FROM IDEAS TO STATE OF THE ART
   PROJECTS. THE GERMAN
 TELEMEDICAL NETWORK NEST

                June 17th 2009
         ...
Agenda


   Introduction NEST
   Joint Projects
   StrokeNet
   Tele Care System (TCS)
   The new Challenge - Example...
Networks in Germany


 In Germany many company-networks with different focuses
  (as for example on security issues or me...
Network for integrated
Systems in Telemedicine

   Why in Berlin-Brandenburg?

     widely acknowledged research and sci...
Health City Berlin

   67 Hospitals
   17.700 Physicians                   Fields of Specialization
   3.700 Dentists
...
Telemedicine in Berlin


 Berlin offers a huge range of hospitals, research institutions
  as well as companies in the he...
Network for integrated
Systems in Telemedicine

 founded in 2005, supported by Federal Government
 NEST involves more th...
NEST bundles
competencies in

 Virtual microscopy, Telemonitoring, object tracking, blood
  pressure measuring tools, pat...
NEST Partner




         III Meeting on eHealth and Telemedicine
NEST Partner




         III Meeting on eHealth and Telemedicine
Management by
TimeKontor AG

TimeKontor is working as a business enabler.

   established between politics, economy and s...
NEST at international
Events

   Arab Health 2006
   Zdravoochranenije 2006
   Arab Health 2007
   II International Mo...
International Cooperation


 Cooperation with international partners

    Cooperation with APAN –
     Japanese telemedi...
Agenda


   Introduction NEST
   Joint Projects
   StrokeNet
   Tele Care System (TCS)
   The new Challenge - Example...
NEST- network

 Driven by hospitals and their medical needs

 Focus of NEST:
    enabling partners to tackle new joint ...
Joint Projects


 TM7- Development of a standard for telemedicine

 which combines the ease of existing standards (Dicom...
Joint Projects (1)


 ALS Manager

    Development and establishment of an internet platform
     for patients with ALS ...
Agenda


   Introduction NEST
   Joint Projects
   StrokeNet
   Tele Care System (TCS)
   The new Challenge - Example...
Joint Projects (2)


 StrokeNet

    Development of a telemedicine system for Ambulances
    transmitting monitoring an...
StrokeNet - in brief


 telemedical system in ambulances, stroke
   units and cooperating hospitals for stroke-
   treatm...
Stroke - the problems

 patient at an inappropriate hospital
           ●
              no bed available
           ●
   ...
Stroke - the NINDS*
recommendations

(1)              Neurological consultation                10 min
(2)              ECG...
Stroke - the bottleneck
'Imaging'


          80


          70


          60


          50
  [min]




          40
   ...
StrokeNet - project


•emergency call

•Patient comes to the next appropriate hospital

•Medical stuff/ patient has early ...
StrokeNet - project
technical approach

            mobile arm

ambulance


              Telemedical Center




         ...
Agenda


   Introduction NEST
   Joint Projects
   StrokeNet
   Tele Care System (TCS)
   The new Challenge - Example...
Joint Developments


 Tele Care System:

 Medical care aboard an aircraft via
  satellite or Pico cell, transmitting vit...
In Case of Emergency


 No doctor at patient side

 Helper without emergency experience

 Medical solutions only by “te...
TCS of GHC


                      12-lead ECKG, SPO2,
                       Blood pressure integrated

                ...
TCS Modules


(1)   Main module

(2)   Housing
                                                           1
      (accesso...
Aviation Market

 Number of passenger is
  growing

 200,000 life-threatening
  emergencies/year

 About 12 deaths at o...
TCS Aviation


 Prototype available

 Tested on long-haul flights

 Co-operation with Charité,
  Deutsche Lufthansa

 ...
Maritime Market


Profile: Emergency and
  Monitoring

 Injury (e.g. fracture)
 Infection/ inflammation
 Cauterization ...
TCS Maritime Pilot
Utilization


 Pre-phase for testing

 Prototype available

 Tested on Oil and Container
  Tanker

...
Agenda


   Introduction NEST
   Joint Projects
   StrokeNet
   Tele Care System (TCS)
   The new Challenge - Example...
The new Challenge


demographic change
    more and more people getting older and older
    more time for (aged-based) l...
The approach


how can telemedicine support those needs?
    move the data, not the patient / physician
    Home Care
  ...
Example 1: pain -
treatment

 implantation of a spinal-catheter

 connection of a mobile device
  via Bluetooth

 insta...
Example 2: decubitus-
prevention

Bedsore (decubitus)
 affecting ~ 800.000 patients/ p.a.
  only in Germany, causing cost...
Example 3:
peritoneal dialysis

 90.000 patients in with PD,
  haemodialysis (HD) or kidney-
  transplantation
 focus: a...
The bigger picture


all 3 projects have a strong relation to other diseases

      diabetes
      hypertension
      s...
Success factors


 Find innovative partners, interested in close cooperation
  and knowledge transfer
 Find a management...
Thank You very much for
       Your attention!

