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Good Practical Experience Worldwide: Value-Added Services of PHR
Customized to the Needs of Various Groups of Patients
Martin Fuchs Chief Executive Officer, InterComponentWare
(Switzerland) AG, Zurich
The Eight Annual Disease Management Colloquium, May 19-21, 2008,
Philadelphia
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The Eight Annual Disease Management Colloquium, May 19-21, 2008,
PhiladelphiaMay 20082Executive
BoardInvestorsFounded:EmployeesLocationsPeter Reuschel (CEO)Norbert
OlsacherDr. Frank WardaDietmar Hopp (co-founder of SAP AG)Dr.
Andreas and Dr. Thomas Strngmann (Santo Holding [Deutschland]
GmbH)EnBW Energie Baden-Wrttemberg AGICW Executive Board,
Supervisory Board of Directors, and employees1998 2000: Conversion
into a corporation (unlisted)600 (and growing) Walldorf, Germany
(Corporate HQ)Cologne, GermanyVienna (Austria)Zurich
(Switzerland)San Mateo, CA (USA) Sofia (Bulgaria)
The Eight Annual Disease Management Colloquium, May 19-21, 2008,
Philadelphia
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The Eight Annual Disease Management Colloquium, May 19-21, 2008,
PhiladelphiaMay 20083Our Fields of ActivityDevelopment technology
and open standards for the eHealth marketNetworking solutions for
professionals in the health care marketLifeSensor the Web-based
personal health record
The Eight Annual Disease Management Colloquium, May 19-21, 2008,
Philadelphia
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The Eight Annual Disease Management Colloquium, May 19-21, 2008,
PhiladelphiaMay 20084ReferencesBARMER National research project for
the personal health recordThe Rhine-Neckar Health Care Initiative
Implementation of the LifeSensor personal health record in the
Rhine-Neckar regionPatient-Partner Association Integrated care with
the personal health record
National Electronic Health Card in BulgariaPilot project
introducing the eHC and required infrastructure
componentsUniversity Clinic in HeidelbergCross-institutional
networking of the individual clinics' information systemsBKK Hoesch
and BKK VOR ORTOptimization of individual care management
The Eight Annual Disease Management Colloquium, May 19-21, 2008,
Philadelphia
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United Nations: Population Aging 2002Health Care Trends in
EuropeElderly population on the rise: Demographic ChangesMay
20085The Eight Annual Disease Management Colloquium, May 19-21,
2008, Philadelphia
The Eight Annual Disease Management Colloquium, May 19-21, 2008,
Philadelphia
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Health Care Trends in EuropeEthical Conflicts on the
RiseIncreased Customer Demands:Promotion of
self-determination/patient empowerment Equal and just access to
healthImproved medical treatment (independent of cost
issues)Security - Protection and PrivacyConflicts of resources and
supply (30% of the primary physicians in Germany will retire by
2010)
May 20086The Eight Annual Disease Management Colloquium, May
19-21, 2008, Philadelphia
The Eight Annual Disease Management Colloquium, May 19-21, 2008,
Philadelphia
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Health Care Trends in EuropeIncreasing Transparency: Quality
Ranking and Economic ResourcesMay 20087The Eight Annual Disease
Management Colloquium, May 19-21, 2008, Philadelphia
The Eight Annual Disease Management Colloquium, May 19-21, 2008,
Philadelphia
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Health Care Trends in EuropeQuality Issues on the Rise:
Comparative Performance of Health Care Systems QA &
BenchmarkingMay 20088The Eight Annual Disease Management
Colloquium, May 19-21, 2008, Philadelphia
The Eight Annual Disease Management Colloquium, May 19-21, 2008,
Philadelphia
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Health Societythe third health care revolution as a solution 1.
