TELEDERM 2008Healthy Present & Healthier Future

www.wctd2008.com

2nd World Congress of Teledermatology

& 1st National Conference of INSTED

On 16,17,18 October 2008 at Hotel Taj Coromandel, Chennai, INDIATheme: Healthy Present & Healthier Future

KSYOS TeleMedical Centre

TeleDermatology as the Golden Standard?

Med-e-Tel18 April 2008, LuxemburgDr. Leonard Witkampwww.KSYOS.org, +31-20-6000060, l.witkamp@KSYOS.orgDirector KSYOS TeleMedical Centre

Definition of good or best care (NTA 8028 TeleMedicine)

Does the patient get:Proper careIn timeOn best placeFrom proper health workerWith goals achievedWithout unmeant side effectsWith efficient use of material and financial meansWith all people involved satisfied

Afbeeldingen Breda\000_0009.jpg

Afbeeldingen Breda\000_0032.jpg

LET OP: Flits uit!

Step 1: the general practitioner takes pictures

Overview

Detail

Step 2: Unique Healthworker identification pass

Stap 7b: huisarts voegt extra informatie toe

(Automatische e-mail van de huisarts aan de dermatoloog)

Afbeeldingen Breda\antwoord DL in OC, klein.jpg

KSYOS TeleMedical Centre

1894 general practitioners, partly active

142 dermatologists, partly active

Contracts with all health insurers for TeleDermatology Consultations

Reimbursements between €46,50 - €64 per TDC

Number of participating general practitioners

0

200

400

600

800

1000

1200

1400

1600

1800

200034 37 40 43 46 49 52 3 6 9 12 15 18 21 24 27 30 33 36 39 42 45 48 51

Week2005 2006

Number of participating general practitioners

2006 2007

Quality-indicators for TeleDermatology

Use of the UZI-pass (health worker identificationpass)

Monitoring of prevented life referrals to the dermatologist

Monitoring of response time of the dermatologist

Use of the UZI-pass

In total 1.894 healthcare workers with the UZI-pas on the 1st of Februari 2008.

KSYOS: 43% of all UZI-passes in The Netherlands

TeleDermatology significantly contributes to the national health infrastructure and the development of the national Electronic Health Record

Referrals prevented

Two groups (n=6.843)

Group A: G.P. plans to refer the patient to the dermatologist (72,2%)

Group B: G.P. does not plan to refer the patient to the dermatologist (27,8%)

Monitoring referrals

Reduction of referrals in group A: 71,1%

Referrered in group B: 24,4%

Total reduction of referrals is 64,1%

This is inclusive quality improvement!

Response time Dermatologist

5,59 hours

Advantages General Practitioners

201 G.P.’s

Qualitative search

Learning effectFits into normal way of workingEfficiency increaseFunReimbursement is not important

Advantages Dermatologists

Prevention of unnecessary referrals

Relation with regional G.P.’s

More time for “real” dermatologic patients

Patient

Answer within 2 days

Emergencies

Quality improvement

No travel costs

No absence of work

Dutch Health Authority

TeleDermatology=

Dermatology

Dutch Director General of the Ministry of Health

TeleDermatology=

Cost saving

TELEDERM 2008Healthy Present & Healthier Future

www.wctd2008.com

2nd World Congress of Teledermatology

& 1st National Conference of INSTED

On 16,17,18 October 2008 at Hotel Taj Coromandel, Chennai, INDIATheme: Healthy Present & Healthier Future

Cooperation?

www.KSYOS.org

l.witkamp@KSYOS.org

+31-20-6000060