4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002

Forum-Telemedicine as key factor for a succesful treatment of

chronically ill patients

Personalized Disease -/Case-ManagementUsing the Example of Asthma Patients

www.forum-telemedizin.dewww.forum-telemedicine.com

4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002

Effects of patient education

Days absent from school Hospital treatment

0

0.2

0.4

0.6

0.8

1

1.2

1.4

1.6

before after0

1

2

3

4

5

6

7

8

before after

4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002

School Hospital

0

1

2

3

4

5

6

7

8

before after later 0

0,2

0,4

0,6

0,8

1

1,2

1,4

1,6

before after later

Effects of patient education

4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002

School Hospital

0

1

2

3

4

5

6

7

8

before after FTM 0

0,2

0,4

0,6

0,8

1

1,2

1,4

1,6

before after FTM

Effects of patient education

4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002

Goals

Optimizing the doctor patient relationship

Cost savings & improved care

Patient-oriented electronic therapy management

Optimizing care standards of chronically ill patients (guidelines)

Optimizing information exchange

4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002

Forum-Telemedicine is not a health portal

Basic Principles

Forum-Telemedicine does not carry out medical consultation by itself and does therefore not replace the doctor

Forum-Telemedicine is a technically highly sophisticated aid for

the individual guidance of chronically ill patients

Forum-Telemedicine facilitates the doctor‘s guidance of their chronically ill patients

Forum-Telemedicine optimizes work- and information-flow

4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002

Organizational structure

4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002

Contract:

Payment of telemedical treatment

4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002

Treatment and monitoring

Offer

Education

A sense of Community

4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002

FTM-Platform – Overview

etc.

Individualized interfacing for patients, doctors, health insurance providers, clinics and other institutions

Treatment and Monitoring (automatic intervention etc.)

Education

Community (information, news, links, tips,...)

Extensive statistics

Intuitive usage structure

Privacy of personal information / coding

Doctor / patient communication -> Mail Manager

4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002

 

Patients‘ Interface: Opening Page

Individual Data

4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002

Overview – Task Bar

4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002

Mail Manager: Functions / Advantages

For communication

Patient, doctor, insurance provider, clinic, center

Advantages of the Online Mail Manager (internal within the platform)

All Emails are saved useful for research / change of doctors

Can be used from anywhere (even from Internet cafés / schools)

Does not depend on a program can be easily taught

Easy to use (dynamic buttons)

Everything always coded

4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002

Personal Sector

Personal Data

Individual Treatment Plan

Individual Medication

4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002

Data Sector – Online-Protocols

4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002

Doctor / Care Staff Interface

Care Sector (only his / her patients) Continuous monitoring and interaction with patientsaccording to quality standards

Patient Sector Case information Notes Evaluations automatic or personalized patient motivation

News Sector Reading / Writing articles Discussion Sector

Special Events Sector (offers, reservation information)

Statistics Sector

4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002

Doctor / Care Staff Interface

4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002

Statistics: Initial Performance Observation

4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002

Education Sector: Quiz

4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002

Education Sector: Practice Topics

4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002

Education Sector – Game – Example Asthma / Kids

Individualized game development

4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002

Treasure Hunt - Screenshots

4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002

Treasure Hunt - Screenshots

4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002

Treasure Hunt - Screenshots

4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002

 

Sharing Experience – Black Board / PenPals

4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002

 

Sharing Experience - Chat / Experts Chat

4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002

FTM-Plattform – Motivation Concept

Use of the homepage

Achievement list with prices

Individualized automatic motivation (Email, SMS, etc.)

4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002

Feedback of the acceptance study by GSK and BARMER from July 2000 to February 2001 on 50 children:

"Congratulations!"

"Patient-friendly Internet site"

"Many thanks for the ongoing and extensive replies to our requests and for the attempt to motivate Simon".

Acceptance by FTM Patients

4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002

Acceptance by FTM-Patients

4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002

Module use

0

100

200

300

400

500

600

MedizinbereichDaten/Protokolle

Medizinbereich Therapieplan

Medizinbereich Medikamente

Schulungsbereich Quiz

SchulungsbereichWiederholung

Schulungsbereich Spiel

SchulungsbereichVeranstaltungen

ErfahrungsaustauschSchwarzes Brett

Erfahrungsaustausch Chat

ErfahrungsaustauschExpertenchat

ErfahrungsaustauschFreundschaften

4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002

Self-empowerment (knowledge, behavior)

Contact with others sharing similar views

Feeling of security

Fun

Advantage

Patients’ motivation to FTM Participation

4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002

Distinction

Work reduction in the guidance of chronically ill patients (observation, summoning, statistics)

Stronger link to patients

Rewards linked to performance

Doctors’ / Clinics’ Motivation to FTM Participation

4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002

Summary

Because of the individualized concept Forum Telemedicine is NO

Health-portal

Call-center

Virtual doctor

4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002

Summary

Forum Telemedicine as a "tool" for: improved long-term management of chronically ill patients reduced use of resources thanks to increased observation cost savings for health insurance providers & trusts

Forum Telemedicine is a "plus" for: patients and their parents doctors and clinics health insurance providers & trusts sponsors and partners

4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002

horn@forum-telemedizin.de