The use of technology contributes to the delivery of health services in new ways and makes it possible for as many health services as possible to take place as close as possible to where the patient lives. This is what the project "Digital interaction in the patient process" (DSIP) systematically worked on in the period of February 2019 to June 2020. The aim of the project was to develop good service models using digital technology that support interaction challenges, across the service levels in Norway.

This has been made possible through innovation funds from the regional health enterprise "Health south east".

The result from the project reflected the hypotheses that the project had at the start.

Interaction across the service levels will bring benefits both for patients, the healthcare system and society in that available decision support provides:

• faster diagnosis and a more correct level of treatment
• more correct choice of transport method
• more clarified patients on arrival at emergency department
• fewer unnecessary journeys and check-ups in hospital
• increased preparedness for the ambulance service
• shorter journey for the patients
• transfer of expertise between the service levels
• better utilization of resources and more learning across the board

The project has used technology and solutions associated with the Norwegian Healthnet (NHN), in the form of established video equipment for meeting rooms, virtual meeting rooms (Pexip), accessible desktop solutions and web solutions via PC, tablet, Realwear HMT-1 and smartphones. These solutions enable healthcare services to be provided effectively from a distance, so that the right treatment is given at a reasonable and correct level of care throughout the service and with effective utilization of personnel and resources.

HelseInn, a hub between public healthcare, academia, private companies and voluntary organisations, has contributed to the planning and implementation of the project and contributed to the spread of results through social media, own network and information on websites.

As a result of the development of the project, Health south east's Technology Transfer Office (TTO) Inven2 was invited to join the project in the event that there was a need for work in the field of "Intellectual property rights" (IPR) or patents.

Some time into the development work with Realwear HMT-1, Inven2 became involved in connection with an IPR situation, where Knut Anders Brevig and Peder Stokke wrote a DOFI, they eventually also connected Lars Olav Fjose and Tom Bakken all employees of Innlandet Hospital Trust (IH). When they developed a solution that was put into use. A "Disclosure of Invention" was then written (DOFI). Inven2 initiated a process to secure IH's and inventors' rights, as well as assisted in finding a commercialization partner for the further work in the development of the solution.

Inven2 then worked together with Jodacare, the importer of Realwear HMT-1, to reach an agreement on the commercialization and further development of the solutions SI has developed. The result was that Jodacare created a subsidiary, Jodapro, which aims to take the solution out to anyone who might be interested of using it.

Today, the Jodapro solution (Realwear HMT-1 with software) is used in all ambulances in villages in the Innlandet county.