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Telemedicine - A Catalyst for Reviewing the Healthcare Paradigm. John Erbetta DERA Malvern Tel : +441684 895600 Fax: +441684 896113 Email : jerbetta@dera.gov.uk.

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telemedicine a catalyst for reviewing the healthcare paradigm
Telemedicine - A Catalyst for Reviewing the Healthcare Paradigm

John Erbetta

DERA

Malvern

Tel : +441684 895600

Fax: +441684 896113

Email : jerbetta@dera.gov.uk

This presentation represents the personal views of the Author and should not be taken to represent the view of either DERA or any other official body.

slide2
DERA
  • Defence Evaluation and Research Agency
  • Currently a Government Agency
  • 12,000 staff
    • 8,600 Professional and Technical Staff
    • 3,400 Administrative and Industrial Staff
  • $1,500 million Funding
  • Strategic Outlook (20 years)
definitions
Definitions
  • Telemedicine
    • To improve the delivery of health care and achieve better quality of care and health outcomes through effective and innovative use of health information
  • Paradigm
    • A Pattern - The core beliefs of an organisation
slide4

Opportunities and threats

Strengths and weaknesses

THE PARADIGM

Strategy

Environmental forces

Organisational

Capabilities

Performance

From Johnson & Scholes

the 3 ages where are we
The 3 Ages -Where are We?

Partners

Directing

Communicating

slide6

July 7, 2000

http://www.medicalpost.com/article7.html

84% of Patients want to ask their doctors questions over Internet

Survey of 2,500 consumers:

58% - referrals to specialists should be available by e-mail

41% - prescriptions should be refilled over the Internet

40% - an electronic exchange would facilitate discussion of embarrassing issues with a physician.

33% - get their annual check-up on-line,

20% - get test results.

45% - use media—including newspapers, magazines, the Internet and medical

journals—as their main source of medical information.

One-third of internet users get on-line to confirm or dispute a physician's diagnosis.

trends in healthcare
Trends in Healthcare
  • The current issue:
    • Current Hospitals size is a function of number of specialties and team size.
    • This has grown over past century - specialties narrow and centres of excellence need a large team.
    • Care is more easily supplied in smaller units - ‘human scale’
  • Telemedicine can offer large virtual teams but distributed across a number of centres
  • The impact is to change the underlying paradigm
achieving transformation

Organisation

Effective Management of ‘Resources’

‘Culture’

The

Telemedicine

Paradigm

Ensuring that Patients and Practitioners

are ‘comfortable’ with new approaches

Technology

Technology ‘neutral’ solution

Achieving Transformation
conclusions
Conclusions
  • International co-ordination
  • New organisation structures are needed to efficiently and effectively use resources.
  • Legal and regulatory barriers need careful review
  • Cost implications are not fully understood.
one does not forecast the future one creates it
“one does not forecast the future; one creates it!”
  • Vision
  • Strategy
  • Plans
  • Commitment to Change