Network Integration of medical expertise for improvement of Healthcare

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1 Network Integration of medical expertise for improvement of Healthcare Dr. Claudio Dario CEO - HEALTHCARE UNIT 1

2 HEALTHCARE STRUCTURE 2

3 SERVICES PROVIDED: DIAGNOSIS THERAPY REHABILITATION PREVENTION POPULATION OF MUNICIPALITIES BUDGET: EURO 3

4 Hospitals in Healthcare Structure Productive potentiality: hospital beds 2003 Treviso Oderzo-Motta 957 Hospital Beds (for routine admissions) 142 beds for Day Hospital and Day Surgery 296 Hospital Beds (for routine admissions) 33 beds for Day Hospital and Day Surgery TOTAL BEDS:

5 PROJECTS DEVELOPED IN HEALTHCARE UNIT TELEMED-ESCAPE HEALTH OPTIMUM VIRTUAL POLYCLINIC WITH ROMANIA SOME OTHER PROJECTS FARM-ESCAPE: Strong digital signature for the management of pharmaceutical prescriptions; T-GOV: Digital Terrestrial Television to improve quality health care assistance; VET-ESCAPE: Digital signature for the management of bovine animals register; TRACES: Tissue traceability with R-FID applications and certified electronic signature. 5

6 TELEMED-ESCAPE Digital signature applied in the issue and management of medical reports; 4 different channels to receive a medical report: INTERNET SPECIAL MAIL DELIVERY SERVICE GENERAL PRACTITIONERS LOCAL HEALTH DISTRICTS 6

7 Virtual Euro-Mediterranean Hospital - V E M H TELEMED-ESCAPE: Application area 11 healthcare units 3 million citizens involved Veneto Umbria Lombardy Friuli Venezia Giulia Treviso Padova Venezia Belluno Pieve di Soligo Città di Castello Mantova Cremona Pordenone Udine Trieste 7

8 HEALTH OPTIMUM: A EUROPEAN PROJECT HEALTH OPTIMUM is a market validation telemedicine project, approved and cofunded by the European Community in the eten programme (European Community Programme). It involves Italy with Regione Veneto as coordinator, Spain with Gobierno De Aragon and Denmark with County of Funen. It promotes the set-up of trans-european computer networks, and represents the possibility for healthcare units of the same region or in different regions or states to exchange information/data. FIELDS OF ANALYSIS NEUROSURGICAL TELE-CONSULTATION AND TELE-LABORATORY (VENETO REGION, ITALY) TELE- CARDIOLOGY, ENDOCRINOLOGY (COUNTY OF FUNEN, DENMARK) TELE-ONCOLOGY, HAEMOTOLOGY, RADIOLOGY, HAEMODIALYSIS, LABORATORY (ARAGONA, SPAIN) 8

9 HEALTH OPTIMUM: Objectives RAPID DIAGNOSIS AND IMPROVEMENT OF SUITABILITY; REDUCTION OF UNNECESSARY PATIENT TRANSFERALS; STANDARDISATION: ORGANISATIONAL, PROCEDURAL, TECHNOLOGICAL, MEDICAL- LEGAL; INTEROPERABILITY BETWEEN DIFFERENT COMPANY SYSTEMS; REORGANISATION OF PROCESSES; PROTOCOL SHARING AT A REGIONAL LEVEL OPTIMIZATION AND RATIONALIZATION OF HUMAN AND TECHNOLOGICAL RESOURCES; MANAGEMENT OF ELECTRONIC HEALTH RECORDS ACCORDING TO SAFETY AND PRIVACY REGULATIONS; POSSIBILITY TO TRANSFER AND RE-USE MODEL AND RESULTS. 9

10 HEALTH OPTIMUM: Tele-laboratory It is a home care service: periodical tests on patients on home care programs and in elderly people s homes. Possible use of tele-laboratory application as a support for teleconsultation services (e.g. tests during ambulance transportation). Objectives To rationalize the use of human resources; To reduce the cost of this high-volume medical procedure; To reduce time gaps between tests and the availability of results and their handling by the prescribing doctor; To increase data confidentiality protection (data are encrypted and digitally signed). 10

11 HEALTH OPTIMUM: Neurosurgical Tele-consultation The PHYSICIAN AT THE PERIPHERAL HOSPITAL examines the CT images and, if he/she should need neurosurgical consultation, fills in, digitally signs and sends the tele-consultation request to the NEUROSURGEON at the centre or on call. The CONSULTED NEUROSURGEON draws up and digitally signs the opinion on a specific form and sends it to the REQUESTING PHYSICIAN in the peripheral hospital. Objectives Rapid diagnosis Reduction of unnecessary transferral of patients and images Request and reply counselling forms, formalized and digitally signed 11

12 VIRTUAL POLYCLINIC PROJECT IN ROMANIA 12

13 VIRTUAL POLYCLINIC Implementation of a first-aid structure connected with excellence centres in order to provide assistance in different fields: Digital laboratory; Digital radiology; Digital pathology; 13

14 Why a Romanian prototype? Agreement between Veneto Region and Timis Region: Collaboration with the public health institutions Aid current health institution activities with a view to create a region-centred health structure Training for physicians and nurses; exchanges and collaboration between health workers and Universities, close examination of the problems regarding medical organization and structures Foundation of a telemedicine observatory, possible applications and testing fields Survey of a future health structure for the Italian community working in Timis. 14

15 Objectives To carry the nursing formation in Romania to the levels of the European Union Implementation of a Polyclinics in Timisoara for Italian and Romanian workers Connection with Treviso health structures for some Laboratory diagnosis Creation of a specialists workgroup in Treviso tasked with second opinion inquiries and doubtful cases discussion Approach of Timis health service to the EU standard 15

16 Now The best physician is the airplane TIMISOARA Crash Patient 16

17 TeleConsultation Telemedicine TIMISOARA TeleLaboratory E-Learning Telemedicine: Benefits for Romanians and Italians 17

18 STEPS TOWARD VIRTUAL POLYCLINIC Training programs for Timisoara nursery school: e-learning, experience exchange, stage in Treviso Hospital for Romanian nursery students. Treviso specialists in Timisoara to improve cooperation and training between Italian and Romanian specialists. Application in loco of base- diagnostics according to procedures and standards applied in Treviso Healthcare Unit. 18

19 The Virtual Polyclinics Project: Digital Laboratory Prototype Polyclinics Timisoara Treviso Hospital NET Results Medical report Results Medical report Results Medical Report POCT Laboratory Information System 19

20 The Virtual Polyclinics Project: Digital consultation Prototype Polyclinics Timisoara Treviso Hospital NET Radiology workstation Workstation Neuro surgery Specialist Neuro Radiological Specialist (second opinion) 20

21 CONCLUSIONS Regarding our telemedicine and Information Technology projects, we consider it a great opportunity to be able to partecipate in such an international network as is VEMH, where we can bring our contributions and share our experiences and know how. Conscious of the massive improvement in healthcare that telemedicine will bring. 21

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