Quality is measurable — also
in telemedicine! As the first
and up to now only telemedi-
cal centre in Germany, the Vitapho...
With the Vitaphone Tele-ECG-Card 100
arsenal for cardiac arrhythmias. This
card allows p...
Experts agree: great challenges are in store for the healthcare
systems of the western industrialised nations. The number ...
Not only in Germany, but around the glo-
be, experts from the most varying fields
of study are thinking about how challen-...
Upcoming SlideShare
Loading in …5

Vitaphone Telemedicine Today News


Published on

  • Be the first to comment

  • Be the first to like this

No Downloads
Total views
On SlideShare
From Embeds
Number of Embeds
Embeds 0
No embeds

No notes for slide

Vitaphone Telemedicine Today News

  1. 1. Quality is measurable — also in telemedicine! As the first and up to now only telemedi- cal centre in Germany, the Vitaphone GmbH Telemedical Service Center fulfils not only the requirements of the standard DIN EN ISO 9001:2000, but also the “VDE Recommendations of Application for Telemonitoring”. The VDE Testing and Certification Institute confirmed this after a suc- cessful certification audit with an ap- propriate certificate. Amongst other things, it was said that Vitaphone in- troduced a quality management sy- stem for the field “Implementation of Services as a Telemedical Centre” (comprises patient monitoring, inclu- ding coordination of emergency mea- sures and reporting/evaluation to the client) and also applies this. “We are very proud and with our cu- stomers and partners we are pleased that we have successfully produced this important quality certificate. In addition to the ongoing operation with Dr. Carmen Ehrenstein, our represen- tative for quality management, the team from our Telemedical Service Center under the leadership of Matthi- as Murin outstandingly managed a great challenge in the preparation of the audit. Particularly against the background of the current discussion surrounding the protection of and de- aling with sensitive patient data in the healthcare industry, the certification according to ISO and the “VDE Re- commendations of Application for Te- lemonitoring” gains a special signifi- cance”, states Dipl.-Kaufmann Matthi- as Quinger, CEO of Vitaphone GmbH. The Quality Management project group, which was active on behalf of the VDE-IMM [Initiative Micromedici- ne] Working Committee on Telemedi- cine/Disease Management in the VDE/ DGBMT under the leadership of Prof. Dr. med. Harald Korb, implemented for the first time the standards DIN EN ISO 9000:2000, DIN EN ISO 9001 as well as DIN EN ISO 13485 and other pertinent regulations in view of their application to telemonitoring systems and a quality management system for telemedical centres. A practically oriented fundamental work of higher quality was created with the “VDE Recommendations of Application for Telemonitoring”, which was published in the autumn of last year. In addition to the comprehensive defi- nition of terms and detailed descripti- onoftelemedicalresources,structures and processes, it offers an overview of the relevant legal norms. It provides cost carriers and decision-makers in the healthcare industry with valuable references for appraisal of the quality of providers in the growth market te- lemedicine. TELEMEDICINE Networked thinking – joint action today Imprint Publisher Benjamin Homberg Medizin - Service Institut für Strategisches Marketing & Kommunikation Karl-Straube-Straße 56, 46483 Wesel Telephone: +49 (0)281 963014 E-Mail: Medizin_Service@t-online.de Editorial Department: Prof. Dr. med. Harald Korb (V.i.S.d.P.), Carolin Baumann, Benjamin Homberg On behalf of Vitaphone GmbH Markircher Straße 22, DE 68229 Mannheim Telephone +49 (0)621-178918-100 Fax: +49 (0)621-178918-101 E-Mail: info@vitaphone.de www.vitaphone.de CEO: Dipl.-Kaufmann Matthias Quinger HRB 9388, USt-ID-NR. DE812913633 Telemedicine trade fairs & congresses 1TELEMEDICINE today Issue 3 2008 Issue 3 2008 ...with strong partners Ambient Assisted Living (AAL) and diabetes – an alliance for life In the near future we will be present at these events and would be very pleased with your visit. For detailed information, visit our website at www.vitaphone.de MEDICA 2008 40th “World Forum of Medicine” 19 – 22 Nov. 2008 Düsseldorf Exhibition Centre Hall 9 / C54 ARAB HEALTH 2009 26 – 29 Jan. 2009 Dubai International Convention & Exhibition Centre German Pavilion, Zabeel Hall Stand ZC79 ...and for modern therapy management... Despite many eHealth concepts – telemedicine in Europe still has not arrived at medical reality Page 3 Telemedical solutions for