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ICT CIP – Competitive and Innovation Programme
UNIversal solutions in TElemedicine
Deployment for European HEALTH care (Grant Agreement No 325215)
Document D2.6
Midterm Workshop
Version 1.0 Work Package: WP2
Version & Date: v1.0 / 27th January 2015
Deliverable type: Report
Distribution Status: Public
Author: Janne Rasmussen, Victoria Hunter, Marc Lange
Reviewed by: John Oates
Approved by: Marco d’Angelantonio
Filename: D2.6 v1.0 United4Health Midterm Workshop
Abstract
This document documents the results of the U4H Midterm Workshop held on 12th September
2014 in Bucharest, Romania.
Key Word List
Midterm, Dissemination, Deployment, Lessons Learned, AAL Forum, Technology,
Procurement, Change management, Clinical Engagement, Stakeholders, Connectivity,
Patient focus, Market.
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Executive Summary
United4Health hosted its Midterm Workshop ‘Going Live with Telehealth Lessons Learned’
as part of the AAL Forum on 12th September 2014 in Bucharest, Romania. The AAL Forum
was chosen as an appropriate forum due to the clear common ground between
United4Health and AAL; the home of the patients and the citizens. This event was also
chosen because of the audience with representation from industry, public sector, university,
etc. This point is perceived as particular relevance when considering one of the findings of
Renewing Health. The lessons being learned from United4Health seem to confirm those
learned through Renewing Health; such as the costs associated with technology to be
installed at home is too expensive to make telehealth solutions sustainable on their own.
The purpose of the United4Health Workshop was to share the experiences and lessons
learned by some of the partner Regions in integrating telehealth, on a large scale, into
routine services from two viewpoints:
1. The deployment of the technology.
2. The engagement of health professionals in adopting it to develop new clinical
pathways.
The aim of the workshop was to demonstrate the lessons learned and the progress achieved
to date with some of the partner Regions participating in United4Health. To ensure continuity
and consistency in the conveyed information, the speakers were provided with guidelines
and questions to prepare their presentations.
The event was relatively small, with more than 50% of the attendees coming from U4H
partner organisations. However, the audience representation was diverse, with
representatives from industry and delivery organisations. Reasons for the limited success in
getting a large audience are not related to the relevance of the telehealth theme for an AAL
audience, as this has often been mentioned during previous events as a strategic domain for
ALL. One reason for the lack of attendance can be related to the late acceptance to host the
event, in June, therefore preventing the consortium from developing the necessary visibility
before the summer break.
The focus, themes and format chosen made the workshop very successful, as demonstrated
by the quality of the presentations and following discussions on lessons learned which
highlighted issues around deployment of telehealth. This is particularly well reflected by the
videos of the sessions which are available on the United4Health YouTube Channel:
www.youtube.com/user/united4health.
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Change History
Version History:
0.1 14th December 2014 Initial Version
0.2 6th January 2015
0.3 26th January 2015
1.0 27th January 2015 Version for issue
Version Changes
0.1 Initial version
0.2 Review comments from editorial team
0.3 Minor updates
1.0 Version for issue
Outstanding Issues
None
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Table of Contents
EXECUTIVE SUMMARY 2
CHANGE HISTORY 3
TABLE OF CONTENTS 4
1. INTRODUCTION 5
1.1 Purpose of this document 5
1.2 Glossary 5
2. CONTEXT AND CONTENT 6
2.1 Strategy 6
2.2 Process and Context 7 2.2.1 Process 7 2.2.2 Focus / theme 7 2.2.3 Format 7
2.3 Content 7 2.3.1 Programme 7 2.3.2 Presenters 8
3. MIDTERM WORKSHOP DETAILS 10
3.1 Practicalities 10
3.2 Audience 10 3.2.1 Registrations and attendance 10 3.2.2 Audience profile 10 3.2.3 Target achievement 10
4. OUTCOMES AND DISCUSSION 12
4.1 Summary of Lessons Learned 12 4.1.1 Technology and procurement processes – Workshop 1 12 4.1.2 Service redesign, change management & clinical engagement - Workshop 2 15 4.1.3 Closing remarks 18 4.1.4 Feedback on format and content of Workshop 18 4.1.5 Publication of Workshop Discussion 18
5. CONCLUSIONS 20
APPENDIX A – REGISTRATION AND ATTENDANCE LIST 21
APPENDIX B – ANNOUNCEMENT OF THE EVENT 23
APPENDIX C – WORKSHOP PROGRAMME 27
APPENDIX D – GUIDE FOR PILOT SITE PRESENTERS 29
APPENDIX E – PRESENTATIONS 31
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1. Introduction
1.1 Purpose of this document
This deliverable serves to document the execution of D2.6 United4Helth Midterm
Event. The document outlines the agenda, content and outcome of the Midterm
Event.
