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ICT CIP – Competitive and Innovation Programme

UNIversal solutions in TElemedicine

Deployment for European HEALTH care (Grant Agreement No 325215)

Document D2.6

Midterm Workshop

Version 1.0 Work Package: WP2

Version & Date: v1.0 / 27th January 2015

Deliverable type: Report

Distribution Status: Public

Author: Janne Rasmussen, Victoria Hunter, Marc Lange

Reviewed by: John Oates

Approved by: Marco d’Angelantonio

Filename: D2.6 v1.0 United4Health Midterm Workshop

Abstract

This document documents the results of the U4H Midterm Workshop held on 12th September

2014 in Bucharest, Romania.

Key Word List

Midterm, Dissemination, Deployment, Lessons Learned, AAL Forum, Technology,

Procurement, Change management, Clinical Engagement, Stakeholders, Connectivity,

Patient focus, Market.

D2.6 Midterm Workshop

Public of 31 v1.0 / 27th January 2015

Executive Summary

United4Health hosted its Midterm Workshop ‘Going Live with Telehealth Lessons Learned’

as part of the AAL Forum on 12th September 2014 in Bucharest, Romania. The AAL Forum

was chosen as an appropriate forum due to the clear common ground between

United4Health and AAL; the home of the patients and the citizens. This event was also

chosen because of the audience with representation from industry, public sector, university,

etc. This point is perceived as particular relevance when considering one of the findings of

Renewing Health. The lessons being learned from United4Health seem to confirm those

learned through Renewing Health; such as the costs associated with technology to be

installed at home is too expensive to make telehealth solutions sustainable on their own.

The purpose of the United4Health Workshop was to share the experiences and lessons

learned by some of the partner Regions in integrating telehealth, on a large scale, into

routine services from two viewpoints:

1. The deployment of the technology.

2. The engagement of health professionals in adopting it to develop new clinical

pathways.

The aim of the workshop was to demonstrate the lessons learned and the progress achieved

to date with some of the partner Regions participating in United4Health. To ensure continuity

and consistency in the conveyed information, the speakers were provided with guidelines

and questions to prepare their presentations.

The event was relatively small, with more than 50% of the attendees coming from U4H

partner organisations. However, the audience representation was diverse, with

representatives from industry and delivery organisations. Reasons for the limited success in

getting a large audience are not related to the relevance of the telehealth theme for an AAL

audience, as this has often been mentioned during previous events as a strategic domain for

ALL. One reason for the lack of attendance can be related to the late acceptance to host the

event, in June, therefore preventing the consortium from developing the necessary visibility

before the summer break.

The focus, themes and format chosen made the workshop very successful, as demonstrated

by the quality of the presentations and following discussions on lessons learned which

highlighted issues around deployment of telehealth. This is particularly well reflected by the

videos of the sessions which are available on the United4Health YouTube Channel:

www.youtube.com/user/united4health.

http://www.youtube.com/user/united4health



Change History

Version History:

0.1 14th December 2014 Initial Version

0.2 6th January 2015

0.3 26th January 2015

1.0 27th January 2015 Version for issue

Version Changes

0.1 Initial version

0.2 Review comments from editorial team

0.3 Minor updates

1.0 Version for issue

Outstanding Issues

None



Table of Contents

EXECUTIVE SUMMARY 2

CHANGE HISTORY 3

TABLE OF CONTENTS 4

1. INTRODUCTION 5

1.1 Purpose of this document 5

1.2 Glossary 5

2. CONTEXT AND CONTENT 6

2.1 Strategy 6

2.2 Process and Context 7 2.2.1 Process 7 2.2.2 Focus / theme 7 2.2.3 Format 7

2.3 Content 7 2.3.1 Programme 7 2.3.2 Presenters 8

3. MIDTERM WORKSHOP DETAILS 10

3.1 Practicalities 10

3.2 Audience 10 3.2.1 Registrations and attendance 10 3.2.2 Audience profile 10 3.2.3 Target achievement 10

4. OUTCOMES AND DISCUSSION 12

4.1 Summary of Lessons Learned 12 4.1.1 Technology and procurement processes – Workshop 1 12 4.1.2 Service redesign, change management & clinical engagement - Workshop 2 15 4.1.3 Closing remarks 18 4.1.4 Feedback on format and content of Workshop 18 4.1.5 Publication of Workshop Discussion 18

5. CONCLUSIONS 20

APPENDIX A – REGISTRATION AND ATTENDANCE LIST 21

APPENDIX B – ANNOUNCEMENT OF THE EVENT 23

APPENDIX C – WORKSHOP PROGRAMME 27

APPENDIX D – GUIDE FOR PILOT SITE PRESENTERS 29

APPENDIX E – PRESENTATIONS 31



1. Introduction

1.1 Purpose of this document

This deliverable serves to document the execution of D2.6 United4Helth Midterm

Event. The document outlines the agenda, content and outcome of the Midterm

Event.

