peder jest's, cornelius glismann's, and jakob uffelman's presentations from hospital...
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Home-Delivered Colon Capsule Endoscopy at OUH
Using a Private-Public-Partnership to re-invent the CRC screening strategyWHINN, Odense, October 22nd 2015
&
Current iFOBT-based CRC screeningiFOBT Colon-
oscopy30-70% false positives = unnecessary colonoscopies at hospital
iFOBT Colon-oscopyHD-CCE Introduce filter = only mid-
to high risk patients at hospital
&Home Nurses
Data ManagementPatient Portal
Central Diagnostic
CenterOdense
University Hospital
PPP
Capsule endoscopy delivered as-a-service
Home Nurses
Central Diagnostic
Center
Odense Universit
y Hospital
Current screening strategy is very resource intensive
Odense Universit
y Hospital ~2500 additional
colonoscopies / year from iFOBT screening• Overtime• Extra rooms• Extra equipment
Tailored screening via HD-CCE can remove overload
Odense Universit
y Hospital Study: Only ~50% at risk now
• Focus on intervention• Reduce cost• Increase quality
Proving the case with 3 trials in CAREforCOLON study
Trial I
Trial II
Trial III
Accuracy comparison of back-to-back HD-CCE and colonoscopy with 250 iFOBT-positive patients
Quality and user experience analysis of HD-CCE with 3,000 iFOBT-positive patients compared against other Danish regions
Accuracy comparison of back-to-back HD-CCE and CT colonography with 100 patients with incomplete colonoscopy
After >60 cases HD-CCE challenges “Gold-Standard”-status of colonoscopy
SUNDHED.DK is the public Danish eHealth portal• 24/7 access to personalized health data by
citizens, GPs, hospitals, municipalities
• 1.4 million unique users a month (of population 5.6m) after launch in December 2003
• Continuous development of new functionality in front-end, content, platform and infrastructure
In HD-CCE Sundhed.dk manages data & automates workflows
- Data management and security- Infrastructure between collection
points (patients), diagnostic center and health professionals (hospitals)
- Workflow for nurses, doctors and patients
Scaling across Denmark and beyondPatients
Data-center
Analysis
PatientsPatients
Patients
Patients
Successful PPP leads to broad innovation
Odense Universi
ty Hospital
HD-CCE
International Research Center
Precision Medicine CRC Monitoring
Chron‘s Disease
Peder Jest, Chief Medical Officer, Odense University [email protected]
Jakob Uffelman, Head of Innovation, [email protected]
Cornelius Glismann, Managing Director, [email protected]
Thank You!