Transcript Berit Svendsen

Developing future eHealth services –
the public/private mix
Berit Svendsen,
Vice President,
Head of Telenor Nordic Fixed
Innovators don’t change the world.
The users of their innovations do.
(Michael Schrage MIT Media Lab)
Agenda
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Meeting health challenges using new technologies
Mobile health workers
Telenors research agenda
St. Olav’s Hospital – state of the art technology
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The wireless hospital
How long can the diagnosis wait?
Efficiency with mobility
The patient in focus
 Potential gains
Meeting health challenges using new
technologies (1)
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Health expenses, 8,6 % of GDP
and increasing
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Norway: 100 billion NOK
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EU and health expenses:
 80 % is salary,
 1 % is high- technology
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5 times increase in health hightech spending towards 2010
 Mobile phones
 1,5 billion subscribers
 700 million handheld
devices sold
 Internet: ears and eyes
with wireless sensor
technology
 Remotely monitoring
and controlling
 RFid can uniquely identify
Meeting health challenges using new
technologies (2)
 Mobile telephone between patient and health
worker
 Pervasive healthcare
 Microchips, sensors and mobile technology – wearable
computing
 Monitoring and treatment of patients where they are
 The intelligent bathroom
 Rapid and secure information to vital
individual data with (implanted) RFids
Mobile phone as preferred tool for health
workers
Security and access control
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Patient signal
Telephony
Computer access
Physical access
Electronic signature
Alarms
• Heart
arrest
e-mail
• Fire
• Assault
• Environment
Calendar,
appointments
Patient curves
from intensive care
Dictation,
recording
Photography,
documentation
Information
access
Positioning
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Guidance
”Fleet” control
Resource optimisation
Telenor Research: Usability of mobile phone
with real life health applications
 Mobile telephone as patient signal receiver for
nurses, replaces phones and beepers
(Ringerike hospital, Ascom and Telenor R&D)
 Intelligent alarm receiver for medical personnel,
physiological curves from intensive care available
anywhere over mobile technology
(Memscap A/S, Rikshospitalet, Telenor R&D)
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Measurement of GSM/UMTS interference
with medical equipment
(Rikshospitalet, Telenor Mobile)
Telenor Research: Security in wireless
networks
 Telenor coordinates Wireless Health and Care (WsHC)
- 3-year prototype development project
- Wireless vital signs collection and ad hoc data distribution
among health workers at site of accident
- Monitoring of health parameters, exemplified by blood sugar
measurements for persons with diabetes
- Wireless transfer of physiological parameters during surgery
St.Olavs hospital
– state of the art technology in 2006
…wireless, flexible and available!!
How long can the diagnosis wait?
The patient in focus
Digital dictation
Patient terminal
Audio/Video
Patient signal
TV distribution
IP Telephony
Fixed&Wireless
Peripheral equipment
Professor
Student
Doctor
Alarm/Retrieval
Message server
Patient
Administrative
Employee
Logon/
verification
Catalogue
.
Nurse
Bio-engineer.
Enrolled nurse
Operating systems/
Tools
Network
Fixed/wireless
MDA
Norwegian
Health Network
Root and ladder
network
Data
Applic.
DMF/NTNU
Data
Applic.
St. Olav
Lower costs through automation
and digital records
 Digital storage replaces paper records
 Continuous access to updated patient information
 Authenticated access to sensitive information
 Several job tasks can be reduced or eliminated
Significant savings on personnel
- labour cost approximately 80 % of hospital total cost base
Efficiency through mobility
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All over IP – IP over all: Datacom, phones, TV, radio,
messaging
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Improved availability and access to information and staff
through extensive wireless network
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Efficient and secure access to information via mobile terminals:
cordless phones, MDAs and PDAs and wireless laptops
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Improved co-operation and communication
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Higher patient security through always updated patient records
Potential gains with new technology
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Norway:
 Every year, 2000 patients dies because of wrong treatment, while
15000 are seriously injured
 Many failures is caused by bad communication - cost 2 billion NOK
a year ( Source: Professor Per Hjort)
 Norwegian society can save 3 billion using e-health
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Employees with patient contact can save 30-90 minutes per day by
utilising wireless systems. (Ref Gartner case study)
Huge possibility for industry regarding development
of new ehealth applications