The welfare technology initiative in the Municipality of Oslo has an overall goal of increasing patients’ safety, coping and activity level. In recent years, entities in the Oslo municipality have seen the need for alternative ways of following up patients with chronic diseases, mental disorders and cancer. There is a need to raise the quality and increase efficiency related to following up these user groups. The municipality of Oslo therefore wishes to establish a Framework Agreement for technology related to distance monitoring.

A national trial of distance monitoring, where 6 municipalities participate, is conducted by the Directorate of Health. Selected districts in the municipality of Oslo have tested distance monitoring with good results. Based on this, the City of Oslo wants to increase the use of distance monitoring and therefore establish a Framework Agreement that all entities in the municipality can call for.

The purpose of distance monitoring is to:

— give the patient increased feeling of security, independence, and increased life quality,

— increase the service capacity for the future.

Technology related to distance monitoring may be sensors or other medical measuring devices, which actively or passively measures vital/physiological values, and applications for documenting, follow-up, administration et cetera.

The Municipality of Oslo has now defined 8 main functions which it is desirable that the solution covers:

A) function for digital self-measurement and documentation of measurements (values and self-reporting);

B) function showing the development of the patient's state of health over time (“learning”);

C) function that alerts changes in the patient's state of health (“responding”);

D) function that contributes to increased self-management and increased ability to initiate own actions;

E) function that reminds the patient to perform measurements and notifies if these are not performed;

F) function that enables actors outside Oslo municipality to see the patient's measurements;

G) function that enables 2-way communication with the patient without being physically present.