1.2 Glossary
AAL Ambient Assisted Living
RH Renewing Health
U4H United4Health
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2. Context and Content
2.1 Strategy
The Consolidated Dissemination Plan (D2.5) has set the priorities, direction and
tools for communication of United4Health.
Based on the target audience and activities identified in D2.5, the midterm workshop
was organised based on the following priorities:
Approach as per Consolidated
Dissemination Plan
Workshop priority
Target audience Regional and national healthcare providers
Activity level International
Activity / tools EU Conference
As “EU Conference” was chosen as type of activity for the Midterm Workshop, the
list of main international conferences linked to eHealth (D2.5, section 4.3.1) was
scrutinised for appropriateness of conference as well as timing.
The AAL Forum was chosen as the most suitable location for the United4Health
Midterm Workshop for the following reasons:
I. A strong commonality between both AAL and eHealth domains; they are
indeed aiming at creating ICT-based innovative services in the home of
patients / citizens / consumers. This can therefore be a source of synergies
and complementarities: the home needs to be prepared to become the new
place to receive health and social care services. This point is perceived as of
particular relevance when considering one of the findings of Renewing Health,
confirmed by lessons United4Health is learning: partly because of the
importance of the fixed costs, the technology to be installed at home for
telehealth purpose is still too expensive to make telehealth sustainable on its
own.
II. The focus of the AAL Forum is wider than telemedicine, telehealth, etc., with a
good level of representation from industry, and SMEs in particular. This
offered a chance to reach an audience with a focus on innovation in
healthcare, but outside the 'usual suspects'. This was the reason the
European Telemedicine Conference (7th-8th October 2014, Rome) was
disregarded.
III. The audience of AAL Forum not only comes from a wider range of
professional domains but also has representation from a large number of
countries in Europe and beyond, including countries that are not considered
among the frontrunners of telehealth deployment. This was a consideration for
not opting for the King's Fund International Digital Health and Care Congress
(10th -12th September 2014, London).
IV. Choosing to locate the Midterm Event in connection with an existing event was
to optimise attendance, maintain reasonable costs, and to position telehealth
deployment in a wider context.
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2.2 Process and Context
2.2.1 Process
A planning committee was set up to organise the Midterm Event. The group
consisted of members from WP1, WP2 and WP4.
2.2.2 Focus / theme
United4Health has in its Consolidated Dissemination Plan (D2.5) identified three
phases in its communication. The Midterm Workshop is used for phase 2 (Lessons
Learned from service deployment) dissemination.
As a result of the ongoing delays in the start of the pilots, the group recognised the
cross-cutting themes and difficulties the pilot sites were experiencing, and the need
to use these to open up sharing of lessons learned, and discussion thereof. It was
also decided that the workshop would have two purposes: internal learning between
pilot sites, as well as sharing of U4H's experiences with deployment of telehealth
services to a wider European audience of various stakeholders.
2.2.3 Format
It was agreed to use the workshop format for the event, since this allowed for
dedicated and plentiful time to communicate the lessons learned, and to open up
discussion between presenters and audience.
2.3 Content
2.3.1 Programme
Having set the priorities for the event, including focus and themes, both the context
and content were drawn up by the planning committee. The teaser for the
Workshop reads as follows:
"United4Health provides innovative telehealth services in care settings of a
large diversity of European regions. The innovative service models adopted
by U4H Partners aim at increasing personal control and engagement of
patients. The event will highlight efforts in 14 regions of Europe dedicated to
improve standard care for 13,000 chronic patients, hereof many elderly.
Presentations and interactive debates will pinpoint enablers like:
Designing telehealth interventions taking policy objectives and existing
evidence into account;
Engaging health professionals and patients in adopting innovative service
models;
Adapting service delivery processes and managing organisational change
to make the most of innovative services;
Procuring technology to be fit for scaling-up, address inclusiveness and
other large-scale deployments’ challenges."
