Medisat english 25 03 14

Medisat

Video\KOL\ouh_briefcase_en.mp4

Medisat A/S makes

Welfare Technology Solutions,

for the Danish Healthcare System

The Beginning…

• In 2006, Odense University Hospital in Denmark, asked Medisat A/S to

develop a “Patient Briefcase“, so the doctors would be able to treat COPD

patients in their own homes.

• The goal was freeing up hospital-beds, for other patient groups.

Stable COPD Unstable COPD

Numbers off COPD patients,

in different countries

Countries Population COPD ptt Market

7,45% 10%

Denmark 5.400.000 402.300 40.230

Sweden 9.000.000 670.500 67.050

Finland 5.200.000 387.400 38.740

Norway 4.600.000 342.700 34.270

Scandinavia 24.200.000 1.802.900 180.290

Germany 82.500.000 6.146.250 614.625

Belgium 10.400.000 774.800 77.480

Greece 11.100.000 826.950 82.695

Spain 43.000.000 3.203.500 320.350

France 60.000.000 4.470.000 447.000

Italy 58.500.000 4.358.250 435.825

The Nederlands 16.300.000 1.214.350 121.435

Austria 8.200.000 610.900 61.090

Poland 38.200.000 2.845.900 284.590

Portugal 10.500.000 782.250 78.225

Great Britain 60.000.000 4.470.000 447.000

Canada 30.800.000 2.294.600 229.460

Switzerland 7.300.000 543.850 54.385

USA 300.000.000 22.350.000 2.235.000

The West 761.000.000 56.694.500 5.669.450

Hospital

Municipality &

General practitioners

The Patient

COPD is a serious disease:

• 9 % dies during hospitalization

• 19% are dead after 3 months

• 36 % are dead after 1 year

400.000 people suffers from COPD in DK Source: Danmarks Lungeforening

Severe & very severe COPD -

up to 10-12% of patients

Moderate COPD

15 – 20 % of ptt

ptt.

Light COPD

65 – 70% of ptt

Medisat target group

Lung function below 30%

Lung function below 50 %

© Ophavsret – Copyright by Medisat A/S

Challenge # 1

• Our patients/ clients are aged 65+

• Fear of computers or inexperienced

• It was a demand that “The Patient Briefcase” should be very

easy to use

• Important to avoid:

– Viruses

– Updating

– Blue screen

– Faulty use

Chronic Obstructive Pulmonary Disease

• A “COPD” patient in Denmark is typically hospitalized 4-5 times

a year.

• This patient occupies one hospital bed 4-5 days per admission.

• At OUH, the patient is discharged within 24 hours of hospitalization.

• The treatment will continue in the patients own home via the Patient

Briefcase

• With The Patient Briefcase, we are saving 20 days of hospitalization

per patient per year.

At the hospital

1) Pulse + pulse-oximeter – Oxygen saturation in the

blood

2) FEV 1: ”Forced expired volume in the first second”

3) FVC: Total lung capacity + how much the patient can

exhale in total

The Patient Briefcase

COPD

© Ophavsret – Copyright by Medisat A/S

”The three-button-system”

100% real time data

Electronic Patient Data System in the patients home

© Ophavsret – Copyright by Medisat A/S

1) Pulse + pulse-oximeter – Oxygen-saturation in the blood

2) FEV 1: ”Forced expired volume in the first second”

3) FVC: Total lung capacity + how much the patient can exhale in total

Patient satisfaction

Will you recommend that the briefcase is offered to other patients in your situation?

Sp. 16

Yes 97%

No 0%

Do not know/ irrelevant 3%

Respondents 100%

© Ophavsret – Copyright by Medisat A/S

97%

3%

YES

NO

Don't know

© Ophavsret – Copyright by Medisat A/S

Teknologi

Datatilsynet logning af data

© Ophavsret – Copyright by Medisat A/S

Teknologi

© Ophavsret – Copyright by Medisat A/S

Teknologi

Integration

The Clinical Respiratory Journal

The documentation has taken 4 years.

Re-admissions

Further gains Telemedicine

patient:

(n: 50)

Control patient:

(n: 50)

Total number of re-admissions 8

improvement

of 46%

15

Total number of re-admission days 37 (4,6)

improvement

of 68%

116 (7,7)

Total number of re-admissions with

impairments

6

improvement

of 45%

11

Re-admission days with impairments 15(2,5)

(3 <1 days)

improvement

of 69%

48 (4,4)

(2<1 days)

Studies at OUH, Denmark

• PhD Study; 266 patients have been through this study.

• Read Anne D. Sorknæs' Ph.d. Thesis: "The effects of real-time telemedicine video

consultations between nurses and patients with severe Chronic Obstructive

Pulmonary Disease (COPD)“

• 2.504 patients have so far been treated with the Briefcase

Time frame

Year

Type

2009 -> 2006 2007 -2008

V.30 V.32 V.35 HD

2011 ->

Apollo

Version 4

How does it work ?

• Video\KOL\KOLSkoffertEngelsk - Kopi.wmv

At the patients home

OUH and Svendborg Hospital

• Every day the clinical staff make their ward-rounds at their medical

departments

• Find the relevant patients

• Fill out a form

• 4 hours later the patient can begin treatment in his/her own home

4 hours later...

The treatment can begin in the patients own home

Bringing the hospital to you!

• There is a big difference between running the logistics at a hospital and

running it within the patients own home

• Suddenly new demands become obvious:

– Internet access

– Installation – education

• Sick patients are often very tired and have no energy

– Taking-down the briefcase

Heart failure • Reduces the treatment time

– From 3 months to 1 month

• Blood pressure

• ECG

• Weight

• Blood analysis CHEM8+

Sodium(Na)

Potassium(K)

Chloride(CI)

Ionizes Calcium(iCa)

TCO2

Glucose(Glu)

Urea Nitrogen(BUN)/Urea

Creatinini(Crea)

Hematocrit(Hct)

Hemoglobin*(Hgb)

© Ophavsret – Copyright by Medisat A/S

World

news

Acute heart failure patients

• In collaboration with Faaborg-Midtfyns Municipality and OUH Svendborg

Hospital

• Complete blood analysis - real time data from the home of the patient/

client and directly to the hospital in only 2 minutes

Blood analysis

Maternity women

November 1st, 2011 RSD - Mother and child are

sent home 4 hours after the birth

Psychiatry

Child/Youth Psychiatry – video solution

• Schizophrenia

• Manic - depressive

• Anorexia

What direction should we choose?

31

Key Figurs 2012

• TREFOR koncernens nettoomsætning 2,2 mia. DKK

• Balance 10,6 mia. DKK

• Egenkapital 4,4 mia. DKK

• Investeringer 0,8 mia. DKK

• 545 engagerede medarbejdere pr. 1. november 2013

32

Koncernens funktioner

TREFOR

Fælles koncernfunktioner

Forsyning Energi Entreprise Bredbånd

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Questions?

• What is the status of using Telemedicine in

your country?