WDGZ - Japan-Tag

Transcription

WDGZ - Japan-Tag

Chancen der Telemedizin aus Sicht von Vodafone verdeutlicht am Beispiel des Telemedizinischen
Lifestyle Coachings des Westdeutschen Diabetesund Gesundheitszentrums (WDGZ)
Stephan Schneider
Senior Manager/Business Development Public & Health ENN Vodafone GmbH
Vorstandsvorsitzender des Vereins Digitale Stadt Düsseldorf e.V.
Prof. Dr. med. Stephan Martin
Direktor des Westdeutschen Diabetes- und Gesundheitszentrums (WDGZ)
Chefarzt für Diabetologie Verbund Katholischer Kliniken Düsseldorf (VKKD)
Vorstand Gesundheitsforum Düsseldorf e.V.
Smart Health
- from a top-down view of public
Stephan Schneider
Senior Manager
Business Development Public &
Health
Smart Health – a billion market
• Smartphones and tablets as
engines for innovative health
services
• End of 2014: 45% of Germans
use smartphones for smart
health offers
• Investments in IT and network
technologies amounting to five
billion Euro in 2014
3
Examples
4
Smart Health
Telemedicine
Interactive healthcare utilizing modern technology and
telecommunications
Telemonitoring
Longexamination, -diagnostic and -monitoring of the patient
by the doctor
Ambient Assisted Living (AAL)
Intelligent systems of assistance for a better, healthier and
safer life
5
Bluetooth-Stethoscope
Graphical support
while earsdropping on a patient
Remote diagnoses: „on-site operation“
– diagnoses and communication online
Intuitive handling
6
GEHE – drugstore box
7
Transmission of vital data
Mobile
network
Implementation:
Vodafone/Fraunhofer
Customer:
HNC Köln
8
Photography of sores
Assistance system for the patient
LTE
•
Transmission of sore pictures
to the doctor via Smartphone
•
Reduced waiting time
•
Visits to the doctor no longer
necessary
9
Other applications
Doctor Help Düsseldorf
Mobile Retter („Safer“)
•App-construction by Dr.
Ferdinand Jeute
•The only nationwide pilot project
in the near region of Gütersloh
•Doctor‘s search for the
patient
•Qualificated volunteers as first
aiders (registered through mobile
safer)
•Digital patient safe
•Comprehensive information
tool for doctors and patients
•Comprehensive network of
competencies for heart disease
management
•Summarized history of
therapies and insurances
•Patient care 5 to 10 times
faster
10
Smart Health – MedSnap ID
11
Thank you for
your attention
Verbund Katholischer Kliniken Düsseldorf (VKKD)
Westdeutsches DiabetesDiabetesund Gesundheitszentrum
WDGZ
VKKD
Verbund Katholischer Kliniken Düsseldorf (VKKD)
Marienkrankenhaus
Kaiserswerth
St. Mauritius
Therapieklinik
Krankenhaus
Elbroich
AugustaKrankenhaus
St. VinzenzKrankenhaus
Marien
Hospital
WDGZ
VKKD
Definition of Telemedicine
WDGZ
Telemedicine
• is part of telematics in medical care
• bridges the physical separation in diagnosis and treatment of diseases
between physician, health care professional, pharmacist and patient
• consultations between physicians
VKKD
Physicians
Health Care
Professionals
WDGZ
VKKD
Pharmacist
Patient
WDGZ
Telemedicine
• is part of telematics in medical care
• bridges the physical separation in diagnosis and treatment of diseases
between physician, health care professional, pharmacist and patient
• consultations between physicians
but it includes
• transfer of data beyond the scope of a telephone call
VKKD
WDGZ
