Innovation in health and e-health

Head of Unit Claus Duedal Pedersen

OUH Odense University Hospital

& Svendborg Hospital

3rd May 2012Brussels

National Board of Health, Denmark

Time

Qua

ntity

No. of elderlyNo. of chronic conditionsNo. of treatment options

Demands on theraphy

Public financingHealth professionals

… that is our reality

Next Generation: Elderly Power Movement

Location Independence

Personal Control

Most practices today

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14-05-2012

Health Care Faculty, University of Southern Denmark

A National Centre for Danish Health Care

• 1 out of 3 major national healthcarecentres

• 10% (1.2 - 1.6 mill. citizens) of the budget for Danish Healthcare is allocated to OUH

• A highly specialised hospital with functions that cover all specialisedmedical areas

Our innovation building blocks

Buildings ProcessesSystems

- Infrastructure- Interior decorationsand design that activelyinvolve the patients- Bed capacity (sizeand numbers of rooms)- Special functionalityrooms, e.g. call-centres

- Basic clinical IT Systems- Virtualisation- Communicationplatforms- Shared Care systems- Robots, sensors and automisation

- Cross-sectoralCollaboration- Patient and relatives’Involvement- LEAN methods- Volunteers- Patient Associations

Innovation & documentation processes

Identificationof relevance

Implemen‐tation

Developmentand

pilot project

Project description

and proposal writing

NeedsIdeas

DemandsOppor‐tunities

Literature review

Mini‐HTA HTA/MAST

Daily production

Estimation of business potential

Pre‐businesscase

Business case LEAN

Research 

Large scale telemedicin

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Cluster table

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The MAST model

If the purposes of an assessment of telemedicine applications are:

– To describe effectiveness and contribution to quality of care AND

– To produce a basis for decision making

The relevant assessment should be defined as:

The assessment of telemedicine should be a multidisciplinary process that summarizes and evaluates information about the medical, social, economic and ethical issues related to the use of telemedicine in a systematic, unbiased, robust manner.

MASTModel for ASsessment of Telemedicine

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Preceding assessment:

• International/national/regional/local level?

• Relevant alternatives?

Multidisciplinary assessment (domains):

1. Health problem and characteristics of the application 2. Safety 3. Clinical effectiveness 4. Patient perspectives5. Economic aspects6. Organisational aspects 7. Socio-cultural, ethical and legal aspects

Transferability assessment:

• Cross-border

• Scalability

• Generalisability

Elements in MAST

Sending pictureAt home Taking picture Consultation – at hospital

Collaboration and Networks

Professional educationcolleges

Universitiesand

research facilities

International partners

Private companies National

authorities and organisations

Region of Southern Denmark

institutions

InnoEvent

The road to the hospital(s) of the future

• Stay user and patient focused

• Ensure recruitment and expansion of competences

• Collaborate locally and globally

• Develop, innovate, test and document new processes and technologies

Then we are able to serve both types of future hospitals – incl. our own new hospital

Claus.duedal.pedersen@ouh.regionsyddanmark.dk