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	International Projects
	Connected to MedCom is the international project unit, focusing mainly on telemedicine, welfare technology, infrastructure used for telemedicine services, and standardisation of electronic communication in the health sector. The activities range from project managing and participation in European projects, expert advice to Danish and European partners, participation in conferences, preparation of new project proposals, etc. Furthermore, MedCom seeks to disseminate the knowledge which is obtained via participation in regional and national activities and projects, and to learn from the knowledge and experience of others. Therefore, not all of the activities are project related. The continuous dialogue with organisations and cooperating partners in foreign countries ensures that MedCom is constantly updated on developments in telemedicine, welfare technology, and other services within eHealth. At the moment, MedCom has a cooperation agreement with Region of Southern Denmark, but wishes to extend this with other regions and municipalities. MedCom can offer development and preparation of proposals for international projects, project management and administration of international projects as well as organisation of international networks and contacts. Contact person: Jan Petersen jap@medcom.dk For the latest description of activities and projects in PDF, click here: Activities and projects. International Projects BREAST HEALTH (http://www.crossborderbreasthealth.net) Optimisation of cooperation across the border between Denmark and Germany concerning breast cancer. Breast Health is an IINTERREG IV A project with the aim of creating cross-border cooperation in prevention, examination and treatment of breast cancer in the Region of Southern Denmark and Slesvig-Holstein, Germany. The project is set to last 18 months. The main focus of the Breast Health project is to create a mutual foundation for the construction of a Cross-border Breast Cancer Centre. The centre shall advance cross-border medical services in prevention and treatment of breast cancer. The project brings together 13 partners, consisting of two Danish partners, MedCom and the Region of Southern Denmark, and 11 German partners. MedCom’s task has been to introduce the Danish Health Data Network to the German partners, which was achieved by July 2009, and to assist in administrative reporting for the Danish partners. Lotte Beck cbe@medcom.dk +45 6543 2053 CALLIOPE (www.calliope-network.eu) CALL for InterOPErability: Creating a European coordination network for eHealth interoperability implementation. This project is an ICT PSP programme as a thematic network. The CALLIOPE network brings together 27 organisations from 15 European countries and is part of the epSOS project, which is driven by MS health administrations. CALLIOPE represents a targeted effort aiming to establish an appropriately governed, composed and structured open forum, with the focal goal to support MS in implementing interoperable eHealth solutions, in close collaboration with the key stakeholders, including users, industry and payers. MedCom is a partner in the CALLIOPE project. The project was launched in June 2008. The CALLIOPE project has continued working on the establishment of a network of countries not yet a part of epSOS, but wishing to be so. Currently, there are seven countries and three large professional organisations, besides the epSOS members, admitted in CALLIOPE. A special co-operation between epSOS and CALLIOPE, called CALLepSO, has been established in order to function as a “phase-in intermediary” for the new candidate countries. Furthermore, CALLIOPE works in seven work groups with standardisation, the EU Commission’s recommendation on eHealth interoperability and a “Roadmap for the eHealth development”, among other things. Lotte Beck cbe@medcom.dk +45 6543 2053 DREAMING (www.dreaming-project.org/) ElDeRly-friEndly Alarm handling and MonitorING = DREAMING. This is a pilot type B project under the CIP programme. The project brings together a set of ambient assistant living (AAL) services which, when integrated in everyday life, allow for extending the independent life of elderly people while providing them with an equivalent level of safety as they would enjoy in a protected environment such as an elderly home. In addition, the DREAMING services facilitate the management of chronic conditions in a home setting, thereby reducing the need for hospital stays and the likelihood of aggravation of the disease. The AAL services comprise a range of environmental or vital monitors, such as blood pressure meters, motion sensors, fire alarms, etc. all connected wirelessly via Bluetooth to a portal that sends the measurements via the Internet to medical specialists assigned to the project. In this way, the elderly citizens can save a time-consuming trip to the hospital meanwhile feeling in control of their own medical situation. The DREAMING system also enables the elderly to stay in contact with relatives, friends, the GP, and so on via a videoconference system. This system runs on a wireless Internet connection via a webcam and the elderly citizen’s own TV. The system furthermore enables the medical specialists to guide the elderly in the use of the technical equipment from a distance. When the elderly citizens take the vital and environmental measurements on their own, the visiting nurses will have more time to interact socially with them. The AAL technologies provided by DREAMING thereby release time resources to the care of the elderly. The equipment is installed and run by the local visiting nurses, who are already attending to the care for the elderly citizens. Danish partners are the Region of Southern Denmark, represented by MedCom International, as well as Langeland Municipality. The municipality will be one of 6 pilot sites in Europe. The project was initiated in May 2008 and will run for three years. Casper Marcussen cma@medcom.dk +45 6543 2057 epSOS – European Patients - Smart Open Services (www.epsos.eu) Large scale co-operation in the EU concerning the development of ePrescription and ePatient Summary. This project is a large scale EU project submitted under the CIP programme, co-financed by the EU Commission. epSOS aims at Smart Open Services; that is an open eHealth initiative for a European large scale pilot of patient summary and electronic prescription. 