Apr 15, 2015 - August 2014 >> ENS4Care presented at Helsinki Conference on Advanced Practice .... Helsinki Metropolia University of. Applied Sciences.
Realising the potential of Information Communication Technology (ICT) to support people challenged by illness or disability to maintain their independence Dorota Kilańska RN, PhD – European Nursing Research Foundation (ENRF), Medical University of Lodz (MUL) John Brennan ‐ Irish Association of Social Workers (IASW) Paul De Raeve RN, PhD ‐ General Secretary, European Federation of Nurses Associations (EFN)
European Federation of Nurses Associations
The Nurses’ Voice
Evidence Based Guidelines for Nursing and Social Care on eHealth Services Thematic Network CIP‐ICT‐PSP 7 – 2013
ENS4Care (www.ens4care.eu) is a project funded by the EU for 2 years from December 2013 to engage social and health care practitioners in collaboratively addressing challenges arising from the ageing population and accompanying increase in the numbers of people living with long‐term conditions and non‐communicable and chronic disease in many parts of Europe. 3
ENS4Care Dec 2013 ‐‐‐ April 2014 December 2013 >> Kick‐off meeting, Warsaw January 2014 >> Questionnaire elaboration + agreement on 6 selection
criteria (webinar with all partners on 23 January 2014) February 2014 >> Launch and dissemination of the questionnaire to
collect good practices April 2014 >> Analysis of the practices collected (122 practices),
ENS4Care General Assembly, in Brussels May 2014 >> Overview of the practices submitted per each WP +
finalisation of the selection process
ENS4Care May ‐‐‐ Oct 2014 May 2014>> Consolidation evaluation of good practices + Final Good Practices
Overview Report (D 2.1, 3.1, 4.1, 5.1) June 2014 >> Agreement on Guidelines structure and layout & 2nd electronic
ENS4Care Newsletter July 2014 >> 3rd electronic ENS4Care Newsletter and Project Flyer August 2014 >> ENS4Care presented at Helsinki Conference on Advanced Practice September 2014 >> WP leaders presented draft guidelines and sent to partners. October 2014 >> ENS4Care at the Italian EU Presidency (COPD, Advanced Roles,
Nurse ePrescribing), ENS4Care General Assembly, in Dublin.
ENS4Care Nov 2014 ‐‐‐ April 2015 November 2014>> Administrative deliverables (management reports and meetings summary)
D1.2, D1.6. ‐‐‐ 4th electronic ENS4Care Newsletter 23 January 2015 >> 1st Review meeting with European Commission and external experts! February 2015 >> Final Guidelines Submission D2.2, D3.2, D4.2.1, D4.2.2, D5.2
‐‐‐ 5th electronic ENS4Care Newsletter March 2015 – April 2015 >> Guidelines Validation 15 April 2015 >> ENS4Care General Assembly – Recordings for documentary! May 2015 ‐ June 2015 >> Various dissemination events: EIP AHA Summit, eHealth Week, Med‐e‐
Tel Luxembourg, 23rd International HPH Conference in Oslo, Helsinki Conference, etc. June 2015 >> 6th electronic ENS4Care Newsletter (partners contributions!) ENS4Care General Assembly
Brussels, 15 April 2015
Data collection overview Over 100 submissions made
Prevention 16% Nurse ePrescribing 15%
Advanced Roles 14% Integrated Care 20%
Clinical Practice 35%
Advanced Roles Integrated Care Clinical Practice Nurse ePrescribing Prevention
ENS4Care General Assembly
Dublin, 22 October 2014
Current status of development of the submitted practices in the ENS4Care questionnaire Response Demonstrator Pilot Fully Implemented
Percentage
Count
7% 22%
9 27
60%
73
8
Current status of development of the submitted practices in the ENS4Care questionnaire Demonstrator
Pilot
Fully Implemented
60% 7%
22%
9
The Geographical coverage of the submitted practices in the ENS4Care questionnaire Response European International Regional National Local No response
Percentage 3% 9% 21% 24% 39% 4%
Count 3 11 26 29 48 5 10
The Geographical coverage of the submitted practices in the ENS4Care questionnaire European
International
Regional
National
Local
No response
39%
21%
24%
9% 3%
4%
11
Types of ICT tools used in the practices, submitted in the ENS4Care project 100
92
80
70
60 40 20
21
21
33
33
42
0
12
The sharing of clinical information in the practice in the submitted ENS4Care practices Response NO YES No response
Percentage 53% 39% 8%
Count 65 47 10
13
The competences required for ICT projects development 95
