E-Health%20and%20Telemedicine%20development%20perspectives%20in%20Latvia%20and%20EU%202005-2015%20(The%20Model%20of%20Riga%20Telemedicine%20centre) - PowerPoint PPT Presentation

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E-Health%20and%20Telemedicine%20development%20perspectives%20in%20Latvia%20and%20EU%202005-2015%20(The%20Model%20of%20Riga%20Telemedicine%20centre)

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Title: E-Health%20and%20Telemedicine%20development%20perspectives%20in%20Latvia%20and%20EU%202005-2015%20(The%20Model%20of%20Riga%20Telemedicine%20centre)


1
E-Health and Telemedicine development
perspectives in Latvia and EU 2005-2015 (The
Model of Riga Telemedicine centre)
  • RIGA, IST4Balt
  • 2006 April 7

2
  • Egils Stumbris-Stumbergs,
  • MD, Neurosurgeon, Flight surgeon,
  • German Flight Lufthansa Academy
  • Baltic Telemedicine Institute

3
(No Transcript)
4
Telemedicine the guarantee of equality in
accessibility and quality of health care services
5
Main Goal of Health Care System in Latvia and EU
  • To improve health care services in terms of
  • quality
  • cost efficiency
  • rational accessibility

6
Current Situation in Latvia and EU
  • Specialized secondary and highly qualified
    tertiary health care services are mostly
    available in two or three city hospitals

7
Electronic Data Protection
  • Decision of the European Commission of 27
    December 2004 amending Decision 2001/497/EC as
    regards the introduction of an alternative set of
    standard contractual clauses for the transfer of
    personal data to third countries (notified under
    document number C(2004) 5271), text with EEA
    relevance, 2004/915/EC. Done at Brussels, 27
    December 2004.

8
Decrees by the Latvian Government in respect of
e-Health and Telemedicine development
  • In the Declaration adopted by the Latvian
    Government on 6 December 2004
  • Supporting of introduction of modern information
    technologies in organising healthcare system for
    financial accountability and storage of patients
    data
  • Development programme for ambulatory and
    stationary health care service providers,
    approved with the Cabinet of Ministers Decree No
    1003 of 20 December 2004.
  • 6. To make rational use of medical technologies
    and ensure its accessibility to residents.
  • In 2004, the e-Health in Latvia guideline project
    was developed and submitted to the Latvian
    Ministry of Welfare.
  • On 16 August 2005, the Latvian Cabinet of
    Ministers adopted guidelines on e-Health in
    Latvia
  • Guidelines provide for the development of
    e-health in Latvia through investments totaling
    LVL 25 million or EUR 30 million over the period
    of 10 years.

9
e-Health and Telemedicine is implemented in
Latvia through
  • State investment programmes
  • Local municipalities
  • Mixed public, municipal and private investment

10
The benefits for residents from the
implementation of Telemedicine in Latvia
  • Solves the availability problem irrespective of
    the distance services are available at any
    patients locality
  • - at home
  • - at a GPs office
  • - at an ambulatory clinic
  • - at any clinic.

11
The benefits for residents from implementation of
Telemedicine in Latvia
  • Solves the quality problem
  • ensures high quality services in all health
    care establishments, including those lacking
    highly qualified specialists and modern
    technologies

12
The benefits for residents from implementation of
Telemedicine in Latvia
  • Promotes cost efficiency
  • - Prevents any costs arising from services of
    poor quality and services not provided in due
    time (e.g. treatment of complications of illness,
    direct and indirect costs associated with
    disability etc.)

13
The Riga Telemedicine implementation model in the
European Union

14

15
Principal scheme of Telemedicine centre
EXAMPLE
Foreign Telemedicine centres in/outside the EU
Administration
Telemedicine Centre ISDN, Internet
  • Medical insurance companies-
  • State
  • EU
  • World

Other local public telemedicine centres
16
Costs of Telemedicine centre
EXAMPLE
  • EUR 450-600 thousand per year
  • Premises lease
  • Salaries
  • Project development
  • Communication costs etc.

17
  • Development Project and Economic Department

18
Development Project and Economic Department
  • Develops project applications for State
    investment programs
  • Develops EU projects
  • Performs marketing activities for the
    implementation of telemedicine

19
Teleradiology and Videoconferencing Department
20
Teleradiology and Videoconferencing Department
  • Launches Teleradiology systems in hospitals (RIS
    and HIS)
  • Provides videoconferencing to hospitals
    (international televideoconferences,
    consultations, Intensive Care Unit Test Bed)
  • Provides WEB conferences for chronic patients and
    patients receiving social care services

21
Implementation of Teleradiology System
  • will ensure a gradual transition to filmless
    radiology that will save approximately 50-80 of
    the resources for purchasing and developing X-ray
    films and storing of X-ray images

22
Principal scheme of teleradiology system for a
multi-profile hospital
EXAMPLE
23
Computerized workflow in radiology
EXAMPLE
30 connected modalities
Reading on dedicated stations (display protocols,
multiplanar reformatting)
Clinical conference
Clinical review
24
The chain of events
EXAMPLE
Patient installation
Examination
25
The chain of events
EXAMPLE
Radiologist Image review Report dictation
With Clinician Diagnosis presentation
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