norway.ppt

University Hospital of TromsøDepartment of Telemedicine

Telemedicine in NorwayTelemedicine in NorwayToday and in the futureToday and in the future

Steinar PedersenSteinar Pedersen

Department of TelemedicineDepartment of Telemedicine

The University Hospital of TromsøThe University Hospital of Tromsø

NorwayNorway


THE DEPARTMENT OF THE DEPARTMENT OF TELEMEDICINETELEMEDICINE


The historyThe history

■ Telenor R&D (1988-1992)Telenor R&D (1988-1992)

■ The Department of TelemedicineThe Department of Telemedicine


THE NETTHE NET

■ MeganetMeganet■ ISDNISDN■ ATMATM■ AnalogueAnalogue

lineslines

128 256 384US $ 4 US $ 8 US $ 12

US $ 10 US $ 20 US $ 30US $ 70 US $ 141 US $ 282


The servicesThe services■ RadiologyRadiology■ PathologyPathology■ OtorhinolaryngologyOtorhinolaryngology■ DermatologyDermatology■ CardiologyCardiology■ PsychiatryPsychiatry

■ Electronic Electronic information information

exchangeexchange


RadiologyRadiology

• Running since 1992• TMS without radiologist • 7500 patients a year


PATHOLOGYPATHOLOGY

• Running since 1992• Several hospital without pathologist • Low volume


OTORHINOLARYNGOLOGOTORHINOLARYNGOLOGYY

■ TROMSØ - ALTATROMSØ - ALTA■ 16-20 PATIENTS A 16-20 PATIENTS A

MONTHMONTH■ PATIENTS PATIENTS

SATISFACTIONSATISFACTION■ TRANSFER OF TRANSFER OF

MEDICAL MEDICAL

SKILLSSKILLS


DERMATOLOGYDERMATOLOGY

■ Tromsø-KirkenesTromsø-Kirkenes■ Tromsø Tromsø HammerfestHammerfest

■ 500 patients a year500 patients a year■ Light treatment Light treatment unitunit


CardiologyCardiology■ Ultrasound Ultrasound transmissiontransmission

■ EmergencyEmergency■ EvaluationEvaluation■ Distant teachingDistant teaching


PsychiatryPsychiatry

■ Difficult casesDifficult cases■ Second opinionSecond opinion■ Direct patient Direct patient

contactcontact■ PsychoanalysisPsychoanalysis

University Hospital of TromsøDepartment of TelemedicineRegionsykehuset i Tromsø

Telemedisinsk Avdeling

Distant teaching

TromsøTromsø

BalsfjordBalsfjord

OsloOslo

AltaAltaNordreisaNordreisa

NamdalNamdal


Distant teachingDistant teaching


NETWORK:NETWORK:- Arkhangelsk-Tromsø- Arkhangelsk-Tromsø- Arkhangelsk and- Arkhangelsk and other other hospitals hospitals

University Hospital of TromsøDepartment of TelemedicineUniversity Hospital of Tromsø

Department of TelemedicineSomatic Jan -96/Dec -96Somatic Jan -96/Dec -96

VIDEOCONFERENCESVIDEOCONFERENCES

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Videoconferencing in 1996Videoconferencing in 19966781

2702

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7000

3D stolpediagram 1 6781 2702

Participants somatic Participants psyciartie


The activityThe activity

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3D stolpediagram 1 5946 6917 8339

1994 1995 1996


THE EFFECT ON THE THE EFFECT ON THE PATIENTSPATIENTS LIVING IN LIVING IN

REMOTE AREASREMOTE AREAS

■ ACCESS TO NECESSARY ACCESS TO NECESSARY

MEDICAL COMPETENCEMEDICAL COMPETENCE■ QUICKQUICK■ EQUALEQUAL


THE EFFECT ON THE THE EFFECT ON THE G.P. G.P. PRACTISING IN PRACTISING IN

REMOTE AREASREMOTE AREAS

■ SERVE THEIR PATIENTS SERVE THEIR PATIENTS

AT A HIGHER STANDARDAT A HIGHER STANDARD

■BREAK THE PROFESSIONAL BREAK THE PROFESSIONAL ISOLATIONISOLATION


THE EFFECT ON THE THE EFFECT ON THE CENTRAL MEDICAL CENTRAL MEDICAL

INSTITUTIONSINSTITUTIONS■ SERVE AS A COMPETENCE CENTRESERVE AS A COMPETENCE CENTRE

■ “ “SAVE” MONEYSAVE” MONEY

■ EARN MONEYEARN MONEY


The reimbursementThe reimbursement

■ The telemedicine diagnostic work is The telemedicine diagnostic work is

reimbursed by US $ 61 per patient reimbursed by US $ 61 per patient

■ The reading of X-ray is reimbursed The reading of X-ray is reimbursed

by US $ 23 per patientby US $ 23 per patient


Regionsykehuset i TromsøTelemedisinsk Avdeling

KOSTNAD PER PASIENTKOSTNAD PER PASIENT

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100

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6005

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Antall pasienter

Ko

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Amulant virksomhet

Telerediologi

COST PER PATIENT


Regionsykehuset i TromsøTelemedisinsk Avdeling

Cost per patient

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600030 40 50 60 70 80 90 10

0

110

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130

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150

Number of patients

TCVSPTTC*

Costs in NKr


The futureThe future

■ The combinationThe combination

■ The bandwidthThe bandwidth

Tomorrows applications will be a mixtures

of PC based videoconferencing and PC off

line multimedia communications

The communication will be on the bandwidth ”demanded” in a health care Intranet


MultimediaMultimedia■ Hart soundHart sound■ OtorhinolaryngologyOtorhinolaryngology■ DermatologyDermatology■ OphthalmologyOphthalmology■ PathologyPathology


MULTIMEDIAMULTIMEDIADORIS 97

ToolbarToolbar

Icon Display AreaIcon Display Area

ImageImageDisplayDisplayAreasAreas


Referral pattern

Access to information

Exchange of medicalinformation

Video consultation

HCS

HOSPITAL


THE NATIONAL PLANTHE NATIONAL PLAN■ Establish a common national IT Establish a common national IT

infrastructure infrastructure (The Intranet)(The Intranet)

■ Establish common telemedicine Establish common telemedicine applicationsapplications

■ Electronic information services for Electronic information services for patientspatients

■ Electronic patients recordsElectronic patients records

■ Establish common national Establish common national administrative administrative

proceduresprocedures

norway.ppt

Documents

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telemedicine diagnostic

year pathology

central medical institutions

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activitythe effect

remote areas access

competence centre