Mireille Ghys

Tam metin

(1)

How to facilitate telemedicine market development for SMEs at regional level

– Challenges, key success factors and good practices

Mireille Ghys

Solidarity & Health Project Manager Region of Auvergne [F]

Norbert Paquel

Engineer and Telemedicine expert

Region of Auvergne [F]

(2)

Mireille GHYS Auvergne Regional Council Norbert PAQUEL

Consultant

How  to  facilitate  telemedicine  market  

development  for  SMEs  at  regional  level?  

Challenges,  key  success  factors  and  good  prac>ces  

(3)

A  Regional  Telemedicine  Forum   Good  Prac>ces  Guidelines  

•  Nine  diverse  European  regions  

–  Region  of  Auvergne   –  Region  of  Catalonia   –  Southern  Denmark   –  Estonia  

–  Malopolska  Region  

–  County  Council  NorrboHen   –  Region  of  Northern  Norway   –  Scotland  

–  Region  of  Veneto  

•  Similar  problem  

•  Converging  towards  similar  solu2ons  

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A  glimpse  on  a  fast  moving  world  

•  The  "Good  Prac*ces  Guidelines  for  telemedicine  market  

development  facilita*on  for  SMEs  at  regional  level"  have  been   iden>fied  through  observa>ons  in  the  9  regions.    

•  The  work  started  prac>cally  in  the  Mid-­‐term  Conference  in   Clermont-­‐Ferrand,  on  October  4th  2011.  The  main  themes   were  “from  the  idea  to  the  project”,  “from  the  project  to  the   market”.  

•  Documents,  interviews  with  Telemedicine  actors  and  SMEs,  

ques>onnaires  sent  to  RTF  par>cipants  showed  an  evolving  

landscape,  with  common  characteris>cs  throughout  Europe.  

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A  difficult  situa>on,   a  new  opportunity  

•  Although  technology  is  not  a  blocking  factor  any  more,  

•  Telemedicine  makes  slow  progresses.  

•  Conserva>sm  ?  more  important:  lack  of  favourable   environment,  economic  model  for  day  to  day  use  

•  Difficul>es  are  greater  for  SMEs  -­‐  when  SMEs  involvement  is   key  for  innova>on  and  therefore  telemedicine  development!  

•  New  opportuni>es  come  from  a  fast  growing  new  market  :  

home  assisted  living  and  home  e-­‐health  

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Present  situa>on  did  not  seems  in   favor  of  SMEs  involvement  but…  

•  Few  SMEs  succeeded  in  the  "tradi>onal"  market  for  hospitals,  few  are  today   present  in  the  home  assisted  market  

–  s>ll  limited  mainly  to  prototypes  

–  led  by  clinical  departments  in  University  Hospitals  

–  s>ll  difficul>es  for  mutual  understanding  between  clinicians  and  industry  

•  However,  some  have  entered  these  market  

–  Coming  from  other  markets  in  healthcare  (reimbursement,  call  centres…)   –  Strongly  linked  to  big  enterprises  

–  Created  from  hospital  research  unit  

•  Situa>on  is  evolving  

–  Projects  flourish,  with  new  structures  and  commercialisa>on  objec>ve   –  SMEs  start  proposing  

•  Peeter  Ross  -­‐  East  Tallinn  Central  Hospital    "…,  there  is  a  constant  need  from  behalf  of  different  SMEs   and  academic  ins>tu>ons  to  test  their  new  inven>ons  inside  the  healthcare  environment.  …"    

•  Ambi>ous  programs  are  launched,  such  as:  

–  DALLAS  in  Scotland  –  "to  exploit  SMEs  innova>on  capabili>es  and  strengthen  them  to  develop   the  home  telehealth-­‐telecare  market."    

–  PriHTA  (Programme  for  Research,  Innova>on  and  Health  Technology  Assessment)  (Veneto)  

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Some  condi>ons    

and  general  trends  appear    

•  Convergence  Telehealth  Telecare  

•  Accordingly,  develop  rela>ons  between  Health  care   and  Social  care  (ohen  dependant  of  municipali>es)  

•  Importance  of  regions  and  municipali>es   involvement  

•  Coopera>on  between  private  and  public  actors  

•  Importance  of  studies  

–  to  promote  concept  and  demonstrate  medical  and  economic  

advantages  of  telehealth  /  telecare  (see  thesis  of  Anne  Sorknæs  –  

COPD  Briefcase)  

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Common  good  prac>ces:  

Crea>on  of  competence  centres    

•  Linked  to  clinicians,  hospitals,  university  hospitals,  IT  research  

•  Diverse  structures,  according  to  cultural  and  legal  environment  

–  eHealth  Innova>on  Center,  TicSalut,  Consorzio  Arsenàl,  GCS  Simpa,   Medcom,  Estonian  eHealth  Founda>on,  Scoosh  Centre  for  

