transatlantic teleconsultation - andre petitet

Dr.André PETITET-april 14-15 201116th Finnish National Conference

A telemedicine’s new step ongoingTransatlantic teleconsultation HEALTH Alfa

Dr.André PETITET,MDTelemedicine and e-health International expert

ISfTeH secretary President of the CATEL international commission

CONSULTATION

1 welcome

3 auscultation

4 percussion

5 palpation

2 interrogation

6 exams

7 diagnostic

8 treatment

9 prescription

10 drug

delivery

TELECONSULTATION

TELECONSULTATION

What does it means ?

Tele is the latin word’s root for equivalent of far in

english… like Far West ..!!

Tele is the latin word’s root for equivalent of far in

english…like Far West ..!!

So, in english Teleconsultation

isFar Consultation

What is telemedicine ? Telemedicine is the use of telecommunications to

facilitate health care.This could mean using technologies as simple as phone lines , fax machines , and e-mail , or the use of more sophisticated as computers, scanners , cameras , and various diagnostic tools that can instantly communicate information between two or more distant sites.

1995- JOHNS HOPKINS telemedicine

Telemedicine is a kind of remote medical practice using the technologies of information and communication. It puts in relationship, between them or with a patient, one or several healthcare professionals among whom there is inevitably a physician and, if necessary, the other professionals bringing their care to the patient.It allows to establish a diagnosis, to insure, for a risk patient , a preventive follow-up or a post therapeutic treatment follow- up, to require a specialized opinion, to prepare a therapeutic decision, to prescribe products, to prescribe or to perform services or acts, or to make a survey of the state of health of the patients French Law n°2009-879

July,21,2009

TELEGERIA

TELEOPHTALMOLOGY

TELEPSYCHIATRY

TELETRAUMATOLOGY

TELEEXPERTISE

MEDICAL DISPATCH CALL CENTERS

HOSPITALS’ TELE INTER CONNECTIONS

REMOTE ECHOGRAPHY

TELECONSULTATIONS

1 welcome

3 auscultation

4 percussion

5 palpation

2 interrogation

6exams

7diagnostic

8treatment

9prescription

10drug

delivery

eHealth in Europe: growing interest

70% of european countrieshave an e-Health strategy

30

So…HEALTH AlphaWhat was the challenge ?

•To implemente and to simplify the equipment•To reach as closed as possible the basic consultation process•To be adapted and to be in conformity with different countries legal rules for health and drugs

HEALTH Alpha

equipment

HEALTH Alpha

It "teleports" the doctor to the patient making the act of remote consultation so natural as possible

LIM Star

HEALTH Alpha

•Remote camera•Stethoscope•Blood Pressure•SpO²•Laryngoscope•Otoscope•Ophtalmoscope•Dermascope •EKG•Ultrasound •Spirometer

It "teleports" the doctor to the patient making the act of remote consultation so natural as possible

LIM Star

HEALTH Alpha

HEALTH Alpha

FranceUSAHOUSTON

Transatlantic teleconsultation

Health Alpha medical building at Houston (Texas)

Health Alfa waiting room

Health Alfa teleconsultation room

•One french technician•One french nurse•One french pharmacist

Health Alfa teleconsultation start point

Health Alfa First visual contact between physician and patient

French Physician authentification Card and its reader

French personal patient health care and social security card

Health Alfa .Patient French informed consent form

Health Alfa : US patient informed consent form

Real time Auscultation

Houston (TX) USA

France

Real time throat exam

Houston (TX) USA

France

Real time ear exam

Houston (TX) USA

France

Real time Ultrasound

Real time 12 leads EKG

Health Alfa prescription

Electronic pen

France

Health Alfa prescription

France

Health Alfa prescription

Transmission and printing

French pharmacist authentification card and its reader

Security bar code control by the french pharmacist

Health Alfa . End of the teleconsultation and verification of the patient EHR

Welcome1

3 auscultation

4 percussion

5 palpation

2 interrogation

6 exams

7 diagnostic

8 treatment

9prescription

10 drug

delivery

Health alfa teleconsultation

•Because they are 10.000 expatried french people living at Houston•Because they are a majority of young people with kids•Because health care in US is very expensive•Because some linguistic difficulties between french and english•Because most of french expatried prefer a french physician•Because french expatried are more familiar with french drugs

Health Alfa….why ?

•Presented and accepted both by french and american authorities•FDA agreement for importation of french drugs•Respect of rules and guidelines for teleconsultation on both sides : USA and France•Diplomatic support by the french Consulate at Houston

Health Alfa process

HEALTH Alpha

LIM Star

It "teleports" the doctor to the patient making the act of remote consultation so natural as possible

Thank you for your attention dhanyavaad

apcarg@aol.com

J.CinqualbreD.UhlrichS.d’HardivilleG.MenandE.ClocherS.WildnerC.Bronner