diagnostics… Dr. Jos Widdershoven: “The Vitaphone Tele-ECG-Card 100 IR has become an indispensable device for our rhythm patients.” Page 2 ContentsQuality is measurable Telemedical Service Center successfully certified according to “VDE Recommendations of Application for Telemonitoring” by VDE Testing and Certification Institute TeleHealth 2009 International congress & trade fair for ICT solutions in the health market 3 – 8 March 2009 Hanover Exhibition Centre Hall 9 75th Annual Conference of the German Cardiac Society (DGK) 16 – 18 April 2009 Congress Center Rosengarten, Mannheim Symposium on 16 April 2009 Growth market Ambient Assisted Living Vitaphone live in ZDF “morgen magazin” Vitaphone CEO Dipl.-Kaufmann Matthias Quinger had to get up early: ZDF (German television network) had invited him as an expert on the topic of te- lemedical geriatric healthcare. The occasion was the thematic focal point “Living and Residing in Old Age” from theZDFprogramme“morgenmagazin” [“Morning Magazine”]. Several reports were broadcast live from the model dwellings of the project “SmarterWoh- nenNRW” [“Living Smarter in North- Rhine Westphalia”] in Hattingen du- ring the Berlin-produced programme. Rental dwellings in a model project there were reconfigured so that on re- quest they offer their occupants a gre- at deal of comfort: climate control at the touch of a button, securing alarm system, central disconnection of all electrical appliances when leaving the dwelling, motion detector, connection to various service providers via TV and Internet as well as telemedical care in the event of a chronic illness. In the discussion with ZDF moderator Frank Bethmann, Matthias Quinger explained not only the perspectives for medium-sized enterprises in this growth market, but also presented practical telemedical applications and services. ZDF had additionally filmed a video segment in the Vitaphone Telemedical Service Center for this purpose. A congress of the BMBF [Federal Mi- nistry of Education and Research] and the VDE will also deal with the topic “Ambient Assisted Living” (AAL) in the coming year (see Page 4 for more on this). Page 4
  2. 2. With the Vitaphone Tele-ECG-Card 100 IRtheclinicexpandstheirmonitoring arsenal for cardiac arrhythmias. This card allows patients to record an ECG - where- ver and whenever - at the touch of a button. Up to three ECGs can be saved on the card, which is not larger than a credit card. After recording the ECG the patient transmits the data per te- lephone to the Vitaphone Telemedical Service Center. Thence the ECGs are sent per email, as a PDF file, to the Department of Cardiology of the TweeSteden hospital where the medical staff on duty analyses the ECGs and, if necessary, initia- tes the necessary therapeutic procedures. Cardiologist Dr. Jos Widdershoven, MD, PhD, explains: „We want to be at the forefront of healthcare and therefore are always eager to evaluate new de- velopments. When Vitaphone presented its solu- tions for the first time we were quite curious but wanted to convince ourselves true to the motto “believing after seeing”. Believe us, we actually did and the results were astonishing! We decided for the Tele-ECG-Card because we believe that this device closes a diagnostic gap in the line of already existing (continuous) ECG monitoring devices. After the first evaluation we were absolutely impressed by the quality of the transmitted ECGs. Besides, our patients de- clared that the use of the card was amazingly simple and – what is even more important – they feel save with the card. The certainty to always and wherever be able to record and send an ECG, if the patient feels like it, gives our patients a fee- ling of safety. In the end, the card improves the quality of life of our patients. Therefore, it did not take us long to decide to use the Vitaphone Tele-ECG-Card in daily clinical practice routine- ly, and I must admit that very soon it became an indispensable diagnostic instrument in our ar- rhythmic patients. Using the card, patients are able to record ECGs at any time, something that is practically im- possible with traditional rhythm monitoring devices, due to their limited memory capacity. Furthermore, we are able to receive the ECGs within minutes after recording and thus are able to offer our patients a more effective and effici- ent treatment. We use the Vitaphone Tele-ECG- Card 100 IR for patients with infrequent cardiac arrhythmias of unknown origin. Frequently, the conventional 24-hour Holter monitoring does not capture the arrhythmic episodes, but the card enlarges the monitoring period more or less in- finite. Generally, we