TeleMaster
Telemedicine Platform




                                                            Jan 2010
      Talor Sax ...
Agenda

• Profile
• TeleMaster Product Description
• Case Studies
  – Remote Diagnostics
     • Procardia Call Centre
    ...
EWAVE MD PROFILE
eWave MD – Profile

 •   International software company
 •   Healthcare oriented since 2000
 •   Secure Web-based solution...
eWave MD – Profile
• This video was produced by Maccabi Health Services
• The clip shows the reality of a Maccabi patient
...
Partners

  Technology



   Devices       •
 Applications


  Certifying
   Entities

   Member
 Organizations
Products
           “TeleMaster”
Turn Key Telemedicine Solution Platform
TeleMaster

• TeleMaster is a proven, robust and flexible telemedicine turn-
  key solution, designed to respond to the br...
TeleMaster - Turn Key Telemedicine Solution Platform

• Enables a wide range of Telemedicine
  implementations such as (or...
From anywhere by any one to anywhere and anyone




             Remote                                                   ...
Telemedicine Process
   • Collect Data from                        • Transfer files to
     Medical devices               ...
TeleMaster: a triple win situation


                                     • Increase
                             Care    ...
Use ANY medical device (Public use or Home use)
Benefits

•   Increases efficiency
•   Complete Workflow Management
•   100% Secured & Reliable
•   Queue Management
•   E...
Benefits – Increase Efficiency

• TeleMaster Management application has Proven
  increase in diagnosis capacity -
E.g. Pro...
Benefits – Complete

• Complete Process
  – TeleMaster automatically manages the entire process -
    Collect, transfer, d...
Benefits – Reliable and Secured

• Secured Reliable Complete and 100% monitored file
  transfer
  – TeleMaster is a critic...
Benefits - Queue Management

• On large scale telemedicine operations, queue
  management and process management are criti...
Benefits - Expendable

• TeleMaster is an open system, enabling expanding it
  to cover additional needs such as local reg...
Supporting Services

• Based on our Flexible Software Platform and unique
  Suite Of Services we offer:
  – Rapid deployme...
call centre workflow
• An important factor for the success of the TeleMaster is
  based on the “call centre workflow”
• De...
TeleMaster Compatibility with

•   12 lead ECG
•   Single Lead ECG
•   Holter
•   Blood Pressure
•   Precision weight scal...
Implementations
• Health Insurance
    – Improvement of service
    – Reduction of costs, efficiency etc
    – Retention o...
CASE STUDIES
Case Studies
“TeleMaster” - Remote Diagnostics
      National Level Center

  Procardia (Israel); Raytel (USA)
Procardia Cardiology remote diagnostic center

                       • 18,000 Holter readings performed during 2009.
    ...
Procardia Cardiology remote diagnostic center (cont)

                        • 140,000, 12 Lead ECG readings during 2009....
Case Study – Remote Healthcare


 • Tele-diagnostic service for cardiac exams
 • Used by Leumit & Maccabi (Israel) & Phili...
Solutions and Products – Telemedicine Applications


         Tele EKG




                             Tele Holter
Holter Diagnosis Technician
Case Studies
Disease Management
  National Level HMO


      Maccabi HMO
Congestive Heart Failure (CHF)

Home Care Chronic Disease
    Management Model
Maccabi Health care – CHF patients monitoring


• Home Care
• 2,000 patients – largest CHF study in the World
• Monitored ...
Solutions and Products – Disease Management

• Improve the quality of health care services provided
• Improve and maintain...
Solutions and Products – Disease Management
Tele-monitoring

                   Regional
                    center       ...
Background
• There are ~ 6000 CHF patients, 0.3% of total
  Maccabi members
• Half of them are hospitalized once a year v....
Program Objectives
•   Improve the quality of health care services provided
•   Improve and maintain quality of life
•   R...
Major Benefits

     For the patient:
 •Expands access to professionals outside the immediate geographical area of residen...
Orissa Telemedicine Project - Solution Overview
Virtual Encounter Workflow
Thanks




   Talor Sax                 talor@ewavemd.com
   VP Business Development   +972-54-222-3575 (Israel)
   www.ew...
Tele Master Jan 2010
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Tele Master Jan 2010

