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Robert Kelly, Videodoc
Dr. Robert Kelly discusses pressures facing the Irish health system including resources, costs, quality, and efficiency. Barriers include doctors' limited time and resources, and patients' issues with access, time, mobility and costs. Telemedicine can help overcome these barriers by giving patients more convenient lower-cost access supported by information to high-quality care. VideoDoc is an Irish telemedicine platform provider that operates a virtual clinic model and enables doctors to integrate the platform into their practices to develop telemedicine solutions for patients. The platform aims to improve healthcare experiences and outcomes at affordable costs through more engaged patients.
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Robert Kelly, Videodoc
- 1. Dr Robert VKelly MD MBA FRCPI Consultant Cardiologist Medical Director
- 2. State of Health Significantpressures at all levels of health system in Ireland Resources Cost Quality Efficiency People Patient demand Euro Access Time Infrastructure
- 3. Barriers Doctors: time, limitedresources, logistics, patient care Patients: access, time, mobility, cost, convenience Providers: resources, cost
- 4. Solving Problems Need tofind solutions that improve care by overcoming barriers; e-health has a huge enabling role. Give patients more convenient access at lower cost, supported with information to high quality care. Telemedicine. Increasing trust among patients in technology; 86% people are on-line 100% mobile phone penetration in Ireland 70% mobile phone users aged over 50
- 5. Telemedicine Telemedicine isdefined as a remote video consultation between a doctor and a patient. In 2014, the Federation of State Medical Boards (FSMB) in USA established guidelines about what constitutes an appropriate telemedicine encounter. Be HIPAA compliant Have an audio and video connection Produce a record of the visit Allow patient to know with whom they are connecting with. High-quality tele-health provides: On-demand and/or scheduled video visits; The ability for physicians to see new and/or existing patients; Optional Electronic medical record integration; Training for physicians
- 7. Clinical Scenarios 1.Live andVideo services – urgent care 2.Store and Forward – OLOGIES 3.Patient portal, mobile, apps 4.Telehealth – Home monitoring Practical examples: Post hospital discharge; Follow up. Minor urgent care triage / medications CDM – Diabetes, Epilepsy, Obesity Elderly home + nursing home televisits Doctor experience: ROI, Records, referral, Education, web conferencing, CME Doctor-doctor referral
- 9. Doctors perspective- Prosand Cons of TM Flexible work-life balance Opportunity to earn more income Improve outcomes for patients by making follow-up easier Be on the leading edge of telemedicine Attract new patients to practice Retain existing patients Questions about clinical appropriateness Unsure about reimbursement Concerns about security, HIPAA Lack of training in clinical protocols for telemedicine Top Reasons Not Sure / Not Willing: Top Reasons for doctors to use TM
- 10. Global experience Reduced admissions:20% less A+E; reduced GP office visits VA Heart Failure Program reduced admission 50% In UK TM programs associated with 45% reduction in mortality. Patient + physician approval is growing.
- 11. VideoDoc VideoDoc is anIrish telemedicine platform provider. • operates a virtual clinic model to corporates clients. • primary care model that enables doctors / HC providers to integrate platform into their own practices and roll out their own offering VideoDoc operates a secure, safe, high quality IT platform backed by an established HIPAA compliant technology, currently used in practice in USA. We aim to improve healthcare experience, that leads to better patient outcomes at an affordable cost. More engaged patients lead to higher quality care at lower cost and to better health. Improved outcomes and quality of care comes from innovation and technology (NIH 2015)
- 12. Summary Video enabled Face-toFace consultation between patient and doctor enables convenient, easy to access and very affordable way to see doctor Easier access for patients to their doctor will enhance care delivery and improve patient engagement TM platform also allows doctors to develop their own solutions for their patients. TM is technology empowers better care through more patient engagement, less admissions to A+E, closer doctor-patient collaboration, ROI, happier patients, happier employers and happier doctors
- 14. VideoDoc - Summary VideoDocis an Irish telemedicine platform provider. • operates a virtual clinic model to corporates clients. • primary care model that enables doctors / HC providers to integrate platform into their own practices and roll out their own offering VideoDoc operates a secure, safe, high quality IT platform backed by an established HIPAA compliant technology, currently used in practice in USA. We aim to improve healthcare experience, that leads to better patient outcomes at an affordable cost. More engaged patients lead to higher quality care at lower cost and to better health. Improved outcomes and quality of care comes from innovation and technology (NIH 2015)