12 European countries (15 regions) as well as an industrial consortium participate in the project that was initiated in July 2008 and will run for three years. epSOS is lead by the National Centre for Coordination of eHealth in Sweden. Information and communication technologies (ICT) are deployed on a broad scale in healthcare by most member states. In view of its key priorities of citizen mobility and borderless healthcare, a supportive approach by the European Commission outlined in the eHealth Action Plan shall help to ensure seamless pan-European flow of information between interoperable national systems for the benefit of patients. It is a precondition for the project that as many as possible existing solutions are employed. Danish partners are MedCom and the National Board of Health. MedCom has delegated a considerable amount of its tasks to SDSD. In the project, intense work is put into converting the two use cases’ demands into possible technical solutions, which can be realised in some (or all) of the approx 30 localities, including Denmark/ Copenhagen, that have been selected as pilot sites. SDSD expects to be able to find synergy between the European solutions and the Danish “Shared Medication Record” and the “NPI”. Furthermore, the already existing ePrescription solution is expected to function as a model for others. Niels Rossing nr@medcom.dk +45 2178 2191 HITCH Establishment of international consensus and common procedures concerning testing and certification of IT systems in the health sector. The purpose of the HITCH project is to define and determine a timetable for establishing a cross-national testing system for “Interoperability Conformance Testing” of IT systems in the health sector. The project involves the biggest players on the interoperability scene in the health sector, including the organisation IHE (Integrating the Healthcare Enterprise). MedCom is a partner in the project together with INRIA, IHE Europe, OFFIS, ETSI and EuroRec. The project began 1 January 2010 and will run for 18 months. Ib Johansen ijo@medcom.dk +45 6543 2019 ICT for Health Evaluation of large scale dissemination of telemedicine. The purpose of this INTERREG IV B project is to focus on eHealth in the region of the Baltic Sea during the project period of three years. The role of Region of Southern Denmark will be to exchange best practices within the area of telemedicine as well as describing the regional strategies for developing and implementing ICT with the elderly and the chronically ill. Region of Southern Denmark has a minor role, which will be managed by MedCom, in the project. Experience from MedCom’s involvement in telemedicine as well as from previous EU projects (such as Better Breathing and Health Optimum) will be included. Lotte Beck cbe@medcom.dk +45 6543 2053 Jan Petersen jap@medcom.dk +45 6543 2030 MethoTelemed – www.telemed.no/methotelemed Methodology to assess telemedicine applications. During the project period (1 February 2009 – 31 January 2010), the MethoTelemed team, including researchers from Norway, Scotland and Denmark, will develop a European model for evaluation of telemedicine solutions. The project highlights the range of relevant stakeholders as well as aspects relevant to working with telemedicine. All stakeholders and aspects must be considered in the methodology which can assess quality and efficiency of telemedicine services in Europe. The main purpose of this project is to propose methodologies to guide academic endeavours as well as policy decisions. Thereby, the project is to create a better and more consistent basis for decisions for the implementation of telemedicine in Europe. The project is followed closely by experts in the Commission and is running according to plan. More than 1500 articles have been reviewed and a draft for a web based guide as well as a model (Model for ASsessment of Telemedicine –MAST) have been developed. The project is led by MedCom in co-operation with the Norwegian Centre for Telemedicine (NST). Furthermore, the project is assisted by the Norwegian Centre for Knowledge, WHO Observatory (LSE Enterprise), and Stirling University. Management of the project has been delegated to Odense University Hospital and Claus Pedersen. Janne Rasmussen jar@medcom.dk +45 6430 2017 PERSONA (www.aal-persona.org) The PERSONA project will ensure that elderly citizens can live in their own homes and in their own communities as long as possible by the aid of IT support. PERSONA is a research and development project under the sixth framework programme bringing together 20 partners from Europe. The purpose of the PERSONA project is to assist elderly and disabled people in living safely in their own homes by the use of welfare technologies. Welfare technology is technology that can help and assist especially