Good Practical Experience Worldwide: Value-Added Services of PHR
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Good Practical Experience Worldwide: Value-Added Services of PHR – Customized to the Needs of Various Groups of Patients. Martin Fuchs Chief Executive Officer, InterComponentWare (Switzerland) AG, Zurich. Peter Reuschel. Norbert Olsacher. Dr. Frank Warda. Founded:. 1998

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Martin Fuchs Chief Executive Officer, InterComponentWare (Switzerland) AG, Zurich

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Martin fuchs chief executive officer intercomponentware switzerland ag zurich

Good Practical Experience Worldwide: Value-Added Services of PHR – Customized to the Needs of Various Groups of Patients

Martin FuchsChief Executive Officer, InterComponentWare (Switzerland) AG, Zurich


Martin fuchs chief executive officer intercomponentware switzerland ag zurich

Peter Reuschel

Norbert Olsacher

Dr. Frank Warda

Founded:

  • 1998

  • 2000: Conversion into a corporation (unlisted)

Locations

  • Walldorf, Germany (Corporate HQ)

  • Cologne, Germany

  • Vienna (Austria)

  • Zurich (Switzerland)

  • San Mateo, CA (USA)

  • Sofia (Bulgaria)

Employees

  • 600 (and growing)

Investors

  • Dietmar Hopp (co-founder of SAP AG)

  • Dr. Andreas and Dr. Thomas Strüngmann (Santo Holding [Deutschland] GmbH)

  • EnBW Energie Baden-Württemberg AG

  • ICW Executive Board, Supervisory Board of Directors, and employees

Executive Board

  • Peter Reuschel (CEO)

  • Norbert Olsacher

  • Dr. Frank Warda

The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia


Our fields of activity

Our Fields of Activity

LifeSensor – the Web-based personal health record

Networking solutions for professionals in the health care market

Development technology and open standards for the eHealth market

The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia


References

References

BARMER

National research project for the personal health record

The Rhine-Neckar Health Care Initiative

Implementation of the LifeSensor personal health record in the Rhine-Neckar region

Patient-Partner AssociationIntegrated care with the personal health record

National Electronic Health Card in Bulgaria

Pilot project introducing the eHC and required infrastructure components

University Clinic in Heidelberg

Cross-institutional networking of the individual clinics' information systems

BKK Hoesch and BKK VOR ORT

Optimization of individual care management

The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia


Martin fuchs chief executive officer intercomponentware switzerland ag zurich

Health Care Trends in EuropeElderly population on the rise: Demographic Changes

United Nations: Population Aging 2002

5

May 2008

The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia


Martin fuchs chief executive officer intercomponentware switzerland ag zurich

Health Care Trends in EuropeEthical Conflicts on the Rise

Increased Customer Demands:

  • Promotion of self-determination/patient empowerment

  • Equal and just access to health

  • Improved medical treatment (independent of cost issues)

  • Security - Protection and Privacy

    Conflicts of resources and supply (30% of the primary physicians in Germany will retire by 2010)

6

May 2008

The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia


Martin fuchs chief executive officer intercomponentware switzerland ag zurich

Health Care Trends in EuropeIncreasing Transparency: Quality Ranking and Economic Resources

7

May 2008

The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia


Martin fuchs chief executive officer intercomponentware switzerland ag zurich

Health Care Trends in EuropeQuality Issues on the Rise: Comparative Performance of Health Care Systems – QA & Benchmarking

8

May 2008

The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia


Martin fuchs chief executive officer intercomponentware switzerland ag zurich

Health Society

…the third health care revolution as a solution

  • 1. Ensuring survival (19th century)

    • The major advance in health care policy in the 19th century ensured public health care

  • 2. Access to medical care (20th century)

    • Insurance and medical care systems ensure that people receive support during illness, invalidity and old age

    • The individual was a passivepatient

  • 3. Establishing the health society (21th century)

    • Focuses on prevention and maintaining and promoting health in all walks of modern -day life

