Developing a telemedicine solution for monitoring chronical patients from distance in the Northeast region of Romania

By being a part of the CHERRIES family, we gain insightful know-how in order to replicate the model in our region, which is an added-value for both the innovators and the beneficiaries (the medical staff and the patients), or, in other words, a gain for the development of the regional medical system.

The journey into the CHERRIES Mirror Regions continues. Today we present you how the Northeast region of Romania is replicating and adapting CHERRIES methodology into their local ecosystem and strategic R&I sectors.

  • Partners: NE RDA, Imago-Mol Cluster and the ”St Spiridon” Emergency Clinical Hospital.
  • Priority Area: The CHEERIES methodology is being applied for developing a telemedicine solution for monitoring chronical patients from distance and to have better access to their medical history.

Why did you join the CHERRIES Community? What did you find interesting and relevant for you in the CHERRIES methodology?

Even though our region is not very well situated in the European Regional Innovation Score, the potential for innovation is increasing rapidly and we would like to foster this process by giving the best support we can to our innovators. As part of our continuous efforts in this area, we wanted to become a Mirror Region, in order to gain insightful know-how on the methods through which we could involve the quadruple helix in developing tailor-made solutions for our regional needs. By applying the CHERRIES methodology, we offer to our regional actors a new perspective on the co-creation process and we hope to  increase the engagement of interested parties (both providers and beneficiaries).

In order to test CHERRIES methodology, the NE RDA is working closely with the Imago-Mol Cluster and one of its founding members, the “St. Spiridon” Emergency Clinical Hospital.

A questionnaire was distributed to the medical staff of St. Spiridon Hospital, as a pilot hospital, and to patients’ associations in the region, therefore, 34 responses have been received. The information gathered from these responses will be used to identify the needs of hospital patients and professionals. For doing so, a selection committee will be made up of representatives from each member of the CHERRIES Northeast Mirror Region Consortium (NE RDA, Imago Mol Cluster, and St. Spiridon Hospital).

Through the survey, the needs that have been identified within the medical community in the Northeast region range from streamlining intrahospital bureaucratic processes, and implementing remote patient monitoring solutions, to implementing telemedicine solutions. The main beneficiaries of these initiatives will be both patients and medical staff, as the adoption of these solutions will help to shorten the time of reaction, increase the quality of healthcare services, and ease the access of patients to such services.

What are the main challenges your territory is currently facing and addressing with innovative R&I strategies?

It is important to highlight that there are still some challenges to face before adopting these solutions, including reluctance, bureaucracy, and lack of material resources.

An important challenge is to stimulate the proactivity of the civil society within the co-creation process, as it is a new concept, and we have to overcome the reluctance of some with solid arguments about the added-value co-creation and RRI bring to the innovation process.

Besides that, the main challenge is related to raising funding resources for the implementation of the pilot project.

As Romania is a centralized country, we do not have a regional budget in order to allocate some specific funds for the implementation of this type of projects and we have to find an external budget for the development of the solution for the identified need.

Specifically, one possible source of funding for this initiative is the PNRR (Recovery and Resilience Plan for Romania), which has a call code of MS-733. This funding is specifically intended for investments in IT systems and digital infrastructure of public health units and is available to a wide range of eligible beneficiaries, including public health units subordinated to UATs, partnerships between central and local public authorities and institutions, and other central public authorities and institutions.

In addition to the PNRR, there may be other sources of funding available to support the medical community in the Northeast region. The selection committee will need to review all potential funding options carefully and determine the best course of action to secure the necessary resources aligned with the solutions matching the identified needs. By working together and leveraging available funding opportunities, it is hoped that the medical community in the Northeast region will be able to address the needs identified through the CHERRIES methodology, which in turn will help to improve the health and well-being of the local community.

What are the next steps the region will undertake to meet the demographic challenge?

In the coming weeks, our intention is to define, develop and launch the call for solutions and, in the same time, to continue our search for funding opportunities for the pilot project, considering structural funds. Also, we intend to promote the CHERRIES methodology among Imago-Mol members in order to attract possible companies that would be interested to develop a solution for the identified need.

Providing high quality healthcare service delivery to a dispersed rural population in the West of Ireland

Let us take you to a journey into the CHERRIES Mirror Regions – 4 European territories that almost 1 year ago joined our community to receive coaching and mentoring support to replicate and adapt CHERRIES methodology into their local ecosystem and strategic R&I sectors. Today we present you CHERRIES Mirror Region West of Ireland.
  • Priority Area: Provision of remote healthcare to isolated/rural communities
  • Partners: WDC, HSE Digital Transformation, Mayo County Council, NUIG, Cisco

Why did you join the CHERRIES Community? What did you find interesting and relevant for you in the CHERRIES methodology?

Learning from other regions, supporting capacity building, and enhancing the tools we have in the region to address societal issues is part of the mission of WDC. We continuously seek to improve demand articulation, experimentation and to the co-creation process that we employ in the region. We are keen to avail of best practice in this area and increase the range of methodologies which we can employ to address challenges on a co-creation, co-participation basis in collaboration with a wide range of stakeholders, while engaging in responsible research and innovation. We intend to make most of regional strengths, assets, and resources to create maximum positive impact for this region, which is lagging behind the national average in most socio-economic criteria, is vulnerable to out-migration, and requires support to boost its recovery, resilience and growth potential.

What are the main challenges your territory is currently facing and addressing with innovative R&I strategies?

There are many challenges in the region. In terms of the project that we are focusing on, arose from a request from the people of the Clare Island to the WDC to help them make island living more sustainable. The project is a collaboration between the WDC, HSE Digital Transformation, Mayo County Council, NUIG, Cisco and others. It aims to provide an integrated digital health solution to the people of Clare Island and to proactively monitor and intervene for the health of the islanders.

The project stakeholders have proceeded to engage with the islanders, so that they can priorities their healthcare needs. In other developments, the project has engaged with mobile service providers to improve island connectivity. Connectivity, small sample size (relative to producing a statistically significant output), engagement with local stakeholders and community are all project-related specific challenges. For the people of Clare Island, a ‘Living Lab’ real world test approach would help reduce the number of journeys they would have to embark on to the mainland. It would provide them with an alternative to having to travel to see a doctor by using a digital closed loop system which will see islanders having medical consultations from the home or ‘Health Pod’. GPs will be able to electronically prescribe medications that can be delivered to the island via drone. Patients will be proactively monitored, and early interventions will help improve patient outcomes and reduce the cost of care.

What are the next steps the region will undertake to meet the demographic challenge?

STEP1

  • Clinical needs assessment complete, identified conditions on Island project can address.
  • Assessment of tech and infrastructure complete.

STEP2

  • Engaged with public patient involvement and with different hospital service division around care delivery
  • Selected appropriate patients, now establishing tech requirements.

STEP3

  • Development of connectivity architecture for extending virtual consulting via hub to home.
  • Creation of training materials, further engagement with community, real world testing.
  • Health promotion, selection of patients, establishing tech requirements for systems.

All steps are done in co-creation.

Watch the interview with Helena Deane