Agneta granström

eHealth in Norrbotten County

Luleå, 2011-0429

Agneta GranströmCounty Council Commissioner, (Norrbotten, Sweden)

Chairperson of the AER e-he@lth network

Content

County of Norrbotten

Regional partnership for e-health

International networks

Internal e-health projects

Cross boarder projects

Collaborative projects

Content







Great distances

Rural areas Environment/climate

Resources

Individual needs Age structureInfrastructure

The county of Norrbotten – an exciting part of Europe

Area: 98 911 km² (25 % of Sweden’s total area)Room for Belgium, the Netherlands and Luxemburg together within our boundaries

Population: 251 886 (2,8 % of Sweden’s population)

Municipalities: 14

LuleåThe County of Norrbotten- An exiting part of Europe

Facts about Norrbotten

• Growing elderly population among a decreasing overall population

• Extremely sparsely populated‐ 250,600 inhabitants in an area representing ¼

of Sweden (population 9 million)

‐ Most sparsely populated area of the European Union

‐ Extensive ICT structure

• High level of ICT awareness in society

• >93% of the population has broadband access

• Healthcare‐ 5 hospitals

‐ 33 health centres

‐ 34 dental clinics

‐ 8,000 county council employees

Our vision, our motto…

A care-smart regionVISIONDistance-independent everyday healthcare

anybody

anywhere

anytime

One StreamThe largest open broadband network in Europe

Lumiora in NorrbottenYears 2000 -2010• 9,000 km of fibre optic network• ~73 million euro has been invested in the IT

infrastructure• ~ 7 million euro from EU structural funds • > 93 % of the people has a broadband

connection

A care-smart region

Content







Growth Areas

• Test operations, space, automotive etc

• Creative industries, tourism, media, design, culture etc

• Basic industries and processing

• Technology, eHealth, innovations, ICT etc

• Energy and environmental technologies

Triple Helixpublic sector, enterprise

and (in our case) Luleå University of

Technology

VisionariesGrowth Areas

Triple Helixpublic sector, enterprise

and (in our case) Luleå University of

Technology

20002001200220032004200520062007200820092010201120122013

Analysis

Policy Intelligence

Dialogue

Drafts

Parties’positions

Programmes,strategies

Dialogue

Financingpriorities

EvaluationDialogue

Development cycle- an ongoing process

Formal Structures

Informal Structures

Political Structure Partnerships

Structural Funds

Networks Preparatory

Working groups etc

An acceptance between the parties - a joint agreement

Partnerships

Visionary humans Development cycle Partnerships Growth areas ICT Infrastructure Policies and strategies Development funds Triple Helix

eHealth as a part of the growth policy and therefore a part of the sustainable development

The challenge for the public sector is to create conditions that stimulates growth

www.cdh.ltu.se Page: 142008-08-21

eHealth Innovation Centre, EIC

Main eHealth research milieu at LTU

Main eHealth research milieu at LTU

Department of Health Science: Nursing Physiotherapy Health Science

Department of Computer Science and Electrical Engineering: Embedded Systems Media Technology Biomedical Engineering

Department of Health Science: Nursing Physiotherapy Health Science

Department of Computer Science and Electrical Engineering: Embedded Systems Media Technology Biomedical Engineering

Current owners and partnersCurrent owners and partners

Luleå University of Technology, LTU

Norrbotten County Council

City of Luleå

City of Piteå

City of Boden

Luleå University of Technology, LTU

Norrbotten County Council

City of Luleå

City of Piteå

City of Boden


An unique multi-disciplinary research and innovation milieu! – Triple Helix comes true!

Wide and deep collaboration with all actors in the healthcare chain since a long time:

County Council Cities and Municipalities University Industry

Short lead time from need to practical invention


Purpose

The purpose of the center is to stimulate the emergence and growth of an innovation system for the area of e-health and to become a common platform for the fundamental activities essential for regional business growth:

Coordinate, disseminate and use research efforts within the e-health research area at Luleå University of Technology.

Ensure clear innovation paths between e-health research and business development.

Become a central node of cooperation within a dynamic e-health innovation system.

Content







Assembly of European Regions - AER

• The Assembly of European Regions (est.1985) is the largest independent network of regions in the wider Europe.

