French delegation on telemedicine, March 25, 2014

1. Innovative Welfare Technology
for the 21st Century

2. About Patient@home
• Danish strategic research and innovation platform
• Novel welfare and health technologies
• Patient in own home
– Reduces pressure on public sector
– Reduces number of hospitalizations
– Shortens duration of hospitalizations
– New secure treatment methods
Internet Hospital

3. Interdisciplinary Innovation Collaboration
• More than 40 national and international partners
– Private enterprises
– Research institutions
– Health sciences personnel
– Patients

4. Patient Empowerment
User-centred Innovation
Health Systems Innovation

5. Patient Empowerment
• User-driven development of new products and
services
• Supports patient responsibility for
own health and treatment
• Enables patients to be treated
and attended to in their own
homes

6. User-centred Innovation
• Targeted development of technologies and services
• Interdiciplinary collaboration
– Enterprises
– Health sciences personnel
– End-users
– Research institutions

7. Innovation within Health Care Systems
• Technology-supported treatment
• Monitoring and data processing
• Rehabilitation in own home
• Treatment before, during and after hospitalization

8. Mindmap
Innovation Model
MAST - Evaluation

9. TASK
patient
OUTCOME
streamlining
METHOD
innovation
SOLUTION
home
Resources
Interdisciplinary
collaboration
Chronic patient
Feeling secure by staying in own home – or
feeling uncertain about being ”outbound”.
Monitoring
Treatment Hospitalised
Citizen
Research
Savings/fewer
expenses
Quality
Homebound
Diagnosing
Known settings
Remote treatment or more frequent
check-ups?
Growth
Development
Value
New hospital system
Fewer beds
Problem solving
Rehabilitation
physician/patient
relationship
Certification
TestingEvidence
Sick
Institutionalised
Close to family and
friends
New ways through the system
for the patient
Monitoring
Increased stability in the patient’s day-to-day life
Medical elucidation
Innovative
thinking
Techn. development
Rehabilitation
Foresight
Active participation in
treatment
Reduced pressure on hospitals
and family members
Shared responsibility for own
health and treatment
Maintain social
networks
Shorter treatments
Social responsibility for rational
use of public means
Rethink (entire) health
care sector
New progress methods
More out-patient
”treatments”
Smarter treatments
Optimised working routines
Active involvement in
treatment
Lesser
”patientialisation”
Patient
empowerment
New markets
Enterprises
sidestepping pitfalls
Novel welfare technological
products and services
Self-reliant
New knowledge for
enterprises
User involvement
Improved
quality of life
Unique, Danish
development platform
Increased
Danish exports
Developmental
leadership New patient concept
More ”power” to the patient –
less ”power” to the hospitals
New patient role –
changed relationship between
patient and therapist
Combat senior-boom
problems
Consultation
Change of culture/
shift of paradigm
Consultation
Security
Quality
Social relevance
Effect
Public Private Innovation
Validation
Telemedicine

10. G1 G2 G3 G4 G5ConceptNeed Proof of
concept
Product/
service
Test and
evaluation
MAST G2 MAST G3 and Reality Check MAST G4 MAST G5
Uncovering needs
Technology screening
Market screening
Partner analysis
Partner identification
Idea generation
Idea screening
Market screening
Mock-ups
Testing and adjusting
Business model
Form
Function
User interface
Prototypes
Testing and adjusting
Clinical tests/other tests
Impact evaluation
AL 1 Researchers
AL 3 Enterprises
Design and construction
Testing and adjusting
0-series/Beta version
Economy
Marketing and sales strategy
Innovation Model
40
Products/
Services

11. MAST – Model for ASsessment of Telemedicine
• Evaluation of telemedicine and welfare technology
• Descrives results
• Contributes to quality in treatment
• Produces a basis of decision making
A multi-disiplinary proces,
that combines information on medical,
social, economic and ethical aspects when using the
technology in a systematic, unbiased and robust way.

12. The Three MAST Steps
Prior evaluation:
• Is the technology
mature?
• Legal, economic
prerequisites?
STEP 1
Multi-disiplinary evaluation - 7 domains
1. Health problem and characteristics of
technology
2. Patient safety
3. Clinical effect
4. Patient perspectives
5. Economic aspects
6. Organisational aspects
7. Socio-cultural, ethical and legal aspects
STEP 2
Generalisability:
• Cross-border
• Scalability
STEP 3

13. SELECTED PROJECTS
Home training aimed at slipped disc in neck
Identification of high-risk patients
Monitoring diabetic foot ulcer
Monitoring heart patients

14. Monitoring Heart Patients
• Heart-function monitoring in own home
• Wireless platform for telemedicine monitoring
• ePatch
• Record and send data to hospital
• Happy and secure patients
• Free up hospital beds and doctors’ time
Evaluation of clinical relevance and safety on the use
of ePatch

15. Diabetic Foot Ulcer Monitoring
• Tools to classify and characterise foot ulcer
• Targeted treatment effort
• Sensors and 3D optical scanning
• Digital images for own GP
• Treatment suggestions or appearance
Web-based solution that enables patients to contact
their own GP in several ways without having to show
up physically for a consultation

16. Identification of High-risk Patients
• Identification of risk patients
• Model that can predict and warn on
potential life-threatening complications
• Triage
• Tools to create an overview of the many
details produced by monitors
Who must stay at the hospital
and who is assumed well enough to be sent home?

17. Home Training of Slipped Disc in the Neck
• Training technologies and exercise programmes
• Guide the patient on training programme
• Measure pain and efforts
• Motivate and stimulate efforts
• Sensors, cameras, videos, smartphones etc.
• Communication between patient and therapist
Efficient training with fewer consulations and less
transportation to and fro place of treatment

18. Contact
• More information on Patient@home is available at
www.patientathome.dk