Regional coordination group ehealth and welfare technology Agder

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collaborationdigitalisatione-healthinnovationnetworking

Organisation name Regional coordination group ehealth and welfare technology Agder

Contact person: Aase Synnove Hobbesland

aase.synnove.hobbesland@grimstad.kommune.no

Health services in newways using technology 

It is a national goal that welfaretechnology will become an integral part of the service offering in the healthand care services by 2020. The goal is the safe use of security-creatingtechnology that can help more people stay longer in their own homes despiteillness or reduced functional capacity. This application shows how innovationin regional organization and health services realizes “health services innew ways using technologyÓ

Agder consists of 30 municipalities withover 300,000 inhabitants. The municipalities in the region are focusing on theuse of welfare technology in order to meet the challenges of the future in thefield of health and care.

Supported in the Regional Plan Agder, themunicipalities in Agder established a new common structural framework forinter-municipal innovation and interaction in the establishment of the RegionalCoordination Group eHealth and Welfare Technology Agder (RKG). This structurehas made it possible to implement one of Norway’s largest procurement ofsecurity and warning technology, the establishment of “municipal responsecenter service” as a public-public collaboration among the municipalitiesin Agder.  Through RKG, themunicipalities are completing a systematic introduction and a comprehensivedevelopment of welfare technology in the municipalities in Agder by 2020.Norwegian municipalities have had little experience with the transition fromindividual testing projects of stand-alone technologies to the introduction of Òcourseof serviceÓ with welfare technology on a large scale.

We believe we have implemented and are currently implementing two innovations that individually contribute to a significant improvement in quality, safety and cost-effectiveness in future municipal health services: 

An operational regional network organizationto solve a concrete mission and reach a common goal 

a.       Acquisition of technology where customers(municipalities)present their orders and specifications jointly to one mainsupplier  

b.      Establish the municipal response center  

c.       Ensure systematic introduction of welfare technologyin all municipalities  

2)      Establishment of a municipal response center for aquality-assured and cost-effective handling of alarms and inquiries   

more solution 2)

The municipal response center is part ofthe inter-municipal collaboration in Agder, where an important part of the goalis to free resources in the health and care services, including in home care.This is done by having personnel at the response center follow up and answerand evaluate alarms. They assess whether they can terminate the case bytelephone or if there is a need for further assistance. In the event of needfor further assistance they contact local home health services. This method providesa better quality for the patients with regular services who avoid the personnelassisting them in a procedure or conversation being interrupted by severalalarms that must be answered there and then. It also provides significantrelief for home-care personnel who avoid interruptions in many of the tasksduring a shift. The home care service usually does not have access to essentialinformation about the person who has triggered the alarm, and must often moveout to be on the safe side. This is the realization of health services in newways using technology.

both solutions are now operational and therefore sustainable. But solution 1 needs founding and support yearly and solution 2 needs customers.

solution 1 and 2)


The initiative ÇWelfare technology Agder 2020È is still a focus with several sub-deliveries with a goal of being introduced by 2020. The acquisition is completed, the response center is in operation, the introduction project is proceeding according to plan and will be completed during 2019. It will be followed up with a transition to a regional operating model. This will be developed this year. New technologies will continuously be implemented/developed to be monitored/followed up by the response center. In test phases and operational phases, we have a close dialogue with the supplier, and everything is not as unproblematic as one might wish, but we deal with nonconformities and events in a systematic way. There are and have been challenges in all phases of the innovation work, but they have been managed.


The procurement was a more resource-intensive process than we had foreseen, both in terms of time consumption and the need for legal expertise. It complicated things that we became a subcontractor to Telenor, which was a potential supplier, and was finally chosen as a supplier. The acquisition was appealed to KOFA, and KOFA's decision was that the procurement was properly handled. We have put a lot of effort into planning, quality assurance and gaining support of the stakeholders. We believe it has prevented accidents / stop / unwanted incidents.


RKG e-health and welfare technology have gained increasing confidence during the three years since it was started. This is because the network places great emphasis on information, dialogue and being predictable on the deliveries that RKG has committed to. Information, applications, presentations in various forums etc are therefore carefully planned, quality assured and coordinated. Confidence building and the support gain of stakeholders is a regular theme in our meetings, and RKG is always careful to answer all questions, viewpoints and inquiries in a good and trustworthy manner.


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