Example of the way new technology is used
in the field of health (E-Health)
Elena Vio - Arsenàl.IT Veneto’s Research Centre
for eHealth Innovation
Moving to ehealth
Telemedicine
Store&Forward
Healthcare
Telehomecare
eHealth
Telesurgery
E-health Plan in Europe 2012-2020
CHALLANGES:


to improve chronic disease and multimorbidity
to increase sustainability and efficiency of health systems by
unlocking innovation,enhancing patient/citizen-centric care and
citizen empowerment and encouraging organisational changes;


to foster cross-border healthcare, health security, solidarity,
universality and equity;
to improve legal and market conditions for developing eHealth
products and services
Do you need only technical innovation?
We need a HTA approach
Technology
Etical
Legal
Clinical
efficacy
efficency
E-Health
Economy
Organization
User
Perception
ICT applied to Health
consultationConsultazione
diagnosis
Diagnosi
monitoring
Telemedicine
Telemedicine
Remote assistance
Health education
network
Health&epidemiology
Environment and industrial health
Telehealth
ICT
applied to
health
Health policy
EHR
e-Health
Health data
Decision support
Order entry
m-Health
Clinical support
Clinicians support
Remote data collection
Health in Veneto Region:
• 4,9 M inhabitants (2013 data)
• 18.391 km2 of land surface
21 Local Health Authorities
•
•
•
Healthcare assistance (Hospitals)
Territorial assistance and social
issues (GPs, outpatients’ clinics,
elderly care, in-home assistance,
mental health, disability, drug
addiction, ecc…)
Prevention department
2 Hospital Trusts
•
•
7
University education and research
High-specialty services
The Consortium Arsenàl.IT:
Veneto’s Research Center for eHealth
Innovation
Founded in 2005 as “Telemedicine
Consortium”, currently groups all the 23 Local
Health Authorities afferent to the Veneto
Region.
Has succeeded in highlighting the critical
issues of interoperability, standardization
and organizational impact as key factors for
driving Telemedicine applications to the mainstream
eHealth service in Veneto Region:
 HEALTH OPTIMUM European Project – European Telemedicine Project aimed
to diffuse and pilot-test some telemedicine services for neurosurgical
telecounselling (2007-2009)
 VENETO ESCAPE - giving to patient and to healthcare professional the
possibility to obtain digitally signed electronic medical reports (2009-2012)
 Doge: the GPs Network - Regional project aimed to set up a network of
services for information and document exchange between GPs, Hospitals
and LHAs (2009-2010)
 SUSTATINS: European Project - study and implement services that permit
direct access online by citizens to their personal healthcare data and other
service so as to improve their empowerment and administrative
management (2012-2015).
 RENEWING HEALTH - validation in real life settings and with a common
assessment methodology of the use of Personal Health Systems for
innovative Telemedicine services (2009-2012)
NEUROSURGICAL TELECOUNSELLING
ICT allows to sharing information and CT images
between peripheral hospital and central hospital with
Neurosurgeon - in all hospitals of Veneto region and
in 4 european regions
Emergency room
Neurosurgery
Form for request+images
Form for response
Neuroradiology
Peripheral Hospital
X
Central hospital
NEUROSURGICAL TELECOUNSELLING
ICT allows to sharing information and CT images
between peripheral hospital and central hospital with
Neurosurgeon - in all hospitals of Veneto region and
in 4 european regions
Results:
•Equity of treatment
•Saved time and unnecessary transfers of patient
and physicians (75%)
•Legal value of remote consultation
•3200 telecounselling/year – over 1000 clinical users
Digitalization and Management of clinical
reports
ICT allows to eliminate paper for clinical report,
guaranteed legal validity (signature, certification,
storage, distribution, extraction, conservation,
delivery via on line) – in all Veneto region
Results:
•Less trips: 120 M€/years saved for citizens
•Reuse of human resource (33)
•Opportunity to process or share data in order to
better treat the patient
•60% of downloaded clinical reports
MANAGEMENT OF E-PRESCRIPTION
ICT allows to manage electronic prescriptions and
referrals: from the production of document to the
dispensation of it – in all Veneto region
Results:
•Better use of common resources
•Better identification of citizen
•To avoid errors
•Use of decision support system for prescription
ON LINE SERVICES FOR CITIZENS
Access to their health data online, online
payment, online booking, access to waiting lists,
digital consensus management, communication
between citizens and specialists.
Focus group
Results:
• Authonomy of citizens
• Self-management
• Empowerment of citizens
TELEMONITORING OF CHRONIC PATIENTS
ICT allows to physician to manage the chronic
patient (COPD, Diabetes, CVD) in remote way
Patient’s home
Regional eHealth Centre
PATIENT
1
TELEMONITORING
DEVICES
GATEWAY
SERVER
7
2
GENERAL
PRACTITIONER
3
HOSPITAL OR
LOCAL HEALTH
DISTRICT
4
5
6
ALARM
DEVICE
INTERVENTION
SERVICE
SOCIAL WORKER
REGIONAL CENTRE’S
OPERATOR
DATA TRANSMISSION
ALARM MANAGEMENT
DATA ACCESS THROUGH HOME CARE PORTAL
CONTACT WITH PATIENT
FAMILY
NORWAY
TELEMONITORING OF
CHRONIC PATIENTS
•
•
•
•
3,332 enrolled patients in Veneto
Region
Over 7,000 enrolled patients at
european level
10 involved LHA in Veneto
Region
Clinical Staff involved:
•
Cardiologists
•
Electrophysiologists
•
Pulmonologists
•
Diabetologists
•
Nurses
•
GPs
Evaluation
•
Clinical aspects
•
Organizational aspects
•
Economical aspects
•
User and patients perceptions
•
Social aspects
SWEDEN
FINLAND
DENMARK
GERMANY
AUSTRIA
SPAIN
ITALY
GREECE
Tools to support the
healthcare processes
Bottom-up model: to
involve 1000 operators
for the realization
REgioNs of Europe WorkINg
toGether for HEALTH
Thank you for your attention
evio@consorzioarsenal.it
www.consorzioarsenal.it
@Consorz_Arsenal
MRCLIC Veneto ESCAPE
www.youtube.com/user/consorzioarsenal
www.youtube.com/user/RENEWINGHEALTH
www.linkedin.com/company/arsen-l.it
consorzioarsenal_it