Health Optimum Healthcare delivery Optimization through Telemedicine

1
Health Optimumfrom the Regional to the European
dimension
Barbastro, 26th of June 2008
Claudio Dario Project Coordinator
2
The HEALTH OPTIMUM project
A telemedicine project approved and co-funded by
the European Union in the context of the eTEN
programme, promoting the constitution of
telematic and trans-European networks.
Main objective validation of a model which can
be easily deployed throughout the Union
3
The HEALTH OPTIMUM project Market Validation
Objective validate an organisational model for
telemedicine services

• 3 European countries Italy, Spain and Denmark
• 7 partners Italy (Veneto Region), Spain
  (Gobierno de Aragón), Denmark (County of Funen),
  Health Information Management, Telemedicina
  Rizzoli, TB Solutions Technologies software,
  PricewaterhouseCoopers GMS.

Validated services

• Telecounselling
• Telelaboratory
• Virtual Referral
• Telecare
• Shared clinical records

4
HEALTH OPTIMUM Initial Deployment
Objective deploy the telemedicine organisational
models validated in the previous phase

• 5 European countries Italy, Spain, Denmark,
  Sweden and Romania
• 9 partners Italy (Veneto Region), Spain
  (Gobierno de Aragón), Denmark (Region of
  Syddanmark), Health Information Management,
  Sweden (County of Uppsala), Romania (Timisoara
  County Hospital), Infoworld, AST, TeSan.

5
Standardization strategy
Interoperability at regional level is the first
step toward harmonisation at national and
European level
REGIONAL HARMONISATION
NATIONAL HARMONISATION
EUROPEAN HARMONISATION
DEPLOYABLE MODEL
6
Veneto Region Strategy
Requirements to be met by regional projects

• Address precise clinical and organisational needs
• Adopt standards allowing interoperability
• Demonstrate sustainability from the
  organisational and economical point of view
• Identify deployment perspectives

Veneto Regions policy aims at creating a net
system to optimise resources and standardise
solutions (i.e. Arsenàl.IT)
7
Case study Arsenàl.IT

• Founded in 2005 as Telemedicine Consortium, it
  currently groups all the 23 Local Health
  Authorities in the Veneto Region.
• Now named Arsenàl.IT Venetos Research Centre
  for Innovation in e-Health, it operates at
  regional level along 4 lines of activity
• Research
• Procurement
• Standards
• Training

8
Case study Arsenàl.IT
ARSENAL.IT SPIN-OFF of the HEALTH OPTIMUM
MARKET VALIDATION PHASE IN VENETO REGION

• VENETO ARSENÁL
• DENMARK MEDCOM

Different experiences led to a common approach in
the management of Regional telemedicine projects,
i.e. the creation of a dedicated organisation for
the implementation of a shared strategy for
eHealth
9
Standardisation field
The project Working Groups are focused on the
achievement of interoperability in the field
tele-counselling in the following specialties

• Orthopaedics
• Neurosurgery

10
Request and report form standardisation

• Needs allow semantic interoperability in
  telemedicine services among the participating
  regions in selected areas.
• Objectives bringing together physicians in the
  selected specialties to define and agree about a
  common multilingual thesaurus and common request
  and report forms.
• Means
• selection of the specialties justifying the
  creation of a Working Group
• co-opting of the members within the Working
  Group
• consensus building common terminology
  identification
• Building of the multilingual thesaurus
• Drafting of the forms and final approval
• Issuing of approved common request and report
  forms

11
Case study telecounselling between Italy and
Romania
During the Initial Deployment phase, a
cross-border telecounselling link between Treviso
and Timisoara is going to be established.

• Organizational procedures already agreed
• Technology architecture shared between Infoworld
  and Italian SW supplier
• First session performed

The success of this experience will validate the
agreed telecounselling service as a deployable
model for cross-border collaboration
12
Conclusion

• Playing together means agreeing on common rules

13
Thank you for your attention