Presentation on Bulmedica congress within the side event for Ageing Well. Details on population current situation and some actions on eHealth that are being carried out in Spain.

1. e-Health in Spain
perspective from ICT SME
16th May 2013 – Sofia – Bulgaria
Alejandro Sánchez-Rico de las Heras
Artica Telemedicina – Since 2003 working on eHealth

2. Index
User
Acceptance
eHealth
Technology
Population
Background
Background Information Future
Perspective
eHealth
Spain

3. Population Background
Ageing process
Europe is Ageing

4. Population Background
Chronic conditions
30%Chronic
Patients
Health
Resources70%

5. Population Background
Healthy Life Years
17.3
20.9
8.6 8.6
Men Women
Life Expentancy vs Healthy Years at age 65
Life Expentancy Healthy Years
Europe - eHealth Plan Action 2012-2020
2 Healthy Years+

6. eHealth Technology
Generic Scenario
Home
Primary Care
Centre
Hospital
Reference
Hospital
Outpatient
Services
Emergencies
International
Reference
Hospital
Networks Technology
Information Patients &
Professionals

7. User Acceptance
Older persons
Broken Technology Barrier
70% elders use Mobile

8. Index
User
Acceptance
eHealth
Technology
Population
Background
Background Information Future
Perspective
eHealth
Spain

9. Future Perspective
Chronic Care Models
Social and Health integration
Multidisciplinary team
Patient empowerment
Active Ageing
Focus on prevention on risk factors
ICT supported for sustainability

10. Future Perspective
Telemedicine
Telerehabilitation
Telemonitoring
Teleconsultation

11. Future Perspective
mHealth
Multiple Independent Apps
• Self-tracking: Monitor myself (fitness, weight, diabetes, …)
• Info Apps: For patients and professionals
• Google Play / App Store
Future tendency for Apps integrated in Health Services
• Integrated with health provider services.
• With care givers behind the App.
• Gathering the App information for the EHR

12. Index
User
Acceptance
eHealth
Technology
Population
Background
Background Information Future
Perspective
eHealth
Spain

13. eHealth in Spain
Interoperability
National Health System
• Descentralized (17 regions)
• National Health Quality Plan
– Integration of Electronic Health Record
– Interoperability among regions
Situation
• EHR fully advanced in several regions
• Interoperability among regions needs
Interoperability
EHR
EHR

14. eHealth in Spain
Digital Medical Prescription
Within the National Health Quality Plan
• Patient easier access (no paper prescription)
• Doctor efficiency (reduce administrative tasks)
• Faster Chronic prescription
Situation
• Implemented in most regions
• Interoperability needed (2014 expected)

15. eHealth in Spain
Teleassistance
Red Cross Spain
– Social service.
– Alarm management.
– 24h call center for emergencies
Private Companies
– Additional services (GPS, Area, …)
– Additional home sensoring

16. eHealth in Spain
mHealth approach
Insurance Company
Online Appointments
Pregnancy monitoring

17. eHealth in Spain
Chronic Care Model
2011  28 M€ cost savings
2014  169 M€ expected cost savings
Euskady Chronic Strategy
• Integrate Primary and Specialty Care
• Empower patients with information
• Invest in ICT
• Prevention actions
• Skills Improvement (doctors, nurses, …)
• …

18. Index
User
Acceptance
eHealth
Technology
Population
Background
Background Information Future
Perspective
eHealth
Spain
Just a short view of
Artica Telemedicina

19. Artica Telemedicina
Telemedicine
Diabetes Telemonitorization Pediatric Teleconsultation
Heart Failure Telemonitorization
Online Health Appointments

20. Artica Telemedicina
Chronic Care - eParkinson
Parkinson Net Parkinson 2.0 Parkinson Rehabilitation

21. Artica Telemedicina
Inside CMC Group
International company
+400 employees
Multi-sector approach
• Banking
• Insurance
• Telecommunications
• Energy
• Infrastructure
• Health
Since March 2013