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Pau planaspresentacio
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Forum CISPau Planas, CEOFebruary 2003
Mission
In an attempt to exploit these opportunities, e-MedicalMonitor aims at:
… becoming the reference provider of servicesfor the management of chronic disease,… through the application of state-of-the art computer and communications technologies,… in co-operation with patients, doctors and healthcare organizations,… with the ultimate goal to improve the patient’s quality of life.
Current trends in the OAT management
The centralized “OAT clinic” management model is in crisis, due to:
the tremendous increase in the amount of anti-coagulated patients, currently estimated to be around 0.8-1% of the total population in EU / USA.the rather modest level of resources available to OAT clinics.
In an attempt to address this crisis, several alternative management models are being proposed, based on:
the decentralization towards primary care practices and / or family doctors.the patient self-testing and / or self-management.
Report
After a routine INR control (1), the doctor adjusts the drug dosage (2) and the patient receives the information automatically at home (3).Once the blood sample is extracted, the patient may go back home without worrying about unnecessary waits, travels and calls.
Fax / e-mail reporting
Cellular phone (SMS) reporting
easyTAO Report38506900R05.08.2000INR 2.22COUMADIN 528.75 mg/wkM 1Tu 3/4W 3/4Th 1F 3/4Sa 3/4Su 3/4App. 14-09-2000
www.e-medicalmonitor.com
FAX
GSM PHONE
BROWSER
E-MAILPC
PCBROWSER
PATIENTSPATIENTS
INTERNETINTERNETPMS
PHONE OPERATOR
GSM/SMS OPERATOR
easyTAO SERVEReasyTAO SERVER
DUNAAPLICATIONS
ORACLEDBMS
ENGINE
DUNAWEB
APLICATION
DUNAHTTP / HTTPS
SERVER
FIR
EWA
LL
DUNASOCKET / FEEDER
OAT CENTEROAT CENTER
The easyTAO system
SMS
FAX
One system, several services
ANTHEMA
ASP
easyTAO
homeTAOe-MM
systems
Patient & relatives
at home
Healthcare
professionals
ANTHEMA ASP for OAT clinics / practices
Application Service Provider (ASP) model:outsourcing of IT operationsservice vs. product
ANTHEMA ASP services lets clinics / practices benefit:by letting them focus on high added-value activities.by facilitating the implementation of systematic, high quality OAT management programs for decentralized / home patients.by offering easyTAO and homeTAO services to patients.
ANTHEMA ASP lets clinics / practices manage all types of OAT programs in an integrated, cost-effective way.
homeTAO reminds the patient that a new control should be performed (1). After the test, the patient enters the INR value into the system. homeTAO alerts doctors about patients requiring drug dosage adjustment on a daily basis (2). Following the doctor’s intervention, the patient receives the control report automatically at home (3).
Patient self-testing services
Italian pilot test
From September 2001 to September 2002, e-MM offered easyTAO experimental services in five of the most reputed Italian OAT clinics:
Ospedale S. Orsola, BolognaOspedale Maggiore, ParmaOspedale Ex Busonera, PadovaOspedale Policlinico, MilanoOspedale Eugenio Morelli, Sondalo
The pilot test was carried out with the full support of Italian OAT clinic and patient federations (FCSA and FederAIPArespectively).250 “real” patients used easyTAO. The system processed more than 6000 therapy reports with no major incidents.
easyTAO pilot test: the OAT clinic’s view
Traditional reporting easyTAO reporting
Reliability in the delivery Excellent ExcellentErrors Poor ExcellentReporting clarity Excellent GoodCommunication with patients Excellent GoodPatient comfort Very poor ExcellentPatient monitoring Poor PoorPrivacy Poor ExcellentAvailability Very poor ExcellentWorkload Poor GoodCosts Very poor Excellent
By Dr Pattacini, Parma OAT Centre, as presented at the FCSA 2002 Congress, Abbano Terme (Italy), 12 March 2002
easyTAO pilot test: the patient’s point of view
Excellent Good Poor Very poor
Usability / simplicity 77% 22% 0% 1%
Daily life improvement 28% 40% 25% 7%
Therapy quality improvement 16% 55% 15% 14%
Overall service rating 37% 59% 3% 1%Data obtained from easyTAO pilot test poll to 70 participant patients, as presented at the FCSA 2002 Congress, Abbano Terme (Italy), 12 March 2002
To conclude:
e-MM goes beyond the traditional R&D driven telemedicine model:
providing services, not systems matching the clinical organizations’ needsdeveloping viable commercial models