1. Dr Robert V Kelly MD MBA FRCPI
Consultant Cardiologist
Medical Director

2. State of Health Patient demand Cost
Significant pressures at all levels of health system in Ireland
Euro
Quality
Access
Time
Efficiency
Infrastructure
People
Resources

3. Barriers Doctors: time, limited resources, logistics, patient care
Patients: access, time, mobility, cost, convenience
Providers: resources, cost

4. 100% mobile phone penetration in Ireland
Solving Problems
Need 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

5. 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

7. Clinical Scenarios Practical examples:
1.Live and Video services – urgent care
2.Store and Forward – OLOGIES
3.Patient portal, mobile, apps
4.Telehealth – Home monitoring
Practical examples:
Post hospital discharge; Follow up.
Minor urgent care triage / medications
CDM – Diabetes, Epilepsy, Obesity
Elderly home + nursing home televisits
Doctor experience:
ROI, Records, referral, Education, web conferencing, CME
Doctor-doctor referral

9. Doctors perspective- Pros and Cons of TM
Top Reasons for doctors to use TM
Top Reasons Not Sure / Not Willing:
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

10. Global experience
Reduced 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.

11. VideoDoc VideoDoc 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 by
an established HIPAA compliant technology, currently used in
practice 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 to
better health. Improved outcomes and quality of care comes from
innovation and technology (NIH 2015)

12. Summary
Video 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 delivery
and improve patient engagement
TM platform also allows doctors to develop their own solutions for their
patients.
TM is technology empowers better care through more patient
engagement, less admissions to A+E, closer doctor-patient collaboration,
ROI, happier patients, happier employers and happier doctors

14. VideoDoc - Summary
VideoDoc 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 by
an established HIPAA compliant technology, currently used in
practice 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 to
better health. Improved outcomes and quality of care comes from
innovation and technology (NIH 2015)