Alexandra Bargiota Assist. Prof. in Endocrinology University Hopsital of Larissa Thessaly, Greece.

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Alexandra Bargiota Assist. Prof. in Endocrinology University Hopsital of Larissa Thessaly, Greece. www.united4health.eu"

Transcription

1 Applying Evidence-Based Medicine with Telehealth the clinician view Assessing the impact of telehealth/telemedicine either via an RCT or an observational study the voice of a clinician Alexandra Bargiota Assist. Prof. in Endocrinology University Hopsital of Larissa Thessaly, Greece

2 Current status and need for Evidence Based Medicine in telehealth RENEWING HEALTH selection of preliminary clinical outcomes from Central Greece UNITED4HEALTH: Transforming Renewing Health outcomes in everyday clinical practice.

3 Chronic illnesses, such as asthma, COPD, diabetes, heart failure and hypertension represent a significant burden of disease Telehealth has attracted interest as a potential solution to the global challenge of providing care for populations living with chronic diseases. Current findings lend some support to the assertion that a service redesign that included telehealth can improve care, reduce admissions and mortality in people with long term conditions.

4 Action 75: Give Europeans secure online access to their medical health data and achieve widespread telemedicine deployment -Undertake pilot actions to equip Europeans with secure online access to their medical health data by and to achieve by 2020 widespread deployment of telemedicine services.

5 The clinicians questions: -Is there sufficient evidence to support the effectiveness of telehealth on improving patients care -Where does this evidence come from -What is the transferability of this evidence to the every day clinical practice

6 Evidence-based clinical practice: Is an approach to decision-making in which the clinician uses the best evidence available, in consultation with the patient, to decide upon the option which suits that patient best. Gray JAM Evidence-based healthcare: how to make health policy and management decisions. London: Churchill Livingstone.

7 Where clinical evidence comes from? Health Information Technology Knowledge Base, (2010)The USA Office of the National Coordinator for Health Information Technology (ONC)

8 A randomised controlled trial (or randomised control trial.rct): is a specific type of scientific experiment, and the gold standard for a clinical trial. RCTs are often used to test the efficacy or effectiveness of various types of medical intervention within a patient population Chalmers TC, Controlled Clinical Trials 2 (1): 31 49, 1981.

9 Telemedicine Standards and Clinical Guidelines are required

10 Current evidence of telehealth in chronic deseases

11 Medline publications on telemedicine and five chronic diseases. There were 1324 publications between 1990 and 2011

12 CURRENT EVIDENCE: Telemedicine use for diabetes care is feasible and acceptable. Its effectiveness though on improving HbA 1c, reducing costs while maintaining HbA 1c levels and improving other aspects of diabetes management still needs to be proved. Comparison of changes in HbA 1c control vs. intervention Farmer A. Diabetic Medicine, Volume 22, Issue 10, pages , 12 MAY 2005

13 Remote monitoring (no implanted device) The optimum approach to non-invasive remote monitoring is uncertain, and RCTs performed to date have given inconsistent results and do not yet support a guideline recommendation. Structured telephone support Although a meta-analysis of RCTs suggests that structured telephone support in addition to conventional care may reduce the risk of hospitalization in patients with HF, few individual RCTs showed this benefit, and the evidence is not robust enough to support a guideline recommendation.

14 CURRENT EVIDENCE: Home telehealth interventions for COPD were similar or better than usual care for quality of life and patient satisfaction outcomes, but the available evidence is limited. J Polisena et al. Journ. of Telemedicine and Telecare 2010; 16:

15

16 Despite calls for robust effectiveness trials of telemonitoring in chronic diseases systematic reviews have reported inconclusive results. Despite patients attitudes and receptiveness towards this approach being promising, But the evidence is insufficient to draw firm conclusions about clinical effectiveness

17 Where is the problem?

18 Sustainability of healthcare systems is at stake The nature of usual care delivered to a control group was not well defined and varied a lot Heterogeneity of telehealth interventions outcomes ranging from simple telephone follow-up to daily telemonitoring of physiological or symptom scores or to more complex telemonitoring interventions with greatly enhanced clinical contributes to the difficulty in interpreting the result Telemonitoring was integrated into existing clinical services, such that monitoring was provided by clinical teams who already had (or were about to assume) clinical responsibility for the patients. Most studies address only one chronic condition (e.g diabetes), an not evaluate all chronic diseases together

19 Studies also differ in -Characteristics of the patients (e.g., may include patients whose prognosis is better than average, or may exclude "women, the elderly, and those with common medical conditions) -Outcome measures (e.g., may use composite measures infrequently used in clinical practice) -Incomplete reporting of adverse effects of interventions

20 Why is EU action needed? -Patients' empowerment and deployment of telehealth services are key to ensuring the sustainability of healthcare systems. Telehealth is also a promising tool to improve mental health, increase the social impact of public health intervention, provide efficient health support in remote areas, and to respond to the shortage of healthcare professionals and the lack of financial resources."

21 REgioNs of Europe WorkINg together for HEALTH Renewing Health

22

23 Renewing health multicenter trial cluster 2 : Long-term telemonitoring of patients with type 2 diabetes mellitus Primary Outcome Measures: Health related quality of life of the patients measured by the SF-36 version 2 questionnaire [ Time Frame: 12 months minimum- at the entry point of the intervention and the end. ] Glycated hemoglobin (HbA1c) levels at the entry point and after a period of 12 months.