German Medical Association
VKKD
Potential benefits of telemedical methods
1. Improvement of communication between physicians
2. Enhancement of fairness in medical care
3. Prevention of supply gap
German Medical Association
118. Deutscher Ärztetag
15.05.2015
WDGZ
Teleradiology
Hospital 1
Hospital 2
Hospital 3
X-ray technicians
Radiologist
VKKD
Physicians
WDGZ
Improvement of communication between physicians
Enhancement of fairness in medical care
Prevention of supply gap
Health Care
Professionals
VKKD
International teleradiology
WDGZ
New York
Jun 1st, 5 p.m.
Melbourne
Jun 2nd, 7 a.m.
Clinical report a day
before examination!
VKKD
Telemedical Service
WDGZ
Improvement of communication
between physicians
• Radiology
• Pathology
• Intensive care medicine
• Telecardiology
VKKD
Telemedical projects in Germany
WDGZ
VKKD
http://telemedizin.fokus.fraunhofer.de/
Coordination of telemedical projects in NRW
WDGZ
VKKD
http://www.ztg-nrw.de/
WDGZ
Health-App
= Telemedicine
VKKD
Westdeutsches DiabetesDiabetesVerbund Katholischer
und Gesundheitszentrum
Kliniken Dü
Düsseldorf
WDGZ
Environmental Changes
VKKD
Food
High Fructose Corn Syrup (HFCS)
Physical Activity
Westdeutsches DiabetesDiabetesVerbund Katholischer
und Gesundheitszentrum
Kliniken Dü
Düsseldorf
WDGZ
VKKD
WDGZ
Overweight and Obesity
VKKD
WDGZ
Lifestyle Induced Diseases
VKKD
Sleep Apnoea
Syndrome
Depression
Retinopathy
Reduced
Physical
Activity
Inactivity
Obesity
Diabetes mellitus
Type 2
Nephropathy
Heamodialysis
Neuropathy
Amputation
Hypertension
Angiopathy
Weight
Increase
Blindness
Elevated
Cholesterol
Degenerative
Joint Disease
Cancer
Myocardial Infarction
Stroke
Immobility
Care Dependency
WDGZ
Prevalence of Diabetes in Germany
%
9
8
7
6
5
4
3
2
1
0
1960
1970
Michaelis et al., Exp.Clin.Endocrinol. 1990
Köster et al., PMV 2008
1980
1990
2000
2007
VKKD
Prevalence of Diabetes in the World (IDF 2014)
WDGZ
VKKD
Germany 11.5 %
Japan 7.6 %
Prevalence
WDGZ
Age of Diabetes Patients
Prevalence (%)
Male
Female
1998
2004
2010
Age (Years)
Patients in
Hospital
VKKD
Diabetes Management in Hospital
WDGZ
• Improvement of Medical Quality
• Reduction of Complications
• Reduction of Days in Hopsital
• Increase of DRG Weighting
• Improvement of Medical Training
of Physicians and Nurses
• Identification of Patients with bad
Metabolic Control
VKKD
WDGZ
g
n
i
v
i
e
c
e
r
y
e
r
r
a
a
s
s
s
s
e
e
t
t
c
s
e
i
e
b
g
n
a
i
o
n
l
d
a
o
• Reductioniof
Days
in
Hopsital
t
h
h
t
e
t
b
e
w
a
r
i
a
s
d
t
c
n of
l
o
• Increase
DRG
Weighting
e
a
n
i
c
t
i
e
av
• Pa s med
h
sMedical
l
• lImprovement
of
Training
a
t
es
s
i
e
p
s
s
r
o
of Physicians
and
Nurses
u
h
n
t
s
s
o
te
e
M
b
•
• Identification
of Patients with bad
ia
d
r
o
Metabolic
Control
VKKD
WDGZ
e
r
a
c
l
a
dic
e
m in Hopsital
• ReductionsofinDays
s
e
n
y
r
i
g
a
• Increase
of
DRG
Weighting
f
o
l
o
p
o
a
N
t
g
e
y
b Training
l
p
a
• Improvement
of
Medical
i
p
d
u
S
e
l
e and Nurses
of Physicians
T
• Identification of Patients with bad
Metabolic Control
VKKD
WDGZ
Telediabetological (TeDia) Care
Marienkrankenhaus
Kaiserswerth
St. Mauritius
Therapieklinik
Krankenhaus
Elbroich
AugustaKrankenhaus
St. VinzenzKrankenhaus
Marien
Hospital
VKKD
WDGZ
VKKD
Diabetesmanagement
•
•
•
•
Pharmacist
Nurse
Patient with diabetes
Diabetes nurse
= Diabetes Manager
Diabetological