leave the card with our pa- tients for three weeks, including the option for a prolongation. By using the card we spare our patients the visits to the hospital when they feel any complaints. The card does not only support us to further improve the treatment of patients with cardiac arrhythmias but also helps us to calm those pati- ents down where a cardiac background for their troubles can be excluded. The introduction of the card in our clinic was that successful that by now we even have a waiting list. It is needless to say that we hope to increase our stock of devices as soon as possible.” “Allow me to give you an example of how the Vitaphone Tele-ECG-Card 100 IR helps us and our patients in daily clinical practice,” Dr. Wid- dershoven continues. “A typical situation was the case of a 41 year old woman who presented her- self at our outpatient clinic for the first time in 2004 with complaints of palpitations and no fur- ther known risk factors for a heart disease. Du- ring the episodes she felt unwell and had a heart rate of 150 BPM. She explained that she already experienced these episodes of a fast heartbeat for several years. Complaints started most of the time during the morning. She was not short of breath or dizzy, and never fainted. What worried her most about her disease was the fact that she was planning to become pregnant, and therefore was not willing to take medication. Upon physical examination we saw a young wo- man with a normal blood pressure, and a regular pulse of 61 BPM. No abnormal heart and lung sounds were heard. Physical examination was normal. The resting ECG (see ECG 1) showed a normal sinus rhythm of 73 BPM with a vertical axis, a normal PR and QRS duration, and nor- mal ST segments. No abnormalities were found in echocardiographic examination. An exercise test was not performed. First we sent her home with a cardiomemo de- vice. But during the 3 weeks monitoring period she experienced no palpitations. Later she was seen at the outpatient clinic again with palpita- tions but no therapy was started because at that time she had become pregnant. In 2006 she gave birth to a healthy daughter. Du- ring the following year the palpitations – possib- ly due to stress – appeared again. During these episodes she was lightheaded and experienced diminished exercise capacity. We were never able to record an ECG when she had complaints. At this time we expected that the complaints were based on a AV nodal reentry tachycardia (AVNRT) but unfortunately the arrhythmia still was never caught on ECG. In the beginning of 2007 a cardiomemo device registered a possible arrhythmia but, unfortu- nately, due to the low quality of the recording a definite diagnosis could not be made. In September 2007 she received a Vitaphone Te- le-ECG-Card 100 IR. During a period of 6 weeks she had a severe episode of her well known palpi- tations and was able to record and send the data to our center (see ECG 2). The excellent quality of the ECG in the figure shows there is a narrow complex tachycardia with a rate of 150 BPM. No P-waves are seen. Possibly the little hump in the terminal part of the QRS is a P-wave as we can see in the case of an AVNRT. Thus, after all this time we were able to pinpoint her problem with use of a Vitaphone Tele-ECG- Card. Needless to say the patient was satisfied with the benign diagnosis. She did not want to use any medication, and was not eager for ablati- on therapy because she is able to let her palpita- tions distinguish by a prompt response to vagal manouvres.” In focus It was a long and difficult path… More than two years lie between the meticulous preparation of binding quality criteria in the quality handbook “VDE Recommendations of Application for Tele- monitoring”* and the crowning conclusion: the certification of a telemedical centre! But it was also a path without alternative! We telemedical professionals can only be successful in the long run if we engender confidence in our services on a broad level amongst patients, medical partners and cost carriers.Andconfidencemeans:confidencein the quality of our work! But this presupposes the willingness to allow one’s own quality to be measured neutrally and independently — according to a clear standard and unequivocal guidelines! Vitaphone has met this challenge as the first telemedical service centre in Germany and brilliantly mastered the testing procedure! But at the same time a new national and international standard has been set — optimally suitable to separate the wheat from the chaff! Quality in telemonitoring has a new name: we stand for this! In this spirit I remain Yours truly, Prof. Dr. med. Harald Korb Medical Director *VDE Recommendations of Application for Telemonitoring Quality Management DIN EN ISO 9001:2000. Structure – process – case studies. Publisher: VDE Initiative Micromedicine, Frankfurt, 2007 As a globally nominated, international leading supplier of innovative telemonitoring technologies, since a couple of years Vitaphone also implants their telemedical services in the Netherlands. The Department of Cardiology of the TweeSteden Hospital in Tilburg was amongst the first to profit from the benefits of telemedicine. 