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Baltic eHealth empowering regional development in the Baltic Sea Region Henning Voss

Baltic eHealth empowering regional development in the Baltic Sea Region Henning Voss Danish Centre for Health Telematics Baltic IT&I Riga April 2006. Benefits of cross-border telemedicine. Mobility: Travelling patients Move the data – not the patient

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Baltic eHealth empowering regional development in the Baltic Sea Region Henning Voss

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  1. Baltic eHealth • empowering regional development in the Baltic Sea Region Henning Voss Danish Centre for Health Telematics Baltic IT&I Riga April 2006

  2. Benefits of cross-border telemedicine • Mobility: • Travelling patients • Move the data – not the patient • Improved access to more specialized healthcare • Avoid bottlenecks • Avoid doctors migration

  3. Barriers to telemedicine • Technical Interoperability • Reimbursement not settled • Legal issues • Cultural and linguistic differences

  4. Interoperability • We need: • Standards, terminology and semantic consensus • Network and security

  5. Standards and semantic consensus in Denmark

  6. Network and security inDenmark • Internet-based • Any data type • From push to pull: • Receiver in charge • Patients access own data

  7. Vilnius Tallinn Denmark ??? Norway BHN Sweden Network and Security in the BSR- one step towards interoperability

  8. The Baltic Health Data Network

  9. Tools on the network • Service Portal (yellow pages) • Videoconferencing broker • Collaboration Platform & Structured Reporting Tool • Common PACS archive for hospitals (??) • Telemedicine broker (??)

  10. Guidelines • Legal • Reimbursement • Organisational • Cultural / linguistic

  11. eUltrasound • Classical Second opinion approach: • Mid-wives and doctors in Västerbotten • The Norwegian Centre for Fetal Medicine • First step – off-line consultation • Second step – on-line consultation

  12. eRadiology • Lack of Radiologists in Funen hospital • Waiting lists and traveling to other hospitals. • Solution: • Images are taken in Funen • Reports are made in Vilnius and Tallinn • Start with conventional radiology • Multi-lingual standardized reporting schemes • Goal: From pilot to production (incl. business model)

  13. Structured Reporting Tool

  14. Acceptance of cross border remote reporting A: If I can get a faster treatment in Denmark, it is all right if a doctor in a foreign country does the reading of my X-rays B: ”I do not feel comfortable with having a doctor in a foreign country read my X-rays” 72 % agreed in statement A => high acceptance (n = 1988, Danish telephone survey, oct. 2005)

  15. Initial Results • Legal issues report • BHN is established • Collaboration platform • Structured Reporting Tool • Service Portal • Reports on financial, cultural and technical issues (before summer)

  16. Implications for potential medical users • Solves interoperability problem • Addresses other eHealth problems • Demonstrates patient mobility

  17. Discussion • If successful the BHN could be the model for an European-wide secure and interoperable infrastructure.

  18. Partners Facts: • Ten partners • Five countries • Start: 2004 • End: 2007 • Budget: 2 M€

  19. Thank you for your attention ! More Info: Henning Voss: hvo@cfst.dk website: www.Baltic-eHealth.org Baltic eHealth is co-financed by the BSR Interreg III B programme

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