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The programme had three sections: introduction, including U4H overview and EC
priorities; workshops; and conclusions. The two overall themes for the Workshop
agreed upon were:
Workshop 1 - Technology & Procurement processes in United4Health –
becoming fit for scale.
Workshop 2 - Service redesign, change management & clinical
engagement in United4Health.
These themes were the ones identified as the most common and critical from the
knowledge and activities at pilot site level. Each theme would be covered by first a
presentation from two U4H pilot sites, and then followed by an interactive discussion
with the audience.
Figure 1: Programme of the workshop
See Appendix C for details of the final programme for the Workshop.
2.3.2 Presenters
The full programme covered eight presenters and two workshop facilitators.
Presentation Presenter
Introduction to event Marc Lange, EHTEL
The Wider European Context Jan Komarek, European Commission
United4Health Overview Janne Rasmussen, NHS 24
Workshop 1 – facilitator Stephan Schug, EHTEL
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Presentation Presenter
Workshop 1 – NHS Wales Claire Hurlin, NHS Wales
Workshop 1 – Slovenia Drago Rudel, MKS Electronic Systems Ltd
Workshop 2 – facilitator Leo Lewis, HIM SA
Workshop 2 – Southern Norway Wenche Tangene, Soerlandet Hospital
Workshop 2 – Scotland Michelle Brogan, NHS 24
Conclusions Marco d'Angelantonio, HIM SA
The pilot sites were chosen based on their experiences in this particular area:
Workshop 1: Technology and Procurement:
NHS Wales: had experienced serious problems with both usability of devices
and connectivity.
Slovenia: had an extensive procurement process.
Workshop 2: Service redesign, change management & clinical engagement:
Southern Norway: telehealth was for them a newer domain, and organisations
involved had not much previous experience.
Scotland: have large ambitions for scale and to incorporate telemonitoring as
part of service redesign as well as a high level of maturity in use of technology
and even a politically endorsed Delivery Plan for Telehealth and Telecare, yet
stakeholder engagement has been time-consuming and clinical engagement
low.
In order to ensure the focus of the Workshop was kept on track and that the
presentations were loyal to the themes chosen, the planning group constructed a
guide for each of the Workshop presenters. This was used by the presenters to help
structure both content, messages and examples.
See Appendix D for presentation guide and Appendix E for all presentations.
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3. Midterm Workshop Details
3.1 Practicalities
Date: 12th September 2014 from 9.00-12.00 CET.
Location: JW Marriott Bucharest Grand Hotel, Calea 13 Septembrie 90, Bucharest,
050726 Romania
3.2 Audience
3.2.1 Registrations and attendance
30 people had signed up for the Workshop in advance of the day, of which
approximately 50% were external, i.e. non-U4H members.
Several people who had registered did not attend and several non-registered did
attend. Ultimately, approximately 25 people attended. Of these, only 32% came
from non-U4H member organisations.
3.2.2 Audience profile
Attendees' organisational affiliation included public and private healthcare providers,
research institutions, vendors, stakeholder organisations, local authorities, and EC.
A total of nine countries attended, covering North, East, South and West of Europe.
3.2.3 Target achievement
D2.5 United4Health Consolidated Dissemination Plan identified six target audiences
to which United4Health should make specific efforts to reach in its communication
and dissemination activities.
From the attendees, it is apparent that the Midterm Workshop reached an audience
representing national and regional health authorities, payers and healthcare
providers and the industry.
Table 1: Target audience achievement
Target Audiences Level of
achievement
Description
National / regional health
authorities, payers and
healthcare providers,
including regions and
countries with weak uptake
of telehealth
High There was high attendance of
people working within local or
regional healthcare providers,
although with relatively low
representation from regions and
countries that are not as far along
in the uptake of telehealth
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Target Audiences Level of
achievement
Description
Healthcare professionals and
their associations
Low There was no apparent
representation of healthcare
professionals and their
associations
Patients and their
associations
Low There was no apparent
representation of patients and their
associations
General public including
citizens, consumers and their
associations
Low There was no apparent
representation of general public
including citizens, consumers and
their associations
eHealth industry and their
associations
Medium There was good and active
representation from industry
Other EU and non-EU
initiatives
Low Not clear as to how attendees
linked to other EU or non-EU
projects but official representation
of this was not evident.
For full overview of registrations, attendance, organisational affiliation and country,
please see Appendix A.
