Municipality of Trikala Greece

1. ePractice workshop: "Procurement of eHealth solutions" Procurement of e-health services in the Municipality of Trikala, Greece George E. Dafoulas MD, MBAc,PHDc e-health services coordinator e-trikala SA Municipality of Trikala Greece

2. Prefecture of Trikala population 139.548 area in sqkm. 3.389

3. 2004…strategy : to become the first “digital city” in Greece transportation health education e citizens geographical systems government democracy

4. A Municipal SME “e-trikala SA” for the e-services transfer e education health government - democracy geographical systems

5. 1 2 3 Award in the Greek ICT Awards 2007 Award for being a city model 2008 One of the Smart21 communities in the world e-services for the citizens

6. Challenges and E-health • Growing demands for elderly care • Limits on public spending • E- health care: new treatment possibilities • Municipality of Trikala: • Investments in e-health research and technology to deliver more cost effective and better quality services -Telehealth -Telecare -EMR

7. e-Health based chronic disease management: the e-trikala telehealth service Individual citizens are equipped with light-weight handheld devices and record their vital signs which are then transferred (via the telecare center) to the General Hospital of Trikala over PSTN or GPRS for review and feedback.

8. Procurement of the Telehealth equipment in the Municipality of Trikala • Funding: 3rd Community Support Framework 2000-2006 “INFORMATION SOCIETY’ priority axis - did not promote procurement of innovation, but "purchasing of existing products and services on the shelf“ lack of SMEs able to implement lack of competence in the eHealth field lack of reimbursement of telehealth services Interoperability problems + competitive tendering, transparency, openness, fairness establishment of the infrastucture long bureaucratic procurement cycle

9. Interoperability standards

10. Public procurement of innovation Procurers should : • engage effectively with clinicians and health services provider organizations to define eHealth requirements • eHealth investments in comprehensive services, not just products • Networks and partnerships with industry / universities and research centers Reference: "Can public procurement spur innovations in health care?" VINNOVA 24 September 2009

11. Steps Taken • Establishment of a Municipal SME to run the services • Cooperation with Research institutions and Universities: - Medical Faculty , University of Thessaly • Institute of Biomedical Research & Technology of Thessaly • Biomedical Research Foundation of the Academy of Athens • National Technical University of Athens • Business School of University of Macedonia • Public-private partnerships • Establishment of communication with NGOs (AGE, Alzheimer Association) • Cooperation with Health Authorities

12. Telecare Services of the Municipality Instead of public procurement of a telecare platform existing in the market, a joint partnership with research institutions, end user organizations, companies was selected.

15. Public authorities ,end-users , industry, research institutions per task • ISISEMD main activities per partner • Coordination • ND, AAU, Alcatel,Eltronic, Converge • User requirements and specifications • ND ,Frederikshavn, Belfast, Trikala, Lappeenranta • Prototypes integration and customisation • AAU, Alcatel, HP, Converge, Socrate, Eltronic, ICCS • Pilot operation, validation and evaluation • ND, Frederikshavn, Belfast, Trikala, Lappeenranta • Dissemination • ICCS, AAU • Exploitation • ND, Alcatel, HP, Converge, Socrate, Eltronic • Standardization • HP, Alcatel

16. Intermediate evaluation - certain restrictions for public bodies when conducting procurement with innovative product requirments and specifications Small market in small countries=competition challenges Bureaucracy + competitive tendering, transparency, openness, fairness Co-funded Share of risks Promotes innovation Know-how for the municipality Business case

17. EMR and Telehealth Service for the ROMA community of the Municipality of Trikala

18. Challenges and actions • EMRs of HIS of the Regional Health Authorities in Greece have recently been developed. • Problems still exist in the interoperability of the EMRs between the RHA • Portable EMR is an advance service not only on national but also on european level • A study commissioned by the Prefecture of Thessaly, before the pilot implementation. • Partnership with the Regional Health Authority of Thessaly

20. Progress so far • 11 Municipalities of Central Greece, representing more than 1.000.000 citizens, have recently joint forces together and expand the “best practice” of the Municipality of Trikala • Via the Operational Programme 'Digital Convergence' of the European Territorial Cooperation Programmes, a regional telehealth network will be funded. • The experience of procurement procedures so far, can benefit the regional partners • Municipality of Trikala became a competence center on regional level • Incubation of innovative practices and projects

21. INDEPENDENT

23. Thank you for your attention! Ευχαριστώ για την προσοχή σας!