CATEL. the french telemedicine. voice. André Petitet. Dr.André PETITET

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1 CATEL the french telemedicine and e-health voice André Petitet

2 inhabitants 112/Km²

3 104 districts continental + overseas

4 1970 First french telemedicine experiences marine

5 1970 First french telemedicine experiences marine army

6 1970 First french telemedicine experiences marine army X-rays

7 1970 First french telemedicine experiences marine army X-rays tele-pathology Inter-hospitals

8 CNES Centre National d Etudes d Spaciales

9 Long human stays in space

10 Official telehealth observatory Ministry of Health

11 Official telehealth observatory Ministry of Health 2000 : 425 projects

12 Official telehealth observatory Ministry of Health 2000 : 425 projects but.!!

13 French brittanny *

14 1997

15 C A T E L Club des Acteurs de TELémédecine (Telemedicine Actors Club)

16 th anniversary

17 What is CATEL? French association created in october More than contacts through the website and 480 active members, all concerned by telehealth : Practitioners Institutions Firms Associations The Goal : contributing to the development of telehealth, by INFORMING (the internet website Flash News, monthly Telehealth Newsletter, thematic reports ) ORGANISING MEETINGS (the yearly Telehealth Day in multisite teleconferencing with partners in France and abroad, and four annual Thematic Meetings) CONSULTING (support to the evaluation of developing projects, appraise and launching of new applications of telemedicine)

18 Health professionnals providers researchers users

19 Categories shares Répartition par collège Health professionnals Professionnels de santé 42% Users.Associations.Institutions Asso./Divers 23% Providers Entreprises 19% Scientifics/Researchers Scientifiques 16%

20

21 Telehealth applications DMP / DPE NTIC and e-health Telesurvey Health Networks Teleconsultation Telehealth policy

22 Themes Technological innovations Telehealth assessement Projects management State of the Art Telehealth and confidentiality

23 Specialties HAD (Hospital at Home) MAD (Home Care) Gériatric Dialysis Cardiology

24 Technologies High flow Medical imagery Information systems Accomodation, data transfer Visioconference

25 Territory Canada/Québec European Union France USA Developping Countries Far North

26 External Links Telehealth observatory Ministry of Health Ministry of Trade Ministry of Economy Ministry of Research and Education Army Virtual Medical Francophone University Canada Telehealth Centre

27 Projects go part on the way by CATEL AGE d'or ALTERMED* INED SICOREM TeleDev ADEPAFIN ONCOVANNES HAD

28 an opening up Concept for isolated locations Altermed

29

30 * * * *

31 Altermed «technologie» Local transmissions network Megalis WiMax Equipment compatibility

32 Altermed «usages» Teleconsultations Emergencies Telestaffs Teleexpertise Teletraining Second opinion

33 Vidéo conferencing equipment Automatic focus All time automatised Vocal detection etc.

34 Private visioconferencing on multimedia supports CAMKAsystem Visioequipment for mobile transmissions

35 Special camera for papers visio transmissions Mobil Care Unit/KitSOS to record and to transmit several bioparameters in one shoot(ecg,sp0²,nibp Spirometry,Audiometry,Eyes examnination, Blood chemicals, digital pictures etc.)

36 ALTERMED at Belle-Ile Lanco hospital «Classic»visioconferencing system :- professionnal staff meetings - administration meetings Emergency care assistance system Medical teleassistance teleconsultations Benefits: To avoid unusefull transfers To improve the quality of care To catch the attention of new medical personnel

37 ALTERMED / HAD Vannes District Connection between Patient s home and the HAD/PDV team (Hospital at Home) Goals: direct access to the patient s data Exchanges between HAD team and the medical professionnals Rescue alarm Pictures exchanges, Benefits: Less unusefull transports Improvement of the quality of care Patient s home «Oceane» Clinic

