1. Baltic eHealth - empowering regional development in the Baltic Sea Region eHealth 2005 Tromsø 23-24 May 2005

2. Speakers Henning Voss Project Manager Danish Centre for Health Telematics & Dr. Peeter Ross Director of Research and Development East-Tallinn Central Hospital

3. Partners Facts: Ten partners Five countries Start: 2004 End: 2007 Budget: 2 M€

4. Benefits of telemedicine Mobility: Move the data – not the patient Better referral procedures Improved access to more specialized healthcare Reduction of bottlenecks Avoid doctors migration

5. Barriers to telemedicine Interoperability –Networks and security –Standards, terminology and semantics Reimbursement not settled Legal issues Cultural and linguistic differences

6. Objectives of Baltic eHealth Promote telemedicine to decision makers –Create secure infrastructure to ensure interoperability –Address legal, financial and cultural barriers –Demonstrate cross-border mobility

7. Interoperability  We need: 1)Standards, terminology and semantic consensus 2)Network and security

8. Standards and semantic consensus in Denmark

10. Network and security in Denmark Internet-based Any data type From push to pull:  Receiver in charge  Patients access own data

11. Network and Security in the BSR - one step towards interoperability Sweden Norway Vilnius Tallinn Denmark BHN ???

12. The Baltic Health Data Network

13. Tools on the network Service Portal (yellow pages) Videoconferencing broker Collaboration Platform Other? –Telemedicine broker –Common archive for hospitals –Etc.

14. Guidelines & business model Legal Reimbursement Organisational Cultural / linguistic Business model

15. eUltrasound Classical Second opinion approach: Mid-wives and doctors in Västerbotten The Norwegian Centre for Fetal Medicine First step – off-line consultation Second step – on-line consultation

16. eRadiology Lack of Radiologists in Funen hospital  Waiting lists and traveling to other hospitals. Solution: Images are taken in Funen Reports are made in Vilnius and Tallinn Start with conventional radiology Multi-lingual standardized reporting schemes Goal: From pilot to production (incl. business model)

17. Teleradiology in Estonia

18. 44 modalities: 10 CT (Computed Tomography) 2 MR (Magnetic Resonance Imaging) 1 NM (Nuclear Medicine) 1 PET (Positron Emission Tomography) 14 workstations

19. Conclusions Solves interoperability problem Addresses other eHealth problems Demonstrates patient mobility If successful the BHN could be the model for an European-wide secure and interoperable infrastructure.

20. Thank you for your attention ! Dr. Peeter Ross: peeter.ross@itk.ee Henning Voss: hvo@health-telematics.dk website: www.Baltic-eHealth.org Baltic eHealth is co-financed by the BSR Interreg III B programme