eHealth -enabled Innovative Care Model

1. eHealth-enabledInnovative Care Model Marc Lange, Secretary General

2. European Health TELematics • A cross-(any)border and multidisciplinary collaboration forum Sustainable and large scale eHealth deployment requires engagement and synergies eHealth Seminar of COFACE

3. Some of our Publications • Empowering the Citizens • Ethics and eHealth • Deploying eHealth and Telemedicine • Policy lessons learned Soon eHealth Seminar of COFACE

4. Our platform enables an overview eHealth Seminar of COFACE

5. The Landscape: an Ageing Europe • Why eHealth?Enabling the transformation of health care systemsTo better answer to the demand for • Quality and Patient Safety • Equitable and Improved Access • Cost Containment • While the demand is rising up because of • Ageing population, chronic diseases • Rising health care expenditures • Shortage of health professionals eHealth Seminar of COFACE

6. The Landscape (...) • Why eHealth Council Conclusions on Safe and efficient healthcare through eHealth (December 1st, 2009) [...] 7. RECOGNISES the importance of eHealth as a tool to improve quality and patient safety, to modernise national healthcare systems, to increase their effectiveness and make them more accessible to all and better adapted to meet the individual needs of patients, health professionals and the challenges of an ageing society; 8.[...] eHealth Seminar of COFACE

7. Changing the care process • Does it work? • Data from a recent studyby Gartner for the Swedish Presidency of the EU determined that through the use of Telemedicine and Home Health Monitoring, 5.6 million admissions to hospitals for chronically ill patients could be avoided collectively in six member states that were analysed (Czech Republic, France, the Netherlands, Sweden, Spain and the United Kingdom) • Study: eHealth for an Healthier Europe! http://www.sweden.gov.se/sb/d/574/a/129815 eHealth Seminar of COFACE

8. Tele-homecare Quality of Life Independent, Healthy Living Community Clinic Chronic DiseaseManagement Doctor’s Office ResidentialCare Assisted Living Acute Care Skilled Nursing Facility Specialty Clinic Community Hospital ICU Adapted from Intel €1 €10 €100 €1,000 €10,000 Telemedicine services eHealth Seminar of COFACE

9. 16 services under multidisciplinary scientific trials Innovative Care Models eHealth Seminar of COFACE

10. Visit at home Tele-monitoring to support patients with COPD (Veneto Region, Italy) Tele-Ulcer care (Southern Denmark) Remote monitoring COPD Home Monitoring (Southern Denmark) eHealth and eWelfare in South Karelia (Finland) Tele-Health Coaching The Diabetes Health Motivation Service (North of Norway) Some practical examples eHealth Seminar of COFACE

11. Visit at home for COPD (IT) Ambulatorio AD Web based software Synchronization Synchronization AD Manager Client-server application eHealth Seminar of COFACE

12. Tele-Ulcer care (DK) • By means of tele-care, the visiting homecare nurse is able to communicate with a physician/medical specialist at the hospital, transfer images by use of a cell phone with camera and share notes and information in a shared care ulcer database. eHealth Seminar of COFACE

13. Consultation Admission Installation Equipment Home Monitoring for COPD (DK) • ”Digitalization” of ” the nurse - consultations led by specialized nurses • Vital sign data uploaded to hospital directly from measurement devices (separate system) • Close collaboration with homecare staff eHealth Seminar of COFACE

14. Diabetes DiaryThe Few Touch Application (NO) eHealth Seminar of COFACE

15. 16 services under multidisciplinary scientific trials Innovative Care Models eHealth Seminar of COFACE

16. Visit at home Tele-monitoring to support patients with COPD (Veneto Region, Italy) Tele-Ulcer care (Southern Denmark) Remote monitoring COPD Home Monitoring (Southern Denmark) eHealth and eWelfare in South Karelia (Finland) Tele-Health Coaching The Diabetes Health Motivation Service (North of Norway) Some practical examples eHealth Seminar of COFACE

17. Visit at home for COPD (IT) Ambulatorio AD Web based software Synchronization Synchronization AD Manager Client-server application eHealth Seminar of COFACE

18. Tele-Ulcer care (DK) • By means of tele-care, the visiting homecare nurse is able to communicate with a physician/medical specialist at the hospital, transfer images by use of a cell phone with camera and share notes and information in a shared care ulcer database. eHealth Seminar of COFACE

19. Consultation Admission Installation Equipment Home Monitoring for COPD (DK) • ”Digitalization” of ” the nurse - consultations led by specialized nurses • Vital sign data uploaded to hospital directly from measurement devices (separate system) • Close collaboration with homecare staff eHealth Seminar of COFACE

20. Diabetes DiaryThe Few Touch Application (NO) eHealth Seminar of COFACE

21. Integrated eCare in Milton-Keynes (UK) Integrating health and social care • Social alarms and other social services • Telemonitoring systems for patients with COPD eHealth Seminar of COFACE

22. Results – End User Perspective SF-12 • decline in physical functioning (PCS) • increase in mental functioning (MCS) over the trial. • significant gender differences in PCS + MCS eHealth Seminar of COFACE

23. Snapshot on evaluation 89 people completed the client exit questionnaire on user satisfaction. Positive benefits • 79% said they had experienced major benefits. • 17% said they had experienced minor benefits • 3% said they had not experienced any benefits Benefits identified by service users included: • ‘increased control/self-management’ • ‘family reassured’ • ‘having readings to give to the GP’ • ‘GP attendance reduced’ • ‘gets me out of bed’ eHealth Seminar of COFACE

24. GP post GP/Nurse Heart failure patient Telephone Medical and social questions Communication with GP office telecare Alerts (e.g. falls) telehealth Daily telemonitoring of weight, BP and health status Integrated eCare in Veldhoven (NL) eHealth Seminar of COFACE

25. The pilot - Quotes Patient: “Before this project I had heart rhythm problems. Since I joined this project, I feel safe and do not experience these problems anymore.” Informal carers of a patient: “It reduces the workload for us, because we feel more secure about the safety of our father. There are no disadvantages for us, and for our father.” eHealth Seminar of COFACE

26. Trikala’s INDEPENDENT Schema (GR) ICT in support of informal carer IP Video Phone Telecare center KAPI center Electronic Health Record Patient’s home Relative’s home 26

27. Social carer (onsite) Updates on delivered care Indicates need for unplanned care Documents delivered care Assisted person Searches/books services Hospital monitoring nurse Client record Relative Service repository Hull (UK): The shared living solution Community nurse/GP telephone Email messages Email /telephone

28. Marc Lange Secretary general EHTELAssociation M.E.P.S. 50, rue d’Arlon B-1000 Brussels Belgium Tel: +32 (0)2 230 15 34 Fax: +32 (0)2 230 84 40 Mobile: +32 (0)475 27 71 45 Marc.Lange@ehtel.org www.ehtel.org Thank you for your attention • More at • www.ehtel.eu • www.renewinghealth.eu • www.commonwell.eu • www.independent-project.eu eHealth Seminar of COFACE