users of the public service. It includes intelligent facilities, sensors, intelligent clothing, robots, talking pillboxes, and smart housing. The project runs over a 3½ year period and focuses on the body, the home, the immediate environment, and the urban environment. The core purpose of the project is to improve quality of life for the elderly by means of welfare technology and PERSONA instruments. Among the 20 project partners, two are Danish: the Region of Southern Denmark, represented by MedCom International, and Odense Municipality. Odense Municipality contributes to the project by allowing a senior citizen home to be used as a test site. Odense municipality will also contribute with information and identification of needs in the care for the elderly. The test site will function as a “playground” for the PERSONA project. During the project period, the residents will be involved to the extent they themselves wish to be so. Pilot testing is expected to be initiated at the beginning of 2010 in Odense Municipality. Casper Marcussen cma@medcom.dk +45 6543 2057 RTF: Regional Telemedicine Forum Telemedicine network forum for European regions. Nine regions in Europe take part in a proposal for the INTERREG IV C-programme concerning the establishment of a “Telemedicine Forum” for regions in Europe. The purpose of the project is to exchange experience in telemedicine, both within the clinical and the policy area. Odense University Hospital will be included in the project for the clinical anchorage, while the policy part will be anchored in the Region of Southern Denmark. The project is run by the Region of Southern Denmark, while MedCom plays a smaller role in the project for external consultancy. The project will be closely connected to the ICT for Health project. Lotte Beck cbe@medcom.dk +45 6543 2053 RENEWING HEALTH Evaluation of large scale dissemination of telemedicine. The RENEWING HEALTH project is a CIP – pilot A proposal bringing together nine European regions to disseminate tested and matured telemedicine solutions and carry out large scale effect measuring and evaluation of them. The evaluation will be based on the result of the MethoTelemed project. The Region of Southern Denmark is one of the regions in the proposal and will focus on home treatment of COPD patients by means of the COPD suitcase as well as telemedical ulcer assessment. MedCom takes part in the proposal as a national competency centre and sub-supplier for the region. The project will begin 1 February 2010 and will run for 32 months. Odense University Hospital is the project leader, and this is where the clinical anchorage and evaluation will take place. Janne Rasmussen jar@medcom.dk +45 6543 2017 "SUND VÆKST" (Healthy Growth) SUND VÆKST – Creation of growth in the Region of Southern Denmark through public and private collaboration of industry and service within "the healthy life". SUND VÆKST brings together 22 parts and is a three year project, launched in September 2008 and expected to finish in August 2011. MedCom International is the project leader of two of the six main activities: Robot technology in the form of the “therapy tile” as a tool for rehabilitation and prevention of apoplexy patients and IT supported home treatment of patients with COPD (smokers’ lung decease) by the aid of the “COPD suitcase”. The “therapy tile” project concerns the development a clinical tool – robotic tiles – for the rehabilitation of apoplexy patients. This takes place in cooperation with the company Robotic Entertainment and Odense University Hospital, South Jutland Hospital as well as the rehabilitation departments of Svendborg Municipality. The tiles light up and make sounds, are easily assembled by magnets, and are set up either on the floor, a table or a wall. Depending on the patient in question, the therapist can choose between different games, where the patient uses either the feet or the hands. In this way, it is possible to focus on the particular patient exercising the paralysed side with either the hand or the foot. The “COPD suitcase” project arises from the Better Breathing project. The project runs parallel to the roll-out of the suitcase at OUH. In general, the projects are difficult to separate, but the project can be regarded as one step further because of the cooperation with the municipalities to ensure a coordinated course of action for the citizens. In the long term, the results and experience from cooperating with the municipalities are to be integrated into the running of the project. The first patients were included in September. Lotte Beck cbe@medcom.dk +45 6543 2053 UniversAAL Pan-European open IT platform for welfare technology. The UniversAAL project is a FP7-project, in which the Region of Southern Denmark is joining a consortium with 16 partners from 9 European countries in order to develop a finished pan-European open IT platform for welfare technology systems. The aim of the project, and especially the platform, is for companies and other players to be able to, free of charge, use the UniversAAL platform for building-in in intelligent systems for e.g. housing for the elderly, nursing homes or hospitals and in this way open up for having more digital services and products within the welfare technology area. Christina E. Wanscher cew@medcom.dk +45 2325 1989 WelfareTechRegion Region of Southern Denmark and Welfare Technology. WelfareTechRegion is a commercial development project run by the Region of Southern Denmark. The project is an offshoot of MedCom’s co-operation with the venture of the Region of Southern Denmark in the welfare technology area (www.velfaerdsteknologi.nu). The