The Generic Telemedicine Platform (GTP) of the Region of Southern Denmark
GTP is an information sharing platform used to convert ideas into operational digital healthcare services in a fast and cost-effective way.
The GTP platform gathers and displays patient information from home-monitoring devices, sensors and/or patient reported outcome data and facilitates quick transformation from idea to test-phase through easy set-up of new projects and data input. On this platform, ideas are cultivated, the business case can pass its final test and opportunities and obstacles are tested within a safe set-up linked to the data systems of regional hospitals, municipalities and general practitioners.
Based on the demographic development in Denmark, we will see more elderly and consequently more multimorbid citizens, which places a series of new demands on the healthcare system.
GTP makes it possible to meet some of the requirements emerging in a future healthcare system where, in order to accommodate societal development, more of these types of data will be compiled, shared and used in the treatment of citizens across sectors. Data collected from citizens will be used by clinicians in hospitals, in municipalities and by general practitioners. To be able to facilitate this, it is necessary to have a quick, easy and secure way to share and access data across sectors and coordinate efforts between sectors which is the vision behind the GTP platform.
The Generic Telemedicine Platform (GTP) enables sharing of data in real time between relevant caregivers (GP’s, hospitals and municipalities social services). Furthermore, all health professionals, care receivers and relatives have access to a complete overview of personal health records, including laboratory results, medical notes, upcoming health appointments etc.
The target groups in GTP usage are citizens and health professionals in 4 municipalities within the Region of Southern Denmark.
The GTP enables citizens with a chronic disease or a complex illness to actively partake in mastering their own health. Citizens and relatives have direct access to GTP, where they can enter relevant information on their health status e.g. blood pressure monitoring, as well as an overview of their health records. The service can also be used as a motivational tool for the citizen as goals and current status is clearly visualised textually and graphically.
The GTP has created a new and efficient work process for health professionals. Previously, health professionals often had to ring or email to gain additional relevant information on citizens health status. Since the implementation of GTP, relevant information registered by health professional and/or the citizen themselves is directly accessible, thus providing a higher quality of treatment and reducing errors, by using specific appropriate information. Further beneficial factors are increased efficiency and a higher degree of collaboration between the health sectors, optimising clinical pathways for the citizen.
The GERI-toolbox is a good example of the GTP’s function in practice. The GERI-toolbox is an ongoing elderly care project. The aim of the project is to detect early decline in fragile senior citizens health status and /or functionality, through community caregivers’ assessment and monitoring of senior citizens in their own home. Early detection of decline in the citizens’ health status has the potential to reduce acute hospital admissions and promote home-based treatment, avoiding stress and disruption often associated with acute admission to hospital among senior citizens.
The GERI-toolbox is equipped with home monitoring devices e.g. O2 saturation, blood pressure, pulse, blood analysis i.e. (C-reactive protein (CRP), urinalysis and bladder scanning.
The GERI-toolbox is used to strengthen cross communication and collaboration between the health sectors in caring for the senior population. Community care health professionals can send clinical assessments and monitoring using the GERI toolbox and forwarding data via the GTP, giving GP’s direct access to real time monitoring of the patient.
GP’s can request community care health professionals to bring the GERI-toolbox for home monitoring to certain patients as a general routine assessment or as an ongoing assessment after hospital discharge. Furthermore GP’s, on receiving real time monitoring, can when necessary forward and consult on clinical observations and measurements with hospital physicians ensuring fast track admission if applicable.
The GERI-toolbox can also be prescribed by hospital physicians for home monitoring, where remaining treatment can be carried out in their own home, thus shortening the duration of hospital admissions. The hospital physician using the data from GERI -toolbox can monitor patients in the community setting while still in hospital care via the GTP.
The GTP has been and remains very successful in bridging healthcare sectors via technology, increasing collaboration among health and social sectors, hereby increasing patient safety. Its user-friendly approach ensures patients have the ability to make informed decisions in their health care plans, creating a patient-centred healthcare system in the Region of Southern Denmark.
GTP won the Silver Economy Award in 2018