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Tele Master Jan 2010

  1. 1. TeleMaster Telemedicine Platform Jan 2010 Talor Sax talor@ewavemd.com VP Business Development +972-54-222-3575 (Israel) www.ewavemd.com +1(419) 825-6771 (USA)
  2. 2. Agenda • Profile • TeleMaster Product Description • Case Studies – Remote Diagnostics • Procardia Call Centre • Disease Management – CHF patients – Orissa Project • 51000 Medical Kiosks with Patient/Physician Virtual Encounter
  3. 3. EWAVE MD PROFILE
  4. 4. eWave MD – Profile • International software company • Healthcare oriented since 2000 • Secure Web-based solutions and products specialists • ISO 9001:2000 compliant • Over 250 professionals • Active in US, Europe, Brazil, India • ~ 10, 000 physicians worldwide • ~ 3,000,000 patients • Outpatient EMR – National HMO • Patient Portal and PHR
  5. 5. eWave MD – Profile • This video was produced by Maccabi Health Services • The clip shows the reality of a Maccabi patient • Most of the applications were developed by eWave MD * To view this video online please visit: http://www.youtube.com/watch?v=tbOlQ7e7LX8
  6. 6. Partners Technology Devices • Applications Certifying Entities Member Organizations
  7. 7. Products “TeleMaster” Turn Key Telemedicine Solution Platform
  8. 8. TeleMaster • TeleMaster is a proven, robust and flexible telemedicine turn- key solution, designed to respond to the broadest range of needs within the scope of modern eHealth. • TeleMaster is a secure medical tele-diagnostic platform providing physicians with diagnostics and treatment for patients who are physically remote. • Provides both immediate real-time (Emergency/Urgency) and queued diagnostics. • Supports both centralized diagnostic centers for on-site physicians, as well as virtual distributed diagnostics in which physicians provide diagnostic services remotely from their clinics. • A Centralized Medical Call Centre
  9. 9. TeleMaster - Turn Key Telemedicine Solution Platform • Enables a wide range of Telemedicine implementations such as (or combination of): • Remote Diagnostic Services • Home Care Monitoring • Virtual Encounters • Telemedicine Kiosks
  10. 10. From anywhere by any one to anywhere and anyone Remote Hospital Diagnostic physician Remote Diagnostic physician VPN Clinic VPN Remote Diagnostic physician On-premise diagnostic physicians Remote Diagnostic physician Diagnostic Center Patient home
  11. 11. Telemedicine Process • Collect Data from • Transfer files to Medical devices diagnostic call • Open API – center (virtual or connect any physical) device Collect Transfer Publish Diagnose • Store and publish • Diagnosis result Workflow • initiate medical • Physical or Virtual interference Diagnosis Center
  12. 12. TeleMaster: a triple win situation • Increase Care efficiency Giver Payer • Reduce Costs Patients • Improve Life Quality • Awareness
  13. 13. Use ANY medical device (Public use or Home use)
  14. 14. Benefits • Increases efficiency • Complete Workflow Management • 100% Secured & Reliable • Queue Management • Expendable
  15. 15. Benefits – Increase Efficiency • TeleMaster Management application has Proven increase in diagnosis capacity - E.g. Procardia ECG call centre is manned only with Cardiologists due to the workflow designed by eWave MD making it unnecessary to use nurses or technicians; HR available: During morning hours: 3 to 4 doctors Lunch time closed and doctors work on received holter readings from technicians; Afternoon1 to 2 cardiologists Overall working hours: 0800-1900 Actual Average time required for each diagnosis: 1 minute 39 seconds
  16. 16. Benefits – Complete • Complete Process – TeleMaster automatically manages the entire process - Collect, transfer, diagnose, publish; – no need for the referring provider to contact the diagnostic center directly
  17. 17. Benefits – Reliable and Secured • Secured Reliable Complete and 100% monitored file transfer – TeleMaster is a critical application influencing life and death – TeleMaster secures the file transfer on any type of communication infrastructure ensuring 100% that any sample take will be delivered to the expert in complete – TeleMaster will alert on any loss of data or delay in providing answers
  18. 18. Benefits - Queue Management • On large scale telemedicine operations, queue management and process management are critical to ensure the required SLA to any patient and referring physician • TeleMaster manage queues, will route any incoming exam to the right expert based on availability and other business rules
  19. 19. Benefits - Expendable • TeleMaster is an open system, enabling expanding it to cover additional needs such as local regulations, local billing, local workflow etc. • TeleMaster can work with any medical device
  20. 20. Supporting Services • Based on our Flexible Software Platform and unique Suite Of Services we offer: – Rapid deployment of clinical information systems – Secured, Standard based, interoperability and highly Customizable clinical solutions – Taking complete responsibility on all of the operational aspects; Servers, Maintenance, Support, Training etc.
  21. 21. call centre workflow • An important factor for the success of the TeleMaster is based on the “call centre workflow” • Designed to reduce costs in Human Resources, as well as increase in efficiency. – Huge costs lay in the Human resources required to answer in a speedy way “peeks” of calls when most of the day these same Human Resources are idle. • Automated Queue Management System, – Enabling the prioritization of incoming readings via several parameters like: – Emergency/Urgency; – Time of arrival for evaluation; – Type of commercial agreement; – Etc.
  22. 22. TeleMaster Compatibility with • 12 lead ECG • Single Lead ECG • Holter • Blood Pressure • Precision weight scale • Glucometry • Spirometry • Height • Spo2 • Temperature • Etc.
  23. 23. Implementations • Health Insurance – Improvement of service – Reduction of costs, efficiency etc – Retention of users • Oil Companies; – Remote locations of difficult access • Private and public hospitals – Hospitalization home – "High Early“ – Senior Citizens • National Organizations to provide healthcare; – Release of the emergency units of "false cases” – Dramatic reduction in costs (release of beds, fewer people in the emergency room etc.). – Retention of citizens in remote areas
