Scaling up innovation in healthcare - A Methodology Framework 2015
0 likes66 views
The document discusses the framework for scaling up telemedicine, highlighting the necessity of cross-border collaboration among various stakeholders including healthcare providers, insurers, and technology vendors. It emphasizes the need for organizational changes, economic assessments, and understanding of patient needs to successfully implement telehealth services. Critical success factors, including cultural readiness and technological infrastructure, are outlined to support the deployment and routine integration of telemedicine into healthcare systems.
Scaling up innovation in healthcare - A Methodology Framework 2015
- 1. 1 Scaling up Telemedicine: The MOMENTUM-TREAT Framework Marc Lange, EHTEL Secretary General AeHIN Webinar 2015-06-10 Competence Centre Health Care Authorities Industry Health Care Delivery Citizens/Patient Representative Innovation Agency Insurers Social Care Dissemination Organisation European Health TELematics A cross-(any)border and multidisciplinary collaboration forum AeHIN Webinar 2015-06-10 Sustainable and large scale eHealth deployment requires engagement and synergies 2
- 2. 2 AeHIN Webinar 2015-06-10 Terminology warnings eHealth, telehealth, telemedicine … = healthcare with the support of ICT for communicating ≠ ICT for healthcare When mHealth is recommended by doctors, = eHealth on the move, at home, in your pocket … When mHealth is an app downloaded on citizen’s initiative ≠ eHealth 3 United Nations Population Division, World Population Prospects, 2004 Revision (Medium Variant, Shared Scaling) 4 The landscape: an Ageing Europe 2015-06-10AeHIN Webinar
- 3. 3 The indispensable modernisation of the healthcare systems AeHIN Webinar 2015-06-10 5 QualityofLife €10,000€1,000€100€10€1 Adapted from Intel Specialty Clinic Community Hospital ICU Acute Care Assisted Living Skilled Nursing Facility Residential Care Independent, Healthy Living Prevention Chronic Disease Management Doctor’s Office Tele-homecare & mobile care Re-designing services with telehealth AeHIN Webinar 2015-06-10 Patient’s home Hospital or primary care or eHealth centre SERVER PATIENT REGIONALCENTRE’S OPERATOR TELEMONITORING DEVICES GENERAL PRACTITIONER CARDIOLOGIST AT HOSPITALOR LOCALHEALTH DISTRICT OTHERINVOLVED HEALTHCARE PROFESSIONALS GATEWAY & APP 6
- 4. 4 ICT and Service re-design – the challenge New Technology + Old System = New Old System This is about changing from • Data to services • Data collection to data integration in processes • Tools to process redesign / new care pathways AeHIN Webinar 2015-06-10 7 • Impact on safety and clinical effectiveness • The Renewing Health services provided are at least as safe and efficient as regular services. • Impact on patient satisfaction and health-related quality of life • There was a tendency to improve health-related Quality of Life (SF36) • In almost all pilots the patients were very positive towards to the use of telemedicine (SUTAQ) • Further studies are required on how to use telehealth to approach the care of those people who were excluded from the trials in Renewing Health. 2015-06-10 8 There is some evidence!
- 5. 5 Open Issues • The pilots did not show a reduction in the costs per patient or in efficiency gains, possibly because – The technology is still too expensive: • The size of the market is still too small – The temporary nature of the pilot was not an incentive to modify the organisation substantially – The service, technology and organisation needed to mature even further – Lessons still need to be learned on which patient groups to enrol to maximise potential impact 2015-06-10 9 www.united4health.eu Ambition • A deployment study, with emphasis on assessment of: – organisational aspects – efficiency gains – economic aspects • Deliver evidence – More diverse than Whole Systems Demonstrator (UK) – Better (more comparable) data than Renewing Health (EU) • Commitment of regions to deploy and promote Telehealth 2015-06-10 AeHIN Webinar 10
- 6. 6 www.united4health.eu Supporting trans-national organisations 2015-06-10 AeHIN Webinar 11 www.united4health.eu www.youtube.com/user/United4Health Testimonials and Conference Podcasts 2015-06-10 AeHIN Webinar 12
- 7. 7 Tools and methods are needed to deploy telehealth Impact assessment framework The results and lessons learned from Renewing Health The deployment study of United4Health Business Model Canvas Cost and benefit analysis toolkit Guidelines/Gap Analysis for large-scale deployment 2015-06-10 AeHIN Webinar 13 Momentum: the Project A CIP ICT-PSP thematic network Running from February 2012 until December 2014 The consortium: 20 organisations Telemedicine associations and competence centres from Denmark, United Kingdom, Estonia, Norway, Spain, France, Sweden, Germany, Greece, Netherlands, Poland, Switzerland European stakeholder associations representing Health professionals and health care organisations, health insurers, technology vendors 2015-06-10AeHIN Webinar 14