38 ALTERMED at the Psychiatric Center St.AVE/Sarzeau Two visioconferencing rooms: Saint Avé: psychiatric medical staff Sarzeau:nurses,health professionnal, patients Goals: TeleStaffs ; Psychiatric teleconsultation Benefits: Less transports and transfers Big interest to the psy- teleconsultations

39 Ponant s Islands association

40 Teaching and training groups Présentation des Groupes de Réflexion et de Formation November,30- Télésanté : qui paie? qui perçoit? pour quels services? Région parisienne (Paris) May,10 - La Télésanté : qui pilote quoi? de la Maîtrise d'ouvrage à la Maîtrise d'oeuvre! October,4- Télésanté : jusqu où faire évoluer les pratiques médicales? Lieux, compétences, fréquences C de l Hospitalisation et du Maintien à Domicile ( HAD / MAD ) November,27- Télésanté et Territoires isolés : des solutions pour une meilleure continuité des soins

41 1ère session des Groupes de Réflexion et de Formation du CATEL jeudi 30 novembre 2006 en région parisienne (Paris) La télésanté : qui paie? qui perçoit? pour quels services? Au programme de cette journée très complète : Qui paie, qui perçoit : quelques repères... Qui paie, qui perçoit : du point de vue des entreprises... Qui paie, qui perçoit : du point des patients et des médecins... Qui paie, qui perçoit : autres regards (projets en cours, recherche, à l'étranger)... Qui paie, qui perçoit : du point de vue des institutionnels...

42 Login password Information Flashes Watch Letters CATEL Members Activity Reports Board documents Bibliography Archivs

43 URGENT CALL " Telemedicine suitcases.telemedicine/telehealth mobile solutions» Recall of the research: You know or you use some telemedicine/telehealth mobile devices to open up isolated locations (islands, mountains, countrysides) or low or not medicalised institutions(old s persons houses, recovering centres, leisure and/or sport centres ) Your experience is interesting CATEL network in the scope to realise an index for a better knowledge about those materials. Thanks to contact us by or by phone +33 (0) Criterias for a comparative analysis : A Container : material, resistance, dimensions, protection, closing, security, inside arrangement B Content : sensors? integrator? tablet PC? origin? C - Soft D Transmission E - Weight F Price G Status : Does it a prototype or a marketed device? If it is on the market, where and for which users? If the provider is not the trader, who is the distributor? Does the device has the CE mark? Thank you to send back your answer to CATEL by at catel@telemedecine.org or by fax : +33 (0) contact +33 (0)

44 Proposals to speed up the development and use of telehealth in France and abroad Clearly set the specific value of telehealth in each particular project, and for each party involved What can telemedecine bring about in this specific project? and what will telemedicine have to do? Work together with the associations of patients, which are more and more powerful and eager to be involved and implicated in telehealth projects Who are the patients concerned? What do they need? How telehealth can improve their living conditions? How can they be «actors» of the development of telehealth projects?

45 Help users to adapt to change Become a «tele-practictionner» is a process that has to be anticipated as a major part of telehealth project : time, attention, and accompaniment needed! Get into a real quality and efficiency process, for the security and comfort of the patients Realise annual guidelines of «Good Practices in Telehealth» (first one published in 2007 by CATEL)

46 Deal projects both with a global approach (national and international innovations and legal pattern) AND with a local approach (regional and local actors, and their particular uses and needs) For efficiency, the international, national, regional and local approaches of telehealth matters have to be coordinated Associate private and public funds to finance the projects Develop international cooperation - international in-commission and relationships - French national member of ISfTeH - Multiply international telehealth projects - Multiply occasions of international sharing of knowledge and practical experience (meetings, work sessions, common basis of information) - Get «telehealth» to be considered as a major field by european and international institutions (legal and financial aspects)

47 a very important year event

48 the telehealth day

49

50

51

52 portailtelemed.orgorg

53 Thank you for your attention

54 CATEL-ISfTeH

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