Ywes Israel, M.A.
COO

TimeKontor AG                                      ...
Upcoming SlideShare
Loading in...5
×

From Ideas To State Of The Art Projects. The German Telemedical Network Nest

1,122

Published on

Published in: Education
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total Views
1,122
On Slideshare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
25
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

From Ideas To State Of The Art Projects. The German Telemedical Network Nest

  1. 1. FROM IDEAS TO STATE OF THE ART PROJECTS. THE GERMAN TELEMEDICAL NETWORK NEST June 17th 2009 Santander Mr. Ywes Israel, M.A. III Meeting on eHealth and Telemedicine
  2. 2. Agenda  Introduction NEST  Joint Projects  StrokeNet  Tele Care System (TCS)  The new Challenge - Examples III Meeting on eHealth and Telemedicine
  3. 3. Networks in Germany  In Germany many company-networks with different focuses (as for example on security issues or medical applications) exist.  Also the German Government supports enterprises in forming networks. While some networks develop innovative products/ services or international co-operations others fall apart very quickly.  Purpose of this presentation is to show promising factors, based on the example of NEST. III Meeting on eHealth and Telemedicine
  4. 4. Network for integrated Systems in Telemedicine  Why in Berlin-Brandenburg?  widely acknowledged research and science community  High concentration of hospitals, clinics, and medical research and care facilities  the region is recognized as a centre of innovation in health care  International health projects and patients NEST pools the available resources in the field of telemedicine and taps the full potential. III Meeting on eHealth and Telemedicine
  5. 5. Health City Berlin  67 Hospitals  17.700 Physicians  Fields of Specialization  3.700 Dentists  180.000 people working in  German Heart Center Berlin the health industry  First Laser Hospital  50.000 employees in science  First completely digitalized and research Hospital  22 pharmaceutical businesses  First Clinic for minimal  150 Medical-engineering invasive surgery enterprises  Institute for Proton-therapy  160 Biotechnology firms  First Neuro-imaging Center  70 Independent Research  http://www.gesundheitsstadt institutions -berlin.de/  4 Universities  7 technical colleges III Meeting on eHealth and Telemedicine
  6. 6. Telemedicine in Berlin  Berlin offers a huge range of hospitals, research institutions as well as companies in the health care sector  One of them: NEST- Network for integrated Systems in Telemedicine  NEST involves more than 20 participants from all healthcare-domains, i.e. hospital operators and service providers, universities and research institutions, small and medium sized companies with special focus on IT solutions for the healthcare sector  Driven by hospital and medical needs III Meeting on eHealth and Telemedicine
  7. 7. Network for integrated Systems in Telemedicine  founded in 2005, supported by Federal Government  NEST involves more than 28 participants from all healthcare-domains,  i.e. hospital operators and service providers, universities and research  institutions, small and medium sized companies with focus on IT solutions for healthcare and on medical technology from Germany  Common objective: improving healthcare through telemedicine, by developing new treatment paths, products and services III Meeting on eHealth and Telemedicine
  8. 8. NEST bundles competencies in  Virtual microscopy, Telemonitoring, object tracking, blood pressure measuring tools, patient records, anonymisation and pseudonymisation, middleware, modular clinical paths, support for clinical trials, efficient documentation procedures,  research on knowledge based systems, semantic web, functional telemedical standards  Healthcare service for international patients  NEST aims to support the network partners in developing and marketing products, systems and methods in the area of “eHealth / telemedicine”. III Meeting on eHealth and Telemedicine
  9. 9. NEST Partner III Meeting on eHealth and Telemedicine
  10. 10. NEST Partner III Meeting on eHealth and Telemedicine
  11. 11. Management by TimeKontor AG TimeKontor is working as a business enabler.  established between politics, economy and science  activities focused on areas, where ICT play a key role,  expertise in IT security, eHealth, and Serious Games  within the network management TimeKontor supports in  Identification of business opportunities  Initiating and accompanying innovative projects and cooperation and its financing  Knowledge transfer (organization of international workshops and conferences) III Meeting on eHealth and Telemedicine
