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Moving Health Care to Your Fingertip
Klaus Phanareth CEO Epital Health® - President, Danish Society for Clinical Telemedicine [email protected]
Transforming health to e-health
Epital Care Model
Bornholm Summer 2014
Epital Care Model
E-Citizen - Summer 2014
Medical box rescue medication
e-health navigator
e-health monitoring devices
Health Care at your fingertip
Epital Care Model
E-CallCenter, Copenhagen Summer 2014
Epital Care Model Instant acces to core clinical data
1
2
3
Real-time communication while having access to updated clinical data
Epital Care Model
On-line documentation real-time verification
Aktivitetsdokument
GP
Pharmacy
Municipality
Citizen
Communicating the network actors
Hospital
Epital Care Model
Proactive and preventive mobile e-health
Epital Care Model Connected e-healthcare
FEV172Addresse:MangolianRoad22000FrederiksbergTlf.:+4539203445Mobil:+4524321112
SundhedsoplysningerdeltmedEPITALSUNDHEDCOPD:2002-Severity:Grade3Osteoporosis:2009Depression:2010
SundhedsoplysningerdeltmedEPITALSUNDHEDSymbicortFTb:2x1Terbasmineo,5mg/dose:2x1+pn.
SpirivaRespirmat2.5 /dose:1x2Salbutamolinhaler200 g:2x2+pn.
FEV1
20/8l18/9
1.5
1.0
0
EpiCall-Center
Minhelbreds lstand
Dato
Lungefunk on-FEV1Personoplysninger
Tilstande
Medicin MinEpiPlan
E- mobile acute team
Municipality acute unit handling simple and trivial diagnosis
CallCenter
Municipality rehabilitation units Empowerment - units
E-serviceteam
Pharmacy
Citizens with chronic conditions
The organisational re-design
Epital Care Model
Conventional paradigm Citizencentered paradigm
patient citizen
disease condition
diagnose pathway
Resignation of responsibility empowerment
centralized citizen centric
sector segmented sector neutral
activity (volume) reimbursement value reimbursement
didactive consultant/coach
reactive proactive
planned / controlled available when needed
admitted outmitted
treatment monitoring / prevention
Transforming healthcare
Responsibility of treatment Responsibility of service
System owned health data citizen owned health data
Epital Care Model
Epital Care Model
The genome of citizen centered health care
The Epitope (ecosystem)
1.th Epitope in the Municipality Lyngby-Taarbæk
citizen centricity
monitoring / prevention
empowerment
citizen owned health data
sector neutral
Epital Care Model genome
proactivity
Epital Care Model Outcome indicators
1.th Epitope
testbed Lyngby-Taarbæk
Based on 6 month using the ECM: The organisations: - more than 70% reduction in admittances - more than 70% reduction in LOS
The citizens: - strong confidence in the system and the technology - self-reported decrease in anxiety - self-reported increase in self-management - self-reported less need to use hospital and GP - strong confidence in concept -
Epital Care Model
Growth and proliferation of the epitopes
Using the same building blocks
1.th Epitope
Municipality 2 Epitope in Norway (planned)
Epitope in Skåne Sweden (planned)
Sharing solutions and ideas
Municipality 4
Municipality 3
Local Scandinavian
Epital Care Model
Demographic armageddon?