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Présentation de Pascal Durdu, Business Development Manager de Zetes, sur les opportunités eHealth.

Présentation de Pascal Durdu, Business Development Manager de Zetes, sur les opportunités eHealth.

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  • http://ec.europa.eu/information_society/activities/health/whatis_ehealth/index_en.htm
  • Clinical Information System(CIS)(a) Specialised tools for health professionals within healthcareinstitutions (e.g. hospitals). Examples are radiology informationsystems, nursing information systems, medical imaging,computer-assisted diagnosis, surgery training and planningsystems;(b) Tools for primary care and/or for outside care institutions,such as general practitioner (GP) and pharmacy informationsystems.Secondary Usage Non-clinicalSystems (SUNCS)This category includes:(a) systems for health education and health promotion ofpatients/citizens, such as health portals or online healthinformation services;(b) specialised systems for researchers and public health datacollection and analysis, such as biostatistical programs forinfectious diseases, drug development, and outcomes analysis;(c) Support systems such as supply chain management,scheduling systems, billing systems, administrative andmanagement systems, which support clinical processes but arenot used directly by patients or healthcare professionals.Telemedicine Personalised health systems and services, such as diseasemanagement services, remote patient monitoring (e.g. athome), teleconsultation, telecare, telemedicine andteleradiology.Integrated Health ClinicalInformation Network (IHCIN)Distributed electronic health record systems and associatedservices, such as e-prescriptions or e-referrals.
  • http://ec.europa.eu/information_society/activities/health/docs/studies/business_model/business_models_eHealth_report.pdf
  • Are the goodsdelivered?Are the goodsdelivered to the right shop?When have the goods been delivered?Whoisresponsible for the goodsnow?Where are the goods?
  • https://www.ehealth.fgov.be/binaries/website/en/Recip-e_Integration-Specification_Draft.pdf

smart solutions healthcare MIC smart solutions healthcare MIC Presentation Transcript

  • Zetes Group
    Solutions for hospitals« Think Smart »Pascal.durdu@zetes.com
  • e-Health
    e-Health is the combined use of electronic communication and information technology in the health sector.
    Quality
    (information, patient oriented…)
    Efficiency
    (costreduction, flexibility,…)
    Safety
    (avoidhigh impact mistakes)
    06/12/2010
    2
  • Major e-healthtopics
    Clinical information system
    Non-Clinical system
    Telemedecine
    Integratedhealth network
    06/12/2010
    3
  • Innovation in e-health
    Sharing experience and get to learn real business need !!!!
    Avoidtechnology push
    Re-use of what’sexistingsomewhereelse, getinspired ….
    Adaptexisting technologies in a smart way
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    4
  • Technologies are there … weneed the glue
    06/12/2010
    5
  • Let’sbe open minded
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    6
    To solve business issues ….
  • Mobility … information aggregator
    06/12/2010
    7
    DB
    GPS
    Mobile data
    The mobile devicebecomes an identification/information aggregator
  • Mobility ….
    e-recipe … en Mobilité ….
    Attestation ….
    Paiement
    Recommendation
    Générix
    Pre-commande pour les pharmacies
    Findnearestpharmacy
    Campagne de vaccination
    Serialisation
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  • Data capture … a world of options
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    • Barcode Datamatrix
    • RFID (active/passive)
    • Vision
    • Voice
    • Sensors
    • Medicaldevices
    • GPS
  • Pharma vs e-health …
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  • Build on new regulation: serialisation
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    11
    Manufacturer Product Code 14 digits [GTIN or pseudo-GTIN]
    Unique Serial Number (randomized) 20 digits
    Expiry Date 6 digits (yymmdd)
    Batch Number up to 20 alpha-numeric characters
    GTIN
    Serial nr
    Expiry
    Batch nr
  • Thanks
    06/12/2010
    12
  • Exchange best practice and business issue.
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  • Learnfromothersectors
    Medicine identification & serialisation
    Cold chain
    Efficiency of distribution & supplychain
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    14
  • What does it mean?