  12. 12. NEST at international Events  Arab Health 2006  Zdravoochranenije 2006  Arab Health 2007  II International Moscow Conference on Information and Telemedical Technologies in Healthcare 2007  Zdravoochranenije 2007  Arab Health 2008  Hospimedica India 2008  RomMEDICA 2008  2-nd International Conference on Telemedicine: Myths and Reality  Partnering Day in Tel Aviv and Jerusalem 2008 III Meeting on eHealth and Telemedicine
  13. 13. International Cooperation  Cooperation with international partners  Cooperation with APAN – Japanese telemedicine association (September 2007)  Scientific Exchange between the Medical State University in Moscow and the ALS Ambulance in Berlin on Amyotrophic Lateral Sclerosis (April 2008)  Cooperation with Ukrainian Telemedical Association  Cooperation with Aserbaidschan & Kazakhstan III Meeting on eHealth and Telemedicine
  14. 14. Agenda  Introduction NEST  Joint Projects  StrokeNet  Tele Care System (TCS)  The new Challenge - Examples III Meeting on eHealth and Telemedicine
  15. 15. NEST- network  Driven by hospitals and their medical needs  Focus of NEST:  enabling partners to tackle new joint projects  developing and marketing innovative products and convenience solutions  Topics within the network:  Interfaces (TM7)  Symptom related projects (ALS-Manager)  Disease related projects (StrokeNet)  TimeKontor- network management  eHealth and security III Meeting on eHealth and Telemedicine
  16. 16. Joint Projects  TM7- Development of a standard for telemedicine  which combines the ease of existing standards (Dicom, HL7) with the excellence, precision and functionality of proprietary solutions from its partners  TM7 will be used for transmission of (picture, sound) data, communication of devices as well as for tele- controlling of medical equipment III Meeting on eHealth and Telemedicine
  17. 17. Joint Projects (1)  ALS Manager  Development and establishment of an internet platform for patients with ALS (Amyotrophic Lateral Scleroses) and their caregivers  for more efficient clinical studies and a qualitative  improvement of patient provision III Meeting on eHealth and Telemedicine
  18. 18. Agenda  Introduction NEST  Joint Projects  StrokeNet  Tele Care System (TCS)  The new Challenge - Examples III Meeting on eHealth and Telemedicine
  19. 19. Joint Projects (2)  StrokeNet  Development of a telemedicine system for Ambulances  transmitting monitoring and vitality functions, picture and sound between mobile intensive care units and a specialised stroke unit  use expertise of stroke specialists for the immediate treatment  Patients and their caregivers benefit from reduced assistance requirements and shorter rehabilitation periods III Meeting on eHealth and Telemedicine
  20. 20. StrokeNet - in brief  telemedical system in ambulances, stroke units and cooperating hospitals for stroke- treatment  2-year R&D-project: nov. 05 bis oct. 07  area of application: Berlin  Aim: Use of mobile communication infrastructure to improve the preparation of stroke-treatment III Meeting on eHealth and Telemedicine
  21. 21. Stroke - the problems  patient at an inappropriate hospital ● no bed available ● no Stroke Unit ● no thrombolytic therapy ● no interventioanl therapy ● no neurosurgical department frequent hospital transfers  time-delays pre-/ intrahospital ● many departments have to be informed and involved III Meeting on eHealth and Telemedicine
  22. 22. Stroke - the NINDS* recommendations (1) Neurological consultation 10 min (2) ECG, temperature, blood glucose, blood pressure 20 min • CCT 25 min • CT-interpretation 45 min • time taken to arrive at Stroke Unit 60 min (-> 80% success rate)  Time is Brain  Reducing Time-to-needle * TheNa na tio l Instituteo Ne lo ic l Dis rd rsa Stro n uro g a o e nd ke III Meeting on eHealth and Telemedicine
  23. 23. Stroke - the bottleneck 'Imaging' 80 70 60 50 [min] 40 2003 30 2004 20 target 10 0 neurolog t is cT C StrokeUnit III Meeting on eHealth and Telemedicine
  24. 24. StrokeNet - project •emergency call •Patient comes to the next appropriate hospital •Medical stuff/ patient has early support by a (stroke – experienced) neurologist •StrokeUnit neurologist ... ● is informed about the patient in advance (time, syndrome) ● can schedule further treatment (info to: ward, radiologie) ● support treatment within ambulance III Meeting on eHealth and Telemedicine
  25. 25. StrokeNet - project technical approach mobile arm ambulance Telemedical Center stationary arm StrokeUnits co-operating hospitals (with of without SU) III Meeting on eHealth and Telemedicine
  26. 26. Agenda  Introduction NEST  Joint Projects  StrokeNet  Tele Care System (TCS)  The new Challenge - Examples III Meeting on eHealth and Telemedicine
  27. 27. Joint Developments  Tele Care System:  Medical care aboard an aircraft via satellite or Pico cell, transmitting vital parameters of the passenger to an expert on ground  combined with videoconferencing between the flight attendant and the expert,  thereby enabling the flight attendant to perform diagnostic and therapeutic measures III Meeting on eHealth and Telemedicine
