Introduction

1. The eHealth Innovation system in theRegion of Southern DenmarkChristina E. WanscherInternational Consultant at Southern Denmark Health InnovationRegion of Southern Denmark [DK]

2. Health care in Denmark The Region of Southern Denmark The eHealth & Innovation System Innovation in the Region of Southern Denmark What lies ahead Introduction

3. The Region of Southern Denmark 1.2 million residents 41 politicians elected in regional council Health sector budget € 2.6 billion Employs 25,000 people 4 hospital units 800 GPs 22 municipalities / home care

4. The Danish health service (1) The Danish health service consists of three players: hospitals, general practitioners and municipalities The regions are responsible for: Running the hospitals Ensuring good collaboration between hospitals and general practitioners Advising the municipalities on disease prevention and health promotion 4

5. The Danish health service (2) The municipalities are responsible for: Disease prevention and promotion of health among citizens Home care Rehabilitation (except during hospitalization) The general practitioners are responsible for: The citizens' first port of call for health service Co-ordinator for patients with chronic illnesses

6. A Chronic Condition • 1 in 3 suffers from a chronic illness • Claims 70 – 80 % of resources in the health sector • Numbers are increasingly due to age and lifestyle • Many suffer from several chronic disease – strong social gradient

7. Demography Limited ressources Demand for efficiency improvement Demand for increased quality New services – New hospitals – New work flows A burning platform in health care

8. Driving force in the quest to balance cost containment and health care quality… PRODUCT PROCESS ORGANISATIONAL Innovation in Health Care Innovation UNESCO Institute for Statistics, Oslow Manual, 2005

9. Formal mechanisms to find sound innovations that should be disseminated Find and support innovators Invest in early adopters Make early adopter activity observable Trust and enable reinvention Create slack (including resources) for change Lead by example Dissemination of Innovation Berwick, D.M. ”Disseminating Innovations in Healthcare”, 2003

10. Innovation in the Region EIP-AHA Renewing Health Common Medicine Card Health Optimum Better Breathing Baltic eHealth Strategies & Action Plans FynCom 1994 2012

11. REGION OF SOUTHERN DENMARK & AAL INNOVATION CENTER Center for User-Driven Innovation is 700 sqm. test centre for Health Innovation. In the center we create temporary operating rooms and test new procedures in realistic situations and 1:1 scale. INVIA.nu INVIA is the Region of Southern Denmark's Unit for Welfare Innovation. They collect ideas and identify the needs of employees and patients ICT & TELEMEDICINE ICT based communication across sectors in health and social care. Supports implementation of telemedicine and ICT. DEMAND INTERNATIONAL PROJECTS PPI-LAB The PPI-Lab is a national lab for Public-Private Innovation. JOBS GROWTH OPTIMIZATION QUALITY OF LIFE RESEARCH / KNOWLEDGE /EDUCATION CAPITAL / INTERNATIONAL-ISATION UNIK Developing innovative solutions for chronic diseases INVESTMENT FUND Welfare technology investment fundIn development PATIENT@HOME National research- and innovation project with focus on AAL SUPPLY WELFARE TECH Cluster collaboration involving 76 private and public partners. Development of products in the field of welfare technology (AAL)

12. Purpose: Respond to the burning platform Contribute to society and the demands of the public sector Build a bridge between Innovation – Implementation – Daily operation Secure and respond to existing potentials Southern Denmark Health InnovationOne entrance to the Region

13. ORGANISATIONAL innovation; IMPLEMENTATION of new work processes in telemedicine and cross-sectional ICT solutions PRODUCT innovation; Innovative partnerships such as Public Private Partnerships PROCESS & PRODUCT innovation: An innovatorium of health – working with user-centered innovation processes

14. New Living Lab in Odense in connection with the development of new University Hospital in Odense • 700 sqm. Test Centre for Health Innovation • The region's health workers can test new ideas and new solutions for tomorrow's hospitals • Create temporary operating rooms and test new procedures in realistic situations and 1:1 scale • Cooperation with businesses • Interaction with research and knowledge environments

15. Stimulating the market WELFARE TECHNOLOGY INVESTMENT FUND TOTAL FUNDS: EUR 10 million • for start-ups and young enterprises bringing new products to the market • will generally take the form of venture capital allocated to non-listed enterprises • may also involve loans The Southern Denmark Growth Forum is working intensively to create a capital fund that focuses on investing in welfare technologies Investments will be targeted welfare technologies in the Region of Southern Denmark

16. Reference site in the EIP-AHA A Living Lab Denmark for Health and AAL A national consortium focusing on Ambient Assisted Living Technology placed in the Region (Odense) What lies ahead?

