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. [email protected] www.ticsalut.cat
Thanks a lot
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