Good Practical Experience Worldwide: Value-Added Services of PHR Customized to the Needs of Various Groups of Patients

Transcription

1 Good Practical Experience Worldwide: Value-Added Services of PHR Customized to the Needs of Various Groups of Patients Martin Fuchs Chief Executive Officer, InterComponentWare (Switzerland) AG, Zurich

2 Founded: Locations Employees Investors Executive Board : Conversion into a corporation (unlisted) Walldorf, Germany (Corporate HQ) Cologne, Germany Vienna (Austria) Zurich (Switzerland) San Mateo, CA (USA) Sofia (Bulgaria) 600 (and growing) Dietmar Hopp (co-founder of SAP AG) Dr. Andreas and Dr. Thomas Strüngmann (Santo Holding [Deutschland] GmbH) EnBW Energie Baden-Württemberg AG ICW Executive Board, Supervisory Board of Directors, and employees Peter Reuschel (CEO) Norbert Olsacher Dr. Frank Warda Peter Reuschel Norbert Olsacher Dr. Frank Warda 2 May 2008 The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia

3 Our Fields of Activity LifeSensor the Web-based personal health record Networking solutions for professionals in the health care market Development technology and open standards for the ehealth market 3 May 2008 The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia

4 References BARMER National research project for the personal health record The Rhine-Neckar Health Care Initiative Implementation of the LifeSensor personal health record in the Rhine-Neckar region Patient-Partner Association Integrated care with the personal health record National Electronic Health Card in Bulgaria Pilot project introducing the ehc and required infrastructure components University Clinic in Heidelberg Cross-institutional networking of the individual clinics' information systems BKK Hoesch and BKK VOR ORT Optimization of individual care management 4 May 2008 The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia

5 Health Care Trends in Europe Elderly population on the rise: Demographic Changes United Nations: Population Aging May 2008 The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia

6 Health Care Trends in Europe Ethical Conflicts on the Rise Increased Customer Demands: - Promotion of self-determination/patient empowerment - Equal and just access to health - Improved medical treatment (independent of cost issues) - Security - Protection and Privacy Conflicts of resources and supply (30% of the primary physicians in Germany will retire by 2010) 6 May 2008 The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia

7 Health Care Trends in Europe Increasing Transparency: Quality Ranking and Economic Resources Germany US Overall Ranking (2007) 2 6 Quality of Care 2,5 5 Right Care 3 1 Safe Care 1 6 Coordinated Care 4 5 Patient-centered Care 2 5 Access 1 6 Efficiency 3 6 Equity 4 6 Healthy Lives 2 6 Health Expenditures per capita, 2004 * 2003 data Source: Davis el al, The Commonwealth Fund, May 2007 $ 3,005* $ 6,102 7 May 2008 The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia

8 Health Care Trends in Europe Quality Issues on the Rise: Comparative Performance of Health Care Systems QA & Benchmarking 8 May 2008 The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia

9 Health Society the third health care revolution as a solution 1. Ensuring survival (19th century) - The major advance in health care policy in the 19th century ensured public health care 2. Access to medical care (20th century) - Insurance and medical care systems ensure that people receive support during illness, invalidity and old age - The individual was a passive patient 3. Establishing the health society (21th century) - Focuses on prevention and maintaining and promoting health in all walks of modern -day life - The individual plays an active, crucial role - Health literacy is a key factor for success 9 May 2008 The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia

10 Health Literacy the role of the individual in the health society Market System Consumer behavior Personal Health System orientation Consumer Citizen Patient Employee Health Literacy Work environment Health policy State/Country Economy 10 May 2008 The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia

11 Health Literacy Personal Health Life Cycle Schematic diagram of the state of a person s health Healthy Well Child Adolescent Adult Senior citizen Unwell Unhealthy Potential services and programs offered Health check Parental education Courses on nutrition for children Inoculations Broken leg Health education prevention by the market Burnout Help with recovery Lifestyle counseling Alzheimer s disease management program Back strengthenig exercies Mental transformation Botox 11 May 2008 The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia

12 Health Literacy information-based health management Personal Health Life Cycle Prenatal Baby Childhood Adolescence Life - Work 50+ Old Age Health Cockpit Electronic Health Diary Personal preventive program Personal disease and illness curation programs 12 May 2008 The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia

13 The Use of Technology Personal Health Records Empowering Consumers 13 May 2008 The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia

14 Personal Health Records: Integration of Equipment for Preventing and Monitoring Chronic Illnesses Consumers can access health resources using new interfaces Self-test/-diagnosis/-treatment User can use interactive online tools to enter health-related information and are then guided to relevant information Self-monitoring and analysis Universal computing devices can be used to prescibe medication and continously monitor the patient s state of health Save measurement readings online. These are regularly analyzed by online tools Potential for Telemonitoring 14 May 2008 The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia

15 Practical Example Aargau / Sports Group XL Smile Youth Sport Camp XL More active thanks to the happy ActiSmile. ActiSmile is an exercise measurer that records how much you move everyday. Its smile motivates you to move more. At the youth sport camp XL, you will learn how to raise a smile with ActiSmile. And with a bit of luck you could win your own ActiSmile! The youth sport camp for overweight children and teenagers 15 May 2008 The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia

16 actismile BioFeedback Device; Motivation through Monitoring 16 May 2008 The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia

17 actismile actismile family assessment 2008/04/ /04/31 Jakob 1,0 Emily 0,8 Emma 0,4 last month smile per day count smile 17 May 2008 The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia

18 Telemedicine and Mobile Health Autonomy Freedom of Choice Independency Advantages Consumers play a more active role in their own health care Immediate access to important information Access to information from anywhere in the world Reduced duplication of services Health professionals are automatically notified if the system recognizes potential issues or problems Improved information exchange between health care providers In the Future Interaction of records with health information databases and intermediaries Tests automatically arranged and medication automatically prescribed as and when required Messages sent to the patients portable device if required Referral to the appropriate health care providers Portable devices regularly update the personal health record in real time Receive all information about the person s physical condition 18 May 2008 The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia

19 Example: Chronic Heart Failure Epidemiology 1.5% of the German population (1.2 m patients) Approximately 160, ,000 people diagnosed with chronic heart failure every year Increasingly prevalent, one in 10 people in Germany > 65 years old Health Economy 2% of the total health care budget Costs/cardial decompensation approximately 5,000 5% of all hospital stays Most common cause of hospitalization of older people > 65 years old Reducing treatment costs while maintaining the same quality of treatment vs Same costs but improving the quality of treatment 19 May 2008 The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia

20 Patients with Chronic Heart Failure Clinical Signs: Fast and weak pulse Swollen legs and abdomen Weakness Shortness of breath with little physical movement Labored breathing when lying down Must sit up straight or with a pillow for support Foamy, bloody sputum Advice Domestic Sub-acute clinical health care Teaching skills for everyday life Self-diagnosis Access to acute health care Integration into the community Assisted living Help with professional issues Image. Netter-Atlas 20 May 2008 The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia