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Round table discussion

Round table discussion. Health Optimum conference Venezia jan. 2006. Peder Jest. Medical Director. The patient principle. That we at any time can offer the patients the most competent treatment That it happens within national and international standards and evolutions

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Round table discussion

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  1. Round table discussion Health Optimum conference Venezia jan. 2006 Peder Jest Medical Director

  2. The patient principle • That we at any time can offer the patients the most competent treatment • That it happens within national and international standards and evolutions • That it happens within the economic resources given • That it counts for every patient pje@shf.fyns-amt.dk

  3. Telemedicine- experiences • Why: • it’s possible • It’s cheap • We have the network • Lack of doctors and nurses (In DK) • It’s crucial to have equal access to health services • The patients want it • We have to follow quality standards and indicators

  4. Telemedicine- experiences • How? • Cooperating across sectional borders • Equipment and network • Education in videoconfencing systems etc. • Choosing the right medical specialists • Choosing the right diseases and patient groups

  5. Managing strategy? Top Bottom Bottom Around Top Up Down pje@shf.fyns-amt.dk

  6. Implications • Top-down, bottom-up, top-bottom around • Strategic goals: health for everyone. Effectiveness, value for money, quality, patient safety- adverse events. • Managing the projects (money etc.) • Courage to move from projects to daily activity ( risk-management) • Coordination with EHR. Data in – data out. pje@shf.fyns-amt.dk

  7. Implications • The demographic change in EU: • A population of elderly persons, more than 20 % > 65 years • Longer expected lifetime • Living with several chronic diseases • Patients expect ambulatory functions • Fewer local hospitals and fewer hospital beds • Telemedicine can partly solve the centralisation-decentralisation problem pje@shf.fyns-amt.dk

  8. The future • Demography: more elderly people • More chronic diseases, several for the single person • Fewer accidents • Only few ”new” diseases • Diagnoses still a result of lifestyle combined with genecity: • Art. Diseases. Cancer,pulmunary dis.,Skeleton and muscle dis., diabetes, psych. Dis. Acc. Acc. Chr. 2020 2004 Chr. New New pje@shf.fyns-amt.dk

  9. Sygehus Fyn FAABORG SVENDBORG NYBORG ÆRØSKØBING RINGE

  10. Netlab KKA • Praksis læger • Medicare • LPR • Shared care • Sundhed.dk Conrad Røntgen COSMIC EPJ Integration Prosang KIA Integrationsplatform Applikationer: Telemedicin Kl. databaser Utilsigtede hænd. MTV Mikrobiologi FPAS Patologi Netlab - Elektroniske svar Nyt system i 2006 • Conrad • Elektroniske rek. • Elektroniske svar • Prosang • Elektroniske rek. • Elektroniske svar • efterår 2005 • Mikrobiologi • Mangler analyse • Nyt system 2005 • Patalogi • Afventer ny version af cosmic • FPAS • Nye grænseflader • Kommunikation mellem systemerne pje@shf.fyns-amt.dk

  11. Baltic-e-health Teleradiologi Svendbg.-Ærø Telealkohol-projektet(Æ-R-S) Teleendokrinologi (Diabetes) Retinascreening (KBA- M) Tele-EKG afd. M – Falck Telekardiologi (Ekko) Videokonf. OP-stuer Fåborg, Nyborg- Svendborg Stemmestyret endoskopier Videokonf. terapierne Træningsrobotter terapien Telealkohol afd. M Telealkohol Fåborg Videokonf. Med. Klinik Fåborg Better Breathing (KOL) afd.M Videokonf. Med.afd. – prakt. læge Teleradiologi med PACS Telemedicine in SHF Project or daily buss. Just started pje@shf.fyns-amt.dk

  12. Rational criticism More continuity/quality in patients course New opportunities in research New educational areas Fewer adverse events More patient involvement. More effectiveness Change og workflow. Shift of workflow between Health prof. Better documentation New adverse events and failures Diminished staff More competences in the single member of the staff What can managers expect from EHR, robotics & telemedicine? pje@shf.fyns-amt.dk

  13. Conclusions: management focus • Telemedicine as a strategic goal • Knowledge, awareness, understanding of possibilities • Support for project management • Clear and welldefined objectives • Leadership in cultural change in the organisation( top-down) • Risc management/Investments in IT • PR-strategi showing the advantages of the area. • From project to daily activities ( difference between administration and management) Pjeshf.fyns-amt.dk

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