![Page 1: Virtual Health Platform [05 Cr2 Cabrer Platform]](https://reader035.vdocuments.us/reader035/viewer/2022062418/55493080b4c9054c498c3535/html5/thumbnails/1.jpg)
Cabrer, M. et al.:Virtual Health Platform• This slideshow, presented at Medicine 2.0’08, Sept
4/5th, 2008, in Toronto, was uploaded on behalf of the presenter by the Medicine 2.0 team
• Do not miss the next Medicine 2.0 congress on 17/18th Sept 2009(www.medicine20congress.com)
• Order Audio Recordings (mp3) of Medicine 2.0’08 presentations at http://www.medicine20congress.com/mp3.php
![Page 2: Virtual Health Platform [05 Cr2 Cabrer Platform]](https://reader035.vdocuments.us/reader035/viewer/2022062418/55493080b4c9054c498c3535/html5/thumbnails/2.jpg)
Virtual Health Record Platform for Medical Tourism Purposes
Health Destination Project
![Page 3: Virtual Health Platform [05 Cr2 Cabrer Platform]](https://reader035.vdocuments.us/reader035/viewer/2022062418/55493080b4c9054c498c3535/html5/thumbnails/3.jpg)
![Page 4: Virtual Health Platform [05 Cr2 Cabrer Platform]](https://reader035.vdocuments.us/reader035/viewer/2022062418/55493080b4c9054c498c3535/html5/thumbnails/4.jpg)
4
Electronic Healthcare is emerging as a new “industry”
European Comission: by 2010 eHealth will take 5% of the total health budget (of the 25 member
states) when in 2001 it was 1% for EU 15.
Citizens movility is a priority in Europe
Elderly citizens
Tourism Competition
![Page 5: Virtual Health Platform [05 Cr2 Cabrer Platform]](https://reader035.vdocuments.us/reader035/viewer/2022062418/55493080b4c9054c498c3535/html5/thumbnails/5.jpg)
Medical Tourism
Growing businessLack of medical data exchange
![Page 6: Virtual Health Platform [05 Cr2 Cabrer Platform]](https://reader035.vdocuments.us/reader035/viewer/2022062418/55493080b4c9054c498c3535/html5/thumbnails/6.jpg)
Medical Tourism and Medical Traveling
![Page 7: Virtual Health Platform [05 Cr2 Cabrer Platform]](https://reader035.vdocuments.us/reader035/viewer/2022062418/55493080b4c9054c498c3535/html5/thumbnails/7.jpg)
7
$1$1 $10$10 $100$100 $1,000$1,000 $10,000$10,0000%0%
100%100% Healthy, Healthy, Independent LivingIndependent Living
Chronic Chronic Disease ManagementDisease Management
Doctor’s Doctor’s OfficeOffice
Community Community ClinicClinic
HOME CAREHOME CARE
Assisted LivingAssisted Living
Skilled Skilled Nursing FacilityNursing Facility
RESIDENTIAL CARERESIDENTIAL CARE
Community Community HospitalHospital
ICUICU
Specialty Specialty ClinicClinic
CLINICAL CARE
COST of CARE/DAYCOST of CARE/DAY
QUALITYQUALITYof LIFEof LIFE
The Continuum of Care
![Page 8: Virtual Health Platform [05 Cr2 Cabrer Platform]](https://reader035.vdocuments.us/reader035/viewer/2022062418/55493080b4c9054c498c3535/html5/thumbnails/8.jpg)
8
![Page 9: Virtual Health Platform [05 Cr2 Cabrer Platform]](https://reader035.vdocuments.us/reader035/viewer/2022062418/55493080b4c9054c498c3535/html5/thumbnails/9.jpg)
9
Cliente potencial
![Page 10: Virtual Health Platform [05 Cr2 Cabrer Platform]](https://reader035.vdocuments.us/reader035/viewer/2022062418/55493080b4c9054c498c3535/html5/thumbnails/10.jpg)
2- Health care center and nursing home (Gold age center)
Gold age center is a private multilevel healthcare center which specializes in long term care for the elderly.
A nursing and senior home center gold age is a residential home with a hotel style living in a professionally managed settings.
