Introducing Portavita
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1 Introducing Portavita Evert Jan Hoijtink Founder & Co-Shareholder Amsterdam, the Netherlands - 1 -
2 Integrated Care in the Netherlands a pioneer Started in 2001 with a web based Anticoagulation Self Management project Objectives: Increase participation of the patient in his or her own treatment Better use of available professionals Better health outcome for the same cost Rolled out in 6 countries Available programs: Diabetes COPD/Asthma Cardiovascular Risk Management Elderly Care Generic building blocks, individual care plan, Multi Disciplinary Consult, patient access and consultation - 2 -
3 Management Platform 3 dimensions Let patients participate in the Portavita cooperation platform PATIENT ACCESS Connects patients own personal health environments. MESSAGING MODULE INDIVIDUAL CARE PLAN MOBILE APPS Supports the daily execution and follow up of patient CONSULTATION centric integrated care processes EXAMINATIONS INTERFACES Cooperation E-health PORTAVITA HEALTH MANAGEMENT PLATFORM Analysis E-LEARNING COHORT ANALYSIS RESEARCH COHORT SELECTION Collects, stores and opens up all available health data to enable population management MULTIDISCIPLINARY CONSULTATION INDIVIDUAL CARE PLAN MESSAGING MODULE Transforms health data into information REPORTING & BUSINESS INTELLIGENCE
4 15 years Portavita a proven track record > patients: Anticoagulation Asthma / COPD Cardiovascular Risk Management Diabetes Elderly Care... Nr. of Patients NL Patients in treatment Anticoagulation 600, , , , , ,000 > patients performing self management > medical professionals 0 Diabetes Cardiovascualr Risk Mgt Anticoagulation Cardiovascular Risk Management Diabetes Asthma/COPD COPD/Asthma Elderley Care Total patients Elderly Care Jan-02 May-02 Sep-02 Jan-03 May-03 Sep-03 Jan-04 May-04 Sep-04 Jan-05 May-05 Sep-05 Jan-06 May-06 Sep-06 Jan-07 May-07 Sep-07 Jan-08 May-08 Sep-08 Jan-09 May-09 Sep-09 Jan-10 May-10 Sep-10 Jan-11 May-11 Sep-11 Jan-12 May-12 Sep-12 Jan-13 May-13 Sep-13 Jan-14 May-14 Sep-14 Jan-15 May-15 Sep-15 Jan-16 May-16 Sep-16 >70 Regions medical organizations, hospitals, diagnostic centers, General Practitioners, Nursery Homes,
5 Portavita Portfolio examples Cooperation: Integrated Care Systems (ICS) Anticoagulation prevents strokes, embolism and bleedings Cardiovascular Risk Management prevents developing a chronic condition COPD/Asthma prevents exacerbations and decreases hospitalization Diabetes prevents kidney problems, amputation and blindness Elderly Care holistic view and shared care plan to support vulnerable elderly - 5 -
6 Vision the Learning System Simple Task Delegation Complex tasks execution New Delivery Centers Elderly / Nursing Homes Hospitals Homecare Teams Outpatient Clinics University Medical Centers Integrated Care System: Triage, Protocol Management, Workflow, Authorization, BI,... Decision Support Virtual Expert Clinics Regional Personal Records University Medical Centers Research Knowledge - 6 -
7 Portavita Results Anticoagulation Care Stroke at elder age (79) in the Netherlands: Decreasing the number of strokes, preventing secondary strokes and delaying strokes with many quality years. By organizing the anticoagulation treatment efficient, cost are down and medical activities are executed by the most adequate professional By using a best practice protocol supported by proven Algorithms, the treatment is highly effective and will lower the risk of complications (strokes, embolisms and bleedings) Incidents per inhabitants in the Netherlands The Netherlands 79 Germany 66 Russia 60 UAE 50 Average NL 79 Man Woman Average age of a stroke - 7 -
8 Portavita Results Diabetes Care Lioe-Ting Oei MD, PhD Internist Vascular Medicine PI University Medical Center Utrecht / Julius Center Patient treated outside of the Hospital: 2008: 19% è 2013: 14% è 2016: <10% Task delegation 1 st check from ophtalmologist to optemetrist: 2008: 100% è 2016 = 0% Less complex Diabetes rethinopathy issues: 2008: 44 è 2015: 23 Transparancy on quality and process: Flexible reporting Organisation: Bundled payment and centralized management & contracting - 8 -
9 What does Portavita bring to a country... Help organizing the health care delivery to citizens in a regional setting preferably outside of the hospital Lower cost through task delegation From expensive medical experts in the hospitals towards nurses, homecare teams, care takers in elderly homes and the patient and its family themselves; Less complications and hospitalization By improving the quality of treatment with supportive medical process software, Decision Support and Business Intelligence More insight in the medical processes Providing transparency through detailed process & quality reporting tools Creating the participating patient Helping the patient to manage its own disease and have insight in its own abilities, actively participate in managing his or her own health and feel less a patient Over 15 years of experience - 9 -
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