Roll-out in Sweden

1. Roll-out in Sweden Leif Lyttkens Chief medical officer MD, PhD, Ass professor

2. D 3.1 HO model for Sweden • Month 2. • This is difficult due to summer vacations in Sweden. Month 4? • Apply the HO basket to the situation in Sweden and CCU • Put the HO basket in context of medical society of Sweden, differences - similarities.

3. D 4.4 Customised HO basket – Existing service for Sweden • Month 3 • Difficult due to summer vacations in Sweden. Month 4? • Strategy for collaborators in Sweden • Strategy for medical fields • Strategy for roll-out

4. Milestone 1 and D 0.9 Progress Report 1 • Month 7 • 75 % of hardware purchased • We assume that our network costs can be included as discussed • Investments of technical equipment locally not ready because of sequentially introduction of new PoC

5. D 8.1 Interim evaluation of roll-out in Sweden • Roll-out not according to ”Le Mans” - everybody running simultaneously • Roll-out sequentially • Start with low risk examples • Expand with higher risk examples

6. Roll-out in Sweden –First group preliminary includes • Plastic surgery • Radiology • Neurophysiology

7. Roll-out in Sweden –Second group preliminary includes • Dermatology • Discharged conference • Neurosurgery

8. Plastic surgery • The service have been tested during SPEX project and proved sustanible. The service will be offered to other hospitals and other couties. • Telecouncelling + • Virtual referal + • Telelaboratory - (not applicable) • Telecure - • Shared medical record +

9. Radiology • A new common PACS for CCU is currently introduced. • The HO service for second opinion and super specialist evaluation will be introduced between radiology department of University hospital of Uppsala and the local hospital Enköpings lasarett. • The HO service to allow all referring medicial doctors to direct view the images will be introduced and evaluated. • Telecouncelling + • Virtual referal - • Telelaboratory + • Telecure - • Shared medical record +

10. Neurophysiology • Telecouncelling + • Virtual referal + • Telelaboratory + • Telecure - • Shared medical record (+)

11. Dermatology • The HO service for second opinion will be introduced between University Hospital of Uppsala and GP surgery. • Telecouncelling + • Virtual referal + • Telelaboratory - (not applicable) • Telecure - • Shared medical record +

12. Discharge teleconference • When a patient is medically ready at the hospital he/she will be transmitted to his/her GP. At this occasion a treatment conference shall be held. The HO service will be offered to held these conferences via telemedicine. • Telecouncelling + • Virtual referal - • Telelaboratory + • Telecure - • Shared medical record +

13. Neurosergery • The service is different for emergency and non emergency patients. The service initially planned is for emergency patients where the neurosurgeon and neuroradiologist can view images from other hospitals via teleradiology. • Telecouncelling + • Virtual referal - • Telelaboratory ++ • Telecure - • Shared medical record - emergency patients, + non emegency patients

14. Neurology • During tests it has been shown that diagnosis of neurology disorders require direct phsical contact between specialist and patient, for example evaluation of reflexes. • Telecouncelling - • Virtual referal - • Telelaboratory - (not applicable) • Telecure - • Shared medical record +