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4. Outcomes and discussion
4.1 Summary of Lessons Learned
Below is a short summary of the main points from the presentations on Lessons
Learned from United4Health.
United4Health – lessons Learned in United4Health in the first 18 months (Janne
Rasmussen, European Engagement Manager, NHS 24):
Technology: Deployment at scale is not easy! Procurement processes have
provided challenges; interoperability and functionality have also provided
challenges with local regions.
Organisation: Involvement; whole spectrum of healthcare need to be involved
and engaged, from patients through to politicians.
Service redesign is complicated; the way in which services are currently
delivered will need to go through significant change to support demand; this is
not likely to be a quick process.
Culture: Such a big change requires evidence to be proven which then
impacts on the consultant and patient ‘buy-in’ of the change to service
delivery.
4.1.1 Technology and procurement processes – Workshop 1
4.1.1.1 Wales
Claire Hurlin, Head of Chronic Conditions Management, NHS Wales.
Challenges / issues with technology procurement:
No overarching telehealth strategy in Wales; this would help link systems
together; a group has now been set up to look this.
Currently no process in place to support innovative ways to support new
technology integration. United4Health is seen as ‘leading the way’, and not
necessarily in line with Health Boards' current ways of working.
Difficulty with interoperability of integration with primary care.
U4H procurement requirements were too late into the project (Lessons
Learned).
Change to Project Manager during procurement and testing process.
Lessons Learned:
Development of protocols for Florence went well. Florence has a Community
of Practice across the UK where protocols can be used and adapted for
patient use.
EQ5D Questionnaire (standardised instrument for use as a measure of health
outcome); this was integrated with the Florence system.
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Difficulty with clinicians understanding the technology, however it is now
understood that training or connectivity issues were the reason.
U4H procurement requirements were too late into the project.
Difficulty with connectivity; big issues with 2G and 3G coverage in many areas.
Patients are more accepting than staff; however middle management were
more receptive to this change.
Patients are involved at early stage.
Be able to adapt technology, understanding in the early stages that one
solution may not suit all.
Lead person on the ward / clinical lead is required to ensure that any changes
implemented are successful.
Top tips:
Training.
Involve patients as early as possible to look at technology solutions, as it is
essential that the technology meets their needs.
Fully investigate and understand logistics of the community in the very early
stages, e.g. signal availability, technology.
Issues with recruitment / continuation with the technology:
COPD patients with exacerbation are sometimes too unwell to participate.
Connectivity issues caused patients to become uninterested in continuing with
participation.
4.1.1.2 Slovenia
Drago Rudel, Subcontractor to SB-SG and RAV-KOR; MKS Electronic Systems.
Challenges / issues with technology procurement:
Financial limitations, all costs at the start of the project.
Huge potential delay can be expected if entering public procurement; it usually
taking around one year.
Adjustments made to technology, two months after the start date.
Currently several models of mobile phones are in the scheme.
Requests from patients to have roaming activated for holidays.
Within Slovenia, the data captured from patients is currently not transferred to
the Hospital Information System (HIS); however it is hoped that this can be
integrated at a future date.
Lessons Learned:
SB-SG found organisationally not ready for the new service.
Test all proposed products before entering any financial negotiation stages.
All technological solutions and components are provided by a single supplier,
therefore incompatibility issues are avoided.
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Simplification of devices are required for many patients; ergonomically, some
devices are not suitable for all patients.
Locking of the settings on devices is necessary to ensure that data transfer
costs are not incurred.
Top tips:
Select experienced technology / telemedicine providers.
Agreement in the early stages on how data will be handled; use own data
processing tool / web portal to ensure that data transfer can be processed,
therefore not bound to a specific provider.
Visits to telemedicine service providers who participated in Renewing Health,
such as Televita in Trieste and Klagenfurt Hospital, proved to be extremely
beneficial.
Having key decision makers etc. with ‘buy in’ from initial stages is extremely
important. SB-SG: General Manager within hospital is determined to introduce
new services to patients.
4.1.1.3 Discussion with audience on Technology and Procurement
Below is a summary of the comments received from the audience participating in
Workshop 1, and the issues that were discussed in plenum. Comments are
grouped in themes by the authors of this report.
Table 2: Workshop 1: comments from audience
Theme From Comment
Connectivity Veneto (IT) Mobile network connectivity is not an issue.
Norway Landline sometimes used.