24 Renewing Health multicenter trial cluster 4 : Telemedicine follow up after hospital discharge for chronic obstructive pulmonary disease (COPD) exacerbation RENEWING HEALTH Secondary Outcome Measure (analyzed): Health related quality of life of the patients as measured by the SF- 36 version 2 questionnaire (Time Frame: 3 months - at the entry point of the intervention and the end)

25 Renewing Health RCT in Thessaly outomes: HBA1c levels (Decrease in score denotes improvement) mean HBA1c (%) 1 st month 12 th month CONTROL 8.62 (1.43) 7.77 (0.78) p=0.000 (Wilcoxon Test) INTERVENTION 8.55 (1.38) 7.14 (0.61) p=0.000 (Wilcoxon Test)

26 Renewing Health RCT in Thessaly outomes: The Effect on Quality of Life (SF36v2 Physical Component Scale) IN CONTROL AND INTERVENTION GROUP AT 1 ST AND 12 TH MONTH mean score 1 st month 12 th month CONTROL (6.12 ) (5.08) p= (Wilcoxon Test) INTERVENTION (4.34 ) (2.97) p=0.053 Wilcoxon Test (Range 0-100, increase in scores denotes improvement)

27 Renewing Health RCT in Thessaly outomes: The Effect on Quality of Life (SF36v2 Mental Component Scale) IN CONTROL AND INTERVENTION GROUP AT 1 ST AND 12 TH MONTH mean scores 1 st month 12 th month CONTROL (10.17) (8.90) p= 0,000 (Wilcoxon Test) INTERVENTION (8.42 ) 53.50(6.54) p= 0,000 (Wilcoxon Test) (Range 0-100, increase in score denotes improvement)

28 Renewing Health Diabetes type 2 RCT in Thessaly outcomes Preliminary Conclusions: Our preliminary results indicate that home telemonitoring is more effective in improving glycemic control and health related Quality of Life in DMT2 patients compared with the usual care. Usual care model needs to address the aspects related to the health related Quality of Life in DMT2 patients, and not only focus in improving glycemic control.

29 From RCT to everyday clinical practice: From Renewing Health to UnitedforHealth Randomized controlled trials have specific inclusion and exclusion criteria that are often quite restrictive Observational Studies usually apply to a much broader population and are frequently even population-based. Thus, extrapolation to the entire population may be unwise. On the other hand, the results for all patients in the observational studies are of great interest because they reflect actual practice patterns and because they allow subset analyses that will speak to precisely which patients benefit from each treatment/intervention.

30 United4Health objectives: Collect and assess data at large scale from across many regions and institutions in Europe that can be aggregated at European level; thus providing data. Adapt clinically validated services from some regions and institutions in Europe (Renewing Health partners) in the local setting of a large number of other regions and institutions (United4Health partners). Maximize the transferability of services and knowledge among European healthcare providers at such large scale and in close collaboration.

31 Partners of UNITED4HEALTH and RENEWING HEALTH in Central Greece 1. The 5th Regional Health Authority of Thessaly and Sterea (Regional University Health Authority Hospital) 2. e-trikala SA, a company owned by the Municipality of Trikala (competence center) 3. Digital Cities of Central Greece SA (Cities Net SA) a company owned by the 10 Municipalities of the Digital Community of Central Greece

32 Other Challenges with telehealth services harmonization of diagnosis related groups that can be treated by telemedicine accreditation of health professionals who provide telemedicine applications interoperability issues cost effectiveness reimbursement for telemedicine services legal framework and liability issues COM(2008)689 Final November 2008

33 Funding RENEWING HEALTH and UNITED4HEALTH are partially funded under the ICT Policy Support Programme (ICT PSP) as part of the Competitiveness and Innovation Framework Programme by the European Community Ministry of Health and Social Solidarity of Greece Prefecture of Thessaly Municipality of Trikala

34 Thank you for your attention! Ευχαριστώ για την προσοχή σας!

Transforming the patient experience with telehealth in Europe : "Applying Evidence-Based Medicine in Telehealth"

Transforming the patient experience with telehealth in Europe : Applying Evidence-Based Medicine in Telehealth Transforming the patient experience with telehealth in Europe : "Applying Evidence-Based Medicine in Telehealth" George E. Dafoulas, MD, MBA in HSM, PhDc etrikala, Municipality of Trikala 5 th Regional

More information

DIABETES: Applying Evidence- Based Medicine in Telehealth George E. Dafoulas MD, MBA in HSM, PhDc e- trikala SA, Greece

DIABETES: Applying Evidence- Based Medicine in Telehealth George E. Dafoulas MD, MBA in HSM, PhDc e- trikala SA, Greece DIABETES: Applying Evidence- Based Medicine in Telehealth George E. Dafoulas MD, MBA in HSM, PhDc e- trikala SA, Greece www.united4health.eu Table of Contents Overview of current status and need for Evidence

More information

Claus Duedal Pedersen Chief Consultant Odense University Hospital Region of Southern Denmark

Claus Duedal Pedersen Chief Consultant Odense University Hospital Region of Southern Denmark Claus Duedal Pedersen Chief Consultant Odense University Hospital Region of Southern Denmark Table of Content It all takes time RENEWING HEALTH in a nutshell Evaluating telemedicine Results & Expectations

More information

Telemedicine - a challenge rather than solution for payers and service providers in EU

Telemedicine - a challenge rather than solution for payers and service providers in EU Telemedicine - a challenge rather than solution for payers and service providers in EU K. Dziadek, MAHTA G. Waligora Keywords: adherence, e-health, telemedicine, telemonitoring DOI: 10.7365 / JHPOR.2015.1.1

More information

Telehealth. an overview. Supported by the Telemedicine & ehealth Section, The Royal Society of Medicine. Stacey Marney,

Telehealth. an overview. Supported by the Telemedicine & ehealth Section, The Royal Society of Medicine. Stacey Marney, Supported by the Telemedicine & ehealth Section, The Royal Society of Medicine Telehealth an overview Professor Brian McKinstry GP and Professor of Primary Care E-Health University of Edinburgh Dr Richard

