mhealth: zbytečný termín nebo nová oblast ehealth služeb

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1 mhealth: zbytečný termín nebo nová oblast ehealth služeb MUDr. Pavel Kubů CEE Healthcare Business Development Manager, Intel MUDr. Pavel Trnka CEO, KTTP sro 0

2 The Perfect Storm is here Rising Costs of Healthcare Aging Population Shortage of Healthcare Professionals New models of care forced to emerge 1

3 The Continuum of Shift Left Highest Quality of Life Lowest Cost of Quality of Life Health and Wellness Home Residential Acute Cost of 2

4 mhealth Cloud / Data Center Embedded Workstations/ Desktops Laptops Netbooks Tablets Smart- Phones & Handhelds Smart TVs One Architecture Across Connected Devices for Healthcare Enabling a Secure, High Performance, & Consistent User Experience 3

5 Coordination: What it Takes EMR Gather & Store Comprehensive Information CPOE CDSS PHR Empower the Patient vpro TxT Secure Access to Information Everywhere HIE Share Information Across Organizations AT, AESNI Patient Family MPOC MHealth Mobilize the Data TEAM Collaboration 4

6 Coordination Across the Continuum Health Checkup CPOE EMR MPOC Emergency Self Check & Control Clinic Electronic Health Record Data Repository Home Community Visiting Pharmacy Long term Academic Research Remote Diagnostic 5

7 Coordination Across the Continuum Health Checkup HIE National Networks Emergency Self Check & Control Data Exchange Personal Health Record Patient-Centric Data Exchange Clinic Electronic Health Record Data Repository Home Community Visiting Pharmacy Long term Academic Research Remote Radiology 6

8 Coordination Across the Continuum PHRs Health Checkup Emergency Self Check & Control Data Exchange Personal Health Record Patient-Centric Data Exchange Clinic Electronic Health Record Data Repository Home Community Visiting Pharmacy Long term Academic Research Remote Diagnostic 7

9 Coordination Across the Continuum Health Checkup CDSS Emergency Self Check & Control Data Exchange Personal Health Record Patient-Centric Data Exchange Clinic Electronic Health Record Data Repository Home Community Visiting Pharmacy Long term Academic Research Remote Diagnostic 8

10 Intel Technology Supports Coordination HIT Infrastructure PHR EMR Gather & Store Comprehensive Information Embedded, MPOC, Server, DC, Performance, Rendering, Security CDSS CPOE HIE Empower the Patient Share Information Across Organizations Provider Family Continua MPOC CPOE, MPOC, MCA, Security, WiFi, 3G, 4G, RFID, RLS Patient Enable Team Collaboration 9

11 GEmMA Originality Added Value coming from interoperability with external systems getting place Interoperability with Central Electronic Health Record repository IZIP EMERGENCY DATASET Interoperability with national register of Insurance numbers of VZP (General Health insurance Company ) impact on billing Interoperability with Prague EMS internal Patient register 10

12 Přínosy mhealth v dlouhodobé péči Cukrovka (1) 42% snížení nákladů na pacienta Chronická obstrukční plicní nemoc (1) 50% redukce přijetí k hospitalizaci 55% snížení akutních exacerbací v domácnosti 17% snížení výdajů nemocnic Městnavé srdeční selhání (2) 35% zkrácení délky hospitalizace 10% redukce návštěv v ambulanci 65% snížení návštěv u pacienta (1) Max E. Stachura, MD, and Elena V. Khasanshina, MD, PhD. Telehomecare and Remote Monitoring: An Outcomes Overview. The Advanced Medical Technology Association, October 31, 2007, accessed July 29, 2010, (2) John G.F. Cleland, MD, Amala A. Louis, Alan S. Rigby, PhD, Uwe Janssens, MD, Aggie H.M.M. Balk, MD, and others. Noninvasive Home Telemonitoring for Patients with Heart Failure at High Risk of Recurrent Admission and Death, Journal of the American College of Cardiology 45,no.10 (2005):

13 Shrnutí Transformace zdravotnictví potřebuje mhealth Před výběrem ICT řešení je nutné pochopit uživatelský model > jedno zařízení nevyhovuje všem Měření výsledků je nezbytné pro udržitelnost a popularitu řešení Jednoduché řešení může mít rozsáhlý přesah > je třeba začít teď Požadavky na bezpečnost a důvěrnost dat vytvářejí potřebu nových produktů a služeb 12