Northern
Norway
Mobile connectivity is an issue in some areas of
Northern Norway, in Tromsø Region specifically.
Netherlands Same issue with mobile phone; but also issues
with Wi-Fi. Satellite Internet is being implemented
to resolve the issue
Basque (ES) Extensive use of landlines in their service
provision.
Wales Landline and Wi-Fi should be considered as more
widely available.
Landline and Wi-Fi should be considered as a
complement to mobile connectivity as more widely
available.
Ownership of
devices
Wales (UK) Only provide mobile phones to patients who do not
have access to their own, with the Health Board
only paying for text messaging.
Israel Provided locked tablets. Suggested that it may be
possible to gradually introduce the use of tablets
owned by patients.
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Theme From Comment
Scotland (UK) Unable to economically sustain the service if
purchasing devices for all patients.
Scaling up is a strategic objective of Scotland;
there is current discussion with suppliers about
software being designed for implementation on
different devices; big possibilities with this.
Norway Smartphones: 80% people have smartphones and
50% have tablets.
General Norway Commonalities are being highlighted and
questions being asked which would not have been
expected at the start of the project.
4.1.2 Service redesign, change management & clinical engagement -
Workshop 2
4.1.2.1 Scotland
Michelle Brogan, Service Development Manager, NHS 24.
Current situation within Scotland:
GPs and all clinical services within Scotland use SCI-Diabetes (SCI-DC)
platform to capture patient information, centralising patient information and
data capture.
Interactive website MDMW (My Diabetes My Way) provides patients with a
platform for self-monitoring of diabetes within Scotland; access to health
records is via SCI–DC (used by clinician’s), via Diasend (software), and
MDMW website.
Patients can see real-time upload of patient information; real collaboration and
effort within Scotland.
Strong strategic leadership and focus with the backing of a national and
strategic Telehealth Policy which helps to support local roll out of services and
change to existing services.
Starting with small numbers for roll out, with a vision for large scale roll out.
Challenges / issues:
New IT policy, acknowledge the risk of ambition and risk.
Aim of centralised roll out across three areas.
Challenges with clinical leads as conflict with strategic and local priorities.
Concept is well supported although an element of risk; and questions,
requirement to manage expectations.
Lessons learned:
National strategic policy adds focus and required backing for implementing
change.
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Key role to facilitate and enable local ownership of local problems, although
assisting with the process to keep things moving.
Pathway mapping is a critical step, and although time consuming is worth the
investment.
Consciously involve patients, involving them at an early stage. Involvement at
early stages with views of patient leaflets etc.
Need to be seen as a journey, not a destination.
Benefits realisation mapping undertaken, with local networking to realise these
benefits and agree.
Top tips:
Ensure that technology has the functionality and flexibility to be delivered at
scale and within the agreed timescales. Need to also consider business
integration and be clear from the outset.
Bringing people together; technology teams with clinicians to agree solutions
to make the solutions work at local level.
Slippage in project needs to be managed with mitigation plans in place.
Important to manage expectations, and actively manage to avoid losing
momentum and clinical engagement.
Keep patient care at the centre of any change which is implemented.
4.1.2.2 Southern Norway
Wenche Tangene, Soerlandet Hospital.
Challenges / issues:
Pilot site in Southern Norway is Kristiansand; telemedicine extremely important
with the large geographical area and travelling distance to the hospital
throughout the area.
Good opportunity to strengthen the relationship between the hospital and
municipalities, with the patient being kept at the centre of any discussion.
Involvement of patients, doctors, nurses, who have been involved in the
project from the beginning; hard to achieve commitment from the GPs.
Patients have many questions.
Lessons Learned:
Patients under the age of 70 are aware of technology; however, further follow
up support in relation to training is required in the home, in addition to training
provided at the point of care.
Doctors accept the aims, however are not full of enthusiasm, with nursing staff
becoming more enthused as they become more involved with the project.
Momentum success factors very relevant.
Top tips:
Commitment from all stakeholders essential.
Address the needs of the patient.
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Lots of problems with telemedicine products; really need to keep this simple,
and send this message to the suppliers and industry.
4.1.2.3 Discussion with audience on service redesign, change management & clinical
engagement
Below is a summary of the comments received in Workshop 2 from the audience,
and issues that were discussed in plenum. Comments are grouped in themes by
the authors of this report.
