Presentation of the Hykomprogramme

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Presentation of the Høykom-programme

• Kjell Ove Kalhagen
• Dubai, March 2007

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The Høykom-programme

• A programme funded by the Ministry of Government
  Administration and Reform
• Stimulate the development and dissemination of
  innovative broadband based eGovernment
  applications
• Supports projects at both local, regional and
  central level
• Conversion (from traditional telephony) to IP
  telephony in a municipality or region
• Inter-municipal collaboration (IT-services and
  IT-based services)
• Establishment of digital learning resources and
  learning arenas in the education system
• Making public services available through portal
  projects.
• Streamlining service provision through the
  digitalisation of entire value chains
• Streamlining service provision through
  telemedicine/remote diagnostics and remote
  consultation in the health-sector

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Portfolio of projects
Supported over 400 different projects since
1999 Contributed to launch or upgrade of
broadband in a large number of public
institutions in many sectors Contributed to new
and improved services to the public as well as
more efficient internal administration
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Background measurement framework

• Office of the Audtior General of Norway (2004)
• Lots of IT-projects have been initiated, but
  little focus on how to secure benefits
• Lack of skills in agencies and municipalities
  related to technical and organisational aspects
• OECD eGovernment peer review of Norway (2005)
• Lack of capacity and capabilities for ICT
  project/management at agency level
• Lack of general framework for analysing and
  monotoring economic impacts of eGovernment
  projects

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Benefit realisation framework

• With effect from 2005 projects that receive
  support must report on a set of established
  quantitative and qualitative indicators
• Why measure?
• To better understand the economic impact of
  ICT-projects (quantitative and qualitative)
• Identify possible legal, organisational or
  technical obstacles to realising the potential
  benefits of eGovernment
• Establish best practice projects that may serve
  as models or lighthouses for other projects

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First results

• The firs results includes the short run effects
  of ICT-implementation
• Higher benefits expected in the long run when new
  ways of working have resulted in organisational
  changes
• 3 municipalities collaborating on the basis of
  shared IT systems (wages, accounts etc.) 800 000
  NOK (100 000 ) in reduced operating expenses per
  year
• Introduction of e-application of building
  permissions in 7 municipalities
• Cost 3,6 Mill NOK (implementation cost)
• Savings 9 Mill NOK Pbl / 4 Mill Nok Prv. (yearly)
• Cooperation via GIS between Government and
  private actors with regard to carthograpic data
  for cables in Oslo
• Cost 19,5 Mill NOK
• Savings 13Mill NOK (yearly)

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Cost benefit analysis of Mobile x-ray in
Norwegian nursing homes

• In Western European countries, the elderly
  population is set to grow dramatically by 2015,
  with a particular large increase in the number of
  people over 85 years.
• More resources, including radiology services will
  therefore be required
• We have about 36 000 nursing home-beds three
  times the number of all of Norways somatic
  hospital beds combined
• The Oslo region has one of the highest hip
  fracture rates in the world.

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Mobiel x-ray pilot in Oslo

• Started in September 2004 6 nursing homes
• Present
• gt 800 patients from 46 nursing homes
• gt 1000 examinations
• Since start up more than 800 x-rays pictures (3,2
  in average per day)
• 76 female 24 male
• Average age 87 years

The eguipment
Pictures sent from NH to hospitals via broadband
lines
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Results from pilot
Previously Mobile x-ray

• Two ambulance transports 4 persons
• 1 aide from NH
• 1-2 Radiographer

• 1 radiographer
• (1 aide from NH)

Saves the community approximately NOK 3200 (400)
per examination. 30 of current costs saved to
traditional x-rays, if one patient per stop is
served. Savings rise to 60 if two patients are
served. Qualitative benefits for user - gt
Traditional x-rays is time consuming for patients
(5 hours on average related to transportation and
waiting.)