Virtual Health Platform [05 Cr2 Cabrer Platform]

Cabrer, M. et al.: Virtual Health Platform

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Virtual Health Record Platform for Medical Tourism Purposes Health Destination Project

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

Medical Tourism and Medical Traveling

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

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 :

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

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://myhlz.com

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 Medting.com

Clinical Cases Medting.com

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

Project Plan 1 months 5 months 6 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 08 Jun 08 Looking for Partners

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 + 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 bn 2007-2013 € 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 636962659 eHealth Advisor Member of HIMSS EMEA Governing Council _________________________________ [email_address]