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Leonard Witkamp Director, KSYOS Expertise Centrum Professor TeleMedicine, Academic Medical Center, Amsterdam KSYOS Expertise Centre (KSYOS EC) EHiN 2014, IKT-Norge og HOD
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KSYOS Expertise Centre (KSYOS EC)
Leonard Witkamp
Director KSYOS Expertise Centrum
Professor TeleMedicine, Academic Medical Center, Amsterdam
Oslo, November 4th, 2014
KSYOS EC
TeleConsultation applied in regular care processes
>4.500 general practitioners, >2.500 medical specialists and
paramedics
> 250.000 TeleConsults
> 200.000 TeleScreenings
Fully reimbused
Health institution
TeleDermatology Consultation
Process of TeleDermatology
GP Dermatologist
Skin pictures
+ Patient history
+ Medication
+ Specific questions
GP Dermatologist
< 2 days
Max. 2 rounds
Process of TeleDermatology
Skin pictures
+ Patient history
+ Medication
+ Specific questions
GP Dermatologist
HIS
< 2 days
Max. 2 rounds
Process of TeleDermatology
Skin pictures
+ Patient history
+ Medication
+ Specific questions
Overview
Detail
Detail
TeleDermatoScopyfor pigmented skin lesions
Dermatoscope
Introduction
- Efficiency increase 74% prevented physical referrals
- Quality increase 29% of TeleConsults for second opninion
(substantial) learning effects in 85% of TeleConsults
- Quicker care mean response time 4.6 hours
(median 2.0 hours)
- Lower costs 18% cost reduction
Teledermatology applied following patient selection by general practitioner in daily practice
improves efficiency and quality of care at lower costs. British Journal of Dermatology, 2011.
Advantages
Long term effect of TeleDermatology Consultation
0
5
10
15
20
25
30
Huisartsen met
TeleDermatologie
Huisartsen overall
Fysieke verwijzingen Dermatologie
Fysieke verwijzingen/1000
patiënten/jaar
TeleDermatology
0
2000
4000
6000
8000
10000
12000
14000
16000
18000
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014
DERMATOSCOPIE
REGULIER
Numbers of KSYOS TeleConsultation
0
500
1000
1500
2000
2500
3000
3500
2006 2007 2008 2009 2010 2011 2012
Omzet KSYOS TeleConsultatie in NL
Totaal gedeclareerd (in € x 1000)
Relation with the patient for entire process
Contracts with health workers
NEN 8028 certificied (quality standards TeleMedicine)
Implementation
EHD en hardware
Helpdesk and service
Education
Liability (insurance)
Monitoring
Research & Development
KSYOS TeleMedicine
Conventional care
Patiëntreplacestoconventionalcare
Hospital
GPptactice
Substitution
MedicalspecialistreplacestoGPpractice
Hospital
GPpractice
Vision KSYOS EC
80% of work in secondary care is routine care
And can be made more efficient by
Innovative techniques
Altered working condition
Prevention
Education
KSYOS Expertise Centrum
KSYOS TeleMedisch Centrum, Amsterdamseweg 206, 1182 HL Amstelveen, the Netherlands
tel: +31 (0) 20 600 00 60, fax: +31 (0) 20 203 11 21, www.KSYOS.org
1
Hospitalreplacestopatient
hospital
KSYOS EC
Health care institution
Peripheral policlinics, remote supervision
7000 medics and en paramedics
250.000 patiënts in KSYOS EHD
120.000 patiënts in 2014
Turnover NL € 4.500.000
With IT/Internet: care is time and place independent
KSYOS EC has treatment relation with the patient
Medical liability
Paid like regular hospitals
Aim EC
No waiting list
Care close to the patient
Lower costs
Better care
Performed in primary care setting by GP/paramedic
Supervised remotely by regional medical specialist
Proven in TeleDiagnostics en TeleConsultation
Best example: TeleOphthalmolgy
Expansion to TeleTreatment, TeleControle, TeleMonitoring
Businesscase
Patient quicker better care close to the patient at lower costs
GP service to the patient, learning effect, patient stays in
primary care
Medical specialist involved with primary care, quality control, fun, triage
Cooperation?
Leonard Witkamp
+31-206000060
+31650650196 (mobile)