1 / 16

Telemedicine – learnings so far

Join us for a seminar on May 27th, 2019, to learn about the current state of telemedicine, examples of large-scale deployments, and the key learnings from these initiatives. Topics include funding, IT platforms and governance, project management and implementation, logistics and support, legal issues, and more.

augustinel
Download Presentation

Telemedicine – learnings so far

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Telemedicine– learnings so far Cachet Ph.d. seminar May 27th 2019

  2. Topics • What is telemedicine and why? • Examples of large scaledeployments • Learnings - whatseems to work

  3. Knowledge center for Telemedicine…Weareflexible Funding Funding Othersectors and regions IT platform & governance Project management & implementation PROJECT Logistics & support Legal issues (GDPR)

  4. How do we define telemedicine? • Tele (distant) • Medicine (practice of the profession) • Via digital medias • Focused on chronic patient Two main categories • Video conferences (distance is the primary challenge) • Home monitoring (prevention is often the primary challenge) • Mix of the above • Bordering areas • PRO • Machines (algorithm) practicing medicine?

  5. Why telemedicine? • Efficiency improvements • Empowerment • Better data healt care professionals can act upon • Substitution effect • Quality of Life • Sense of safety • Less transport • Empowerment Drivers • Ministry of Finance's efficiency agenda • Lately a shift towards QoL: Value-Based Healthcare and the principle of subsidiarity (nærhed) Fewer admissions & outpatient visits

  6. Telemedicine and the hype cycle Telemedicine

  7. Examples of large scaledeployments

  8. Nation widedeployment 1Home monitoring for COPD patients • Based on: RCT with 1.200 patients (TeleCare Nord) • Aim: Preventing hospital admissions • Framework: Financial agreement 2016 (ØA16) • Launched via 5 regional programs. Municipalities and GP’s have a central role. • Approach: Follow patients (GOLD Gr. D) via measurements and symptom questions • Estimatednumber of patient in the RH is 2500

  9. Nation widedeployment 2Woundcare via telemedicine • Based on National Strategi for Digitalisering af Sundhedsvæsenet 2013-2017 • Aim: Improving wound care in the municipalities (faster healing) • Framework: Financial agreement 2017 (ØA17) • Launched via 5 regional programs • Approach: Direct communication between the municipality’s home care team and the hospital’s wound center through a shared patient record • Estimatednumber of patient in the RH is XXX

  10. Nation widedeployment 3Pregnant women with complications • Based on: The KIH project • Aim: Shortening hospital admissions cause by preeclampsiathrough home monitoring • Framework: Financial agreement 2018 (ØA18) • Unrolled via ... (organization) • Approach: • Estimatednumber of patient in the RH is XXX

  11. Learnings - whatseems to work

  12. Validating telemedicine: Two approaches Traditionally RCT is the standard BUT: • Expensive and lengthy - technology must be kept constant • Sample size often too small • Multi-intervention: What’s the decisive factor? • A challenge when deploying elsewhere The alternative • Qualitative evaluation • Assumption: The treatment is the same, just delivered differently • Giving the clinicians a technical platform - letting them mold the organization themselves

  13. Get to know the organization! …it’s a nitty gritty • Hospital departments are finely optimized organizations • Staffs have great ownership to their specific patient pathways • Benefits in telemedicine are usually gained through improving workflows and the interaction with the patient • Organizational variations can be a barrier for scalability • Notice! Most telematic projects use “old technology” Technology is secondary

  14. It’s the prognosis, not the diagnosis! …Avoid over-threatment • Home monitoring is expensive • Therefore, specification of the target group for different initiatives is crucial …but also difficult! • The technological perspective sometimes has a one-eyed focus on the diagnosis or diagnosing • COPD • Apps for identifying skin cancer • Apple watch: Heart arrhythmia The risk is over-treatment, no savings and worried patient

  15. Don’tbuild a new technical platform • IT organizations already have too many IT systems to run Instead • Use a platform already implemented • The Capital Region has OpenTele • Build plugings • Ex. DreamMed - A plugin for Glooko and Tidepool ….Don’t use cloud services

  16. Research in demand - within telemedicin • Processing of data (AI / Big Data) • Home monitoring is data collection • Avoid future data overload • New types of measurement (hardware) • Access to new data sources • Understanding patient's interaction with technology and treatment (anthropology / psychology) • Effect is most often achieved through behavioral change

More Related