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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
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We consider it as quite normal…
Remote access to energy information at home
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Remote access to car related information
We consider it as quite normal…
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?
When it’s about life threatening situations…
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Functionality and innovations
Data Analytics &
Decission Support Medical Expertise Centre Domain Differentiation
Video & bodycam Mobility & Medical Tablets ‘Multi Vendor’ Integration
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Connecting different user groups with the Hospital
Ambulance
General Practitioner(s)
2016 / 2017
Other Hospitals
Tele-IC / Tele-ER
Patient at home
2017 / 2018
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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
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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
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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
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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
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HPE won 2 TIMMIES with Telemed Solution recently!
Most Innovative Ecosystem & Most Innovative Vendor
(82 projects registered / 12 project nominated / 4 Timmies available)
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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
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SM2ART (Specialist Military Medical Assistance in Remote Treatment)
Medical Expertise Centers
Converged
Cloud
Information
optimization
Security
Data
Voice
Video
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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