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Teledialysisfrom project to routine service           Eli Arild          Project manager
• Limited use oftelemedicine in Europe• Telemedicine inchronic diseasemanagement• Partnership of nineEuropean regions• Pro...
The Regional TelemedicineForum aims to:•Create new knowledge and skills for allinvolved stakeholders•Improve regional poli...
Agenda•   Background•   The teledialysis project•   Project evaluation results•   Experiences after the project period
Kidney replacement therapyHAEMODIALYSIS                     PERITONEALDIALYSIS  Home dialysis                             ...
ONE UNIT!
Aim of the project• Improve communication between  remote dialysis units in the neighboring  county of Finnmark (Alta and ...
Teledialysis on YouTube• http://www.youtube.com/user/telemedisi  n?blend=2&ob=5#p/a/u/1/hmfJCqwzzc  Q
Patient follow up before TM• Tromsø                   • Satellites  – unlimited access to      – limited access to an    n...
New technology•   Videoconferencing•   Electronic patient record•   Dialysis machine program•   Ultrasound•   Electronic S...
New service delivery     routines
Results
Videoconference• Used for daily two-way audio-visual  communication between UNN and  satellite units:  – For consultations...
• Both patients and personnel were satisfied  with services• 4 of 7 patients were active• Utility consideration:  –   1. V...
Avoided hospitalizations• Venous thrombosis   – Cardioasular surgeon/nephrologist.Ultrasound employed   – Pseudoaneurysm d...
Cost and cost savings• Investment costs• Time costs for health staff• Technical staff•   Travel costs•   Costs of overnigh...
Results are published• Markus Rumpsfeld, Eli Arild, Jan  Norum, and Elin Breivik: Telemedicine  in haemodialysis: a univer...
Recommendations•   Plans and routines•   Simple as possible•   Laws and security•   Technical support•   Training
Conclusion Project was immediately implemented into a routine service,and has been extended to all satellites
Telemedicine home todialysis patients• Survey of the need for new telemedicine  solutions for use at home by patients  wit...
Do you want more information?                         eli.arild@telemed.no                                                ...
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2011-10-21 ASIP Santé Conférence Télémédecine "Présentation du système norvégien de téléassistance de séances de dialyse, Tromsø"

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Présentation du système de téléassistance de séances de dialyse dans des centres à distance de l’unité centrale, réalisé en partenariat avec le Centre Norvégien pour la Télémédecine et les Soins Intégrés (NST)
Randi LAUKLI, représentant le département de télémédecine de l’Hôpital Universitaire de Tromsø, en Norvège

Published in: Health & Medicine
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2011-10-21 ASIP Santé Conférence Télémédecine "Présentation du système norvégien de téléassistance de séances de dialyse, Tromsø"

  1. 1. Teledialysisfrom project to routine service Eli Arild Project manager
  2. 2. • Limited use oftelemedicine in Europe• Telemedicine inchronic diseasemanagement• Partnership of nineEuropean regions• Project period: 2010-2012
  3. 3. The Regional TelemedicineForum aims to:•Create new knowledge and skills for allinvolved stakeholders•Improve regional policies and strategies•Successfully transfer telemedicineservices between regionshttp://regional-telemedicine.eu/
  4. 4. Agenda• Background• The teledialysis project• Project evaluation results• Experiences after the project period
  5. 5. Kidney replacement therapyHAEMODIALYSIS PERITONEALDIALYSIS Home dialysis TRANSPLANTATIONHospital dialysis Home dialysisSatellite dialysis
  6. 6. ONE UNIT!
  7. 7. Aim of the project• Improve communication between remote dialysis units in the neighboring county of Finnmark (Alta and Hammerfest) and the University Hospital (UNN), where nephrologists are located
  8. 8. Teledialysis on YouTube• http://www.youtube.com/user/telemedisi n?blend=2&ob=5#p/a/u/1/hmfJCqwzzc Q
  9. 9. Patient follow up before TM• Tromsø • Satellites – unlimited access to – limited access to an nephrologist ambulatory nephrologist – regular rounds every 4th week – specialists in every – limited access to the field available patients chart (spread – professional milieu information) – in case of emergency limited diagnostic tools and treatment options – professionally isolated health staff
  10. 10. New technology• Videoconferencing• Electronic patient record• Dialysis machine program• Ultrasound• Electronic Stethoscope
  11. 11. New service delivery routines
  12. 12. Results
  13. 13. Videoconference• Used for daily two-way audio-visual communication between UNN and satellite units: – For consultations – For administrative purposes – For distance education – For tele-visits with the patients (twice a month)
  14. 14. • Both patients and personnel were satisfied with services• 4 of 7 patients were active• Utility consideration: – 1. Videoconference – 2. Electronic patient record – 3. Dialysis machine program – 4. Ultrasound – 5. Stethoscope
  15. 15. Avoided hospitalizations• Venous thrombosis – Cardioasular surgeon/nephrologist.Ultrasound employed – Pseudoaneurysm disclosed• Skin rash.Infection? – Eczema disclosed• Chest pain,Myocardial infarction – Videoconference• Hematoma at the fistula – Ultrasound guided puncture of the fistula• Technical problem – Videoconferencing with technologist solved problem
  16. 16. Cost and cost savings• Investment costs• Time costs for health staff• Technical staff• Travel costs• Costs of overnight stays• Emergency admissions• Specialists travels
  17. 17. Results are published• Markus Rumpsfeld, Eli Arild, Jan Norum, and Elin Breivik: Telemedicine in haemodialysis: a university department and two remote satellites linked together as one common workplace• J Telemed Telecare July 2005 11:251— 255; doi:10.1258/1357633054471885
  18. 18. Recommendations• Plans and routines• Simple as possible• Laws and security• Technical support• Training
  19. 19. Conclusion Project was immediately implemented into a routine service,and has been extended to all satellites
  20. 20. Telemedicine home todialysis patients• Survey of the need for new telemedicine solutions for use at home by patients with kidney failure• VC link established this week to first home dialysis patient
  21. 21. Do you want more information? eli.arild@telemed.no Photo: Grytøy in Troms, North of NorwayPhotos by Oddvar Hagen

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