02 presentation kent_fabian_dominguez

CASAStudy visit Kent County Council

10th-12th December 2012

Presentation based on report of experts Fabian Dominguez

Lead Partner CASA

8th May 2014, Brussel

CASA

• Delegation:

• Pascal Coorevits (Ugent)

• Bart Vanrumste (KULeuven)

• Fabian Dominguez (Government of Flanders)

CASA

Visits1.Hawkinge House

•Nursing home for people with dementia (mainly)

•Technology used: Personal Alarm System with 4 gradations of urgency

•Business model: rent of room and infrastructure, costs of care, hotel costs and

medical costs – last 3 costs = freedom of choice of provider

CASA

Visits2.Estuary View GP Practice

•GP Practice with multidisciplinary team: GP’s,

GP’s with special interests, and paramedics

(fysiotherapists)

•Advantages: patients can receive services that

are otherwise only offered in general hospitals (X-

ray, A&E for simple wounds, paramedic

consultations)

CASA

Visits3.East Kent NHS Trust Hospital

•Presentation of Telemedicine projects

• Da Vinci Surgical System

• Videoconferencing application used for CVA-patients

• Digitalization of tests (bloodpressure, temperature,…) – VitalPAC

system

Prioritization of patients

Monitoring of actions of nursing staff and departments

CASA

check if values of patients are within normative values

Large scale deployment within hospital (+/- 50 departments)

CASA

Visits4.University of Kent

•Presentation of studies on Telemedicine

• 2004: Kent Telecare pilot

• 2005: Kent Telehealth pilot

• 2007: Whole System Demonstrator

Largest countrywide RCT study on assistive technologie (>1000 test

subjects)

Target group: patients with COPD, diabetes, chronic heart

conditions

CASA

Results regarding total amount of days in hospital:

• Positive outcome for use of telemedicine in comparison to

control group that was not provided with telemedicine

equipment

• Presentation of preliminary study on Telecare:

Group was provided with a Tunstall PAS-system: press button,

fire and CO-detector. Control group did not have a press button

CASA

Visits5.Conclusion of experts

•Interesting experience

•Nursing home + GP practice: innovative business models

•East Kent NHS hospital + University of Kent: technological innovations

•Innovative character of applications

Not the state-of-the-art aspect was impressive, but the often large

scale implementation of the applications in Kent County

Advantages demonstrated by several studies > innovation is

important and feasible

Thank youFabian Dominguez

Social Affairs and Public Health attaché

Permanent Representation of Belgium to the European Union

P.A.: Ministry of Welfare, Public Health and Family Affairs

Staff of the Secretary-General

Koning Albert II-laan 35, bus 30

BE-1030 Brussels

[email protected]