Table 3: Workshop 2: Summary of comments
Theme From Comment
Market /
supplier
relationship
AGFA
Healthcare
A commercial company only make the products for
which there is a need. A plea for system changes
and integration.
Agree that a global electronic record is required for
clinicians to have an overall view of the patient,
without the need to log into several systems.
Scotland NHS 24 has invested time to discuss with industry
the issues which are experienced, agreement that it
is important to engage with industry to drive forward
change and highlight the requirements and issues
which need to be addressed.
Patient
involvement
Norway How do we ensure that the patient is kept as a
focus?
U4H project works very closely with all partners and
need to be conscious of the patient at all times.
There is better acceptance of patients registering
with U4H project if they are invited by someone that
they trust / someone of seniority. Norway have a
dedicated COPD Specialist Nurse who is involved
with the recruitment; to have a doctor involved within
the process may not be a possibility; currently in
discussion around where is the best place to
introduce the telehealth monitoring.
HIM SA Patients become disengaged when the technology
is difficult to deal with or has reliability problems.
It all needs to be brought together as a continuum.
Stakeholder
relationship
management
HIM SA Multiple stakeholders requires coordination of
resource and stakeholder needs. All stakeholders
will see a different purpose in the introduction of
telehealth and technology. We need all
stakeholders to work together; co-design and co-
production to deliver safe, cost effective service to
patients.
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4.1.3 Closing remarks
Marco d'Angelantonio, HIM SA.
Scaling is an issue.
Purchasing technology is not sustainable / cost effective for large numbers of
patients.
Public procurement is extremely difficult.
Cannot underestimate the human element; some people clinicians / patients
etc. are sometimes resistant to change.
Interoperability is an issue.
Mobile technology is not as widespread as initially thought, and landlines
instead of Wi-Fi should be considered.
Rather than look at new technology, look at existing stable platforms and
technology.
4.1.4 Feedback on format and content of Workshop
From both the external audience as well as U4H members, the feedback on the
general format and content of the workshop was very positive. The very practical
nature and honest communication on lessons learned from deployment of telehealth
in the four pilot sites was much welcomed and further encouraged.
United4Health will thus continue with the focus on sharing lessons learned as the
project progresses.
4.1.5 Publication of Workshop Discussion
Material from the Workshop is available to the general public, and U4H members
not present, through the presentations as videos on the United4Health YouTube
Channel: http://www.youtube.com/user/united4health
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Figure 2: U4H YouTube Channel
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5. Conclusions
The conclusions which can be drawn from the interactive workshops can be
summarised as follows.
There was cross over between Workshop 1 and 2, showing that service redesign on
a large scale is not an easy process. This requires clinical engagement and buy-in
from the early stages to ensure that any change is successful.
Very strong similarities can be recognised from the Regions who presented. Similar
difficulties and results have been experienced thus far. It is reassuring to see that
although European Regions' healthcare systems are different, any large scale
changes to services experience the same issues, particularly in relation to
procurement and finance.
With any change, high level management often look for reassurance and answers
to the benefits achieved from changes to services. It is hoped that as United4Health
progresses, this will help to facilitate these kinds of discussions moving forward, with
the results at the end of the project providing a strong evidence base.
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Appendix A – Registration and Attendance List
First
name Last name Organisation Country
U4H
Member Attendance
Anna Zirk Berlin Institute for Social Research Germany No No
Eva Schulze Berlin Institute for Social Research Germany No No
Mossaab HARIZ TelecomSudparis France No No
Nicola Bottone Reply Italy No No
Astrid Kaag Province of Noord-Brabant Netherlands No No
Bo Karlsson Jämtlands Läns Landsting Sweden No No
Esther Davidsen ZealandDenmark EU Office Denmark No No
jim Charvill Tunstall healthcare UK No No
Marco d'Angelantonio Health Information Management
SA
Belgium Yes Yes
Dirk Colaert Agfa HealthCare NV Belgium No Yes
Katrin Geyskens Capricorn Venture Partners Belgium No No
Xenia Lauritsen Zealand Denmark EU Office Denmark No No
Oana Pop Cluj School of Public Health,
Babes-Bolyai University Cluj-
Napoca
Romania No No
Eugen Pop SC IPA SA Romania No No
Stephan Schug EHTEL Belgium Yes Yes
Janne Rasmussen NHS 24 UK Yes Yes
Michelle Brogan NHS 24 UK Yes Yes
Marc Lange EHTEL Belgium Yes Yes
Esteban De Manuel Kronikgune Spain Yes Yes
Drago Rudel MKS Electronic Systems Ltd Slovenia Yes Yes
Gavin Wheeler TMVS UK No ?
