Afdelingsnavn kan indsættes her Round table discussion Health Optimum conference Venezia jan Medical Director

Afdelingsnavn kan indsættes her The patient principle  That we at any time can offer the patients the most competent treatment  That it happens within national and international standards and evolutions  That it happens within the economic resources given  That it counts for every patient

Afdelingsnavn kan indsættes her Telemedicine- experiences  Why:  it’s possible  It’s cheap  We have the network  Lack of doctors and nurses (In DK)  It’s crucial to have equal access to health services  The patients want it  We have to follow quality standards and indicators

Afdelingsnavn kan indsættes her Telemedicine- experiences  How?  Cooperating across sectional borders  Equipment and network  Education in videoconfencing systems etc.  Choosing the right medical specialists  Choosing the right diseases and patient groups

Afdelingsnavn kan indsættes her Managing strategy?

Afdelingsnavn kan indsættes her Implications  Top-down, bottom-up, top-bottom around  Strategic goals: health for everyone. Effectiveness, value for money, quality, patient safety- adverse events.  Managing the projects (money etc.)  Courage to move from projects to daily activity ( risk- management)  Coordination with EHR. Data in – data out.

Afdelingsnavn kan indsættes her Implications  The demographic change in EU:  A population of elderly persons, more than 20 % > 65 years  Longer expected lifetime  Living with several chronic diseases  Patients expect ambulatory functions  Fewer local hospitals and fewer hospital beds  Telemedicine can partly solve the centralisation- decentralisation problem

Afdelingsnavn kan indsættes her The future  Demography: more elderly people  More chronic diseases, several for the single person  Fewer accidents  Only few ”new” diseases  Diagnoses still a result of lifestyle combined with genecity:  Art. Diseases. Cancer,pulmunary dis.,Skeleton and muscle dis., diabetes, psych. Dis. Chr. Acc. New

Afdelingsnavn kan indsættes her FAABORG Sygehus Fyn NYBORG RINGE SVENDBORG ÆRØSKØBING

Afdelingsnavn kan indsættes her Integration Integrationsplatform Conrad Røntgen FPAS Prosang KIA Mikrobiologi Patologi COSMIC EPJ Netlab KKA Netlab - Elektroniske svar Nyt system i 2006 Conrad -Elektroniske rek. -Elektroniske svar Prosang -Elektroniske rek. -Elektroniske svar - efterår 2005 Mikrobiologi - Mangler analyse -Nyt system 2005 Patalogi - Afventer ny version af cosmic FPAS -Nye grænseflader -Kommunikation mellem systemerne Praksis læger Medicare LPR Shared care Sundhed.dk Applikationer: Telemedicin Kl. databaser Utilsigtede hænd. MTV

Afdelingsnavn kan indsættes her Telemedicine in SHF  Baltic-e-health  Teleradiologi Svendbg.-Ærø  Telealkohol-projektet(Æ-R- S)  Teleendokrinologi (Diabetes)  Retinascreening (KBA- M)  Tele-EKG afd. M – Falck  Telekardiologi (Ekko)  Videokonf. OP-stuer Fåborg, Nyborg- Svendborg  Stemmestyret endoskopier  Videokonf. terapierne  Træningsrobotter terapien  Telealkohol afd. M  Telealkohol Fåborg  Videokonf. Med. Klinik Fåborg  Better Breathing (KOL) afd.M  Videokonf. Med.afd. – prakt. læge  Teleradiologi med PACS

Afdelingsnavn kan indsættes her What can managers expect from EHR, robotics & telemedicine?  Rational criticism  More continuity/quality in patients course  New opportunities in research  New educational areas  Fewer adverse events  More patient involvement.  More effectiveness  Change og workflow.  Shift of workflow between Health prof.  Better documentation  New adverse events and failures  Diminished staff  More competences in the single member of the staff

Afdelingsnavn kan indsættes her Conclusions: management focus  Telemedicine as a strategic goal  Knowledge, awareness, understanding of possibilities  Support for project management  Clear and welldefined objectives  Leadership in cultural change in the organisation( top-down)  Risc management/Investments in IT  PR-strategi showing the advantages of the area.  From project to daily activities ( difference between administration and management) Pjeshf.fyns-amt.dk

Afdelingsnavn kan indsættes her