Implementation plan of tele-consultation pilots

The pilots are implemented as follows:

Sweden: Tele-consultation between Blekinge Wound Center and primary care actors (Municipality and County Councils)
The purpose with the pilot is to explore /find out/test best arrangements, structures, equipment, etc. for Wound centers tele-support and consultations that also could support collaborative learning, improvement of professionally and counteract professional isolation and brain drain.
The aim with the new tele-support is that health personnel with responsibility for patients with wound have knowledge, understanding and skills for high quality of professional and secure investigation, treatment and caring.
Contact: Ewy Olander, Blekinge Institute of Technology

Belarus: BelMAPO - Professional support of GPs from remote
Providing advanced training and retraining for doctors; training of PhD and clinical residency fellows; carrying out scientific research in different fields of medicine, biology, economics and healthcare management; treatment-and-consultation and treatment-and-diagnosis work.
Contact: Irina Moroz

Finland: KPHCD - Central hospital to home care units
Tele-consultation inside Kauhava municipality between Kauhava Health Centers/primary health care actors and both (1) Care Homes under Elderly care/Social care and (1) Home Care Unit under Elderly care/Social care.
The purpose with the pilot is to explore /find out/test best arrangements, structures, equipment, etc for Care units' tele-support and consultations. This can also support collaborative learning, professional improvement of staff knowledge and care quality and finally counteract professional isolation and brain drain.
The aim with the new tele-support is that social care personnel with responsibility for patients in Care Units (1) and Home Care Units (1) can secure timely interventions through appropriate investigation and treatment in case acute problems arise and follow and revise the care and rehabilitation plan through tele-consultation of skilled health care professionals.
Contact Raimo Rintala

Sweden: VCC - Psychogeriatric in distant rural area
The pilot will be in the form of a process of implementing specialist distance consultations in distant rural area. This will start with an analysis and data collections to be able to answer questions such as a check of and documentation of present local knowledge, administrative including budget and medical visions, preparing the different roles in the process and also include plan to follow and evaluate the implementation process. Important is to find sponsors that are active enough and will to actively support the processes. In next step this information will be analyses and visions moved to more detailed plans for information, education and service specifications (especially technical equipment). Plans information and educational activities will be planned in details.After this two-steps the pilot will start and reviewed in relations to the previous planning. A rough time estimated is that the pilot will be actually running before the end of this year. Thus, during beginning of next year, there will be a possibility to analyses the pilot implementation phase and do a relevant report to the PrimCareIT project.
Contact Käte Alrutz

Lithuania: Vilnius University Hospital Santariškių Klinikos
The purpose of the pilot is to setup teleconsulting environment in Vilnius University Hospital Santariskiu klinikos and few remote GP clinics to test the possibility of improvement professional skills and reduce professional exclusion of those remote GPs using telementoring and online teleconsulting.Pilot will include testing of live teleconsultations, sharing of patient medical data, including images, monitoring of some health functions.This would allow exploring and choosing the best available telemonitoring and teleconsulting options in terms of software, hardware and human resource.
Experienced general practitioners (GPs) working in the Teaching Hospital - Family Medicine Centre of VUH Santariskiu Klinikos (mentors) and GPs as well as medical nurses in the smaller ambulatory GP clinics (mentees) will be enrolled in the pilot. The mobile IT hardware (e.g., tablet PCs equipped with web camera, 3G and WiFi modules) will be used on site in order to facilitate their medical expertise in case of rare medical conditions, need of second opinion or more specialized medical knowledge (e.g. consultation of secondary /tertiary level medical professional). The adaptive changes within hospital information system (HIS) of VUH Santariskiu Klinikos might also be implemented if necessary in order to allow remote access to patient data, data transfer and synchronous VOIP or Videoconferencing information exchange.
Contact: Romualdas Kizlaitis

: Estonian Vormsi Health Center GP support
Consultation between nurse and GP; Nurse and specialist doctor; GP and specialist doctor
Contact: Madis Tiik

: National Health Service - Supporting GPs from remote areas via tele-consultations
Professional support of doctors from remote areas
Contact: Aigars Miezitis

For more information, contact Prof Tobias Larsson, Blekinge Institute of Technology, Sweden.