Implementing Telemedical Ulcer Assessment in all Danish regions and municipalities
Published On: 17 June 2014
Organisation: Agency for Digitisation
Level of government: Local government, Regional/State government
Launched in: 2012
Before the Telemedical Ulcer Assessment innovation, municipal nurses cared for the ulcers in the home of the patient. When in doubt or if the ulcer was deteriorating, the nurse sent the patient to the hospital to get assessed. Now municipal nurses still care for ulcers in patients' homes. The nurse now communicates with the hospital in a web journal from a cell phone or tablet. She/he also uploads photos to the journal of the ulcers. This enables hospital experts to assess the ulcer without seeing the patient in most cases.
Improve effectiveness, Improve efficiency, Improve service quality, Improve user satisfaction
General population, Government bodies, Government staff
Financial benefits in both regions and municipalities. Also benefits for the patients that no longer need to travel as often to the hospital.
Nurses in the municipal health care system use their smartphone to send photos of ulcers to a foot team at SUS. The team gives advice on diagnoses and treatment.
Furthermore, Sweden has had experiences with telemedical ulcer care.
Implementation is ongoing until 2017, so we do not have hard evidence yet of benefits realisation. Preliminary results show improvements in the service quality (accessibility, responsiveness) and in the user and employee satisfaction.
Frontline staff in pilot municipalities and regions.Design time: 12
Piloting in three of five regions with selected municipalities.Testing time: 33
Difficult to agree on monetary benefits with regions and municipalities – agreement was a dynamic business case to be recalculated according to progress and validation of important factors in the business case.
The supplier of the web journal agreed to change certain pivotal functions in their product.
Consultants helped calculate the business case.
An academic institution has helped in validating the important factors in the business case.