3. Healthcare DENMARK activities
• Delegation visits to Denmark
• Danish delegations abroad
• Conferences
• Press and communication
• Healthcare DENMARK website
4. “In Denmark, our focus on putting the patient
first – combined with constant efforts to
improve efficiency and quality – has resulted
in a wide array of innovative healthcare
solutions.
I sincerely believe Danish
technologies, products and expertise can have
a positive impact on global health.”
20-03-2014 4
Her Royal Highness Crown Princess
Mary is patron for Healthcare
Denmark
5. Agenda
• E-health in Denmark
• MedCom
• Sundhed.dk
• Telehealth in Denmark
• Ambient Assisted Living
6. 6
Danish citizens are happy with their lives and with
healthcare services
Denmark ranking,
Quality of life in Europe report 2012
7. A consistent focus on healthcare efficiency and
quality help ensure equal access to sustainable
healthcare
• Shortest average EU admission time
per patient
• Focus on moving healthcare services
closer to the patient
• Ambitious productivity improvement
targets each year
• Lean and accreditation
• 100% hospital EMR coverage
• Focus on clinician support
• Highly structured EMR’s
8. 16 new hospitals will be the backbone of patient
centric healthcare
• Public-private partnerships
• New innovations
• Danish design
• Green
9. Agenda
• The Danish Healthcare System
• E-health in Denmark
• Telehealth in Denmark
• Ambient Assisted Living
10. Agenda
• E-health in Denmark
• MedCom
• Sundhed.dk
• Telehealth in Denmark
• Ambient Assisted Living
11. A long term focus on health data networks and on e-health
provide efficient access to healthcare information
MedCom
Health Data Network
1994 -
Sundhed.dk
E-health Portal
2003 -
Who is behind?
Ministry of Health, Danish Regions, Ministry of Interior, National Association of Local Authorities, National Board of Health, Copenhagen Hospital Corporation, Danish
Pharmaceutical Association
12. National eHealth organisations
• MedCom (1994)
• MedCom8
• Sundhed.dk (2002)
• The National Healthportal
• National Board of eHealth NSI-(2008)
• National IT Strategy and infrastructure
• NSP, FMK,
• Regional Health IT – RSI (2010)
• Strategy and 15 Milestones
• KL/Combit (2011)
• Telesundhed
15. Use of IT systems
More than 60
IT vendors
with more than
100 IT systems
16. MedCom
Who is behind ?
u Ministry of Health (chair)
u Danish Regions (co-chair)
u Danish Municipalities
u Danish Doctors
u Danish Pharmacies
u - and they also pay!
What do we do ?
u Making IT projects “cross
sector borders”
u Design standardized
solutions
u Focus on large-scale
national implementation
18. MedCom standards
– Why ?
IT
IT
IT IT
IT
IT
Referral
Prescription
Home Care Report
Radiology Report
Discharge Letter
etc.
