Baltic eHealth- empowering regional development in

the Baltic Sea Region

eHealth 2005Tromsø 23-24 May 2005

Speakers

Henning Voss

Project Manager

Danish Centre for Health Telematics

&

Dr. Peeter Ross

Director of Research and Development

East-Tallinn Central Hospital

Partners

Facts:• Ten partners

• Five countries

• Start: 2004

• End: 2007

• Budget: 2 M€

Benefits of telemedicine

• Mobility: Move the data – not the patient

• Better referral procedures

• Improved access to more specialized healthcare

• Reduction of bottlenecks

• Avoid doctors migration

Barriers to telemedicine

• Interoperability

– Networks and security

– Standards, terminology and semantics

• Reimbursement not settled

• Legal issues

• Cultural and linguistic differences

Objectives of Baltic eHealth

• Promote telemedicine to decision makers

– Create secure infrastructure to ensure interoperability

– Address legal, financial and cultural barriers

– Demonstrate cross-border mobility

Interoperability

We need:

1) Standards, terminology and semantic consensus

2) Network and security

Standards and semantic consensus in Denmark

Standards and semantic consensus in Denmark

Network and security inDenmark

• Internet-based

• Any data type

• From push to pull:

Receiver in charge

Patients access own data

Network and Security in the BSR- one step towards interoperability

Sweden

Norway

Vilnius

TallinnDenmark

BHN

???

The Baltic Health Data Network

Tools on the network

• Service Portal (yellow pages)

• Videoconferencing broker

• Collaboration Platform

• Other?

– Telemedicine broker

– Common archive for hospitals

– Etc.

Guidelines & business model

• Legal

• Reimbursement

• Organisational

• Cultural / linguistic

Business model

eUltrasound

• Classical Second opinion approach:

• Mid-wives and doctors in Västerbotten

• The Norwegian Centre for Fetal Medicine

• First step – off-line consultation

• Second step – on-line consultation

eRadiology

• Lack of Radiologists in Funen hospital

Waiting lists and traveling to other hospitals.

• Solution:

• Images are taken in Funen

• Reports are made in Vilnius and Tallinn

• Start with conventional radiology

• Multi-lingual standardized reporting schemes

• Goal: From pilot to production (incl. business model)

Teleradiology in Estonia

Teleradiology in Estonia

• 44 modalities:

• 10 CT (Computed Tomography)

• 2 MR (Magnetic Resonance Imaging)

• 1 NM (Nuclear Medicine)

• 1 PET (Positron Emission Tomography)

• 14 workstations

Conclusions

• Solves interoperability problem• Addresses other eHealth problems• Demonstrates patient mobility

• If successful the BHN could be the model for an European-wide secure and interoperable infrastructure.

Thank you for your attention !

Dr. Peeter Ross: peeter.ross@itk.ee

Henning Voss: hvo@health-telematics.dk

website: www.Baltic-eHealth.org

Baltic eHealth is co-financed by the BSR Interreg III B programme