History
Basic Examination
Laboratory Data
- HbA1c
- Albuminuria
ICD Coding
WDGZ
Pharmacist
Nurse
Diabetes nurse
= Diabetes Manager
Telediabetology
Diabetologist
VKKD
Diabetes Management in the VKKD
Telemedical Transfer of Data
WDGZ
VKKD
WDGZ
Pharmacist
Nurse
Specialist
Diabetes nurse
= Diabetes Manager
Telediabetology
Diabetologist
VKKD
Diabetes Management in the VKKD
WDGZ
Telemedical Transfer of Insulin Injection Table
VKKD
Physicians
WDGZ
VKKD
Telediabetological Care in hospitals (TeDia)
Health Care
Professionals
Improvement of communication between physicians
Pharmacist
Enhancement of fairness in medical care
Prevention of supply gap
Patient
TeDia
• Outsourcing of diabetes care
in hospitals
WDGZ
VKKD
WDGZ
VKKD
Sleep Apnoea
Syndrome
Depresssion
Retinopathy
Reduced
Physical
Activity
Inactivity
Obesity
Diabetes mellitus
Type 2
Nephropathy
Heamodialysis
Neuropathy
Amputation
Hypertension
Angiopathy
Weight
Increase
Blindness
Elevated
Cholesterol
Degenerative
Joint Disease
Cancer
Stroke
Immobility
Care Dependency
WDGZ
VKKD
Sleep Apnoea
Syndrome
Depresssion
Retinopathy
Increase in
Physical
Activity
Inactivity
Obesity
Diabetes mellitus
Type 2
Nephropathy
Heamodialysis
Neuropathy
Amputation
Hypertension
Angiopathy
Reduction
of Weight
Blindness
Elevated
Cholesterol
Degenerative
Joint Disease
Cancer
Stroke
Immobility
Care Dependency
Support for Lifestyle-Changes
WDGZ
TeLiPro
Telemedical Lifestyle Program
Telemedicine
Structured
Formula Diet
Measurement of
Blood Glucose
Coaching
Exergames
VKKD
Telediabetological Care
WDGZ
Data for Telediabetological Coaching in the
West-German Centre of Diabetes and Health
VKKD
Support for Lifestyle-Changes
WDGZ
TeLiPro
Telemedical Lifestyle Program
Telemedicine
Structured
Formula Diet
Measurement of
Blood Glucose
Coaching
Exergames
VKKD
WDGZ
Rheinische Post
30. Januar 2014
VKKD
VKKD
RP 31.7.2014
WDGZ
RP 21.1.2015
Rheinische Post
6. Mai 2014
WDGZ
TeLiPro
TeLiPro
Telemedical
lemedical
Lifestyle
Te
Lifestyle Program
Program
Telemedicine
Structured
Measurement of
Blood Glucose
Formula Diet
Coaching
Exergames
• Diabetes Care
• Employee Health Care Program
• Weight Management Program
• …..
VKKD
WDGZ
TeLiPro
VKKD
Sleep Apnoea
Syndrome
Depression
Retinopathy
Increase in
Physical
Activity
Inactivity
Obesity
Diabetes mellitus
Type 2
Nephropathy
Heamodialysis
Neuropathy
Amputation
Hypertension
Angiopathy
Reduction
of Weight
Blindness
Elevated
Cholesterol
Degenerative
Joint Disease
Cancer
Stroke
Immobility
Care Dependency
Medical Check-up
WDGZ
VKKD
WDGZ
Medical Check-up / Ningen Dock
Neurological examination
Ultrasound
of arteries
Lung function
Thyroid ultrasound, TSH
Heart ultrasound
ECG and stress ECG
Blood pressure
Ultrasound of
abdominal organs
Faecal occult
blood
Blood examination
Gastroscopy
Urine examination
Coloscopy
Ankle-brachial-index and
pulse wave velocity
VKKD
Japan Desk
WDGZ
Verbund der Katholischen Kliniken Düsseldorf (VKKD)
Prof. Dr. Stephan Martin
Chefarzt für Diabetologie und Direktor des
Westdeutschen Diabetes- und Gesundheitszentrum (WDGZ)
Hohensandweg 37
40591 Düsseldorf
Telefon (0211) 5660 360 - 70
Telefax (0211) 5660 360 - 72
B. Conrady-Takenaka
eMail: [email protected]
Prof. Dr. Stephan Martin
VKKD

WDGZ - Japan-Tag

Transcription

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