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 business Lack of medical data exchange
The Continuum of Care $1 $10 $100 $1,000 $10,000 0% 100% COST of CARE/DAY QUALITY of LIFE Healthy, Independent Living Chronic Disease Management Doctor’s Office Community Clinic HOME CARE Assisted Living Skilled Nursing Facility RESIDENTIAL CARE Community Hospital ICU Specialty Clinic CLINICAL CARE
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.
Internet accessible from the patient, hospital, ensurance co, referral physician, hotel.
Relevant clinical information: interoperable
Added value services: asychronous telemedicine
Presented Project Health Destination is about a Virtual Health Platform for medical tourism purposes :
Complexes workflows: we need to make it easier US Exam System Physician Office EHR System Remote Hospital XDS Clinical Affinity Domain PACS DRM Patient Identity Source Retrieve Document Provide & Register Register Query Document Patient Identity Feed Document Registry Document Repository Emergency Application Community Clinic Lab Info. System PACS L-716 Query Document Retrieve Document Provide & Register Register Provide & Register Register Retrieve Document Query Document
Virtual Health Platform in the Health 2.0 Scenario Interoperable Health Record Asynchronous Telemedicine Portable Health Easy Clinical Management Solution
Medical Tourism Platform HIS / EMR Destination Center Medical Images Virtual Health Platform(VHP) Personal Health Record (PHR) Allergy, Medication, Diagnosis Teleconsulta Imagen, video, PDF scheduling VHP SNOMED 1 2 3 4 5 6 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
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
Solutions HIS / EMR Destination Center Medical Images Virtual Health Platform(VHP) Personal Health Record (PHR) Allergy, Medication, Diagnosis Teleconsulta Imagen, video, PDF scheduling VHP SNOMED 1 2 3 4 5 6 6 7
Health Destination Project Testing the workflow & analyzing the business