- 8. 8 AeHIN Webinar 2015-06-10 Scaling-up? From pilot to routine care … 15 Testing of Service Routine Care Service Small Scale Deployment Large Scale Deployment Hospital Group Department Department HealthCare System Piloted Service Lessons learned from deployment inside an organisation Local champions Limited constraints (e.g. at legal level) Cost and benefit analysis … Lessons learned from deployment across organisations (for servicing the healthcare system) Institutional endorsement Legal constraints (if it is a D2P relationship) Need for robust methods Socio-economic analysis … From pilot to routine care 2015-06-10AeHIN Webinar 16
- 9. 9 2015-06-10 A European Telemedicine Deployment Blueprint AeHIN Webinar By Doers, for Doers 17 Strategy & Management Legal,, Regulatory & Security Organisation Implementation & Change Management Technical & Market relations Four domains for deployment guidelines 2015-06-10AeHIN Webinar 18
- 10. 10 Telemedicine service Run Plan People Context IT & eHealth infrastructure 16 Legal & sec. guidelines 13 Legal & sec. conditions 11 Legal & sec. experts 14 Market procurement 18 Service monitoring 17 Change management 10 Cultural readiness 1 Leadership 3 Compelling need 2 User friendliness 6 Potential to scale-up 12 Primary client 8 Business plan 9 Privacy awareness 15 Patient centeredness 5 Stakeholder involvement 4 Resource aggregation 7 Strategy and management Organisation and management Legal and security Technology and market Enabling service deployment: 18 Critical success factors 2015-06-10AeHIN Webinar 19 Critical Success Factors for Deployment Strategy AeHIN Webinar 2015-06-10 1. Ensure that there is cultural readiness for telemedicine services. 2. Ensure leadership through a champion. 3. Come to a consensus on the advantage of telemedicine in meeting compelling need(s) 4. Put together the resources needed for deployment. Strategy & Management Legal, Regulatory & Security Organisation & Change Mgmt. Technical & Market relations 20
- 11. 11 Critical Success Factors for Organisational Change AeHIN Webinar 2015-06-10 5. Address the needs of the primary client(s). 6. Involve health care professionals and decision- makers. 7. Prepare and implement a business plan. 8. Prepare and implement a change management plan. 9. Put the patient at the centre of the service. Strategy & Management Legal, Regulatory & Security Organisation & Change Mgmt. Technical & Market relations 21 Strategy & Management Legal, Regulatory & Security Organisation & Change Mgmt. Technical & Market relations Critical Success Factors for Legal, Regulatory and Security Compliance AeHIN Webinar 2015-06-10 10. Assess the conditions under which the service is legal. 11. Identify and apply relevant legal and security guidelines. 12. Involve legal and security experts. 13.Ensure that telemedicine doers and users are “privacy aware”. 22
- 12. 12 Strategy & Management Legal, Regulatory & Security Organisation & Change Mgmt. Technical & Market relations Critical Success Factors for Technology Decisions and Procurement 2015-06-10 14. Ensure that the IT and eHealth infrastructures needed are available. 15. Ensure that the technology is user-friendly. 16. Put in place the technology and processes required to monitor the service. 17. Maintain good procurement processes. 18. Guarantee that the technology has the potential for scale-up (i.e., “think big”). AeHIN Webinar 23 AeHIN Webinar 2015-06-10 With TREAT (Telemedicine REadiness Assessment Tool) A Doer working on a deployment plan for a particular telehealth service Will use these 18 Critical Success Factors to assess his plan – collectively – against a set of indicators CSF 1. Assure that there is cultural readiness for the telemedicine service In my organisation/region, • doctors and other healthcare professionals are ready to share clinical information with each other and with the patient • financial and other incentives are aligned with the service to be deployed • an underpinning culture embraces technology • an underpinning culture welcomes and even promotes change 24
- 13. 13 MOMENTUM – TREAT workshop AeHIN Webinar 2015-06-10 Based on the results from the online tool Key players in the telemedicine project are brought together to examine their local strategy and their execution targets Expected outcome: A common understanding between stakeholders on the challenges that they are facing Input for issues that need to be changed or adapted in existing strategies A first draft of an action plan for the large-scale implementation of telemedicine 25 Scaling-up? From pilot to routine care AeHIN Webinar 2015-06-10 26
- 14. 14 Testimonials (to date) AeHIN Webinar 2015-06-10 October 2014 April 2015 27 Any questions? More at www.telemedicine-momentum.eu AeHIN Webinar 2015-06-10 Marc Lange Secretary general EHTEL Association 49/51, rue de Trèves B-1040 Brussels Belgium Tel: +32 (0)2 230 15 34 Fax: +32 (0)2 230 84 40 Mobile: +32 (0)475 27 71 45 Marc.Lange@ehtel.eu www.ehtel.eu 28