QF Health Assist System Project Qualified and Facilitated health assistance for three Qualified and Facilitated health assistance for three damaged Tohoku Prefectures, Miyagi, Fukushima and Iwate Feb, 2013 Wakuya Medical and Welfare Center 1 (Project management office: RIKEN Cell Tech)
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
QF Health Assist System Project
Qualified and Facilitated health assistance for three Qualified and Facilitated health assistance for three damaged Tohoku Prefectures, Miyagi, Fukushima and Iwate
Feb, 2013Wakuya Medical and Welfare Center
1
(Project management office: RIKEN Cell Tech)
About Wakuya town
(as of April 2012)Area 82.08 ㎢Population /household 17,584/5,878Aging ratio 27.5%
Basic policyEach is responsible for its own health.Family members share the roles.
2
Family members share the roles.Community acts hand in hand.である
Wakuya Medical and Welfare Center(WMWC) established in 1988 has been engaged in health promotion with mutual collaboration with town residents for 25 years.
航空写真Wakuya Medical and Welfare CenterActed as back-up hospital for Ishinomaki red-cross hospital at the time of the disaster.
3
administrative area 39
Organization HR
Residents:17,584
Organization
Health promoter: 316Collaboration of public health activity and voluntary health promotion in community.Started in April 1989. 2,160 people experienced.
Resident,community member
4
Started in April 1989. 2,160 people experienced.
Public health nurse
Mayor of town
Head of Center
Medical doctor
Nurse
WMWC
Public Health service
Role of health promoters
• Provide health related information to community member and gather the information.
• Support the aged and check their condition• Organize community health school voluntarily• Organize community health school voluntarily• Assist public health promotion by town and
annual medical checkup• Support child care
5
Meeting of health promoters
6
Seminar for health promoters
7
国保1人当費用額の推移(全体)
200
300
400
全 国
宮城県
涌谷町
千円
病院
介護老人保健施設
療養型病床群共用施設
後期高齢者医療費制度
Performance of health assist activities(1)
average
With good effect from health guidance activities, the number of death by stroke was decreased since 1998.Based on TOHOKU Univ.researchNational average 1, Miyagi 1.17,Wakuya 0.70.
100
S60
S61
S62
S63
H1
H2
H3
H4
H5
H6
H7
H8
H9
H10
H11
H12
H13
H14
H15
H16
H17
H18
H19
H20
H21
H22
院開設
設開設
設開設
度開始
Per head Cost of national insurance is far under average.
8.
wakuya
Performance of health assist activities(2)
Per head cost of nursing insurance.National average 188.5Wakua 149.1(thousand JPY)
High aging ratio, but low nursing insurance applied.average 22.7%-17.1%Wakuya 27.2%-16.0%
9Aging ratio
nursing insurance applied
Simulation of nursing insurance cost in 2025
Premise :population 120 mio , aging ratio 27.2%http://www8.cao.go.jp/kourei/whitepaper/w-2011/zenbun/html/s1-1-1-02.htmlPer head cost of nursing insurance.• National average 188.5 Wakua 149.1 (thousand JPY)Aging -nursing insurance applied • National average 22.7%-17.1%(current) / 27.2%-20.5%• Wakuya model 27.2%-16.0%• Wakuya model 27.2%-16.0%
1.Status Quo(national average):1261.3 Bio JPY2.Wakuya model: 778.7 Bio JPY
32% cost reduction
10
Expand the model to the disaster damaged area
Subjects;
1. Systematization with "continuity and extensibility“
2. Defining the ideal model to expand other areas
11
2. Defining the ideal model to expand other areas
Problems and solution
① Insufficient health assist in damage area
② Far from Doctor and Professional supporters
③ Unknown daily health condition
Michinoku Health Assist System:
・Lite equipment with wireless communication for healthcare
(Blood Pressure, Blood Glucose, ECG, Heart rate and Activity monitor)
・Low cost total scheme for remote monitoring and sharing healthcare
Problems Solution
12
④ Shortage of Supporters
③ Unknown daily health condition and latent risks
⑤ Lack of sharing information between supporters
monitoring and sharing healthcare data
Taking a professional health assist
Easy to use
To be used in the long runFun to use
Low cost
administrative area 39
Full activation of current human resources and organization by introduction of tools (visualization, data sharing, long-time archive)
HR
Residents:17,584
Organization
Health promoter: 316
Resident,community member
Portable vital sensor
Data sharing device
Tools
13
Public health nurse
Mayor of town
Head of Center
Medical doctor
Nurse
WMWC
Public Health service
device
Data sharing device
Health memoryData base
Internet VPN
Visit medical treatment support system (ASP)
“Timeline-Viewer”(Personal Health Record(PHR) in
Chronological Order)
residents
Data CenterMeeting place
Data Link
Sensor Devices
BG110
The person inputs health information and life log
i) Access controlii) Overlook PHR by Timeline-Vieweriii) Integrated management of Fixed-quantity information and qualitative information
Overview
Support center at WMWC(Wakuya)
Doctor
Home, Group Home(housing for the elderly), etc.
