United4Health
- Lessons learned in the first 18 months
Janne Rasmussen, European Engagement Manager
NHS 24/Scottish Centre for Telehealth and Telecare
www.united4health.eu
About the Project
“UNIversal solutions in TElemedicine Deployment for
European HEALTH care” (CIP Pilot A)
• Key numbers:
– 3 years (2013-2015)
– > 12,000 patients in 15 European regions
– > €10m (of which €5m EU funding)
• Pilots targeting diabetes, Chronic obstructive
pulmonary disease (COPD), Congestive heart failure
(CHF), Hypertension
15/09/2014
Generic presentation
2
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...the Future
• Because there is an urgent need for a radical change in
how we prevent, treat and manage especially chronic
conditions;
• Because ICT supported and delivered services are
considered part of the solution;
• Because many countries and organisations has set
eHealth, telehealth, telemedicin etc high on the
political as well as strategic agenda.
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Back to...
• Because it is not that simple – a radical change does
not happen overnight or in a few years but takes time
to develop and absorb;
• Because there has been many projects, clinical trials,
pilots, business cases etc developed globally focusing
on this issue and we need to learn from them;
• Because the largest complete European project (7,002
patients) based on RCT method and rigorous
assessment was the original background for
United4Health.
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Renewing Health results
1. Telemedicine is at least as effective as usual care
2. In selected populations and services, favorable clinical
effects have been demonstrated
3. A very high level of satisfaction with the telemedicine
services across countries and conditions
4. Unclear or controversial economic and organisational
outcomes
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Objective of U4H
Produce evidence and decision support for EU and
regional health policies regarding the future
deployment of telehealth services on a large scale
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Renewing Health results
1. Telemedicine is at least as effective as usual care
2. In selected populations and services, favorable clinical
effects have been demonstrated
3. A very high level of satisfaction with the telemedicine
services across countries and diseases
4. Unclear or controversial economic and organisational
outcomes
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Different from the past
• U4H is NOT a clinical trial
• U4H is a ‘study of deployment’ with focus on:
– Economic aspects
– Organisational aspects
• U4H has ONE common protocol for each chronic
disease management across 14 Regions:
– Diabetes (Life long monitoring)
– Chronic Obstructive Pulmonary Disease (short term followup after hospital discharge)
– Chronic Heart Failure (remote monitoring)
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‘A study of
deployment’ – so
what have we
learned so far?
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Categories of barriers
TECHNOLOGY
ORGANISATION
CULTURE
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Affordability
at scale
Functionality
and
Connectivity
TECHNOLOGY
Procurement
processes
Interoperability
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Change
Management
Service
redesign
ORGANISATION
Leadership
Involvement
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Trust
Evidence
CULTURE
Context
Responsibilities
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In conclusion
• We see delays in start of pilots at deployment sites
despite good planning and preparation
• Both inexperienced and experienced regions have
encountered serious challenges
• Change requires time and involvement but there is
willingness and commitment at all levels though
• Extensive experiences have already been generated
and more will come – so keep learning from us!
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Thank you!
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