• Bringing together over 270 regions from 33 countries and 16 interregional organisations, AER's mission is to:

• Promote the principle of subsidiarity and regional democracy;

• Increase the regions' political influence within the European institutions;

• Support the regions in the process of European enlargement and globalisation;

• Facilitate interregional cooperation across wider Europe and beyond

http://www.aer.eu/fileadmin/Images/Tabula/2008/Tabula_2008_Grande.jpg

Regions' e-Health - AER e-He@lth network

Aims

• The aim of the network is to create a platform where regions can engage in interregional cooperation projects to develop e-health tools and where they can contribute to European Union policies on e-health.

Objectives

• Raise awareness and disseminate knowledge on the potential of e-health

• Gather information on existing tools and policies and carry out studies

• Work together with other regions and partners and coordinate our e-health tools and strategies

• Stimulate the development of products and services for the commercial market

• Encourage research and education in the e-health sector

Content




“Internal” e-health projects



• 5 hospitals

• 33 health centres

• 40 dental care centres

• A uniform system for allmedical records

VAS – The County Councils own EHR system

• Single sign-on

• Independent modules can be merged

• Integrated with other systems (economy, PACS, IMACS, ECG, Pharmacy, among others)

• Designed for the users, by the users

Specialist health care during ambulance transport

Norrbotten’s ambulances are equipped with 3 integrated electronic information systems connected to VAS

Paratus+ Connected to SOS Alarm (Sweden’s emergency call service)+ Displays emergency call details, including: • Status information • Location on map • Navigation aid

MobiMed+ Mobile monitoring system for vital patient data, including: • Pulse • Blood pressure • ECG+ Ambulance journal for documentation of evaluation and treatment+ Alerted hospitals have real-time access to data and can follow the patient’s condition live

Ambulink+ Web-based patient journal system for documentation of all transport and medical information+ Hospital staff have access to all data through VAS

Benefits > Direct contact between specialized hospital staff and ambulances> Real-time monitoring of vital patient data > Specialist consultation through the system> Simultaneous preparation for treatment at the hospital> In some cases, treatment can begin before arrival at the hospital.

Neonatal nursing care at home

Neonatal intensive care unit (NICU) at Sunderby Hospital offers• ICT-based support of parents of prematurely born infants during the first trial leave from hospital (ändra! Barnen är bara dagtid hemma/några timmar/permission!)• Videoconferencing system installed at parents’ home, connected to neonatal unit

Benefits for

Patients

• Round-the-clock access to neonatal nurses from home• Audio-visual contact

• Increased actual and perceived safety in a critical period of their child’s life• No need to travel• Greater security for parentsMidwives• Complement to ordinary care• Almost as real-life encounterRegion- Reliable and comfortable access to neonatal care from everywhere in a sparsely populated area- Cost and pollution reduction through less home visits

Videoconferencing in Psychiatry

Use of videoconferencing• Daily video conferences between hospital and local psychiatric units• Planning of care activities• Information on patients in need of specialist inpatient treatment> Enables countywide collaboration between specialist and primary psychiatric care irrespective of large geographical distances

Benefits:• Less traveling• Reduction of cost and pollution • Time-saving• Access to (limited) specialist competence despite large geographical distances

Regionalization of medical training At Sunderby Hospital - A vital future for the entire county

Medical regionalization of medical school at Umeå University to the Norrbotten, Jämtland and Västernorrland counties (4 places)

260 km

365 km

270 km

Content







A care-smart region

Cross-border Healthcare in Torne Valley (Sweden/Finland)

Aims to Develop and deepen the healthcarecooperation between healthcare

providers in Torne Valley in order to create high

qualitycross-border care

Benefits for patient Access to cross-border healthcare High quality of care regardless of

workplace or place of residence

Benefits for the region Better utilization of resources Improvement of existing collaboration Better information flow between

healthcare providers in the region

PartnersHealthcare centres in Sweden and Municipalities and their care centres in Finland

Funding~ 800 000 Euro - EU Structural funds~ 540 000 Euro - Regional funding

Partners

epSOS – European patients Smart open Services

epSOS - Large Scale Pilot

• Patient Summery and ePrescribing (cross border)

• 23 beneficiaries, 12 countries

• 6 national Ministries of Health

• 15 Competence Centers

• 31 companies through IHE-Eur

• 11 Million Euro EC funding

• 36 months duration

Content







• The aim of the MyHealth@Age project is to offer the ageing population in the Northern Periphery region improved Health, Safety and Well being through the use of new products and services.

