Dr Robert V Kelly MD MBA FRCPIConsultant CardiologistMedical Director

State of HealthSignificant pressures at all levels of health system in Ireland

Resources

Cost

Quality

Efficiency

People

Patient demand

Euro

Access

Time

Infrastructure

Barriers

Doctors: time, limited resources, logistics, patient care

Patients: access, time, mobility, cost, convenience

Providers: resources, cost

Solving ProblemsNeed to find solutions that improve care by overcoming barriers; e-health has a huge enabling role.

Give patients more convenient access at lower cost, supported with information to high quality care. Telemedicine.

Increasing trust among patients in technology;

86% people are on-line

100% mobile phone penetration in Ireland

70% mobile phone users aged over 50

Telemedicine Telemedicine is defined as a remote video consultation between a doctor and a patient.

In 2014, the Federation of State Medical Boards (FSMB) in USA established guidelines about what constitutes an appropriate telemedicine encounter.

Be HIPAA compliant

Have an audio and video connection

Produce a record of the visit

Allow patient to know with whom they are connecting with.

High-quality tele-health provides: On-demand and/or scheduled video visits; The ability for physicians to see new and/or existing patients; Optional Electronic medical record integration; Training for physicians

Clinical Scenarios 1.Live and Video services – urgent care2.Store and Forward – OLOGIES3.Patient portal, mobile, apps4.Telehealth – Home monitoring

Practical examples:Post hospital discharge; Follow up.Minor urgent care triage / medicationsCDM – Diabetes, Epilepsy, ObesityElderly home + nursing home televisits

Doctor experience:ROI, Records, referral, Education, web conferencing, CMEDoctor-doctor referral

Doctors perspective- Pros and Cons of TM

Flexible work-life balance

Opportunity to earn more income

Improve outcomes for patients by making follow-up easier

Be on the leading edge of telemedicine

Attract new patients to practice

Retain existing patients

Questions about clinical appropriateness

Unsure about reimbursement

Concerns about security, HIPAA

Lack of training in clinical protocols for telemedicine

Top Reasons Not Sure / Not Willing:Top Reasons for doctors to use TM

Global experienceReduced admissions: 20% less A+E; reduced GP office visits

VA Heart Failure Program reduced admission 50%

In UK TM programs associated with 45% reduction in mortality.

Patient + physician approval is growing.

VideoDocVideoDoc is an Irish telemedicine platform provider.• operates a virtual clinic model to corporates clients.• primary care model that enables doctors / HC providers to integrate platform

into their own practices and roll out their own offering

VideoDoc operates a secure, safe, high quality IT platform backed byan established HIPAA compliant technology, currently used inpractice in USA.

We aim to improve healthcare experience, that leads to better patient outcomes at an affordable cost.

More engaged patients lead to higher quality care at lower cost and tobetter health. Improved outcomes and quality of care comes frominnovation and technology (NIH 2015)

SummaryVideo enabled Face-to Face consultation between patient and doctor enables convenient, easy to access and very affordable way to see doctor

Easier access for patients to their doctor will enhance care deliveryand improve patient engagement

TM platform also allows doctors to develop their own solutions for theirpatients.

TM is technology empowers better care through more patientengagement, less admissions to A+E, closer doctor-patient collaboration,ROI, happier patients, happier employers and happier doctors

VideoDoc - SummaryVideoDoc is an Irish telemedicine platform provider.• operates a virtual clinic model to corporates clients.• primary care model that enables doctors / HC providers to integrate platform

into their own practices and roll out their own offering

VideoDoc operates a secure, safe, high quality IT platform backed byan established HIPAA compliant technology, currently used inpractice in USA.

We aim to improve healthcare experience, that leads to better patient outcomes at an affordable cost.

More engaged patients lead to higher quality care at lower cost and tobetter health. Improved outcomes and quality of care comes frominnovation and technology (NIH 2015)