1.2 Glossary

AAL Ambient Assisted Living

RH Renewing Health

U4H United4Health



2. Context and Content

2.1 Strategy

The Consolidated Dissemination Plan (D2.5) has set the priorities, direction and

tools for communication of United4Health.

Based on the target audience and activities identified in D2.5, the midterm workshop

was organised based on the following priorities:

Approach as per Consolidated

Dissemination Plan

Workshop priority

Target audience Regional and national healthcare providers

Activity level International

Activity / tools EU Conference

As “EU Conference” was chosen as type of activity for the Midterm Workshop, the

list of main international conferences linked to eHealth (D2.5, section 4.3.1) was

scrutinised for appropriateness of conference as well as timing.

The AAL Forum was chosen as the most suitable location for the United4Health

Midterm Workshop for the following reasons:

I. A strong commonality between both AAL and eHealth domains; they are

indeed aiming at creating ICT-based innovative services in the home of

patients / citizens / consumers. This can therefore be a source of synergies

and complementarities: the home needs to be prepared to become the new

place to receive health and social care services. This point is perceived as of

particular relevance when considering one of the findings of Renewing Health,

confirmed by lessons United4Health is learning: partly because of the

importance of the fixed costs, the technology to be installed at home for

telehealth purpose is still too expensive to make telehealth sustainable on its

own.

II. The focus of the AAL Forum is wider than telemedicine, telehealth, etc., with a

good level of representation from industry, and SMEs in particular. This

offered a chance to reach an audience with a focus on innovation in

healthcare, but outside the 'usual suspects'. This was the reason the

European Telemedicine Conference (7th-8th October 2014, Rome) was

disregarded.

III. The audience of AAL Forum not only comes from a wider range of

professional domains but also has representation from a large number of

countries in Europe and beyond, including countries that are not considered

among the frontrunners of telehealth deployment. This was a consideration for

not opting for the King's Fund International Digital Health and Care Congress

(10th -12th September 2014, London).

IV. Choosing to locate the Midterm Event in connection with an existing event was

to optimise attendance, maintain reasonable costs, and to position telehealth

deployment in a wider context.



2.2 Process and Context

2.2.1 Process

A planning committee was set up to organise the Midterm Event. The group

consisted of members from WP1, WP2 and WP4.

2.2.2 Focus / theme

United4Health has in its Consolidated Dissemination Plan (D2.5) identified three

phases in its communication. The Midterm Workshop is used for phase 2 (Lessons

Learned from service deployment) dissemination.

As a result of the ongoing delays in the start of the pilots, the group recognised the

cross-cutting themes and difficulties the pilot sites were experiencing, and the need

to use these to open up sharing of lessons learned, and discussion thereof. It was

also decided that the workshop would have two purposes: internal learning between

pilot sites, as well as sharing of U4H's experiences with deployment of telehealth

services to a wider European audience of various stakeholders.

2.2.3 Format

It was agreed to use the workshop format for the event, since this allowed for

dedicated and plentiful time to communicate the lessons learned, and to open up

discussion between presenters and audience.

2.3 Content

2.3.1 Programme

Having set the priorities for the event, including focus and themes, both the context

and content were drawn up by the planning committee. The teaser for the

Workshop reads as follows:

"United4Health provides innovative telehealth services in care settings of a

large diversity of European regions. The innovative service models adopted

by U4H Partners aim at increasing personal control and engagement of

patients. The event will highlight efforts in 14 regions of Europe dedicated to

improve standard care for 13,000 chronic patients, hereof many elderly.

Presentations and interactive debates will pinpoint enablers like:

Designing telehealth interventions taking policy objectives and existing

evidence into account;

Engaging health professionals and patients in adopting innovative service

models;

Adapting service delivery processes and managing organisational change

to make the most of innovative services;

Procuring technology to be fit for scaling-up, address inclusiveness and

other large-scale deployments’ challenges."



