Transforming Health Care Delivery: Governance and Change Management
Transforming Health Care Delivery: Governance and Change Management
Joan Cornet . CEO. TicSalut Foundation.
University of Barcelona. IL3
Joan Cornet . CEO. TicSalut Foundation.
University of Barcelona. IL3
From COCIR Telemedicine Toolkit
Observatory
Trend Maps Trend Maps
Innovation Normalization
Office of standards DEPLOYMENT
Office of standards DEPLOYMENT Telemedicine and
Teleassistance plan DEPLOYMENT Telemedicine and Teleassistance plan
DEPLOYMENT
Collaboration Agreement Fundació TicSalut – Health Department / CatSalut
Suppliers of Health
International relations and projects
Projects, agreements,
congress Projects, agreements,
congress
Advisory Business Board
Professional and citizens
Council
Scientific Council
Tic Salut Foundation
OBSERVATORY
What to do
Annual publication that provides objective
information about the level of development of ICT in health organizations in Catalonia
INNOVATION
Telemedicine and
Teleassistanc e
Plan
Proposals for action and projects of interest
assessed by the Health Department in this area
Map of
trends
What to do
Standardizatio ns
Interoperabilit y
and standards office
Preparation of criteria and strategic guidelines in
adopting semantic standards and
technologies.
TicSalut GLOBAL
Projects,
agreements, congresses
Participate in international
projects and activities that
promote the implementation
of new technologies in the
field of health
Why is interoperability?
THE CITIZEN MOVES
WE HAVE A CONTINUITY OF CARE WE PROVIDE CITIZEN SERVICES
WE HAVE TO GIVE SERVICES FOR CHRONIC DISEASE
WE HAVE TO SHARE RESOURCES
Office of standards and
interoperability
Technique Semantics Organizationa l
Interoperab ility
Hardware-level systems
capable of sending and receiving
information
without having to interpret or make improper use
Systems capable of interpreting and structure information received from other systems
Process
analysis and use of codified and
standardized
information
exchanged.
Telemedici ne
Prescriptio E- n
Personal Health
Folder Medical
Image Digitalizati
on Plan
Where we are
Catalan Shared Medical
Record
Type of communication
Teleconsultancy:
Cardiology
Dermatology
Pediatry
Neurology
Psychiatry
Teleconsultancy:
Cardiology
Dermatology
Pediatry
Neurology
Psychiatry
Management of chronic diseases:
Diabetes
Respiratory failure
Heart disease
Management of chronic diseases:
Diabetes
Respiratory failure
Heart disease
Diagnosis:
Radiology
Anatomy
Pathology
Dermatology
Ophthalmology
Diagnosis:
Radiology
Anatomy
Pathology
Dermatology
Ophthalmology
3 3
1 1
2 2
Deferred Time
Real Time
Professional - Professional Professional – Professional &
Patient Professional - Patient
Actors involved
13
Kinds of applications on intervention lines
Telemedicine and Telecare medical Plans
The Telemedicine in Catalonia, in 5 years, should become an important channel for the provision of
healthcare services, with three priority areas:
Personal Health Record
Future information available
Access to citizen’s health information Access to citizen’s health information
Involvement and presence in
social networks Involvement
and presence in
social networks
Common internet resources
and services Common
internet resources
and services
Customize d Health
and services contents Customize
d Health and services contents Communicati
on and Interaction with health professionals Communicati
on and Interaction with health professionals Procedures
Virtual Office to
access different
services Procedures
Virtual Office to
access different
services
• Correction of data and queries
• Schedule an appointment
• Request for change of doctor or hospital
• Health Card Processing
• Sick leave medical reports
• Assistance reports and maternity leave
• Certificate of health transport
• Administrative and complaints reports
• Last will’s registration
• Advanced Search Map
• Advanced Technology Platform
• Certified Quality warranty of web content
• Usability and accessibility standards
• Multichannel: in person, telephone, iPod, Chats, blogs, podcasts, RSS
• Digital cards, widgets
• Possibility of publishing on public social networks
• Access through digital identification: idCAT, electronic ID, health card chip, sim, etc.
• Benefits from services for Citizens of the Generalitat of Catalonia (DAGC and Sanitat respon)
• It benefits from technology existing in the private market
The contents can be customized to the ones available in the Health Channel:
• Creation of own content
• Participation in health surveys
• Communication with other patients
• Common space for associations and communities
• Web portal that hosts other providers’
information and public and private services
• Professionals web portals who wish to join voluntarily
• Bi-directional communication with professionals
• Patient tracking and monitorization
• Telemetry and recording of vital signs
• Second opinion
• Participation in clinical trials
• Specific services for certain patients and health communities
• Enrollment in volunteer programs
Folder information relevant to public health:
•Information, education and personalized health tips
•Pharmacological and clinical information
•Information on vaccines
•Guide on Administrative Procedures
•FAQ’s
•Access to accredited sources
•Access to information of other providers
•Notification of emergencies and situations of risk
TABS
Example text
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Regions Regions
ALLIANCE S
ALLIANCE S
Example
Netwoks Projects
TICSalut global
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REGIONS REGIONS
Alliances Alliances
Example
C
TICSalut global
Networks Projects
European Commission Mediterranian World
Regions
Regions Networ
ks
Networ
Alliances ks
Alliances
Example
Projects
TICSalut global
PROJECT S
PROJECT S
Regions
Regions Networks Networks Alliances
Alliances
Example
• Europeans Projects
• EPSOS (Smart Open Services)
• RGS (Rehabilitation Game System)
• Renewing Health (Regions of Europe Working together for Health)
• CLEAR (Clinical Leading Environment for the Assessment and validation of Rehabilitation Protocols for home care)
• RTF (Regional Telemedicine Fòrum)
• Home Sweet Home
• MNEMOSYNE (Serveis de Teleassistència per a gent gran)
• NEXES (Supporting Healthier and Independent Living for Chronic Patients and Elderly)
