integrated care platform - teso telemedicine€¦ · *poc/poa = point of care / point of accident...
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Integrated Care Platform
Oslo, 16th November 2016
Drs. D. Peek, MD FCCS FIPP
Anesthesiologist & Pain Specialist
Drs. Mr. Sebastiaan R.V. Alves
Business Development Healthcare HPE
The use of Telemedicine in Ambulances
We consider it as quite normal…
Remote access to energy information at home
Remote access to car related information
We consider it as quite normal…
?
When it’s about life threatening situations…
Functionality and innovations
Data Analytics &
Decission Support Medical Expertise Centre Domain Differentiation
Video & bodycam Mobility & Medical Tablets ‘Multi Vendor’ Integration
Connecting different user groups with the Hospital
Ambulance
General Practitioner(s)
2016 / 2017
Other Hospitals
Tele-IC / Tele-ER
Patient at home
2017 / 2018
How can Telemedicine contribute?
*POC/POA = point of care / point of accident
Patient Home POC/POA*
PRE-AMBULANCE
Is patient transport necessary?
Ambulance
1
Physician
Hospital A Ambulance
PRE-HOSPITAL
Shorten door to needle time Improve communication and preparation
2
Ambulance
Hospital B
INTER CLINIC
Monitoring secondary transports remotely
3
Enlarge diagnostic possibilities at the POC/POA*
MIST
Vital signs
Converged
Cloud
Information
optimization
Security
Mobile X-Ray
Vital signs
Mobile Ultrasound
Ambulances
General Practitioners
*POC/POA = point of care / point of accident
Medical Relevation of the Solution Example* Neurology: strokes (CVA)
Stroke is a major worldwide health problem
- 1st cause of acquired disability in adults
- 2nd cause of dementia
- 3rd cause of death (8.524 Netherlands 2012 / 64% female)
Huge social economic impact
- Definition: costs of care, medication, missed econ productivity
- $ 34 billion (USA, 2014)
- € 350 million (Belgium, 2008)
- € 1.8 billion (the Netherlands, 2013)
Huge number of strokes yearly
- 1.100.000 new strokes in Europe yearly
- 27.000 new strokes in Belgium (74 p/day)
- 47.000 new strokes in the Netherlands (126 p/day)
• Source: University Hospital Brussel
Prof. Brouns, Prof. Hubloue, Prof. Noppen
Patient registration
+ triage
Nursing procedures – blood sampling – NIHSS
CT Nursing procedures – blood sampling – Final diagnosis
Routine clinical practice
Arrival hospital Start Thrombolysis
43m 45m 74m 84m 102m 28m
Prehospital Stoke Study
(telemedicine)
CT - Analyse blood resukts - Nursing procedures - Final diagnosis
Arrival hospital Start Thrombolysis
45m 72m
Immediate transport
to CT 30 mins quicker
Patient registration triage – Basic Nursing Procedures
Life Transmission of Vital parameters, PoC Blood Analysis – UTSS through bidirectional
Audio-video connection
43m 28m
(Prehospital stroke study Univ Hospital Brussel / “How to shorten door-to-needle time”)
Medical Relevation of the Solution
HPE won 2 TIMMIES with Telemed Solution recently!
Most Innovative Ecosystem & Most Innovative Vendor
(82 projects registered / 12 project nominated / 4 Timmies available)
Pilots
o Technical & Medical PoC ended and evaluated positive
o Preparing regional implementation (Business Case: quantify & qualify advantages)
o New pilots: Min. Defense, Handheld Diagnostics, remote monitoring COPD-patients
Legal issues, protocols and funding
o Relevant laws (privacy, treatment contract, health quality, medical instruments, etc.)
o Medicolegal Aspects
o Dialogue with relevant Government & Health insurance for changes in declaration proces
Preparing full implementation and scale up
o International approach with ‘coleur locale’
o Exploitation model: installation & delivery, license pricing, pay per use, training, helpdesk, etc
o Ambition to be the platform for hospitals to instrument their Telemedicine ambitions
SM2ART (Specialist Military Medical Assistance in Remote Treatment)
Medical Expertise Centers
Converged
Cloud
Information
optimization
Security
Data
Voice
Video
Trends in de gezondheidszorg vragen om innovatieve oplossingen
Big data & analytics,
personalization
Specialized
apps
Health records
(EHR, PHR)
Care pathways /
Scheduling
Telehealth
services
Precision medicine
/genomics
IoT / health
monitoring
Robust & secure
infrastructure
Technology enablers
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