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Presentation given in Med-eTel 2011 - providing case study of remote diagnostics of cardiology exams.
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Innovative Web-based Solutions for Healthcare
Roberto SchliesserVP Telemedicine SolutionseWave [email protected]
Med@Tel April 2011
About eWaveMD
An international company developing web-based medical
applications since 1999.
A subsidiary of eWave, an integrator and provider of
software solutions, made up of 450 software professionals.
Our solution serves more than 10,000 physicians and
3,000,000 patients.
Software as a service approach (SaaS)
Israel vis-a-vis the World in Healthcare IT
Source: OECD Health Data 2009, November 2009.
1000 2000 3000 4000 5000 6000 7000 800076777879808182
USA
IsraelUK
Denmark
Nether-lands
Total Health expenditure per capita (USD)
Life
exp
ecta
ncy
at b
irth
One of the most efficient systems in the world (7.7% of GDP)
Leader in adoption of HIT
100% penetration of centralized EMR since 1990
99% nation wide electronic prescriptions since 1995 (eRX)
Complete web access to Personal Healthcare Records (PHR) since
2000
eWaveMD’sHighly Developed HIT
Systems in Israel
Maccabi PHR – Home page
Maccabi PHR - Lab Results
Maccabi PHR - Meeting Scheduler
Maccabi PHR – Diabetes tracking
Maccabi PHR - Nutrition
Solutions and Products – Maccabi Information Kiosks
Leumit - EMR
Leumit – EMR appointment log
Leumit – EMR – patient summary
Leumit – EMR progress note
Leumit – EMR Chart
Leumit – EMR eRX
Leumit – EMR Lab results
eWaveMD Unified
e-Health Platform
Home Care
Remote Diagnostics
eSched
EMR
Virtual Consultation
Disease Manageme
nt
ARTEC(Advanced Rural
Telemedicine Clinic)
PHR
One platform, multiple solutions
“TeleMaster” - Remote Diagnostics
Assuta-Lev (Israel); Raytel (USA)
Our Solutions
Maccabi – Nationwide remote cardiac services
• Tele-diagnostic service for cardiac exams • Used by Leumit & Maccabi (Israel) & Philips
Healthcare (USA)• Cost reduction – profitable for both provider and
patient• Improves waiting period for tests and results• Supports a virtual and physical interpretation
center
NHS - Cardiac telemedicine study
The devices
Tele EKGTele Holter
Broomwell Healthwatch (UK) Assuta- Lev - Israel
Aerotel Medical Systems HeartView 12L
eWaveMD automated workflow Vs. manual workflow
Israel – Maccabi HealthCare
Broomwell Healthwatch (UK)
Staff:• Doctors: 4• Administrative: 7
Annual exams: 60,000
Process: Semi automated• Manual File transfer• Manual demographics entry• No Health Record
Staff:
• Doctors: 2• Administrative: 0
Annual exams: 140,000
Process: Fully automated• 100% File transfer liability• Automated demographics• Full integration with HER
• 18,000 Holter readings performed during 2009.
• 1,200 Holter readings during December 2009;
• Human resources required (2009):» 5 technicians per day;» 5 days a week» 22 days a month» 12 months/year.» 2 cardiologists performing evaluations and
referrals during idle time in the ECG call centre.
• Average time per technician/per Holter reading (including idle time):
26.4 minutes
Maccabi Healthcare (2009)
• 140,000, 12 Lead ECG readings during 2009.
• 11,775, 12 Lead ECG readings during December 2009;
• Human resources required (2009):– During morning hours: 3 to 4 doctors– 2 Technicians– Afternoon1 to 2 cardiologists
• Working hours: 0800-1900Actual Average time required for each
diagnosis:1 minute 39 seconds
Maccabi Healthcare (2009)
Telemaster
Telemaster
Thank You!
Roberto Schliesser
+972-505-659-763 (Israel)www.ewavemd.com
