1. TeleSCoPE
A Code of Practice for Telehealth
Services
IFA Prague 2012
Malcolm Fisk, Roberts Roze and Pierre Boutet
Health Design and Technology Institute
Coventry University
1

2. TeleSCoPE
European Telehealth Services
Code of Practice
European Commission Contract 2009 11 11
www.telehealthcode.eu
12 partners in 7 member states
Validation in 2012 with 20+
services
Final launch of Code at Medetel
2013
2

3. Coventry University (Project Coordinator), UK
MKS Electronic Systems Ltd, Slovenia
STII-BAS, Bulgaria
Lievens-Lanckman bvba, Belgium
ICT-CNR, Italy
Work Research Centre, Ireland
Partners InHAM, Belgium
Apertech Informatics Ltd., Hungary
Istituto Auxologico Italiano, Italy
Telecare Services Association, UK
National Federation of Disabled Persons’ Associations, Hungary
National Council of Disabled People’s Organisation of Slovenia
3

4. Aims of the Code
 To respond to Commission Call
regarding need to build trust and
establish quality standards
 Facilitate debate and discussion
 Offer framework on basis of which
auditing and certification can take place
 Change ways of thinking about
telehealth
4

5. Change Ways of Thinking?
 Telehealth including health and
wellbeing … an ‘integrated vision’
 Telehealth giving choice and
control to more patients/service users
 Giving attention to the way technologies
are configured and used
 Putting effective moral compass in place
 Not so much ‘providing for’ but more giving
users ‘access to’ services
5

6. Telehealth Services – Examples (1)
 Activity and gait monitoring
 Health & motivational coaching
 Medication compliance
 Fall and seizure monitoring
 Social alarms and telecare
 Lifestyle monitoring (incl. nutrition,
sleep, exercise)
6

7. Telehealth Services – Media (2)
 Fixed phones
 Mobile phones
 Smart phones
 Tablet PCs
 Interactive TV
… via mobile, terrestrial and satellite
networks
7

8. TeleSCoPE: European Telehealth Services Code
of Practice Framework
European and Service
Country Contexts Location
(A1-A3) (B1-B2)
Moral and Ethical
Communications
Issues
(A4-A8)
Networks
(B3-B5)
Governance and Hardware and Other
Financial Technological
Considerations (A9-A19) Considerations
(B6-B14)
Interpretation and
Personal Data
Response (C9-C12)
Management (A20-A23)
Contact with Patients, Staff and Staff
Service Users and Management
Carers (C3-C8) (C1-C2)

9. Draft Code Sampler (1)
 EC Directives (A1.2)
 EU Charter of Fundamental Rights
(A1.1)
 Country laws and regulations
(A1.3)
 Clear mission based on
honesty, openness and giving
‘precedence to views, opinions
and choices of service users’ (A6)
Photo: Verklizan / Innospense BV
9

10. Draft Code Sampler (2)
 Good governance (A9-A19) e.g.
financial management (A9)
staff skills / knowledge (A10)
insurances (A14)
 Service location (B1-B2) e.g.
Photo: Shimba Technologies Ltd.
health and safety (B1)
locations security (B2)
 Communications networks (B3-B5) Photo: Verklizan / Innospense BV Ltd
Photo: Mediche
10

11. Draft Code Sampler (3)
 Personal data management e.g.
(A20-A23)
data owned by service user (A20)
highest level of confidentiality (A21)
storage, sharing, erasure (A21) Photo: Hebrides Today
access by service user (A21.4)
audit trails (A21.5)
Personal data is ‘any information relating to an
individual whether it relates to his or her private,
professional or public life’ EC Memo 12/41
Photo: Verklizan / Innospense BV
11

12. Draft Code Sampler (4)
Interpretation and responses e.g.
(C9-C12)
authorised staff (C9.2)
confidential context (C9.3)
appropriate action (C9.4)
importance of protocols (C10)
reviews (C9.5)
in-person and virtual visits (C10, C10.3)
Photo: Mediche Ltd
Photo: Verklizan / Innospense BV
12

13. What Next?
 Validation of the Draft Code –
you can help!
 Testing of the clauses –
in context of different service types
 Getting the ‘balance’ right –
not too prescriptive
 Developing blueprint for its adoption
in member states –
for regulation, auditing, certification
13

14. An Invitation
 Sign the declaration and
receive a copy of the Draft Code
 Give us your feedback –
suggest improvements
identify omissions
tell us about how it fits services that
you manage or are involved with
 Join us next year at Medetel –
for the Code launch!
Photo: Verklizan / Innospense BV
14

15. TeleSCoPE
A Code of Practice for Telehealth
Services
Thank You
Prague IFA 2012
mfisk@cad.coventry.ac.uk
rroze@cad.coventry.ac.uk
pboutet@cad.coventry.ac.uk
15