New Paradigms for Patient Record Sharing, Easy to Use and Adapted to the Emergency Services and Situations: Genesis and Ex...
Medical Information<br />Quality of Delivery of care<br />Put the patient atrest<br />Quicken and reinforcedecisionmaking<...
Main factscalling for Sanoia<br />Emergency Admissions<br />85% of emergency patients are not able to accurately express t...
Previousexperiences in France<br />USB encrypted PHR<br /><ul><li> Contained non health related data
Electronic material out-of-work-prone and computer virus sensitive</li></ul>Data on SIM Card<br /><ul><li>Forms were not a...
- Update not done by patient
- Required to remove  functional GSM Card
- No privacy criteria</li></ul>Wallet Card (Alzheimer)<br /><ul><li>8 pages long for one language !
- Non shared information
- Difficult to update
- Subject to loss or destruction</li></ul>None of theseexperiences met at the same time :<br />Emergency doctors expectat...
A privacycompliant architecture<br />IP blanche<br />S.S.L<br />Award 2009<br />Best Health Site<br />PACA<br />Anonymizer...
French National and Local EMR’s<br />SANOIA is a circumstantial extension to the National EMR project for<br />People with...
Use Case<br />1. Patient enters<br />anonymousbiographical and particularsign data<br />Password<br />4. Patient writehis/...
patient<br />
Step<br />patient<br />
Step<br />patient<br />
Step<br />patient + GP<br />
Step<br />patient + GP<br />
Step<br />French Public National<br />Drug database connexion<br />patient + GP<br />
Step<br />PATIENT<br />WalletCard<br />PATIENT<br />Mobile wallpaper<br />
Step<br />« Emergency »<br />
Step<br />« Emergency »<br />
User profile<br />Health records thatweremodifiedat least once the last 2 months(Jan – Fev 2010) :  1377 records – user of...
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Sanoia.com @ MEDETEL (Luxembourg) 16 April 2010

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Sanoia.com @ MEDETEL (Luxembourg) 16 April 2010