• The products and services focus on:

• mobile safety alarms,

• prescribed self treatment and

• social networks.

• The products and services are developed in close co-operation between elderly people, healthcare and welfare staff, ICT companies and healthcare and welfare researchers.

• The products and services are evaluated and improved during field trials in Sweden, Norway and Northern Ireland.

RENEWING HEALTH, REgioNs of Europe WorkINg toGether for HEALTH

RENEWING HEALTH is the second Pilot Type A eHealth project funded under the new European Union ICT-PSP (Information and Communications Technologies – Policy Support Programme)

Project start date: 1st of February 2010

Project duration: 32 months

Total budget: 14.000.000 Euros

EU contribution: 7.000.000 Euros

26 pilot sites, grouped in 9 clusters and distributed over 9 EU regions

7.900 patients in the Intervention Group

www.renewinghealth.eu

Future Innovative Work Practices in health care in the home, (FIA)

Reengineering of work processes at primarycare centers, nursing homes and ownhouses

The patients accessibility to care is in focus The care professionals are mobile and do the work

at the patients home—Which products and services do they need to do

their work? Empowerment of the heath professionals Enhanced collaboration between health professionals from different

organisations

Future Innovative Work Practices in health care in the home, (FIA)

Web based Clinic-specific services for citizens Safe management of drugs for elderly people Discharge planning with patients and kin - creating better

quality of care Mobile IT services connect nursing and care teams Remote consultations with specialists via video conferencing

Regional Telemedicine Forum (RTF) 1. Region of Southern Denmark (Coordinator) 2. Veneto Region, Italy 3. Catalonia, Spain 4. Northern Norway Regional Health Authority, Norway 5. Estonian eHealth Foundation, Estonia 6. Regional Council of Auvergne, France 7. Scottish Centre for Telehealth, Scotland 8. Norrbotten County, Sweden 9. Malopolska, Poland

9 European regions working together The partnership of 9 European regions aims to release the potential of

wider implementation and deployment of telemedicine services at the regional level. Over the three years the partners will organise workshops, four study visits and virtual meetings to focus on telemedicine services related to three major chronic diseases: diabetes, smokers’ lung disease, and cardiovascular disease.

Results with effectThe project results in policy recommendations, developed on the basis of identification and analysis of barriers and facilitators at clinical, strategy, and market levels.

regional-telemedicine.eu

Thank you!

Distance-independent everyday life is:

A care-smart regionTHE CONCEPTDistance-independent everyday healthcare

Well-proven Connected

Prosperous Progressive

Collaborative

Sustainable

Distance-independent every day life is WELL-PROVEN:Patient security

Privacy

Implemented and practised solutions

A care-smart regionWELL-PROVEN CONNECTED COLLABORATIVE SUSTAINABLE PROSPEROUS PROGRESSIVEDistance-independent everyday healthcare

Distance-independenteveryday life is CONNECTED:


Interaction

Accessibility

Interoperability

One StreamThe largest open broadband network in Europe

Lumiora in NorrbottenYears 2000 -2010• 9,000 km of fibre optic network• ~73 million euro has been invested in the IT

infrastructure• ~ 7 million euro from EU structural funds • > 93 % of the people has a broadband

connection

A care-smart region

Distance-independenteveryday life is COLLABORATIVE:


Developments driven by citizens’ needs

Addresses the entire care-chain

Close collaboration between University, business and care providers

Distance-independent everyday life is SUSTAINABLE:


Environment Economy SocialS U S T A I N A B I L I T Y

Distance-independent everyday lifeis PROSPEROUS:Enormous growth potential

Increased demand for preventive healthcare

Worldwide market


Distance-independent everyday lifeis PROGRESSIVE:New methods, products and services

New fields of research opportunities

Innovations and business start-ups


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Agneta granström

Business