TeleCare Nord

homemonitoring of COPD patients

From pilots to big scale implementation

Tina Archard HeideProject manager TeleCare NordTah@rn.dk

Global healthcare challenge

860 mn. lives with at least

one chronic disease

In 2020 it is expected:

-the number of people with

diabetes has doubled

-deaths due to heart disease

will be 20 mn./year

-chronic diseases will be the

course of 75% of deaths

2

1,7 mn. Danes lives with one, or more, chronic diseases

Chronic diseases exceeds 80% of the national public healthcare

budget.

Estimated 0,5 mn. Danes lives with reduced lung capacity

App. 22.700 hospitalizations a year due to COPD

App. 50.600 COPD Outpatient visits a year due to COPD

Danish context

Pilot trails and research projects

indicates potential in telemedicineResults from Aalborg University : Using telemedicine over a period of 4 month, for patients with COPD

Reduction in

- the number of hospitalizations

- the average number of days hospitalized

- the number of outpatient visits

Increased

- patient security at home

- patient quality of life

- patient empowerment

0.6 M

1.2 M

1.2 M

0.8 M

1.6 M

Central Denmark

Region

NorthDenmark

Region

Regionof

SouthernDenmark

Region

Zealand

Capital Region

of Denmark

Hjørring

Jammerbugt

Brønderslev

Thisted

Morsø

Vest-himmerland

Rebild

Mariagerfjord

Aalborg

Frederiks-havn Læsø

TeleCare Nord participants

1256 Patients

The Danish Lung Association

The municipalities in North

Jutland

The GPs in North Jutland

The North Denmark Region

The 4 hospitals in North Jutland

Aalborg University

TeleCare Nord full-scale goals Collaboration across sectors involved in the healthcare system, including the patient.

Finding and implementing solutions that meet technical, organizational, legal and

economic challenges of deploying full-scale operation.

Realizing the potential of telemedicine, demonstrated in pilot and research projects

Up scale to normal operation with1400 COPD patients from the 11 municipalities in North

Jutland

Based on COPD secure a generic technical solution for other chronic disease groups

Ensure close coordination and use of national strategies, infrastructure and standards

Support patient empowerment, increasing patient confidence and satisfaction, and

strengthen competences for self-care in the patients´ own homes.

4 Ph.ds at Aalborg University - Health literacy

- Intersectoral cooperation

- Patient empowerment and quality of treatment

- Health economy and the economic impact of telemedicine.

Randomized controlled trial with one group offered telemedicine and a control group for comparison purposes.

Scientific evidence for the effects and benefits of telemedicine

Already strong indicators of patient empowerment

Ambitious research

Roles and responsibility

National DB

Home mon. Data

Technical solution concept

Patient feedback

Examples of patient empowerment

Examples of patients preventing hospitalization

Gives network with others in the same situation

The relatives is an active part

Takes advantage of the mobility of the solution

Finds it easy to use

Feedback from healthcare professionals

Early intervention and

prevention of

hospitalization

Healthcare side effects

Closer collaboration with

GPs

New tasks and need for

new competences

In North Jutland

TeleCare North as a project runs until June 2015

Home monitoring continues

Decision on new patient group for telemedicine

National

Preparation of national implementation of home monitoring to COPD patients – with TeleCare North as a role model.

Identification of new patient groups and areas for large scale

Around the corner