Telemedicine around the Globe IFA, Prague Andy Fischer, President 29 October 2015

The International Society for Telemedicine and eHealth 2

ISfTeH Mission Statement “ISfTeH exists to facilitate the international dissemination of knowledge and experience in Telemedicine and eHealth and to provide access to recognized experts in the field worldwide” 3

ISfTeH has Members from more than 70 Countries (November 2011) 4 » Non governmental and non for profit society with close relationship to WHO » Primarily an umbrella for national Telemedicine and eHealth organizations

Main Activities » Promoting & Supporting Telemedicine/eHealth activities around the globe »Ambassadors Program » Networking & Scientific Platform »Annual International Event » Incubating and Assisting the start-up of new national organizations » Supporting member countries in the field of Telemedicine and e-Health »Strategy and Policies »Regulations & Standards »Businessmodel & Reimbursement »Education & Training 5

International Relations 6

Members Categories Description Council Organizations mandated by the health authority of their countries (Ministry of Health or equivalent body) to represent the authority in matters concerning telemedicine/eHealth in their particular countries. The board of directors shall have final say as to whether or not an organization shall be considered mandated by its country's health authority. National Membership organizations representing telemedicine/eHealth in their particular countries. The board of directors shall decide whether an organization shall be considered its country's representative. Associated Organizations not belonging to the national members category. Institutional Governmental and non-governmental academic institutions such as universities, clinics, research institutes, and their sponsoring organizations. Corporate Commercial organizations such as manufacturers, distributors and service providers in the field of telemedicine/eHealth. Individual Natural persons concerned with Telemedicine and eHealth. Nurse Non-voting members who shall be natural persons exercising the nurses profession. Student Non-voting members who shall be natural persons undergoing academic training (undergraduate students and postgraduate students up to MSc degree). Students of PhD programs should register as individual member. The Students and Nurses memberships are free of charge categories! Memberships 7

What is Telemedicine? Telemedicine describes the interaction »between patient and health care provider ( teleconsultation ) »or between health care providers ( telecounselling ) as a form of medical treatment where the participants are not in direct physical contact with each other 8

Or shorter…....medicine on a distance

There are multiple Forms of Telemedicine 10

Structure & Forms of Telecounselling 11 ComponentsContents Communication channelsTelephone (realtime, audio) Internet (store & forward, data) Video (realtime, audio & video) TelediagnosticsTelemonitoring (BP, sugar level, saturation, etc.) Digital Imaging (xRay, Ultrasound, MRI, photos, etc.) Lab Results Teletherapynone Examples of Services » Second Opinion Services between specialist and healthcare provider such as Teleradiology, Teledermatology, Teleopthalmology, Telepathology, etc.

Structure & Forms of Teleconsultations 12 ComponentsContents Communication channelsTelephone (realtime, audio) Internet (store & forward, data) Video (realtime, audio & video) TelediagnosticsBedside Telemonitoring (BP, sugar level, saturation, etc.) Bedside Image (digital photos) TeletherapyPrescription of medication Robotic Interventions Examples of Services » Medical Call Center (doctor or nurse) » Internet Advice by a local doctor direct to patient » Robotic Surgery » etc.

Worldwide Telemedical Activity and clusters… 13 Source: AMD 2011

…but more Initiatives for Telecounselling than for Teleconsultations 14 Source: Swiss Center for Telemedicine Telemedical Activity Analysis 2011

Remarkable Results for Telemedicine » Cost Reduction »High Patient Satisfaction »Equal Quality, Safety and Outcome than f2f consultations »Improved Access to Care

Challanges & Barriers for Telemedicine » Missing Regulations & Legal Limitations » Cultural or political Resistance (e.g. doctors fight against telemedicine…) » “Digital Devide” (limited access to technology or missing skills) » Missing Businesscase or Funding » “Pilotitis” 16

The 6 Success Factors for Telemedicine 1. Focus on local needs & process 2. Political and social acceptance 3. No legal constraints 4. Embedded in existing healthcare structure 5. Top medical quality and outstanding technology 6. Sustainable business model 17

Contact 18

The world has many far-flung places… 19