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Evert Jan Hoijtink, Portavita.nl, pour la journée e-health 2013
Evert Jan Hoijtink, Portavita.nl, pour la journée e-health 2013
Evert Jan Hoijtink, Portavita.nl, pour la journée e-health 2013
Evert Jan Hoijtink, Portavita.nl, pour la journée e-health 2013
Evert Jan Hoijtink, Portavita.nl, pour la journée e-health 2013
Evert Jan Hoijtink, Portavita.nl, pour la journée e-health 2013
Evert Jan Hoijtink, Portavita.nl, pour la journée e-health 2013
Evert Jan Hoijtink, Portavita.nl, pour la journée e-health 2013
Evert Jan Hoijtink, Portavita.nl, pour la journée e-health 2013
Evert Jan Hoijtink, Portavita.nl, pour la journée e-health 2013
Evert Jan Hoijtink, Portavita.nl, pour la journée e-health 2013
Evert Jan Hoijtink, Portavita.nl, pour la journée e-health 2013
Evert Jan Hoijtink, Portavita.nl, pour la journée e-health 2013
Evert Jan Hoijtink, Portavita.nl, pour la journée e-health 2013
Evert Jan Hoijtink, Portavita.nl, pour la journée e-health 2013
Evert Jan Hoijtink, Portavita.nl, pour la journée e-health 2013
Evert Jan Hoijtink, Portavita.nl, pour la journée e-health 2013
Evert Jan Hoijtink, Portavita.nl, pour la journée e-health 2013
Evert Jan Hoijtink, Portavita.nl, pour la journée e-health 2013
Evert Jan Hoijtink, Portavita.nl, pour la journée e-health 2013
Evert Jan Hoijtink, Portavita.nl, pour la journée e-health 2013
Evert Jan Hoijtink, Portavita.nl, pour la journée e-health 2013
Evert Jan Hoijtink, Portavita.nl, pour la journée e-health 2013
Evert Jan Hoijtink, Portavita.nl, pour la journée e-health 2013
Evert Jan Hoijtink, Portavita.nl, pour la journée e-health 2013
Evert Jan Hoijtink, Portavita.nl, pour la journée e-health 2013
Evert Jan Hoijtink, Portavita.nl, pour la journée e-health 2013
Evert Jan Hoijtink, Portavita.nl, pour la journée e-health 2013
Evert Jan Hoijtink, Portavita.nl, pour la journée e-health 2013
Evert Jan Hoijtink, Portavita.nl, pour la journée e-health 2013
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Evert Jan Hoijtink, Portavita.nl, pour la journée e-health 2013

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  • 1. - 1 -FP7-ICT-2011-7Contract no 287841C o l l a b o r a t i v e P r o j e c t7th Framework ProgrammeP r i o r i t y F P 7 - I C T- 2 0 1 1 - 7I n f o r m a t i o n S o c i e t y Te c h n o l o g i e sProposal No 287841http: //www.commodity12.eu/Sierre, June 7th, 2013Evert Jan HoijtinkCEO Portavita BVPatient oriented Integrated Care“Role of the Patient”
  • 2. - 2 -FP7-ICT-2011-7Contract no 287841Agenda1. Short IntroductionPortavita & COMMODITY122. Short History of Disease Management in The NetherlandsStart, Finance and Issues3. Diabetes Integrated Care Examples1. Role of the Organization2. Role of the patient4. What is the added value!
  • 3. - 3 -FP7-ICT-2011-7Contract no 287841Introduction Evert Jan HoijtinkWork• Portavita BV – Founder & CEO• MGRID BV – Founder & Director• eMbrace – Founder & Vice ChairmanFunctions / Standardization• OIZ (Health IT Suppliers) – Vice Chairman (standardization)• NEN (Dutch ISO chapter) – Policy Committee 303 Health IT• IHE – member (Steering Committee)• HL7 – member (RIMBAA Technical Workgroup)• CIMI - Contributor
  • 4. - 4 -FP7-ICT-2011-7Contract no 2878411 | Introductie Portavita• Founded 2002 by management en Agis Health Insurances;• 48 employees;• Software as a Service - Care Management System;• 70 medical organisations / accounted care groups:• 380.000 patients of which ± 60.000 Self Management / Digital Patient• 5.000 medical professionals• ± 30 customer hits per second and 1.900 database transactions per second• 3 countries: Netherlands, Germany and Russia;• New in 2013: Switzerland, Poland and France;• Treatments (Preventive & Care):Anticoagulation, Diabetes, Asthma/COPD, CVRM & Palliative;• Individual Care Plan, Elderly care, ...
