Telemedicine. Jan von Overbeck, MD, MSc, FACP 5 November 2015
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1 Telemedicine Jan von Overbeck, MD, MSc, FACP 5 November
2 Business units Medgate Telemedicine Center (MTC) Telemedical consultations 24/7 200 employees, including 60 physicians Medgate Health Centers (MHC) Medical centers for out-patient care 26 employees, including 14 physicians Medgate Partner Network (MPN) Foundation for the promotion of networking of independent service providers Nearly 1300 members Medgate International (MIN) Franchising of telemedical services First Telemedicine Center in Abu Dhabi (2014)
3 360 Healthcare Integrated healthcare at Medgate
4 Medgate Telemedicine Center (MTC) Telemedical consultations 24/7, from anywhere Broad spectrum of medical specialties Every third person in Switzerland has access to teleconsultations from Medgate Over 4300 patient contacts a day at peak times Extensive knowledge and experience from 4m teleconsultations since 2000 Languages: GE, FR, IT, EN, (SP) Operating from Basel, Zurich, and 30 home offices
5 Telemedicine Center services (1) Teleconsultation Telediagnosis: image findings (digital photos), telemonitoring (blood pressure values, blood sugar levels, etc.) Teletherapy: prescribing, certificates for absence from work Medical hotlines Specialist information on current topics, e.g. collaboration with BAG Chronic Care Management Care program for chronically ill patients califit Telemedical nutrition and exercise program
6 Telemedicine Center services (2) Medical Assistance Medical assistance abroad Insurance medicine Early damages assessment, teleinterviewing Office and emergency telephones Management of emergency phones of Medgate Partner Network physicians
7 Schematic of a call to Medgate
8 Results of a teleconsultation Help in all cases
9 Medgate Partner Network (MPN) Foundation for the promotion of networking of independent service providers Specialists from all therapy areas and hospitals (approx. 80%) Basic healthcare: Basic healthcare providers and pharmacists (aprox. 20%) Includes over 1100 physicians, 15 clinics, and 200 pharmacists Faster access to medical care - throughout Switzerland Referrals through the Medgate Telemedicine Center Planned: direct appointment scheduling by Medgate, electronic data exchange
10 Access to telemedicine - services increasingly mobile
11 The ideal Case (1) Mrs. O.B. 1992, Swiss Citizen, Student Mr. A.T. 1991, Swiss Citizen, Student, boyfriend Mother lives in Switzerland Father travelling in China, second wife speaks Chinese Travelling in China (Chengdu) On the both are involved in a terror attack
12 The ideal Case (2) 3.1. both are victims of a terror attack 3.1. Mother of O.B. is informed (16:00) and calls Medgate Burns 15% of body surface (Back, shoulder, thigh and right hand) 9.1. special repatriation, arrival in Geneva and transfer to CHUV
13 Cost US$
14 What really happened? Communication Local hospital vs. repatriation Local agent Jet companies Third party payer ( US$)
15 Communication Medical assessment: medical report? Extent of burns Depth of burns (I, II, III, etc.) General medical conditions (kidney, etc.) Level of care assessment: Type of hospital Experience with burns
16 Communication Mother: anxiety level high Employee of a large multinational company which gets involved Father: in China with second wife Daughter and boyfriend ok Top hospital care Department for external affairs
17 Local vs Repatriation Medical reasons Medical condition Medical care None-Medical reasons Cost of care Cost of transportation Third party payers
18 Triage Function Medical condition Pro and contra Transportation timing Third party payer (insurance) Authorization Different payer for the boyfriend! Family situation Wish Stress management
19 Repatriation Jet offers Price Availability Flight authorization Political situation Chinese army involved Stop over Target Hospital
20 Medgate's advantages at a glance Telemedicine Center 24/7 telemedical consultations with Image findings, prescribing, absence from work notes Does not affect excess or premium Direct referrals to specialists 24/7 emergency management 24/7 medication management Treatment plan sent by /sms as summary of consultation Health Centers SO and ZH Simpler and faster access Physicians with different therapy expertise Modern infrastructure Digital x-ray, ECG Ultrasound, extremity MRI Laboratory, office pharmacy Coordinated treatment Partner Network Faster access to all Partner Network members >1000 physicians, including 80 specialists 15 clinics 200 pharmacies Patient High-quality medical care Simple health management via App or website Personal health dossier Premium rebates
21 Thank you for your attention
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