Telehealth  and  Telecare,  Na>onal  Centre  for  integrated  care  and   telemedicine,  Centre  for  HealthCare  Informa>on  Systems…  

–  Open  fora  (as  Centre  of  Excellence  for  eHealth  and  Assisted  Living  in   Southern  Denmark)  

•  Coopera>ng  with  specialised  telemedicine  departments,   industry  clusters,  Living  Labs…  

–  As  Odense  University  Hospital  "Lean  and  Innova>on"  

–  As  GCS  Simpa  with  Auvergne  TIC  Cluster  

–  …  

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Good  prac>ces  :  

Local  coopera>on,  wide  rela>ons  

•  Concentra>on  in  a  geographic  area  to  foster  human  rela>ons   and  coopera>ve  work    

•  Development  of  human  network,  extending  outside  the  

Region  and  the  Country,  facilita>ng  projects  from  concep>on   to  commercialisa>on  

•  Par>cipa>on  in  European  projects    

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In  the  9  Regions,  methods  and  

success  factors  can  be  iden>fied  (1):  

•  Strong partnership with SME along the whole process, as soon as project start-up, foreseeing a long-term commitment based upon strategic vision.

•  Analysing and modelling processes, following experimentation

•  Fostering interoperability (from network to semantics)

•  Mutual information between Telemedicine project medical

promoters, big and small industry, towards sustainable consortia.

•  Develop links between all competent organisations…

•  Foster telemedicine ecosystem…

•  Take into account SME strategy, resources and weaknesses…

•  Consider long-term strategy…

•  Importance of evaluation

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Involving  a  SME  in  a  telemedecine   project  /  service  

Concep>on   Iden>fying,

 

assembling  

actors   Prototype   Evalua>on   Concept  

diffusion  

SME  

Evolu>on  

Product

 

diffusion-­‐  Evolu>on   Clinical  unit,  Hospital   Concep*on,  experimenta*on,  evalua*on   Diffusion,  commercialisa*on  

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Develop  sustainable  rela>ons  

(13)

Methods,  success  factors  (2)  

•  Strong partnership

•  Analysing

•  Fostering interoperability

•  Mutual information

•  Develop links between all competent organisations and stakeholders

•  Foster telemedicine ecosystem

•  Take into account SME strategy

•  Consider long-term strategy

•  Importance of evaluation (medical, economic)

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SMEs  reg.  

support   policy  

actor   IT  reg  

Compet.  

Centre  

Medical  

Research   IT  

Research   Clinical  

service  

Telemed  /   eHealth   Compet.  

Centre  

U ni ve rs ity  Ho sp ital  

HCPs  and   Pa>ents  

Assoc.   Project   SME  

Te le m ed  D ep t  

Health   Tech.  

Compet.  

Centre  

Re gi on al  le ve l  

Interna2onal  level   Na2onal  level  

Cluster  

Living   lab  

A  complex  interlinked  organisa2onal  system  

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Methods,  success  factors  (3)  

•  Strong partnership with SME

•  Analysing

•  Fostering interoperability

•  Mutual information

•  Develop links between all competent organisations

•  Foster telemedicine ecosystem development – digital country planning, standards, legal environment and procurement rules, workforce training programmes.

•  Take into account SME strategy

•  Consider long-term strategy

•  Importance of evaluation

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Regional  policies  in  synergy  

Regional  development,   territory  planning  

e-­‐Health  

Industrial  development,   rela>on  with  research  

Research,  educa>on  

Professional  training  

Support  staff,  maintenance  (ex  Scot.)  

Foster,  support  financing  

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Methods,  success  factors  (4)  

•  Strong partnership …

•  Mutual information …

•  Develop links between all competent organisations…

•  Foster telemedicine ecosystem …

•  Take into account SME strategy, resources and weaknesses, avoid increasing inappropriate workload resulting from

unclear specifications or medical overexpectation.

•  Consider long-term strategy, avoid the prototype syndrome.

•  Importance of evaluation (medical, economic) phase, and of

consecutive commercialisation.

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But  it  is  not  a  mirage    

Telemedecine  is  s*ll  isolated  and  rare  

There  is  s*ll  an  ecosystem  to  build  

(19)

•  Telemedicine  (Telehealth  and  Telecare)  is  essen*al  for   elderly  and  chronically  ill  people  

•  SMEs  involvement  is  not  a  problem  but  a  condi*on  

•  Crea*ng  an  ecosystem  with  all  stakeholders  is  the  way   chosen  by  all  regions.  An  human  network  is  growing,   projects  mul*ply  and  thrive  

•  It  is  a  great  opportunity  for  employment  

•  And  a  great  progress  for  pa*ents  and  ci*zens  

(20)

Thank  you  for  your  aHen>on  

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How to facilitate telemedicine market development for SMEs at regional level

– Challenges, key success factors and good practices

Mireille Ghys

Solidarity & Health Project Manager Region of Auvergne [F]

Norbert Paquel

Engineer and Telemedicine expert

Region of Auvergne [F]

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