Cabrer, M. et al.:Virtual Health Platform• This slideshow, presented at Medicine 2.0’08, Sept

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Virtual Health Record Platform for Medical Tourism Purposes

Health Destination Project

4

Electronic Healthcare is emerging as a new “industry”

European Comission: by 2010 eHealth will take 5% of the total health budget (of the 25 member

states) when in 2001 it was 1% for EU 15.

Citizens movility is a priority in Europe

Elderly citizens

Tourism Competition

Medical Tourism

Growing businessLack of medical data exchange

Medical Tourism and Medical Traveling

7

$1$1 $10$10 $100$100 $1,000$1,000 $10,000$10,0000%0%

100%100% Healthy, Healthy, Independent LivingIndependent Living

Chronic Chronic Disease ManagementDisease Management

Doctor’s Doctor’s OfficeOffice

Community Community ClinicClinic

HOME CAREHOME CARE

Assisted LivingAssisted Living

Skilled Skilled Nursing FacilityNursing Facility

RESIDENTIAL CARERESIDENTIAL CARE

Community Community HospitalHospital

ICUICU

Specialty Specialty ClinicClinic

CLINICAL CARE

COST of CARE/DAYCOST of CARE/DAY

QUALITYQUALITYof LIFEof LIFE

The Continuum of Care

8

9

Cliente potencial

2- Health care center and nursing home (Gold age center)

Gold age center is a private multilevel healthcare center which specializes in long term care for the elderly.

A nursing and senior home center gold age is a residential home with a hotel style living in a professionally managed settings.

Provides several levels of care : from intermediate care ( developmentally disabled elderly adults) to extended care (dementia, Alzheimer)

Equipped with all modern facilities and tastefully furnished Gold age center is planned for comfort and security in private and semi-private rooms surrounded by landscaped gardens, trees, grass with several shaded outdoor areas for residents to enjoy conversation and relaxation.

Health District Dubai (AAL)

– Internet accessible from the patient, hospital, ensurance co, referral physician, hotel.

– Relevant clinical information: interoperable

– Automatic Translation

– Portable

– Added value services: asychronous telemedicine

Presented Project

Health Destination is about a Virtual Health Platform for medical tourism purposes :

12

Complexes workflows: we need to make it easier

US Exam System

Physician Office

EHR System

Remote Hospital

XDS Clinical Affinity Domain

Community Clinic

Lab Info. System

PACS

L-716

PACS

DRM Patient Identity Source

Retrieve DocumentProvide & Register

RegisterQuery Document

Patient Identity Feed

Query Document Retrieve

Document

Provide & RegisterRegister

Provide & Register

Register

Retrieve Document

Query Document

Document Registry

Document Repository

Emergency Application

Virtual Health Platform in the Health 2.0 Scenario

Inte

ropera

ble Healt

h Reco

rd Asynchronous Telemedicine

Portable Health

Easy

Clin

ical

Man

agem

ent S

olut

ion

Medical Tourism Platform

HIS / EMR

DestinationCenter

Medical Images

Virtual Health Platform(VHP)

Personal Health Record (PHR)

Allergy, Medication, Diagnosis

Teleconsulta Imagen, video, PDF

scheduling

VHP

SNOMED

1

2

3

4

56

6 1 – Patient (or phyisician) register data in the PHR and puts some info on a teleconsultation

2 – The receiver medical center will be able to review the information and teleconsultation

3 – Patient is scheduled and teleconsultation is answered

4 – Patient travels to be operated the scheduled date

5 – Local HIS feeds the PHR once patient has been treated

6 – SNOMED : interoperability and translation

7

7 – Medbytes stores critical information into the portable USB Device

Virtual Health Platform

• Independent Platform

• Two modules:• PHR: easy to use (SNOMED). XML capabilities (Gateway)• Asychronous Teleconsultation

• International Standards HL7, DICOM, CDA • Patient manages the information:

• Provide access to others• Medbytes

• Privacy

Interoperable & Portable Health Record

http://

myh

lz.c

om

Images, videos and documents

Asynchronous Telemedicine

A toolkit and family modules that facilitates the capture, retrieval, format Dicom conversion, communication and

storage between source modalities and PACS repositories.

MIO LT, MIO COMM, Server, Broker, Store, Wado, Viewer

Medting.com 20

Medting

Clinical Cases

Medting.com 21

Solutions

HIS / EMR

DestinationCenter

Medical Images

Virtual Health Platform(VHP)

Personal Health Record (PHR)

Allergy, Medication, Diagnosis

Teleconsulta Imagen, video, PDF

scheduling

VHP

SNOMED

1

2

3

4

56

6

7

Health Destination Project

Testing the workflow & analyzing the business

Project Plan

1 months1 months1 months1 months5 months5 months5 months5 months 6 months6 months 6 months6 months

Phase II Implementing & integrating the pilot platform Clinical Case definition and finding partners (hotel & medical center)

Phase I Project kick-off Team organisation, roles and tasks definition Licenses and devices provisioning (purchase agreements)

Phase III Proof of concept: running the clinical case Demos and showcase Defining potential uses of the platform and writing a full roll-out project (EU funding)

Jan 08

Dec 08Jun 08

Looking for Partners

25

Virtual Health Platform: several purposes

Real cases experiences and samples

A complete document evaluating experiences and business possibilities and uses

Potential customers evaluation: Tourist Private hospitals Ensurance companies Touroperators Telemedicine platforms New eHealth business models

EU Proposal

Output from the project

EU FP7 : Health without barriers

26

+EURATOM

EURATOM Programme

“Cooperation”Collaborative R&D, pre-defined themes, JTIs

“Ideas” Frontier research, competition, individual grants

“People”Human potential, mobility

“Capacities” Infrastructure, SMEs, science and society

Joint Research Centre (non-nuclear)

NEW

Total€ 54.6 bn2007-2013

€ 1.3 bn€ 2.8 bn

€ 32.3 bn

€ 7.5 bn

3 %

65 %15 %

9 %€ 4.7 bn

8 %

€ 1.8 bn

€ 4.3 bn

 _________________________________Miguel Cabrer

+34 636962659eHealth Advisor

Member of HIMSS EMEA Governing Council_________________________________

mcg@ircconsulting.eu