aim of the project is to create an international power centre for developing, implementing and disseminating welfare technologies in the social and health care area. The project will prepare the ground for trade development and growth in welfare technology in the Region of Southern Denmark. MedCom takes part in the proposal with networking to European partners. The project will begin in January 2010 and will run for three years. Christina E. Wanscher cew@medcom.dk +45 2325 1989 Archive International Projects For more information about the projects that have ended, contact intl@medcom.dk or 6543 2030. Projects that ended 2007-2009 HEALTH OPTIMUM I.D. (www.HealthOptimum.info) Optimisation of health services by means of telemedicine in five regions of Europe – including the Region of Southern Denmark. The Health Optimum I.D. project was a two-year project, which ended on 31 August 2009. Hereafter, it was handed over to the Region of Southern Denmark where it has been based. The project brought together 5 regions in Europe (Denmark, Italy, Spain, Sweden, and Romania) and the main objective has been to support already implemented telemedicine initiatives in order to stem increasing expenses within the healthcare system. Furthermore, the project has initiated communication across borders in order to spread valuable experience among all participating countries. During the project period, nine projects have formed part of the Health Optimum project: Tele-neurosurgery, Tele-coronary arteriography, Tele-thrombolysis, Tele-endocrinology, Tele-cardiology, Telemedical preparation for operation, Tele-dialysis as well as Tele-alcohol rehabilitation and Telemedical discharge conference. A report has been completed describing the results in the Region of Southern Denmark, as well as how telemedical solutions may be implemented in an organisation. This can be obtained by contacting the office. ICT and Ageing Users - Markets and Technologies *European mapping and analysis of the market for information communication technology in elderly care.* The primary target with the study was to identify existing market barriers, which hinder the up-take of technologies, and to identify recommendations for actions with a focus on demand and market potential in Europe. The study guided the work of national correspondents in gathering country specific information about market barriers and ethical issues in relation to three application domains: ageing well at work, ageing well in the community and ageing well at home. Another purpose of the study was to analyze the ethical issues that rise in relation to the three application domains mentioned above. National data gathering was therefore necessary in the collection of documentation on the matter of market barriers and their importance on a national scale. This was relevant in the identification of good practice cases, in the collection of documentation on the matter of ethical issues, and in identification of good practice cases in relation to the three application domains mentioned earlier. This was done via a desk-research together with semi-structured interviews with relevant experts from the field. This work was divided into two waves of data collection – one in 2008 and one in 2009. The project was led by Empirica Gesellschaft für Kommunikations- und Technologieforschung GmbH. The first wave of study in Denmark was made by MedCom International during the summer of 2008. The second wave of study was made by MedCom during the summer of 2009. This follow-up built on the findings and experiences drawn from the first wave of data collection and focused on implementation projects in four areas: - Telecare – implemented ambient assistant living technologies that support elderly citizens to live longer and more independently in their own homes. - Telehealth – implemented telemedicine projects that support age-induced and thereby often chronic diseases. - Telecare and telehealth combined – implemented projects where ambient assistant living projects are combined with telemedicine to make life easier and better for elderly citizens. - Smart Homes – implemented projects that have resulted in intelligent homes aimed at the elderly sector. The primary objective of the second wave of study was still to identify existing market barriers hindering the up-take of technologies and to identify recommendations for action focusing on covering needs and market potential in Europe. The second wave merely focused more on technologies that are ready for implementation. R-Bay (www.R-Bay.org) Establishment of eMarketplace for exchange of radiological services. The purpose of the project was to establish a secure platform for the exchange of radiological tasks and expert knowledge across European national borders. The project involved all parties – from hospitals, IT suppliers, security experts, legal experts to market and business case experts. R-bay ended in May 2009. The project obtained great attention from, among others, the European Commission, the radiological clinical companies and suppliers (both IT/system suppliers and suppliers of health services) because of its new way of thinking business model for the radiological area. This means going from a point-to-point traditional teleradiology to a many-to-many access of radiological services, resulting in increased flexibility and simpler working procedures. At present, the legal and cultural barriers for an open radiology market are too great for a direct pan-European dissemination of an R-Bay platform. The individual partners have formulated plans for regional or national dissemination and