Ensuring survival (19th century)The major advance in health care
policy in the 19th century ensured public health care2. Access to
medical care (20th century)Insurance and medical care systems
ensure that people receive support during illness, invalidity and
old ageThe individual was a passive patient3. Establishing the
health society (21th century)Focuses on prevention and maintaining
and promoting health in all walks of modern -day lifeThe individual
plays an active, crucial roleHealth literacy is a key factor for
successMay 20089The Eight Annual Disease Management Colloquium, May
19-21, 2008, Philadelphia
The Eight Annual Disease Management Colloquium, May 19-21, 2008,
Philadelphia
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Health policyConsumer behaviorSystem orientationHealth
Literacythe role of the individual in the health
societySystemMarketState/CountryWork environmentEconomyHealth
LiteracyPersonal HealthMay 200810The Eight Annual Disease
Management Colloquium, May 19-21, 2008, Philadelphia
The Eight Annual Disease Management Colloquium, May 19-21, 2008,
Philadelphia
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Health LiteracyPersonal Health Life CycleWellUnwellHealth check
Parental education Courses on nutrition for children
InoculationsBurnout Help with recovery Lifestyle
counselingAlzheimers disease management programBack strengthenig
exercies Mental transformation BotoxBroken legHealth education
prevention by the marketChildAdolescentAdultSenior
citizenHealthyUnhealthySchematic diagram of the state of a persons
healthPotential services and programs offeredMay 200811The Eight
Annual Disease Management Colloquium, May 19-21, 2008,
Philadelphia
The Eight Annual Disease Management Colloquium, May 19-21, 2008,
Philadelphia
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Health Literacyinformation-based health managementPersonal
Health Life CyclePrenatalBabyChildhoodAdolescenceLife - Work50+Old
Age
Electronic Health DiaryHealth CockpitMay 200812The Eight Annual
Disease Management Colloquium, May 19-21, 2008, Philadelphia
The Eight Annual Disease Management Colloquium, May 19-21, 2008,
Philadelphia
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The Use of TechnologyPersonal Health Records Empowering
ConsumersMay 200813The Eight Annual Disease Management Colloquium,
May 19-21, 2008, Philadelphia
The Eight Annual Disease Management Colloquium, May 19-21, 2008,
Philadelphia
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Consumers can access health resources using new
interfacesSelf-test/-diagnosis/-treatmentUser can use interactive
online tools to enter health-related information and are then
guided to relevant informationSelf-monitoring and analysisPotential
for TelemonitoringUniversal computing devices can be used to
prescibe medication and continously monitor the patients state of
healthSave measurement readings online. These are regularly
analyzed by online toolsPersonal Health Records: Integration of
Equipment for Preventing and Monitoring Chronic IllnessesMay
200814The Eight Annual Disease Management Colloquium, May 19-21,
2008, Philadelphia
The Eight Annual Disease Management Colloquium, May 19-21, 2008,
Philadelphia
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Practical ExampleAargau / Sports Group XLMay 200815The Eight
Annual Disease Management Colloquium, May 19-21, 2008,
PhiladelphiaSmile More active thanks to the happy ActiSmile.
ActiSmile is an exercise measurer that records how much you move
everyday. Its smile motivates you to move more. At the youth sport
camp XL, you will learn how to raise a smile with ActiSmile. And
with a bit of luck you could win your own ActiSmile!Youth Sport
Camp XLThe youth sport camp for overweight children and
teenagers
The Eight Annual Disease Management Colloquium, May 19-21, 2008,
Philadelphia
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actismileBioFeedback Device; Motivation through MonitoringMay
200816The Eight Annual Disease Management Colloquium, May 19-21,
2008, Philadelphia
The Eight Annual Disease Management Colloquium, May 19-21, 2008,
Philadelphia
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actismileactismile family assessmentMay 200817The Eight Annual
Disease Management Colloquium, May 19-21, 2008, Philadelphia
The Eight Annual Disease Management Colloquium, May 19-21, 2008,
Philadelphia
Jakob
Emily
Emma
1,0
0,8
0,4
17
13
8
2008/04/01-2008/04/31
last month
countsmile
smile per day
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Telemedicine and Mobile Health
Freedom of ChoiceIndependencyAutonomyIn the FutureInteraction of
records with health information databases and intermediariesTests
automatically arranged and medication automatically prescribed as
and when requiredMessages sent to the patients portable device if
requiredReferral to the appropriate health care providersPortable
devices regularly update the personal health record in real
timeReceive all information about the persons physical
conditionAdvantagesConsumers play a more active role in their own
health careImmediate access to important informationAccess to
information from anywhere in the worldReduced duplication of
servicesHealth professionals are automatically notified if the
system recognizes potential issues or problemsImproved information
exchange between health care providersMay 200818The Eight Annual
Disease Management Colloquium, May 19-21, 2008, Philadelphia
The Eight Annual Disease Management Colloquium, May 19-21, 2008,
Philadelphia
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Example: Chronic Heart FailureEpidemiology1.5% of the German
population (1.2 m patients)Approximately 160,000 200,000 people
diagnosed with chronic heart failure every yearIncreasingly
prevalent, one in 10 people in Germany > 65 years oldHealth
Economy2% of the total health care budgetCosts/cardial
decompensation approximately 5,0005% of all hospital staysMost
common cause of hospitalization of older people > 65 years
oldReducing treatment costs while maintaining the same quality of
treatmentSame costs but improving the quality of treatmentvsMay
200819The Eight Annual Disease Management Colloquium, May 19-21,
2008, Philadelphia
The Eight Annual Disease Management Colloquium, May 19-21, 2008,
Philadelphia
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Patients with Chronic Heart FailureImage. Netter-AtlasClinical
Signs:Fast and weak pulseSwollen legs and abdomenWeaknessShortness
of breath with little physical movementLabored breathing when lying
downMust sit up straight or with a pillow for supportFoamy, bloody
sputumMay 200820The Eight Annual Disease Management Colloquium, May
19-21, 2008, Philadelphia
The Eight Annual Disease Management Colloquium, May 19-21, 2008,
Philadelphia
1The company presentation is a basic presentation.With the help
of slides, ICW employees are able to introduce ICW and the core
elements of the product brands.The objective is to present ICW and
the product brands simply and reduce the level of complexity as
much as possible. Detailed technical questions and specifications
will not be covered.The presentation has a modular design;
individual slides or entire chapters can be skipped.Presentation
directions with instructions to click/select always refer to the
presentation mode. 7This must be clicked 5 times.1019
