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Transatlantic Teleconsultation - Andre PETITET

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Transatlantic Teleconsultation - Andre PETITET, Treasurer and Secretary -ISfTeH, France

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Transatlantic Teleconsultation - Andre PETITET

  1. 1. Dr.André PETITET-april 14-15 2011 16th Finnish National Conference
  2. 2. A telemedicine’s new step ongoing Transatlantic teleconsultation HEALTH Alfa Dr.André PETITET,MD Telemedicine and e-health International expert ISfTeH secretary President of the CATEL international commission
  3. 3. CONSULTATION
  4. 4. 1 welcome 3 auscultation 4 percussion 5 palpation 2 interrogation 6 exams 7 diagnostic 8 treatment 9 prescription 10 drug delivery
  5. 5. TELECONSULTATION
  6. 6. TELECONSULTATION What does it means ?
  7. 7. Tele is the latin word’s root for equivalent of far in english… like Far West ..!!
  8. 8. Tele is the latin word’s root for equivalent of far in english… like Far West ..!! So, in english Teleconsultation is Far Consultation
  9. 9. What is telemedicine ? Telemedicine is the use of telecommunications to facilitate health care.This could mean using technologies as simple as phone lines , fax machines , and e-mail , or the use of more sophisticated as computers, scanners , cameras , and various diagnostic tools that can instantly communicate information between two or more distant sites. 1995- JOHNS HOPKINS telemedicine
  10. 10. Telemedicine is a kind of remote medical practice using the technologies of information and communication. It puts in relationship, between them or with a patient, one or several healthcare professionals among whom there is inevitably a physician and, if necessary, the other professionals bringing their care to the patient. It allows to establish a diagnosis, to insure, for a risk patient , a preventive follow-up or a post therapeutic treatment follow- up, to require a specialized opinion, to prepare a therapeutic decision, to prescribe products, to prescribe or to perform services or acts, or to make a survey of the state of health of the patients French Law n°2009-879 July,21,2009
  11. 11. TELEGERIA
  12. 12. TELEOPHTALMOLOGY
  13. 13. TELEPSYCHIATRY
  14. 14. TELETRAUMATOLOGY
  15. 15. TELEEXPERTISE
  16. 16. MEDICAL DISPATCH CALL CENTERS
  17. 17. HOSPITALS’ TELE INTER CONNECTIONS
  18. 18. REMOTE ECHOGRAPHY
  19. 19. TELECONSULTATIONS
  20. 20. 1 welcome 3 auscultation 4 percussion 5 palpation 2 interrogation 6 exams 7 diagnostic 8 treatment 9 prescription 10 drug delivery
  21. 21. eHealth in Europe: growing interest 70% of european countries have an e-Health strategy
  22. 22. 30 So…HEALTH Alpha What was the challenge ?
  23. 23. •To implemente and to simplify the equipment •To reach as closed as possible the basic consultation process •To be adapted and to be in conformity with different countries legal rules for health and drugs HEALTH Alpha
  24. 24. equipment HEALTH Alpha
  25. 25. It "teleports" the doctor to the patient making the act of remote consultation so natural as possible LIM Star HEALTH Alpha
  26. 26. •Remote camera •Stethoscope •Blood Pressure •SpO² •Laryngoscope •Otoscope •Ophtalmoscope •Dermascope •EKG •Ultrasound •Spirometer It "teleports" the doctor to the patient making the act of remote consultation so natural as possible LIM Star HEALTH Alpha
  27. 27. HEALTH Alpha FranceUSA HOUSTON Transatlantic teleconsultation
  28. 28. Health Alpha medical building at Houston (Texas)
  29. 29. Health Alfa waiting room
  30. 30. Health Alfa teleconsultation room •One french technician •One french nurse •One french pharmacist
  31. 31. Health Alfa teleconsultation start point
  32. 32. Health Alfa First visual contact between physician and patient
  33. 33. French Physician authentification Card and its reader
  34. 34. French personal patient health care and social security card
  35. 35. Health Alfa .Patient French informed consent form
  36. 36. Health Alfa : US patient informed consent form
  37. 37. Real time Auscultation Houston (TX) USA France
  38. 38. Real time throat exam Houston (TX) USA France
  39. 39. Real time ear exam Houston (TX) USA France
  40. 40. Real time Ultrasound
  41. 41. Real time 12 leads EKG
  42. 42. Health Alfa prescription Electronic pen France
  43. 43. Health Alfa prescription France
  44. 44. Health Alfa prescription Transmission and printing
  45. 45. French pharmacist authentification card and its reader
  46. 46. Security bar code control by the french pharmacist
  47. 47. Health Alfa . End of the teleconsultation and verification of the patient EHR
  48. 48. Welcome 1 3 auscultation 4 percussion 5 palpation 2 interrogation 6 exams 7 diagnostic 8 treatment 9 prescription 10 drug delivery Health alfa teleconsultation
  49. 49. •Because they are 10.000 expatried french people living at Houston •Because they are a majority of young people with kids •Because health care in US is very expensive •Because some linguistic difficulties between french and english •Because most of french expatried prefer a french physician •Because french expatried are more familiar with french drugs Health Alfa….why ?
  50. 50. •Presented and accepted both by french and american authorities •FDA agreement for importation of french drugs •Respect of rules and guidelines for teleconsultation on both sides : USA and France •Diplomatic support by the french Consulate at Houston Health Alfa process
  51. 51. HEALTH Alpha LIM Star It "teleports" the doctor to the patient making the act of remote consultation so natural as possible Thank you for your attention dhanyavaad apcarg@aol.com J.Cinqualbre D.Uhlrich S.d’Hardiville G.Menand E.Clocher S.Wildner C.Bronner

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