several are in the process of establishing a national R-Bay solution, e.g. in Estonia. The Region of Southern Denmark and Odense University Hospital are working on continuing the project in their own way and are still very interested in co-operation across national borders, as the problem with the lack of specialists in radiology is great. Better Breathing (www.BetterBreathing.org) Better treatment and improved quality of life for chronic COPD patients. Four pilot hospitals in Denmark, Spain, Wales and Northern Norway have clinically tested different technical solutions and have evaluated solutions concerning the aim of improved quality of life for COPD patients, release of resources, and optimised course of treatment. Results of the project indicated that there are great advantages in ICT solutions in connection with the patients and that it was possible to reach the objectives. Both patients and healthcare professionals were very satisfied with the way to receive and provide services – whether it concerned continuation of hospital treatment in the home, rehabilitation over a distance, or support of healthcare professionals by specialists. All in all, improved quality of life and better treatment of patients were obtained. Satisfaction has been so great that several pilot sites have continued using the solutions in day-to-day operation and offer treatment via ICT to COPD patients. Also, the project has clarified advantages for health-ICT suppliers and contributed to the establishment of two companies in Denmark and Spain, respectively. Baltic eHealth (www.Baltic-eHealth.org) The purpose of the Baltic eHealth project was to link the national health networks in Denmark, Norway and Sweden with the regional networks in Estonia and Lithuania into one common Baltic health network (BHN) in order to create new options within the health services in the area. Today, due to the success of the project and the pilots, knee images are being sent cross-border from the Funen Hospital in Denmark to East-Tallinn Central Hospital in Estonia and to Vilnius University Hospital in Lithuania on a daily basis. In June 2008, the Baltic eHealth project received the prestigious Computer World Honors Program Laureate Medal. Interpretation Service (Cisco Systems) The project focused on optimising interpreting services in the Region of Southern Denmark. The project was supported by Cisco Systems. The aim of the project was to test whether or not telemedicine can assist in creating a more flexible and effective interpreting service to the patients and their relatives - thus improving the clinical quality of the interpretation. The interpretation service was pilot-tested during a three-month period in the spring of 2008 at three participating hospitals in the Region of Southern Denmark. The project ended 30 June 2008. Currently, an evaluation is being carried out and this evaluation will be published in the end of the summer of 2008. Furthermore, the project is at OUH (Odense University Hospital in the Region of Southern Denmark) with the aim of finding a way to disseminate it. WHO / European eHealth Consumer Trends Survey *European survey of citizens’ use and position on the Internet with regards to health and the healthcare system.* During the project period, two surveys were carried out in each country. The first took place during the fall of 2005 – the second comparative survey took place in the spring of 2007. During the project period, the surveys were published in the medical periodicals of the individual countries – as well as international periodicals for the overall European study (BMC Public Health – 2007,7:53). The Danish survey conducted in 2005 showed that many Danes regularly used the Internet to find health information. However, the GP was still the primary source for health information. Rather, Danes use the Internet as a supplement to the GP and many – especially women – use the information from the Internet in the dialogue with their GP. In Denmark there is increasing demand for solutions that allow people to contact the different players in the healthcare sector. The survey has been repeated in 2007 in order to examine the development in the use of the Internet for health purposes. In this new survey, it is worth noticing that 83% of all men and 74% of all women are in favour of electronic equipment for monitoring their health in their own home. An article concerning these results was published in the Journal of the Danish Medical Association in October 2007. This article juxtaposed these new results with the survey in 2005 in order to spot any tendencies in the Danes' view on telemedicine. In this project MedCom International represents the Region of Southern Denmark. GAP (http://www.gaptheproject.eu/ ) GAP, “Guard, Anticipation and Prediction” a project which assessed the need for a predictive solution able to produce alarms at EU level, in order to respond and recover efficiently and effectively both during and after threats such as terrorism, (organised) crime, pandemics, natural disasters, and major industrial accidents or technological disasters. The project vision was to create a generic model that can establish international standards in case of health related threats on a European level. The generic model can hopefully also establish standards for future research and international policies in this area. Assessment for the need of developing this generic model has been accomplished. MedCom International represented Region of Southern Denmark in the project, which began 1 January 2008 and ended in December 2008.

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