Provides several levels of care : from intermediate care ( developmentally disabled elderly adults) to extended care (dementia, Alzheimer)
Equipped with all modern facilities and tastefully furnished Gold age center is planned for comfort and security in private and semi-private rooms surrounded by landscaped gardens, trees, grass with several shaded outdoor areas for residents to enjoy conversation and relaxation.
Health District Dubai (AAL)
![Page 11: Virtual Health Platform [05 Cr2 Cabrer Platform]](https://reader035.vdocuments.us/reader035/viewer/2022062418/55493080b4c9054c498c3535/html5/thumbnails/11.jpg)
– Internet accessible from the patient, hospital, ensurance co, referral physician, hotel.
– Relevant clinical information: interoperable
– Automatic Translation
– Portable
– Added value services: asychronous telemedicine
Presented Project
Health Destination is about a Virtual Health Platform for medical tourism purposes :
![Page 12: Virtual Health Platform [05 Cr2 Cabrer Platform]](https://reader035.vdocuments.us/reader035/viewer/2022062418/55493080b4c9054c498c3535/html5/thumbnails/12.jpg)
12
Complexes workflows: we need to make it easier
US Exam System
Physician Office
EHR System
Remote Hospital
XDS Clinical Affinity Domain
Community Clinic
Lab Info. System
PACS
L-716
PACS
DRM Patient Identity Source
Retrieve DocumentProvide & Register
RegisterQuery Document
Patient Identity Feed
Query Document Retrieve
Document
Provide & RegisterRegister
Provide & Register
Register
Retrieve Document
Query Document
Document Registry
Document Repository
Emergency Application
![Page 13: Virtual Health Platform [05 Cr2 Cabrer Platform]](https://reader035.vdocuments.us/reader035/viewer/2022062418/55493080b4c9054c498c3535/html5/thumbnails/13.jpg)
Virtual Health Platform in the Health 2.0 Scenario
Inte
ropera
ble Healt
h Reco
rd Asynchronous Telemedicine
Portable Health
Easy
Clin
ical
Man
agem
ent S
olut
ion
![Page 14: Virtual Health Platform [05 Cr2 Cabrer Platform]](https://reader035.vdocuments.us/reader035/viewer/2022062418/55493080b4c9054c498c3535/html5/thumbnails/14.jpg)
Medical Tourism Platform
HIS / EMR
DestinationCenter
Medical Images
Virtual Health Platform(VHP)
Personal Health Record (PHR)
Allergy, Medication, Diagnosis
Teleconsulta Imagen, video, PDF
scheduling
VHP
SNOMED
1
2
3
4
56
6 1 – Patient (or phyisician) register data in the PHR and puts some info on a teleconsultation
2 – The receiver medical center will be able to review the information and teleconsultation
3 – Patient is scheduled and teleconsultation is answered
4 – Patient travels to be operated the scheduled date
5 – Local HIS feeds the PHR once patient has been treated
6 – SNOMED : interoperability and translation
7
7 – Medbytes stores critical information into the portable USB Device
![Page 15: Virtual Health Platform [05 Cr2 Cabrer Platform]](https://reader035.vdocuments.us/reader035/viewer/2022062418/55493080b4c9054c498c3535/html5/thumbnails/15.jpg)
Virtual Health Platform
• Independent Platform
• Two modules:• PHR: easy to use (SNOMED). XML capabilities (Gateway)• Asychronous Teleconsultation
• International Standards HL7, DICOM, CDA • Patient manages the information:
• Provide access to others• Medbytes
• Privacy
![Page 16: Virtual Health Platform [05 Cr2 Cabrer Platform]](https://reader035.vdocuments.us/reader035/viewer/2022062418/55493080b4c9054c498c3535/html5/thumbnails/16.jpg)
Interoperable & Portable Health Record
![Page 17: Virtual Health Platform [05 Cr2 Cabrer Platform]](https://reader035.vdocuments.us/reader035/viewer/2022062418/55493080b4c9054c498c3535/html5/thumbnails/17.jpg)
http://
myh
lz.c
om
![Page 18: Virtual Health Platform [05 Cr2 Cabrer Platform]](https://reader035.vdocuments.us/reader035/viewer/2022062418/55493080b4c9054c498c3535/html5/thumbnails/18.jpg)
Images, videos and documents
Asynchronous Telemedicine
![Page 19: Virtual Health Platform [05 Cr2 Cabrer Platform]](https://reader035.vdocuments.us/reader035/viewer/2022062418/55493080b4c9054c498c3535/html5/thumbnails/19.jpg)
A toolkit and family modules that facilitates the capture, retrieval, format Dicom conversion, communication and
storage between source modalities and PACS repositories.
