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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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2005 2006 2007 2008 2009 2010 2011 2012 2013 2014
5 jaar actief
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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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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