eHealth-enabled Innovative Care Model Marc Lange, Secretary General

19 April 2012 European Health TELematics A cross-(any)border and multidisciplinary collaboration forum Sustainable and large scale eHealth deployment requires engagement and synergies eHealth Seminar of COFACE2

Some of our Publications eHealth Seminar of COFACE19 April 2012 Soon Empowering the Citizens Ethics and eHealth Deploying eHealth and Telemedicine Policy lessons learned 3

19 April 2012 Our platform enables an overview eHealth Seminar of COFACE4

The Landscape: an Ageing Europe Why eHealth? Enabling the transformation of health care systems To better answer to the demand for Quality and Patient Safety Equitable and Improved Access Cost Containment While the demand is rising up because of Ageing population, chronic diseases Rising health care expenditures Shortage of health professionals 19 April 20125

The Landscape (...) Why eHealth Council Conclusions on Safe and efficient healthcare through eHealth (December 1 st, 2009)Council Conclusions on Safe and efficient healthcare through eHealth [...] 7. RECOGNISES the importance of eHealth as a tool to improve quality and patient safety, to modernise national healthcare systems, to increase their effectiveness and make them more accessible to all and better adapted to meet the individual needs of patients, health professionals and the challenges of an ageing society; 8. [...] 19 April 2012eHealth Seminar of COFACE6

Changing the care process Does it work? Data from a recent study by Gartner for the Swedish Presidency of the EU determined that through the use of Telemedicine and Home Health Monitoring, 5.6 million admissions to hospitals for chronically ill patients could be avoided collectively in six member states that were analysed (Czech Republic, France, the Netherlands, Sweden, Spain and the United Kingdom) Study: eHealth for an Healthier Europe! April 2012eHealth Seminar of COFACE7

19 April 2012 Telemedicine services Quality of Life 10,0001, Adapted from Intel Specialty Clinic Community Hospital ICU Acute Care Assisted Living Skilled Nursing Facility Residential Care Independent, Healthy Living Community Clinic Chronic Disease Management Doctors Office Tele-homecare 8

Innovative Care Models Pilot site Type of service PathologyVeneto Southern Denmark Norrbotten Northern Norway Catalonia South Karelia ThessalyCarinthiaBerlin Cluster 1 Medium-term health coaching and life-long monitoring DiabetesSEE MORE Cluster 2 Life-long monitoring DiabetesSEE MORE Cluster 3 Ulcer monitoring DiabetesSEE MORE Cluster 4 Short-term follow up after hospital discharge COPDSEE MORE Cluster 5 Life-long monitoring COPDSEE MORE Cluster 6 Medium-term health coaching and life-long monitoring CVDSEE MORE Cluster 7 Remote monitoring of Congestive Heart Failure CVDSEE MORE Cluster 8 Remote monitoring of implantable cardiac devices (ICD & PM) CVDSEE MORE 19 April 2012 eHealth Seminar of COFACE 16 services under multidisciplinary scientific trials 9

Some practical examples Visit at home – Tele-monitoring to support patients with COPD (Veneto Region, Italy) – Tele-Ulcer care (Southern Denmark) Remote monitoring – COPD Home Monitoring (Southern Denmark) – eHealth and eWelfare in South Karelia (Finland) Tele-Health Coaching – The Diabetes Health Motivation Service (North of Norway) 19 April 2012 eHealth Seminar of COFACE 10

Visit at home for COPD (IT) Synchronization Ambulatorio AD Web based software AD Manager Client-server application 19 April 2012 eHealth Seminar of COFACE 11

Tele-Ulcer care (DK) By means of tele-care, the visiting homecare nurse is able to communicate with a physician/medical specialist at the hospital, transfer images by use of a cell phone with camera and share notes and information in a shared care ulcer database. 19 April 2012 eHealth Seminar of COFACE 12

AdmissionInstallationEquipment Consultation Digitalization of the nurse - consultations led by specialized nurses Vital sign data uploaded to hospital directly from measurement devices (separate system) Close collaboration with homecare staff Home Monitoring for COPD (DK) 19 April 2012 eHealth Seminar of COFACE 13