100 80 60
75 48
52
53
40 20 0
14
Conceptual Framework
Guidelines development
Evaluation Framework
Good Practices Selection
Examples of best practices Case practice name Case practice name The Hub: Shared information portal National Network for Integrated between primary and secondary care Continuous Health and Social Care
Case practice name Case practice name Openward – Electronic patient flow Common platform for use of several eServices system
Main benefits Main benefits Main benefits Main benefits Streamlines the management of The Network provides continuity of Reduces interruptions for staff on Provides a common platform for patients admitted to hospital. care through complementary levels of wards. eServices. integrated care, such as convalescence, Helps staff to have readily available Alerts primary care staff that their It integrates both tailor coded features patient has been admitted to hospital rehabilitative middle and long term information upon transfer. and existing software products. care. and which ward they are on. Tracks and confirms at a glance if and Offers health care eServices in one Services include palliative care, care of when risk assessments are needed or place for citizens. Gives hospital staff an insight into the elderly and for those living in completed. what care patients have been Offers websites for delivering health situations of dependence. receiving at home. Quicker and better way to transfer information. It coordinates the provision of home patients from one ward to another. Informs primary care staff about Offers integrated risk tests, secure care allowing people to remain at their patients’ discharge planning and Nursing staff can check other wards’ messaging, electronic health history home for as long as possible. what care they received while in forms, citizen's booking service, etc. bed capacity at a glance. hospital. From ENS4Care partner Royal College of Nursing
From ENS4Care partner International Federation of Social Workers
From ENS4Care partner From ENS4Care partner Northern Health and Social Care TrustHelsinki Metropolia University of Applied Sciences
Common Principles for Guideline Deployment
Using eHealth is part of any other aspect of nursing and social work practice. This includes (1): being competent in managing the equipment involved and delivering the care associated with its use clarity on who has ongoing responsibility for the care of users ensuring informed consent prior to use of any eHealth application determining and informing people of their rights and responsibilities
18
Using eHealth is part of any other aspect of nursing and social work practice. This includes (2): respecting privacy – e.g. knowing who is in the room at a remote site and whether they have the right to view any data or images being transmitted, or verifying the identity of all people involved maintaining confidentiality, also after the consultation ensuring data integrity and network security agreeing on ownership of eHealth records 19
Conclusion Requirements for establishing a successful eHealth service: Managers’ support Clinical buy‐in and enthusiasm Educated specialist staff Citizens’ involvement and eHealth literacy
20
Conclusion An ambitious implementation plan Good leadership and management Reliable, compatible and cost effective technology Simple and easy‐to‐use equipment with intelligent
software to flag early warning signs Technical support is essential to ensure sustainability of the initiative. 21
Conclusion Implementation of eHealth services for clinical practice holds great potential for improving the quality and safety of care for citizens across the EU through ensuring continuity of health care across primary and secondary community sectors. This may yield substantial benefits for citizens and health professionals.
22
Recommendations eHealth should not be viewed as a substitute for the face to face contact with professionals that citizens require at times of crisis or during acute phases of their illness, but it has the potential to radically enhance the exchange of information between service users and those concerned with their treatment and support and ensure that new or changing requirements are speedily addressed. 23
THANK YOU