IT
IT
IT IT
IT
IT
MedCom Good Profiles
19. The Six Flow
The basic clinical communication in primary care
Hospital
Discharge
Outpatient
Referral
Specialist
Homecare
Notify
Care reports
Doctors Letters
Pharmacy
Prescription
Primary
Care
Laboratories
Chemical, pathology
and microbiology
Results and request
Radiology
Request
Report
Insurance
Reimbursements
20. Messages each month
MedCom Messages
• 6 mio. each month
• + 330.00 each år
• + 500.000 in 2012
• 6000 organisations
• 65 vendors
• 110 IT systems
• Net savings 80 mio. euro in
2008
24. From ePrescription to SMC
Pharmacy
Primary Care
National
SMC
Home Care
Hospital
Citizen
25. SMC Today?
SMC end 2013 SMC covering end 2013
• GPs
65% technical implementet – rest in
2014
1 Mill SMC each month- around 1/3 of
all
• Hospitals
Large tech. implemented
But only little use
• Homecare
Technical impl.2014
Organisational impl. 2015
26. Agenda
• E-health in Denmark
MedCom
Sundhed.dk
• Telehealth in Denmark
• Ambient Assisted Living
27. SERVICES FOR CITIZENS
• Access to personal health data on treatment
• E.g. e-Record from hospitals and GPs and Shared Medication Card
• Communication with health care providers
• E.g. Contact information and e-services like booking, prescription renewals and electronic
communication
• General information on health service
• E.g. quality in health care, patient rights
• Accurate and updated information on health, disease and
treatment
• E.g. medical handbook
• Personal home care/hospital solutions
• E.g. diabetes and anticoagulant therapy
• Patient to patient dialogue
28. SERVICES FOR HEALTH CARE
PROFESSIONALS
• Access to personal health data on patients
– E.g. e-Record, laboratory data and Shared Medication Card
• Contact and service information on other health care
providers
• General information on health service
– E.g. waiting lists, quality in health care, health and prevention programs, visitation
• Accurate and updated information on health, disease and
treatment
– E.g. medical handbook, treatment feedback and benchmarking
• Personal home care/hospital solutions
– E.g. diabetes and anticoagulant therapy
34. • Citizens can be traced from the cradle to the grave
• Diseases can be traced through generations
• We have data on millions of individuals (whole population)
• Research results with great certainty
Personal identification
number given at birth
Diseases
Microbiological diagnoses
Medicine usage
Vaccinations
Laboratory results
Biological samples
Education
Family, residence, profession
Danish healthcare data are unique for research
and telehealth
35. 20-03-2014 35
In 2013 Denmark launched the strategy for the
next 4 years
• National EHR and E-health architecture
• International standards
• HL7
• Continua Health Allicance
• First fully regional telehealth implementations
• Coordinated strategy:
• Ministry of Health and Prevention
• Danish Regions
• Danish Municipalities
36. 36
The National Health-IT strategy and Telehealth plan will
expand the National Service platform during the coming
years
2014: National Image Index
• Radiology
• Ultrasound
• Telehealth
2015- : National Telehealth
• Device data
• General (e.g. weight)
• Diagnostic (e.g. ECG)
Other national initiatives:
• New re-imbursement solution
• National cancer screening
• National Biobank
• IT standards development
• HL7
• SNOMED CT
• Continua Health Alliance
37. Agenda
• E-health in Denmark
• MedCom
• Sundhed.dk
• Telehealth in Denmark
• Ambient Assisted Living
38. Telehealth improve quality of life for chronic patients
and elderly citizens
• Chronic diseases – e.g. diabetes:
• 80 years diabetes research excellence
• Nationwide Ulcer telehealth
• Medical Home telehealth support
• Elderly citizens
• Keeping citizens healthy in their own
home
• Technology/personal care balance
39. 20-03-2014 39
The Danish Telehealth plan will establish a
mature market for Telehealth solutions
Telecare North:
• COPD patients
• Diabetes patients
• Heart patients
CIH (Clinically Integrated Home monitoring):
• Ulcer patients
• COPD patients
• Diabetes patients
• Pregnancy
40. Agenda
• E-health in Denmark
• MedCom
• Sundhed.dk
• Telehealth in Denmark
• Ambient Assisted Living
41. 20-03-2014 41
The e-health and telehealth strategy will align with
the 2013 – 2020 Assisted Living strategy
• Full scale implementation of proven solutions
• Ceiling lifts
• Digital rehabilitation
• Selected robot technology
• Full scale Smart Home implementation
• Smart Home technology for disabled citizens
• Coordinated strategy:
• Ministry of Health and Prevention
• Danish Regions
• Danish Municipalities
42. 20-03-2014 42
Ambient Assisted Living technology
Reducing homecare
resources
Home rehabilitation
Robot technology
Surveillance and smart home
43. Conclusion
• Denmark is one of the most mature e-health countries in
the world
• A national e-health service platform
• Moving towards full scale Telehealth implementation
• Assisting Living innovation
• Full scale Smart Homes
20-03-2014 43
44. Hans Erik Henriksen, CEO Healthcare DENMARK
heh@healthcaredenmark.dk20-03-2014 44
Editor's Notes
Innovating better life for citizens and patients is about providing even and equal access to healthcare services and to healthcare information.It is about patient empowerment, because informed and empowered patients makes healthcare more efficient and provide higher quality of life for patients.It is about prevention and wellness to make our population healthy and avoid lifestyle related diseases.It is about saving lives when accidents happen through a state of the art pre- hospital and emergency services.It is about convenient and safe patient diagnostics which leads to the right treatment.AND It is about healthcare transformation to make future healthcare meet demands in an economically sustainable way.- Other factors are equally important, but I have chosen to focus on these in my presentation
One of the aspects of increasing productivity is a clear focus on moving healthcare services closer to the patient.Therefore there is a consistent effort to shift from inpatient treatment to outpatient treatment where ever possible. This has e.g. lead to the introduction of new invasive operation technologies and transforming our healthcare system, municipalities are now responsible for rehabilitation, in order to reduce inpatient stay at hospitals.During recent years, Danish hospitals have also been demanded to increase productivity by typically 2% (sometimes more), every year.
