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Ferrara Pilot Presentation of. AUSL Ferrara – Matias de la Calle. Final Conference , Vienna 16 th May 2014. www.spes-project.eu. www.spes-project.eu. The Ferrara Pilot – respiratory failure.

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  1. Ferrara PilotPresentation of AUSL Ferrara – Matias de la Calle Final Conference, Vienna 16th May 2014 www.spes-project.eu

  2. www.spes-project.eu The Ferrara Pilot – respiratory failure • The pilot aims to provide patients suffering from breathing problems with a system that can remotely monitor their healthstatus, enabling a more efficient use of medical aids and a more efficient organization of the healthcare service. • The pilot also aims to guarantee provision of telemedicine to all health care users, providing user-friendly technology solutions to elders.

  3. www.spes-project.eu Target • Affected by chronic respiratory failure, requiring long-term oxygen therapy and non-invasive mechanical ventilation. • Already followed by pneumologists in AUSL Ferrara for periodical clinical controls. • Enrolled over two districts in the province of Ferrara and not within the town.

  4. www.spes-project.eu Target group average age: 75 years

  5. www.spes-project.eu Ferrara: Ageing Index

  6. www.spes-project.eu Ferrara: Population Density Low population density in Ferrara Province (136,5 inhabitants/square km vs. 198,7 in Emilia-Romagna Region) results in additional costs for health care offer.

  7. www.spes-project.eu Ferrara Province

  8. www.spes-project.eu Aims • Bettersupportforelderly people living at home • Speeded up diagnosis and therapeutic care • Reducedmobilityofpatients and physicians • Easierproceduresforbetterservicesprovision • Easier management ofhealthrisksprevention and controlindependentlyfrom location of the patient

  9. www.spes-project.eu Patients involved 25 Patients enrolled

  10. www.spes-project.eu Devices – Home setting Oximeter Nonin 9560 with Bluetooth ACER Iconia W501 + ADSL Spirometer

  11. www.spes-project.eu Tablet Data collection and transmission os blood O2 saturation. Questionnaire on Quality of Health perception and respiratory conditions. Everyday, every 3 days, once a week.

  12. www.spes-project.eu Pulsi-oximeter Measurement of oxigen blood saturation And heart rate.

  13. www.spes-project.eu Portable Spirometer Spirodoc Patients already involved in the pilot were selected, on clinical basis, to be monitored also through the spirometer, in order to measure altered respiratory functions.

  14. www.spes-project.eu Parameter: flow obstruction The flow obstruction allows us to: Evaluate how patient is responding to the therapy, Detect immediately worsening of patient health condition.

  15. + 25 patients in O2 therapy 16 months first pilot 8 months second pilot 8 months BUONGIORNO ! I Answer the questtionnaire second pilot

  16. www.spes-project.eu Functionalities • For Users: • Medical measurements: take and view data • Medical questionnaires: compile and view • E-mail messages: send and receive • Video conference – Skype • Agenda • For Professionals: • View medical measurements, medical questionnaires • Add information about the patients • Set of alarms (for clinical parameters)

  17. www.spes-project.eu Active Feedback specialist - patient

  18. www.spes-project.eu Respiratory parameters and clinical questionnaires outcome allow real time monitoring. This allows us planning ambulatory check up in a rational and timely way.

  19. www.spes-project.eu Messaging using the SPES allows human interaction and improves patient motivation by receiving feedback on health and data production.

  20. www.spes-project.eu Results Qualitative assesment on end users’ perception Tools WHOQOL questionnaire Focus Groups Patients Patients+doctors

  21. www.spes-project.eu Quality of Life Assesment – WHOQOL BREF “Quality of life is defined as individuals' perceptions of their position in life in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards and concerns.” DOMAINS: Physical Health – Psychological - Social relationship - Environment

  22. www.spes-project.eu Target

  23. www.spes-project.eu Target Age Average: 75 years Minimum: 49 years Maximum: 92

  24. www.spes-project.eu Target Average age: 75 years

  25. www.spes-project.eu Target

  26. www.spes-project.eu Target

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  28. www.spes-project.eu Results

  29. www.spes-project.eu Results

  30. www.spes-project.eu Results

  31. www.spes-project.eu Results

  32. www.spes-project.eu Results

  33. www.spes-project.eu Results

  34. www.spes-project.eu Results

  35. www.spes-project.eu Results

  36. www.spes-project.eu Results

  37. www.spes-project.eu Results

  38. www.spes-project.eu RESULTS - FOCUS GROUPS Courtesy of FISTAT

  39. www.spes-project.eu RESULTS FOCUS GROUPS SPECIALIST Mantovani: “Telemedicine amplifies the amount of time needed to relate with the patient: this implies that the professional needs more time. So specific and structured organization spaces are needed or dedicated personnel.” PATIENT Bariani: “I’m satisfied because I have the chance to monitor my health by myself by answering to the questionnaires and measuring my blood saturation.” PATIENT Moro: “ I find very positive to self-monitor my health. It makes me feel more self-confident. I’d like to keep using the oximeter and the tablet. If I can’t keep it I’ll buy it myself.

  40. www.spes-project.eu RESULTS - CONCLUSIONS A high percentage of the patients (more than 80%) has performed the assigned duties and activities and has reported the lesson learnt with the use of the system. The patients have appreciated the possibility to visualize and store their clinical data measured with the provided device in a very easily manner. The possibility to write mails has been very little used. The patients have reported that they prefer direct contact or at least phone/video calls.

  41. www.spes-project.eu RESULTS - CONCLUSIONS Both patients and clinical professionals are satisfied with the SPES telemedicine opportunity Patients Refer to feel more self confident, mainly for two reasons. patients feel safer and serene because they perceive that the specialist constantly monitors his or her health conditions. Perception that health conditions are daily monitored by the specialist.

  42. www.spes-project.eu Patients The patients refer to be better able to self monitor their health parameters. They feel safer by reading answers to questionnaires. Patients feel to have more control on their lives by having their health parameters and health perception monitored by clinicians and feeling empowered by the opportunity to be self monitored at home.

  43. www.spes-project.eu Clinicians Refer to be satisfiedof the SPES platform because: They are able to remotely and constantly monitor patients’ parameters. They are satisfied because patient empowerment is enhanced by self monitoring. They are more capable to define the medical follow-up agenda according with health conditions priorities. All patients refer they are willing to continue monitoring with SPES technology.

  44. PERSPECTIVES

  45. SPES Tech infrastructure www.spes-project.eu HUB To be renewed WS Web interface Bluetooth /serial DB

  46. Devices SOLE EHR practitioner Physician

  47. www.spes-project.eu Thanks!

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