  24. 24. CASE STUDIES
  25. 25. Case Studies “TeleMaster” - Remote Diagnostics National Level Center Procardia (Israel); Raytel (USA)
  26. 26. Procardia Cardiology remote diagnostic center • 18,000 Holter readings performed during 2009. • 1,200 Holter readings during December 2009; • • Medical Device used: Dell Mar Reynolds – Life Card CF (USA); • Compact Flash card reader : SanDisk or any one available • Software required: Local Dell Mar Reynolds software installed in local PC to enable downloading of the Holter reading locally, and transmitting it to the diagnostic center (TeleMaster). • Human resources required (2009): » 5 technicians per day; » 5 days a week » 22 days a month » 12 months/year. • These technicians are trained in the initial evaluation of the Holter, “arranging” all the required information after first analysis for the Cardiologist approval. • Total Technician time paid per year: 7,920 hours • 2 cardiologists performing evaluations and referrals during idle time in the ECG call centre. • Average time per technician/per Holter reading (including idle time): 26.4 minutes •
  27. 27. Procardia Cardiology remote diagnostic center (cont) • 140,000, 12 Lead ECG readings during 2009. • 11,775, 12 Lead ECG readings during December 2009; • • Medical Device used: Norav Medical (Israel); • Human resources required (2009): • Procardia ECG call centre is manned only with Cardiologists due to the workflow designed by eWave MD making it unnecessary to use nurses or technicians; • During morning hours: 3 to 4 doctors • Lunch time closed and doctors work on received holter readings from technicians; • Afternoon1 to 2 cardiologists • Overall working hours: 0800-1900 • Actual Average time required for each diagnosis: 1 minute 39 seconds • • Software required: Local Norav Medical software installed in local PC to enable downloading of the ECG, and transmitting it to the diagnostic center (TeleMaster). • (as per clients request)
  28. 28. Case Study – Remote Healthcare • Tele-diagnostic service for cardiac exams • Used by Leumit & Maccabi (Israel) & Philips Healthcare (USA) • Cost reduction – profitable for both provider and patient • Improves waiting period for tests and results • Supports a virtual and physical interpretation center
  29. 29. Solutions and Products – Telemedicine Applications Tele EKG Tele Holter
  30. 30. Holter Diagnosis Technician
  31. 31. Case Studies Disease Management National Level HMO Maccabi HMO
  32. 32. Congestive Heart Failure (CHF) Home Care Chronic Disease Management Model
  33. 33. Maccabi Health care – CHF patients monitoring • Home Care • 2,000 patients – largest CHF study in the World • Monitored 24 hours from home by medical call centre • With and without Video • Blood Pressure and Precision Weight scale
  34. 34. Solutions and Products – Disease Management • Improve the quality of health care services provided • Improve and maintain quality of life • Reduce unnecessary hospital admissions (e.g. due to patient anxiety) • Reduce administrative Primary Care Physician (PCP) visits • Decrease mortality • Reduce costs • Establish central database for patients as a supporting tool for DM (Disease Management)
  35. 35. Solutions and Products – Disease Management Tele-monitoring Regional center HUB PCP RF Information Systems Call center Devices: •BP • pulse •Weight Maccabi Patient house
  36. 36. Background • There are ~ 6000 CHF patients, 0.3% of total Maccabi members • Half of them are hospitalized once a year v.s. the other half that are hospitalized more than once a year • Mortality within six months after hospitalization is 18% • On average, each patient has 22 family doctor visits a year
  37. 37. Program Objectives • Improve the quality of health care services provided • Improve and maintain quality of life • Reduce unnecessary hospital admissions (e.g. due to patient anxiety • Reduce administrative Primary Care Physician (PCP) visits • Decrease mortality • Reduce costs • Establish central database for CHF patients as a supporting tool for DM (Disease Management)
  38. 38. Major Benefits For the patient: •Expands access to professionals outside the immediate geographical area of residence. •Patients receive results immediately, regardless of their location. For the health system, diagnostic center and physician: •Expands clinical service delivery to broader geographical audiences. •Supports billing, management, workflow, and storage. •Improves efficiency by focusing on medical services rather than administrative tasks. •Supports centers of excellence and enhances reputation. •Increased efficiency, thus reducing costs with increase quality of service. Product Features •Flexible, customizable process definition and workflow management. •Supports integration and interoperability with PACS, billing, electronic medical record solutions and other information systems •HIPAA-compliant •Exam priority management according to: type, source and other relevant characteristics •Event-driven expert system with decision support capabilities •Entry of exam results in pre-defined and customized forms •Comprehensive reporting •Main storage of all medical data and diagnostics •Strong archiving, search and retrieval capabilities •Administrative tracking including billing and process reporting Centralized and Distributed Diagnostic Center • The flexible workflow of the TeleMaster enables the use of; Local call centers, located in One or various physical location; Virtual call centers Remote users, interconnected via the Net. • All data is stored and secure in one database, regardless of where the information is viewed.
  39. 39. Orissa Telemedicine Project - Solution Overview
  40. 40. Virtual Encounter Workflow
  41. 41. Thanks Talor Sax talor@ewavemd.com VP Business Development +972-54-222-3575 (Israel) www.ewavemd.com +1(419) 825-6771 (USA)

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