1. Growing elderly population among a decreasing overall population Extremely sparsely populated - 250,600 inhabitants in an area representing ¼ of Sweden (population 9 million) - Most sparsely populated area of the European Union - Large in a European context, but only 1/20 of the Canadian area Extensive ICT structure High level of ICT awareness in society - 90% of the population has broadband access The county of Norrbotten, Sweden

2. Sweden and Canada

3. Agneta Granström, County Council Commissioner MariaMagdalena Holmgren, Process manager, Departement of Regional Development Kenneth Sjaunja, EU Co-ordinator, Departement of Regional Development Who we are

4. What we would like to discuss/collaborate on Efforts/Investments/Programs in e-Health Mental health – Psychological treatment on distance Primary Health Care and Telemedicine Competence centres for e-Health Platforms/networks for collaboration between research, business and politics. Platforms for development of new e-Health services and applications Preventive health care - Life style programs

5. County Commissioner Agneta Granström chairs the AER working group on e-Health Regional development programme: Attractive living environments, Good public health and Economic growth - Needs of citizens, patients and relatives, care personnel, care providers and decisionmakers - Effectiveness and user benefit in medical and social services Regional innovation system: Regional players in research, politics and business – Centre for e-Health at Luleå University of Technology Position Norrbotten and create user benefits - More strategic partners - More international cooperation projects - Development of new products and services Conscious long-term effort - Work at policy level - Project input - Operational development in health and medical care The County Councils work with e-Health

6. AER – Assembly of European regions The AER is an independent political network of European regions and the largest interregional co- operation organisation in extended Europe, representing more than 250 regions from 32 countries and 14 interregional organisations. Agneta Granström, County Council Commissioner, is chairing the e-Health network of the AER

7. Sunderby Hospital, one of the most modern hospitals in Europe 5 hospitals 33 health centres 34 dental clinics 8,000 county council employees Goals for the County Councils work on e-Health - Facilitate use and development of ICT in medical and social services - Give citizens and care personnel access to information that is easily available, reliable, evidence-based, effective, of uniform quality, and up- to-date - Improve information supply between citizens and medical and social services Health care in the County Council of Norrbotten Hospitals Healthcare centres Dental clinics

8. Method development and implementation of needs analyses as basis for new products and services – focus and legitimity Techniques and methods to improve diagnosis, consultation and treatment via distance-spanning technology – for care providers, patients and relatives. Improved collaboration and information supply between different parts of the healthcare system and improved availability to care information and self- care among patients as well as citizens. Innovation system for e-Health

9. ICT-structure in healthcare 100% internal referrals are electronic – 98% electronic prescriptions One copy of patient records per patient available all over the county Access to medical journals – other care-providers Digitalised X-rays

10. VAS – General Healthcare Administrative system - 5 hospitals - 33 health centres - 40 dental care centres - A uniform system for all medical records - Single sign-on - Independent modules can be merged - Integrated with other systems (economy, PACS, IMACS, ECG, Pharmacy among others) -Designed for the users, by the users Medical record Out-patient care In-patient care Registration of arrival ReferralsPrescriptions Planning of surgery X-ray Laboratory tests Correspondence with patient Medical certificates Dentists