Realising the potential of Information Communication ...

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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

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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

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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.

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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