Health Platform Telemedicine

Transcription

1 Health Platform Telemedicine Dirk Peek MD FIPP, Anesthesiologist Painspecialist, Cooperation Anesthesiologists Weert, the Netherlands

2 Topic Improve Patient Safety & Quality Emergency Vehicle Transportation with Telemedicine

3 Disclosures CAW - HP

4 Topics Presentation 1. Introduction 2. Situation & challenges 3. Telemedicine Solution 4. The Pilot 5. Advantages 6. Conclusions

5 Emergency Vehicle Transportation Situation in the Netherlands (figures 2014) Emergency Transport # Regions 25 # Locations 207 # ambulances 725 Numbers and categories # primairy transport A1 urgent. 67% - A2 not urgent 33% # secundairy transport Medewerkers Ambulancezorg # employees Nurses 42% - Drivers 36% - Operators 8 % - Staff and mngt 14% Developments & chances Primairy transport - Number of transports increases (more elderly) - Risks increases (concentration > longer distances) Secundairy transport - Number of transports increases (specialisation of hospitals) - Risks increases (longer distances) Lack off a standarized communication platform Time to needle interesting (stroke & cardio) Macro budget 499 M (every year/basic infra) Average growth 1,9% yr Absence through Illness Agression & Violence IT could be an important enabler to improve process of emergency transportation! 5

6 Functionality & scope Healthcare Platform Telemedicine Platform Telemedicine Vital Data / Voice / Video Secure / Standaards / Scalable Point of Accident Point of Care Patient Home Converged cloud Security Data Voice Video Information optimization Hospital & Medical Expertise Center Hospital > Patient at home Hospital > GP Hospital > Ambulance 2016/ /2016 6

7 Innovative elements of the concept Video & Glasses Medical Tablet Multi Vendor Integration Big Data & Decission Support Medical Expertise Centre Medical Drones (AED) 7

8 Reference visit Germany > Notartzt 8

9 Technical Solution The re-use of existing building blocks HP Solution in India & Rumania Basic Assumptions Solution Mobile & Scalable World SIM (Army) Multi Vendor (Med. Equipment & Software) Connected with Hospital/GP (multi EHR) Meets security & privacy requirements Served from the Cloud (VPC DTC NL) 9

10 Example Views Software developed for the Telemedicine Solution in Rumania HP.TeleMed.Web.Specialist HP.TeleMed.Web.Audit.NET 4 ASP.NET Web Application Main Features: - Display patient data - Display medical data - Collect recommendations from specialists - Collect specialists schedule (for SMS Sync).NET 4 ASP.NET Web Application Main Features: - Log GP s every action in the system - Log Specialists every action in the system - Display action timeline to MoH - Supply data as Excel file for analysis 10

11 Technical Solution System Data Flow SMS M. Episode Step 1: GP: Create Medical Episode Step 2: GP: Patient data recording Step 3: GP: Save Episode locally Step 4: GP: Sync to Central Server Step 5: Server: Notifies Specialist by SMS Step 6: Specialist: Views Medical Episode Step 7: Specialist: Enters recommendations into the system Step 8: Specialist [Optional]: If EKG was entered, view and validate EKG on MUSE software Step 9: GP: Sync with Central Server Step 10: GP: Decide if patient is sent to hospital or continues treatment locally 11

12 Exploitation & partnership A cooperation between the hospital and HP Basic model for further development (future joint venture) Government Delivery of products, Solutions & services Vodafone Suppliers Microsoft, Philips and others Health Insurance Partial funding platform or seat Delivery of Services Income CAW SJG Ambulance Pays per ambulance General Practitioner Pays per location or seat Patiënt monitored at home Payed per patient Health Platform Telemedicine Product & Service Hewlett-Packard Medical Expertise Centre Optional in future Hospital / Care Organization Pays per location or seat 12

13 Pilot planned : 3 Proof of Concepts (May Sept) Technical PoC Proof of technology 1 Hospital Medical PoC 1 (secundairy transport) Proof of medical issues & business case 1 Medical PoC 2 (primairy & secundairy transport) Proof of medical issues & business case 2 Roll-out & Scaling-up (primairy & secundairy transport) Implementation Exploitation platform 1 Regional Ambulance Service (RAS) NO real patients 1 Hospital 2 RAS 2 Hospitals Improve patient care Other regions (countries) REAL patients 2 RAS Other hospitals (South region) REAL patients (Other) RAS 2 weeks 2 months 2 months Go or no go Go or no go Go or no go 13

14 Advantages Potential Advantages Stakeholders (to be tested in the pilot) Patients 1. Decrease risk in case of increased traveling time to ED 2. Shorter time-to-treatment ( neurological/cardiology/trauma) 3. Remote diagnostics, monitoring & consults (phase 3) Regional Ambulance Service Hospital & Emergency Dpt 1. Triage patient : which suitable hospital? 2. Basic Infrastructure for efficient communication (clear voice / video) possibility to involve medical specialized knowledge (remote) 1. Efficiency Emergency Department due to right preparation (right specialisms, assets, prepare OR MRI) 2. Savings due to remote secundairy transport 3. Regional Medisch Expertise Centrum 14 General Practisioner 1. Basic infrastructure for 1½ line diagnostics 2. Connecting GP and Hospital (decrease # referrals) 3. Building up experience withtelemedicine

15 Conclusions 1. Telemedicine is not he future,it s now 2. Increase efficiencies of Healthcare 3. Decrease of medical risks 4. Optimal use of medical knowledge 5. Big data :decision making

16 Thank you