TELEWORK IN MEDICINE AND BUSINESS

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TELEWORK IN MEDICINE AND BUSINESS
ROSAS CONSULTANCY MANAGEMENT
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INTRODUCTION ROSAS

• COMPLETED MISSIONS ABOUT MANAGEMENT IN
• ? OPERAHOUSES OF CHELYABINSK (OERAL) AND
  RIGA (LATVIA),
• ? THE THEATRE OF KURGAN (OERAL),
• ? THE CULTURAL DEPARTMENTS OF GORLOVKA (DONBAS)
• ? SOUTH-SULUWESI (INDONESIA) FOR THE LOCAL
  GOVERNMENT OF GOWA
• CONSULTANCY FOR DUTCH COMPANIES
• INTERIM-MANAGEMENT
• DEVELOPING OF SOFTWARE
• ORGANIZING MANAGEMENTS COURSES
• TEACHING TEACHERS (DIGITAL DRIVER LICENCE)
• TRADE (IMPORT AND EXPORT)

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CONTENT OF PRESENTATION

• THE FIRST LARGE SCALE TELEMEDICINE TRIAL ZHU
  LINGS CASE
• THE BIRTH OF HON IN 1995
• TRENDS IN BUSINESS
• HEALTH CAST 2010
• DUTCH STUDIES TELEMEDICINE
• THE FUTURE CARE CONSUMER
• PRACTICAL EXAMPLES (COMMERCIAL AND NON COMMERCIAL)

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The First Large-Scale International Telemedicine
Trial to China ZHU Ling's Case
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ZHU Ling's Case

• On April 10, 1995, a SOS e-mail message was sent
  from Peking University through the Internet to
  ask for help for a young female university
  student, ZHU Ling, suffering an unknown but
  severe disease.

• The message was widely spreaded and since then
  one has received over 2,000 e-mail replies from
  18 countries and regions and the Internet has
  played a very important but complicated role in
  Zhu Ling's life

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ZHU Ling's Case

• Dr.Shunwei Li, Chairman of Dept. of Neurology at
  PUMC, made a conjecture of thallium poisoning.
  But his guess was not put to scientific test and
  soon was denied by some famous toxicologists in
  Beijing. Since then, they had not considered that
  possibility

• 84 persons worldwide made the correct diagnosis
  by themselves or by their friends who were
  consulted in the order of being received by
  Beijing University
• ZHU Ling had a thallium poisoning

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THE BIRTH OF HON IN 1995

• 64 telemedicine experts gathered together in
  Geneva on an invitational conference The use of
  the internet for telematics in healthcare
• They founded the Health on the Net
  Foundation(HON)
• The foundation has a highly qualified and highly
  respected medical site www.hon.ch

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HEALTH ON NET FOUNDATION (HON)

• HON Code of Conduct (HONcode) for medical and
  health web sites
• 2.800 e-health sites adhere the Honcode

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TELEMEDICINE

• Telemedicine definition
• Delivery of health services via remote
  telecommunications. This includes interactive
  consultative and diagnostic services.

• Also used terms telehealth, online health and
  e-health

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TRENDS IN BUSINESS

• GLOBALISATION
• NEW TECHNOLOGY
• SERVICE ORIENTATION
• NEW RELATIONS BETWEEN ORGANISATION AND EMPLOYEES
• EMPLOYABILITY
• ORGANISATIONAL CHANGE

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NEW TECHNOLOGY

• MORE AND SMALLER COMPUTERS
• 80 OF WORK WITH COMPUTERS
• ROBOTISATION
• USING COMPUTERS FOR COMMUNICATION
• INTERNET, INTRANET, EMAIL
• DATABANKING NEW INFORMATION FEEDBACK SYSTEMS,
  KNOWLEDGE MANAGEMENT
• NEW FORMS OF COLLABORATION USING COMPUTERS

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HEALTHCAST 2010

• International study of Price Waterhouse Coopers
• Key point is the empowerment of the
  consumer/patient
• Empowerment thanks to the increasing acces to the
  telemedicne internet sites

