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Klinische  Informa0ekunde  (KIK)  

Healthcare in 2030?

Prof. Dr. Leonard Witkamp, Department of clinical Informatics, Academic

Medical Centre, Amsterdam KSYOS TeleMedical Centre, Amstelveen

Klinische  Informa0ekunde  (KIK)  

Klinische  Informa0ekunde  (KIK)  

Klinische  Informa0ekunde  (KIK)  

Klinische  Informa0ekunde  (KIK)  

Klinische  Informa0ekunde  (KIK)  

Klinische  Informa0ekunde  (KIK)  

Klinische  Informa0ekunde  (KIK)  

Klinische  Informa0ekunde  (KIK)  

Klinische  Informa0ekunde  (KIK)  

Medicine 2025

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KSYOS TeleCardiology

KSYOS TelePulmonology

Paradigm shift

Mission KSYOS Health Management Research

Efficiency increase

More fun, better care and higher production volume at lower costs Faster, better care close to the patient at lower costs

Entire service:

•  Complete healthcare service for diagnosis, consultation and monitoring

•  Equipment (camera’s, measurement tape)

•  Education, group training and individual on-site training

•  Helpdesk service

•  Active monitoring

•  Contracts, informed consent, liability

•  Administration and finance

•  Reporting quality indicators

•  R&D

KSYOS  camera                      iPhone  Samsung  HD  digital  camera      

KSYOS  dermatoscope  DinoLite,  HandyScope,  ….    

TeleDermatology  

Short term efficiency increase TeleDermatology

- 74% reduction in physical referrals - response time 4.6 hours instead of 6 – 8 week - learning effect in 91% of the TeleConsultations - 20 – 40% reduction in costs  

Long term efficiëncy increase TeleDermatology

- after 3 years 40 - 60% reduction of Teleconsults  

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5  jaar  actief  

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9  jaar  actief  

10  jaar  actief  

Long term efficiëncy increase TeleDermatology - after 3 years TD, the GP refers 30% less patients physicaly as compared to control group  

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10,00

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2008 2009 2010 2011 2012

With TD

Without TD

Efficiency increase by learning effect

- TeleDermatology is self limiting  

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2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

DERMATOSCOPIE

REGULIER

Characteris:cs  of  eHealth  

•  Highly efficient

•  Data move, not the patient

•  Time independent

•  Place independent

•  Learning effect

•  Urge for transmural communication

•  Urge for standards

Choices  to  be  made  

•  In house versus eHealth

•  Regional supervision by medical specialist (medical director)

•  General practitioner is director of medical proces

•  Paramedic is medical worker

•  Self or in cooperation

•  Routine versus highly specialized

•  Hospital building

•  Public – private cooperation

Cooperation?

Leonard Witkamp

l.witkamp@ksyos.org

+31-206000060

+31650650196 (mobile)