Download - Medisat english 25 03 14
![Page 1: Medisat english 25 03 14](https://reader033.vdocument.in/reader033/viewer/2022052621/5582fa33d8b42a32168b51b9/html5/thumbnails/1.jpg)
Medisat
Video\KOL\ouh_briefcase_en.mp4
![Page 2: Medisat english 25 03 14](https://reader033.vdocument.in/reader033/viewer/2022052621/5582fa33d8b42a32168b51b9/html5/thumbnails/2.jpg)
Medisat A/S makes
Welfare Technology Solutions,
for the Danish Healthcare System
![Page 3: Medisat english 25 03 14](https://reader033.vdocument.in/reader033/viewer/2022052621/5582fa33d8b42a32168b51b9/html5/thumbnails/3.jpg)
The Beginning…
• In 2006, Odense University Hospital in Denmark, asked Medisat A/S to
develop a “Patient Briefcase“, so the doctors would be able to treat COPD
patients in their own homes.
• The goal was freeing up hospital-beds, for other patient groups.
Stable COPD Unstable COPD
![Page 4: Medisat english 25 03 14](https://reader033.vdocument.in/reader033/viewer/2022052621/5582fa33d8b42a32168b51b9/html5/thumbnails/4.jpg)
Numbers off COPD patients,
in different countries
Countries Population COPD ptt Market
7,45% 10%
Denmark 5.400.000 402.300 40.230
Sweden 9.000.000 670.500 67.050
Finland 5.200.000 387.400 38.740
Norway 4.600.000 342.700 34.270
Scandinavia 24.200.000 1.802.900 180.290
Germany 82.500.000 6.146.250 614.625
Belgium 10.400.000 774.800 77.480
Greece 11.100.000 826.950 82.695
Spain 43.000.000 3.203.500 320.350
France 60.000.000 4.470.000 447.000
Italy 58.500.000 4.358.250 435.825
The Nederlands 16.300.000 1.214.350 121.435
Austria 8.200.000 610.900 61.090
Poland 38.200.000 2.845.900 284.590
Portugal 10.500.000 782.250 78.225
Great Britain 60.000.000 4.470.000 447.000
Canada 30.800.000 2.294.600 229.460
Switzerland 7.300.000 543.850 54.385
USA 300.000.000 22.350.000 2.235.000
The West 761.000.000 56.694.500 5.669.450
![Page 5: Medisat english 25 03 14](https://reader033.vdocument.in/reader033/viewer/2022052621/5582fa33d8b42a32168b51b9/html5/thumbnails/5.jpg)
Hospital
Municipality &
General practitioners
The Patient
COPD is a serious disease:
• 9 % dies during hospitalization
• 19% are dead after 3 months
• 36 % are dead after 1 year
400.000 people suffers from COPD in DK Source: Danmarks Lungeforening
Severe & very severe COPD -
up to 10-12% of patients
Moderate COPD
15 – 20 % of ptt
ptt.
Light COPD
65 – 70% of ptt
Medisat target group
Lung function below 30%
Lung function below 50 %
© Ophavsret – Copyright by Medisat A/S
![Page 6: Medisat english 25 03 14](https://reader033.vdocument.in/reader033/viewer/2022052621/5582fa33d8b42a32168b51b9/html5/thumbnails/6.jpg)
Challenge # 1
• Our patients/ clients are aged 65+
• Fear of computers or inexperienced
• It was a demand that “The Patient Briefcase” should be very
easy to use
• Important to avoid:
– Viruses
– Updating
– Blue screen
– Faulty use
![Page 7: Medisat english 25 03 14](https://reader033.vdocument.in/reader033/viewer/2022052621/5582fa33d8b42a32168b51b9/html5/thumbnails/7.jpg)
Chronic Obstructive Pulmonary Disease
• A “COPD” patient in Denmark is typically hospitalized 4-5 times
a year.
• This patient occupies one hospital bed 4-5 days per admission.
• At OUH, the patient is discharged within 24 hours of hospitalization.
• The treatment will continue in the patients own home via the Patient
Briefcase
• With The Patient Briefcase, we are saving 20 days of hospitalization
per patient per year.