More information

Telehealth Pros & Cons. Keir Lewis AARNS Conference 7 th May 2011

Telehealth Pros & Cons. Keir Lewis AARNS Conference 7 th May 2011 Telehealth Pros & Cons Keir Lewis AARNS Conference 7 th May 2011 Summary The need for different working Definitions Evidence Base so far (for COPD) Future developments Change in age-adjusted death rate

More information

Telehealth Solutions Enhance Health Outcomes and Reduce Healthcare Costs

Telehealth Solutions Enhance Health Outcomes and Reduce Healthcare Costs Text for a pull out can go heretext for a pull out can go heretext for a pull out can go Text for a pull out can go here Text for a pull out can go here Telehealth Solutions Enhance Health Outcomes and

More information

Patient inclusion in Diabetic and CHF Telemedicine Services United4Health project experiences in Slovenia

Patient inclusion in Diabetic and CHF Telemedicine Services United4Health project experiences in Slovenia Patient inclusion in Diabetic and CHF Telemedicine Services United4Health project experiences in Slovenia Drago Rudel1, C.Slemenik Pušnik2, M.Epšek Lenart2, S.Pušnik3, and J.Lavre2 1MKS Electronic Systems

More information

Home Telehealth for Patients With Chronic Obstructive Pulmonary Disease (COPD): An Evidence-Based Analysis

Home Telehealth for Patients With Chronic Obstructive Pulmonary Disease (COPD): An Evidence-Based Analysis Home Telehealth for Patients With Chronic Obstructive Pulmonary Disease (COPD): An Evidence-Based Analysis J Franek March 2012 Ontario Health Technology Assessment Series; Vol. 12: No. 11, pp. 1 58, March

More information

Personal Health Systems and COPD how to integrate into routine health delivery?

Personal Health Systems and COPD how to integrate into routine health delivery? Personal Health Systems and COPD how to integrate into routine health delivery? From HealthCare to Health Promotion Josep Roca Hospital Clinic.IDIBAPS.University of Barcelona HIGHLIGHTS CHALLENGE OF CHRONIC

More information

The Secrets of Telehealth: How to deploy services in routine care? Marc Lange

The Secrets of Telehealth: How to deploy services in routine care? Marc Lange The Secrets of Telehealth: How to deploy services in routine care? Marc Lange Table of Content There are more pilots in telemedicine The Project Mind the Gaps Working approach Critical Success Factors

More information

The Role of Telemedicine in Home Monitoring and Long Term Care June 7, 2012. Penny S. Milanovich President UPMC Visiting Nurses Association

The Role of Telemedicine in Home Monitoring and Long Term Care June 7, 2012. Penny S. Milanovich President UPMC Visiting Nurses Association The Role of Telemedicine in Home Monitoring and Long Term Care June 7, 2012 Penny S. Milanovich President UPMC Visiting Nurses Association Cost of Chronic Conditions An average of 40-50% of healthcare

More information

5/6/2014. Physiologic Monitoring Tools & Use with Patients with Chronic Health Conditions. Objectives. The Issue at Hand

5/6/2014. Physiologic Monitoring Tools & Use with Patients with Chronic Health Conditions. Objectives. The Issue at Hand Physiologic Monitoring Tools & Use with Patients with Chronic Health Conditions Kelly Brittain, PhD, RN Assistant Professor MCRH-Nursing Grand Rounds May 8, 2014 Objectives 1. Summarize previous research

More information

CLINICAL PRACTICE GUIDELINES Treatment of Schizophrenia

CLINICAL PRACTICE GUIDELINES Treatment of Schizophrenia CLINICAL PRACTICE GUIDELINES Treatment of Schizophrenia V. Service Delivery Service Delivery and the Treatment System General Principles 1. All patients should have access to a comprehensive continuum

More information

THE ROLE OF HEALTH INFORMATION TECHNOLOGY IN PATIENT-CENTERED CARE COLLABORATION. 2012 Louisiana HIPAA & EHR Conference Presenter: Chris Williams

THE ROLE OF HEALTH INFORMATION TECHNOLOGY IN PATIENT-CENTERED CARE COLLABORATION. 2012 Louisiana HIPAA & EHR Conference Presenter: Chris Williams THE ROLE OF HEALTH INFORMATION TECHNOLOGY IN PATIENT-CENTERED CARE COLLABORATION 2012 Louisiana HIPAA & EHR Conference Presenter: Chris Williams Agenda Overview Impact of HIT on Patient-Centered Care (PCC)

More information

The use of text messaging to improve asthma control: a pilot study using the mobile phone short messaging service (SMS)

The use of text messaging to improve asthma control: a pilot study using the mobile phone short messaging service (SMS) RESEARCH Original article... Q The use of text messaging to improve asthma control: a pilot study using the mobile phone short messaging service (SMS) Lathy Prabhakaran*, Wai Yan Chee*, Kia Chong Chua,

More information

Congestive Heart Failure Management Program

Congestive Heart Failure Management Program Congestive Heart Failure Management Program The Congestive Heart Failure Program is the third statewide disease management program developed by CCNC. The clinical directors reviewed prevalence and outcome

More information

Service delivery interventions

Service delivery interventions Service delivery interventions S A S H A S H E P P E R D D E P A R T M E N T O F P U B L I C H E A L T H, U N I V E R S I T Y O F O X F O R D CO- C O O R D I N A T I N G E D I T O R C O C H R A N E E P

More information

Self-Management and Telehealth - design, evidence and implementation

Self-Management and Telehealth - design, evidence and implementation ucl behavioural medicine CONTEXT Self-Management and Telehealth - design, evidence and implementation Drivers for changing the way we deal with chronic conditions Prof Stanton P Newman University College

More information

Clinical Nurse Specialists Practitioners Contributing to Primary Care: A Briefing Paper

