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

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

16Legal & 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

15Patient

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 Association49/51, 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

[email protected]

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