the dreaming project final conference trieste, 14th june 2012 the new organization model of...
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THE DREAMING PROJECTFINAL CONFERENCE Trieste, 14th June 2012Trieste, 14th June 2012
The new organization model of Pflegewerk and Mediplus in Berlin
Marius Greuèl, Project leaderAndrea Croci, IT Director Pflegewerk
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After an implementation phase of one year all the vital sensors are running without problems
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Patients are taking the measure themselfs
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…sometimes with a mistake!
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Videoconferencing is not so preferred in our Trial
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Pflegewerk has realized an 24/7 contact center but in the future we want to realize a regional decentered solution at 5 locations
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Residential Apartments for the elderly
Ambulatory healthcare centers
Ambulatory care services
Pflegewerk offers different care solutions for the participants
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Dreaming is focused to one of the target groups of Pflegewerk/Mediplus
Disease Manage-ment
HomeCare
ResidentialCare
IntensiveCare
Target group of Pflegewerk
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Implementation of medical pathways
9
noyes
Patient in intervention
group?
Nurse for the elderly measures vital data according to medical prescription using telemedicine devices.
Data is transmitted via smartphone to portal
Receives data and makes them available to doctors and nurses.
Sends SMS or Email in case of conspicuous measurements.
Nurse for the elderly and doctor receive values immediately and can respond promptly.
Nurse for the elderly measures vital data according to medical prescription.
Data is stored in paper record.
Sents summary report to doctor by email.
Doctor receives regularly vital data of patient as a basis for further decisions.
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Devices
The Vital sensors and
environmental sensors could be used
successful since 2010 The video conferencing is not comfortable, not all of the problems with the
audio card could be solved; we had installed two units in two apartments for the tests of the usability and handling. Since that time we have again Problems with the webcam, the sound and the quality of the video especially with the synchronization between video and audio channel
Mambo is not really useful for all of the participants, because of the handling and problems with GPS receiver
Results of the project
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Study group16 participants
– 14 died– 1 in Nursing home– 1 refused to take part after initially accepting
Control group15 participants - all died along the way
Dropouts
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Health economic Results
Germany
IG CG
Installation costs H/w 113.140,00 €
Personnel costs 17.625,00 €
Installation at service provider 4.690,00 €
TOTAL installation costs 135.455,00 € 0,00 €
Operational costs TOTAL operational costs 72.850,00 €
Healthcare costs Hospitalisation costs 269.700,00 € 202.275,00 €
Cost of emergencies assistance 6.300,00 € 4.050,00 €
Cost of ambulance transports 0,00 € 0,00 €
Cost of GP consultations 18.252,00 € 20.808,00 €
Cost of specialist consultations 9.234,00 € 7.398,00 €
Cost of home visits by nurses 40.749,00 € 34.474,50 €
Cost of home visits by service employees 187.368,00 € 504.408,00 €
Cost of home visits by social operators 10.622,00 € 9.353,00 €
Permanent transfer to elderly home 62,00 € 0,00 €
TOTAL 542.287,00 € 782.766,50 €
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Mediplus has identified and win the following contractors for the long-term guarantee of benefits after the EU funded phase:
- Housing Associations- several Health insurances- Hospitals- Medical service center for counseling and case management
Furthermore, the following partnerships have been included:
- German Society for Telemedicine- German Society for Health Telematics- German Nursing Associations- Technology Foundation Berlin Country (TSB) - Federal Association of Private Care Services- German Hospital Federation
Plans beyond the EU funded phase
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Plans beyond the EU funded phase
Smart-phone
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3. Why 3rd Generation?
Central Unit
Tablet
Dev
ices
are
dow
nsiz
ed
to th
e ac
tual
nee
ds o
f
a nu
rse
for t
he e
lder
ly!
1st generation
2nd generation
3rd generation
Smart-phone
Plans beyond the EU funded phase
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Some of the biggest health insurances has informed us that they are interested to transfer the project results into the prospective standard care system of Telemonitorig financed by the health insurances in 2013
The health insurances prefer meanwhile a methodological solution based on Propensity Score Matching and is compatible with MAST
Plans beyond the EU funded phase
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The German minister of health Dr. Daniel Bahr has
started 2012 with a Masterplan for Telematik
In 2012 the new electronic insurance card
will be implemented for all of the 70 Mill.
health insurance takers
Plans beyond the EU funded phase
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Contribution of Pflegewerk in new ICT Policy Support
Programme (ICT PSP) for Telemonitoring “RENEWING
HEALTH„ (REgioNs of Europe WorkINg toGether for HEALTH) with
400 participants
Plans beyond the EU funded phase
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Thank you for listening
Pflegewerk
Mediplus Managementgesellschaft im
Gesundheitswesen mbHWisbyerstr. 16/17
10439 BerlinTel.: (030) 396 00 510
Fax: (030) 39600511Mail: [email protected]
www.mediplus-berlin.de
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Preparation of an application regarding the future implementation of
telemonitoring into standard care at the „Gemeinsamer
Bundesausschuss“ (federal committee, the highest competent council of
the collective self-organisation of doctors, hospitals and health
insurances in Germany)
Membership in the telematic network of the telematic delegates of
the German federal states under the leadership of the health ministry
(HIPPO)
Plans beyond the EU funded phase