    Need to improve & optimise
    • Information flow
    • Physical flow
    • Cash flow
  • However, between 2008 and 2012 the situation is to evolve, with a major shift from Secondary Usage Systems to Clinical Information Systems (SUCIS). This suggests that eHealth systems are targeted more towards supporting the operational processes of healthcare professionals.
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  • 06/12/2010
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  • eHealth services can play an important role for the current and current and future delivery challenges to be faced by healthcare services in Europe. They can provide responses to the socio-economic challenges faced by European healthcare systems in the near and long term. Industry is expected to continue to be involved in the development of these services, as eHealth represents a considerable market for European and international industry players. However, in order to tap into this potential, it is necessary for eHealth services to be devised in such a way as to respond directly to the specific operational needs of the healthcare delivery stakeholders towards whom they are targeted. Essentially, eHealth services have to create value for all stakeholders by devising appropriate supporting business models. Failing to do so will just create a situation where healthcare professionals and institutions would lose trust in these solutions and, as a consequence, refrain from exploiting the positive externalities brought about by these eHealth systems and solutions.
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  • What does it mean?
    06/12/2010
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    Information flow
    Physical flow
    Supplier
    Manuf.
    Retailer
    Consumer
  • Introduction
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    20
    Report
    Asset
    Mgt
    Safety
    Patient
    Tracking
    Productivity
  • Objectives
    Improve patient safety
    Make medication administration safer
    Trackspecific patient (elderly,…)
    Improve productivity
    Maximize bed turnover times
    Increase throughput across the operating room
    Improve staff productivity
    Improve asset management
    Handle point-of-care materials across the hospital
    Help hospitals more efficiently comply with regulatory reporting requirements
    Traceability
    06/12/2010
    21
  • Hospitals solution by Zetes
    Voice nursing
    Assettracking
    Patient Tracking
    GoodstransferbetweenHosptals building
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    22
  • Voice nursing
    06/12/2010
    23
  • Introduction
    Nurses are and willbemissing.
    Nurses are getingcompany car in Vilvoorde Hospital (Belgium)
    Increaseefficiency
    Removepainfulladministativetask
    06/12/2010
    24
  • Voice nursing
    In a nursing program, voice technology was shown to reduce documentation time by 75%, improve communication, and improve point of care documenting.
    The researchers also felt that infection may be reduced because nurses who used this voice technology were not touching as many items that may contaminate the patient.
    Voice assisted care technology provides hands and eyes free accurate documentation for nursing staff while enabling easy verbal access to patient information, effective communication and real time task management.
    06/12/2010
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  • Concept
    Withvoice nursing , the purposeis to use voicecommandsinstead of existingpaperbased or handheld solution.
    Instead of printing tasks or showingthem on a screen, theywillbevoiced to the caregiver.
    06/12/2010
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  • Main use case … Point of care information management
    Blood sampling
    Guide nurse on which tube to use
    Vocal administration
    Administration
    Blood pressure, patient weight,…
    Prescription, …
    Catering
    Dialysis information recording
    Real time task management in patient room
    Check destination (patient) of medicine
    Real time asset management togetherwith RFID/barcode/datamatrix
    06/12/2010
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  • Identification
    Staff Verification
    Individual RFID tags
    Difficult to duplicate
    Ensuring secure automatic clinician login, speeding process
    Patient ID
    Individual RFID tags
    Scanned without line off sight
    Requiring fewer physical touches, speeding process and reducing chances of nosocomial infections
    Medication Verification
    Individually labeled medication doses correctly matched with physician order, caregiver and patient ID
    06/12/2010
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  • Process
    Using a headset and optionally a ring RFID/barcode scanner, the nurse willbeassignedtasksthrough a voice command
    The nurse caninteractwith the system usingvoice
    To input information
    To listen to information (patient file)
    To listen to task
    06/12/2010
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  • Benefits
    Reduction in administration
    Real time task management
    Short-cuts and errorreduction
    Asset & patient ID using RFID
    Real time asset management
    Increaseproductivity
    Eye and Hands-free
    Faster training
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  • Assettracking
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  • Assettracking
    How much valuable time and resources were wasted due to low visibility of equipment, patients and staff …. “they could spend hours looking for the equipment. The only way we could resolve the problem was to buy more equipment so that it was available on each floor, which increased our operational costs.”
