Transforming Health Care Delivery: Governance and Change Management

1. Transforming Health Care Delivery: Governance and Change Management Joan Cornet . CEO. TicSalut Foundation. University of Barcelona. IL3

3. From COCIR Telemedicine Toolkit

5. Tic Salut Foundation Professional and citizens Council Scientific Council Advisory Business Board Suppliers of Health Collaboration Agreement FundacióTicSalut – Health Department / CatSalut Observatory Innovation Normalization International relations and projects Telemedicine and Teleassistance plan DEPLOYMENT Office of standards DEPLOYMENT Projects, agreements, congress Trend Maps

6. What to do Telemedicine and Teleassistance Plan Map of trends Annual publication that provides objective information about the level of development of ICT in health organizations in Catalonia Proposals for action and projects of interest assessed by the Health Department in this area

7. What to do Projects, agreements, congresses Interoperability and standards office Participate in international projects and activities that promote the implementation of new technologies in the field of health Preparation of criteria and strategic guidelines in adopting semantic standards and technologies.

8. Why is interoperability? THE CITIZEN MOVES WE HAVE A CONTINUITY OF CARE WE PROVIDE CITIZEN SERVICES WE HAVE TO GIVE SERVICES FOR CHRONIC DISEASE WE HAVE TO SHARE RESOURCES

10. Office of standards and interoperability

11. Interoperability Technique Semantics Organizational • Process analysis and use of codified and standardized information exchanged. • Systems capable of interpreting and structure information received from other systems • Hardware-level systems capable of sending and receiving information without having to interpret or make improper use

12. Where we are Catalan Shared Medical Record

13. Telemedicine and Telecare medical Plans Kinds of applications on intervention lines • The Telemedicine in Catalonia, in 5 years, should become an important channel for the provision of healthcare services, with three priority areas: Type of communication 3 2 • Diagnosis: • Radiology • Anatomy • Pathology • Dermatology • Ophthalmology • Management of chronic diseases: • Diabetes • Respiratory failure • Heart disease Deferred Time 1 • Teleconsultancy: • Cardiology • Dermatology • Pediatry • Neurology • Psychiatry Real Time Actors involved Professional - Professional Professional – Professional & Patient Professional - Patient 13

14. Personal Health Record Future information available • Advanced Search Map • Advanced Technology Platform • Certified Quality warranty of web content • Usability and accessibility standards • Multichannel: in person, telephone, iPod, Chats, blogs, podcasts, RSS • Digital cards, widgets • Possibility of publishing on public social networks • Access through digital identification: idCAT, electronic ID, health card chip, sim, etc. • Benefits from services for Citizens of the Generalitat of Catalonia (DAGC and Sanitatrespon) • It benefits from technology existing in the private market • The contents can be customized to the ones available in the Health Channel: • Creation of own content • Participation in health surveys • Communication with other patients • Common space for associations and communities • Web portal that hosts other providers’ information and public and private services • Professionals web portals who wish to join voluntarily • Correction of data and queries • Schedule an appointment • Request for change of doctor or hospital • Health Card Processing • Sick leave medical reports • Assistance reports and maternity leave • Certificate of health transport • Administrative and complaints reports • Last will’s registration Involvement and presence in social networks • Bi-directional communication with professionals • Patient tracking and monitorization • Telemetry and recording of vital signs • Second opinion • Participation in clinical trials • Specific services for certain patients and health communities • Enrollment in volunteer programs Procedures Virtual Office to access different services Common internet resources and services • Folder information relevant to public health: • Information, education and personalized health tips • Pharmacological and clinical information • Information on vaccines • Guide on Administrative Procedures • FAQ’s • Access to accredited sources • Access to information of other providers • Notification of emergencies and situations of risk Access to citizen’s health information Communication and Interaction with health professionals Customized Health and services contents

20. TICSalut global TABS ALLIANCES Regions Example Netwoks Projects Example text Go ahead and replace it with your own text. This is an example text. Go ahead and replace it with your own text

21. ccccccc TICSalut global REGIONS Alliances C Example Networks Projects World Mediterranian European Commission

22. TICSalut global Networks Alliances Regions Example Projects

23. PROJECTS TICSalut global (-) Alliances Regions Networks • Europeans Projects • EPSOS (Smart Open Services) • RGS (Rehabilitation Game System) • Renewing Health (Regions of Europe Working together for Health) • CLEAR (Clinical Leading Environment for the Assessment and validation of Rehabilitation Protocols for home care) • RTF (Regional Telemedicine Fòrum) • Home Sweet Home • MNEMOSYNE (Serveis de Teleassistència per a gent gran) • NEXES (Supporting Healthier and Independent Living for Chronic Patients and Elderly) • Ministerial Conference • Ehealth High Level Conference Example

24. Thanks a lot Joan Cornet_ CEO Foundation TicSalut Barcelona. Spain. joan.cornet@ticsalut.cat www.ticsalut.cat