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The Waikato Virtual Lesion Clinic - better, sooner and more convenient

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Health Informatics New Zealand
Health Informatics New Zealand

Dr. David Lim Waikato District Health Board (4/11/10, Illott, 10.30)

Health & Medicine
1 of 69
 
[object Object],Background
Background ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Background ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Dermatology in Waikato ,[object Object],[object Object],[object Object],[object Object]
Overview of the Virtual Lesion Clinic
New Virtual Lesion Clinic ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],Aims
[object Object]
[object Object]
[object Object],[object Object],Aims
[object Object]
The VLC ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mole mapping ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],Dermoscopy
[object Object],[object Object],Teledermoscopy
[object Object],Macro & Dermoscopic views of a skin lesion
Teledermoscopy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Tan E et al. Successful triage of patients referred to a skin lesion clinic using teledermoscopy (IMAGE IT trial). BJD 2010: 162: 803-811
The VLC ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Melanographer taking dermoscopic photos
The VLC ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The VLC ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The VLC ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],Treatment education provided by nurses
[object Object],Virtual Lesion Clinic
Referral received
Consent obtained
Melanographer – History taking
Lesion of concern identified
Anatomic pictures taken
[object Object],[object Object],[object Object],Digital camera
Macroscopic image
Microscopic image
History reviewed
Location of lesion
Diagnosis
Management
Overview
Report generated
[object Object],Virtual Lesion Clinic Analysis
VLC Analysis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Primary Outcomes ,[object Object],[object Object],[object Object],[object Object],[object Object]
Secondary Outcomes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Method ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
VLC Inclusion Criteria ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
VLC Exclusion Criteria ,[object Object],[object Object],[object Object]
Results ,[object Object],[object Object],[object Object]
DNA rate ,[object Object],[object Object]
Gender
Age Distribution ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Number of Lesions
Diagnoses ,[object Object]
Waiting time – First Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Trend of Waiting Times
Further Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Outcomes
Age vs. Surgery (%)
Age vs. Nurse Assessment (%)
Age vs. No intervention (%)
Patient Satisfaction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Patient Satisfaction ,[object Object],[object Object],[object Object],[object Object],[object Object]
GP Satisfaction ,[object Object],[object Object]
Financial Analysis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Financial Analysis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Future Plans ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Conclusion ,[object Object],[object Object],[object Object],[object Object]
Acknowledgments ,[object Object],[object Object],[object Object],[object Object],[object Object]
References ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Questions?

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Editor's Notes

  1. 11/05/10
  2. 11/05/10