Diabetes Diary The Few Touch Application (NO) 19 April 2012 eHealth Seminar of COFACE 14

Innovative Care Models Pilot site Type of service PathologyVeneto Southern Denmark Norrbotten Northern Norway Catalonia South Karelia ThessalyCarinthiaBerlin Cluster 1 Medium-term health coaching and life-long monitoring DiabetesSEE MORE Cluster 2 Life-long monitoring DiabetesSEE MORE Cluster 3 Ulcer monitoring DiabetesSEE MORE Cluster 4 Short-term follow up after hospital discharge COPDSEE MORE Cluster 5 Life-long monitoring COPDSEE MORE Cluster 6 Medium-term health coaching and life-long monitoring CVDSEE MORE Cluster 7 Remote monitoring of Congestive Heart Failure CVDSEE MORE Cluster 8 Remote monitoring of implantable cardiac devices (ICD & PM) CVDSEE MORE 19 April 2012 eHealth Seminar of COFACE 16 services under multidisciplinary scientific trials 15

Some practical examples Visit at home – Tele-monitoring to support patients with COPD (Veneto Region, Italy) – Tele-Ulcer care (Southern Denmark) Remote monitoring – COPD Home Monitoring (Southern Denmark) – eHealth and eWelfare in South Karelia (Finland) Tele-Health Coaching – The Diabetes Health Motivation Service (North of Norway) 19 April 2012 eHealth Seminar of COFACE 16

Visit at home for COPD (IT) Synchronization Ambulatorio AD Web based software AD Manager Client-server application 19 April 2012 eHealth Seminar of COFACE 17

Tele-Ulcer care (DK) By means of tele-care, the visiting homecare nurse is able to communicate with a physician/medical specialist at the hospital, transfer images by use of a cell phone with camera and share notes and information in a shared care ulcer database. 19 April 2012 eHealth Seminar of COFACE 18

AdmissionInstallationEquipment Consultation Digitalization of the nurse - consultations led by specialized nurses Vital sign data uploaded to hospital directly from measurement devices (separate system) Close collaboration with homecare staff Home Monitoring for COPD (DK) 19 April 2012 eHealth Seminar of COFACE 19

Diabetes Diary The Few Touch Application (NO) 19 April 2012 eHealth Seminar of COFACE 20

eHealth Seminar of COFACE Integrating health and social care Social alarms and other social services Telemonitoring systems for patients with COPD Integrated eCare in Milton-Keynes (UK) 21

Results – End User Perspective SF-12 decline in physical functioning (PCS) increase in mental functioning (MCS) over the trial. significant gender differences in PCS + MCS eHealth Seminar of COFACE22

Snapshot on evaluation 89 people completed the client exit questionnaire on user satisfaction. Positive benefits 79% said they had experienced major benefits. 17% said they had experienced minor benefits 3% said they had not experienced any benefits Benefits identified by service users included: increased control/self-management family reassured having readings to give to the GP GP attendance reduced gets me out of bed eHealth Seminar of COFACE23

eHealth Seminar of COFACE Heart failure patient Telephone telecare telehealth GP postGP/Nurse Medical and social questions Alerts (e.g. falls) Daily telemonitoring of weight, BP and health status Communication with GP office Integrated eCare in Veldhoven (NL) 24

The pilot - Quotes Patient: Before this project I had heart rhythm problems. Since I joined this project, I feel safe and do not experience these problems anymore. Informal carers of a patient: It reduces the workload for us, because we feel more secure about the safety of our father. There are no disadvantages for us, and for our father. eHealth Seminar of COFACE25

Trikalas INDEPENDENT Schema (GR) ICT in support of informal carer 26 IP Video Phone Electronic Health Record Telecare center KAPI center Relatives home Patients home 26

Hull (UK): The shared living solution messages /telephone telephone Community nurse/GP 27

Thank you for your attention More at Marc Lange Secretary general EHTEL Association M.E.P.S. 50, rue dArlon B-1000 Brussels Belgium Tel: +32 (0) Fax: +32 (0) Mobile: +32 (0) eHealth Seminar of COFACE19 April