CASA Seminar - Flanders 17 June 2014

Scaling-up?From pilot to routine care …

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Scaling up innovationin healthcare

Marc Lange, EHTEL Secretary General

CASA Seminar - Flanders 17 June 2014

CASA Seminar - Flanders 3

Competence Centre

Health Care Authorities

Industry

Health Care Delivery

Citizens/Patient Representative

InnovationAgency

Insurers

Social Care

Dissemination Organisation

European Health TELematics

A cross-(any)border and multidisciplinary collaboration forum

17 June 2014

Sustainable and large scale eHealth deployment

requires engagement and synergies

Innovation in healthcare:

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Patient’s home Hospital or primary care or eHealth centre

SERVER

PATIENT

REGIONAL CENTRE’SOPERATOR

TELEMONITORINGDEVICES

GENERAL PRACTITIONER

CARDIOLOGIST AT HOSPITAL ORLOCAL HEALTHDISTRICT

OTHER INVOLVED HEALTHCARE PROFESSIONALS

GATEWAY& APP

eHealth actions in DAE

KA 13 Undertake pilot actions to equip Europeans with secure online access to their medical health data by 2015 and to achieve by 2020 widespread deployment of telemedicine services;

EMPOWERING

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European Innovation Partnership on Active & Healthy Ageing

health & quality of

life of European citizens

growth & expansion

of EU industry

sustainable&

efficient care

systems

+2 HLY by 2020Triple win for Europe

Improving prescriptions and adherence to treatment

Better management of health: preventing falls

Preventing functional decline & frailty

Integrated care for chronic conditions, inc. telecare

ICT solutions for independent living & active ageing

Age-friendly cities and environments

Specific Actionscrosscutting, connecting & engaging stakeholders across sectors, from private & public sector

Pillar I

Prevention

screening early

diagnosis

Pillar II

Care & cure

Pillar III

Independent living &

active ageing

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Identify the problem

Recognize the need for change

Explore

Search for a solution

BuildCreate, test and assess potential

impact

Apply, scale-up and monitor

Real-life solution

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Innovation and Service Redesign

Testing of Service Routine Care Service

Small Scale Deployment

Large Scale Deployment

Hospital Group

Department

Department

HealthCare System

Piloted Service

Lessons learned from deployment inside an

organisation Local champions Limited constraints

(e.g. at legal level) Cost and benefit analysis …

Lessons learned fromdeployment across organisations

(for servicing the healthcare system) Institutional endorsement Legal constraints (if it is a D2P relationship) Need for robust methods Socio-economic analysis …

From pilot to routine care

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Tools and methods are needed to deploy telehealth services

Impact assessment frameworkThe results and lessons learned from Renewing Health

The approach of United4Health

Guidelines for large-scale deploymentThe Momentum blueprint

Cost and benefit analysis toolkit

Innovation governance

…

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17 June 2014

A European Telemedicine Deployment Blueprint

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Strategy &

Management

Legal,Regulatory

&Security

Organisation &

Change Mgmt.

Technical &

Market relations

Four domains for deployment guidelines

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Critical Success Factors for Deployment Strategy

CASA Seminar - Flanders 17 June 2014

1. Check that there is cultural readiness towards telemedicine and the need to change the way to care.

2. Ensure leadership through a champion.

3. Create a community consensus on the compelling need to address

4. Put together the resources needed for deployment.

Strategy &

Management

Legal,Regulatory

&Security

Organisation &

Change Mgmt.

Technical &

Market relations

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Critical Success Factors for Organisational Change

CASA Seminar - Flanders 17 June 2014

5. Address the needs of the primary client(s).

6. Involve health care professionals and decision-makers.

7. Prepare and implement a financial plan.

8. Prepare and implement a change management plan.

9. Put the patient at the centre of the service.

Strategy &

Management

Legal,Regulatory

&Security

Organisation &

Change Mgmt.

Technical &

Market relations

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Strategy &

Management

Legal,Regulatory

&Security

Organisation &

Change Mgmt.

Technical &

Market relations

Critical Success Factors for Legal, Regulatory and Security Compliance

CASA Seminar - Flanders 17 June 2014

10. Establish the conditions under which the service is legal.

11. Seek for advice from legal, ethical, privacy and security experts.

12. Seek for relevant legal and security operational guidelines to help setting the service up

13. Ensure that telemedicine doers and users have “privacy awareness”.

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Strategy &

Management

Legal,Regulatory

&Security

Organisation &

Change Mgmt.

Technical &

Market relations

Critical Success Factors for Technology Decisions and Procurement

CASA Seminar - Flanders 17 June 2014

14. Ensure that the IT and eHealth infrastructures needed are in place.

15. Ensure that the technology is user-friendly.

16. Put in place the technology and processes required to monitor the service.

17. Maintain good procurement practices.

18. Guarantee that the technology has the potential for scale-up (i.e., “think big”).

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The challenge for scaling-up innovative services in healthcare

This is about moving

From building tools and infrastructureto developing service, redesigning care pathways

From collecting datato integrating data into care processes

New Technology + Old System = New Old System

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Any questions?

More at www.telemedicine-momentum.eu

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Marc LangeSecretary general

EHTEL Association49/51, rue de TrèvesB-1040 Brussels BelgiumTel: +32 (0)2 230 15 34Fax: +32 (0)2 230 84 40Mobile: +32 (0)475 27 71 45Marc.Lange@ehtel.euwww.ehtel.eu