  28. 28. In Case of Emergency  No doctor at patient side  Helper without emergency experience  Medical solutions only by “telephone”, no vital data  No much time to make a right diagnosis  High potential of secondary damages  Wrong decision can cause deaths (and cost)  Interruption of the journey III Meeting on eHealth and Telemedicine
  29. 29. TCS of GHC  12-lead ECKG, SPO2, Blood pressure integrated  Temperature, blood glucose extern  Defibrillator (1-lead-ECG) integrated  Videoconferencing, Chatting  Audio-visual, textual and graphical instructions  Medical Help III Meeting on eHealth and Telemedicine
  30. 30. TCS Modules (1) Main module (2) Housing 1 (accessories) 2 (3) Diagnostic module (4) Therapy module 3 4 III Meeting on eHealth and Telemedicine
  31. 31. Aviation Market  Number of passenger is growing  200,000 life-threatening emergencies/year  About 12 deaths at one airline/year  Main cause: cardiovascular problems  Cost of diversion: several 100,000 $ III Meeting on eHealth and Telemedicine
  32. 32. TCS Aviation  Prototype available  Tested on long-haul flights  Co-operation with Charité, Deutsche Lufthansa  Next pilot utilization sponsored by the ESA III Meeting on eHealth and Telemedicine
  33. 33. Maritime Market Profile: Emergency and Monitoring  Injury (e.g. fracture)  Infection/ inflammation  Cauterization (e.g. chemical burn)  Internal medicine (e.g. cardiovascular disease) III Meeting on eHealth and Telemedicine
  34. 34. TCS Maritime Pilot Utilization  Pre-phase for testing  Prototype available  Tested on Oil and Container Tanker  Testing Trial with Hapag-Lloyd Shipping Company III Meeting on eHealth and Telemedicine
  35. 35. Agenda  Introduction NEST  Joint Projects  StrokeNet  Tele Care System (TCS)  The new Challenge - Examples III Meeting on eHealth and Telemedicine
  36. 36. The new Challenge demographic change  more and more people getting older and older  more time for (aged-based) leisure activities  longer need for (special) medical care target  ambient assisted living  keeping autonomy  support at home and on the way  social services III Meeting on eHealth and Telemedicine
  37. 37. The approach how can telemedicine support those needs?  move the data, not the patient / physician  Home Care  monitoring of patients  offering a feeling of security Home Care  combing telemedicine and local based services examples for projects in realization Home Monitoring Home Care Devices III Meeting on eHealth and Telemedicine
  38. 38. Example 1: pain - treatment  implantation of a spinal-catheter  connection of a mobile device via Bluetooth  instant monitoring of analgesic dosage  additional information about state of health and mood of the patient  using lbs: in case of emergency, an ambulance can be send to the patient wherever he is III Meeting on eHealth and Telemedicine
  39. 39. Example 2: decubitus- prevention Bedsore (decubitus)  affecting ~ 800.000 patients/ p.a. only in Germany, causing costs ~ 2 Bill. Euro/ p.a.  developing a sensor-mat, which measures and monitors the self- mobility of bedridden patients  target: gaining information on "perfusion-stimulating" movement to prevent decubitus  additional "intelligence" for wound-management by integrating a camera III Meeting on eHealth and Telemedicine
  40. 40. Example 3: peritoneal dialysis  90.000 patients in with PD, haemodialysis (HD) or kidney- transplantation  focus: aPD at night  main targets:  HD>PD to be changed  telemedical interface: • getting additional vital parameter like weight, blood pressure • additional A/V-connection  social aspects of PD III Meeting on eHealth and Telemedicine
  41. 41. The bigger picture all 3 projects have a strong relation to other diseases  diabetes  hypertension  stroke  cardiac insufficiency  heart attack III Meeting on eHealth and Telemedicine
  42. 42. Success factors  Find innovative partners, interested in close cooperation and knowledge transfer  Find a management institution, that is neutral and experienced in management of networks  Identify problems in healthcare, that could be solved trough telemedicine  Involve the users in the process: i.e. physicians and patients  Look out for partners in other countries and try to initiate joint projects with them (participate in conferences, fairs, partnering events) III Meeting on eHealth and Telemedicine
  43. 43. Thank You very much for Your attention! Ywes Israel, M.A. COO TimeKontor AG T: +49 30 390087-0 NEST Network for integrated Systems in Telemedicine F: +49 30 390087-25 Schönhauser Allee 10 – 11 E: ywes.israel@timekontor.de 10119 Berlin, www.timekontor.de Germany www.nest-telemedizin.de III Meeting on eHealth and Telemedicine
  1. A particular slide catching your eye?

    Clipping is a handy way to collect important slides you want to go back to later.

×