The programme had three sections: introduction, including U4H overview and EC

priorities; workshops; and conclusions. The two overall themes for the Workshop

agreed upon were:

Workshop 1 - Technology & Procurement processes in United4Health –

becoming fit for scale.

Workshop 2 - Service redesign, change management & clinical

engagement in United4Health.

These themes were the ones identified as the most common and critical from the

knowledge and activities at pilot site level. Each theme would be covered by first a

presentation from two U4H pilot sites, and then followed by an interactive discussion

with the audience.

Figure 1: Programme of the workshop

See Appendix C for details of the final programme for the Workshop.

2.3.2 Presenters

The full programme covered eight presenters and two workshop facilitators.

Presentation Presenter

Introduction to event Marc Lange, EHTEL

The Wider European Context Jan Komarek, European Commission

United4Health Overview Janne Rasmussen, NHS 24

Workshop 1 – facilitator Stephan Schug, EHTEL



Presentation Presenter

Workshop 1 – NHS Wales Claire Hurlin, NHS Wales

Workshop 1 – Slovenia Drago Rudel, MKS Electronic Systems Ltd

Workshop 2 – facilitator Leo Lewis, HIM SA

Workshop 2 – Southern Norway Wenche Tangene, Soerlandet Hospital

Workshop 2 – Scotland Michelle Brogan, NHS 24

Conclusions Marco d'Angelantonio, HIM SA

The pilot sites were chosen based on their experiences in this particular area:

Workshop 1: Technology and Procurement:

NHS Wales: had experienced serious problems with both usability of devices

and connectivity.

Slovenia: had an extensive procurement process.

Workshop 2: Service redesign, change management & clinical engagement:

Southern Norway: telehealth was for them a newer domain, and organisations

involved had not much previous experience.

Scotland: have large ambitions for scale and to incorporate telemonitoring as

part of service redesign as well as a high level of maturity in use of technology

and even a politically endorsed Delivery Plan for Telehealth and Telecare, yet

stakeholder engagement has been time-consuming and clinical engagement

low.

In order to ensure the focus of the Workshop was kept on track and that the

presentations were loyal to the themes chosen, the planning group constructed a

guide for each of the Workshop presenters. This was used by the presenters to help

structure both content, messages and examples.

See Appendix D for presentation guide and Appendix E for all presentations.



3. Midterm Workshop Details

3.1 Practicalities

Date: 12th September 2014 from 9.00-12.00 CET.

Location: JW Marriott Bucharest Grand Hotel, Calea 13 Septembrie 90, Bucharest,

050726 Romania

3.2 Audience

3.2.1 Registrations and attendance

30 people had signed up for the Workshop in advance of the day, of which

approximately 50% were external, i.e. non-U4H members.

Several people who had registered did not attend and several non-registered did

attend. Ultimately, approximately 25 people attended. Of these, only 32% came

from non-U4H member organisations.

3.2.2 Audience profile

Attendees' organisational affiliation included public and private healthcare providers,

research institutions, vendors, stakeholder organisations, local authorities, and EC.

A total of nine countries attended, covering North, East, South and West of Europe.

3.2.3 Target achievement

D2.5 United4Health Consolidated Dissemination Plan identified six target audiences

to which United4Health should make specific efforts to reach in its communication

and dissemination activities.

From the attendees, it is apparent that the Midterm Workshop reached an audience

representing national and regional health authorities, payers and healthcare

providers and the industry.

Table 1: Target audience achievement

Target Audiences Level of

achievement

Description

National / regional health

authorities, payers and

healthcare providers,

including regions and

countries with weak uptake

of telehealth

High There was high attendance of

people working within local or

regional healthcare providers,

although with relatively low

representation from regions and

countries that are not as far along

in the uptake of telehealth

http://www.marriott.co.uk/hotels/travel/buhro-jw-marriott-bucharest-grand-hotel/



Target Audiences Level of

achievement

Description

Healthcare professionals and

their associations

Low There was no apparent

representation of healthcare

professionals and their

associations

Patients and their

associations


representation of patients and their

associations

General public including

citizens, consumers and their

associations


representation of general public

including citizens, consumers and

their associations

eHealth industry and their

associations

Medium There was good and active

representation from industry

Other EU and non-EU

initiatives

Low Not clear as to how attendees

linked to other EU or non-EU

projects but official representation

of this was not evident.

For full overview of registrations, attendance, organisational affiliation and country,

please see Appendix A.



4. Outcomes and discussion

4.1 Summary of Lessons Learned

Below is a short summary of the main points from the presentations on Lessons

Learned from United4Health.