    06/12/2010
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  • Why Asset Management?
    Createaccountability for assetbeingused in Hospitals
    Location, maintenance history, availability
    Perform an efficient « assetfleet » management
    5-15% of hospital inventory is written off each year since it can no longer be located or more importantly serviced
    Ensurehighlevel of availability and usage
    Equipment moving from patient to patient without going through decontamination in between could become a significant issue
  • Asset management
    Passive RFID tag on Asset
    Cheap solution vs Active
    « RFID gate » in the elevator area to disciminate services/floors
    Limited cabling
    Limited investment
    Regular identification of assetbeingused by staff usingother ID technologies
    RFID, Voice, datamatrix
    06/12/2010
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  • The process
    Staff must identifyassetevery time they use it (Voice & RFID)
    Patient ID isknown
    Durationcanbeassessed
    Room ID is know
    … sowe know about utilisation and last location and time of use … RFID preventing short-cuts and mis-use.
    Whenasset are moving out of services / floor, RFID antennasatelevatorwilldetect the movement and update « assetinventory » accordingly.
    06/12/2010
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  • Assetinventory
    Every service/department as an inventory of asset
    As soon as an assetistaking the elevators, inventorywillbeupdatedaccordingly.
    If an asset shows up somewhereelse (read by staff), inventorywillbeupdated
    Whenassetisbrought for maintenance, inventorywillbeupdatedaccordingly
    06/12/2010
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  • Reportingiskey
    An assetis not used (read) since 2 weeks
    Check service whereit has been used last
    Broken, go to repair
    If disappeared, itwillbewriten-off to a specificdepartment, if it shows up back afterwards, write-off willbecanceled and investigation willtake place.
    Working, sothisassetmightbe in excess
    The utilisation of a type of assetistoolow,… thenassetmightbe in excess
    06/12/2010
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  • People tracking
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  • People tracking
    Based on the same infrastructure as assettracking, whenalzheimer / elderly people isleaving the « service ».
    The service manager isalerted
    The service manager receives a message telling in which service/department/zone he has been seen last time
    06/12/2010
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  • RFID wristbands
    Scanned without line off sight, thereis no need to manipulate the patient to read the information
    Placing the tag on the foot wouldallow a betterreading
    Requiring fewer physical touches, speeding process and reducing chances of nosocomial infections
    06/12/2010
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  • Gates
    Extra « gates » willbeinstalledat
    Entrance/exit of hospitals
    In critical zones
    Someproductscouldbetagged as well to getalertedwhenthey enter a specific room.
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  • Point of care solution usingvoicetogetherwith Passive UHF tags and readersatelevetorsgenerate an affordable and flexible solution thatshould help hospitals in the day to day job
    06/12/2010
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  • Goodstransfer
    43
  • Delivered?
    When?
    … progress …
    Where?
    … wrong destination …
    Claims?
    transport, receipt, tracking
    ?
    44
  • 45
  • Business need/objective
    Lowcost solution
    Reducing claims whendeliveringgoods in a healthcardpremises (proof of delivery)
    Preventingunloadmistakes
    Providing real time information about deliveryprogress
    Registering actions (return of asset)
    Easy to use, install
    Stand alone and independent
    No integration to local network
    46
  • e-PoD
    47
    GSM Antenna
    Industrial terminal
    RFID Reader
    Smart Card Reader
    06/12/2010
  • e-PoDprocess
    Load route information on smart card ….
    Put card in e-PoD & Check delivery (RFID)
    Loaddelivery confirmation on card and send message (GSM)
    06/12/2010
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  • Main features
    Check goods destination
    The screenwill tell if the wrongproductisdelivered
    Proof that the goods have been physicallyunloaded
    e-PoDat destination and the use of RFID limitsrisk of fraud
    Real time confirmation of deliveryprogress
    Record quantity of assetreturned
    06/12/2010
    49
  • E-Recipe solution overview
    06/12/2010
    50