Implementing Transnational Telemedicine Solutions: Project Overview

1. Implementing Transnational Telemedicine Solutions:Project Overview

2. New Project: ITTS Innovative telemedicine solutions to transform health service delivery in Northern Europe

3. ITTS Fact Sheet • Start Date: 1st September 2011 • End Date: 31st December 2013 • Budget: €2,321,755 • Lead Partner: Centre for Rural Health, University of Aberdeen

4. Project Partners

5. Project Aims

6. Objective The ITTS project will implement 10 demonstrator projects throughout 6 partner countries

7. Objective

8. Project Structure The project will be implemented through 5 workpackages: • Workpackage 1: Management, coordination and communication • Workpackage 2: Telemedicine expertise to ensure excellence of the project • Workpackage 3: Identification and planning of demonstrator projects • Workpackage 4: Implementation of demonstrator projects • Workpackage 5: Evaluation and sustainability of demonstrator projects The workpackages are based on a set of interrelated activities, including best practice and transnational learning

9. Telemedicine Expertise: ITAS • ITAS will bring together clusters of expertise to provide advice on the selection, design, implementation, evaluation and dissemination of demonstrator projects. • It will consist of: • Academic experts • Experienced service providers • Clinicians • Policy makers • Enterprise and business representatives • ITAS will encourage the growth of transnational clinician networks across the partnership

10. Services in Existence

11. Planned Implementation

12. Demonstrator Projects: Video-consultation • VC Links for Speech Therapy Services • VC Links for Remote Renal Services • VC Links for Emergency Psychiatry Services • VC Links for Remote Diabetes Services

13. Project 1: VC Links for Speech Therapy Services • Established in Sweden since 2007 where speech therapists consult with patients in their own homes • Previously trialled in Scotland • Now expanding in Scotland, Ireland and Northern Ireland

14. Project 1: VC Links for Speech Therapy Services

15. Project 2: VC Links for Remote Renal Services • Established in Norway (2002) and Scotland (2010) where specialists consult with patients in or near their own homes • To be implemented in Northern Ireland and expanded in Scotland and Sweden • Service to extend to include both outpatients and home dialysis patients

16. Project 2: VC Links for Remote Renal Services

17. Project 3: VC Links for Emergency Psychiatry Services • Norway: Decentralised on-call service via VC offered for adult mental health patients since 2009 • North Norway and Sweden expanding this service to child psychiatry • Adult service to be exported to Scotland, leaning on knowledge gathered from existing service in Norway

18. Project 3: VC Links for Emergency Psychiatry Services

19. Project 4: VC Links for Remote Diabetes Services • Established in Finland and Scotland where video-clinics help minimise travel times for specialists, enabling more patient consultations • Finland to export service to Northern Ireland • Scotland to expand service and exchange knowledge with Finland and Northern Ireland • VC technology to be applied to other specialties and used to deliver teaching

20. Project 4: VC Links for Remote Diabetes Services

21. Demonstrator Projects: Smartphones • Smartphonesfor Tracking Physical Activity • Smartphonesand Internet Support for Diabetes • Smartphonesfor Inflammatory Bowel Disease (IBD)

22. Project 5: Smartphones for Tracking Physical Activity • Smartphone app (‘Accupedo’) using accelerometer technology to be trialled in Ireland • Project to be exported to wider partnership based on pilot scheme’s findings

23. Project 5: Smartphones for Tracking Physical Activity

24. Project 6: Smartphones and Internet Support for Diabetes • International knowledge exchange forum • Discussions around technology challenges and solutions • Learning to inform future commercial development

25. Project 6: Smartphones and Internet Support for Diabetes

26. Project 7: Smartphones for IBD • Use of smartphones in disease management to deliver more personalised care to patients with IBD (Inflammatory Bowel Disease) • Service being implemented in Scotland and will be exported to Ireland

27. Project 7: Smartphones for IBD

28. Demonstrator Projects: Home-based services • Remote Support in Medical and Social Care Emergencies • Remote Exercise Classes for Rehabilitation • Home-based Service Delivery for Patients with Multimorbidity

29. Project 8: Remote Support in Medical & Social Care Emergencies • In Scotland, Highland Hub provides streamlined out-of-hours service across 4 health boards • Service to be exported to Finland

30. Project 8: Remote Support in Medical & Social Care Emergencies

31. Project 9: Remote Exercise Classes for Rehabilitation • Delivery of rehabilitation classes to communities or patient homes • Previously trialled in Scotland and service to be expanded • Now exporting to Ireland, Northern Ireland, Sweden and Finland

32. Project 9: Remote Exercise Classes for Rehabilitation

33. Project 10: Home-based Service Delivery for Patients with Multimorbidity • Scotland and Northern Ireland using home-based monitoring to support patients with complex health needs • Service to be exported to Finland and Sweden

34. Project 10: Home-based Service Delivery for Patients with Multimorbidity

35. Evaluation Demonstrator projects will be evaluated using common methods, a researcher will coordinate activity across the partner countries. Methods include: • use of an evaluation toolkit; • an analysis of health service activity; • surveys of staff and patients; • interviews with stakeholders; • a health economics analysis; • socio-economic modelling of the impact of roll out Outputs: • final report, • a guide, interactive checklist for policymakers and service planners • academic papers

36. Outcome of the Project • Sustainable telemedicine services • Delivered at scale • Demonstrated to be working • Demonstrated to be effective

37. www.transnational-telemedicine.eu