Kent County Council

Session House, County Road

ME 14 1XQ

Kent

www.casa-europe.eu

STUDY VISIT Andalucía

Host organisation: Fundación Progreso y Salud

(Health and Progress Health Foundation)

“Large Scale Deployment on Ambient Assisted Living Solutions”

Partner contact details: Fundacion Progreso y Salud

Address: Avda. Americo Vespucio num 5 Bloque 2

Telephone 955 04 04 50

Fax: 955 94 94 57

Email: estela.perez@juntadeandalucia.es

I. SUMMARY

According to the topics envisaged on the application form, the Study Visit in Andalucia was focussed

on the development and large scale deployment of information and communication tecnologies with

particular emphasis on ambient assisted living solutions.

The study visit took place in the city of Seville, capital of the autonomous community of Andalucia on

the 13rd

and 14th

June. Previously on 12th

a PSC was organized in the premises of Fundacion Progreso y

Salud.

The event in Seville, was intentionally organized with a clear practical approach on mind, so

participants could have “on the ground” idea on the different initiatives and technologies running in a

wide range of health care centres together with their implications, benefits for societies, main barrier

encountered and steps done in order to implement them.

The objective pursued by Progreso y Salud was to provide participants with an extensive programme

of activities ranging from presentations, specific sessions and on site visits within the Andalusian

Public Health Sector (APHS). High involvement of a varied profiles of speakers was encouraged so

participants acquired the knowledge for proffesional with direct experience on the field.

Besides, networking was encouraged at all times by creating different spaces and break times so

participants could meet with speakers and exchange opinions in a more open environment.

Final number of participants reached 55 (list of participants detailed in this document below),

predominantly from Flanders (8 participants), Kent (7) and Denmark (5).

LISTADO REGIONES PARTICIPANTES

1 Flanders 8

2 Halland (Suecia) 2

3 Andalucia 5

4 Friuli Venezia Giulia 3

5 Kent 7

6 South East England 2

7 Veneto Region 5

8 East-Sweden 3

9 Timis County 3

10

Wielkopolska

(Polonia) 4

11 Catalonia 3

12 Noord-Brabant 3

13 Southern Denmark 5

14 Scotland 2

55

More clearly, the participation from partners was distributed as followed:

II. DEBRIEFING ONSITE VISITS

Among the organizations involved and presentations carried out, it can be highlighted:

REGIONAL MINISTRY OF HEALTH AND SOCIAL WELFARE

GENERAL SECRETARY FOR QUALITY AND INNOVATION

Presentations:

Andalusian Public Health System (APHS)

Health and social care provision services

Andalusian Digital Strategy (ADS)

Integrated Digital Health Record and associated services

UNIVERSITY HOSPITAL VIRGEN MACARENA

Presentations:

Electronic clinical and tkkelemedicine uses in the HUVM

On site visit within consulting rooms

PRIMARY HEALTH CARE CENTRE “EL ALAMILLO”

Electronic Health Record (DIRAYA)

UNIVERSITY HOSPITAL VIRGEN DEL ROCIO

Presentations:

Project m-Health. Teleneurorehabilitation of patient with acquired brain damage.

Project REWIRE. Rehabilitative Wayout in Responsive Home Environment

Challenges research areas and sustainability.

Project Cardiac Rehabilitation

Project PITes. Telemedicine and ehealth solutions for chronic patients

SAT. ANDALUSIAN TELE ASSITANCE SERVICE

ICT based solutions on welfare and independent living

Projects Commonwell and independent

EPES. ANDALUSIAN PUBLIC COMPANY FOR HEALTH EMERGENCIES

Scenarios:

Coordination call center

Electronic Health Record on mobility

Disaster and emergencies support vehicule

Ambulance area.

III LEARNING OUTCOMES FOR THE PARTNERSHIP

Area

(self- management /policy/ICT)

Key characteristics

Learning

Outcome 1

Provision of assistance through the use

of communication and information

technologies, mainly addressed to

elderly people

Extensive population covered throughout the

region of Andalucia

Attendance 24h/day, 365 days/year

Attention to health emergencies and other health

care demands

Telecare service of public ownership, easily

accesible

Target groups:

- For dependent people

- People over 65 years

- People with disabilities

Learning

Outcome 2

Strong commitment for the adoption

and implementation of an e-health

strategy, in order to foster ICT services

and solutions applied at health care

and welfare.

Innovative initiatives carried out:

- Diraya. Electronic Health Record System

- Health Responds (Salud Responde).

