MEDIGRAF - TELEMEDICINE SUSTAINABILITY 2013

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1 MEDIGRAF - TELEMEDICINE 2013

2 Framework Medigraf IT platform is a solution totally developed by PT to suppress an identified need of health care professionals; Populations living in isolated or disadvantaged areas in terms of medical equipments, had to travel to distant towns or countries in order to access medical exams or monitoring; These difficulties made medical monitoring more expensive and required people to travel, sometimes long distances. How does it work? Goals Medigraf IT platform is a remote medicine service. Video telephony and clinical information share in real time conjugate to allow cooperation between health care professionals despite the distance and the faster achievement of the clinical diagnosis; Medigraf utilizes the new ICTs with a specific software and internet access which requires a reduced broadband (only 1MB). Enable the access to medical care to isolated or disadvantage populations; Use of technology in favour of population s needs. 2

3 Characteristics Service characteristics Advantages for patients and healthcare professionals Immediate clinical orientation; Efficient and secure transferring of medical exams and reports through internet; Reduction on response time to get an exam report; Quick and fast way to obtain a second opinion; Flexibility and efficiency leverage by telework. Sorting of critical clinical situations; Providing specialized services out of urban centres; Cooperation between healthcare professionals in critical medical situations ; Healthcare professional s training and e-learning; Total costs reduction ( including patient s costs). 3

4 How does it work? Remote appointments via internet Medigraf remote appointments solution operates through the installation of two terminals, equipped with a specific software. The medical doctor or health care professional is in one of the terminals and the patient or professional in training is on the other. This solution provides one computer, camera, microphone, headset and speakers. More than tele-appointments Medigraf allows real time visualization of exams being held in remote areas in order to professionals achieve a faster and more accurate diagnosis. It can also offers: Distant training; Updating expertise and skills; Clinical presentations; Medical board debates on particular cases; Support in surgical interventions; 4

5 Where is the service operating? Healthcare units where Medigraf already operates It operates in: 74 units in Portugal 2 units in Angola; 1 units in Cabo Verde; 2 units in São Tomé e Príncipe. 5

6 Medigraf in Portugal Hospital de Leiria Hospital Feira 4 Terminals Hospital Águeda 2 Terminals Hospital Aveiro 2 Terminals Sub-Região Aveiro 12 Platforms Sub-Região Coimbra Hospital Universidade de Coimbra 2 Terminals 2 Platforms v1.5 Hospital Pediátrico 1 Terminal Maternidade Daniel Matos 1 Terminal Centro de Estudos Egas Moniz Hospital de Bragança Hospital de Vila Real Hospital Estarreja/Ovar 2 Platforms Hospital de Viseu Hospital da Guarda 2 Platforms v1.5 Sub-Região da Guarda 12 Platforms Hospital de Cova da Beira 2 Terminals Hospital de Castelo Branco 2 Platforms Sub-Região de Coimbra 4 Platforms Hospital Estefânia (Telepalsys) Hospital de Santa Maria Hospital de Faro (Telepalsys) 6

7 Monitoring the results Requests for Sanitary Evacuation Health budget in São Tomé -50% % Outcomes: Between , it was achieved a 50% reduction in the number of requests for medical evacuations to Portugal The reduction of evacuations have resulted in a saving of 20% of the Health budget in São Tomé 7

8 Monitoring the results Until today, Medigraf solution already enabled the completion of more than medical exams, in many different medical expertise, in more than 75 healthcare units 8

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