Clinical Nurse Specialists Practitioners Contributing to Primary Care: A Briefing Paper Clinical Nurse Specialists Practitioners Contributing to Primary Care: A Briefing Paper As the need grows for more practitioners of primary care, it is important to recognize the Clinical Nurse Specialist

More information

Telehealth in Connecticut. Perspectives from Home Health Care Providers

Telehealth in Connecticut. Perspectives from Home Health Care Providers Telehealth in Connecticut Perspectives from Home Health Care Providers July 2014 Telehealth in Connecticut Perspectives from Home Health Care Providers 1 SUMMARY. Telehealth refers to the remote provision

More information

Overview. Service Innovation

Overview. Service Innovation Customer Case Study Telefonica E- Health Remote Patient Management Services EXECUTIVE SUMMARY COMPANY OVERVIEW Customer Name: Telefonica Industry: Telecommunications Location: Spain, Global BUSINESS CHALLENGE/OPPORTUNITY

More information

Telemedicine in the Prevention and Monitoring of Heart Disease

Telemedicine in the Prevention and Monitoring of Heart Disease Telemedicine in the Prevention and Monitoring of Heart Disease Prof. Dr. med. Friedrich Köhler 26. April 2012 Charité-Universitätsmedizin Berlin Facts Founded in 1710 11 Nobel laureates 12.922 employees

More information

A Population Health Management Approach in the Home and Community-based Settings

A Population Health Management Approach in the Home and Community-based Settings A Population Health Management Approach in the Home and Community-based Settings Mark Emery Linda Schertzer Kyle Vice Charles Lagor Philips Home Monitoring Philips Healthcare 2 Executive Summary Philips

More information

Cloud Computing / Tele- Health in a Novel Integrated CHF Disease Management Program: The Israeli Experience

Cloud Computing / Tele- Health in a Novel Integrated CHF Disease Management Program: The Israeli Experience Cloud Computing / Tele- Health in a Novel Integrated CHF Disease Management Program: The Israeli Experience Haim Silber MD Programs Initiator Maccabi Health Care services and Gertner Institute, ISRAEL

More information

Care Planning and Goal setting in Diabetes management

Care Planning and Goal setting in Diabetes management Care Planning and Goal setting in Diabetes management How can we provide self-management support to people with chronic conditions? Professor Malcolm Battersby Flinders University Flinders Human Behaviour

More information

WHO & ehealth in Europe The role of ehealth in achieving Universal Health Coverage and strengthening national health systems

WHO & ehealth in Europe The role of ehealth in achieving Universal Health Coverage and strengthening national health systems WHO & ehealth in Europe The role of ehealth in achieving Universal Health Coverage and strengthening national health systems Clayton Hamilton, ehealth and Innovation WHO Regional Office for Europe Tenth

More information

Telehealth in Respiratory Rehabilitation & Long Term Ventilation May 1 st, 2015

Telehealth in Respiratory Rehabilitation & Long Term Ventilation May 1 st, 2015 GTA Rehab Network Best Practices Day Telehealth in Respiratory Rehabilitation & Long Term Ventilation May 1 st, 2015 Jacinthe Dubois-Webster, OT Reg. (Ont.) West Park Healthcare Centre Telehealth The different

More information

Delivery models from 14 Regions in Europe. Upscaling Telehealth. - the need for policy engagement

Delivery models from 14 Regions in Europe. Upscaling Telehealth. - the need for policy engagement Delivery models from 14 Regions in Europe Upscaling Telehealth - the need for policy engagement 1 Professor George Crooks OBE MBChB FRCP FRCGP Medical Director NHS 24 This version of the document is subject

More information

Philips Hospital to Home: redefining healthcare. through innovation in telehealth

Philips Hospital to Home: redefining healthcare. through innovation in telehealth Philips Hospital to Home: redefining healthcare through innovation in telehealth Healthcare costs are at a crisis point, forcing the federal government to make comprehensive changes to healthcare payment

More information

Hospital-at-Home Programs for Patients With Acute Exacerbations of Chronic Obstructive Pulmonary Disease (COPD): An Evidence-Based Analysis

Hospital-at-Home Programs for Patients With Acute Exacerbations of Chronic Obstructive Pulmonary Disease (COPD): An Evidence-Based Analysis Hospital-at-Home Programs for Patients With Acute Exacerbations of Chronic Obstructive Pulmonary Disease (COPD): An Evidence-Based Analysis BR McCurdy March 2012 Ontario Health Technology Assessment Series;

More information

1.1 WHAT IS A QUIT LINE?

1.1 WHAT IS A QUIT LINE? 1.Benefits and rationale for establishing quit-line services 1.1 WHAT IS A QUIT LINE? Quit lines provide a variety of tobacco cessation services predominately via telephones. These usually include: initial

More information

Developing clinician competencies in self-management support for people with chronic conditions: The Flinders model

Developing clinician competencies in self-management support for people with chronic conditions: The Flinders model Developing clinician competencies in self-management support for people with chronic conditions: The Flinders model Introduction Self-management support is one of the 6 elements of the Chronic Care Model

More information

Current reporting in published research

Current reporting in published research Current reporting in published research Doug Altman Centre for Statistics in Medicine, Oxford, UK and EQUATOR Network Research article A published research article is a permanent record that will be used

More information

Wider Implementation of Telemedicine in Estonia

Wider Implementation of Telemedicine in Estonia Wider Implementation of Telemedicine in Estonia A summary of the study s results Full version (in Estonian) accessible at: http://www.praxis.ee/index.php?id=1140 Contact: priit.kruus@praxis.ee Authors:

More information

CRM Devices and Telemonitoring Where the industry stands today. VP CRDM Marketing

CRM Devices and Telemonitoring Where the industry stands today. VP CRDM Marketing CRM Devices and Telemonitoring Where the industry stands today Annette Brüls VP CRDM Marketing CareLink Status worldwide More than 450.000000 patients in > 4000 clinics > 30 countries 9 years of experience

More information

HEDIS/CAHPS 101. August 13, 2012 Minnesota Measurement and Reporting Workgroup

HEDIS/CAHPS 101. August 13, 2012 Minnesota Measurement and Reporting Workgroup HEDIS/CAHPS 101 Minnesota Measurement and Reporting Workgroup Objectives Provide introduction to NCQA Identify HEDIS/CAHPS basics Discuss various components related to HEDIS/CAHPS usage, including State

More information

Chapter 2 What is evidence and evidence-based practice?

