Cabrer, M. et al.:Virtual Health Platform• This slideshow, presented at Medicine 2.0’08, Sept
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Virtual Health Record Platform for Medical Tourism Purposes
Health Destination Project
4
Electronic Healthcare is emerging as a new “industry”
European Comission: by 2010 eHealth will take 5% of the total health budget (of the 25 member
states) when in 2001 it was 1% for EU 15.
Citizens movility is a priority in Europe
Elderly citizens
Tourism Competition
Medical Tourism
Growing businessLack of medical data exchange
Medical Tourism and Medical Traveling
7
$1$1 $10$10 $100$100 $1,000$1,000 $10,000$10,0000%0%
100%100% Healthy, Healthy, Independent LivingIndependent Living
Chronic Chronic Disease ManagementDisease Management
Doctor’s Doctor’s OfficeOffice
Community Community ClinicClinic
HOME CAREHOME CARE
Assisted LivingAssisted Living
Skilled Skilled Nursing FacilityNursing Facility
RESIDENTIAL CARERESIDENTIAL CARE
Community Community HospitalHospital
ICUICU
Specialty Specialty ClinicClinic
CLINICAL CARE
COST of CARE/DAYCOST of CARE/DAY
QUALITYQUALITYof LIFEof LIFE
The Continuum of Care
8
9
Cliente potencial
2- Health care center and nursing home (Gold age center)
Gold age center is a private multilevel healthcare center which specializes in long term care for the elderly.
A nursing and senior home center gold age is a residential home with a hotel style living in a professionally managed settings.
Provides several levels of care : from intermediate care ( developmentally disabled elderly adults) to extended care (dementia, Alzheimer)
Equipped with all modern facilities and tastefully furnished Gold age center is planned for comfort and security in private and semi-private rooms surrounded by landscaped gardens, trees, grass with several shaded outdoor areas for residents to enjoy conversation and relaxation.
Health District Dubai (AAL)
– Internet accessible from the patient, hospital, ensurance co, referral physician, hotel.
– Relevant clinical information: interoperable
– Automatic Translation
– Portable
– Added value services: asychronous telemedicine
Presented Project
Health Destination is about a Virtual Health Platform for medical tourism purposes :
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Complexes workflows: we need to make it easier
US Exam System
Physician Office
EHR System
Remote Hospital
XDS Clinical Affinity Domain
Community Clinic
Lab Info. System
PACS
L-716
PACS
DRM Patient Identity Source
Retrieve DocumentProvide & Register
RegisterQuery Document
Patient Identity Feed
Query Document Retrieve
Document
Provide & RegisterRegister
Provide & Register
Register
Retrieve Document
Query Document
Document Registry
Document Repository
Emergency Application
Virtual Health Platform in the Health 2.0 Scenario
Inte
ropera
ble Healt
h Reco
rd Asynchronous Telemedicine
Portable Health
Easy
Clin
ical
Man
agem
ent S
olut
ion
Medical Tourism Platform
HIS / EMR
DestinationCenter
Medical Images
Virtual Health Platform(VHP)
Personal Health Record (PHR)
Allergy, Medication, Diagnosis
Teleconsulta Imagen, video, PDF
scheduling
VHP
SNOMED
1
2
3
4
56
6 1 – Patient (or phyisician) register data in the PHR and puts some info on a teleconsultation
2 – The receiver medical center will be able to review the information and teleconsultation
3 – Patient is scheduled and teleconsultation is answered
4 – Patient travels to be operated the scheduled date
5 – Local HIS feeds the PHR once patient has been treated
6 – SNOMED : interoperability and translation
7
7 – Medbytes stores critical information into the portable USB Device
Virtual Health Platform
• Independent Platform
• Two modules:• PHR: easy to use (SNOMED). XML capabilities (Gateway)• Asychronous Teleconsultation
• International Standards HL7, DICOM, CDA • Patient manages the information:
• Provide access to others• Medbytes
• Privacy
Interoperable & Portable Health Record
http://
myh
lz.c
om
Images, videos and documents
Asynchronous Telemedicine
A toolkit and family modules that facilitates the capture, retrieval, format Dicom conversion, communication and
storage between source modalities and PACS repositories.
MIO LT, MIO COMM, Server, Broker, Store, Wado, Viewer
Medting.com 20
Medting
Clinical Cases
Medting.com 21
Solutions
HIS / EMR
DestinationCenter
Medical Images
Virtual Health Platform(VHP)
Personal Health Record (PHR)
Allergy, Medication, Diagnosis
Teleconsulta Imagen, video, PDF
scheduling
VHP
SNOMED
1
2
3
4
56
6
7
Health Destination Project
Testing the workflow & analyzing the business
Project Plan
1 months1 months1 months1 months5 months5 months5 months5 months 6 months6 months 6 months6 months
Phase II Implementing & integrating the pilot platform Clinical Case definition and finding partners (hotel & medical center)
Phase I Project kick-off Team organisation, roles and tasks definition Licenses and devices provisioning (purchase agreements)
Phase III Proof of concept: running the clinical case Demos and showcase Defining potential uses of the platform and writing a full roll-out project (EU funding)
Jan 08
Dec 08Jun 08
Looking for Partners
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Virtual Health Platform: several purposes
Real cases experiences and samples
A complete document evaluating experiences and business possibilities and uses
Potential customers evaluation: Tourist Private hospitals Ensurance companies Touroperators Telemedicine platforms New eHealth business models
EU Proposal
Output from the project
EU FP7 : Health without barriers
26
+EURATOM
EURATOM Programme
“Cooperation”Collaborative R&D, pre-defined themes, JTIs
“Ideas” Frontier research, competition, individual grants
“People”Human potential, mobility
“Capacities” Infrastructure, SMEs, science and society
Joint Research Centre (non-nuclear)
NEW
Total€ 54.6 bn2007-2013
€ 1.3 bn€ 2.8 bn
€ 32.3 bn
€ 7.5 bn
3 %
65 %15 %
9 %€ 4.7 bn
8 %
€ 1.8 bn
€ 4.3 bn
_________________________________Miguel Cabrer
+34 636962659eHealth Advisor
Member of HIMSS EMEA Governing Council_________________________________