Moving Health Care to Your Fingertip

Klaus Phanareth CEO Epital Health® - President, Danish Society for Clinical Telemedicine phanareth@gmail.com

Transforming health to e-health

Epital Care Model

Bornholm Summer 2014

Epital Care Model

E-Citizen - Summer 2014

Medical box rescue medication

e-health navigator

e-health monitoring devices

Health Care at your fingertip

Epital Care Model

E-CallCenter, Copenhagen Summer 2014

Epital Care Model Instant acces to core clinical data

1

2

3

Real-time communication while having access to updated clinical data

Epital Care Model

On-line documentation real-time verification

Aktivitetsdokument

GP

Pharmacy

Municipality

Citizen

Communicating the network actors

Hospital

Epital Care Model

Proactive and preventive mobile e-health

Epital Care Model Connected e-healthcare

FEV172Addresse:MangolianRoad22000FrederiksbergTlf.:+4539203445Mobil:+4524321112

SundhedsoplysningerdeltmedEPITALSUNDHEDCOPD:2002-Severity:Grade3Osteoporosis:2009Depression:2010

SundhedsoplysningerdeltmedEPITALSUNDHEDSymbicortFTb:2x1Terbasmineo,5mg/dose:2x1+pn.

SpirivaRespirmat2.5 /dose:1x2Salbutamolinhaler200 g:2x2+pn.

FEV1

20/8l18/9

1.5

1.0

0

EpiCall-Center

Minhelbreds lstand

Dato

Lungefunk on-FEV1Personoplysninger

Tilstande

Medicin MinEpiPlan

E- mobile acute team

Municipality acute unit handling simple and trivial diagnosis

CallCenter

Municipality rehabilitation units Empowerment - units

E-serviceteam

Pharmacy

Citizens with chronic conditions

The organisational re-design

Epital Care Model

Conventional paradigm Citizencentered paradigm

patient citizen

disease condition

diagnose pathway

Resignation of responsibility empowerment

centralized citizen centric

sector segmented sector neutral

activity (volume) reimbursement value reimbursement

didactive consultant/coach

reactive proactive

planned / controlled available when needed

admitted outmitted

treatment monitoring / prevention

Transforming healthcare

Responsibility of treatment Responsibility of service

System owned health data citizen owned health data

Epital Care Model

Epital Care Model

The genome of citizen centered health care

The Epitope (ecosystem)

1.th Epitope in the Municipality Lyngby-Taarbæk

citizen centricity

monitoring / prevention

empowerment

citizen owned health data

sector neutral

Epital Care Model genome

proactivity

Epital Care Model Outcome indicators

1.th Epitope

testbed Lyngby-Taarbæk

Based on 6 month using the ECM: The organisations: - more than 70% reduction in admittances - more than 70% reduction in LOS

The citizens: - strong confidence in the system and the technology - self-reported decrease in anxiety - self-reported increase in self-management - self-reported less need to use hospital and GP - strong confidence in concept -

Epital Care Model

Growth and proliferation of the epitopes

Using the same building blocks

1.th Epitope

Municipality 2 Epitope in Norway (planned)

Epitope in Skåne Sweden (planned)

Sharing solutions and ideas

Municipality 4

Municipality 3

Local Scandinavian

Epital Care Model

Demographic armageddon?