![Page 8: Medisat english 25 03 14](https://reader033.vdocument.in/reader033/viewer/2022052621/5582fa33d8b42a32168b51b9/html5/thumbnails/8.jpg)
At the hospital
1) Pulse + pulse-oximeter – Oxygen saturation in the
blood
2) FEV 1: ”Forced expired volume in the first second”
3) FVC: Total lung capacity + how much the patient can
exhale in total
![Page 9: Medisat english 25 03 14](https://reader033.vdocument.in/reader033/viewer/2022052621/5582fa33d8b42a32168b51b9/html5/thumbnails/9.jpg)
The Patient Briefcase
COPD
![Page 10: Medisat english 25 03 14](https://reader033.vdocument.in/reader033/viewer/2022052621/5582fa33d8b42a32168b51b9/html5/thumbnails/10.jpg)
© Ophavsret – Copyright by Medisat A/S
”The three-button-system”
100% real time data
![Page 11: Medisat english 25 03 14](https://reader033.vdocument.in/reader033/viewer/2022052621/5582fa33d8b42a32168b51b9/html5/thumbnails/11.jpg)
Electronic Patient Data System in the patients home
© Ophavsret – Copyright by Medisat A/S
1) Pulse + pulse-oximeter – Oxygen-saturation in the blood
2) FEV 1: ”Forced expired volume in the first second”
3) FVC: Total lung capacity + how much the patient can exhale in total
![Page 12: Medisat english 25 03 14](https://reader033.vdocument.in/reader033/viewer/2022052621/5582fa33d8b42a32168b51b9/html5/thumbnails/12.jpg)
Patient satisfaction
Will you recommend that the briefcase is offered to other patients in your situation?
Sp. 16
Yes 97%
No 0%
Do not know/ irrelevant 3%
Respondents 100%
© Ophavsret – Copyright by Medisat A/S
97%
3%
YES
NO
Don't know
![Page 13: Medisat english 25 03 14](https://reader033.vdocument.in/reader033/viewer/2022052621/5582fa33d8b42a32168b51b9/html5/thumbnails/13.jpg)
© Ophavsret – Copyright by Medisat A/S
Teknologi
![Page 14: Medisat english 25 03 14](https://reader033.vdocument.in/reader033/viewer/2022052621/5582fa33d8b42a32168b51b9/html5/thumbnails/14.jpg)
Datatilsynet logning af data
© Ophavsret – Copyright by Medisat A/S
Teknologi
![Page 15: Medisat english 25 03 14](https://reader033.vdocument.in/reader033/viewer/2022052621/5582fa33d8b42a32168b51b9/html5/thumbnails/15.jpg)
© Ophavsret – Copyright by Medisat A/S
Teknologi
Integration
![Page 16: Medisat english 25 03 14](https://reader033.vdocument.in/reader033/viewer/2022052621/5582fa33d8b42a32168b51b9/html5/thumbnails/16.jpg)
The Clinical Respiratory Journal
The documentation has taken 4 years.
![Page 17: Medisat english 25 03 14](https://reader033.vdocument.in/reader033/viewer/2022052621/5582fa33d8b42a32168b51b9/html5/thumbnails/17.jpg)
Re-admissions
Further gains Telemedicine
patient:
(n: 50)
Control patient:
(n: 50)
Total number of re-admissions 8
improvement
of 46%
15
Total number of re-admission days 37 (4,6)
improvement
of 68%
116 (7,7)
Total number of re-admissions with
impairments
6
improvement
of 45%
11
Re-admission days with impairments 15(2,5)
(3 <1 days)
improvement
of 69%
48 (4,4)
(2<1 days)
![Page 18: Medisat english 25 03 14](https://reader033.vdocument.in/reader033/viewer/2022052621/5582fa33d8b42a32168b51b9/html5/thumbnails/18.jpg)
Studies at OUH, Denmark
• PhD Study; 266 patients have been through this study.
• Read Anne D. Sorknæs' Ph.d. Thesis: "The effects of real-time telemedicine video
consultations between nurses and patients with severe Chronic Obstructive
Pulmonary Disease (COPD)“
• 2.504 patients have so far been treated with the Briefcase
![Page 19: Medisat english 25 03 14](https://reader033.vdocument.in/reader033/viewer/2022052621/5582fa33d8b42a32168b51b9/html5/thumbnails/19.jpg)
Time frame
Year
Type
2009 -> 2006 2007 -2008
V.30 V.32 V.35 HD
2011 ->
Apollo
![Page 21: Medisat english 25 03 14](https://reader033.vdocument.in/reader033/viewer/2022052621/5582fa33d8b42a32168b51b9/html5/thumbnails/21.jpg)
How does it work ?
