An overview of Danish healthcare and health-it industry

Anne Mette Bang

Healthcare DENMARK E-mail: amb@healthcaredenmark.dk

Healthcare DENMARK is Denmark’s marketing consortium within the area of healthcare.

These are our public and private partners:

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“In Denmark, our focus on putting the patient first – combined with constant efforts to improve efficiency and quality – has resulted in a wide array of innovative healthcare solutions. I sincerely believe Danish technologies, products and expertise can have a positive impact on global health.”

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Her Royal Highness Crown Princess Mary is patron for Healthcare DENMARK

Healthcare DENMARK’s raison d’être

• Increase international awareness of Denmark’s healthcare excellence. • Help ensure that Denmark keeps it’s position in the international telehealth elite • Create leads for Danish companies which can increase the export of Danish healthcare solutions

Mission

• Denmark remains known as one of the leading telehealth countries • International awareness of other Danish healthcare competencies has increased • A number of export leads has be established through contribution from Healthcare DENMARK

Vision

Make a difference through close cooperation and coordination with: • Healthcare DENMARK’s partners • Danish healthcare authorities • Danish companies and NGO’s • International influencers, healthcare authorities and NGO’s

Values

Healthcare DENMARK’s activities:

• The Healthcare DENMARK homepage

www.healthcaredenmark.dk

• Delegation visits to Denmark

• Domestic and international conferences

• Communication and press

• Healthcare DENMARK ambassador network

• Danish delegations to other countries

Setting the Scene

• Denmark at a glace

• Why technology in the health sector?

• Ehealth in Denmark

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• 5.6 mio citizens • 43.094 km2 • 5 Regions -

Responsible for hospitals

• 98 Municipalities - Responsible for Prevention, homecare, elderly – and disabled care and rehabilitation

• Public healthcare system

• 59 public hospitals in Denmark

Denmark at a glance

Denmark is undergoing restructuring of the healthcare sector

• Process initiated 5 – 7 years back

• A political national initiative

• Will effect all hospitals and citizens

• Happening because of structural changes and strained finances

The Case of Denmark - an introduction to the Danish healthcare system

At the doctor’s

Prehospital treatment Efficient and innovative hospitals

Supported living

Treatment at home

Rethinking the hospital

Challenges to the healthcare structure

• Changes in the demographie is challenging the existing healthcare structure and putting the system under pressure

• Labour is costly and not always available

• Healthcare budgets are restrained

Population development – age and chronic disease

• In the Western world more than 60% of the population will be over

60 years of age in 2050

• 1/3 of the population in the Western world is today living with a

cronic disease

• I 2020 1/3 of the population will have more than 1 chronic disease

• Increase in healthcare expenditure and social costs

How will we manage?

• New hospitals designed to meet the needs of the future

• Public innovation

• Tripel Helix Model

• New organisational structures

• Use of technology

Technology

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eHealth in Denmark – Vision and Goal

Easy access for all health care professionals to relevant patient information where and when it is needed. This strengthens the base for decision making and enhances patient safety. Digitalisation is the key element in achieving this goal by giving health care professionals access to data and examination results across the entire health sector Today, eHealth is very commonly used throughout the whole Danish health service and supports many work processes, including processes that reach across organisations and sectors. The ambition in the coming years is to integrate, access and share data across the health care system, in order to make all relevant data accessible when needed.

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eHealth in Denmark Current system in place

Denmark offers a strong international position in health research and development supported by national and regional strategies. Health and welfare technology combine two very strong competence clusters in Denmark, the ICT Cluster and the Life Sciences Cluster where you find the two stronghold positions within software and welfare technology.

Denmark is one of the world’s leading countries in the use of health and assisting living technology

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In what technologies are we strong?

• Software

• Telehealth

• Assiting Living Technologies

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Denmark on top Denmark has come a long way already. Several international studies rank Denmark among the leading countries when it comes to uptake of ICT solutions in the health care sector.

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IT frontrunner

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Denmark is:

• No. 1 in the world for distribution of infrastructure of goods and services (IMD World Competitiveness Yearbook 2012) • No. 2 in the world on number of broadband subscribers per 1000

inhabitants (IMD World Competitiveness Yearbook 2012) • No. 1 in the world for Cyber security (IMD World Competitiveness Yearbook 2012) • No. 4 in the world on Technological Readiness (WEF Global Competitiveness Index 2011-2012)

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Benchmark

”Denmark has a strong tradition for taking a lead position by introducing IT solutions in the healthcare system”.