MIO LT, MIO COMM, Server, Broker, Store, Wado, Viewer
![Page 20: Virtual Health Platform [05 Cr2 Cabrer Platform]](https://reader035.vdocuments.us/reader035/viewer/2022062418/55493080b4c9054c498c3535/html5/thumbnails/20.jpg)
Medting.com 20
Medting
![Page 21: Virtual Health Platform [05 Cr2 Cabrer Platform]](https://reader035.vdocuments.us/reader035/viewer/2022062418/55493080b4c9054c498c3535/html5/thumbnails/21.jpg)
Clinical Cases
Medting.com 21
![Page 22: Virtual Health Platform [05 Cr2 Cabrer Platform]](https://reader035.vdocuments.us/reader035/viewer/2022062418/55493080b4c9054c498c3535/html5/thumbnails/22.jpg)
Solutions
HIS / EMR
DestinationCenter
Medical Images
Virtual Health Platform(VHP)
Personal Health Record (PHR)
Allergy, Medication, Diagnosis
Teleconsulta Imagen, video, PDF
scheduling
VHP
SNOMED
1
2
3
4
56
6
7
![Page 23: Virtual Health Platform [05 Cr2 Cabrer Platform]](https://reader035.vdocuments.us/reader035/viewer/2022062418/55493080b4c9054c498c3535/html5/thumbnails/23.jpg)
Health Destination Project
Testing the workflow & analyzing the business
![Page 24: Virtual Health Platform [05 Cr2 Cabrer Platform]](https://reader035.vdocuments.us/reader035/viewer/2022062418/55493080b4c9054c498c3535/html5/thumbnails/24.jpg)
Project Plan
1 months1 months1 months1 months5 months5 months5 months5 months 6 months6 months 6 months6 months
Phase II Implementing & integrating the pilot platform Clinical Case definition and finding partners (hotel & medical center)
Phase I Project kick-off Team organisation, roles and tasks definition Licenses and devices provisioning (purchase agreements)
Phase III Proof of concept: running the clinical case Demos and showcase Defining potential uses of the platform and writing a full roll-out project (EU funding)
Jan 08
Dec 08Jun 08
Looking for Partners
![Page 25: Virtual Health Platform [05 Cr2 Cabrer Platform]](https://reader035.vdocuments.us/reader035/viewer/2022062418/55493080b4c9054c498c3535/html5/thumbnails/25.jpg)
25
Virtual Health Platform: several purposes
Real cases experiences and samples
A complete document evaluating experiences and business possibilities and uses
Potential customers evaluation: Tourist Private hospitals Ensurance companies Touroperators Telemedicine platforms New eHealth business models
EU Proposal
Output from the project
![Page 26: Virtual Health Platform [05 Cr2 Cabrer Platform]](https://reader035.vdocuments.us/reader035/viewer/2022062418/55493080b4c9054c498c3535/html5/thumbnails/26.jpg)
EU FP7 : Health without barriers
26
+EURATOM
EURATOM Programme
“Cooperation”Collaborative R&D, pre-defined themes, JTIs
“Ideas” Frontier research, competition, individual grants
“People”Human potential, mobility
“Capacities” Infrastructure, SMEs, science and society
Joint Research Centre (non-nuclear)
NEW
Total€ 54.6 bn2007-2013
€ 1.3 bn€ 2.8 bn
€ 32.3 bn
€ 7.5 bn
3 %
65 %15 %
9 %€ 4.7 bn
8 %
€ 1.8 bn
€ 4.3 bn
![Page 27: Virtual Health Platform [05 Cr2 Cabrer Platform]](https://reader035.vdocuments.us/reader035/viewer/2022062418/55493080b4c9054c498c3535/html5/thumbnails/27.jpg)
_________________________________Miguel Cabrer
+34 636962659eHealth Advisor
Member of HIMSS EMEA Governing Council_________________________________