United4Health – lessons Learned in United4Health in the first 18 months (Janne

Rasmussen, European Engagement Manager, NHS 24):

Technology: Deployment at scale is not easy! Procurement processes have

provided challenges; interoperability and functionality have also provided

challenges with local regions.

Organisation: Involvement; whole spectrum of healthcare need to be involved

and engaged, from patients through to politicians.

Service redesign is complicated; the way in which services are currently

delivered will need to go through significant change to support demand; this is

not likely to be a quick process.

Culture: Such a big change requires evidence to be proven which then

impacts on the consultant and patient ‘buy-in’ of the change to service

delivery.

4.1.1 Technology and procurement processes – Workshop 1

4.1.1.1 Wales

Claire Hurlin, Head of Chronic Conditions Management, NHS Wales.

Challenges / issues with technology procurement:

No overarching telehealth strategy in Wales; this would help link systems

together; a group has now been set up to look this.

Currently no process in place to support innovative ways to support new

technology integration. United4Health is seen as ‘leading the way’, and not

necessarily in line with Health Boards' current ways of working.

Difficulty with interoperability of integration with primary care.

U4H procurement requirements were too late into the project (Lessons

Learned).

Change to Project Manager during procurement and testing process.

Lessons Learned:

Development of protocols for Florence went well. Florence has a Community

of Practice across the UK where protocols can be used and adapted for

patient use.

EQ5D Questionnaire (standardised instrument for use as a measure of health

outcome); this was integrated with the Florence system.



Difficulty with clinicians understanding the technology, however it is now

understood that training or connectivity issues were the reason.

U4H procurement requirements were too late into the project.

Difficulty with connectivity; big issues with 2G and 3G coverage in many areas.

Patients are more accepting than staff; however middle management were

more receptive to this change.

Patients are involved at early stage.

Be able to adapt technology, understanding in the early stages that one

solution may not suit all.

Lead person on the ward / clinical lead is required to ensure that any changes

implemented are successful.

Top tips:

Training.

Involve patients as early as possible to look at technology solutions, as it is

essential that the technology meets their needs.

Fully investigate and understand logistics of the community in the very early

stages, e.g. signal availability, technology.

Issues with recruitment / continuation with the technology:

COPD patients with exacerbation are sometimes too unwell to participate.

Connectivity issues caused patients to become uninterested in continuing with

participation.

4.1.1.2 Slovenia

Drago Rudel, Subcontractor to SB-SG and RAV-KOR; MKS Electronic Systems.

Challenges / issues with technology procurement:

Financial limitations, all costs at the start of the project.

Huge potential delay can be expected if entering public procurement; it usually

taking around one year.

Adjustments made to technology, two months after the start date.

Currently several models of mobile phones are in the scheme.

Requests from patients to have roaming activated for holidays.

Within Slovenia, the data captured from patients is currently not transferred to

the Hospital Information System (HIS); however it is hoped that this can be

integrated at a future date.

Lessons Learned:

SB-SG found organisationally not ready for the new service.

Test all proposed products before entering any financial negotiation stages.

All technological solutions and components are provided by a single supplier,

therefore incompatibility issues are avoided.



Simplification of devices are required for many patients; ergonomically, some

devices are not suitable for all patients.

Locking of the settings on devices is necessary to ensure that data transfer

costs are not incurred.

Top tips:

Select experienced technology / telemedicine providers.

Agreement in the early stages on how data will be handled; use own data

processing tool / web portal to ensure that data transfer can be processed,

therefore not bound to a specific provider.

Visits to telemedicine service providers who participated in Renewing Health,

such as Televita in Trieste and Klagenfurt Hospital, proved to be extremely

beneficial.

Having key decision makers etc. with ‘buy in’ from initial stages is extremely

important. SB-SG: General Manager within hospital is determined to introduce

new services to patients.

4.1.1.3 Discussion with audience on Technology and Procurement

Below is a summary of the comments received from the audience participating in

Workshop 1, and the issues that were discussed in plenum. Comments are

grouped in themes by the authors of this report.

Table 2: Workshop 1: comments from audience

Theme From Comment

Connectivity Veneto (IT) Mobile network connectivity is not an issue.

Norway Landline sometimes used.

Northern

Norway

Mobile connectivity is an issue in some areas of

Northern Norway, in Tromsø Region specifically.