  • 5. - 5 -FP7-ICT-2011-7Contract no 287841050000100000150000200000250000300000350000400000janv.-02mai-02sept.-02janv.-03mai-03sept.-03janv.-04mai-04sept.-04janv.-05mai-05sept.-05janv.-06mai-06sept.-06janv.-07mai-07sept.-07janv.-08mai-08sept.-08janv.-09mai-09sept.-09janv.-10mai-10sept.-10janv.-11mai-11sept.-11janv.-12mai-12sept.-12janv.-13PatientsNumber of Patients NL Anticoagulation Diabetes COPD CVRM Total number of patientsNumber of patients NL >380.000 (2%)TariffCVRMStart DiabetesSelf ManagementProject fundingTariff AnticoagulationSelf ManagementTariffDiabetes & COPD
  • 6. - 6 -FP7-ICT-2011-7Contract no 287841COMMODITY12 | ConsortiumIMPERIAL COLLEGE OFSCIENCE, TECHNOLOGYAND MEDICINEUnited KingdomHAUTE ECOLE SPECIALISEEDE SUISSE OCCIDENTALEDelemont, SwitzerlandUNIVERSYTET MEDYCZNY WLODZI.Lodz, PolandBODYTEL EUROPEBad Wildungen, GermanyCENTRE NATIONAL DE LARECHERCHE CIENTIFIQUEParis, FranceHOSPICES CANTONAUXCHUVLausanne, SwitzerlandPORTAVITA BVNetherlandsDEUTSCHESFORSCHUNGSZENTRUM FÜRKÜNSTLICHE INTELLIGENZSaarbrücken, GermanyROYAL HOLLOWAY ANDBEDFORD NEW COLLEGEUnited KingdomPORTAVITANetherlandsProviding their leading DiseaseManagement Module forDiabetes Mellitus I & II
  • 7. - 7 -FP7-ICT-2011-7Contract no 287841Moreover, the COMMODITY12 system will build a new level inpatient empowerment, providing the tools for self-managementsupport. Indirectly, this system will also help wider implementation ofPersonal Health Systems, reinforcing leadership and innovationcapability of the European industry in that area.COMMODITY12 | VisionCOMMODITY12 aims to design, build, and validate an intelligentsystem for the analysis of multi-parametric medical data. It willuptake the existing cutting-edge technologies and extend thesetechnologies by combining state-of-the-art networks, softwareinteroperation, and artificial intelligence techniques in order to realizethe concept of translational medicine by means of a Personal HealthSystem.
  • 8. - 8 -FP7-ICT-2011-7Contract no 287841Introduction of Integrated Care• Start of Pilots for Diabetes in The Netherlands in 2006.10 Care Groups ± 80.000 patients in a Government pilot• Official Tariff since 2009;• Currently around 90 Care Groups with Disease ManagementSoftware. Not all with Patient Self Management;• In 2013 still lot of problems with Health Insurance companiesto have it contracted;• Health Insurance companies worry about the business case;• Still a lot of General Practitioners do not want to work in aDisease / Integrated Care management system;• Patients are enthusiastic;• New Disease Management (COPD, CVRM) starts up slow.
  • 9. - 9 -FP7-ICT-2011-7Contract no 287841GP CentreBefore  lack of coordinationDiabetes TreatmentRiskAnalysisLabResearchQuarterlyControlEyeCheck....FootControlDietAdviceGP Centre Laboratory …HospitalDiagnosisInternal MedicX Y X Z …Communication on paperbetween the medical silo’s?asdfcqfcgrerfasdfcqfcgrerfasdfcqfcgrerfasdfcqfcgrerfasdfcqfcgrerfasdfcqfcgrerf
  • 10. - 10 -FP7-ICT-2011-7Contract no 287841GP CentreDisease oriented  new Role & ITDiabetes TreatmentRiskAnalysisLabResearchQuarterlyControlEyeCheck....FootControlDietAdviceGP Centre Laboratory …HospitalCentral role: coordinating allparticipants in the treatment.DMSX Y X Z …CentralTreatmentData.HL7Version 3
  • 11. - 11 -FP7-ICT-2011-7Contract no 287841GP CentreNew Role(s) Patient: Self ManagementDiabetes TreatmentRiskAnalysisLabResearchQuarterlyControlEyeCheckSelfControlFootControlDietAdviceGP Centre Laboratory …HospitalPatient & Medical Professionalwork together.DMSX Y X Z …HomeDMSPatient has herown Role in hertreatment. Accessto all TreatmentData needed!
