Israel Telemedicine Industry - A Market Driven Sector Frontier of Telemedicine - Symposium Introduction 9 November 2000 - PowerPoint PPT Presentation

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Israel Telemedicine Industry - A Market Driven Sector Frontier of Telemedicine - Symposium Introduction 9 November 2000

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Title: Israel Telemedicine Industry - A Market Driven Sector Frontier of Telemedicine - Symposium Introduction 9 November 2000


1
Israel Telemedicine Industry - A Market Driven
SectorFrontier of Telemedicine - Symposium
Introduction9 November 2000
2
Every Child Deserves The Best Healthcare
International Virtual Telepediatric Program
December 11-12 2000
http//www.everychildhealthcare.org
3
Israel Telemedicine Today35 Companies
  • Homecare - 9
  • Emergency -7
  • Specialist Consult - 15
  • Patient Records - 10
  • Hospital Records - 6
  • Imaging - 9
  • PACS - 8
  • Videoconferencing - 6
  • POT - 11
  • ISDN, E1/T1 - 10
  • ADSL, ATM - 7
  • Internet - 8
  • GSM - 5
  • Mobile IP - 3

TeleMarpeh Remote Medicine
4
Products
  • Full Service Concept
  • Large Repertoire
  • POT, GSM, IP-GSM
  • Credit Card or Watch Size
  • Ergonomic and User Friendly
  • Meeting Real Demand

5
Telemedicine Networks in Israel
  • Shahal, Natali emergency
  • Galilee HealthNet
  • Israel-Palestine Cardiology
  • BGU network
  • TAU - CME

e
TeleMarpeh Remote Medicine
6
Homecare Services
  • Total - 100,000 households
  • Shahal - 50,000
  • Natali - 37,000
  • Others - 13,000

7
Homecare Specialties
  • Cardiology -
  • the major use
  • Asthma -
  • Increase use
  • High Risk Pregnancy - coming

8
Outcome Measurements - Emergency
  • NATALI
  • 85 - Telephone at home
  • 9 - Ambulance at home
  • 6 - Hospital transfer

9
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10
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11
Tele-Dialysis at a Community Clinic -
Spatial setup
12
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13
On E-Patient and E-Doctor
  • 70 Million Americans Visited Health Websites in
    1999 (75 women)
  • Over 20,000 Sites Specialized in Healthcare
  • 40 Consumer Health Search
  • 25 Drug Information
  • 8 Clinical Studies
  • 9 Evidence-Based Medicine
  • 1 Health Electronic Communities
  • 7 Administrative, payment

14
Health Portal
15
Market Facts
  • US Healthcare Market - 1.3 Trillion
  • Telemedicine - 5 Billions
  • Health Informatics - 1.9 Billions
  • Telemedicine - 0.3 of Healthcare Market but
  • 8 of Electronic Commerce

16
Telemedicine Spreads
  • 179 Telemedicine Programs in 49 US States
  • 75 Radiology (500K US, 150K Israel)
  • 44 Dermatology
  • 33 Cardiology
  • 25 Others ()
  • VA 277K 70 Teleradiology

17
Video? Audio? Data?
  • 62 Interactive Video
  • 14 Non-Interactive Video
  • 23 Audio and Data only
  • Small Number of Scheduled
  • Consultations
  • (52,223 video US (except VA)

18
Internet in Tele-Psychiatry
  • 40 health searches are psychiatry
  • 70 Most Active Sites - Psychiatry
  • Popular Sites www.apa.org, www.cornell.edu/dialog
    s/Ezra.html,
  • www.prozacsurvivors.com, www.sisterlaliebipolar.co
    m, www.mellisatherapy.faq
  • 20 of non-treated before use internet for
    psychiatric treatment
  • Wire Magazine Internet will account to 25 of
    psychiatric services

19
Patient Tribes
  • Gomez.com
  • 77 of the 20,000 healthcare sites participate in
    electronic health communities
  • Prescriptions, consultations, Health Insurance

20
Diabetes
  • www.diabcare.org, www.faqs.org
  • Sugar Blood Level Software
  • Fitness
  • Injectors Devices
  • Liver Transplantation
  • Diets Watch

21
Reliability
  • Case Study 1 razoline
  • (22 March 2000 - FDA announces Forbidden Use)
  • Thriveonline, Americasdoctors. DrKoop
  • CBS added after Inquiry
  • Others - missing or buried.
  • Case Study 2 Latex Polymer
  • 1999 Removal and warning by Congress Hearing
  • All portal sited but DrKoop who serve as company
    consultant

22
Process - Chrohns Disease
  • www.niddk.nih.gov/health/digest/pubs/chrohns/
  • www.uou.org
  • AmericaDoctors.com
  • Onlinedoc.com
  • Information
  • Community
  • Interpretation
  • Address and Referrals

23
Doctors Sites
  • IntelHealth.com
  • e-skolar (87 full answer)
  • goldenhours.co.il

24
Dr. Fergusondoctom_at_doctom.com
  • Take an Active Approach to Gain Internet Skills
  • Analyze your Patient Internet Skills as a part of
    the Anamnesis
  • Mark Skilled Patients and Use Them

25
Patient Management at the Internet World
  • Encourage your patients to search info about
    their disease in the Internet
  • Ask your patients for their best Internet Sites
    related to their Disease
  • Make the Sites List available to all patients
  • Prepare your patient an Info page with the site
    list and with a list of e-communities for
    self-support
  • Explain your patients the Limits of knowledge
    reliabilities at the Internet

26
Cost benefits
  • Kaiser Permanenty
  • Hospitalization reduced from 9 to 0.6/year (50
    save)
  • Cost per patient reduced from 1,890 to 1,100
  • 5-6 Patients/day to 20 Patients/day (50 saving)
  • Evidence Based Medicine
  • U. Tennessee Knoxville
  • Cost Reduction from 500k to 39K for 45 patients
  • Reduced hospital days from 10-12 to 2-3
  • Reduced cost of advanced procedures
  • Evidence Based Medicine
  • Drug Saving

27
e-Pocrates
  • 7000 die annually from drug prescription mistakes
  • VA Robots, Codes and Scanners

28
The Inverted Pyramid
Hospitals
GP or Specialist
Information Mediators
Electronic Communities
Health Informatics
The Patient
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