Netherlands Same issue with mobile phone; but also issues

with Wi-Fi. Satellite Internet is being implemented

to resolve the issue

Basque (ES) Extensive use of landlines in their service

provision.

Wales Landline and Wi-Fi should be considered as more

widely available.

Landline and Wi-Fi should be considered as a

complement to mobile connectivity as more widely

available.

Ownership of

devices

Wales (UK) Only provide mobile phones to patients who do not

have access to their own, with the Health Board

only paying for text messaging.

Israel Provided locked tablets. Suggested that it may be

possible to gradually introduce the use of tablets

owned by patients.



Theme From Comment

Scotland (UK) Unable to economically sustain the service if

purchasing devices for all patients.

Scaling up is a strategic objective of Scotland;

there is current discussion with suppliers about

software being designed for implementation on

different devices; big possibilities with this.

Norway Smartphones: 80% people have smartphones and

50% have tablets.

General Norway Commonalities are being highlighted and

questions being asked which would not have been

expected at the start of the project.

4.1.2 Service redesign, change management & clinical engagement -

Workshop 2

4.1.2.1 Scotland

Michelle Brogan, Service Development Manager, NHS 24.

Current situation within Scotland:

GPs and all clinical services within Scotland use SCI-Diabetes (SCI-DC)

platform to capture patient information, centralising patient information and

data capture.

Interactive website MDMW (My Diabetes My Way) provides patients with a

platform for self-monitoring of diabetes within Scotland; access to health

records is via SCI–DC (used by clinician’s), via Diasend (software), and

MDMW website.

Patients can see real-time upload of patient information; real collaboration and

effort within Scotland.

Strong strategic leadership and focus with the backing of a national and

strategic Telehealth Policy which helps to support local roll out of services and

change to existing services.

Starting with small numbers for roll out, with a vision for large scale roll out.

Challenges / issues:

New IT policy, acknowledge the risk of ambition and risk.

Aim of centralised roll out across three areas.

Challenges with clinical leads as conflict with strategic and local priorities.

Concept is well supported although an element of risk; and questions,

requirement to manage expectations.

Lessons learned:

National strategic policy adds focus and required backing for implementing

change.



Key role to facilitate and enable local ownership of local problems, although

assisting with the process to keep things moving.

Pathway mapping is a critical step, and although time consuming is worth the

investment.

Consciously involve patients, involving them at an early stage. Involvement at

early stages with views of patient leaflets etc.

Need to be seen as a journey, not a destination.

Benefits realisation mapping undertaken, with local networking to realise these

benefits and agree.

Top tips:

Ensure that technology has the functionality and flexibility to be delivered at

scale and within the agreed timescales. Need to also consider business

integration and be clear from the outset.

Bringing people together; technology teams with clinicians to agree solutions

to make the solutions work at local level.

Slippage in project needs to be managed with mitigation plans in place.

Important to manage expectations, and actively manage to avoid losing

momentum and clinical engagement.

Keep patient care at the centre of any change which is implemented.

4.1.2.2 Southern Norway

Wenche Tangene, Soerlandet Hospital.

Challenges / issues:

Pilot site in Southern Norway is Kristiansand; telemedicine extremely important

with the large geographical area and travelling distance to the hospital

throughout the area.

Good opportunity to strengthen the relationship between the hospital and

municipalities, with the patient being kept at the centre of any discussion.

Involvement of patients, doctors, nurses, who have been involved in the

project from the beginning; hard to achieve commitment from the GPs.

Patients have many questions.

Lessons Learned:

Patients under the age of 70 are aware of technology; however, further follow

up support in relation to training is required in the home, in addition to training

provided at the point of care.

Doctors accept the aims, however are not full of enthusiasm, with nursing staff

becoming more enthused as they become more involved with the project.

Momentum success factors very relevant.

Top tips:

Commitment from all stakeholders essential.

Address the needs of the patient.



Lots of problems with telemedicine products; really need to keep this simple,

and send this message to the suppliers and industry.

4.1.2.3 Discussion with audience on service redesign, change management & clinical

engagement

Below is a summary of the comments received in Workshop 2 from the audience,

and issues that were discussed in plenum. Comments are grouped in themes by

the authors of this report.

Table 3: Workshop 2: Summary of comments

Theme From Comment

Market /

supplier

relationship

AGFA

Healthcare

A commercial company only make the products for

which there is a need. A plea for system changes

and integration.

Agree that a global electronic record is required for

clinicians to have an overall view of the patient,

without the need to log into several systems.

