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, [email protected] 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
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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)
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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
+31-20-6000060
