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PATIENT CENTRIC META DATABASEAND INFORMATION SYSTEM

FOR MEDICAL AND HEALTH MANAGEMENT

HOSPITAL & CLINICS

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Key Objectives - Rationalization

Allow healthcare professionals to work interactive Tool to optimize the treatment process Tool to create patient profile and case – disease management Tool for patient management (e.g. behaviour & lifestyle change) Tool to avoid redundancy and unnecessary prescriptions

30% reduction of patient history research time20% reduction in patient diagnosis time20% reduction of disease emergency treatments25% reduction of medical exams and tests30% risk reduction of medications

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Key Objectives - Quality

Quality of healthcareEnable the delivery of high quality healthcare Integration of the patient in the healthcare process

• all medical data are immediately available Immediate identification of risk patients Realtime interactive hospital intranet for physicians over open platform No proprietary systems

Provide the highest quality service 24 / 7 Realtime availability of interactive medical information and

documentation from trustworthy sources Patient protection through early warning system

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Key Objectives - Hospitals

Development of healthcare infrastructure for better quality healthcare

Better information and involvement of the healthcare consumer

Sharing of healthcare information and experience

Comply to healthcare regulations and guidelines

Develop programs to rationalize the healthcare process

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Innovative Approach to Health& Medical Risk Management

24/7 Availability of patient medical documentationOut of medically credible trustworthy sources(Family / consulting physician, hospital, clinics etc.)

Interface to clinical information systemsLaboratories, Radiology, Biosensors, etc.

Patient disease related profileDynamic adaptation to state of patient

Case – disease and medical risk managementEBM for good medical practice - golden standards and guidelines

Confidential data exchange pointAll patient related medical and health dataFor authorised healthcare professionals both in and out of the hospital

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Continuity of medical care

Consulting Physician

DispensedMedication

Laboratories

Second Opinion

Medical Call Center

Hospital & Clinic

Therapists

Patient CentricIntegrated Electronic

Medical Record

Physician

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Continuity of Healthcare

The treating physician, consulting physician, hospital and clinic, dentist, optician, laboratory, therapist and pharmacist can share relevant patient information and documentation.

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Continuity of Healthcare

Enabling the rationalisation of the healthcare process Reducing unnecessary medical examinations Eliminate redundancy of prescriptions Reduce risk of medication interactions and negative reactions Optimizing the hospital process and reducing hospitalization Avoiding delays in diagnosis and treatments Faster and better medical care at reduced costs Reduce risk of malpractice

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Patient Centric Meta Database

MetaDatabase

Implant Register

PhysicianMedical Record

Health Cards

Medical Information& Images

Output

Input

Output

Input

I E M R

Clinical MedicalRecords

Health Profile

DispensedMedication

Disease Profile

LaboratoryResults

MedicalCall Center

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Integrated Electronic Medical Record

Intuitively understandable by healthcare professionals worldwide Multi Language Ergonomically structured to

physicians working methods Easy to consult by patient

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Disease related & health profilePatient group profile

IEMR contains patient medical & health data and documentation

Patient disease related profiles are created through case – disease support applications(e.g. diabetes, nephrology, cardiology )

Patient health profiles are created through occupational health and human ability building applications

Patient group profiles are created for statistical analysis of patient groups

IEMR

Disease related profile Health profile

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IEMR: Ergonomic Structure

Structured to follow the medical process and working methods of physiciansComprehensive and up-to-date medical data and documentationPersonalised according to existing patient data

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IEMR: Disease related data

Comments and notes may be entered with each value on a chart

Disease related data:Example of diabetes patient

Blood sugar

Blood pressure

Blood coagulation

Medication

Calorie intake

Physical activity

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IEMR: Patient Documentation

Patient documentation in the Integrated Electronic Medical Record, IEMR may consist of:

Physician notes, letters and text documentsLaboratory test and examination resultsX-Rays, scans, MRI, ECG, angiography, Echocardiography, Audiometrie, Visual performance, fundus of the eye, EMG, NCV, other medical imaging, etc.

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Case – disease support:Disease related profile

A disease related profile of key medical indicators (e.g. blood sugar, blood pressure, insulin intake etc.) can be established and followed over a day, weeks, months or years.

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Management of "Risk Patients"

Case – Disease management Using Evidence Based Medecin, EBM

and good medical practiceInterface or data migration out of other medical information systems Bio-sensors, laboratories, hospitals Specialised medical documentation

(Orthopedic, cardiology, nephrology, radiology)

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Patient support applications:Examples

General patient support Optic-Card Dental-Card Audio-Card Allergy-Card Cardio-Card Diabetes-Card Nephro-Card Orthopedic-Card

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Data Protection& Access Management

Patient controls access to recordCertain data updated by patient

Medical data certified by physicianAll data traced to source

Physician can restrict access to data

Physician & Patient notified of updates

EC Health Card or USB Key “access key”

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24 / 7 access to key medical data in the

Integrated Electronic Medical RecordIntegrated Electronic Medical Record,

allows a physician to be much more efficientand secure in the treatment of a patient.

Unnecessary medical examinations,treatments and the associated

risks are minimizedrisks are minimized

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Healthcare Rationalization

50% efficiency of patient admission processing time20% reduction of medical exams and tests30% efficiency in diagnosis time for emergencies

Hospital & Clinic

30% reduction of patient history research time20% reduction in patient diagnosis time20% reduction of medical exams and tests

Physician

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Healthcare Rationalization

Patient

Greater medical security – one IEMR -

Improved healthcare treatment

Improved quality of healthcare

Optimization of healthcare services Early warning system in case of problems with medical

implants and drugs Supervision of compliance with medical regulations

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20% reduction of disease emergency treatments25% reduction of medical exams and tests30% risk reduction of medications

Regional Healthcare

Healthcare Rationalization

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access authorized by patient

platform dedicated to healthcare professionals

open standard for medical data exchange

integrating existing technologies and systems

no investment in hardware and software development

integration of national and international physicians

The patient centric meta database

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Designed by physicians for physicians

Complete patient medical data and documentation

Follows physician working methods

Patient disease profile and risk analysis

Patient pro-active health support and profile

Case – disease management system

The IEMR & Medical Knowledge Base

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Why integrate withhospitals and medical groups?

Continuity of increasing quality of medical care Patient centric medical data and documentation

Optimization & increasing efficiency High quality of patient data and documentation availability Integrates the patient in the medical treatment process and pro-active

health programs

Assist in in efficient medical and health management Identification of risk patients Optimization of examinations and treatments Identification of optimal treatment guidelines, use of EBM