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Benchmark on Health IT - EU commission

Index targets for eHealth implementation, development 2010-2012

Danish hospitals take lead position in development and usage of health IT

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Electronic Health Records (EHR) functionalities

General Practitioners were asked about availability and use of 25 different functionalities so as to identify their access and utilisation of EHR within their practice.

Denmark ranks 2nd

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Health Information Exchange (HIE) functionalities

General Practitioners were asked whether their ICT system allow them to transfer / share / enable / access patient data electronically for 15 different functionalities related with HIE.

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Personal Health Record (PHR) functionalities

General Practitioners were asked whether their ICT system gives patients online access to six different services

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TeleHealth in Denmark

The use of telemedicine is becoming more widespread in the Danish regions and municipalities. The health care system is now moving into a phase where largescale projects involving telemedicine are being initiated. Two examples are COPD and diabetic ulcer projects, often conducted in close cooperation between municipal home nursing and hospitals. The projects show promising results and are an indication of the breakthrough in the use of telemedicine that is expected to take place in the coming years. Most telemedicine projects in Denmark are centred around three main themes: - Long-distance monitoring - Projects involving video conferencing - Digital exchange of photos

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TeleHealth functionalities

General Practitioners were asked about four different TeleHealth services. The question was formulated as follow: “TeleHealth” is the use of broadband-based technological platforms for the purpose of providing health services, medical training and health education over a distance. Which of the following Telehealth services do you currently have access to?

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Availability and Use of eHealth functionality within a hospital

Denmark ranks 4th with 54 % Availability and Use of eHealth functionality

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Influence on treatment and patient satisfaction

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Danish citizens are happy with their lives and with healthcare services

Denmark ranking, Quality of life in Europe report 2012

A consistent focus on healthcare efficiency and quality

help ensure equal access to sustainable healthcare

• Shortest average EU admission time per patient

• Focus on moving healthcare services closer to the patient

• Ambitious productivity improvement targets each year

• Lean and accreditation

• 100% hospital EMR coverage

• Focus on clinician support

• Highly structured EMR’s

A long term focus on health data networks and on e-health provide efficient access to healthcare information

MedCom

Health Data Network

1994 -

Sundhed.dk

E-health Portal

2003 -

Who is behind?

Ministry of Health, Danish Regions, Ministry of Interior, National Association of Local Authorities, National Board of Health,

Copenhagen Hospital Corporation, Danish Pharmaceutical Association

Telehealth improve quality of life for chronic

patients and elderly citizens

• Chronic diseases – e.g. diabetes:

• 80 years diabetes research excellence

• Nationwide Ulcer telehealth

• Medical Home telehealth support

• Elderly citizens

• Keeping citizens healthy in their own home

• Technology/personal care balance

Wellfare Denmark home rehabilitation

A long tradition for close public-private cooperation

creates innovative pre-hospital concepts

• Electronic Medical Record and telemedicine in the ambulance

• Treatment starts in the ambulance

• EMR data

• Vital signs

• Triage

• Specialist consultation

• A&E treatment plan

A long tradition for close public-private cooperation creates innovative diagnostics solutions

Advanced blood gas analysis system:

• 1. automatic blood gas analysis system

• Minimizes pre-analytical errors in blood gas analysis.

Enterprise wide digital radiology:

• Streaming technology provide full support for image analysis, even with mobile workstations

Radiometer blood gas analysis system

Medical Insight Easyviz digital radiology

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Networks and industry associations

• Bioinformatics Research Centre at Aarhus University: http://birc.au.dk/

• The Bioinformatics Centre at Copenhagen University: http://www.binf.ku.dk/

• DI ITEK: http://itek.di.dk/special/bundmenu/Pages/English.aspx

• The Center for Experimental Bioinformatics (CEBI) at University of Southern Denmark:

http://www.cebi.sdu.dk/

• Dansk Biotek: www.danskbiotek.dk

• Medicoindustrien: www.medicoindustrien.dk

• Medicon Valley Alliance: www.mva.org

• The Danish IT Industry Association (ITB): http://www.itb.dk/site.aspx?p=51

• Welfare Tech: http://en.welfaretech.dk/

• Healthcare Denmark: http://www.healthcaredenmark.dk/

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Anne Mette Bang, Healthcare DENMARK amb@healthcaredenmark.dk

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