Claire Hurlin Hywel Dda Local Health Board UK Yes Yes
Siri Bjørvig Norwegian Centre for Integrated
Care and Telemedicine
Norway Yes Yes
Undine Knarvik Norwegian Centre for Integrated
Care and Telemedicine
Norway Yes Yes
Giorgia Centis Arsenàl.IT Italy Yes Yes
Silvia Mancin Arsenàl.IT Italy Yes Yes
Isabella Scharf University Hospital of Odense Denmark Yes No
Victoria Hunter NHS 24 UK Yes Yes
Andrea Pavlickova NHS 24 UK Yes Yes
Wenche Tangene Soerlandet Hospital Norway Yes Yes
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First
name Last name Organisation Country
U4H
Member Attendance
Leo Lewis HIM SA UK Yes Yes
Daniega Buceandra Siveco Romania SA Romania No Yes
Rachelle Kaye AIM Israel Yes Yes
Wil Rijhem Smart Homes Netherlands No Yes
Jan Komarek European Commission Belgium No Yes
Terry Dafter Stockport Council UK No Yes
Pia Kristiansen Rural Medicine Centre No Yes
Artur Serrano Norwegian Centre for Integrated
Care and Telemedicine
Norway Yes Yes
Ad van Berlo Smart Homes Netherlands No Yes
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Appendix B – Announcement of the event From: Stephan H Schug [EHTEL]
Sent: 31 July 2014 17:17
To:
Subject: Join the dialogue on "Going Live with Telehealth - Lessons learned": Interactive
United4Health Workshop, 12 Sep at AAL Forum 2014 in Bucharest
Dear Colleague in the domains of eHealth, Telehealth etc.
First of all, we would like to invite you to the United4Health Interactive Workshop as indicated. Furthermore, please consider the information on some upcoming events that deserve your attention right now:
12 September 2014, 9:00 - 12:00 h, United4Health Interactive Workshop "Going Live with
Telehealth - Lessons Learned" (side-event of the AAL Forum 2014 in Bucharest, Romania, 9
-12 Sept 2014
6 - 9 October in Brussels, Belgium: OPEN DAYS 2014 with SUSTAINS event "Patients' new
touch on Healthcare" on 9th
29 - 31 October 2014 in Bern, Switzerland: European Congress on e-Cardiology and eHealth
with United4Health session on 31st
25 - 26 November 2014: EHTEL 2014 Symposium: Innovating for Better Outcomes in Health
and Social Care
12 Sept 2014, 9:00 - 12:00 h, United4Health Interactive Workshop "Going Live
with Telehealth - Lessons Learned" (side-event of AAL Forum 2014, Bucharest
- Romania, 9 - 12 Sept 2014): United4Health provides innovative telehealth services in care settings of a large diversity of European regions. The innovative service models adopted by U4H Partners aim at increasing personal control and engagement of patients. The event will highlight efforts in 14 regions of Europe dedicated to improve standard care for 13,000 chronic patients, hereof many elderly. Presentations and interactive debates will pinpoint enablers like: designing telehealth interventions taking policy objectives and existing evidence into account; engaging health professionals and patients in adopting innovative service models, adapting service delivery processes and managing organisational change to make the most of
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innovative services and procuring technology to be fit for scaling-up. Programme Outline
United4Health: Introduction, European Context and Key Achievements of the first 18 months
Interactive Session 1: Technology & Procurement processes in United4Health - becoming fit for scale
Interactive Session 2: Service redesign, change management & clinical engagement in United4Health
Wrap-Up Session: Conclusions and take home messages for Telehealth and AAL
Participation involves a Two-Step Registration Process: 1) registration to AAL Forum 2014, either for the full event (€ 400) or just for 11/12th September (€ 150) and 2) registration with United4Health via EHTEL. Please visit our event page at http://www.ehtel.eu/united4health-aalforum2014 to proceed (U4H project partners: please check your mailbox for additional instructions - a special code applies).
6-9 October 2014: OPEN DAYS 2014 with special event "Patients' new touch on
Healthcare" on 9th: The 12th European Week of Regions and Cities - OPEN DAYS 2014 - is the yearly flagship event of the European Regions in Brussels and expects more than 6,000 participants.
