1. Innovation in health and e-health
Head of Unit Claus Duedal Pedersen
OUH Odense University Hospital
& Svendborg Hospital
3rd May 2012
Brussels

2. National Board of Health, Denmark
Time
Quantity
No. of elderly
No. of chronic conditions
No. of treatment options
Demands on theraphy
Public financing
Health professionals
… that is our reality

3. Next Generation: Elderly Power Movement
Location Independence
Personal Control
Most practices today

4. 4
14-05-2012
Health Care Faculty,
University of Southern
Denmark
A National Centre for Danish Health Care
• 1 out of 3 major national healthcare
centres
• 10% (1.2 - 1.6 mill. citizens) of the
budget for Danish Healthcare is
allocated to OUH
• A highly specialised hospital with
functions that cover all specialised
medical areas

5. Our innovation building blocks
Buildings ProcessesSystems
- Infrastructure
- Interior decorations
and design that actively
involve the patients
- Bed capacity (size
and numbers of rooms)
- Special functionality
rooms, e.g. call-centres
- Basic clinical IT
Systems
- Virtualisation
- Communication
platforms
- Shared Care systems
- Robots, sensors and
automisation
- Cross-sectoral
Collaboration
- Patient and relatives’
Involvement
- LEAN methods
- Volunteers
- Patient Associations

6. Innovation & documentation processes
Identification
of relevance
Implemen
tation
Development
and
pilot project
Project
description
and
proposal
writing
Needs
Ideas
Demands
Oppor
tunities
Literature
review
Mini HTA HTA/MAST
Daily
production
Estimation of
business
potential
Pre business
case
Business case LEAN
Research

7. Large scale telemedicin

8. 8
Cluster table

9. 9
The MAST model
If the purposes of an assessment of telemedicine applications are:
– To describe effectiveness and contribution to quality of care
AND
– To produce a basis for decision making
The relevant assessment should be defined as:
The assessment of telemedicine should be a multidisciplinary process that summarizes
and evaluates information about the medical, social, economic and ethical issues related to
the use of telemedicine in a systematic, unbiased, robust manner.
MAST
Model for ASsessment of Telemedicine

10. 10
Preceding assessment:
• International/national/regional/local level?
• Relevant alternatives?
Multidisciplinary assessment (domains):
1. Health problem and characteristics of the application
2. Safety
3. Clinical effectiveness
4. Patient perspectives
5. Economic aspects
6. Organisational aspects
7. Socio-cultural, ethical and legal aspects
Transferability
assessment:
• Cross-border
• Scalability
• Generalisability
Elements in MAST

11. Sending pictureAt home Taking picture Consultation – at hospital

12. Collaboration and Networks
Professional
education
colleges
Universities
and
research
facilities
International
partners
Private
companies National
authorities and
organisations
Region of
Southern
Denmark
institutions

13. InnoEvent

15. The road to the hospital(s) of the future
• Stay user and patient focused
• Ensure recruitment and expansion of competences
• Collaborate locally and globally
• Develop, innovate, test and document new processes and
technologies
Then we are able to serve both types of future hospitals
– incl. our own new hospital

16. Claus.duedal.pedersen@ouh.regionsyddanmark.dk