monday 2 jimmi claussen herlev hospital
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ONE CHANCE ONE OPPORTUNITY ONE HIT
6 may 2013
• Presented by: Jimi Claussen, Managing nurse at SA53S1 and Clinical
Project manager at HIT project
On behalf of the HIT project group
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THE HIT CONCEPT
•Clinical Protocol
•Organizational solution
•Technical solution
•Economic solution
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6 may 2013
The HIT project carried the prototype from the pre project into the REAL WORLD
• The REAL WOLD challenged the prototypes
dreams, wishes, and aspirations
• NOT ALL WAS POSSIBLE TO IMPLEMENT
• This challenged the team to make work-arounds
and compromises so the prototype could come to
life
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Organization and finances
Public/Privat Innovation partners (PPI):
Private partners:
• IBM, T26, In-Jet og Post Danmark
Hospitals:
• Herlev, Bornholm, Hvidovre, later this year 2 new sites
Primæry sector:
- General practitioners, GP coordinators, healthcare in the municipality
Patients:
- Initial 50 patients with hearthfailure in telemedicine treatment
Project economy: 4,6 mio. kr. in 2012, Chroniccare program (13B)
Prolonged until June 2013, Center of telemedicine and
Chroniccare program.
Prolonged until December 2013, Center of telemedicine 6 may 2013
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Organizational diagram
6 may 2013
Steering comittee of telemedicine, Capital Region
Chairman: Torben Mogensen deputy direktor at Hvidovre Hosp, and
MD
Projectgroup
Clinical and administrative personal in the hospitals, develoment dep.
and IT organization and the private partners
Adm Project manager
Niels B Federspiel(parent leave)
Marianne B lauritsen
Per Fly Hansen.
National Investigator: Helena V. Dominguez
Clinical Project manager: Jimi Claussen
2012-2013 Chroniccare program
2013 Center for telemedicine
Capital Region
THE CLINICS
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Genvej til HIT 2.mp4.lnk
HOW DOES IT LOOK?
6 may 2013
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SOLUTION AS IT LOOKS IN THE PATIENTS HOME
6 may 2013
A&D Vægt A&D
Bloodpressure
HIT Application
A&D weight
In-JeT Telemedicin
Gateway
... powered by LinkSmart®
ADSL
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6 may 2013
HIT Application
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HIT Webbrowser Patient Interface
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HIT Webbrovser clinician Interface
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The patients opinions
• Patients that were sad when they couldn’t buy the
equipment
• Patients that feared the tecnical soluion until they tried it.
• Patients that felt they were closer to the hospital
treatment through telemedicin
• Patients that felt they had more insight through the
telemedical solution
• Patients that evolve the concept into their own daily
rutine
• An only three year old girl used it without instructions
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Cooporation between the public and private partners • The cooporation has been positive and is still
beneficial for all partners.
• It was suprising for some of the private partners that
the clinic was so efficient, and that they could not
find savings and cuts
• The cooporation with the IT support in RegionH are
characterized by reorganization
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Telemedicines value for: Patient Clinician Out clinic Society
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Patient:
• Freedom, less timeuse on none treatment, greater
knowledge and indsight into the disease and
treatment.
• Easier access to information and healthcare
• Synchrone and asynchrone datacollection,
communication and treatment.
• When the patient has the need and time.
• In perspective: easier interconnection of the patients
health and healthdata
• When the patient allows and need it.
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Clinician: • Easier access to realtime data, not infected by
BIAS.
• Easier recording of multiple data over time, without
hospitalization or outclinic treatment.
• Easier access to multiple chronologic data
• Synchrone and Asynchrone communication and
treatment.
• When the hospital, clinic or clinician have time and
posibility.
• Data collection independent of the clinician.
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Out clinic: • Data collection is independent of time and place.
• Treatment is independent of building blocks and frameworks.
• Treatment is in principle possible to make timeindependent
• Treatment is possible to do faster because the data is
collected by the patient, and it is not necessary to collect the
patient and show them out of the clinic.
• In perspective:
• When the IT famework for booking, datacollection,
journal, medication, is matured and the systems are
working together.
It will be possible to save a lot of ressources
MAX INTEGRATION: Across disease, sectors,
regions, nations, continents.
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Society:
• In general there will be a lot of ressources to save.
• Employes
• Patients
• Employer public or private
• DATA collection and cooperation
• Public healthcare
• Private Insurances
• Transportation
• More treatments in the same time as now
• Less expenses to framework , buildings and maintenance
- More to the IT framework and support
• In perspective: there are possibilities for programmed treatment
engines, supported by disease specific algorithms
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WHATS THE GOAL
6 may 2013
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PERSPECTIVE?
6 may 2013
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Questions
8. april 2013 VIF - Danske Regioner