• New technology will be focussed on self
  diagnoses, self care and home care
• Other international surveys confirm the trends

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DUTCH STUDIES

• 3 STUDIES
• 1. National Board of Health and Care, 2. The
  Association of Dutch Hospitals 3. The State
  institute for Health and Enviroment
• In all studies is the key issue the increasing
  main role of ICT in health and care

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DUTCH STUDIES

• The National Board of Health and Care is focussed
  on the internet
• Use the possibilities of e-health to deliver care
  of high quality, easy accessable and cost
  effectivity

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DUTCH STUDIES

• The study of the Assiciation of Hospitals is
  concentrating on the hospital of the future
• Here are the key factors telemedicine can
  contribuate to solve problems in care, like
  hospital waitinglists and lack of personal

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DUTCH STUDIES

• The report of the State Institute voor Health and
  Enviroment has a high expectation about
  telemedicine and telecare in home care
• Specialy in optimising the efficiency

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DUTCH STUDIES

• Main problem for future is the ageing of the
  population and the lack of (qualified) personal
• The demand for care increases in 2010 for 30
  and the supply (of personal) will decrease with 2
  per year
• So there are high hopes, that better, cheaper and
  more effective care are under reach.

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DUTCH STUDIES

• Telemedicine will play a main role
• The patient will be better served
• The care is moving to the home of the care
  demander
• The comsumer/patient has a mighty weapon the
  internet

• The main issue is the standarisation and the
  quality of the information
• The example of HON is one of the best

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TECHNOLOGY PULL AND PUSH

• ICT-businesses are pushing supply
• Huge market potentials
• In 2005 30 Milliard Euro

• Technology pull is about about the demand in the
  market
• In the Dutch studies one sees telemedicine as an
  answer on shortage problems and about
  organizitional matters

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THE FUTURE CARE CONSUMER

• The consumer/patient will act as a good informed
  and self-assured demander in de health market
• 5 trends are to be highlighted

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THE FUTURE CARE CONSUMER

• The patient wants to be interdependent of the
  doctor
• The internet will be used for a second opinion,
  self diagnose and self care
• The patient will push doctors to improve their
  medical skills
• The patient shall push the pharma branche for
  better drugs
• The patient demands an increasing quality
  garantee of medical service

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EXAMPLES IN PRACTICE

• Commercial
• Philips Medical Systems

• Non commercial

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STATE OF THE ART MEDICATION

• Healt Base is an impressive databank with medical
  and pharmaceutical info
• Sources national and international files (like
  WHO)
• Constant input from GP and Pharmacists
• 1390 GP, 701 Pharmacies, 200 local health servers

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PROTECTION OF PATIENT

• Drugs can cause side effects
• In the medicom software is implemented a warning
  system against this effect

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EXAMPLE

• A patient has an allergy
• The GP provides a presciption for terfenadine for
  this allergy
• The patient also has a irregular heart beat
• The cardiologist provides a presciption for
  verapamil
• The pharmacist queries the database and sees that
  the combination of the 2 drugs can cause a very
  dangerous disturbing of the heart beat
• He contacts the GP immediately and together they
  decide to provide another save drug for the
  allergy

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THE HARDWARE
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THE HARDWARE

• City of Goirle
• 20.000 inh.
• 6 practices (8 GP)
• 2 pharmacies
• Patient gets a discription for a drug from the
  GP, enters the pharmacy which already has an on
  line copy and takes the drugs home

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PERSONAL HEALTH INFORMATION SYSTEM

• The GP is storing the data of the patient in a
  electronic file
• This file is in principle accessable for the
  medical specialist in the hospital
• Patient is directed by the GP to a specialist
• Specialist informs the GP about the care program
• When the GP is on leave the substitute can access
  the file

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TELEWORK IN MEDICINE AND BUSINESS
ROSAS CONSULTANCY MANAGEMENT