Chapter 2 What is evidence and evidence-based practice? Chapter 2 What is evidence and evidence-based practice? AIMS When you have read this chapter, you should understand: What evidence is Where evidence comes from How we find the evidence and what we do with

More information

Critical Appraisal of a Research Paper

Critical Appraisal of a Research Paper Critical Appraisal of a Research Paper Andrew MacInnes, BDS (Hons.) MFDS, RCPS (Glasgow), Senior House Officer 1 Thomas Lamont, BDS, MFDS, RCPS (Glasgow), Clinical Research Fellow/Honorary Restorative

More information

A First Look at Attitudes Surrounding Telehealth:

A First Look at Attitudes Surrounding Telehealth: A First Look at Attitudes Surrounding Telehealth: Findings from a national survey taking a first look at attitudes, usage, and beliefs of family physicians in the U.S. towards telehealth. OVERVIEW Telehealth

More information

Submission by the Irish Pharmacy Union to the Department of Health on the Scope for Private Health Insurance to incorporate Additional Primary Care

Submission by the Irish Pharmacy Union to the Department of Health on the Scope for Private Health Insurance to incorporate Additional Primary Care Submission by the Irish Pharmacy Union to the Department of Health on the Scope for Private Health Insurance to incorporate Additional Primary Care Services January 2015 1 IPU Submission to the Department

More information

Emerging g Trends in Home Care

Emerging g Trends in Home Care Emerging g Trends in Home Care Dana Sheer, ACNP, MSN Susan Beausoliel, BSN, MS, DNP 1 The Triple Aim Goals Quality Improve Patient Outcomes Goal Readmissions Cost Reduce costs/penalties associated w/ readmissions

More information

The emergency telemedicine service in Greece

The emergency telemedicine service in Greece 2 nd MOMENTUM Workshop The emergency telemedicine service in Greece THE NEED OF TELEMEDICINE SERVICES Brief Greek Telemedicine History 1987 : Hellenic Red Cross : Call centre - provision first aid services

More information

Bipolar Disorder and Substance Abuse Joseph Goldberg, MD

Bipolar Disorder and Substance Abuse Joseph Goldberg, MD Diabetes and Depression in Older Adults: A Telehealth Intervention Julie E. Malphurs, PhD Asst. Professor of Psychiatry and Behavioral Science Miller School of Medicine, University of Miami Research Coordinator,

More information

Promotion of a sustainable health workforce

Promotion of a sustainable health workforce Health care challenges in regions with declining and ageing population Hannele Häkkinen 1 Council of European Municipalities and Regions (CEMR) Introduction Most European countries are affected by demographic

More information

Few Touch Application Services extending a diabetes diary application. Tromsø, North Norway

Few Touch Application Services extending a diabetes diary application. Tromsø, North Norway Scaling up ehealth facilitated personalised health services. WP 2: Personalised health services and patient-centred healthcare for an ageing population Case studies of Personalised Health Solutions and

More information

MethoTelemed. Final Study Report. July 2010. Version 2. Submitted by MedCom & Norwegian Centre for Integrated Care and Telemedicine

MethoTelemed. Final Study Report. July 2010. Version 2. Submitted by MedCom & Norwegian Centre for Integrated Care and Telemedicine MethoTelemed Final Study Report July 2010 Version 2 Submitted by MedCom & Norwegian Centre for Integrated Care and Telemedicine In association with University of Stirling & Norwegian Knowledge Centre for

More information

Licensed Healthcare Providers Guidelines for Telemedicine Using the MyDocNow Platform

Licensed Healthcare Providers Guidelines for Telemedicine Using the MyDocNow Platform Contents 1. Scope of These Guidelines... 2 2. What is Telemedicine?... 2 3. Introduction... 3 4. What Are the Benefits of Telemedicine?... 3 5. Frequently Asked Questions Physician Care and Treatment...

More information

Breast cancer treatment for elderly women: a systematic review

Breast cancer treatment for elderly women: a systematic review Breast cancer treatment for elderly women: a systematic review Gerlinde Pilkington Rumona Dickson Anna Sanniti Funded by the NCEI and POI Elderly people less likely to receive chemotherapy than younger

More information

The impact of adherence on costs and effectiveness of telemedical patient management in heart failure: A systematic review

The impact of adherence on costs and effectiveness of telemedical patient management in heart failure: A systematic review The impact of adherence on costs and effectiveness of telemedical patient management in heart failure: A systematic review A. S. Hameed 1,3, S. Sauermann 2, G. Schreier 3 1 Faculty of Business and Economics,

More information

Concept Series Paper on Disease Management

Concept Series Paper on Disease Management Concept Series Paper on Disease Management Disease management is the concept of reducing health care costs and improving quality of life for individuals with chronic conditions by preventing or minimizing

More information

Essentia Health. Heart Failure and Remote Monitoring. Denise Buxbaum, RN, BSN, CHFN Heart Failure Program Manager

Essentia Health. Heart Failure and Remote Monitoring. Denise Buxbaum, RN, BSN, CHFN Heart Failure Program Manager Essentia Health Heart Failure and Remote Monitoring Denise Buxbaum, RN, BSN, CHFN Heart Failure Program Manager Essentia Health Oct 2014 No reproduction without permission Why Heart Failure? Prevalence