  1. 1. New Paradigms for Patient Record Sharing, Easy to Use and Adapted to the Emergency Services and Situations: Genesis and Experience Returns of Sanoia.com<br />Dr. Adam M. SELAMNIA<br />ScientificDirector A.I.M.S.U (Non Profit Organization)La Ciotat (France)<br />mselamnia@sanoia.com<br />
  2. 2. Medical Information<br />Quality of Delivery of care<br />Put the patient atrest<br />Quicken and reinforcedecisionmaking<br />Reducecosts<br />Risks on patient privacy<br />Respectingprivacyis a legal and ethics<br />Key successcriteria<br />
  3. 3. Main factscalling for Sanoia<br />Emergency Admissions<br />85% of emergency patients are not able to accurately express their medical history<br />Source : <br />General Manager of Marseille Hospitals (400 beds and 80 000 admissions/yr) <br />Public Health impact: <br />In France, 405 000 adverse effects in health structures (hospitals, clinics ...) has been calculated of which 155 000 might be avoidable<br />Source : <br />French Ministry of Health ReportDREES , n°398, May (2009)<br />Privacy concerns<br />91% of Patients have expressed the wish to an increase use of informatics in physician practice, they were more than 78% to consider confidentiality of their health data as a critical issue.<br />Source : <br />TNS Sofres Poll for the National Order of Medical Doctors, April (2009)<br />
  4. 4. Previousexperiences in France<br />USB encrypted PHR<br /><ul><li> Contained non health related data
  5. 5. Electronic material out-of-work-prone and computer virus sensitive</li></ul>Data on SIM Card<br /><ul><li>Forms were not adapted to emergency teams needs
  6. 6. - Update not done by patient
  7. 7. - Required to remove functional GSM Card
  8. 8. - No privacy criteria</li></ul>Wallet Card (Alzheimer)<br /><ul><li>8 pages long for one language !
  9. 9. - Non shared information
  10. 10. - Difficult to update
  11. 11. - Subject to loss or destruction</li></ul>None of theseexperiences met at the same time :<br />Emergency doctors expectations<br /> Patient privacyconcerns<br /><ul><li>Easy to use and update</li></li></ul><li>GENESIS<br />Pre-Anesthesia<br />questionnaire<br />ITERATIVE AND INCREMENTAL PROCESS<br />MEDICAL COMMITTEE<br />College of Emergency Physicians (Provence Alpes – Côte d’Azur)<br />HospitalSpecialists<br />Private General Physicians<br />Healthcare Network members (Diabetes)<br />
  12. 12. A privacycompliant architecture<br />IP blanche<br />S.S.L<br />Award 2009<br />Best Health Site<br />PACA<br />Anonymizer<br />Data server<br />Compliant<br />AIMSU private servers on top of OVH backbone<br />
  13. 13. French National and Local EMR’s<br />SANOIA is a circumstantial extension to the National EMR project for<br />People without social securitynumber<br />People who refuse the EMR<br />Access fromabroad, Emergencies…<br />SANOIA is a receptacle for selected data fromhealthcarecenters EMR<br />As a service for patient leavingHealthcarecenters<br />To enrich City-Hospital exchanges<br />
  14. 14. Use Case<br />1. Patient enters<br />anonymousbiographical and particularsign data<br />Password<br />4. Patient writehis/her ID on anywearable item associated to Emergency URL<br />5. Emergency Doctor or out of residencyphysican in France or Abroadenters patient ID<br />…..<br />Allergies<br />2. ID generated<br />Unique & Secured<br />Treatments<br />3. Management Page<br />Filled by patient alone or withfamilydoctor<br />
  15. 15. patient<br />
  16. 16. Step<br />patient<br />
  17. 17. Step<br />patient<br />
  18. 18. Step<br />patient + GP<br />
  19. 19. Step<br />patient + GP<br />
  20. 20. Step<br />French Public National<br />Drug database connexion<br />patient + GP<br />
  21. 21. Step<br />PATIENT<br />WalletCard<br />PATIENT<br />Mobile wallpaper<br />
  22. 22. Step<br />« Emergency »<br />
  23. 23. Step<br />« Emergency »<br />
  24. 24. User profile<br />Health records thatweremodifiedat least once the last 2 months(Jan – Fev 2010) : 1377 records – user of 50 ± 15 yearsold<br />Males (n=536)<br />176 ± 13 cm<br />81 ± 17 kgs<br />Females (n=841)<br />162 ± 7 cm<br />67 ± 15 kgs<br />Taking 4± 3 medicinedrugs (n=1098)<br />
  25. 25. Userstestimonials<br />« My 8 yearsold son has a congenitaladrenal hyperplasia. Can you help me fill the treatments section becausehe has a specific dosage »«  I’m a surgeon. I used for familypurposes a similarfunction on hard diskconnected to Internet but nobodyusedit. Nowwe all use Sanoia »«  Your vision of sharedhealthmeets the one I promote as a healthprofesional but all the more as a citizen. How can I help ? »<br />
  26. 26. From e-health to m-health<br />For situations when no access to Internet<br />SANOIA has official pre-release version atHealth 2.0 Paris<br />Developedwith JAVA Me<br /> Cross Compiler Technology<br />Already compatible with more than 150 phone models<br />
  27. 27. International Development<br />Translate patient interface<br />Integrate national country drugdatabases<br />Adaptforms to countries specifications<br />CreatepartnershipswithHealth Institutions abroad<br />17-19 October  2010, Abu Dhabi National Exhibition Centre, UAE<br />
  28. 28. Implementation of an iso-performance typing module acceptingdedicatedpathology & physiological condition forms.<br />New version of the translation bot to use non iso languages (Arabic, Asians, Cyrillic, ..)<br />SecuredElectronic validation by the GP<br />Natural languageanalysisaccording to SNOMED terminology<br />SANOIA labs…<br />
  29. 29. Patient centrictool<br />Built on healthprofessionals expectations<br />Focus on critical and synthesis/coordination data<br />Ensure a highlevel of privacy<br />Free, itishighlyuniversal and beneficial to anyone<br />CONCLUSION<br />
  30. 30. THANKS FOR YOUR ATTENTIONwww.sanoia.com<br />Dr. Adam M. SELAMNIA<br />ScientificDirector A.I.M.S.U (Non Profit Organization)La Ciotat (France)<br />mselamnia@sanoia.com<br />

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