2 Te le me dica l S o lut io ns fo r Diagnos tic s … Growing acceptance of telemedicine in the Netherlands record transmissionreceiving analysis wear attending doctor Recording and transmission of an ECG with the Vitaphone Tele-ECG-Card 100 IR Dr. Jos Widdershoven: „The Vitaphone Tele-ECG-Card 100 IR has become an indispensable diagnostic device for our arrhythmic patients.” ECG 1: Resting ECG of the patient without pathological findings ECG 2: ECG of the patient with paroxysmal supraventricular tachycardia typically for a AVNRT
  3. 3. Experts agree: great challenges are in store for the healthcare systems of the western industrialised nations. The number of chronically ill will increase explosively. The reason for this is on the one hand increasingly more efficient medicine and on the other hand the demographic development. Compared with this, neither the financial nor the personnel resources on the part of medical service providers and cost carriers are able to be optionally augmented. “We need intelligent solutions in or- der to be able to meet future challenges. Telemedicine in con- junction with a continuous health telematics infrastructure in the European association is one of them”, said Dr. med. Micha- el Nerlich, President of the International Society for Telemedi- cine and eHealth (ISfTeH), as he summarised the result of the Vitaphone symposium “Telemonitoring with chronic illnesses — collective strategies for a global problem?” on the occasion of the 74th Annual Conference of the German Cardiac Society in Mannheim on 27 March 2008. Despite many eHealth concepts — telemedicine in Europe still has not arrived at medical reality International panel of experts at cardiology congress: …a nd fo r mo de r n t he ra py management … TELEMEDICINE today Issue 3 2008 3 „L ike all European states, Switzerland has also politically adopted an eHealth strategy”, explained Dr. med. Mar- tin Denz, President of the Swiss Association of Telemedicine and eHealth (SGTMeH). But this has arrived neither in Switzerland nor in other European states in the clinical reality of life. In order to develop lasting effects, clinical tele- medicine must be perceived and established as part of national eHealth activities and infra- structures. „I n Austria, integrated regionally over- lapping telemedical care of the increa- singly mobile 8 million inhabitants and approx. 21 million annual guests plays an increa- singly important role”, says OA Dr. med. Peter Sögner MSc., President of the Austrian Scientific Society for Telemedicine and eHealth (ASSTeH). This particularly applies to the fields of tele- radiology and telecardiology. However, compre- hensive care and a consistent implementation of telemedical care concepts are also still far off in the ordinary clinical reality. N ow about 10 percent of the population in Germany is already chronically ill. In the future, these illnesses will reach a disse- mination degree of epidemic proportion. Serious secondary diseases – the consequence of bela- ted diagnosis and treatment, for instance with diabetes mellitus – additionally aggravate the situation. Consequence: an enormous burden on the healthcare budget. Even today about 80 percent of all healthcare expenditures in the amount of 250 billion euros annually will be expended for the treatment of chronic ill- nesses — alone 25 to 30 billion for the therapy of diabetes mellitus and its secondary diseases. Networked thinking, collective action and intelligent telemedical solutions for the fields of prevention, diagnostics, therapy and disease management as well as promotion of compliance are the compelling priority, said Prof. Dr. med. Harald Korb, Deputy Chairman of the German Society for Health Telematics (DGG) and Medi- cal Director of telemedicine provider Vitaphone. Prof. Korb: “It is a matter of breaking open han- ded down structures, breaking up sectoral limits and overcoming thought blockades in the minds of service providers and cost carriers if one in- tends to successfully handle the foreseeable