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THE DREAMING PROJECT FINAL CONFERENCE 14th June 2012 “Results and new perspectives for home care from an European ehe

THE DREAMING PROJECT FINAL CONFERENCE 14th June 2012 “Results and new perspectives for home care from an European ehealth and einclusion trial ” TRIESTE, Italy , June 14th , 2012. The new care model of the Tallinn City and East Tallinn Central Hospital (ETCH )

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THE DREAMING PROJECT FINAL CONFERENCE 14th June 2012 “Results and new perspectives for home care from an European ehe

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  1. THE DREAMING PROJECT FINAL CONFERENCE 14th June 2012 “Results and new perspectives for home care from an European ehealth and einclusion trial” TRIESTE, Italy, June 14th , 2012 The new care model of the Tallinn City and East Tallinn Central Hospital (ETCH) Peeter Ross, MD, PhD Marko Parve Katrin Davõdova

  2. Long TRADITION • Founded in 1785 the same location – the centre of Tallinn the same name – Central Hospital, the same service – medicine – for 227years

  3. TODAY: Patient-centred Hospital • Municipality owned legal entity since 2001 • The result of a merge of8 separate healthcare institutions • 4 hospitals • 2 policlinics • 1 diagnostic centre • Loksa healthcare centre

  4. TODAY: 7 clinics • Women’s Clinic • Internal Medicine Clinic • Surgery Clinic • Diagnostic Clinic • Medical Rehabilitation Clinic • Eye Clinic • Long-Term Nursing Clinic

  5. Dreaming site Tallinn • 35 + 34 patients • We started real life trials in October 2009 • We redesigned workflow • Dreaming appeared to be a totally new service for our patients

  6. Dreaming patients in the end of the project

  7. Main observations • Home monitoring is a totally new service for the patient • New competences for hospital professionals • New opportunities for the hospital

  8. New for patient.Challenge for professionals

  9. Benefits of a DREAMING service • More satisfied senior citizens • Reduces isolation of elderly people • Creates new communication possibilities between caregivers and patients • Professional care according to the needs of the patient • Better medical service availability • Avoids unexpected situations • Ambulatory visits • Hospitalizations

  10. Challenges • Create 24/7 contactcenter • Furtherdelegationofmedicalservicetocontactcenterspecialists • Touseuptodatetechnology • ID chipcardsupportforfastpatientidentification • Conditionself-assessment and instantfeedbacktothepatient • HL7 and SNOMED CT encodeddataforcomplianceof EHR and PHR systems • Integration with Estonian nation-wide Health Information Exchange platform

  11. The future of healthcare in Estonia • Joint medical and social care services • Medical services • 24 h monitoring • Vital parameters and alarms monitoring • Fall sensor • Social services • Alarm button • Virtual services • Reminders • Social consultations • Coaching

  12. Future Vision: EXPORT OF TELEMONITORING DREAMING appeared to be a sustainable service DREAMING could be divided into separate components • The whole service or components of it has potential to cross country borders

  13. THANK YOU FOR YOUR ATTENTION!

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