Integrated Care Platform

Oslo, 16th November 2016

Drs. D. Peek, MD FCCS FIPP

Anesthesiologist & Pain Specialist

Drs. Mr. Sebastiaan R.V. Alves

Business Development Healthcare HPE

The use of Telemedicine in Ambulances

We consider it as quite normal…

Remote access to energy information at home

Remote access to car related information

We consider it as quite normal…

?

When it’s about life threatening situations…

Functionality and innovations

Data Analytics &

Decission Support Medical Expertise Centre Domain Differentiation

Video & bodycam Mobility & Medical Tablets ‘Multi Vendor’ Integration

Connecting different user groups with the Hospital

Ambulance

General Practitioner(s)

2016 / 2017

Other Hospitals

Tele-IC / Tele-ER

Patient at home

2017 / 2018

How can Telemedicine contribute?

*POC/POA = point of care / point of accident

Patient Home POC/POA*

PRE-AMBULANCE

Is patient transport necessary?

Ambulance

1

Physician

Hospital A Ambulance

PRE-HOSPITAL

Shorten door to needle time Improve communication and preparation

2

Ambulance

Hospital B

INTER CLINIC

Monitoring secondary transports remotely

3

Enlarge diagnostic possibilities at the POC/POA*

MIST

Vital signs

Converged

Cloud

Information

optimization

Security

Mobile X-Ray

Vital signs

Mobile Ultrasound

Ambulances

General Practitioners

*POC/POA = point of care / point of accident

Medical Relevation of the Solution Example* Neurology: strokes (CVA)

Stroke is a major worldwide health problem

- 1st cause of acquired disability in adults

- 2nd cause of dementia

- 3rd cause of death (8.524 Netherlands 2012 / 64% female)

Huge social economic impact

- Definition: costs of care, medication, missed econ productivity

- $ 34 billion (USA, 2014)

- € 350 million (Belgium, 2008)

- € 1.8 billion (the Netherlands, 2013)

Huge number of strokes yearly

- 1.100.000 new strokes in Europe yearly

- 27.000 new strokes in Belgium (74 p/day)

- 47.000 new strokes in the Netherlands (126 p/day)

• Source: University Hospital Brussel

Prof. Brouns, Prof. Hubloue, Prof. Noppen

Patient registration

+ triage

Nursing procedures – blood sampling – NIHSS

CT Nursing procedures – blood sampling – Final diagnosis

Routine clinical practice

Arrival hospital Start Thrombolysis

43m 45m 74m 84m 102m 28m

Prehospital Stoke Study

(telemedicine)

CT - Analyse blood resukts - Nursing procedures - Final diagnosis

Arrival hospital Start Thrombolysis

45m 72m

Immediate transport

to CT 30 mins quicker

Patient registration triage – Basic Nursing Procedures

Life Transmission of Vital parameters, PoC Blood Analysis – UTSS through bidirectional

Audio-video connection

43m 28m

(Prehospital stroke study Univ Hospital Brussel / “How to shorten door-to-needle time”)

Medical Relevation of the Solution

HPE won 2 TIMMIES with Telemed Solution recently!

Most Innovative Ecosystem & Most Innovative Vendor

(82 projects registered / 12 project nominated / 4 Timmies available)

Pilots

o Technical & Medical PoC ended and evaluated positive

o Preparing regional implementation (Business Case: quantify & qualify advantages)

o New pilots: Min. Defense, Handheld Diagnostics, remote monitoring COPD-patients

Legal issues, protocols and funding

o Relevant laws (privacy, treatment contract, health quality, medical instruments, etc.)

o Medicolegal Aspects

o Dialogue with relevant Government & Health insurance for changes in declaration proces

Preparing full implementation and scale up

o International approach with ‘coleur locale’

o Exploitation model: installation & delivery, license pricing, pay per use, training, helpdesk, etc

o Ambition to be the platform for hospitals to instrument their Telemedicine ambitions

SM2ART (Specialist Military Medical Assistance in Remote Treatment)

Medical Expertise Centers

Converged

Cloud

Information

optimization

Security

Data

Voice

Video

Trends in de gezondheidszorg vragen om innovatieve oplossingen

Big data & analytics,

personalization

Specialized

apps

Health records

(EHR, PHR)

Care pathways /

Scheduling

Telehealth

services

Precision medicine

/genomics

IoT / health

monitoring

Robust & secure

infrastructure

Technology enablers