More information

Conceptual issues in development of telemedicine in the Republic of Moldova

Conceptual issues in development of telemedicine in the Republic of Moldova Computer Science Journal of Moldova, vol.17, no.1(49), 2009 Conceptual issues in development of telemedicine in the Republic of Moldova I. Ababii, C. Gaindric, O. Lozan, I. Brinister Abstract The article

More information

CARE GUIDELINES FROM MCG

CARE GUIDELINES FROM MCG 3.0 2.5 2.0 1.5 1.0 CARE GUIDELINES FROM MCG Evidence-based guidelines from MCG span the continuum of care, supporting clinical decisions and care planning, easing transitions between care settings, and

More information

Making the Shift: Key Success Factors A rapid review of best practice in shifting hospital care into the community

Making the Shift: Key Success Factors A rapid review of best practice in shifting hospital care into the community Health Services Management Centre Making the Shift: Key Success Factors A rapid review of best practice in shifting hospital care into the community July 2006 Debbie Singh DH INFORMATION READER BOX Policy

More information

CMS-1461-P Medicare Program; Medicare Shared Savings Program: Accountable Care Organizations

CMS-1461-P Medicare Program; Medicare Shared Savings Program: Accountable Care Organizations February 6, 2015 Ms. Marilyn Tavenner Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services 7500 Security Boulevard Baltimore, Maryland 21244 RE: CMS-1461-P Medicare

More information

New Technologies in Psychogeriatric care: The use of Telehealth in underserved areas

New Technologies in Psychogeriatric care: The use of Telehealth in underserved areas New Technologies in Psychogeriatric care: The use of Telehealth in underserved areas A. Politis, Ass. Prof. Psychiatry Division of Geriatric Psychiatry National and Kapodistrian University of Athens ehealth

More information

Depression, anxiety and long term conditions. Linda Gask Professor of Primary Care Psychiatry University of Manchester

Depression, anxiety and long term conditions. Linda Gask Professor of Primary Care Psychiatry University of Manchester Depression, anxiety and long term conditions Linda Gask Professor of Primary Care Psychiatry University of Manchester Depression and LTCs People with LTCs are twice as likely than other adults to suffer

More information

Rural Pulmonary Rehab Program-

Rural Pulmonary Rehab Program- Rural Pulmonary Rehab Program- Saskatchewan s s First Presented by: Sandra Pieterse, Nurse Practitioner and Lia Boxall, Nurse Practitioner Kelsey Trail Health Region Kelsey Trail RHA 41,500 population

More information

CARE MANAGEMENT FOR LATE LIFE DEPRESSION IN URBAN CHINESE PRIMARY CARE CLINICS

CARE MANAGEMENT FOR LATE LIFE DEPRESSION IN URBAN CHINESE PRIMARY CARE CLINICS CARE MANAGEMENT FOR LATE LIFE DEPRESSION IN URBAN CHINESE PRIMARY CARE CLINICS Dept of Public Health Sciences February 6, 2015 Yeates Conwell, MD Dept of Psychiatry, University of Rochester Shulin Chen,

More information

Patient education a health technology assessment Summary. Danish Health Technology Assessment 2009; 11(3)

Patient education a health technology assessment Summary. Danish Health Technology Assessment 2009; 11(3) Patient education a health technology assessment Summary 2009 Danish Health Technology Assessment 2009; 11(3) Patient Education a health technology assessment; Summary National Board of Health, Monitoring

More information

Convegno Annuale AISIS

Convegno Annuale AISIS Convegno Annuale AISIS Mobile Health: innovazione sostenibile per una sanità 2.0 Mobile Health in Europe: A sustainable approach to better health services and patient value? Roma, 30 ottobre 2014 Radisson

More information

Nye resultater med hjemme-niv. PD Dr. med. Thomas Köhnlein Respiratory Medicine (Head of Department: Prof. Dr. Tobias Welte)

Nye resultater med hjemme-niv. PD Dr. med. Thomas Köhnlein Respiratory Medicine (Head of Department: Prof. Dr. Tobias Welte) Nye resultater med hjemme-niv PD Dr. med. Thomas Köhnlein Respiratory Medicine (Head of Department: Prof. Dr. Tobias Welte) Physiologic targets of ventilation in COPD mechanical pressure support reduces

More information

Electronic Health Records and Quality Metrics Using the right expertise to make full and meaningful use of your EHR investment

Electronic Health Records and Quality Metrics Using the right expertise to make full and meaningful use of your EHR investment Electronic Health Records and Quality Metrics Using the right expertise to make full and meaningful use of your EHR investment October 2014 402 Lippincott Drive Marlton, NJ 08053 856.782.3300 www.challc.net

More information

Connect4 Patients CCCM Primary Care Community. Presented By: Veronica Mansfield, DNP, APRN, AE-C, CCM Kit McKinnon, MBA, BSN, RN, CDE, CCM

Connect4 Patients CCCM Primary Care Community. Presented By: Veronica Mansfield, DNP, APRN, AE-C, CCM Kit McKinnon, MBA, BSN, RN, CDE, CCM Connect4 Patients CCCM Primary Care Community Presented By: Veronica Mansfield, DNP, APRN, AE-C, CCM Kit McKinnon, MBA, BSN, RN, CDE, CCM September 17, 2015 Objectives: Describe innovative care management

More information

Issue Brief. Winter 2 0 1 2

Issue Brief. Winter 2 0 1 2 Strategies for Incorporating Telehealth-based Care Coordination and Management Solutions into Programs to Integrate Care for Dual Eligibles Telehealth-based care coordination and management is a successful

More information

Nursing Intervention using smartphone technologies; a systematic review and meta-analysis

Nursing Intervention using smartphone technologies; a systematic review and meta-analysis Digital Healthcare Empowering Europeans R. Cornet et al. (Eds.) 2015 European Federation for Medical Informatics (EFMI). This article is published online with Open Access by IOS Press and distributed under

More information

Evidence-based medicine. Converting the knowledge gap into an answerable question

Evidence-based medicine. Converting the knowledge gap into an answerable question Evidence-based medicine Converting the knowledge gap into an answerable question Learning Objectives To understand the meaning of evidence-based medicine. To be able to ask a focussed/answerable question.