Scotland NHS 24 has invested time to discuss with industry

the issues which are experienced, agreement that it

is important to engage with industry to drive forward

change and highlight the requirements and issues

which need to be addressed.

Patient

involvement

Norway How do we ensure that the patient is kept as a

focus?

U4H project works very closely with all partners and

need to be conscious of the patient at all times.

There is better acceptance of patients registering

with U4H project if they are invited by someone that

they trust / someone of seniority. Norway have a

dedicated COPD Specialist Nurse who is involved

with the recruitment; to have a doctor involved within

the process may not be a possibility; currently in

discussion around where is the best place to

introduce the telehealth monitoring.

HIM SA Patients become disengaged when the technology

is difficult to deal with or has reliability problems.

It all needs to be brought together as a continuum.

Stakeholder

relationship

management

HIM SA Multiple stakeholders requires coordination of

resource and stakeholder needs. All stakeholders

will see a different purpose in the introduction of

telehealth and technology. We need all

stakeholders to work together; co-design and co-

production to deliver safe, cost effective service to

patients.



4.1.3 Closing remarks

Marco d'Angelantonio, HIM SA.

Scaling is an issue.

Purchasing technology is not sustainable / cost effective for large numbers of

patients.

Public procurement is extremely difficult.

Cannot underestimate the human element; some people clinicians / patients

etc. are sometimes resistant to change.

Interoperability is an issue.

Mobile technology is not as widespread as initially thought, and landlines

instead of Wi-Fi should be considered.

Rather than look at new technology, look at existing stable platforms and

technology.

4.1.4 Feedback on format and content of Workshop

From both the external audience as well as U4H members, the feedback on the

general format and content of the workshop was very positive. The very practical

nature and honest communication on lessons learned from deployment of telehealth

in the four pilot sites was much welcomed and further encouraged.

United4Health will thus continue with the focus on sharing lessons learned as the

project progresses.

4.1.5 Publication of Workshop Discussion

Material from the Workshop is available to the general public, and U4H members

not present, through the presentations as videos on the United4Health YouTube

Channel: http://www.youtube.com/user/united4health

http://www.youtube.com/user/united4health



Figure 2: U4H YouTube Channel



5. Conclusions

The conclusions which can be drawn from the interactive workshops can be

summarised as follows.

There was cross over between Workshop 1 and 2, showing that service redesign on

a large scale is not an easy process. This requires clinical engagement and buy-in

from the early stages to ensure that any change is successful.

Very strong similarities can be recognised from the Regions who presented. Similar

difficulties and results have been experienced thus far. It is reassuring to see that

although European Regions' healthcare systems are different, any large scale

changes to services experience the same issues, particularly in relation to

procurement and finance.

With any change, high level management often look for reassurance and answers

to the benefits achieved from changes to services. It is hoped that as United4Health

progresses, this will help to facilitate these kinds of discussions moving forward, with

the results at the end of the project providing a strong evidence base.



Appendix A – Registration and Attendance List

First

name Last name Organisation Country

U4H

Member Attendance

Anna Zirk Berlin Institute for Social Research Germany No No

Eva Schulze Berlin Institute for Social Research Germany No No

Mossaab HARIZ TelecomSudparis France No No

Nicola Bottone Reply Italy No No

Astrid Kaag Province of Noord-Brabant Netherlands No No

Bo Karlsson Jämtlands Läns Landsting Sweden No No

Esther Davidsen ZealandDenmark EU Office Denmark No No

jim Charvill Tunstall healthcare UK No No

Marco d'Angelantonio Health Information Management

SA

Belgium Yes Yes

Dirk Colaert Agfa HealthCare NV Belgium No Yes

Katrin Geyskens Capricorn Venture Partners Belgium No No

Xenia Lauritsen Zealand Denmark EU Office Denmark No No

Oana Pop Cluj School of Public Health,

Babes-Bolyai University Cluj-

Napoca

Romania No No

Eugen Pop SC IPA SA Romania No No

Stephan Schug EHTEL Belgium Yes Yes

Janne Rasmussen NHS 24 UK Yes Yes

Michelle Brogan NHS 24 UK Yes Yes

Marc Lange EHTEL Belgium Yes Yes

Esteban De Manuel Kronikgune Spain Yes Yes

Drago Rudel MKS Electronic Systems Ltd Slovenia Yes Yes

Gavin Wheeler TMVS UK No ?

