eHealth - the only option
State visit by President MedvedevFredrik Syversen
Director Industry Development
IKT-Norge• Largest business association for the ICT industry.• Membership of 400 companies with total turnover of 15 bill. Euro
50% of the Norwegian market.• Represents all parts of the ICT value chain, telcos, content
providers, software and services.• International network
o member of EICTA, WITSA, and ICC• Sets the ICT industry on the agenda – in politics, in media, in the
business and financial community and in the the general public.• Promotes R&D, innovation and export- and internationalization
within the ICT industry• Organize Norwegian eHealth Association
Solutions
• Preventive care• Co-ordination• More for less• Consolidation ICT• Transparency• Quality in care• EPJ
Operating systems/Tools
IP TelephonyFixed/wireless
NetworkFixed/wireless
Digitaldictation
Patient signal
Applik.Data
St. Olav
Applik.Data
DMF/NTNU
Pasient terminal
Pheripherals
Intelligentwiring
NorskHelsenett
Message server
Log on/auhentication
TV distributionAudio/Video
Alarm/911
MDA
Active Directory
Pasient
Syke-pleier
Doctor
Assistantnurse
StudentProfesor
Bio-Ing.
Adminworker
Video communication in healthcare – strategic toolin clinical and administrative applications
New Way of Working
NorskHelsenett
Diagnose live fra PC
Offshore installasjonmed video påsykestue
På plattformen kan mandiagnose pasient ha
ekspertise hvor som helst iNorsk Helsenett.
Russian Telemedicine Association helps physicians in distant citiesand remote areas consult with specialists in Moscow
Ambulance crews can report directly to hospitals and public authoritiesfrom the scene of emergencies
In total more than 2000 video consultations are completed every year!
Russian Telemedicine Association
Video communication in healthcare can be used for many differentpurposes as a clinical, educational and administrative tool.
Among others:
Telemedicine applications
Care planning/ discharge conferences Diagnostics Therapy Staff and/or board meetings Follow up Interpreter services Monitoring Education Research Seminars
Wellness&preven+onprogrammesviamobilephonesandPC/internet
Reducealcohol,quitsmoking,eathealthier,increasedphysicalac+vity
Proprietarytechnology,PsyBase,combiningpsychologyandtechnology
Testedinclinicaltrials–studiespublishedinhighlyrankedscien+ficjournals
To help as many as possible to the best life possible
To help as many as possible to the best life possible
Stopsmokingforgood!Theworldsmosteffec+veweb‐basedquitsmokingprogram.Testedinclinicaltrials.45daysprogram,upto1yearfollowup.Internet,PC,mobilephones,smartphones.
Reduceyourdrinkingwithac+vepsychology!Setyourowndrinkinglevel.58daysIndividualizedprogram.1yearfollowup.Internet,PC,mobilephones,smartphones.
Health Information Systems Program (HISP)• District Health Information System (DHIS)
– Governance of health care programs (Vaccination, mother-child, HIV/AIDS)– Patient treatment
• Started in South Africa ’94, initiated and coordinated by University of Oslo• Open source software; combining research, education (PhD and Master level), and
software development (including organizational implementation and use)• Used in
– 15 African countries and 3 Asian (India, Vietnam and Bangladesh).– Several International Masters programs and 35 PhD students (15 completed).
• India: in use in more than 20 states. Now selected as national standard.• WHO is adopting DHIS as key component of their Public Health Information Toolkit
DHIS Mobile: Mobile phones for effective dataexchange and communication in public health
• Patient Record System for community health workers– Mobile phone based access– Individuals are registered and tracked throughout the duration of the
health program they are enrolled in– Implementation started in 2 states in India
• Mobile‐basedSub‐centerDataRepor5ngwithSeamlessintegra5onwithDHIS
– Weeklyandmonthlyreportssentfromfacili+esatthelowestlevelwherenocomputersnorInternetexist
– May 2009 : Pilotsstartedat300sub‐centersin5statesinIndia
– 7stateshavedecidedtoscaletothewholestate
– Pilotsin2statesinNigeria
World Medical Card - Three productsin one
onCardonCard is a sealed card thatcontains your most vitalhealth information.
Ensure that doctors andhealth personnel receiveaccurate and reliableinformation about your health– for safer medical treatment.
onWebYour online web portalwhere you store andmanage all your personalinformation.
Allows you to stay incharge of your health andpersonal information inyour daily life.
onMobileA tool that helps youcommunicate your healthinformation regardless oflanguage barriers.
onMobile is at your servicewhenever you are away fromhome, and need assistancewith communicating yourinformation.
A huge problem
- for productivity
- for quality
The Solution: DIPS Paperless EPR
Electronic referrals and booking Electronic internal communication Electronic ordering of tests and examinations Information is documented only once Electronic ordination of medicine Results from tests and examinations are available electronic Dictation is done digitally and is available immediately Communication with primary care and other hospitals are
electronic Quick and easy single sign on in all systems.
Norway: World Leader in EPR• 2001: The first paperless EPR Hospital in Norway:
Arendal• This was a big success• Large parts om the Norwegian Health care have today
abandoned the system of paper-based medical record
The situation in Norway: EPR
Looking forward to further co-operation