Multichannel access to the Public Health

System of Andalusia, designed to satisfy

the information and service needs of

citizens and health professionals,

improving the response capacity of the

health systems and making it faster.

- Informarse.es Salud. A health

information service using multichannel

platform such as internet, mobile phone,

TV and other media.

- Bank of innovative practices. Strategy for

the identificatio, sharing and

acknowledgement of innovative

professional practices.

- Observatory of innovative practices in

chronic disease management. Network

focused on the identification, process,

synthesis and dissemination of

innovative practices in Spain and in the

world.

IV. IDENTIFICATION OF POTENTIAL BEST PRACTICES

1.Name of the Region

ANDALUCIA

Potential Best Practice

Broad coverage of social welfare services, with special focussed on child care, drug

addiction, people with dissabilities, elderly people and community social services

(migrants and immigrants)

Brief Characteristics

of

the Practice

Social attention: Promotion, development and management of social care

resources to individual, families and groups in which they are integrated to

promote their welfare and management resoruces and the development of actions

related to child protection.

Attention to dependency and promotion of personal autonomy. Development of

activities and provision of the neccesary services for the Autonomy system

management and care for dependent people in Andalusia.

2. Name of the Region

ANDALUCIA

Potential Best Practice

Integrated information system supporting the modernization strategy. DIRAYA is

an Electronic Health Record system on a regional scale that integrates the

healthcare information for each patient on a single regional record. It is computer

system that the Andalusian Public Health System uses as an information and care

management support.

Brief Characteristics

of

the Practice

The health record has a structure based on a series of centralized data shared by

all clinical stations (problems, allergies, personal backgrounds, drugs, diagnostic

test...) and a local facility which contains the episodes generated in each record.

DIRAYA integrates information on each user, irrespective of the health professioal

o care are generating it, into a Single Health Record, so that it is available where

and when it is needed for his/her care.

Medical record allows information related to:

- Primary care

- Specialized care

- Emergency room

- Hospitalization

The use of telecommunication permits access to a citizen’s health record from

anywhere within the Andalusian public health network.

On the hand, DIRAYA facilitates accesibility to all the services and provisions of the

health system. It enables the flow of patients to be monitored in order to assure

efficient coordination of all the actions required in the diagnosis and treatment of

each process.

FINAL REMARKS

After the study visit, a series of questionnnaire were delivered to the participants in order to gather

their reactions and opinions. It can be highlighted:

Involvement and commitment form clinical professional within ehealth solutions.

Person-centred approach taken in services, either social and healthcare.

Efficient and cost saving implemented by large scale implementation of ICT solutions

Generation of networking areas

Highly integrated social and care services within same entity

After the evaluation of the questionnaires gathered from participants, overall assessment was quite

possitive, with an average mark 3,5.

