Transforming Health Care Delivery: Governance and Change Management

Joan Cornet . CEO. TicSalut Foundation.University of Barcelona. IL3

From COCIR Telemedicine Toolkit

Observatory

Trend Maps

Innovation Normalization

Office of standards

DEPLOYMENT

Telemedicine and Teleassistance plan

DEPLOYMENT

Collaboration Agreement Fundació TicSalut – Health Department / CatSalut

Suppliers of Health

International relations and projects

Projects, agreements,

congress

Advisory Business Board

Professional and citizens

Council

Scientific Council

Tic Salut Foundation

OBSERVATORY

What to do

Annual publication that provides objective information about the level of development of ICT in health organizations in Catalonia

INNOVATION

Telemedicineand TeleassistancePlanProposals for action and projects of interest assessed by the Health Department in this area

Map oftrends

What to do

Standardizations

Interoperabilityand standardsofficePreparation of criteria and strategic guidelines in adopting semantic standards and technologies.

TicSalut GLOBAL

Projects,agreements,congressesParticipate in international projects and activities that promote the implementation of new technologies in the field of health

Why is interoperability?

THE CITIZEN MOVES

WE HAVE A CONTINUITY OF CARE

WE PROVIDE CITIZEN SERVICES

WE HAVE TO GIVE SERVICES FOR CHRONIC DISEASE

WE HAVE TO SHARE RESOURCES

Office of standards and interoperability

Technique Semantics Organizational

Interoperability

Hardware-level systems capable of sending and receiving information without having to interpret or make improper use

Systems capable of interpreting and structure information received from other systems

Process analysis and use of codified and standardized information exchanged.

Telemedicine

E-Prescriptio

n

Personal Health Folder

Medical Image

Digitalization Plan

Where we are

Catalan Shared Medical Record

Type of communication

Teleconsultancy: Cardiology Dermatology Pediatry Neurology Psychiatry

Management of chronic diseases: Diabetes Respiratory failure Heart disease

Diagnosis: Radiology Anatomy Pathology Dermatology Ophthalmology

3

1

2

Deferred Time

Real Time

Professional - Professional Professional – Professional & Patient Professional - Patient

Actors involved

13

Kinds of applications on intervention lines

Telemedicine and Telecare medical Plans

The Telemedicine in Catalonia, in 5 years, should become an important channel for the provision of healthcare services, with three priority areas:

Personal Health RecordFuture information available

Access to citizen’s health information

Involvement and

presence in social

networksCommon internet

resources and

services

Customized Health

and services contents

Communication and

Interaction with health

professionals

Procedures Virtual

Office to access

different services

• Correction of data and queries• Schedule an appointment• Request for change of doctor or

hospital• Health Card Processing• Sick leave medical reports• Assistance reports and maternity

leave• Certificate of health transport• Administrative and complaints

reports• Last will’s registration

• Advanced Search Map• Advanced Technology Platform• Certified Quality warranty of web content• Usability and accessibility standards• Multichannel: in person, telephone, iPod,

Chats, blogs, podcasts, RSS• Digital cards, widgets• Possibility of publishing on public social

networks• Access through digital identification: idCAT,

electronic ID, health card chip, sim, etc.• Benefits from services for Citizens of the

Generalitat of Catalonia (DAGC and Sanitat respon)• It benefits from technology existing in the

private market

The contents can be customized to the ones available in the Health Channel:• Creation of own content• Participation in health surveys• Communication with other patients• Common space for associations and

communities•Web portal that hosts other providers’

information and public and private services• Professionals web portals who wish to join

voluntarily

• Bi-directional communication with professionals• Patient tracking and monitorization• Telemetry and recording of vital

signs• Second opinion• Participation in clinical trials• Specific services for certain patients

and health communities• Enrollment in volunteer programs

Folder information relevant to public health:•Information, education and personalized health tips•Pharmacological and clinical information•Information on vaccines•Guide on Administrative Procedures•FAQ’s•Access to accredited sources•Access to information of other providers•Notification of emergencies and situations of risk

TABS

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RegionsALLIANCE

SExample

Netwoks Projects

TICSalut global

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REGIONSAlliances

Example

C

TICSalut global

Networks Projects

European Commission WorldMediterranian

RegionsNetwor

ksAlliances

Example

Projects

TICSalut global

PROJECTSRegions NetworksAlliances

Example• Europeans Projects

• EPSOS (Smart Open Services)• RGS (Rehabilitation Game System)• Renewing Health (Regions of Europe Working together for Health)• CLEAR (Clinical Leading Environment for the Assessment and validation of

Rehabilitation Protocols for home care)• RTF (Regional Telemedicine Fòrum)• Home Sweet Home• MNEMOSYNE (Serveis de Teleassistència per a gent gran)• NEXES (Supporting Healthier and Independent Living for Chronic Patients and Elderly)

• Ministerial Conference• Ehealth High Level Conference

TICSalut global (-)

Joan Cornet_ CEO Foundation TicSalutBarcelona. Spain.joan.cornet@ticsalut.cat www.ticsalut.cat

Thanks a lot