Claire Hurlin Hywel Dda Local Health Board UK Yes Yes

Siri Bjørvig Norwegian Centre for Integrated

Care and Telemedicine

Norway Yes Yes

Undine Knarvik Norwegian Centre for Integrated


Norway Yes Yes

Giorgia Centis Arsenàl.IT Italy Yes Yes

Silvia Mancin Arsenàl.IT Italy Yes Yes

Isabella Scharf University Hospital of Odense Denmark Yes No

Victoria Hunter NHS 24 UK Yes Yes

Andrea Pavlickova NHS 24 UK Yes Yes

Wenche Tangene Soerlandet Hospital Norway Yes Yes



First

name Last name Organisation Country

U4H

Member Attendance

Leo Lewis HIM SA UK Yes Yes

Daniega Buceandra Siveco Romania SA Romania No Yes

Rachelle Kaye AIM Israel Yes Yes

Wil Rijhem Smart Homes Netherlands No Yes

Jan Komarek European Commission Belgium No Yes

Terry Dafter Stockport Council UK No Yes

Pia Kristiansen Rural Medicine Centre No Yes

Artur Serrano Norwegian Centre for Integrated


Norway Yes Yes

Ad van Berlo Smart Homes Netherlands No Yes



Appendix B – Announcement of the event From: Stephan H Schug [EHTEL]

Sent: 31 July 2014 17:17

To:

Subject: Join the dialogue on "Going Live with Telehealth - Lessons learned": Interactive

United4Health Workshop, 12 Sep at AAL Forum 2014 in Bucharest

Dear Colleague in the domains of eHealth, Telehealth etc.

First of all, we would like to invite you to the United4Health Interactive Workshop as indicated. Furthermore, please consider the information on some upcoming events that deserve your attention right now:

12 September 2014, 9:00 - 12:00 h, United4Health Interactive Workshop "Going Live with

Telehealth - Lessons Learned" (side-event of the AAL Forum 2014 in Bucharest, Romania, 9

-12 Sept 2014

6 - 9 October in Brussels, Belgium: OPEN DAYS 2014 with SUSTAINS event "Patients' new

touch on Healthcare" on 9th

29 - 31 October 2014 in Bern, Switzerland: European Congress on e-Cardiology and eHealth

with United4Health session on 31st

25 - 26 November 2014: EHTEL 2014 Symposium: Innovating for Better Outcomes in Health

and Social Care

12 Sept 2014, 9:00 - 12:00 h, United4Health Interactive Workshop "Going Live

with Telehealth - Lessons Learned" (side-event of AAL Forum 2014, Bucharest

- Romania, 9 - 12 Sept 2014): United4Health provides innovative telehealth services in care settings of a large diversity of European regions. The innovative service models adopted by U4H Partners aim at increasing personal control and engagement of patients. The event will highlight efforts in 14 regions of Europe dedicated to improve standard care for 13,000 chronic patients, hereof many elderly. Presentations and interactive debates will pinpoint enablers like: designing telehealth interventions taking policy objectives and existing evidence into account; engaging health professionals and patients in adopting innovative service models, adapting service delivery processes and managing organisational change to make the most of



innovative services and procuring technology to be fit for scaling-up. Programme Outline

United4Health: Introduction, European Context and Key Achievements of the first 18 months

Interactive Session 1: Technology & Procurement processes in United4Health - becoming fit for scale

Interactive Session 2: Service redesign, change management & clinical engagement in United4Health

Wrap-Up Session: Conclusions and take home messages for Telehealth and AAL

Participation involves a Two-Step Registration Process: 1) registration to AAL Forum 2014, either for the full event (€ 400) or just for 11/12th September (€ 150) and 2) registration with United4Health via EHTEL. Please visit our event page at http://www.ehtel.eu/united4health-aalforum2014 to proceed (U4H project partners: please check your mailbox for additional instructions - a special code applies).

6-9 October 2014: OPEN DAYS 2014 with special event "Patients' new touch on

Healthcare" on 9th: The 12th European Week of Regions and Cities - OPEN DAYS 2014 - is the yearly flagship event of the European Regions in Brussels and expects more than 6,000 participants.

We would like to invite you the workshop "Patients' new touch on Healthcare:

Meeting the Digital Agenda 2020 by online access to health records and

interactive health services" (OD Code 09A02) on Thursday, 9 October 2014, 09:00 - 10:45 h at Thon Hotel EU, Brussels.

