Transcript eHealth and Innovation
The eHealth Innovation system in the Region of Southern Denmark Christina E. Wanscher International Consultant at Southern Denmark Health Innovation Region of Southern Denmark [DK]
Introduction
• • • • • Health care in Denmark The Region of Southern Denmark The eHealth & Innovation System Innovation in the Region of Southern Denmark What lies ahead
The Region of Southern Denmark
1.2 million residents 41 politicians elected in regional council Health sector budget € 2.6 billion Employs 25,000 people 4 hospital units 800 GPs 22 municipalities / home care
The Danish health service (1)
• The Danish health service consists of three players: hospitals, general practitioners and municipalities • The regions are responsible for: • Running the hospitals • Ensuring good collaboration between hospitals and general practitioners • Advising the municipalities on disease prevention and health promotion 4
The Danish health service (2)
• The municipalities are responsible for: • Disease prevention and promotion of health among citizens • Home care • Rehabilitation (except during hospitalization) • The general practitioners are responsible for: • The citizens' first port of call for health service • Co-ordinator for patients with chronic illnesses
A Chronic Condition
◦ ◦ ◦ ◦ 1 in 3 suffers from a chronic illness Claims 70 – 80 % of resources in the health sector Numbers are increasingly due to age and lifestyle Many suffer from several chronic disease – strong social gradient
A burning platform in health care
• • • • • Demography Limited ressources Demand for efficiency improvement Demand for increased quality New services – New hospitals – New work flows
Innovation in Health Care
Driving force in the quest to balance cost containment and health care quality… PRODUCT PROCESS ORGANISATIONAL UNESCO Institute for Statistics, Oslow Manual, 2005
Dissemination of Innovation
• • • • • • • Formal mechanisms to find sound innovations that should be disseminated Find and support innovators Invest in early adopters Make early adopter activity observable Trust and enable reinvention Create slack (including resources) for change Lead by example Berwick, D.M. ”Disseminating Innovations in Healthcare”, 2003
1994
Innovation in the Region
2012
REGION OF SOUTHERN DENMARK & AAL ICT & TELEMEDICINE
ICT based communication across sectors in health and social care. Supports implementation of telemedicine and ICT.
PPI-LAB
The PPI-Lab is a national lab for Public-Private Innovation.
RESEARCH / KNOWLEDGE /EDUCATION UNIK
Developing innovative solutions for chronic diseases
PATIENT@HOME
National research- and innovation project with focus on AAL
INNOVATION CENTER
Center for User-Driven Innovation is 700 sqm. test centre for Health Innovation. In the center we create temporary operating rooms and test new procedures in realistic situations and 1:1 scale.
INVIA.nu
INVIA is the Region of Southern Denmark's Unit for Welfare Innovation. They collect ideas and identify the needs of employees and patients
DEMAND INTERNATIONAL PROJECTS JOBS GROWTH OPTIMIZATION QUALITY OF LIFE CAPITAL / INTERNATIONAL ISATION SUPPLY INVESTMENT FUND
Welfare technology investment fund
In development
WELFARE TECH
Cluster collaboration involving 76 private and public partners. Development of products in the field of welfare technology (AAL)
Southern Denmark Health Innovation One entrance to the Region
Purpose: Respond to the burning platform Contribute to society and the demands of the public sector Build a bridge between Innovation – Implementation – Daily operation Secure and respond to existing potentials
• ORGANISATIONAL innovation; IMPLEMENTATION of new work processes in telemedicine and cross-sectional ICT solutions • PRODUCT innovation; Innovative partnerships such as Public Private Partnerships • PROCESS & PRODUCT innovation: An innovatorium of health – working with user-centered innovation processes
• New Living Lab in Odense in connection with the development of new University Hospital in Odense • 700 sqm. Test Centre for Health Innovation • The region's health workers can test new ideas and new solutions for tomorrow's hospitals • Create temporary operating rooms and test new procedures in realistic situations and 1:1 scale • Cooperation with businesses • Interaction with research and knowledge environments
Stimulating the market
WELFARE TECHNOLOGY INVESTMENT FUND
TOTAL FUNDS: EUR 10 million • for start-ups and young enterprises bringing new products to the market • will generally take the form of venture capital allocated to non-listed enterprises • may also involve loans The Southern Denmark Growth Forum is working intensively to create a
capital fund
that focuses on
investing in welfare technologies
Investments will be targeted welfare technologies in the Region of Southern Denmark
What lies ahead?
