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High quality healthcare by the virtue of telemedicine

High quality healthcare by the virtue of telemedicine. Christina E. Wanscher MA, Consultant Danish Centre for Health Telematics County of Funen. Agenda. Overview of how telemedicine can be an aid in providing high quality healthcare Illustrated by HEALTH OPTIMUM. High Quality Healthcare.

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High quality healthcare by the virtue of telemedicine

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  1. High quality healthcare by the virtue of telemedicine Christina E. Wanscher MA, Consultant Danish Centre for Health Telematics County of Funen

  2. Agenda • Overview of how telemedicine can be an aid in providing high quality healthcare • Illustrated by HEALTH OPTIMUM

  3. High Quality Healthcare Through careful use of telemedicine and IT, it is possible to improve the efficiency, and to achieve clinical and economic benefits

  4. Healthcare strategy in Funen • The Funen Hospital Management has the courage to use telemedicine services as an embedded part of the service delivery • In collaboration with the Danish Centre for Health Telematics, HEALTH OPTIMUM has been introduced

  5. HEALTH OPTIMUM • An eTen market validation project with partners from Veneto Region in Italy, Aragon Region in Spain and Funen County in Denmark • Participants: 6 mio /Italy – 1 mio /Spain and…. 6000 /Denmark • Overall aim: Optimisation of healthcare though telemedicine

  6. Before HEALTH OPTIMUM patients living on the remote island of Aeroe had to travel long distances to Svendborg hospital in order to receive specialist treatment.

  7. Then we introduced…tele-counselling Now because of HEALTH OPTIMUM, patients can travel to the local hospital nearby and receive tele-counselling in • Cardiology (Heart disease) • Endocrinology (Diabetes)

  8. This is possible because of.. • Investment in IT as tele-counselling includes: • video conferencing • Transfer station of digital images • Shared electronic healthcare record • And a network connecting everyone

  9. Danish Health Data Network

  10. And in addition… • Some human preconditions • Specialist nurse willing to see and examine the patient guided by the specialist • Specialist doctor willing to see patients over a distance from the office and “feel” the patient through the nurse • Patients that are willing to be treated via telemedicine LOCALLY – only see the specialist on “TV”

  11. To illustrate… • Tele-counselling in cardiology and endocrinology

  12. Electronic Patient Record

  13. Tele-cardiology Nurse conducts ultrasound at local hospital  Specialist doctor views from a distance

  14. Portable echocardiograph

  15. ECHOCARDIGRAPHY

  16. Tele-endocrinology Nurse sees diabetic patient at local hospital

  17.  Specialist doctor views from a distance

  18. The specialist can also consult with the patient directly

  19. HEALTH OPTIMUM • The project period ended in January 2006 – but the service continues • All health professionals (including nurses and doctors) are very satisfied. • 100 % of all patients wants to receive the HEALTH OPTIMUM service again (patient questionnaire)

  20. Efficiency? HEALTH OPTIMUM has proved that it is possible to improve the efficiency through the use of telemedicine YES! • Optimised work flow between specialist and nurse • Specialist’s time is optimised • Patient saves time

  21. Clinical benefits? HEALTH OPTIMUM has proved that it is possible to achieve clinical benefits through the use of telemedicine YES! • May improve chronic disease management • Better healthcare, easier access to specialist care • Reduced barriers for referral to specialist • Shorten the waiting lists – maybe

  22. Economic benefits? HEALTH OPTIMUM has proved that it is possible to achieve economic benefits through the use of telemedicine NOT really! • Telemedicine is not cheap • No reimbursement scheme has been developed • BUT patients obtain economic benefits..

  23. In Conclusion • Are feasible and highly acceptable • Telemedicine should be seen a as a strategic mean of improving health care BUT • Projects must be supported by both management and users • Work flow processes must be redrawn with focus on optimising the benefits of telemedicine • Risk management/Investments in IT

  24. Thank you for your attention Danish Centre for Health Telematics www.cfst.dk Christina E. Wanscher cew@cfst.dk

  25. Questions? • How were the organisational processes changed? • How many can have telemedicine consultations instead of ordinary consultations?

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