More information

PEER REVIEW HISTORY ARTICLE DETAILS TITLE (PROVISIONAL)

PEER REVIEW HISTORY ARTICLE DETAILS TITLE (PROVISIONAL) PEER REVIEW HISTORY BMJ Open publishes all reviews undertaken for accepted manuscripts. Reviewers are asked to complete a checklist review form (http://bmjopen.bmj.com/site/about/resources/checklist.pdf)

More information

Whole Systems Demonstrators An Overview of Telecare and Telehealth

Whole Systems Demonstrators An Overview of Telecare and Telehealth Whole Systems Demonstrators An Overview of Telecare and Telehealth The WSD Programme The WSD Programme The Whole System Demonstrator (WSD) programme is a two year research project funded by the Department

More information

PRACTICE INFORMATION SHEET

PRACTICE INFORMATION SHEET PRACTICE INFORMATION SHEET Study title A feasibility study for a cluster randomised trial of text messaging reminders for influenza vaccine in patients under 65 in clinical risk groups in English primary

More information

COCIR GLOSSARY OF TERMS

COCIR GLOSSARY OF TERMS COCIR GLOSSARY OF TERMS 2 European Coordination Committee of the Radiological, 13 COCIR TELEMEDICINE TOOLKIT 2011 Part 2 GLOSSARY OF TERMS Introduction.............................. 14 Part I: Telemedicine

More information

1. Executive Summary Problem/Opportunity: Evidence: Baseline Data: Intervention: Results:

1. Executive Summary Problem/Opportunity: Evidence: Baseline Data: Intervention: Results: A Clinical Nurse Leader led multidisciplinary Heart Failure Program: Integrating best practice across the care continuum to reduce avoidable 30 day readmissions. 1. Executive Summary Problem/Opportunity:

More information

Top Ten Priorities for Stroke Services Research A summary of an analysis of Research for the National Stroke Strategy

Top Ten Priorities for Stroke Services Research A summary of an analysis of Research for the National Stroke Strategy The Stroke Strategy confirmed that the Department would commission a short analysis of research evidence in relation to the strategy and the top ten research areas identified in it. We said that we would

More information

BriefingPaper. Towards faster treatment: reducing attendance and waits at emergency departments ACCESS TO HEALTH CARE OCTOBER 2005

BriefingPaper. Towards faster treatment: reducing attendance and waits at emergency departments ACCESS TO HEALTH CARE OCTOBER 2005 ACCESS TO HEALTH CARE OCTOBER 2005 BriefingPaper Towards faster treatment: reducing attendance and waits at emergency departments Key messages based on a literature review which investigated the organisational

More information

NIHI Big Data in Healthcare Research Case Study

NIHI Big Data in Healthcare Research Case Study NIHI Big Data in Healthcare Research Case Study Professor Rob Doughty Heart Foundation Chair of Heart Health National Institute for Health Innovation and the Dept of Medicine, University of Auckland &

More information

Interdisciplinary Care in Pediatric Chronic Pain

Interdisciplinary Care in Pediatric Chronic Pain + Interdisciplinary Care in Pediatric Chronic Pain Emily Law, PhD Assistant Professor Department of Anesthesiology & Pain Medicine University of Washington & Seattle Children s Hospital + Efficacy: Psychological

More information

EUROPEAN LUNG FOUNDATION

EUROPEAN LUNG FOUNDATION PULMONARY REHABILITATION understanding the professional guidelines This guide includes information on what the European Respiratory Society and the American Thoracic Society have said about pulmonary rehabilitation.

More information

Chronic Disease Management Who Cares?

Chronic Disease Management Who Cares? Chronic Disease Management Who Cares? By Stephen Kalyniuk BSc(Health Management), MACS, PCP Member HISA The Information Group - Useful software for people in Healthcare 21 years experience in Health IT

More information

Cochrane Review: Psychological treatments for depression and anxiety in dementia and mild cognitive impairment

Cochrane Review: Psychological treatments for depression and anxiety in dementia and mild cognitive impairment 23 rd Alzheimer Europe Conference St. Julian's, Malta, 2013 Cochrane Review: Psychological treatments for depression and anxiety in dementia and mild cognitive impairment Orgeta V, Qazi A, Spector A E,

More information

T h e M A RY L A ND HEALTH CARE COMMISSION

T h e M A RY L A ND HEALTH CARE COMMISSION T h e MARYLAND HEALTH CARE COMMISSION Discussion Topics Overview Learning Objectives Electronic Health Records Health Information Exchange Telehealth 2 Overview - Maryland Health Care Commission Advancing

More information

Innovations@Home. Home Health Initiatives Reduce Avoidable Readmissions by Leveraging Innovation

Innovations@Home. Home Health Initiatives Reduce Avoidable Readmissions by Leveraging Innovation How Does CMS Measure the Rate of Acute Care Hospitalization (ACH)? Until January 2013, CMS measured Acute Care Hospitalization (ACH) through the Outcomes Assessment and Information Set (OASIS) reporting

More information

TELEKOM HEALTHCARE SOLUTIONS Telemedicina en Prevención y Cardíacas. Barcelona, 19 de Octubre de 2015

