Roll-out in Sweden

1
Roll-out in Sweden

• Leif Lyttkens
• Chief medical officer
• MD, PhD, Ass professor

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D 3.1 HO model for Sweden

• Month 2.
• This is difficult due to summer vacations in
  Sweden. Month 4?
• Apply the HO basket to the situation in Sweden
  and CCU
• Put the HO basket in context of medical society
  of Sweden, differences - similarities.

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D 4.4 Customised HO basket Existing service for
Sweden

• Month 3
• Difficult due to summer vacations in Sweden.
  Month 4?
• Strategy for collaborators in Sweden
• Strategy for medical fields
• Strategy for roll-out

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Milestone 1 and D 0.9 Progress Report 1

• Month 7
• 75 of hardware purchased
• We assume that our network costs can be included
  as discussed
• Investments of technical equipment locally not
  ready because of sequentially introduction of new
  PoC

5
D 8.1 Interim evaluation of roll-out in Sweden

• Roll-out not according to Le Mans - everybody
  running simultaneously
• Roll-out sequentially
• Start with low risk examples
• Expand with higher risk examples

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Roll-out in Sweden First group preliminary
includes

• Plastic surgery
• Radiology
• Neurophysiology

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Roll-out in Sweden Second group preliminary
includes

• Dermatology
• Discharged conference
• Neurosurgery

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Plastic surgery

• The service have been tested during SPEX project
  and proved sustanible. The service will be
  offered to other hospitals and other couties.
• Telecouncelling
• Virtual referal
• Telelaboratory - (not applicable)
• Telecure -
• Shared medical record

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Radiology

• A new common PACS for CCU is currently
  introduced.
• The HO service for second opinion and super
  specialist evaluation will be introduced between
  radiology department of University hospital of
  Uppsala and the local hospital Enköpings
  lasarett.
• The HO service to allow all referring medicial
  doctors to direct view the images will be
  introduced and evaluated.
• Telecouncelling
• Virtual referal -
• Telelaboratory
• Telecure -
• Shared medical record

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Neurophysiology

• Telecouncelling
• Virtual referal
• Telelaboratory
• Telecure -
• Shared medical record ()

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Dermatology

• The HO service for second opinion will be
  introduced between University Hospital of Uppsala
  and GP surgery.
• Telecouncelling
• Virtual referal
• Telelaboratory - (not applicable)
• Telecure -
• Shared medical record

12
Discharge teleconference

• When a patient is medically ready at the hospital
  he/she will be transmitted to his/her GP. At this
  occasion a treatment conference shall be held.
  The HO service will be offered to held these
  conferences via telemedicine.
• Telecouncelling
• Virtual referal -
• Telelaboratory
• Telecure -
• Shared medical record

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Neurosergery

• The service is different for emergency and non
  emergency patients. The service initially planned
  is for emergency patients where the neurosurgeon
  and neuroradiologist can view images from other
  hospitals via teleradiology.
• Telecouncelling
• Virtual referal -
• Telelaboratory
• Telecure -
• Shared medical record - emergency patients, non
  emegency patients

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Neurology

• During tests it has been shown that diagnosis of
  neurology disorders require direct phsical
  contact between specialist and patient, for
  example evaluation of reflexes.
• Telecouncelling -
• Virtual referal -
• Telelaboratory - (not applicable)
• Telecure -
• Shared medical record

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