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The Secret of Telehealth:
How to deploy large scale?
Marc Lange, EHTEL Secretary General
Brussels 2015
Momentum: the Project
A CIP ICT-PSP thematic network
Running from February 2012 until December 2014
The consortium: 20 organisations
Telemedicine associations and competence
centres from
Denmark, United Kingdom, Estonia, Norway, Spain,
France, Sweden, Germany, Greece, Netherlands, Poland,
Switzerland
European stakeholder associations representing
Health professionals and health care organisations, health
insurers, technology vendors
2015Brussels
Brussels 2015
Scaling-up?
From pilot to routine care …
Tools and methods are needed
to deploy telehealth
Impact assessment framework
The results and lessons learned from Renewing Health
The deployment study of United4Health
Business Model Canvas
Cost and benefit analysis toolkit
Guidelines/Gap Analysis for large-scale deployment
2015 Brussels
The challenge: NT+OS=NOS
New Technology + Old System =
New Old System
Brussels 2015
2015
A European
Telemedicine
Deployment Blueprint
Brussels
By Doers,
for Doers
Strategy
& Management
Legal,,
Regulatory
&
Security
Organisation
Implementation
&
Change
Management
Technical
&
Market
relations
Four domains for deployment guidelines
2015Brussels
Telemedicine
service
Run
Plan
People
Context
IT & eHealth
infrastructure
16
Legal & sec.
guidelines
13
Legal & sec.
conditions
11
Legal & sec.
experts
14
Market
procurement
18
Service
monitoring
17
Change
management
10
Cultural
readiness
1
Leadership
3
Compelling
need
2
User
friendliness
6
Potential
to scale-up
12
Primary
client
8
Business
plan
9
Privacy
awareness
15
Patient
centeredness
5
Stakeholder
involvement
4
Resource
aggregation
7
Strategy and management
Organisation and management
Legal and security
Technology and market
Enabling service
deployment:
18 Critical
success factors
2015Brussels
Brussels 2015
With TREAT
(Telemedicine REadiness Assessment Tool)
A Doer working on a deployment plan
for a particular telehealth service
Will use these 18 Critical Success Factors to assess
his plan – collectively – against a set of indicators
CSF 1. Assure that there is cultural readiness for the telemedicine service
In my organisation/region,
• doctors and other healthcare professionals are ready to share clinical
information with each other and with the patient
• financial and other incentives are aligned with the service to be deployed
• an underpinning culture embraces technology
• an underpinning culture welcomes and even promotes change
MOMENTUM – TREAT workshop
Brussels 2015
Based on the results from the online tool
Key players in the telemedicine project are
brought together to examine their local strategy
and their execution targets
Expected outcome:
A common understanding between stakeholders on
the challenges that they are facing
Input for issues that need to be changed or adapted in
existing strategies
A first draft of an action plan for the large-scale
implementation of telemedicine
Scaling-up?
From pilot to routine care
Brussels 2015
Testimonials (to date)
Brussels 2015
October 2014
April 2015
Any questions?
More at www.telemedicine-momentum.eu
Brussels 2015
Marc Lange
Secretary general
EHTEL Association
49/51, rue de Trèves
B-1040 Brussels Belgium
Tel: +32 (0)2 230 15 34
Fax: +32 (0)2 230 84 40
Mobile: +32 (0)475 27 71 45
Marc.Lange@ehtel.eu
www.ehtel.eu
Reserve
Brussels 2015
Critical Success Factors for
Deployment Strategy
Brussels 2015
1. Ensure that there is cultural readiness for
telemedicine services.
2. Ensure leadership through a champion.
3. Come to a consensus on the advantage of
telemedicine in meeting compelling need(s)
4. Put together the resources needed for
deployment.
Strategy
&
Management
Legal,
Regulatory
&
Security
Organisation
&
Change
Mgmt.
Technical
&
Market
relations
Critical Success Factors for
Organisational Change
Brussels 2015
5. Address the needs of the primary client(s).
6. Involve health care professionals and decision-
makers.
7. Prepare and implement a business plan.
8. Prepare and implement a change management plan.
9. Put the patient at the centre
of the service.
Strategy
&
Management
Legal,
Regulatory
&
Security
Organisation
&
Change
Mgmt.
Technical
&
Market
relations
Strategy
&
Management
Legal,
Regulatory
&
Security
Organisation
&
Change
Mgmt.
Technical
&
Market
relations
Critical Success Factors for Legal,
Regulatory and Security Compliance
Brussels 2015
10. Assess the conditions under which the service
is legal.
11. Identify and apply relevant legal and security
guidelines.
12. Involve legal and security experts.
13.Ensure that telemedicine doers and
users are “privacy aware”.
Strategy
&
Management
Legal,
Regulatory
&
Security
Organisation
&
Change
Mgmt.
Technical
&
Market
relations
Critical Success Factors for
Technology Decisions
and Procurement
2015
14. Ensure that the IT and eHealth infrastructures
needed are available.
