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Example of the way new technology is used in the field of health (E-Health)

Example of the way new technology is used in the field of health (E-Health) Elena Vio - Arsenàl.IT Veneto ’ s Research Centre for eHealth Innovation. Moving to ehealth. Telemedicine. Store&Forward. Healthcare. Telehomecare. eHealth. Telesurgery. E-health Plan in Europe 2012-2020

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Example of the way new technology is used in the field of health (E-Health)

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  1. Example of the way new technology is used in the field of health (E-Health) Elena Vio - Arsenàl.IT Veneto’s Research Centre for eHealth Innovation

  2. Moving to ehealth Telemedicine Store&Forward Healthcare Telehomecare eHealth Telesurgery

  3. E-health Plan in Europe 2012-2020 • CHALLANGES: • to improvechronicdisease and multimorbidity • to increasesustainability and efficiency of healthsystems by unlockinginnovation,enhancingpatient/citizen-centric care and citizenempowerment and encouragingorganisationalchanges; • to foster cross-borderhealthcare, health security, solidarity, universality and equity; • to improvelegal and market conditions for developingeHealthproductsandservices

  4. Do you need only technical innovation?

  5. Technology Etical Legal Clinicalefficacy efficency We need a HTA approach E-Health Economy Organization User Perception

  6. consultation Consultazione ICT applied to Health diagnosis Diagnosi Telemedicine monitoring Telemedicine Remote assistance Healtheducation network Health&epidemiology Telehealth Environment and industrial health Health policy ICT applied to health EHR e-Health Health data Decisionsupport Clinicalsupport Order entry m-Health Clinicianssupport Remote data collection

  7. Health in Veneto Region: • 4,9 M inhabitants (2013 data) • 18.391 km2 of land surface • 21 Local Health Authorities • Healthcare assistance (Hospitals) • Territorial assistance and social issues (GPs, outpatients’ clinics, elderly care, in-home assistance, mental health, disability, drug addiction, ecc…) • Prevention department • 2 Hospital Trusts • University education and research • High-specialty services

  8. The Consortium Arsenàl.IT:Veneto’s Research Center for eHealth Innovation Founded in 2005 as “Telemedicine Consortium”, currently groups all the 23 Local Health Authorities afferent to the Veneto Region. Has succeeded in highlighting the critical issues of interoperability, standardization and organizational impact as key factors for driving Telemedicine applications to the mainstream of the care delivery process.

  9. eHealth service in Veneto Region: • HEALTH OPTIMUM European Project – European Telemedicine Project aimed to diffuse and pilot-test some telemedicine services for neurosurgical telecounselling (2007-2009) • VENETO ESCAPE - giving to patient and to healthcare professional the possibility to obtain digitally signed electronic medical reports (2009-2012) • Doge: the GPs Network - Regional project aimed to set up a network of services for information and document exchange between GPs, Hospitals and LHAs (2009-2010) • SUSTATINS: European Project - study and implement services that permit direct access online by citizens to their personal healthcare data and other service so as to improve their empowerment and administrative management (2012-2015). • RENEWING HEALTH - validation in real life settings and with a common assessment methodology of the use of Personal Health Systems for innovative Telemedicine services (2009-2012)

  10. NEUROSURGICAL TELECOUNSELLING ICT allows to sharing information and CT images between peripheral hospital and central hospital with Neurosurgeon - in all hospitals of Veneto region and in 4 european regions Emergency room Peripheral Hospital Central hospital Neurosurgery Form for request+images Form for response Neuroradiology X

  11. NEUROSURGICAL TELECOUNSELLING • ICT allows to sharing information and CT images between peripheral hospital and central hospital with Neurosurgeon - in all hospitals of Veneto region and in 4 european regions • Results: • Equity of treatment • Saved time and unnecessary transfers of patient and physicians (75%) • Legal value of remote consultation • 3200 telecounselling/year – over 1000 clinical users

  12. Digitalization and Management of clinical reports • ICT allows to eliminate paper for clinical report, guaranteed legal validity (signature, certification, storage, distribution, extraction, conservation, delivery via on line) – in all Veneto region • Results: • Less trips: 120 M€/years saved for citizens • Reuse of human resource (33) • Opportunity to process or share data in order to better treat the patient • 60% of downloaded clinical reports

  13. MANAGEMENT OF E-PRESCRIPTION • ICT allows to manage electronic prescriptions and referrals: from the production of document to the dispensation of it – in all Veneto region • Results: • Better use of common resources • Better identification of citizen • To avoid errors • Use of decision support system for prescription

  14. ON LINE SERVICES FOR CITIZENS • Access to their health data online, online payment, online booking, access to waiting lists, digital consensus management, communication between citizens and specialists. • Focus group • Results: • Authonomy of citizens • Self-management • Empowerment of citizens

  15. Patient’s home Regional eHealth Centre TELEMONITORING OF CHRONIC PATIENTS ICT allows to physician to manage the chronic patient (COPD, Diabetes, CVD) in remote way PATIENT GATEWAY SERVER GENERAL PRACTITIONER TELEMONITORING DEVICES 7 1 3 2 6 5 4 HOSPITAL OR LOCAL HEALTH DISTRICT INTERVENTION SERVICE ALARM DEVICE SOCIAL WORKER REGIONAL CENTRE’S OPERATOR FAMILY DATA TRANSMISSION DATA ACCESS THROUGH HOME CARE PORTAL ALARM MANAGEMENT CONTACT WITH PATIENT

  16. NORWAY FINLAND SWEDEN TELEMONITORING OF CHRONIC PATIENTS • 3,332 enrolledpatients in Veneto Region • Over 7,000 enrolledpatientsateuropeanlevel • 10 involved LHA in Veneto Region • Clinical Staff involved: • Cardiologists • Electrophysiologists • Pulmonologists • Diabetologists • Nurses • GPs DENMARK GERMANY AUSTRIA SPAIN ITALY • Evaluation • Clinical aspects • Organizational aspects • Economical aspects • User and patients perceptions • Social aspects GREECE

  17. Tools to support the healthcare processes • Bottom-up model: to involve 1000 operators for the realization

  18. Thank you for your attention evio@consorzioarsenal.it @Consorz_Arsenal MRCLIC Veneto ESCAPE www.youtube.com/user/consorzioarsenal www.youtube.com/user/RENEWINGHEALTH www.linkedin.com/company/arsen-l.it consorzioarsenal_it www.consorzioarsenal.it

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