1. Fundamental services as enabler for e- health services NSRC 2005-02-08 Business Development and ICT usage in Healthcare

2. The speaker Ola Gran Program Director Telemedicine Dept. Innovation and Medical Informatics, IMI Karolinska Universitetssjukhuset Ola.gran@karolinska.se

3. The National Goal for Healthcare in Sweden “Guarantee all inhabitants medical care on equal terms”

4. Six medical care regions in Sweden Northern Uppsala - Örebro Stockholm – Gotland South East Western Götaland Southern

5. Stockholm Gotland  1.8 million inhabitants  6 hospitals for acute care  1 University hospital  Primary care, Psychiatry, geriatric  57 500 inhabitants  1 hospital for acute care  Primary care, Psychiatry, geriatric Yrjö Palmquist 1998-06-22

6. Alliance Frame Agreement Visby Lasarett & Huddinge University Hospital Partnership Mutuality Hans Forsslund mars 2000 Visby Lasarett Huddinge University Hospital Same health care process

7. Benefits Increased competence level for the staff Cost-efficiency –Fewer physical referrals –More effective care cycle Increased level of service to the patients

8. Establish fundamental services as enabler for e-health services How to do it

9. Stockholm Gotland Basic Infrastructure  IP-network  Videoconferencing  Redundancy  Scalable Extra benefits  Infrastructure for long- term sustainable development Yrjö Palmquist 1998-06-22

11. Critical success factors Make sure the management will take the lead Use a combination of a top-down and bottom up approach Get a small team to lead the work Take an iterative approach –No big bang approach Start networking with key staff Synchronize the routines of local IT-supports

12. Thank You !