The document summarizes a telemedicine project called HIT. It describes the clinical, organizational, technical, and economic solutions of the project. The project brought a prototype into the real world, which challenged the prototype with real-world constraints. The project has private and public partners and is funded until December 2013. It allows patients to monitor health data like weight and blood pressure at home through a telemedicine application. Clinicians can access patient data in real-time. The project aims to provide value to patients, clinicians, healthcare systems, and society by improving access, reducing costs and increasing efficiencies of care through telemedicine.

1. ONE CHANCE
ONE OPPORTUNITY
ONE HIT
6 may 2013
• Presented by: Jimi Claussen, Managing nurse at SA53S1 and Clinical
Project manager at HIT project
On behalf of the HIT project group

2. THE HIT CONCEPT
•Clinical Protocol
•Organizational solution
•Technical solution
•Economic solution
6 may 2013

3. 6 may 2013
The HIT project carried the prototype from the
pre project into the REAL WORLD
• The REAL WOLD challenged the prototypes
dreams, wishes, and aspirations
• NOT ALL WAS POSSIBLE TO IMPLEMENT
• This challenged the team to make work-arounds
and compromises so the prototype could come to
life

4. Organization and finances
Public/Privat Innovation partners (PPI):
Private partners:
• IBM, T26, In-Jet og Post Danmark
Hospitals:
• Herlev, Bornholm, Hvidovre, later this year 2 new sites
Primæry sector:
- General practitioners, GP coordinators, healthcare in the municipality
Patients:
- Initial 50 patients with hearthfailure in telemedicine treatment
Project economy: 4,6 mio. kr. in 2012, Chroniccare program (13B)
Prolonged until June 2013, Center of telemedicine and
Chroniccare program.
Prolonged until December 2013, Center of telemedicine
6 may 2013

5. Organizational diagram
6 may 2013
Steering comittee of telemedicine, Capital Region
Chairman: Torben Mogensen deputy direktor at Hvidovre Hosp, and
MD
Projectgroup
Clinical and administrative personal in the hospitals, develoment dep.
and IT organization and the private partners
Adm Project manager
Niels B Federspiel(parent leave)
Marianne B lauritsen
Per Fly Hansen.
National Investigator: Helena V. Dominguez
Clinical Project manager: Jimi Claussen
2012-2013 Chroniccare program
2013 Center for telemedicine
Capital Region
THE CLINICS

6. Genvej til HIT 2.mp4.lnk
HOW DOES IT LOOK?
6 may 2013

7. SOLUTION AS IT LOOKS IN THE PATIENTS
HOME
6 may 2013
A&D Vægt A&D
Bloodpressure
HIT Application
A&D weight
In-JeT Telemedicin
Gateway
... powered by
LinkSmart®
ADSL

8. 6 may 2013
HIT Application

9. HIT Webbrowser Patient Interface
6 may 2013

10. HIT Webbrovser clinician Interface
6 may 2013

11. The patients opinions
• Patients that were sad when they couldn’t buy the
equipment
• Patients that feared the tecnical soluion until they tried it.
• Patients that felt they were closer to the hospital
treatment through telemedicin
• Patients that felt they had more insight through the
telemedical solution
• Patients that evolve the concept into their own daily
rutine
• An only three year old girl used it without instructions
6 may 2013

12. Cooporation between the public and private
partners
• The cooporation has been positive and is still
beneficial for all partners.
• It was suprising for some of the private partners that
the clinic was so efficient, and that they could not
find savings and cuts
• The cooporation with the IT support in RegionH are
characterized by reorganization
6 may 2013

13. Telemedicines value for:
Patient
Clinician
Out clinic
Society
6 may 2013

14. Patient:
• Freedom, less timeuse on none treatment, greater
knowledge and indsight into the disease and
treatment.
• Easier access to information and healthcare
• Synchrone and asynchrone datacollection,
communication and treatment.
• When the patient has the need and time.
• In perspective: easier interconnection of the patients
health and healthdata
• When the patient allows and need it.
6 may 2013

15. Clinician:
• Easier access to realtime data, not infected by
BIAS.
• Easier recording of multiple data over time, without
hospitalization or outclinic treatment.
• Easier access to multiple chronologic data
• Synchrone and Asynchrone communication and
treatment.
• When the hospital, clinic or clinician have time and
posibility.
• Data collection independent of the clinician.
6 may 2013

16. Out clinic:
• Data collection is independent of time and place.
• Treatment is independent of building blocks and frameworks.
• Treatment is in principle possible to make timeindependent
• Treatment is possible to do faster because the data is
collected by the patient, and it is not necessary to collect the
patient and show them out of the clinic.
• In perspective:
• When the IT famework for booking, datacollection,
journal, medication, is matured and the systems are
working together.
It will be possible to save a lot of ressources
MAX INTEGRATION: Across disease, sectors,
regions, nations, continents.
6 may 2013

17. Society:
• In general there will be a lot of ressources to save.
• Employes
• Patients
• Employer public or private
• DATA collection and cooperation
• Public healthcare
• Private Insurances
• Transportation
• More treatments in the same time as now
• Less expenses to framework , buildings and maintenance
- More to the IT framework and support
• In perspective: there are possibilities for programmed treatment
engines, supported by disease specific algorithms
6 may 2013

18. WHATS THE GOAL
6 may 2013

19. PERSPECTIVE?
6 may 2013

20. Questions
8. april 2013VIF - Danske Regioner