmark.dk%03/03/14% 27%