Baltic eHealth

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• Baltic eHealth
• - empowering regional development in the Baltic
  Sea Region
• eHealth 2005
• Tromsø 23-24 May 2005

2
Speakers

• Henning Voss
• Project Manager
• Danish Centre for Health Telematics
• Dr. Peeter Ross
• Director of Research and Development
• East-Tallinn Central Hospital

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Partners

• Facts
• Ten partners
• Five countries
• Start 2004
• End 2007
• Budget 2 M

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Benefits of telemedicine

• Mobility Move the data not the patient
• Better referral procedures
• Improved access to more specialized healthcare
• Reduction of bottlenecks
• Avoid doctors migration

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Barriers to telemedicine

• Interoperability
• Networks and security
• Standards, terminology and semantics
• Reimbursement not settled
• Legal issues
• Cultural and linguistic differences

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Objectives of Baltic eHealth

• Promote telemedicine to decision makers
• Create secure infrastructure to ensure
  interoperability
• Address legal, financial and cultural barriers
• Demonstrate cross-border mobility

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Interoperability

• We need
• Standards, terminology and semantic consensus
• Network and security

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Standards and semantic consensus in Denmark
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Standards and semantic consensus in Denmark
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Network and security inDenmark

• Internet-based
• Any data type
• From push to pull
• Receiver in charge
• Patients access own data

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Network and Security in the BSR- one step
towards interoperability
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The Baltic Health Data Network
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Tools on the network

• Service Portal (yellow pages)
• Videoconferencing broker
• Collaboration Platform
• Other?
• Telemedicine broker
• Common archive for hospitals
• Etc.

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Guidelines business model

• Legal
• Reimbursement
• Organisational
• Cultural / linguistic

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eUltrasound

• Classical Second opinion approach
• Mid-wives and doctors in Västerbotten
• The Norwegian Centre for Fetal Medicine
• First step off-line consultation
• Second step on-line consultation

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eRadiology

• Lack of Radiologists in Funen hospital
• Waiting lists and traveling to other hospitals.
• Solution
• Images are taken in Funen
• Reports are made in Vilnius and Tallinn
• Start with conventional radiology
• Multi-lingual standardized reporting schemes
• Goal From pilot to production (incl. business
  model)

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Teleradiology in Estonia
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Teleradiology in Estonia

• 44 modalities
• 10 CT (Computed Tomography)
• 2 MR (Magnetic Resonance Imaging)
• 1 NM (Nuclear Medicine)
• 1 PET (Positron Emission Tomography)
• 14 workstations

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Conclusions

• Solves interoperability problem
• Addresses other eHealth problems
• Demonstrates patient mobility
• If successful the BHN could be the model for an
  European-wide secure and interoperable
  infrastructure.

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Thank you for your attention !

• Dr. Peeter Ross peeter.ross_at_itk.ee
• Henning Voss hvo_at_health-telematics.dk
• website www.Baltic-eHealth.org
• Baltic eHealth is co-financed by the BSR Interreg
  III B programme