r. giampieretti / arsenàl.it / veneto region – vienna, april 11, 2008 copyright © 2008...
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1 R. Giampieretti / Arsenàl.IT / Veneto Region – Vienna, April 11, 2008
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Arsenàl.ITVeneto’s Research Centre for Innovation in e-Health
AER EHe@lth Network
Vienna
April 11th, 2008
Roberto Giampieretti
Technical Manager Arsenàl.IT
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Contents
Veneto Region’s e-Health Action Plans
Regional e-Health priorities
The Consortium Arsenàl.IT
Projects and experiences
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e-Health Potential
e-Health potential is perceived as high within Veneto Region’s health service organization, but applications are still fragmented and scarcely interoperable among the 23 Local Health Authorities in charge of care delivery on the regional territory.
Moreover, exhaustive comprehension is still to be gained about benefits and limits of e-Health in general – and of Telemedicine in particular – for the various stakeholders in the care delivery process.
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Number of Telemedicine projects
e-Health Potential
Source: “Observatory and projects on
Telemedicine applications
2007”,Vol. 1/2008,
Arsenàl.IT
N. progetti
1 12
1
3
13
17
11
7
0
2
4
6
8
10
12
14
16
18
1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008
Cumulative number of active Telemedicine projects
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e-Health Strategy
The Veneto Region’s priorities for e-Health in the period 2007-2009 – as established by the Regional Plan for Health and Social Services 2007-20091 – can be stated in terms of three fundamental Action Plans:
1 Italian Acronym: PSSR 2007-2009
1. Research and Innovation
2. The Regional Health and Social Service Information System
3. International Co-operation
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Research & Innovation
Adoption of best practices in management and organization, in line with the social and epidemiologic evolution and the development of scientific knowledge and health treatments (Organizational Innovation)
Introduction of diagnostic and therapeutic technologies whose effectiveness is evidence-based (Innovation in Biomedical Technologies)
Introduction of information and communication technologies capable of fostering the qualitative growth of the services provided (Innovation in ICT)
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Research & Innovation
To govern the technological process, it is deemed appropriate to introduce and develop capabilities of Health Technology Assessment (HTA), intended as that area of procedural methods for global and multi-disciplinary assessment of any technology that can be used for healthcare.
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e-Health Priorities (1 of
2) From an organizational perspective:
1. Strengthen the Regional Administration’s decision processes on long-, medium- and short-term investments for innovation in ICT, by means of systematic adoption of HTA procedures
2. Set up a reference structure about ICT standards for e- Health applications at regional level.
3. Build up a knowledge management infrastructure on ICT for Health at regional level.
4. Boost the existing capabilities of Veneto’s healthcare organization in designing and deploying successful eHealth initiatives by fostering the aggregation of local capabilities into a single regional Centre of Excellence for ICT for Health.
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The Consortium Arsenàl.IT
Founded in 2005 as “Telemedicine Consortium”, it currently groups all the 23 Local Health Authorities afferent to the Veneto Region.
Has acted as Observatory by performing systematic surveys on Telemedicine applications developed over time by the member Health Authorities.
Has succeeded in highlighting the critical issues of interoperability, standardization and organizational impact as key factors for driving Telemedicine applications to the mainstream of the care delivery process.
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“Factory” of innovation in ICT for Health
Just recently the role of the Consortium has been awarded with an empowerment of its mission, which now covers the whole range of e-Health applications.
Now named “Arsenàl.IT – Veneto’s Research Centre for Innovation in e-Health”, it operates along 4 lines of activity:
Training
Procurement
Standards
Research
Research Procurement Standards Training
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Harmonization function
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e-Health Priorities (2 of
2) From a technical perspective:
5. Enable the interoperability of Telemedicine services at regional level.
6. Build up standardised Electronic Health Record systems at local level in view of the realization of a single digital Patient Health Folder system at regional level.
7. Develop eHealth-based Disease Management models for the treatment of outpatients.
8. Foster the interoperability of the above systems/services at National level.
9. Foster the interoperability of the above systems/services at European level
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e-Health Project
Initiatives
E-Government services
TERREGOV
Paperless handling of health documents
TeleMed-ESCAPE
Web-based booking of health services
IESS
e-Learning for health
Growing-Together
Satellite-basedSecond Opinion services
Near-To-Needs
Interoperability of health smart cards
NETC@ARDS
Neurosurgical Tele-counselling
HEALTH OPTIMUM
Patient Summary& e-Prescription
Open e-Health Initiative
…
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Health OptimumInitial Deployment
RR. Giampieretti / Arsenàl.IT / Veneto Region – Vienna, April 11, 2008Copyright © 2008 Arsenàl.IT – Tutti i diritti
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HEALTHcare delivery OPTIMisation throUgh teleMedicine
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HO-ID Target Services
RR. Giampieretti / Arsenàl.IT / Veneto Region – Vienna, April 11, 2008Copyright © 2008 Arsenàl.IT – Tutti i diritti
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Aragon SPAIN Tele-counselling applied to:
• Oncology
• Nephrology
• Radiology
Telelaboratory
Virtual Referral
Clinical data Sharing
Centralized Booking Centre
Veneto Neurosurgical tele-counselling
Telelaboratory
Denmark Virtual Referral
Tele-counselling applied to:• Dermatology
• Neurosurgery
Sweden CCU
Clinical areas: Wound Treatment, Burn Treatment and Breast Reconstruction
Tele-consultations/Tele-counselling, shared PC desktops, video streaming, videoconference calls, video calls using 3G mobile phones and shared patient records.
Romania
Tele-counselling and general medical orientation
Virtual Referral in oncology, cardiology, paediatrics, traumatology and radiology
Electronic Health Record as well as a PACS solution.
The videoconferencing facilities for Virtual Referral service.
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Neurosurgical Tele-counselling
R. Giampieretti / Arsenàl.IT – Medmatic@, Roma, 28 marzo 2008Copyright © 2008 Arsenàl.IT – Tutti i diritti
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Peripheral Hospital (Spoke)
Tertiary Hospital (Hub)
Radiology
Neurosurgery
Neuroradiology
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Roll-out in Veneto
R. Giampieretti / Arsenàl.IT – Medmatic@, Roma, 28 marzo 2008Copyright © 2008 Arsenàl.IT – Tutti i diritti
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XDS Repository
Provincial area of Vicenza Provincial area of Belluno
Provincial area of Treviso
Provincial area of Venezia
Provincial area of RovigoProvincial area of Verona
Provincial area of Padova
XDS Registry
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Thank you for your attention.
Roberto GiampierettiTechnical Manager Arsenàl.IT