challenges.” P rof. Dr. Peter Haas, from the Dortmund University of Applied Sciences and Arts (DUASA) and advisory board spokes- man for the Society for Telematic Health Card Applications (gematik mbH), pointed out that a common “process language” as well as intero- perability interfaces in the primary systems for documentation of medical treatment sequen- ces are an indispensable prerequisite for com- prehensive implementation of telemedical care concepts. Topical and up-to-date data exchange between all medical service providers, including telemedical service centres, can only be ensured via an electronic patient file for the benefit of patients. This also has a positive effect on the quality of therapy and thus on the treatment results. “The physician as user is frequently forgotten during the development of software in the me- dical field. The result: lacking acceptance, un- necessary workload, deficient transparency in the processes and a high degree of frustration. Here there is a very concrete call for action and pent-up demand if eHealth concepts are to be accepted in the clinical reality”, stated Prof. Dr. Peter Haas. Dr. med. Martin Denz Professor Dr. Peter HaasOA Dr. med. Peter Sögner Know what is going on: Now there is a new patient brochure for patients of “CorBene” — the largest compre- hensive integrated care programme for patients with heart failure. Generally understandable, it con- veys fundamental and important information per- taining to the illness heart failure. Moreover, it ex- plains the sequence and benefit of telemonitoring, which is an obligatory component of therapy in the CorBene programme. Information pertaining to the CorBene hotline (0800 - 2 67 23 63) staffed round the clock with physicians in the Telemedical Service Center rounds off the extensive information offer. With the new brochure Vitaphone actively supports the medical practices and clinics participating in the CorBene programme in North-Rhine Westphalia and Saarland with their commitment to comprehen- sively enlighten and inform their patients. After all: only the informed patient can independently sup- port his/her therapy. A sample of the new patient brochure can be re- quested free of charge with the info coupon on Page 4. Information for CorBene patients Informationen für telemedizinisch betreutePatienten mit Herzinsuffizienz
  4. 4. Not only in Germany, but around the glo- be, experts from the most varying fields of study are thinking about how challen- ges approaching as a result of the demographic change on the healthcare systems are to be over- come. Telemonitoring and telemedical functional diagnostics can provide an essential contribution for this purpose — considerable worldwide agree- ment prevails about this topic. However, national solutions which can be smoothly integrated in the most varying structures of healthcare systems are called for. Together with national partners in the respective countries Vitaphone offers exactly these tailor-made solutions. Vitaphone technologies shall be comprehensively utilised in South Africa by the Football World Cup in 2010. This is the ambitious goal of Allerco Ltd., a marketing company for medical technolo- gy with headquarters in Johannesburg. There is also great interest in telemedical solu- tions in Serbia. HAPEL Medical Systems with headquarters in Belgrade is one of the leading Serbian companies in the field of marketing me- dical technology. This year they adopted the Vitaphone range of products in their marketing portfolio. In the Czech Republic and Slovakia, 550 clinics trust the services of the MDT (Medical Data Transfer, with headquarters in Prague) service centres. Effective immediately, they offer Vitaphone products and services in the Czech Republic. IMC (Interaktivt MedieCenter) with headquar- ters in Farum/Denmark develops and accompa- nies projects in the Danish healthcare industry. With the distribution of Vitaphone products IMC is consistently expanding its service offer for clinics and physicians. The French healthcare system is also very in- terested in telemedical concepts and solutions in the fields of functional diagnostics and patient monitoring. Jean-Michel Dutois attends to this growth market as an experienced manager on behalf of Vitaphone. The broad exchange of views is the focus of attention at the Vitaphone International Partner Meeting 2008, which will be held immediately before the MEDICA in Mannheim. Experts from numerous countries within and beyond Europe will report on different strategies in their natio- nal markets. The programme will be rounded off through medical specialised lectures, which will be held amongst others by high-calibre speakers from German clinics. …wit h st r o ng pa r t ners ! 