When Telemedicine Does Deliver!: Telemedicine and diabetes management

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When Telemedicine Does Deliver!: Telemedicine and diabetes management. Schwarz P. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)

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When Telemedicine Does Deliver!: Telemedicine and diabetes management

  1. 1. Telemedicine and diabetes management Prof. Dr. med. habil. Peter Schwarz Department for Prevention and Care University Hospital „Carl Gustav Carus“ Dresden Chairmen „Diabetes Prevention“ German Diabetes Association
  2. 2. TIME to ACT - alarming facts 1. Type 2 diabetes and its cardiovascular complications are becoming more prevalent throughout the world. 2. The conditions and risk factors that precede type 2 diabetes have also increased substantially. These risk factors are well-known: obesity, central adiposity, physical inactivity and unhealthy diet. 3. At the time of diagnosis and the longer that diabetes exists, disease complications are more likely – mostly CVD. 4. Prevention is the key: modifiable risk factors need to be addressed through effective interventions 5. Prevention of type 2 diabetes is effective and needs management
  3. 3. Carus Consilium Sachsen (CCS) - geographic area It includes 4 regional districts and 1 district capital – the city of Dresden. 16.03.2010
  4. 4. Aged population 2006 with prospective development 2020 60,0 50,0 47.3 40,0 35.9 Ratio of the elderly Population 65+ years 30,0 jeweiligepopulation Overall Bevölkerungsveränderung in % of age compared to 18 to <65 years of age 20,0 Altenquotient Aged population Altenquotient 2020 Aged population 2020 10,0 - - 10,0 - 7.0 Quelle: Statistisches Landesamt Sachsen
  5. 5. Challenge  The patient with diabetes • Chronic disease with stigmatization • Patients in all age groups with the nadir in middle age • Quality of treatment depends on physician - patient interaction • 45% of the patient have depressive symptoms • Self Monitoring of blood glucose is the main step of diabetes treatment • Documentation is integral part of self-management • Compliance for documentation is the key in diabetes treatment • Extremely costly diseases due to treatment and complications
  6. 6. Overview of the current way of Diabetes Management
  7. 7. Diabetes Management - GlucoTel one possible Answer The Problems The Solution • Current system involves patient • Removes requirement for patient to manually recording results in a log manually record and transfer book or via manual down- and measured values uploading procedures • Caregivers, granted access by the • Reviews of this data with a caregiver patient, can monitor values anytime is only done periodically (generally online and deficiencies in treatment every 3 months) can be spotted in ‘real-time’ • Patients are routinely poorly or non- • Closes the gap between the patient compliant and results are not and the caregiver offering better recorded accurately resulting in poor disease management for the monitoring of disease and potential patient and better quality of care mis-diagnosis for the caregiver • Any deficiencies in a patient’s • Payers will have the option to treatment can only be spotted by the monitor non-compliant patients caregiver at long intervals and might consider potential solutions to this costly problem GlucoTel has the potential to significantly reduce overall healthcare costs for diabetes treatment
  8. 8. GlucoTel | Blood Glucose Monitoring and Diabetes Management System • Real-time transmissions • Bluetooth enabled meter • Wireless transmission to mobile phone Blood • Mobile phone automatically transfers test result to Glucos patient online log book e Meter
  9. 9. Diabetes Telemonitoring & Management System
  10. 10. Online Disease Management - www.bodytel.com Internet platform that is accessible via normal internet browser and contains: • Secure Patient Data Center Real-time, CE Approved and FDA conform, HIPAA compliant, hosted by third-party with double redundancy • Alert Manager Enables caregivers to set up thresholds and alerts Web 2.0 Module (Instant Messaging, Email), Legacy Module (Text Message, Fax, etc.) • Access Manager for administrating access rights to caregivers • Web Shop Subscription manager (automatic. supply with goods [e.g. test strips]) for all BT products and special 3rd party products • OEM Interface for third party sensors • eHealth Interface HL7 electronic, patient record e.g. into the Google healthcare record • In the medium term, the BodyTel Center will seek to become a ‘one stop shop’ for patients with diabetes with numerous add-on options including: – Ability to order diabetes focused books on cooking, disease management, lifestyle, etc. – Access to information on diabetes for newly diagnosed patients including online blogs, etc. – Ability to attract third-party diabetes relevant advertising
  11. 11. Care Study to test the effect of Telemedicine 1. Critical analysis of the telemedicine need and the compliance situation of the patient in real health care 2. Baseline analysis of the treatment status and possible telemedicine adherence 3. Every 6 month standardized survey with up to 4000 patients about the added value of diabetes telemedicine (GlucoTel) application and treatment effect 4. Identification of barrier to telemedicine in real clinical care of diabetes patient 5. Development of an telemedicine medical 893 patients included management for diabetes patients in real health care 16.03.2010 Prof. P. Schwarz, 11
  12. 12. Advantage for patients and disease management • GlucoTel changes and eases the live of diabetics no written diary anymore; Glucose values immediately available to caretakers, etc.) • Telemedicine can offer more convenient services to the patient Patients receives service than stigmatization • The patients do what they do and receive more quality service • Telemedicine changes behavior do to perceived supervision my doctors know my glucose value in the same moment • Telemedicine helps reducing costs to the Social Security System Pay per test and quality management • Telemedicine (GlucoTel) is able as a tool to build customer satisfaction • Telemedicine (GlucoTel) provides the missing link
  13. 13. Necessary strategies for intervention for a new public- health approach to diabetes prevention Easy to understand Easy healthy Perrsonal MY benefit Personal intervention material food choices in feedback about from prevention (minorities, social daily life progress groups) Intervention Management structures for Targeted intervention in Quality management Physician education Secondary prevention structures intervention high risk groups intervention programs programs Guidelines for Community Work side risk Intervention Community Community diabetes screening reduction small manager based primary prevention EB programs and big education prevention and practice business programs National National Health Tax incentive in City planning Environmental Health lifestyle Diabetes Plan insurance private sector (reimbursement) programs for education at State (reimbursement) for screening exercise school
  14. 14. Necessary strategies for intervention for a new public- health approach to diabetes prevention Easy to understand Easy healthy Perrsonal MY benefit Personal interventionmaterial food choices in feedback about from prevention (minorities, social daily life progress groups) Intervention Management structures for Targeted intervention in Quality management Physician education Secondary prevention structures intervention high risk groups intervention programs programs Guidelines for Community Work side risk Intervention Community Community diabetes screening reduction small manager based primary prevention EB programs and big education prevention and practice business programs National National Health Tax incentive in City planning Environmental Health lifestyle Diabetes Plan insurance private sector (reimbursement) programs for education at State (reimbursement) for screening exercise school
  15. 15. Development and Implementation of a European Guideline and Training Standards for Diabetes Prevention
  16. 16. Network who are active in diabetes prevention Thank you for your attention www.activeindiabetesprevention.com

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