• • • Reference site in the EIP-AHA A Living Lab Denmark for Health and AAL A national consortium focusing on Ambient Assisted Living Technology placed in the Region (Odense)
• • • European Innovation Partnership – Active and Healthy Ageing PREVENTION; Personal Health Management (A2) CARE: Integrated Care Systems (B3) INDEPENDENT: Open Solutions (C2)
Living Lab Denmark
Creating an
international centre
of excellence for development, implementation and deployment of
eHealth and Assisted Living services and technologies.
A LIVING LAB DENMARK FOR HEALTH AND AAL TECHNOLOGIES.
OUR GOALS
• • • • Higher value growth in existing enterprises Additional growth enterprises Free existing workforce resources Improve service for citizens and patients
CHALLENGES AND OPPORTUNITIES
Increase
demand
services for welfare Business development
potential
in the field of welfare technologies and solutions Available
resources
and capital) (labour
Thank you for your attention
Christina E. Wanscher – International Consultant [email protected]
The eHealth Innovation system in the Region of Southern Denmark
Christina E. Wanscher
International Consultant at Southern Denmark Health Innovation Region of Southern Denmark [DK]
WE HAVE THE RIGHT PLAYERS
• •
Enterprises
314 companies More than 30% in Odense • • •
Authorities
22 local authorities The Region of Southern Denmark The National Board of Social Services And others… • •
Unions
FOA The Danish Nurses’ Organisation
Commercialisation & business promotion
• • Tech Trans Odense Development Forum • South Jutland Development Council • Væksthuset (Hothouse) And others…
Knowledge Institutions
• • Danish Technological Institute MedCom • • • • •
4 Hospital Units – currently at 18 sites
Odense University Hospital/Svendborg Hospital South-West Jutland Hospital Hospital Little Belt South Jutland Hospital INVIA.NU
• • • • • •
Clusters & Networks
RoboCluster (Supplynet, Carenet, Medicnet) Alu-Cluster Mechatronics cluster IT Forum Southern Denmark IT Forum Fyn Welfare Tech Region • • • •
Research & education
SDU (Multiple faculties and centres, including: • The Mærsk Institute • The Mads Clausen Institute Knowledge Lab) Kolding School of Design University College South Denmark University College Little Belt
SAM:BO – purpose and contents
The agreement describes guidelines concerning cooperation, communication, information to the patients and monitoring of the quality and is supported by electronic communication • • • • • Continuity of care Discharging starts as soon as you are hospitalized Continuity and flexibility through dialogue Patient involvement Flow charts describes what each sector is expected to do before, during and after hospitalization.
The elderly patients
• • • • Most of the efforts in the health agreements support the challenges of aging patients.
SAMBO ensures cooperation and continuity of care As part of SAMBO there is a special agreement about seriuosly ill and dying patients. The agreement describes requirements for collaboration, communication and information for these patients and their relatives, particularly focusing on the transitions between sectors. In psychiatry there is at special agreement on dementia intervention in all the cooperating sectors.
IT strategy
• • • • • • Focus on Electronic Communication A joint IT strategy: All the cooperating partners – the region, the 22 municipalities and the practitioners The IT strategy is approved at the highest levels to ensure leadership support, focus and allocation of resources Formal framework of cooperation - the health agreements. The health professional purpose: To support treatment and intersectoral cooperation Networking: Exchange of experience and development National coordination and national standards of IT communication New national project: The Sharede Medication Record
Health Agreements
• • The danish health legislation impose the regional council and the municipalities to sign an agreement on the handling of the tasks within health and psychiatry. Supported by specific clinical guidelines and instructions from The National Board of Health The purpose of the health agreements is to strengthen the cooperation on efforts towards patients with needs of health benefits from the hospital, the general practice and the municipality, as well as insure continuity of care.
Patient in the Centre
Municipality Hospital General practitioner