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
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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
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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
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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
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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
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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
Innovation in the Region
1994
2012
REGION OF SOUTHERN DENMARK & AAL
ICT & TELEMEDICINE
ICT based communication across sectors in
health and social care. Supports implementation
of telemedicine and ICT.
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
PPI-LAB
The PPI-Lab is a national lab for
Public-Private Innovation.
RESEARCH /
KNOWLEDGE
/EDUCATION
JOBS
GROWTH
OPTIMIZATION
QUALITY OF
LIFE
UNIK
INVESTMENT
FUND
Developing innovative solutions for
chronic diseases
PATIENT@HOME
National research- and innovation
project with focus on AAL
CAPITAL /
INTERNATIONALISATION
SUPPLY
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
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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?
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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
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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
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Higher value growth in existing enterprises
Additional growth enterprises
Free existing workforce resources
Improve service for citizens and patients
CHALLENGES AND OPPORTUNITIES
Increase demand for welfare
services
Business development
potential in the field of welfare
technologies and solutions
Available resources (labour
and capital)
Thank you for your attention
Christina E. Wanscher – International Consultant
Christina.wanscher@regionsyddanmark.dk
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
4 Hospital Units – currently at 18 sites
Enterprises
• 314 companies
• More than 30% in Odense
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Odense University Hospital/Svendborg Hospital
South-West Jutland Hospital
Hospital Little Belt
South Jutland Hospital
INVIA.NU
Authorities
• 22 local authorities
• The Region of Southern Denmark
• The National Board of Social
Services
And others…
Unions
Clusters & Networks
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RoboCluster (Supplynet, Carenet, Medicnet)
Alu-Cluster
Mechatronics cluster
IT Forum Southern Denmark
IT Forum Fyn
Welfare Tech Region
• FOA
• The Danish Nurses’ Organisation
Research & education
Commercialisation & business
promotion
• Tech Trans
• Odense Development Forum
• South Jutland Development Council
• Væksthuset (Hothouse)
And others…
Knowledge Institutions
• Danish Technological Institute
• MedCom
• 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
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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
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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
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Health Agreements
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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
General practitioner
Hospital
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]