1. International E-Health Conference “E-Health:around the clock care for everyone, everywhere” Quality in Health Care and Medical care E-Health in Friuli Venezia Giulia Autonomous Region “Status quo and expectations” 9th-10th June 2006, Pitea, Norrbotten(S)

2. FRIULI VENEZIA GIULIA AUTONOMOUS REGION 7846 square kilometres 1.207.870 inhabitants GDP Euro 26,7 billions Approximately 25% over 64 years old More than 75% with at least one chronic disease Regional Health System, financed by general taxation, delivers health service to all the resident population

3. Regional Health System 6 Public Local Health Authorities(ASS/LHA) Primary care Acute hospitals 6 Indipendent Public Hospitals (Research Institutes, University) 5 Private Hospitals About 1200 General Practicioners (or Family doctors) –Care of general health status –Access to inpatient and outpatient facilities –Drug prescriptions 92% of hospital beds in Public Hospitals and 8% in Private One of the most extended and integrated health information system of Italy

4. Regional Structures Involved in e-Health Regional Ministry of Information Technology Regional Ministry of Health and Social Protection Regional Ministry for Foreign Affairs Regional Health Agency of Friuli Venezia Giulia Regional Health Information Service Department of Pathology- Udine University INSIEL spa TELEVITA srl

5. Ongoing Projects CMT : Continuity of Medical Treatment T P : Telepathology T M : Telemedicine

6. CMT Continuity of Medical Treatment The CMT was financed by regional administration as part of regional e- government plan and by National Ministry of Innovation and Technology and by European Founds (FESR) The Beneficiary is the entire regional health system; up to date all hospitals, primary care services, 15 % of GPs (covering 18% of regional population) The project is a crucial step to guarantee: informational, relational and management continuity of care. It improves the accessibility of health services, simplifying access procedures, introducing smart cards, carrying out regional unified booking centre. It aims at designing and implementing an ICT architecture, grounded on the regional health information system, to support “Continuity of care” and at structuring links and clinical data exchange between all health service providers of the Region

7. The components solution A system of portals for health patients and professionals to access communications, to exchange clinical data and services and to distribute the results of diagnostic investigations: 6 integrated portals customized for each of the regional local health authority The regional unified booking centre to distribute information about the health service provision A smart card access system: with his/her card the patient can univocally identified and he/she can authorize the access to his/her clinical information (clinical folder) Specific disease management information systems embedded in the Regional System architecture provide to trace clinical pathways, to register health interventions and drug prescriptions and to monitor health outcomes

8. TELEPATHOLOGY and TELEMEDICINE Morphological Medical Researches Department, University of Udine Laboratory of Medical ICT, Telemedicine and e-Health of the Mathematics and ICT Department, University of Udine The ongoing activities or previewed actions Digital quality control of cytological specimens (cervix-vaginal screening) through “ virtual microscope” Digital images shifting in surgical pathology (also intraoperatory) between regional hospitals and Reference Centre for telecounsueling Telelearning and telemedicine and applications forms in research for postgraduates in oncology and surgical pathology; previewed: radiology and cardiology

9. Expectations Telemedicine H.E.Con.Net So.Fi.A

10. Telemedicine International and cross border network Cross enterprise clinical document and images sharing Involvement of hospitals and general practitioners Interactive telecounselling in Emergency Partnership: Italy/Croatia

11. H.E.Con.Net Health Care European Continuity Network The project is focused on patient mobility to guarantee an around the clock and high quality health care assistance in chronic pathologies to EU citizens moving abroad, especially for tourism The project area involves the Friuli Venezia Giulia and Veneto Regions (Italy), Land Carinthia (Austria) and Republic of Slovenia It creates an IT network to connect health structures of the project area, to exchange knowledge, best practices and common services, to share clinical data and for booking health treatments (Web Site and Call Centre) It analyzes main legal and administrative aspects of healthcare assistance with special attention to the privacy policies It provides common procedures for high level quality and safety standards

12. Inhabitants 7.650 Mil Hospitals 131 H. beds 37.000 Partners involved in H.E.Con.Net

13. So.Fi.A Social First Aid Concept Idea (framework) A Network among the supply and demand entities An unique and ever-during point service with qualified staff The activities 1.Acceptance of help and support requests 2.Information delivery 3.Data collecting 4.Monitoring and advising centre

14. c ICT NETWORK