In the next ten years Denmark will invest more than 7,5 billion $ in 16 new hospital projects.The projects will modernize around one-third of the current Danish hospital capacity The 16 projects, which are mainly public-private partnerships, are cooperating closely around new innovations, danish design and green technology to reduce energy consumption and environmental impact.
Innovating better life for citizens and patients is about providing even and equal access to healthcare services and to healthcare information.It is about patient empowerment, because informed and empowered patients makes healthcare more efficient and provide higher quality of life for patients.It is about prevention and wellness to make our population healthy and avoid lifestyle related diseases.It is about saving lives when accidents happen through a state of the art pre- hospital and emergency services.It is about convenient and safe patient diagnostics which leads to the right treatment.AND It is about healthcare transformation to make future healthcare meet demands in an economically sustainable way.- Other factors are equally important, but I have chosen to focus on these in my presentation
Innovating better life for citizens and patients is about providing even and equal access to healthcare services and to healthcare information.It is about patient empowerment, because informed and empowered patients makes healthcare more efficient and provide higher quality of life for patients.It is about prevention and wellness to make our population healthy and avoid lifestyle related diseases.It is about saving lives when accidents happen through a state of the art pre- hospital and emergency services.It is about convenient and safe patient diagnostics which leads to the right treatment.AND It is about healthcare transformation to make future healthcare meet demands in an economically sustainable way.- Other factors are equally important, but I have chosen to focus on these in my presentation
Innovating better life for citizens and patients is about providing even and equal access to healthcare services and to healthcare information.It is about patient empowerment, because informed and empowered patients makes healthcare more efficient and provide higher quality of life for patients.It is about prevention and wellness to make our population healthy and avoid lifestyle related diseases.It is about saving lives when accidents happen through a state of the art pre- hospital and emergency services.It is about convenient and safe patient diagnostics which leads to the right treatment.AND It is about healthcare transformation to make future healthcare meet demands in an economically sustainable way.- Other factors are equally important, but I have chosen to focus on these in my presentation
Innovating better life for citizens and patients is about providing even and equal access to healthcare services and to healthcare information.It is about patient empowerment, because informed and empowered patients makes healthcare more efficient and provide higher quality of life for patients.It is about prevention and wellness to make our population healthy and avoid lifestyle related diseases.It is about saving lives when accidents happen through a state of the art pre- hospital and emergency services.It is about convenient and safe patient diagnostics which leads to the right treatment.AND It is about healthcare transformation to make future healthcare meet demands in an economically sustainable way.- Other factors are equally important, but I have chosen to focus on these in my presentation
Denmark is one of the pioneers in diabetes research, which goes 80 years back in time. Diabetes - and the Steno Diabetes center, which is a cooperation between Novo Nordisk and danish authorities - is also a good example of how danishpharma companies and public authorities work together in public-private partnerships to discover and test new medicine.With COPD, diabetes is also one of the focal areas for supporting chronic patients in Denmark with telehealth solutions. Today, a nationwide telehealth solution to cope with ulcer among diabetes patients has been implemented and in the coming years, Denmark will continue the focus on telehealth support for chronic patients.Telehealth and ambient assisted living technology is also used in Denmark to support elderly people in their own homes. E.g. advanced ceiling lifts and high-tech wheelchairs are being used in elderly homes to improve mobility, which is highly appreciated by the elderly. At the same time this technology means huge cost savings (studies indicate 75% home nurse time savings after the first year) because one home nurse can handle tasks which previously required 2 home nurses. This is not only about technology, it is also very important to get the right balance between the elderly persons use of technology and personal contacts with e.g. nurses and relatives..Studies from different Danish telehealth projects indicate healthcare savings up to 30% through patient empowerment, because empowered chronic patients clearly tend to reduce their use of hospital services. And at the same time, their involvement in their own disease increase their insight and quality of live.
Innovating better life for citizens and patients is about providing even and equal access to healthcare services and to healthcare information.It is about patient empowerment, because informed and empowered patients makes healthcare more efficient and provide higher quality of life for patients.It is about prevention and wellness to make our population healthy and avoid lifestyle related diseases.It is about saving lives when accidents happen through a state of the art pre- hospital and emergency services.It is about convenient and safe patient diagnostics which leads to the right treatment.AND It is about healthcare transformation to make future healthcare meet demands in an economically sustainable way.- Other factors are equally important, but I have chosen to focus on these in my presentation
