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THE DREAMING PROJECT FINAL CONFERENCE Trieste, 14th June 2012 The new organization model of Pflegewerk and Mediplus in Berlin Marius Greuèl , Project leader Andrea Croci , IT Director Pflegewerk.
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THE DREAMING PROJECT FINAL CONFERENCE Trieste, 14th June 2012 The new organization model of Pflegewerk and Mediplus in Berlin Marius Greuèl, Project leader Andrea Croci, IT Director Pflegewerk
After an implementation phase of one year all the vital sensors are running without problems
Pflegewerk has realized an 24/7 contact center but in the future we want to realize a regional decentered solution at 5 locations
Pflegewerk offers different care solutions • for the participants Apartments for the elderly Residential Ambulatory care services Ambulatory healthcare centers
Dreaming is focused to one of the target groups of Pflegewerk/Mediplus • Disease Manage-ment • Home • Care • Residential • Care • Intensive • Care Target group of Pflegewerk
Implementation of medical pathways Patient in intervention group? no Data is transmitted via smartphone to portal yes Nurse for the elderly measures vital data according to medical prescription. Receives data and makes them available to doctors and nurses. Nurse for the elderly measures vital data according to medical prescription using telemedicine devices. Data is stored in paper record. Nurse for the elderly and doctor receive values immediately and can respond promptly. Sends SMS or Email in case of conspicuous measurements. Doctor receives regularly vital data of patient as a basis for further decisions. Sents summary report to doctor by email.
Results of the project • Devices • The Vital sensors and • environmental sensors could be used • successful since 2010 • The video conferencing is not comfortable, not all of the problems with the audio card could be solved; we had installed two units in two apartments for the tests of the usability and handling.Since that time we have again Problems with the webcam, the sound and the quality of the video especially with the synchronization between video and audio channel • Mambo is not really useful for all of the participants, because of the handling and problems with GPS receiver 10
Dropouts • Study group • 16 participants • 14 died • 1 in Nursing home • 1 refused to take part after initially accepting • Control group • 15 participants • - all died along the way
Plans beyond the EU funded phase Mediplus has identified and win the following contractors for the long-term guarantee of benefits after the EU funded phase:- Housing Associations- several Health insurances- Hospitals- Medical service center for counseling and case managementFurthermore, the following partnerships have been included:- German Society for Telemedicine- German Society for Health Telematics- German Nursing Associations- Technology Foundation Berlin Country (TSB) - Federal Association of Private Care Services- German Hospital Federation 13
Plans beyond the EU funded phase Smart-phone
Plans beyond the EU funded phase 3. Why 3rd Generation? Central Unit 1st generation Tablet 2nd generation Devices are downsized to the actual needs of a nurse for the elderly! Smart-phone 3rd generation
Plans beyond the EU funded phase • Some of the biggest health insurances has informed us that they are interested to transfer the project results into the prospective standard care system of Telemonitorig financed by the health insurances in 2013 • The health insurances prefer meanwhile a methodological solution based on Propensity Score Matching and is compatible with MAST 16
Plans beyond the EU funded phase • The German minister of health Dr. Daniel Bahr has • started 2012 with a Masterplan for Telematik • In 2012 the new electronic insurance card will be implemented for all of the 70 Mill. health insurance takers 17
Plans beyond the EU funded phase • Contribution of Pflegewerk in new ICT Policy Support Programme (ICT PSP) for Telemonitoring “RENEWING HEALTH„ (REgioNs of Europe WorkINg toGether for HEALTH) with 400 participants 18
Pflegewerk Mediplus Managementgesellschaft im Gesundheitswesen mbH Wisbyerstr. 16/17 10439 Berlin Tel.: (030) 396 00 510 Fax: (030) 39600511 Mail: info@mediplus-berlin.de www.mediplus-berlin.de Thank you for listening
Plans beyond the EU funded phase • Preparation of an application regarding the future implementation of telemonitoring into standard care at the „Gemeinsamer Bundesausschuss“ (federal committee, the highest competent council of the collective self-organisation of doctors, hospitals and health insurances in Germany) • Membership in the telematic network of the telematic delegates of the German federal states under the leadership of the health ministry (HIPPO) 20