Monday 2 jimmi claussen herlev hospital

ONE CHANCE ONE OPPORTUNITY ONE HIT

6 may 2013

• Presented by: Jimi Claussen, Managing nurse at SA53S1 and Clinical

Project manager at HIT project

On behalf of the HIT project group

THE HIT CONCEPT

•Clinical Protocol

•Organizational solution

•Technical solution

•Economic solution

6 may 2013

6 may 2013

The HIT project carried the prototype from the pre project into the REAL WORLD

• The REAL WOLD challenged the prototypes

dreams, wishes, and aspirations

• NOT ALL WAS POSSIBLE TO IMPLEMENT

• This challenged the team to make work-arounds

and compromises so the prototype could come to

life

Organization and finances

Public/Privat Innovation partners (PPI):

Private partners:

• IBM, T26, In-Jet og Post Danmark

Hospitals:

• Herlev, Bornholm, Hvidovre, later this year 2 new sites

Primæry sector:

- General practitioners, GP coordinators, healthcare in the municipality

Patients:

- Initial 50 patients with hearthfailure in telemedicine treatment

Project economy: 4,6 mio. kr. in 2012, Chroniccare program (13B)

Prolonged until June 2013, Center of telemedicine and

Chroniccare program.

Prolonged until December 2013, Center of telemedicine 6 may 2013

Organizational diagram

6 may 2013

Steering comittee of telemedicine, Capital Region

Chairman: Torben Mogensen deputy direktor at Hvidovre Hosp, and

MD

Projectgroup

Clinical and administrative personal in the hospitals, develoment dep.

and IT organization and the private partners

Adm Project manager

Niels B Federspiel(parent leave)

Marianne B lauritsen

Per Fly Hansen.

National Investigator: Helena V. Dominguez

Clinical Project manager: Jimi Claussen

2012-2013 Chroniccare program

2013 Center for telemedicine

Capital Region

THE CLINICS

Genvej til HIT 2.mp4.lnk

HOW DOES IT LOOK?

6 may 2013

SOLUTION AS IT LOOKS IN THE PATIENTS HOME

6 may 2013

A&D Vægt A&D

Bloodpressure

HIT Application

A&D weight

In-JeT Telemedicin

Gateway

... powered by LinkSmart®

ADSL

6 may 2013

HIT Application

HIT Webbrowser Patient Interface

6 may 2013

HIT Webbrovser clinician Interface

6 may 2013

The patients opinions

• Patients that were sad when they couldn’t buy the

equipment

• Patients that feared the tecnical soluion until they tried it.

• Patients that felt they were closer to the hospital

treatment through telemedicin

• Patients that felt they had more insight through the

telemedical solution

• Patients that evolve the concept into their own daily

rutine

• An only three year old girl used it without instructions

6 may 2013

Cooporation between the public and private partners • The cooporation has been positive and is still

beneficial for all partners.

• It was suprising for some of the private partners that

the clinic was so efficient, and that they could not

find savings and cuts

• The cooporation with the IT support in RegionH are

characterized by reorganization

6 may 2013

Telemedicines value for: Patient Clinician Out clinic Society

6 may 2013

Patient:

• Freedom, less timeuse on none treatment, greater

knowledge and indsight into the disease and

treatment.

• Easier access to information and healthcare

• Synchrone and asynchrone datacollection,

communication and treatment.

• When the patient has the need and time.

• In perspective: easier interconnection of the patients

health and healthdata

• When the patient allows and need it.

6 may 2013

Clinician: • Easier access to realtime data, not infected by

BIAS.

• Easier recording of multiple data over time, without

hospitalization or outclinic treatment.

• Easier access to multiple chronologic data

• Synchrone and Asynchrone communication and

treatment.

• When the hospital, clinic or clinician have time and

posibility.

• Data collection independent of the clinician.

6 may 2013

Out clinic: • Data collection is independent of time and place.

• Treatment is independent of building blocks and frameworks.

• Treatment is in principle possible to make timeindependent

• Treatment is possible to do faster because the data is

collected by the patient, and it is not necessary to collect the

patient and show them out of the clinic.

• In perspective:

• When the IT famework for booking, datacollection,

journal, medication, is matured and the systems are

working together.

It will be possible to save a lot of ressources

MAX INTEGRATION: Across disease, sectors,

regions, nations, continents.

6 may 2013

Society:

• In general there will be a lot of ressources to save.

• Employes

• Patients

• Employer public or private

• DATA collection and cooperation

• Public healthcare

• Private Insurances

• Transportation

• More treatments in the same time as now

• Less expenses to framework , buildings and maintenance

- More to the IT framework and support

• In perspective: there are possibilities for programmed treatment

engines, supported by disease specific algorithms

6 may 2013

WHATS THE GOAL

6 may 2013

PERSPECTIVE?

6 may 2013

Questions

8. april 2013 VIF - Danske Regioner