THE DREAMING PROJECT FINAL CONFERENCE Trieste, 14th June 2012 The new organization model of Pflegewerk and Mediplus in Berlin Marius Greuèl, Project leader.

THE DREAMING PROJECTFINAL CONFERENCE Trieste, 14th June 2012Trieste, 14th June 2012

The new organization model of Pflegewerk and Mediplus in Berlin

Marius Greuèl, Project leaderAndrea Croci, IT Director Pflegewerk

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After an implementation phase of one year all the vital sensors are running without problems

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Patients are taking the measure themselfs

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…sometimes with a mistake!

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Videoconferencing is not so preferred in our Trial

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Pflegewerk has realized an 24/7 contact center but in the future we want to realize a regional decentered solution at 5 locations

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Residential Apartments for the elderly

Ambulatory healthcare centers

Ambulatory care services

Pflegewerk offers different care solutions for the participants

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Dreaming is focused to one of the target groups of Pflegewerk/Mediplus

Disease Manage-ment

HomeCare

ResidentialCare

IntensiveCare

Target group of Pflegewerk

Implementation of medical pathways

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noyes

Patient in intervention

group?

Nurse for the elderly measures vital data according to medical prescription using telemedicine devices.

Data is transmitted via smartphone to portal

Receives data and makes them available to doctors and nurses.

Sends SMS or Email in case of conspicuous measurements.

Nurse for the elderly and doctor receive values immediately and can respond promptly.

Nurse for the elderly measures vital data according to medical prescription.

Data is stored in paper record.

Sents summary report to doctor by email.

Doctor receives regularly vital data of patient as a basis for further decisions.

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Devices

The Vital sensors and

environmental sensors could be used

successful since 2010 The video conferencing is not comfortable, not all of the problems with the

audio card could be solved; we had installed two units in two apartments for the tests of the usability and handling. Since that time we have again Problems with the webcam, the sound and the quality of the video especially with the synchronization between video and audio channel

Mambo is not really useful for all of the participants, because of the handling and problems with GPS receiver

Results of the project

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Study group16 participants

– 14 died– 1 in Nursing home– 1 refused to take part after initially accepting

Control group15 participants - all died along the way

Dropouts

Health economic Results

Germany

IG CG

Installation costs H/w 113.140,00 €

Personnel costs 17.625,00 €

Installation at service provider 4.690,00 €

TOTAL installation costs 135.455,00 € 0,00 €

Operational costs TOTAL operational costs 72.850,00 €  

Healthcare costs Hospitalisation costs 269.700,00 € 202.275,00 €

Cost of emergencies assistance 6.300,00 € 4.050,00 €

Cost of ambulance transports 0,00 € 0,00 €

Cost of GP consultations 18.252,00 € 20.808,00 €

Cost of specialist consultations 9.234,00 € 7.398,00 €

Cost of home visits by nurses 40.749,00 € 34.474,50 €

Cost of home visits by service employees 187.368,00 € 504.408,00 €

Cost of home visits by social operators 10.622,00 € 9.353,00 €

Permanent transfer to elderly home 62,00 € 0,00 €

TOTAL 542.287,00 € 782.766,50 €

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Mediplus has identified and win the following contractors for the long-term guarantee of benefits after the EU funded phase:

- Housing Associations- several Health insurances- Hospitals- Medical service center for counseling and case management

Furthermore, the following partnerships have been included:

- German Society for Telemedicine- German Society for Health Telematics- German Nursing Associations- Technology Foundation Berlin Country (TSB) - Federal Association of Private Care Services- German Hospital Federation 

Plans beyond the EU funded phase

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Plans beyond the EU funded phase

Smart-phone

3. Why 3rd Generation?

Central Unit

Tablet

Dev

ices

are

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to th

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tual

nee

ds o

f

a nu

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for t

he e

lder

ly!

1st generation

2nd generation

3rd generation

Smart-phone

Plans beyond the EU funded phase

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Some of the biggest health insurances has informed us that they are interested to transfer the project results into the prospective standard care system of Telemonitorig financed by the health insurances in 2013

The health insurances prefer meanwhile a methodological solution based on Propensity Score Matching and is compatible with MAST

Plans beyond the EU funded phase

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The German minister of health Dr. Daniel Bahr has

started 2012 with a Masterplan for Telematik

In 2012 the new electronic insurance card

will be implemented for all of the 70 Mill.

health insurance takers

Plans beyond the EU funded phase

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Contribution of Pflegewerk in new ICT Policy Support

Programme (ICT PSP) for Telemonitoring “RENEWING

HEALTH„ (REgioNs of Europe WorkINg toGether for HEALTH) with

400 participants

Plans beyond the EU funded phase

Thank you for listening

Pflegewerk

Mediplus Managementgesellschaft im

Gesundheitswesen mbHWisbyerstr. 16/17

10439 BerlinTel.: (030) 396 00 510

Fax: (030) 39600511Mail: info@mediplus-berlin.de

www.mediplus-berlin.de

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Preparation of an application regarding the future implementation of

telemonitoring into standard care at the „Gemeinsamer

Bundesausschuss“ (federal committee, the highest competent council of

the collective self-organisation of doctors, hospitals and health

insurances in Germany)

Membership in the telematic network of the telematic delegates of

the German federal states under the leadership of the health ministry

(HIPPO)

Plans beyond the EU funded phase