• Video\KOL\KOLSkoffertEngelsk - Kopi.wmv
![Page 22: Medisat english 25 03 14](https://reader033.vdocument.in/reader033/viewer/2022052621/5582fa33d8b42a32168b51b9/html5/thumbnails/22.jpg)
At the patients home
![Page 23: Medisat english 25 03 14](https://reader033.vdocument.in/reader033/viewer/2022052621/5582fa33d8b42a32168b51b9/html5/thumbnails/23.jpg)
OUH and Svendborg Hospital
• Every day the clinical staff make their ward-rounds at their medical
departments
• Find the relevant patients
• Fill out a form
• 4 hours later the patient can begin treatment in his/her own home
![Page 24: Medisat english 25 03 14](https://reader033.vdocument.in/reader033/viewer/2022052621/5582fa33d8b42a32168b51b9/html5/thumbnails/24.jpg)
4 hours later...
The treatment can begin in the patients own home
![Page 25: Medisat english 25 03 14](https://reader033.vdocument.in/reader033/viewer/2022052621/5582fa33d8b42a32168b51b9/html5/thumbnails/25.jpg)
Bringing the hospital to you!
• There is a big difference between running the logistics at a hospital and
running it within the patients own home
• Suddenly new demands become obvious:
– Internet access
– Installation – education
• Sick patients are often very tired and have no energy
– Taking-down the briefcase
![Page 26: Medisat english 25 03 14](https://reader033.vdocument.in/reader033/viewer/2022052621/5582fa33d8b42a32168b51b9/html5/thumbnails/26.jpg)
Heart failure • Reduces the treatment time
– From 3 months to 1 month
• Blood pressure
• ECG
• Weight
• Blood analysis CHEM8+
Sodium(Na)
Potassium(K)
Chloride(CI)
Ionizes Calcium(iCa)
TCO2
Glucose(Glu)
Urea Nitrogen(BUN)/Urea
Creatinini(Crea)
Hematocrit(Hct)
Hemoglobin*(Hgb)
© Ophavsret – Copyright by Medisat A/S
World
news
![Page 27: Medisat english 25 03 14](https://reader033.vdocument.in/reader033/viewer/2022052621/5582fa33d8b42a32168b51b9/html5/thumbnails/27.jpg)
Acute heart failure patients
• In collaboration with Faaborg-Midtfyns Municipality and OUH Svendborg
Hospital
• Complete blood analysis - real time data from the home of the patient/
client and directly to the hospital in only 2 minutes
Blood analysis
![Page 28: Medisat english 25 03 14](https://reader033.vdocument.in/reader033/viewer/2022052621/5582fa33d8b42a32168b51b9/html5/thumbnails/28.jpg)
Maternity women
November 1st, 2011 RSD - Mother and child are
sent home 4 hours after the birth
![Page 29: Medisat english 25 03 14](https://reader033.vdocument.in/reader033/viewer/2022052621/5582fa33d8b42a32168b51b9/html5/thumbnails/29.jpg)
Psychiatry
Child/Youth Psychiatry – video solution
• Schizophrenia
• Manic - depressive
• Anorexia
![Page 30: Medisat english 25 03 14](https://reader033.vdocument.in/reader033/viewer/2022052621/5582fa33d8b42a32168b51b9/html5/thumbnails/30.jpg)
What direction should we choose?
![Page 31: Medisat english 25 03 14](https://reader033.vdocument.in/reader033/viewer/2022052621/5582fa33d8b42a32168b51b9/html5/thumbnails/31.jpg)
31
Key Figurs 2012
• TREFOR koncernens nettoomsætning 2,2 mia. DKK
• Balance 10,6 mia. DKK
• Egenkapital 4,4 mia. DKK
• Investeringer 0,8 mia. DKK
• 545 engagerede medarbejdere pr. 1. november 2013
![Page 32: Medisat english 25 03 14](https://reader033.vdocument.in/reader033/viewer/2022052621/5582fa33d8b42a32168b51b9/html5/thumbnails/32.jpg)
32
Koncernens funktioner
TREFOR
Fælles koncernfunktioner
Forsyning Energi Entreprise Bredbånd
El-n
et
Va
rme
Va
nd
Forr.udv.
Na
turg
as
Medisat
Mid
tjysk
Kø
lese
rvic
e A
/S
Ma
rke
dse
l
En
erg
iråd
giv
nin
g
Syg
eh
use
Ko
mm
un
e
Læ
ge
r
KOL
Hjertesvigt
![Page 33: Medisat english 25 03 14](https://reader033.vdocument.in/reader033/viewer/2022052621/5582fa33d8b42a32168b51b9/html5/thumbnails/33.jpg)
Questions?
• What is the status of using Telemedicine in
your country?