15. Ensure that the technology is user-friendly.
16. Put in place the technology and processes
required to monitor the service.
17. Maintain good procurement processes.
18. Guarantee that the technology has
the potential for scale-up
(i.e., “think big”).
Brussels

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The Secret of scaling-up innovation in healthcare - The Momentum Blueprint

  • 1. The Secret of Telehealth: How to deploy large scale? Marc Lange, EHTEL Secretary General Brussels 2015
  • 2. Momentum: the Project A CIP ICT-PSP thematic network Running from February 2012 until December 2014 The consortium: 20 organisations Telemedicine associations and competence centres from Denmark, United Kingdom, Estonia, Norway, Spain, France, Sweden, Germany, Greece, Netherlands, Poland, Switzerland European stakeholder associations representing Health professionals and health care organisations, health insurers, technology vendors 2015Brussels
  • 4. Tools and methods are needed to deploy telehealth Impact assessment framework The results and lessons learned from Renewing Health The deployment study of United4Health Business Model Canvas Cost and benefit analysis toolkit Guidelines/Gap Analysis for large-scale deployment 2015 Brussels
  • 5. The challenge: NT+OS=NOS New Technology + Old System = New Old System Brussels 2015
  • 8. Telemedicine service Run Plan People Context IT & eHealth infrastructure 16 Legal & sec. guidelines 13 Legal & sec. conditions 11 Legal & sec. experts 14 Market procurement 18 Service monitoring 17 Change management 10 Cultural readiness 1 Leadership 3 Compelling need 2 User friendliness 6 Potential to scale-up 12 Primary client 8 Business plan 9 Privacy awareness 15 Patient centeredness 5 Stakeholder involvement 4 Resource aggregation 7 Strategy and management Organisation and management Legal and security Technology and market Enabling service deployment: 18 Critical success factors 2015Brussels
  • 9. Brussels 2015 With TREAT (Telemedicine REadiness Assessment Tool) A Doer working on a deployment plan for a particular telehealth service Will use these 18 Critical Success Factors to assess his plan – collectively – against a set of indicators CSF 1. Assure that there is cultural readiness for the telemedicine service In my organisation/region, • doctors and other healthcare professionals are ready to share clinical information with each other and with the patient • financial and other incentives are aligned with the service to be deployed • an underpinning culture embraces technology • an underpinning culture welcomes and even promotes change
  • 10. MOMENTUM – TREAT workshop Brussels 2015 Based on the results from the online tool Key players in the telemedicine project are brought together to examine their local strategy and their execution targets Expected outcome: A common understanding between stakeholders on the challenges that they are facing Input for issues that need to be changed or adapted in existing strategies A first draft of an action plan for the large-scale implementation of telemedicine
  • 11. Scaling-up? From pilot to routine care Brussels 2015
  • 12. Testimonials (to date) Brussels 2015 October 2014 April 2015
  • 13. Any questions? More at www.telemedicine-momentum.eu Brussels 2015 Marc Lange Secretary general EHTEL Association 49/51, rue de Trèves B-1040 Brussels Belgium Tel: +32 (0)2 230 15 34 Fax: +32 (0)2 230 84 40 Mobile: +32 (0)475 27 71 45 Marc.Lange@ehtel.eu www.ehtel.eu
  • 15. Critical Success Factors for Deployment Strategy Brussels 2015 1. Ensure that there is cultural readiness for telemedicine services. 2. Ensure leadership through a champion. 3. Come to a consensus on the advantage of telemedicine in meeting compelling need(s) 4. Put together the resources needed for deployment. Strategy & Management Legal, Regulatory & Security Organisation & Change Mgmt. Technical & Market relations
  • 16. Critical Success Factors for Organisational Change Brussels 2015 5. Address the needs of the primary client(s). 6. Involve health care professionals and decision- makers. 7. Prepare and implement a business plan. 8. Prepare and implement a change management plan. 9. Put the patient at the centre of the service. Strategy & Management Legal, Regulatory & Security Organisation & Change Mgmt. Technical & Market relations
  • 17. Strategy & Management Legal, Regulatory & Security Organisation & Change Mgmt. Technical & Market relations Critical Success Factors for Legal, Regulatory and Security Compliance Brussels 2015 10. Assess the conditions under which the service is legal. 11. Identify and apply relevant legal and security guidelines. 12. Involve legal and security experts. 13.Ensure that telemedicine doers and users are “privacy aware”.
  • 18. Strategy & Management Legal, Regulatory & Security Organisation & Change Mgmt. Technical & Market relations Critical Success Factors for Technology Decisions and Procurement 2015 14. Ensure that the IT and eHealth infrastructures needed are available. 15. Ensure that the technology is user-friendly. 16. Put in place the technology and processes required to monitor the service. 17. Maintain good procurement processes. 18. Guarantee that the technology has the potential for scale-up (i.e., “think big”). Brussels