17. European Innovation Partnership – Active and Healthy Ageing PREVENTION; Personal Health Management (A2) CARE: Integrated Care Systems (B3) INDEPENDENT: Open Solutions (C2)

18. Living Lab Denmark Creating an international centre of excellence for development, implementation and deployment of eHealth and Assisted Living services and technologies.  A LIVING LAB DENMARK FOR HEALTH AND AAL TECHNOLOGIES. CHALLENGES AND OPPORTUNITIES OUR GOALS Increase demand for welfare services • Higher value growth in existing enterprises • Additional growth enterprises • Free existing workforce resources • Improve service for citizens and patients Business development potential in the field of welfare technologies and solutions Available resources (labour and capital)

19. Thank you for your attention Christina E. Wanscher – International Consultant Christina.wanscher@regionsyddanmark.dk

20. The eHealth Innovation system in theRegion of Southern DenmarkChristina E. WanscherInternational Consultant at Southern Denmark Health InnovationRegion of Southern Denmark [DK]

21. WE HAVE THE RIGHT PLAYERS 4 Hospital Units – currently at 18 sites • Odense University Hospital/Svendborg Hospital • South-West Jutland Hospital • Hospital Little Belt • South Jutland Hospital • INVIA.NU • Enterprises • 314 companies • More than 30% in Odense Authorities • 22 local authorities • The Region of Southern Denmark • The National Board of Social Services And others… Clusters & Networks • RoboCluster (Supplynet, Carenet, Medicnet) • Alu-Cluster • Mechatronics cluster • IT Forum Southern Denmark • IT Forum Fyn • Welfare Tech Region Unions • FOA • The Danish Nurses’ Organisation Research & education • SDU (Multiple faculties and centres, including: • The Mærsk Institute • The Mads Clausen Institute Knowledge Lab) • Kolding School of Design • University College South Denmark • University College Little Belt Commercialisation & business promotion • Tech Trans • Odense Development Forum • South Jutland Development Council • Væksthuset (Hothouse) And others… Knowledge Institutions • Danish Technological Institute • MedCom

22. The agreement describes guidelines concerning cooperation, communication, information to the patients and monitoring of the quality and is supported by electronic communication Continuity of care Discharging starts as soon as you are hospitalized Continuity and flexibility through dialogue Patient involvement Flow charts describes what each sector is expected to do before, during and after hospitalization. SAM:BO – purpose and contents

23. Most of the efforts in the health agreements support the challenges of aging patients. SAMBO ensures cooperation and continuity of care As part of SAMBO there is a special agreement about seriuosly ill and dying patients. The agreement describes requirements for collaboration, communication and information for these patients and their relatives, particularly focusing on the transitions between sectors. In psychiatry there is at special agreement on dementia intervention in all the cooperating sectors. The elderly patients

24. Focus on Electronic Communication A joint IT strategy: All the cooperating partners – the region, the 22 municipalities and the practitioners The IT strategy is approved at the highest levels to ensure leadership support, focus and allocation of resources Formal framework of cooperation - the health agreements. The health professional purpose: To support treatment and intersectoral cooperation Networking: Exchange of experience and development National coordination and national standards of IT communication New national project: The Sharede Medication Record IT strategy

25. The danish health legislation impose the regional council and the municipalities to sign an agreement on the handling of the tasks within health and psychiatry. Supported by specific clinical guidelines and instructions from The National Board of Health The purpose of the health agreements is to strengthen the cooperation on efforts towards patients with needs of health benefits from the hospital, the general practice and the municipality, as well as insure continuity of care. Health Agreements

26. Patient in the Centre Municipality Hospital General practitioner

27. The eHealth Innovation system in theRegion of Southern DenmarkChristina E. WanscherInternational Consultant at Southern Denmark Health InnovationRegion of Southern Denmark [DK]