eHealth eEurope eVolution

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eHealth eEurope eVolution Dr Ricky J
Richardson BSc MBBS MRCP(UK) FRCP FRCPCH DCH
DTMH Chairman
UK eHealth Association Chairman
eHealth Working Group
- EHTEL Board Member European Health
Telematics Association EHTEL Vice
President International Society
for Telemedicine Clinical Director
HealthSystems Consultants
Ltd Consultant Paediatrician Great Ormond Street
Hospital for Children, London The Portland
Hospital for Women Children, London The Speech,
Language and Hearing Centre, London
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Health is far too important a subject to be left
in the hands of the medical professionals
!!!!Dr Halfdan Mahler - DG Emeritus - WHO
after Oscar Wilde
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(No Transcript)
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The BioIntelligence Age
Biosensors Biomaterials Biomimetic
BIOLOGIC
PHYSICAL
FUTURE
Cellular cyborg
Genomics Bioinformatics Biocomputation
Robotics HPCC/WWW MEMS/Nano
INFORMATION
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Who will be at the primary care interface of the
future?
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The ePatient !and the eNurse
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The ePatient is part of the therapeutic team!!!!
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What is eHealth?
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The (e)ATM of Healthcare
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eHealth

• Clinical Applications
• TeleConsultations (previously Telemedicine)
• Clinical Decision Making Support Software
• Vital Signs Monitoring Services
• TeleHomeCare
• National ePrescribing eBooking Services

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Finance Departments
Patient Care Facilities
Medical Information
Community Health Provision
General Practitioners
Medical Devices
Insurance Companies
Alternative Medicine
Specialists(Orthopaedics, Radiologists,
Paediatrics
Professional Associations
Patients
Suppliers
Alternative Health Centres
eHealth
Human Resources
Government
Clinics Surgeries
Information Technology
Hospitals
Research and Development
Technical Support
Specific Care Centres
Hospices
Pharmaceuticals
Patient Care Practitioners
Primary Care Centres
Personnel
Quality Standards
Home Monitoring
Transport
Social Welfare
Strategy Planning
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The Paradigm Shift

• The eight Drivers Forcing Change
• Obligatory search for cost containment
• Changing demographics
• Peripheralisation of health care delivery
• Changing disease patterns
• Impact of information technology including IT
  support for clinical decisions - Telemedicine
  eHealth
• More informed and expectant patients C-Health
• The well-being factor responsibility shift into
  patients hands - The Wellness Paradigm
• Knowledge Management changing world

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Integration of IT into Business Sectors
Manufacturing
Business Services
Public Services
(Banks)
(Health)
Integration of IT
Jean-Claude Healy May 2000
1980
1990
2000
IT as a gadget Trojan horse networks, Full
Integration of IT into Business (Organisational,
Legal) Re-engineering
of the system
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Traditional Healthcare Delivery Model
Teaching Hospitals
PhysicalMovementofPatients
3 HealthCare
Regional Hospitals

2 HealthCare
District General Hospitals
1 HealthCare
General Practitioners
The Patient Community - Bottom of the pile!!
Unchanged for 6000 years - circa 3000 BC!
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The well-being factor
The Informed Wired up Citizen Community
C-Health
WWW
IDTV
IDTV
WWW
Direct Access to specialists
Freestanding Diagnostic Centres
Acute Trauma
CommunityHospitals(Acute)
CommunityHospitals(Non-acute)
HomeCare
HealthKiosks
DayCareSurgery
Maternity
Allied HealthCare Professionals
Primary HealthCare The Super Primary Care
Physician
PRIMARY TELERADIOLOGYAND TELEPATHOLOGY
?
?
eHealth Telemedicine
Clusters of Specialists with Global Access
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The Impact of Globalisation on Healthcare
delivery

• Healthcare Services move into the Retail
  Environment Shopping Mall medicine
• C-health - Health-on-line Websites
• District General and Regional Hospitals become
  obsolete as a concept
• Emergence of Epicenters of Medical Excellence
  
• Managed Clinical Networks

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The Impact of Globalisation on Healthcare
deliveryHospitals.. to eHospitals
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The Paradigm ShiftThe Impact

• Healthcare Professionals
• Healthcare practices - changing roles
• Nurse Practitioners at Primary Care
  Healthcare training Financial
  remuneration/rewards Healthcare vocation
• Patients
• Partners in the healthcare process

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The Paradigm ShiftWho will be the Primary Care
Team of the Future?

• The ePatient
• Family and friends
• Patient Web Communities
• eNurse Practitioners
• Pharmacists
• ?????????????

Will the family doctor become The Wellness
Guardian-Caretaker?
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ICT Solutions in Healthcare delivery
Globalisation Healthcare Economists Patient
Power The Medical Profession The World Wide
Web New Technologies e.g. Mobile Videophones G3
mobile networks
1980
1990
September 2003
Technology driven
Disappointment
Healthcare Professionals
HELP!!!!! Sit on the fence or Resist I told
you so ! Accept the inevitable and want
control
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Telemedicine eHealth The story so far

• Dr Kenneth Bird Logan Airport MGH 1967
• Interactive Video Conferencing - 1980
• Tele-Radiology, USA - 1990
• International Telemedicine - 1994
• The Telemedicine Blueprint, Malaysia - 1997
• Telemedicine Comes of Age - 1998 -
  TeleHealth ? TeleCare ? Citizen-Health?
• Telemedicine becomes Medicine - 1999
• eHealth The Road Ahead - 2003