Medical Billing and Telemedicine - A Key to Success
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1 Torsdag d. 24. maj 2007 Introduktion til anvendelsen af nye teknologier i kontrol og behandling af patienter med kroniske tilstande Peder Jest, Cheflæge, Sygehus Fyn Peder.jest@shf.regionsyddanmark.dk
2 From the view of a clinical director: Questions asked? Hospital related backgrounds? Demographic and epidemiological background? Why telemedicine and new technologies as clinical and strategic tools? Examples of telemedicine networking inside a hospital? Why and how telemedicine solutions? From project to daily business?
3 Funen Hospital, DK admissions/ year Population out-patient visits/ year RINGE FAABORG SVENDBORG ÆRØSKØBING NYBORG
4 Daily business solutions at Sygehus Fyn Tele-endocrinology Tele-cardiology Tele-alcohol treatment Videoconf. therapy Videoconf. K-OUH (colo-rectal diseases) Videoconf. OP.theatres Nyborg-Svendborg Tele-COPD (stable/unstable phases) Tele-radiology (Svendborg- Ærø, Tallinn- Vilnius, PACS) AI in rehabilitation (Heartrehab.) Tele-dialyses, Teleneurology and Tele-neonatology Videoconf.(Community) OP-robot technology
5 The patient principle That we at any time can offer the patients the most competent treatment That it happens within national and international standards and recommendations That it happens within the economic resources given That it counts for every patient
6 Implications The demographic change in EU: A population of elderly persons, more than 20 % > 65 years Longer expected lifetime Living with several chronic diseases Patients expect ambulatory functions Fewer local hospitals and fewer hospital beds Connected health can partly solve the centralisationdecentralisation problem Constant changes in hospital and health structure
7 The future Demography: more elderly people More chronic diseases, several for the single person Fewer accidents Only few new diseases Diagnoses still a result of lifestyle combined with genecity: Art. Diseases. Cancer,pulmunary dis.,skeleton and muscle dis., diabetes, psych. Dis. Acc. New Chr. Acc. Chr. New
8 Important issues Medical events/quality must be registered and documented The resources of the physicians must be used appropriately Extended demands to optimize the patient pathway are mandatory The increasing number of patients with chronic diseases needs special attention
9 Telemedicine - experiences How? Equipment and network Education in videoconferencing systems etc. Choosing the right medical specialists Choosing the right diseases and patient groups Cooperating across sectional borders
10 We need tools: Structured data in and out ( EHR)? RIS/PACS National indexes ( ex. Radiology) Digital solutions as clinical services Communication ( integration?) between partners (EHDN) Patient involvement
11 MedCom Center for Sundheds-telematik- Communi cation flows
12 Demands when working with health IT: Technology background incl. network Advantage: Electronic Patient Record Guidelines and instructions for patient contacts Staff educated in use of telemedicine Involvement of leaders and managers at every level Evaluation of Medical Technology, evidence and economy Research and development
13 Action Plan Top-down, bottom-up, top-bottom around Strategic goals: health for everyone. Effectiveness, value for money, quality, patient safety- adverse events. Managing the projects (money etc.) Courage to move from projects to daily activity ( riskmanagement) Coordination with EHR. Data in data out.
14 Telemedicine as a clinical tool Planned on-line consultation Planned off-line consultation Acute consultation Distance functions Preparing operations Discharge and transfer Home visits Second opinion Conferences
15 What can managers expect from EHR, robotics & telemedicine? Rational criticism More continuity/quality in patients course New opportunities in research New educational areas Fewer adverse events More patient involvement. More effectiveness Change og workflow. Shift of workflow between Health prof. Better documentation New adverse events and failures Diminished staff More competences in the single member of the staff
16 Thank you for your attention! MedCom: Region South Denmark: Sygehus Fyn: Baltic ehealth: ehealth Portal:
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