THE DREAMING PROJECT FINAL CONFERENCE Trieste, 14th June 2012 The new organization model of Pflegewerk and Mediplus in Berlin Marius Greuèl, Project leader Andrea Croci, IT Director Pflegewerk

2 After an implementation phase of one year all the vital sensors are running without problems

3 Patients are taking the measure themselfs

4 …sometimes with a mistake!

5 Videoconferencing is not so preferred in our Trial

6 Pflegewerk has realized an 24/7 contact center but in the future we want to realize a regional decentered solution at 5 locations

7 Residential Apartments for the elderly Ambulatory healthcare centers Ambulatory care services Pflegewerk offers different care solutions for the participants

8 Dreaming is focused to one of the target groups of Pflegewerk/Mediplus Disease Manage- ment Home Care Residential Care Intensive Care Target group of Pflegewerk

Implementation of medical pathways 9 no yes Patient in intervention group? Nurse for the elderly measures vital data according to medical prescription using telemedicine devices. Data is transmitted via smartphone to portal Receives data and makes them available to doctors and nurses. Sends SMS or in case of conspicuous measurements. Nurse for the elderly and doctor receive values immediately and can respond promptly. Nurse for the elderly measures vital data according to medical prescription. Data is stored in paper record. Sents summary report to doctor by . Doctor receives regularly vital data of patient as a basis for further decisions.

10 Devices The Vital sensors and environmental sensors could be used successful since 2010 The video conferencing is not comfortable, not all of the problems with the audio card could be solved; we had installed two units in two apartments for the tests of the usability and handling. Since that time we have again Problems with the webcam, the sound and the quality of the video especially with the synchronization between video and audio channel Mambo is not really useful for all of the participants, because of the handling and problems with GPS receiver Results of the project

11 Study group 16 participants –14 died – 1 in Nursing home – 1 refused to take part after initially accepting Control group 15 participants - all died along the way Dropouts

Health economic Results Germany IGCG Installation costsH/w ,00 Personnel costs17.625,00 Installation at service provider4.690,00 TOTAL installation costs ,00 0,00 Operational costsTOTAL operational costs72.850,00 Healthcare costsHospitalisation costs , ,00 Cost of emergencies assistance6.300, ,00 Cost of ambulance transports0,00 Cost of GP consultations18.252, ,00 Cost of specialist consultations9.234, ,00 Cost of home visits by nurses40.749, ,50 Cost of home visits by service employees , ,00 Cost of home visits by social operators10.622, ,00 Permanent transfer to elderly home62,00 0,00 TOTAL , ,50

13 Mediplus has identified and win the following contractors for the long- term guarantee of benefits after the EU funded phase: - Housing Associations - several Health insurances - Hospitals - Medical service center for counseling and case management Furthermore, the following partnerships have been included: - German Society for Telemedicine - German Society for Health Telematics - German Nursing Associations - Technology Foundation Berlin Country (TSB) - Federal Association of Private Care Services - German Hospital Federation Plans beyond the EU funded phase

14 Plans beyond the EU funded phase Smart- phone

3. Why 3rd Generation? Central Unit Tablet Devices are downsized to the actual needs of a nurse for the elderly ! 1st generation 2nd generation 3rd generation Smart- phone Plans beyond the EU funded phase

16 Some of the biggest health insurances has informed us that they are interested to transfer the project results into the prospective standard care system of Telemonitorig financed by the health insurances in 2013 The health insurances prefer meanwhile a methodological solution based on Propensity Score Matching and is compatible with MAST Plans beyond the EU funded phase

17 The German minister of health Dr. Daniel Bahr has started 2012 with a Masterplan for Telematik In 2012 the new electronic insurance card will be implemented for all of the 70 Mill. health insurance takers Plans beyond the EU funded phase

18 Contribution of Pflegewerk in new ICT Policy Support Programme (ICT PSP) for Telemonitoring RENEWING HEALTH (REgioNs of Europe WorkINg toGether for HEALTH) with 400 participants Plans beyond the EU funded phase

Thank you for listening Pflegewerk Mediplus Managementgesellschaft im Gesundheitswesen mbH Wisbyerstr. 16/ Berlin Tel.: (030) Fax: (030) Mail:

20 Preparation of an application regarding the future implementation of telemonitoring into standard care at the Gemeinsamer Bundesausschuss (federal committee, the highest competent council of the collective self-organisation of doctors, hospitals and health insurances in Germany) Membership in the telematic network of the telematic delegates of the German federal states under the leadership of the health ministry (HIPPO) Plans beyond the EU funded phase