TELEKOM HEALTHCARE SOLUTIONS Telemedicina en Prevención y Cardíacas. Barcelona, 19 de Octubre de 2015 TELEKOM HEALTHCARE SOLUTIONS Telemedicina en Prevención y Monitorización de Enfermedades Cardíacas Barcelona, 19 de Octubre de 2015 CHARITÉ-UNIVERSITÄTSMEDIZIN BERLIN The Charité is one of the largest

More information

The Role Of Information and Communications Technology In Chronic Disease Management

The Role Of Information and Communications Technology In Chronic Disease Management The Role Of Information and Communications Technology In Chronic Disease Management January 2010 Report prepared by the Public Health Institute The Role Of Information and Communications Technology In

More information

PROMS: Patient Reported Outcome Measures. The Role, Use & Impact of PROMs on Nursing in the English NHS

PROMS: Patient Reported Outcome Measures. The Role, Use & Impact of PROMs on Nursing in the English NHS POLICY AND INTERNATIONAL DEPARTMENT Policy Briefing 1/11 PROMS: Patient Reported Outcome Measures The Role, Use & Impact of PROMs on Nursing in the English NHS Patient Reported Outcomes Measures (PRO or

More information

ENS4Care Questionnaire

ENS4Care Questionnaire Background Information The Thematic Network ENS4Care is an EU funded programme of 24 partners (listed in question 8) led by the European Federation of Nurses Associations, which is expected over two year

More information

Chronic disease management: an economic appraisal

Chronic disease management: an economic appraisal Chronic disease management: an economic appraisal Prof. dr. Guus Schrijvers, November 4, 200, keynote address to leading professionals from the Canton of Bern, Maastricht 200 To introduce myself: Professor

More information

Prepared by:jane Healey (Email: janie_healey@yahoo.com) 4 th year undergraduate occupational therapy student, University of Western Sydney

Prepared by:jane Healey (Email: janie_healey@yahoo.com) 4 th year undergraduate occupational therapy student, University of Western Sydney 1 There is fair (2b) level evidence that living skills training is effective at improving independence in food preparation, money management, personal possessions, and efficacy, in adults with persistent

More information

One COPD. Philips patient care solutions

One COPD. Philips patient care solutions COPD patient care solutions One COPD Philips patient care solutions TREATING patients with advanced technology devices EMPOWERING clinicians and patients with education MONITORING patients with connected

More information

Harnessing the Power of Data Analytics to Transform Care for Vulnerable Populations

Harnessing the Power of Data Analytics to Transform Care for Vulnerable Populations Harnessing the Power of Data Analytics to Transform Care for Vulnerable Populations Fred Cerise, MD, MPH President and CEO, Parkland Health and Hospital System Ruben Amarasingham, MD, MBA, President and

More information

Evidence briefing on teleconsultation

Evidence briefing on teleconsultation Evidence briefing on teleconsultation Telemedicine, telehealth and various other terms are used (often interchangeably) to describe the use of a range of communication and information technologies that

More information

Is manual physical therapy more effective than other physical therapy approaches in reducing pain and disability in adults post whiplash injury?

Is manual physical therapy more effective than other physical therapy approaches in reducing pain and disability in adults post whiplash injury? Is manual physical therapy more effective than other physical therapy approaches in reducing pain and disability in adults post whiplash injury? Clinical Bottom Line Manual therapy may have a role in the

More information

Using telehealth to monitor patients remotely:

Using telehealth to monitor patients remotely: ehealth and nursing practice Using telehealth to monitor patients remotely: an RCN guide on using technology to complement nursing practice RCN Legal Disclaimer This publication contains information, advice

More information

Research Agenda for General Practice / Family Medicine and Primary Health Care in Europe Summary EGPRN

Research Agenda for General Practice / Family Medicine and Primary Health Care in Europe Summary EGPRN Research Agenda for General Practice / Family Medicine and Primary Health Care in Europe Summary EGPRN EUROPEAN GENERAL PRACTICE RESEARCH NETWO RK EGPRN is a network organisation within WONCA Region Europe

More information

Presented by Kathleen S. Wyka, AAS, CRT, THE AFFORDABLE CA ACT AND ITS IMPACT ON THE RESPIRATORY C PROFESSION

Presented by Kathleen S. Wyka, AAS, CRT, THE AFFORDABLE CA ACT AND ITS IMPACT ON THE RESPIRATORY C PROFESSION Presented by Kathleen S. Wyka, AAS, CRT, THE AFFORDABLE CA ACT AND ITS IMPACT ON THE RESPIRATORY C PROFESSION At the end of this session, you will be able to: Identify ways RT skills can be utilized for

More information

This series of articles is designed to

This series of articles is designed to Research and diabetes nursing. Part 3: Quantitative designs Vivien Coates This article is the third in a series that aims to assist nurses working in diabetes to understand research from a broad perspective,

More information

1. How are you using health IT enabled clinical quality measures for internal quality improvement efforts and patients care?

1. How are you using health IT enabled clinical quality measures for internal quality improvement efforts and patients care? 1. How are you using health IT enabled clinical quality measures for internal quality improvement efforts and patients care? Sharp Rees-Stealy medical group (SRSMG), a 400-physician multispecialty group

More information

What is the evidence on the economic impacts of integrated care?

What is the evidence on the economic impacts of integrated care? What is the evidence on the economic impacts of integrated care? Ellen Nolte, Emma Pitchforth Integrated Care Summit 2014 The King s Fund, 14 October 2014 Background to the study Rising number of people

More information

Health care in Australia

Health care in Australia Health care in Australia Stephen R. Leeder MD Professor of Public Health and Community Medicine Director The Menzies Centre for Health Policy The University of Sydney March 26th 2012 Australia at a glance

More information

The Future Master in Nursing Science

The Future Master in Nursing Science The Future Master in Nursing Science by Lis Wagner & Birthe D. Pedersen 8th Why a demand for new academic qualifications? A new generation new users demands and expectations. Longevity among older people.

More information