5c witkamp ksyos expertise center ehin 2014

KSYOS Expertise Centre (KSYOS EC)

Leonard Witkamp

Director KSYOS Expertise Centrum

Professor TeleMedicine, Academic Medical Center, Amsterdam

Oslo, November 4th, 2014

KSYOS EC

TeleConsultation applied in regular care processes

>4.500 general practitioners, >2.500 medical specialists and

paramedics

> 250.000 TeleConsults

> 200.000 TeleScreenings

Fully reimbused

Health institution

TeleDermatology Consultation

Process of TeleDermatology

GP Dermatologist

Skin pictures

+ Patient history

+ Medication

+ Specific questions

GP Dermatologist

< 2 days

Max. 2 rounds

Process of TeleDermatology

Skin pictures

+ Patient history

+ Medication

+ Specific questions

GP Dermatologist

HIS

< 2 days

Max. 2 rounds

Process of TeleDermatology

Skin pictures

+ Patient history

+ Medication

+ Specific questions

Overview

Detail

Detail

TeleDermatoScopyfor pigmented skin lesions

Dermatoscope

Introduction

- Efficiency increase 74% prevented physical referrals

- Quality increase 29% of TeleConsults for second opninion

(substantial) learning effects in 85% of TeleConsults

- Quicker care mean response time 4.6 hours

(median 2.0 hours)

- Lower costs 18% cost reduction

Teledermatology applied following patient selection by general practitioner in daily practice

improves efficiency and quality of care at lower costs. British Journal of Dermatology, 2011.

Advantages

Long term effect of TeleDermatology Consultation

0

5

10

15

20

25

30

Huisartsen met

TeleDermatologie

Huisartsen overall

Fysieke verwijzingen Dermatologie

Fysieke verwijzingen/1000

patiënten/jaar

TeleDermatology

0

2000

4000

6000

8000

10000

12000

14000

16000

18000

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

DERMATOSCOPIE

REGULIER

Numbers of KSYOS TeleConsultation

0

500

1000

1500

2000

2500

3000

3500

2006 2007 2008 2009 2010 2011 2012

Omzet KSYOS TeleConsultatie in NL

Totaal gedeclareerd (in € x 1000)

Relation with the patient for entire process

Contracts with health workers

NEN 8028 certificied (quality standards TeleMedicine)

Implementation

EHD en hardware

Helpdesk and service

Education

Liability (insurance)

Monitoring

Research & Development

KSYOS TeleMedicine

Conventional care

Patiëntreplacestoconventionalcare

Hospital

GPptactice

Substitution

MedicalspecialistreplacestoGPpractice

Hospital

GPpractice

Vision KSYOS EC

80% of work in secondary care is routine care

And can be made more efficient by

Innovative techniques

Altered working condition

Prevention

Education

KSYOS Expertise Centrum

KSYOS TeleMedisch Centrum, Amsterdamseweg 206, 1182 HL Amstelveen, the Netherlands

tel: +31 (0) 20 600 00 60, fax: +31 (0) 20 203 11 21, www.KSYOS.org

1

Hospitalreplacestopatient

hospital

KSYOS EC

Health care institution

Peripheral policlinics, remote supervision

7000 medics and en paramedics

250.000 patiënts in KSYOS EHD

120.000 patiënts in 2014

Turnover NL € 4.500.000

With IT/Internet: care is time and place independent

KSYOS EC has treatment relation with the patient

Medical liability

Paid like regular hospitals

Aim EC

No waiting list

Care close to the patient

Lower costs

Better care

Performed in primary care setting by GP/paramedic

Supervised remotely by regional medical specialist

Proven in TeleDiagnostics en TeleConsultation

Best example: TeleOphthalmolgy

Expansion to TeleTreatment, TeleControle, TeleMonitoring

Businesscase

Patient quicker better care close to the patient at lower costs

GP service to the patient, learning effect, patient stays in

primary care

Medical specialist involved with primary care, quality control, fun, triage

Cooperation?

Leonard Witkamp

l.witkamp@ksyos.org

+31-206000060

+31650650196 (mobile)