henrik ibsen's presentation from the healthcare denmark ambassador summit
DESCRIPTION
Henrik Ibsen's presentation on Telehealth at the Healthcare DENMARK Ambassador Summit 2014 in Copenhagen.TRANSCRIPT
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• Open Source/license free
• Initial budget $1,5 mio USD
• Large scale focus
• Complete coverage
Denmark - the danish healthcare strategy
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Home Health Monitoring Market
Business opportunities
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Portable devices for measurements and end user interaction
Clinicians view designed to handle large scale remote monitoring
Monitoring data
Feedback from clinicians
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Remote monitoring issues
Existing problems: (solved by Open Tele)
• Systems are too complex and ambitious (Keep it SIMPLE!)
• Not designed to be efficient or scalable (Design for scalability)
• Expensive by license fee’s, prohibitive pricing (Target <$35 pt/year)
• Proprietary hardware is complex and expensive (Use COTS)
• Systems are designed to specific diseases (All in 1 platform)
• Few and scattered references (Implement a whole nation)
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OpenTele approach
At schedule the patient
execute the workflow
Data send to the
OpenTele DB
instructions to remain
calm for 10 minutes
Data is obtained -
- using std. devices
Patient goes to hospital
Questionnaire is pushed to patient
tablet, and activated when it’s time!
or perhaps.…
Patient has an online video
conference with the doctor
TIME!
Doctor reviews data
and takes action
Doctor creates questionnaire with
clinical pathway for COPD with schedule
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Context, Data & Facts
Automatic or Manual input
• Blood saturation/pulse
• CTG
• Blood pressure
• Weight
• Glucose in blood
• Lung function (spirometer)
• Continual glucose measurement
Manual input
• Temperature
• Glucose i urine
• CRP
• Hemoglobin
• Protein i urine
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COPD Questionnaire/workflow
• COPD workflow
• Patient follows clinical pathway
• Instructions -> Context +
• Q&A -> Diagnostic data +
• Measurements -> Facts
The workflows can be quite complex, and
work as part of diagnostic efforts, for specific
diseases - thus extending monitoring to also
include fact-finding and document
changes/development in the patient condition.
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Clinical Value
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OR ?
$2.80 / Month
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Scalability
10% of users 20% of users
85% of users
High Clinical quality
Bluetooth/Manual
High Clinical quality
Bluetooth/Manual
BYOD
Manual
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• Hospitals: massive cost reductions by allowing the patients to take
measurements at home. Patients save time, are checked more often, and feel empowered.
• Hospitals: Much better resource utilization and huge savings on medico equipments, by utilizing empty beds for patients, equipped with a low cost tele kit instead of expensive fixed equipment
• Health insurance companies are able to systematically prevent people from
hospitalization, because conditions are caught early and treated by GPs rather than at the Hospital.
• Large HealthIT provider benefit from cost effective cloud based platform,
and provider can focus on rollout and logistics delivered.
• Pharma companies mandated to document adherence and compliance to
maintain reimbursement. Support ambitions to value add to their products by providing IT support for home care and telemedicine.(Chronic diseases)
Potential utilization
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Potential utilization
• Industrial companies that need to monitor critical personnel on a daily basis for security reasons (Like off-shore, shipping, mining etc)
• Public administrations (Health) are able to launch regional projects for screening large groups of citizens, or even focus on home for elderly or schools. Preventional programs can be added.
• NGO’s can have access to remote monitoring and diagnostic equipment – increasing range, possibilities and efficiency of their healthcare efforts
• 3rd world governments seeking to stretch very few clinical resources over vast geographical areas, as well as utilizing overseas specialists and doctors.
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Status of OpenTele
Silverbullet has developed OpenTele has Open Source for Danish Government
Live version of OpenTele is maintained by SilverbulletDevelopment, changes and support agreement with Danish Government
Live from 1/9 2013 - large scale
2000+ patients is using OpenTele as per 1/8 2014.
2nd version of OpenTele to be delivered before 1/1 2015.
CE mark Medical device class II by Q2 2015 - deliverable through cloud technology
SignOn in DK by 3 regions and 10+ municipalities including CPH Municipality. More to come.
Part of the governments national roll-out strategy
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Thank you for your attention!