The paediatric cardiology unit at Nus offers virtual appointments to children with suspected heart conditions at Sunderby and Gällivare hospitals. The approach started as a pilot in 2014 and will be implemented in regular activities in 2016. The procedure and technical solution is the same as in a work model for addressing acute heart conditions in children based on cardiac ultrasound examinations, an approach that was established against Sunderby and Gällivare hospitals already in 2009. This work model builds on the ability to stream ultrasound images  in real time. The cardiologists at Nus can thus guide a paediatrician at the child's home hospital through an ultrasound examination during a regular phone call. The video output of the ultrasound equipments is connected to a streaming server, which in turn is connected to the network. The cardiologist at Nus logs on to a secure website and can thus take part of the ultrasound images in real time. The examination can in addition be complemented by showing previously conducted ultrasound examinations for comparison. In the current state, the scope of the work model extends to half a days reception and on average three patients per week.

This text has been originally released in the following report: Telemedicine Survey in the County Council of Västerbotten -An analysis of the present situation, conditions and areas of improvement.

At the hand and plastic surgery unit, patients in need of rehabilitation after injury or surgery of the hand and arm are offered treatment using video conferencing in their home or at the nearest health centre. Occupational therapist and physiotherapists utilize either a video conferencing system or webcam solution, whereas the patients join from their home using their own computer or tablet. Patients in need of assistance, or those lacking access to required technology, participate using the videoconferencing system at the nearest primary healthcare facility. Remote support is offered to selected groups of patients, as well as to patients with long-term rehabilitation needs in both Västerbotten and other counties in the unit’s catchment area. The service is considered routine practice since 2009 and about 10 percent of the patients treated at this unit receive at least parts of their rehabilitation remotely. The unit also monitors initiated treatments and provides consultancy support to colleagues at health centres and community hospitals.

Some of the highlighted benefits are more equitable rehabilitation, as rehabilitation can be offered to all patients regardless of their place of residence, and that the patients are given a greater opportunity to fit rehabilitation into their everyday life. Environmental benefits and reduction in costs for travel and overnight stays are other important outcomes of this work model.

This text has been originally released in the following report: Telemedicine Survey in the County Council of Västerbotten -An analysis of the present situation, conditions and areas of improvement.

At the regional hospital in Lycksele, there is a maternity ward but paediatricians are only available during normal work hours. To support the unit in case of complications during child birth, specialists at the neonatal unit at Nus are available around the clock for video consultations. For this purpose, a resuscitation table has been equipped with a high resolution video camera to provide detailed images of the child, as well as a video conferencing system that makes it possible for obstetric staff or anaesthesiologists to communicate with paediatricians and neonatologists in Umeå. The technology makes it possible for specialists to assess the child's condition, suggest treatments or preparations for intensive care transport. The clinic delivers about 300 children annually and approximately one in a hundreds experiences complications in need of external support.

The neonatal department is, in addition, evaluating the possibility of using tablet computers for maintaining a video connection also during intensive care transports. There are about 160-170 such transports annually.

This text has been originally released in the following report: Telemedicine Survey in the County Council of Västerbotten -An analysis of the present situation, conditions and areas of improvement.

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