We would like to invite you the workshop "Patients' new touch on Healthcare:
Meeting the Digital Agenda 2020 by online access to health records and
interactive health services" (OD Code 09A02) on Thursday, 9 October 2014, 09:00 - 10:45 h at Thon Hotel EU, Brussels.
The event - co-organised by EHTEL and hosted by the "Patients' new touch on Healthcare" Regional Partnership in close collaboration with the SUSTAINS project is dedicated to this mission: "Interactive access to information and services is instrumental to get a "new touch on Healthcare", i.e. to enable patients for a more active role in health issues. Inspired also by the Digital Agenda for Europe, our partners offer their citizens and patients online interaction with healthcare services, including online access to Electronic Health Records (EHR)."
The OPEN DAYS registration - open since early July - at: ec.europa.eu/regional_policy/conferences/od2014/register.cfm will close on 22 September. Registration is free of charge and places are allocated "first come, first served". Hence we advise to register ASAP - even if on holidays now - and book a hotel room at the same time (the Open Days are one of the periods when Brussels' hotels are overcrowded!).
29 - 31 October 2014 in Bern, Switzerland: European Congress on e-Cardiology
and eHealth with United4Health session on 31st : This congress will present cutting edge science about the latest progress in eHealth and Telemedicine in Cardiology & chronic diseases. The Focus lies on clinical application, evaluation and integration of e-Health and Telemedicine in today's healthcare systems. e-Health and
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Telemedicine will become an integrated part of future healthcare delivery. This congress is focussing on clinical application, evaluation and integration on e-Health and telemedicine in today's healthcare systems. The emphasis lies on clinical application, opportunities, challenges and implementation of e-Health in cardiovascular care and chronic diseases.
We would like to invite you the session "Transforming the patient experience with
telehealth in Europe: focus on new health care service models" on Friday, 31
October 2014, 15:15 - 16:45 h. The session has been prepared by the United4Health project and will also build on the achievements of the European large scale telemedicine pilot RENEWING HeALTH.
EHTEL Members as well as United4Health consortium partners are eligible for a 15 % discount on the attendance fees. Please send an email to [email protected] to obtain the custom registration form.
25 - 26 November 2014: EHTEL 2014 Symposium: "Innovating for Better Outcomes in Health and Social Care": The yearly EHTEL symposium will once more convene the European eHealth community at the European Economic and Social Committee in the heart of Brussels, Belgium. In 2014, speakers, panellists and delegates will share lessons on integrative communities; innovation in health and social care e.g. using mobile technologies for tangible health outcomes, and continue last year's debate on Big Data vs. Big Health:
- Integrative Communities and Vivid Networking for Innovation in and across Europe
- Innovating for New Experiences in Health And Social Care - Interaction and Participation
- Innovation Governance, Leadership and Capacity Building - Guidance and Models
for the future - Europe's Regions as Incubators and Living Labs - Ecosystems for Change - Innovation Partnerships with Industry; How to Apply Methods like Pre-Commercial
Procurement
- Big Data = Big Health? Visions for Innovation through New Insights into Health and Wellbeing
- Transforming the Quantum Leap in Mobile Technologies into Tangible Health Outcomes for All
- Telemedicine Moving from Theory to Practice - the MOMENTUM Innovation Blueprint
The EHTEL 2014 Symposium will be run in close partnership with the ENGAGED learning community of stakeholders in the domain of active and healthy ageing and MOMENTUM, aiming to advance telemedicine in routine care of European health systems. Please refer to www.ehtel.eu/symposium for further information and updates (our registration opens in second half of August 2014).
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We look forward to read your ideas and suggestions and then to meet you there, as always.
Enjoy the summer and Kindest regards,
The EHTEL Team
EHTEL new office 49/51 rue de Trèves, B-1040 Brussels, Belgium tel +32 2 2301534 / fax +32 2 230 8440 www.ehtel.eu, [email protected] -- If your address has changed or if you want to unsubscribe from messages by EHTEL, send an email mentioning "EHTEL distribution update" in the subject to [email protected]
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Appendix C – Workshop Programme
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Appendix D – Guide for Pilot site presenters
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Appendix E – Presentations
The presentations from the Midterm Workshop can be viewed on the United4Health
website;
http://united4health.eu/documents/movie-clips/mid-term-workshop/