    • The individual plays an active, crucial role

    • Health literacy is a key factor for success

9

May 2008

The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia


Martin fuchs chief executive officer intercomponentware switzerland ag zurich

Consumer

Patient

Employee

Citizen

Health Literacy

…the role of the individual in the health society

System

Market

Consumer behavior

System orientation

Personal Health

Health Literacy

Work environment

Health policy

Economy

State/Country

10

May 2008

The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia


Martin fuchs chief executive officer intercomponentware switzerland ag zurich

Health Literacy

…“Personal Health Life Cycle“

Schematic diagram of the state of a person‘s health

Well

Healthy

Senior citizen

Child

Adolescent

Adult

Unwell

Unhealthy

BurnoutHelp with recoveryLifestyle counseling

Alzheimer‘s disease management program

Health checkParental educationCourses on nutrition for childrenInoculations

Potential services and programs offered

Broken leg

Back strengthenig exerciesMental transformationBotox

Health educationprevention by the market

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May 2008

The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia


Martin fuchs chief executive officer intercomponentware switzerland ag zurich

Personal preventive program

Personal disease and illness curation programs

Health Literacy

…information-based health management

Personal Health Life Cycle

Prenatal

Baby

Childhood

Adolescence

Life - Work

50+

Old Age

Health Cockpit

Electronic Health Diary

12

May 2008

The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia


Martin fuchs chief executive officer intercomponentware switzerland ag zurich

The Use of Technology

…Personal Health Records Empowering Consumers

13

May 2008

The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia


Martin fuchs chief executive officer intercomponentware switzerland ag zurich

Personal Health Records: Integration of Equipment for Preventing and Monitoring Chronic Illnesses

Consumers can access health resources using new interfaces

  • Self-test/-diagnosis/-treatment

  • User can use interactive online tools to enter health-related information and are then guided to relevant information

Self-monitoring and analysis

  • Universal computing devices can be used to prescibe medication and continously monitor the patient‘s state of health

  • Save measurement readings online. These are regularly analyzed by online tools

Potential for Telemonitoring

14

May 2008

The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia


Martin fuchs chief executive officer intercomponentware switzerland ag zurich

PracticalExample

…Aargau / Sports Group XL

Youth Sport Camp XL

Smile

More active thanks to the happy ActiSmile.

ActiSmile is an exercise measurer that records how much you move everyday. Its smile motivates you to move more. At the youth sport camp XL, you will learn how to raise a smile with ActiSmile.

And with a bit of luck you could win your own ActiSmile!

The youth sport camp for overweight children and teenagers

15

May 2008

The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia


Martin fuchs chief executive officer intercomponentware switzerland ag zurich

actismile

…BioFeedback Device; Motivation through Monitoring

16

May 2008

The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia


Martin fuchs chief executive officer intercomponentware switzerland ag zurich

actismile

…actismile family assessment

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May 2008

The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia


Telemedicine and mobile health

Telemedicine and Mobile Health

Autonomy

Freedom of Choice

Independency

  • In the Future

  • Interaction of records with health information databases and intermediaries

  • Tests automatically arranged and medication automatically prescribedas and when required

  • Messages sent to the patients portable device if required

  • Referral to the appropriate health care providers

  • Portable devices regularly update the personal health record in real time

  • Receive all information about the person’s physical condition

  • Advantages

  • Consumers play a more active role in their own health care

  • Immediate access to important information

  • Access to information from anywhere in the world

  • Reduced duplication of services

  • Health professionals are automatically notified if the system recognizes potential issues or problems

  • Improved information exchange between health care providers

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May 2008

The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia


Example chronic heart failure

Example: Chronic Heart Failure

  • Epidemiology

  • 1.5% of the German population (1.2 m patients)

  • Approximately 160,000 – 200,000 people diagnosed with chronic heart failure every year

  • Increasingly prevalent, one in 10 people in Germany > 65 years old

  • Health Economy

  • 2% of the total health care budget

  • Costs/cardial decompensation approximately €5,000

  • 5% of all hospital stays

  • Most common cause of hospitalization of older people > 65 years old

Reducing treatment costs while maintaining the same quality of treatment

vs

Same costs but improving the quality of treatment

19

May 2008

The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia


Patients with chronic heart failure

Domestic

Sub-acute clinical health care

Integration into the community

Advice

Teaching skills for everyday life

Self-diagnosis

Assisted living

Access to acute health care

Help with professional issues

Patients with Chronic Heart Failure

Clinical Signs:

  • Fast and weak pulse

  • Swollen legs and abdomen

  • Weakness

  • Shortness of breath with little physical movement

  • Labored breathing when lying down

  • Must sit up straight or with a pillow for support

  • Foamy, bloody sputum

Image. Netter-Atlas

20

May 2008

The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia


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