  • 12. - 12 -FP7-ICT-2011-7Contract no 287841COMMODITY ExtensionImproving the current generic treatmentalgorithms to become more patientspecific advices using Artificial Intelligence• Genetic Data• Sensor / Continuous Monitoring Data• Other Medical Data of the Patient from othersources
  • 13. - 13 -FP7-ICT-2011-7Contract no 287841What problem are we trying to solveCost of complications / opportunity (NL):• 1 Feet amputation = € 45.000• 3.000 amputations = € 135 million• Possibility for improvement= 50% less complications= € 67 millionSource: NitelSource: VU, Hoornse study
  • 14. - 14 -FP7-ICT-2011-7Contract no 287841A person will use his browser and the Internet connection to log in to his“Digital Logbook”Security : Username + Password
  • 15. - 15 -FP7-ICT-2011-7Contract no 287841A person can have more than one role! He / Can be a patient or not yet apatient. Can also be patient and doctor in the same time. Can be both a FamilyDoctor and Anticoagulation Specialist ...
  • 16. - 16 -FP7-ICT-2011-7Contract no 287841This person uses his “Digital Logbook” for both his Diabetes Treatment and forhis preventive Cardio Vascular Risk Management
  • 17. - 17 -FP7-ICT-2011-7Contract no 287841Patient can use the the “Digital Logbook” to fill in medical measurements. InCOMMODITY12 we want to automate the input BUT ... still need input from thepatient.
  • 18. - 18 -FP7-ICT-2011-7Contract no 287841Patient can see all the Laboratory Results and the individual Treatment Goalshe / she will make with the doctor
  • 19. - 19 -FP7-ICT-2011-7Contract no 287841Patient and medical professionals all work in the same Medical Database! Theytherewith share the same data!
  • 20. - 20 -FP7-ICT-2011-7Contract no 287841
  • 21. - 21 -FP7-ICT-2011-7Contract no 287841Here an example of how we will use the HES-SO Artificial Intelligenceknowledge to improve decision making!
  • 22. - 22 -FP7-ICT-2011-7Contract no 287841The system will calculate the severity and the Risk of this patient to develop aproblem with the feet!
  • 23. - 23 -FP7-ICT-2011-7Contract no 287841In the overall view of the medical professional the “Treatment Advice” will beshown!
  • 24. - 24 -FP7-ICT-2011-7Contract no 287841Patient can seewhether he or shehas received thetreatment accordingto the protocol.Patient is always informed on process!
  • 25. - 25 -FP7-ICT-2011-7Contract no 287841How to further improve the treatmentImprove the quality of medical decisions• By having more information regarding the patient(examinations, profile, laboratory results, Genetic data, bodysensor data, ...)• By applying all medical knowledge available to the individualpatientUsing Agent technology and Medical Rules Engines• Will lead to:Improved and more personalized treatment plan for patients.Implementation, use and and evaluation starting in 2013 inLausanne and Lodz!
  • 26. - 26 -FP7-ICT-2011-7Contract no 287841Thank you very much!
  • 27. - 27 -FP7-ICT-2011-7Contract no 287841Extra Slides
  • 28. - 28 -FP7-ICT-2011-7Contract no 287841GP CentreIssue: Other Diseases / TreatmentsDiabetes TreatmentRiskAnalysisLabResearchQuarterlyControlEyeCheckSelfControlFootControlDietAdviceGP Centre Laboratory …HospitalDMSX Y X Z …HomeDMSCOPD / AsthmaCardio VascularRisk ManagementDMSDMS ?
  • 29. - 29 -FP7-ICT-2011-7Contract no 287841GP CentreVision - Individual Care Plan:Diabetes TreatmentRiskAnalysisLabResearchQuarterlyControlEyeCheckSelfControlFootControlDietAdviceGP Centre Laboratory …HospitalDMSX Y X Z …HomeEHRCOPD / AsthmaCardio VascularRisk ManagementDMSDMSIndividualCare Plan EHRCentralPatientData.HL7 CCDIHE
  • 30. - 30 -FP7-ICT-2011-7Contract no 287841COMMUNICATIONManagement3rd(IHE)COMMUNICATIONManagement(IHE) CAREManagement(Process)DATA Store DataWarehouseTreatment RulesWorkflowAuthorizationHL7 V3 RIMATNAEUABPPCXDSPIXBusinessIntelligenceeHealth in the Box – ECO SystemUser AccessData ManagementSnomed CTXDSlargeBillingAuditingMedicalKnowledgeProducingMedicalKnowledgeMedical TreatmentAdministrativeDataExaminationDataLaboratoryDataGeneticsDataSensorData......RFDXDWCTXUA

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