Tele Medicine in Sweden experiences so far

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Tele Medicine in Sweden experiences so far
Benny Eklund, Project Manager HO, Sweden
Midterm workshop Barbastro 2008
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You have computers, cameras, network etc. Why do
you need community funding to start working with
Tele Medicine?

• Sweden's Minister of EU affairs, Cecilia
  Malmström

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Success factors

• Win win
• Solved the problem with Common Records
• Plug and play type of communication
• Easy to organise on call or scheduled
• Strong support when starting up services
• Bridging tensions
• Careful selection of pilot
• Sustainable and prepared to participate in
  marketing activities

4
Risk factors

• Slower Procedures for one partner
• Double Recordings in daily medical work
• To complicated technical environment to operate
• Not enough approval from Top Management
• Lack of enough high level staffing
• Selecting a pilot where the staff is not
  committed to participate in a later marketing.

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Health Optimum in Sweden nine areas

• Dermatology
• Plastic Surgery
• Neurophysiology
• Discharge Conference
• Oral and maxillofacial surgery
• Shared Medical Record
• Common Drug List
• Electronic Referral
• Radiology

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Health Optimum in Sweden nine areas

• Dermatology
• Plastic Surgery
• Neurophysiology
• Discharge Conference
• Oral and maxillofacial surgery
• Shared Medical Record
• Common Drug List
• Electronic Referral
• Radiology

Clinical areas
Infrastructure areas
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Shared Clinical Record

• Shared Clinical Record contains three parts
• Shared Medical Record
• Common Drug List
• Electronic Referral
• When large numbers of patients are processed in
  short sessions (Dermatology), a common Clinical
  Record is essential.
• For more complicated procedures (Plastic Surgery,
  Neurophysiology) often cases from other counties.
  
• Today we must rely on some double documentation
• Tomorrow we will gradually adopt the National
  Medical summary as well as the Smart Open
  System.

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Radiology

• Storage and management of pictures
• Stored pictures will be linked to the Shared
  Clinical Record

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Coming barriers for Tele Medicine ?

• Smooth and secure medical procedures vs. patient
  integrity
• Can we accept that all possible physicians can
  technically access all patients medical
  information in our systems?
• Will the national Data Protections Boards
  interfere with Health Cares Tele Medicine
  strategies?
• New Swedish law 1st July, 2008
• Patient will have the possibility to block
  different parts in the Medical Record
• Another medical unit must in principle ask for
  patients approval before accessing data

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Tele MedicineSolving a lot of old problem
introducing a few new problems