Hospital/Clinic
residents
Supporter(A person is in charge of health
promotion, local welfare officer, etc.)
The person inputs health information and life log
Benefits by the introduction of IT technology
It makes possible to;
1. Easily grasp formerly unrecognized Vital Information
2. Easily expand Human/Information Network
15
3. Visualize the Personal Health Record
4. Provide Chronological Health Data Overview
The realization of the System with “Continuity and Extensibility“
Qualified and Facilitated health assistance for three damaged Tohoku Prefectures, Miyagi, Fukushima and Iwate
- To solve fundamental difficulty of local medication caused by two factors, 1) increase of aged people with disease, 2) deterioration of service level due to shortage of medical staff, QF-HAS is one solution to activate current potential staff ability.
16
staff ability.- Personalized usage of devices and systems with consideration of each resident’s life stage and health condition raises awareness that importance of prevention, early detection and early treatment of disease. Finally it leads to decrease of social medical expense and resident’s satisfaction.
・Memory: More than 100 times・A battery: Exchangeable
Active mass meter Weight scale
・The measurement: Active mass・A measurement item:Steps, fast walking, distance, calorie, total consumption
・Memory: More than 30 days・A battery: Exchangeable
・The measurement: The weight・A measurement item: The weight・Memory: More than 100 times・A battery: Exchangeable
I: 2ch Holter ECG
21
Size:5cmX5cm 20GramData transmission:Bluetooth、USBECG:2ms intervalBody position :1ms intervalMemory:Max32GB
ScheduleMedical device approval:ClassⅡ (planned in June 2013)Start selling :Aug 2013
I: Wristband type sensor
22
Specification:・size of main part:1cmx3cm・heartbeat:10ms・body position:1ms intereval・data transmission:USB、Bluetooth
Schedule:・medical device approval :Class Ⅱ (planned in Aug 2013)・start selling :Sep 2013
Visit medical treatment support system (ASP*)
This system is the ICT solution that makes efficiency, high quality of the sphere of life care supports promotion mainly on the home medical care by the mutual cooperation between the various types of medical person such as a doctor, dentist, nurse, pharmacist, Care-manager, Physical therapist, and so on.
23
User management screen
User data entry screen
Communication screen
*ASP: Application Service Provider
Kidney Biopsy
mPSL-pulse
Prednisolone
Cyclosporin
Cyclophosphamide
Minimal Change Nephrotic SyndromeRegular Name of Disease
24
Cyclophosphamide
Dipyridamole
TP
Protein / Creatinine (Urine)
Urine General
Hypertension
“Health-Memory”:Quantitative & Qualitative Data Integration
• Chronological Health Data Overview • Past-Present-Future Transitions at a Glance• Time Scale can be Easily Selected from Minutes to
Decades• To Aggregate and Share Related Information e.g. • To Aggregate and Share Related Information e.g.
Weather, Life Events (Occupation, Move, Family, etc.), Meals and Physical Exercise
• To Easily Grasp formerly unrecognized Vital Information (Holter ECG, Sleep State, EEG, etc.) for the purpose of Prevention & Pre-Screening