OVERALL

ASSESSMENT ADMIN + LOGISTICS

ASSESSMENT

PREVIOUS INFORMATION ASSESSMENT

EINDHOVEN 2.94 2.9 2.72 BARCELONA 3.53 3.45 3.29 KENT 3.4 3.29 3.42 WIELKOPOLSKA 3.08 3.27 2.85 ANDALUCIA 3.5 3.39 3.42

LIST OF PARTICIPANTS

FULL NAME COMPANY / ORGANIZATION JOB TITLE REGION

1 Fabian Dominguez Flemish Government International Policy Coordinator Flanders

2 Malin Larsson Region Halland Project manager Halland

3

Carlos González

Florido Fundación Progreso y Salud IT. Innovation Coordinator Andalusia

4 Estela Pérez Serrano Fundación Progreso y Salud European Projects Technician Andalusia

5 Juan Lago Cabrera Fundación Progreso y Salud Health IT Project Manager Andalusia

6 Ignacio Lage de Llera Fundación Progreso y Salud EHR DIRAYA. Project Manager Andalusia

7 Bidatzi Marin Bastida Fundación Progreso y Salud Health IT Project Manager Andalusia

8 Giulio Antonini Local health authority/FVG Region Public Manager

Friuli Venezia

Giulia

9 Sarie Bongers External Expertise

Financial Manager - Lead Partner

CASA Project Flanders

10 Janske Bongers External Expertise Intern Flanders

11 Nick Rodgers SEHTA Enterprises Chairman Kent County

12 Antonio Morari ULSS 20 VERONA Project manager Veneto

13 Andrea Oliani ULSS 20 VERONA Health ICT Director Veneto

14 Laura Ceserato ULSS20 VERONA ICT Manager Veneto

15 Matteo Apuzzo Local Health Authority 5 Project Manager

Friuli Venezia

Giulia

16 Bart Neels Sirris-Inham Project Leader Aging-at-home Flanders

17 Vuillaume Kathy EPM CASA Strategic Project Manager

South East

England

18 Giorgia Centis Arsenàl.IT Project manager Veneto Region

19 Christina Ederberg Region Halland Developer healthcare system Region Halland

20 Lotte Beck Region of Southern Denmark EU Consultant

Southern

Denmark

21 Toni Dedeu Ministry of Health of Catalonia Senior International Officer Catalonia

22 Anne Tidmarsh Kent County Council

Director of Older People and

Physical Disability Kent

23 Donna Henderson

Scottish Centre for Telehealth and

Telecare Service Development Manager Scotland

24 Richard Curry SEHTA E-Health Development manager SE England

25 Robert Stewart

White Gate Design working with

KCC Clinical Design Director Kent

26 Katleen Boschmans iMinds vzw Coordinator Living Lab Care Belgium

27 Sofie Staelraeve Voka-VEV

Director of Voka Health

Community Flanders

28 Ingrid von Sydow Linköpings Municipality Development manager Esr Swedwn

29 Bart Geraets Centre for Healtcare Technology Coordinator Flanders

30 Maria Lindahl Elderly Care department Representative for the elderly East-Sweden

31 Mirela Carina SINCA Timis County Council External Relation Officer Timis County

32 Atena CHIRIAC Timis County Council External Relation Officer Timis County

33 Monica Hjern Municipality of Norrköping Senior Adviser

Hälsans Nya

Verktyg, New

Tools for Health

34 Monika Zembrzycka

Regional Centre of Social Policy in

Poznan

Manager of the Department of

Social Integration Coordination Wielkopolska

35 Miłosz Czerniejewski

Regional Centre of Social Policy in

Poznan Financial officer Wielkopolska

36 Sylwia Pełtak

Regional Centre of Social Policy in

Poznan Policy officer Wielkopolska

37 Ewa Zasadzka Medical University in Poznan Researcher Wielkopolska

38 Julia Blackwood

East Kent Hospitals University NHS

Foundation Trust Quality Improvement Manager Kent County

39

Ignasi Garcia-Milà

Vidal TicSalut Foundation EU Project Manager Catalonia

40 Amanda Rimington KMCS Senior Associate Kent County, UK

41

Svend Holm

Henriksen Region of Southern Denmark Chief consultant

Southern

Denmark

42 Henrik Gaunsbaek Odense University Hospital Innovation Consultant

Southern

Denmark

43 Raeymaekers Peter Zorgnet Vlaanderen Senior Advisor Healthcare ICT Flanders

44 Robert Stewart KCC Clinical Design Director Kent County

45 Edwin Mermans Province of Noord-Brabant Policy officer Noord-Brabant

46 Anke van der Heijden Province of Noord-Brabant Senior policy officer Noord-Brabant

47 Mandy Jacobsen

Kent Families and Social Care

Services

Manager in Kent Sensory

Services Kent UK

48 Pietro Crosilla

Local Health Agency n.5 "Bassa

Friulana" Junior officer

Friuli Venezia

Giulia

49

Charlotte Lønfeldt

Jakobsen Odense University Hospital Ward Manager

Southern

Denmark

50

Maria Francesca

Vencato Kent County Council Deputy Head of Office Kent

51 Jantiene Slabbekoorn Be4Care Business Consultant Health & IT Noord Brabant

52 Alistair Hodgson

Joint Improvement

Team/SCTT/NHS24 Partnership Improvement Officer Scotland

53 Laura Ceresato Local Health Authority n.20 Verona Engineer Veneto

54 Musta Virgil Filaret TIMIS COUNTY COUNCIL External expert Timis County

55 Francesc Moya Olvera TicSalut Foundation Technological responsible Catalonia

Total participants SV Andalucia 55

Dissemination was carried out at european level through the official website,describing basically main

topics approached

Dissemination at regional level was also emphasized. News about the Andalucia Study Visit was

covered by the following media (annex detailed with press release)

Boletín RETA Portal Presspeople Portal NewsEsp

Enlace noticias Hospital

Marcarena

Enlace noticias Hospital Virgen

del Rocío

Enlace noticias EPES

Portal Bionand Portal Medical Genome Portal

Fundación Progreso y Salud Oficina Transferencia

Tecnológica

Oficina de Proyectos

Internacionales

Salud Investiga Noticias Junta Andalucia Terapias Avanzadas

Investigamas Noticias SAS

Some visual material is also available in the link:

http://www.flickr.com/photos/fundacionprogresoysalud/