4 TELEMEDICINE today Issue 3 2008 Statement Reinhart Hoffmann, Executive Board Representative of the German Diabetes Foundation (DDS), Munich Over 7 million people in Germany are currently undergoing dia- betes treatment, tendency increasing. About another 3.5 million know nothing of their illness. Diabetes develops virtually pandemic, also so defined per UN resolution at the end of 2006 as the only non- infectious disease. I am firmly convinced that people with diabetes can be more optimally cared for and treated with the help of modern IT & communications technology. At the same time, prevention me- ans quite a lot to me! Because particularly with diabetes it is of ut- most importance to avoid or at least to delay long-term side effects or secondary damages. This would be successful if diabetics were to be diagnosed earlier. Training courses in dealing with the illness and reminders of necessary special examinations would also be helpful. In the VDE project group “Diabetes” we have worked out what can be particularly achieved in the preventive field with more innovative technology and also recently published a position paper*. Today it is especially important that we theorise less, but focus much more on practical experience: How can the person with diabetes very specifically utilise AAL technologies? The symposium at the 2nd German AAL Congress presents the typical developmental scenario of a diabetic in an understandable and practically-oriented manner, and also presents suitable technical solution possibilities for this pur- pose. There it is outstandingly suitable for making the public sensi- tive to the problems. * VDE position paper [English title]: Telemonitoring for prevention of diabetes illnesses. Microsystems in medicine. Application, technology, economy. Publisher: VDE Initiative Micromedicine, Frankfurt, 2008. We asked ourselves, ‘why not’, and conceived an AAL sym- posium that will not even follow the customary pattern — but a story. More precisely said: a storyboard! We all know it: in the past decades diabetes has developed into a national disease with epidemic proportion and enormous health-eco- nomic implications. Highly relevant in this connection are long-term side effects as a consequence of cardiovascular complications: every 19 minutes an amputation, every 90 minutes a loss of sight, every 60 minutes a new dialysis treatment, and every seven to eight minutes a cardiovascular incident. And everyone also knows the typical deve- lopmental phases of a diabetic, from the incipient metabolic imbalan- ce to chronically ill people with classic belated complications. But all also know how intervention can be meaningfully ac- complished with the help of modern information and communications technologies in every phase of the typical “diabetic career” — for prevention, risk identification, diagnostics and for improved therapy and emergency management? Precisely these will be the chapters of the story: Internet TV for transfer of knowledge, animated training programmes for sport in the living room, health management and risk assessment from the laptop, dietary plans from the mobile phone and ultramodern sensors in the T-shirt… And if it becomes serious: telemedically supported care in the monitored household environ- ment and more and more safety at home through conclusive residen- tial concepts for the chronically ill. Even today, Ambient Assisted Living can offer all that in the best intended sense: close to people with a plus in quality of life and safety of life! You will find more information on the congress programme at www.aal-kongress.de and at www.vitaphone.de AAL and diabetes — an alliance for life! Preview: excited session at the 2nd German Ambient Assisted Living Congress in Berlin on 28 January 2009 Vitaphone technologies for Football World Cup 2010 in South Africa Tailor-made telemedical solutions in association with national partners around the globe Moskau E-Mail Phone Post code/City Street Practice/Hospital Title Surname Forename Do you have any questions about Telemedicine? We are always there for you! Tel.: +49 621 / 17 89 18 100 E-Mail: info@vitaphone.de Web: www.vitaphone.de Reply Simply send a fax to +49 621 1789 18-101 Please send further information to me Free patient brochure CorBene about the integrated care contract CorBene I would like to receive Telemedicine Today on a regular basis I would like to test the Tele-ECG-Card Vitaphone IR 100 in my office at no charge Please contact me for an appointment