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Baltic eHealth- empowering regional development in
the Baltic Sea Region
eHealth 2005Tromsø 23-24 May 2005
Speakers
Henning Voss
Project Manager
Danish Centre for Health Telematics
&
Dr. Peeter Ross
Director of Research and Development
East-Tallinn Central Hospital
Partners
Facts:• Ten partners
• Five countries
• Start: 2004
• End: 2007
• Budget: 2 M€
Benefits of telemedicine
• Mobility: Move the data – not the patient
• Better referral procedures
• Improved access to more specialized healthcare
• Reduction of bottlenecks
• Avoid doctors migration
Barriers to telemedicine
• Interoperability
– Networks and security
– Standards, terminology and semantics
• Reimbursement not settled
• Legal issues
• Cultural and linguistic differences
Objectives of Baltic eHealth
• Promote telemedicine to decision makers
– Create secure infrastructure to ensure interoperability
– Address legal, financial and cultural barriers
– Demonstrate cross-border mobility
Interoperability
We need:
1) Standards, terminology and semantic consensus
2) Network and security
Standards and semantic consensus in Denmark
Standards and semantic consensus in Denmark
Network and security inDenmark
• Internet-based
• Any data type
• From push to pull:
Receiver in charge
Patients access own data
Network and Security in the BSR- one step towards interoperability
Sweden
Norway
Vilnius
TallinnDenmark
BHN
???
The Baltic Health Data Network
Tools on the network
• Service Portal (yellow pages)
• Videoconferencing broker
• Collaboration Platform
• Other?
– Telemedicine broker
– Common archive for hospitals
– Etc.
Guidelines & business model
• Legal
• Reimbursement
• Organisational
• Cultural / linguistic
Business model
eUltrasound
• Classical Second opinion approach:
• Mid-wives and doctors in Västerbotten
• The Norwegian Centre for Fetal Medicine
• First step – off-line consultation
• Second step – on-line consultation
eRadiology
• Lack of Radiologists in Funen hospital
Waiting lists and traveling to other hospitals.
• Solution:
• Images are taken in Funen
• Reports are made in Vilnius and Tallinn
• Start with conventional radiology
• Multi-lingual standardized reporting schemes
• Goal: From pilot to production (incl. business model)
Teleradiology in Estonia
Teleradiology in Estonia
• 44 modalities:
• 10 CT (Computed Tomography)
• 2 MR (Magnetic Resonance Imaging)
• 1 NM (Nuclear Medicine)
• 1 PET (Positron Emission Tomography)
• 14 workstations
Conclusions
• Solves interoperability problem• Addresses other eHealth problems• Demonstrates patient mobility
• If successful the BHN could be the model for an European-wide secure and interoperable infrastructure.
Thank you for your attention !
Dr. Peeter Ross: [email protected]
Henning Voss: [email protected]
website: www.Baltic-eHealth.org
Baltic eHealth is co-financed by the BSR Interreg III B programme