The event - co-organised by EHTEL and hosted by the "Patients' new touch on Healthcare" Regional Partnership in close collaboration with the SUSTAINS project is dedicated to this mission: "Interactive access to information and services is instrumental to get a "new touch on Healthcare", i.e. to enable patients for a more active role in health issues. Inspired also by the Digital Agenda for Europe, our partners offer their citizens and patients online interaction with healthcare services, including online access to Electronic Health Records (EHR)."

The OPEN DAYS registration - open since early July - at: ec.europa.eu/regional_policy/conferences/od2014/register.cfm will close on 22 September. Registration is free of charge and places are allocated "first come, first served". Hence we advise to register ASAP - even if on holidays now - and book a hotel room at the same time (the Open Days are one of the periods when Brussels' hotels are overcrowded!).

29 - 31 October 2014 in Bern, Switzerland: European Congress on e-Cardiology

and eHealth with United4Health session on 31st : This congress will present cutting edge science about the latest progress in eHealth and Telemedicine in Cardiology & chronic diseases. The Focus lies on clinical application, evaluation and integration of e-Health and Telemedicine in today's healthcare systems. e-Health and

http://www.aalforum.eu/

http://www.aalforum.eu/

http://www.ehtel.eu/united4health-aalforum2014

http://ec.europa.eu/regional_policy/conferences/od2014/register.cfm

http://www.e-cardiohealth.org/





Telemedicine will become an integrated part of future healthcare delivery. This congress is focussing on clinical application, evaluation and integration on e-Health and telemedicine in today's healthcare systems. The emphasis lies on clinical application, opportunities, challenges and implementation of e-Health in cardiovascular care and chronic diseases.

We would like to invite you the session "Transforming the patient experience with

telehealth in Europe: focus on new health care service models" on Friday, 31

October 2014, 15:15 - 16:45 h. The session has been prepared by the United4Health project and will also build on the achievements of the European large scale telemedicine pilot RENEWING HeALTH.

EHTEL Members as well as United4Health consortium partners are eligible for a 15 % discount on the attendance fees. Please send an email to [email protected] to obtain the custom registration form.

25 - 26 November 2014: EHTEL 2014 Symposium: "Innovating for Better Outcomes in Health and Social Care": The yearly EHTEL symposium will once more convene the European eHealth community at the European Economic and Social Committee in the heart of Brussels, Belgium. In 2014, speakers, panellists and delegates will share lessons on integrative communities; innovation in health and social care e.g. using mobile technologies for tangible health outcomes, and continue last year's debate on Big Data vs. Big Health:

- Integrative Communities and Vivid Networking for Innovation in and across Europe

- Innovating for New Experiences in Health And Social Care - Interaction and Participation

- Innovation Governance, Leadership and Capacity Building - Guidance and Models

for the future - Europe's Regions as Incubators and Living Labs - Ecosystems for Change - Innovation Partnerships with Industry; How to Apply Methods like Pre-Commercial

Procurement

- Big Data = Big Health? Visions for Innovation through New Insights into Health and Wellbeing

- Transforming the Quantum Leap in Mobile Technologies into Tangible Health Outcomes for All

- Telemedicine Moving from Theory to Practice - the MOMENTUM Innovation Blueprint

The EHTEL 2014 Symposium will be run in close partnership with the ENGAGED learning community of stakeholders in the domain of active and healthy ageing and MOMENTUM, aiming to advance telemedicine in routine care of European health systems. Please refer to www.ehtel.eu/symposium for further information and updates (our registration opens in second half of August 2014).

mailto:[email protected]

http://www.engaged-innovation.eu/

http://www.engaged-innovation.eu/

http://www.telemedicine-momentum.eu/

http://www.telemedicine-momentum.eu/

http://www.ehtel.eu/symposium



We look forward to read your ideas and suggestions and then to meet you there, as always.

Enjoy the summer and Kindest regards,

The EHTEL Team

EHTEL new office 49/51 rue de Trèves, B-1040 Brussels, Belgium tel +32 2 2301534 / fax +32 2 230 8440 www.ehtel.eu, [email protected] -- If your address has changed or if you want to unsubscribe from messages by EHTEL, send an email mentioning "EHTEL distribution update" in the subject to [email protected]

http://www.ehtel.eu/





Appendix C – Workshop Programme



Appendix D – Guide for Pilot site presenters



Appendix E – Presentations

The presentations from the Midterm Workshop can be viewed on the United4Health

website;

http://united4health.eu/documents/movie-clips/mid-term-workshop/

http://united4health.eu/documents/movie-clips/mid-term-workshop/

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