Brandenburgisches Innovationsprogramm für E-Business und Medienkonvergenz Gefördert durch den Europäischen Strukturfonds 1 Innovative Programme of Brandenburg.

BrandenburgischesInnovationsprogrammfür E-Business undMedienkonvergenz

Gefördert durchden EuropäischenStrukturfonds 1

Innovative Programme of Brandenburg for E-Business and

Media Convergence (BIEM)

New Business Model for Long-Term, Ambulatory

Management of Patients Suffering from Congestive Heart

Failure (CHF) in Structurally Underdeveloped Areas

RegioStars 2010 – Category “ICT Applications”

Dr. Matthias Artzt – Ministry for Economic Affairs of Brandenburg

Robert Downes – getemed Medizin- und Informationstechnik AG (Speaker)

Brussels - May 21, 2010

BrandenburgischesInnovationsprogrammfür E-Business undMedienkonvergenz

Gefördert durchden EuropäischenStrukturfonds 2

bb.netNew Structures

(DBEs)

bb.mediaNew Business Area

on Media Convergence

bb.marketNew Business Model,

DBEs and New Markets (Intermediaries)Type 1

Connection of complementary enterprises to form “virtual medium-sized businesses” or DBE

Type 2

Network buil-ding of enter-prises being in competition with each other

Type 3

Collaboration Business along the global value added chain

bb.markt bb.Markt -

E-Health

8 Projects 7 Projects 11 Projects

- Based on experiences of innovative actions 1997-2001 (RISI & RISI+) and eris@

- Focused on small and medium-sized enterprises (SME) and aiming at:

- using ICT and develop Digital Business Ecosystems (DBE)

- strengthening the market position of Brandenburg enterprises

- promoting supra-regional networking and collaboration of SME

- Budget: 5.64 mil. € (EU: 2.9 mil. €, Brandenburg: 130 k€, Enterprises: 2.6 mil. €)

Three Individual Subprogrammes

BIEM New Business Structures

BrandenburgischesInnovationsprogrammfür E-Business undMedienkonvergenz

Gefördert durchden EuropäischenStrukturfonds 3

Telemonitoring Model

Pa t ie n t

Me dica l de v ices u pplie r( s )

C lin icT elem o n ito r in g

c en terHom e h e a lthcare prov ide r

GP

In s u ran cecom pan y

p r o v id es s er v ic e to

C o n tr ac t

R ep o r ts &ex p er t o p in io n

T ec h . s u p p o r tf o r p atien t

T ra in in g &tec h . s u p p o r t

c o n tr ac ts

R eim b u r s em en t

P atien t /d o c to rr e la tio n s h ip

s en dd ata

A m b ulato ry S tatio nary

-Combine know-how from areas of ECG analysis and ambulatory patient monitoring

-Combine the expertise of partners from the region to provide an innovative ICT based business model for management of CHF patients in structurally weak areas.

BrandenburgischesInnovationsprogrammfür E-Business undMedienkonvergenz

Gefördert durchden EuropäischenStrukturfonds 4

Innovative Character of Model

Innovative Character

- The model puts great emphasis on integrating the general practitioner

- The model stresses that the telemedicine center must be regional promotes the human contact factor between patient and the center

- The telemedicine center must be affiliated to a clinic or hospital which normally treats the patients immediate access to previous therapies

- Other call center based models have failed to find overall acceptance due to the fact that the regional players, especially the general practitioners, have often been irritated by the fact that their patients are undergoing parallel treatment from an anonymous center, with often conflicting forms of treatment.

- Model can be used as a basis for services covering different types of disease management, e.g. heart attack, diabetes or blood pressure

BrandenburgischesInnovationsprogrammfür E-Business undMedienkonvergenz

Gefördert durchden EuropäischenStrukturfonds 5

BIEM Project Objectives

Key Aspects of CHF

- Chronic illness with slow progression over many years

- Ambulatory treatment

- High economic impact

- Prevalence is continuously increasing due to demographic development and improved medication & therapy

- Treatment is well suited as a telemonitoring application – only a small number of easily obtainable parameters needed

Key Objectives

- Within the context of the business model, determine:

- technical feasibility- economic feasibility- clinical outcome

- Reduce the number of hospital admissions per patient

- Reduce the number of days spent in hospital when admitted

- Reduce health care costs

- Increase the standard of health care

- Increase quality of life

- Address data security issues minimum data concept, signed statements, encryption, access control (rooms, software), etc.

BrandenburgischesInnovationsprogrammfür E-Business undMedienkonvergenz

Gefördert durchden EuropäischenStrukturfonds 6

58 patients / 23,000 patient days / 45,000 measurements

Telemonitoring for 4 – 23 months, 396 days on average

Before telemonitoring:96 cases of hospitalsation accounting for 1374 days

With telemonitoring:21 cases of hospitalsation (- 78 %) accounting for 207 days (- 85 %)

- Availability of objective, multi-parameter medical data on a daily basis leads to early detection and prevention of critical situations

- Telemonitoring increases patient compliance and enables many patients suffering from CHF to be kept in a stabile medical state

- Active participation provides a better feeling of security and an increase in the quality of life for patients and families especially for patients in rural areas

96

21

0

20

40

60

80

100

Cases of Hospitalisation

before TelMon

with TelMon

1374

207

0

200

400

600

800

1000

1200

1400

Days in Hospital

before TelMon

with TelMon

BIEM Results vs. Objectives

BrandenburgischesInnovationsprogrammfür E-Business undMedienkonvergenz

Gefördert durchden EuropäischenStrukturfonds 7

Impact & Sustainability

Impact - BIEM

- The BIEM programme within the Cohesion Policy framework assisted getemed in generating growth by consolidating existing knowledge from different areas to develop new innovative products and by co-operating with other businesses and institutions to create new cost efficient services

- Practical trial under real-life conditions helped to discover (and remove) both technical and social pitfalls within the business model.

- Organising & executing the project enhanced social competences within the company.

- Presentations at telemedicine and cardiology conferences along with a study published* further helped to increase getemed's public profile

- Triggered interest in others to win getemed as a partner for their projects:

Partnership for the Heart (600 patients) FONTANE (Winning project from 87 candidates)

* Prof. M. Oeff: Überwachung multipler Herzkreislaufparameter mittels Telemonitoring bei Patienten mit chronischer Herzinsuffizienz, Herzschr Elektrophys 16:1-9 (2005)

BrandenburgischesInnovationsprogrammfür E-Business undMedienkonvergenz

Gefördert durchden EuropäischenStrukturfonds 8

Project Data

Project Timeline and Costs

Start / End of Project: 01.11.2004 – 31.05.2005

Cost and Funding of Project:

EU funding (EFRE): € 86,172 National funding: € 1,044Private (getemed): € 155,186

Total cost: € 242,402

Thank you for your time and your attention !!