THE DREAMING PROJECT

FINAL CONFERENCE

14th June 2012

“Results and new perspectives for

home care from an European

ehealth and einclusion trial”

TRIESTE, Italy, June 14th , 2012

The new care model of the Tallinn City and East Tallinn Central

Hospital (ETCH)

Peeter Ross, MD, PhDMarko Parve

Katrin Davõdova

Long TRADITION

• Founded in 1785

the same location – the centre of Tallinn

the same name – Central Hospital,

the same service – medicine –

for 227 years

TODAY: Patient-centred Hospital

• Municipality owned legal entity since 2001

• The result of a merge of 8

separate healthcare institutionso 4 hospitalso 2 policlinicso 1 diagnostic centreo Loksa healthcare centre

TODAY: 7 clinics

Women’s Clinic Internal Medicine Clinic Surgery Clinic Diagnostic Clinic Medical Rehabilitation Clinic Eye Clinic Long-Term Nursing Clinic

Dreaming site Tallinn

35 + 34 patientsWe started real life trials in October 2009We redesigned workflowDreaming appeared to be a totally new

service for our patients

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Dreaming patients in the end of the project

Intervention Group

17 persons

- 2 exitus letalis

- 15 unwilling to continue (late delivery of equipment)

- 1 transfer to elderly homes

Control Group

11 persons

- 8 exitus letalis

- 14 unwilling to continue

-1 transfer to elderly home

Main observations

Home monitoring is a totally new service for the patient

New competences for hospital professionals

New opportunities for the hospital

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NEW FOR PATIENT.CHALLENGE FOR PROFESSIONALS

Benefits of a DREAMING service

More satisfied senior citizensReduces isolation of elderly peopleCreates new communication possibilities

between caregivers and patientsProfessional care according to the needs of the

patientBetter medical service availabilityAvoids unexpected situations

Ambulatory visits Hospitalizations

Challenges

Create 24/7 contact centerFurther delegation of medical service to

contact center specialists To use up to date technology

ID chipcard support for fast patient identification Condition self-assessment and instant feedback to the

patient HL7 and SNOMED CT encoded data for compliance of

EHR and PHR systems Integration with Estonian nation-wide Health Information

Exchange platform

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The future of healthcare in Estonia

Joint medical and social care services Medical services

24 h monitoring Vital parameters and alarms monitoring Fall sensor

Social services Alarm button Virtual services Reminders Social consultations Coaching

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FUTURE VISION: EXPORT OF TELEMONITORING

DREAMING appeared to be a sustainable service

DREAMING could be divided into separate components

The whole service or components of it has potential to cross country borders

THANK YOU FOR YOUR ATTENTION!

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