1. Transforming Health Care Delivery: Governance and Change Management Joan Cornet. CEO. TicSalut Foundation. University of Barcelona. IL3 Joan Cornet. CEO. TicSalut Foundation. University of Barcelona. IL3

3. From COCIR Telemedicine Toolkit

5. Observatory Trend Maps InnovationNormalization Office of standards DEPLOYMENT Office of standards DEPLOYMENT Telemedicine and Teleassistance plan DEPLOYMENT Telemedicine and Teleassistance plan DEPLOYMENT Collaboration Agreement Fundació TicSalut – Health Department / CatSalut Suppliers of Health International relations and projects Projects, agreements, congress Advisory Business Board Professional and citizens Council Scientific Council Tic Salut Foundation

6. OBSERVATORY What to do Annual publication that provides objective information about the level of development of ICT in health organizations in Catalonia INNOVATION Telemedicine and Teleassistance Plan Proposals for action and projects of interest assessed by the Health Department in this area Map of trends

7. What to do Standardizations Interoperability and standards office Preparation of criteria and strategic guidelines in adopting semantic standards and technologies. TicSalut GLOBAL Projects, agreements, congresses Participate in international projects and activities that promote the implementation of new technologies in the field of health

8. Why is interoperability? THE CITIZEN MOVES WE HAVE A CONTINUITY OF CARE WE PROVIDE CITIZEN SERVICES WE HAVE TO GIVE SERVICES FOR CHRONIC DISEASE WE HAVE TO SHARE RESOURCES

10. Office of standards and interoperability

11. TechniqueSemanticsOrganizational Interoperability  Hardware-level systems capable of sending and receiving information without having to interpret or make improper use  Systems capable of interpreting and structure information received from other systems  Process analysis and use of codified and standardized information exchanged.

12. Telemedicine E-Prescription Personal Health Folder Medical Image Digitalization Plan Where we are Catalan Shared Medical Record

13. Type of communication Teleconsultancy:  Cardiology  Dermatology  Pediatry  Neurology  Psychiatry Teleconsultancy:  Cardiology  Dermatology  Pediatry  Neurology  Psychiatry Management of chronic diseases:  Diabetes  Respiratory failure  Heart disease Management of chronic diseases:  Diabetes  Respiratory failure  Heart disease Diagnosis:  Radiology  Anatomy  Pathology  Dermatology  Ophthalmology Diagnosis:  Radiology  Anatomy  Pathology  Dermatology  Ophthalmology 3 3 1 1 2 2 Deferred Time Real Time Professional - Professional Professional – Professional & Patient Professional - Patient Actors involved 13 Kinds of applications on intervention lines Telemedicine and Telecare medical Plans  The Telemedicine in Catalonia, in 5 years, should become an important channel for the provision of healthcare services, with three priority areas:

14. Personal Health Record Future information available Access to citizen’s health information Involvement and presence in social networks Common internet resources and services Customize d Health and services contents Communicati on and Interaction with health professionals Procedures Virtual Office to access different services Correction of data and queries Schedule an appointment Request for change of doctor or hospital Health Card Processing Sick leave medical reports Assistance reports and maternity leave Certificate of health transport Administrative and complaints reports Last will’s registration Advanced Search Map Advanced Technology Platform Certified Quality warranty of web content Usability and accessibility standards Multichannel: in person, telephone, iPod, Chats, blogs, podcasts, RSS Digital cards, widgets Possibility of publishing on public social networks Access through digital identification: idCAT, electronic ID, health card chip, sim, etc. Benefits from services for Citizens of the Generalitat of Catalonia (DAGC and Sanitat respon) It benefits from technology existing in the private market The contents can be customized to the ones available in the Health Channel: Creation of own content Participation in health surveys Communication with other patients Common space for associations and communities Web portal that hosts other providers’ information and public and private services Professionals web portals who wish to join voluntarily Bi-directional communication with professionals Patient tracking and monitorization Telemetry and recording of vital signs Second opinion Participation in clinical trials Specific services for certain patients and health communities Enrollment in volunteer programs Folder information relevant to public health: Information, education and personalized health tips Pharmacological and clinical information Information on vaccines Guide on Administrative Procedures FAQ’s Access to accredited sources Access to information of other providers Notification of emergencies and situations of risk

20. TABS Example text Go ahead and replace it with your own text. This is an example text. Go ahead and replace it with your own text RegionsALLIANCES Example Netwoks Projects TICSalut global

21. ccccccc REGIONSAlliances Example C TICSalut global NetworksProjects European Commission World Mediterranian

22. RegionsNetworksAlliances Example Projects TICSalut global

23. PROJECTSRegionsNetworksAlliances Example Europeans Projects EPSOS (Smart Open Services) RGS (Rehabilitation Game System) Renewing Health (Regions of Europe Working together for Health) CLEAR (Clinical Leading Environment for the Assessment and validation of Rehabilitation Protocols for home care) RTF (Regional Telemedicine Fòrum) Home Sweet Home MNEMOSYNE (Serveis de Teleassistència per a gent gran) NEXES (Supporting Healthier and Independent Living for Chronic Patients and Elderly) Ministerial Conference Ehealth High Level Conference TICSalut global (-)

24. Joan Cornet_ CEO Foundation TicSalut Barcelona. Spain. joan.cornet@ticsalut.cat www.ticsalut.cat Thanks a lot