1. 4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002 Forum-Telemedicine as key factor for a succesful treatment of chronically ill patients Personalized Disease -/Case-Management Using the Example of Asthma Patients www.forum-telemedizin.de www.forum-telemedicine.com

2. 4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002 Effects of patient education Days absent from schoolHospital treatment 0 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 beforeafter 0 1 2 3 4 5 6 7 8 beforeafter

3. 4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002 SchoolHospital 0 1 2 3 4 5 6 7 8 beforeafterlater 0 0,2 0,4 0,6 0,8 1 1,2 1,4 1,6 beforeafterlater Effects of patient education

4. 4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002 SchoolHospital 0 1 2 3 4 5 6 7 8 beforeafterFTM 0 0,2 0,4 0,6 0,8 1 1,2 1,4 1,6 beforeafterFTM Effects of patient education

5. 4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002 Goals  Optimizing the doctor  patient relationship  Cost savings & improved care  Patient-oriented electronic therapy management  Optimizing care standards of chronically ill patients (guidelines)  Optimizing information exchange

6. 4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002  Forum-Telemedicine is not a health portal Basic Principles  Forum-Telemedicine does not carry out medical consultation by itself and does therefore not replace the doctor  Forum-Telemedicine is a technically highly sophisticated aid for the individual guidance of chronically ill patients  Forum-Telemedicine facilitates the doctor ‘ s guidance of their chronically ill patients  Forum-Telemedicine optimizes work- and information-flow

7. 4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002 Organizational structure

8. 4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002 Contract: Payment of telemedical treatment

9. 4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002  Treatment and monitoring Offer  Education  A sense of Community

10. 4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002 FTM-Platform – Overview  etc.  Individualized interfacing for patients, doctors, health insurance providers, clinics and other institutions  Treatment and Monitoring (automatic intervention etc.)  Education  Community (information, news, links, tips,...)  Extensive statistics  Intuitive usage structure  Privacy of personal information / coding  Doctor / patient communication -> Mail Manager

11. 4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002 Patients‘ Interface: Opening Page Individual Data

12. 4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002 Overview – Task Bar

13. 4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002 Mail Manager: Functions / Advantages  For communication  Patient, doctor, insurance provider, clinic, center  Advantages of the Online Mail Manager (internal within the platform)  All Emails are saved  useful for research / change of doctors  Can be used from anywhere (even from Internet cafés / schools)  Does not depend on a program  can be easily taught  Easy to use (dynamic buttons)  Everything always coded

14. 4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002 Personal Sector Personal Data Individual Treatment Plan Individual Medication

15. 4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002 Data Sector – Online-Protocols

16. 4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002 Doctor / Care Staff Interface  Care Sector (only his / her patients)  Continuous monitoring and interaction with patientsaccording to quality standards  Patient Sector  Case information  Notes  Evaluations  automatic or personalized patient motivation  News Sector  Reading / Writing articles  Discussion Sector  Special Events Sector (offers, reservation information)  Statistics Sector

17. 4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002 Doctor / Care Staff Interface

18. 4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002 Statistics: Initial Performance Observation

19. 4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002 Education Sector: Quiz

20. 4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002 Education Sector: Practice Topics

21. 4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002 Education Sector – Game – Example Asthma / Kids Individualized game development

22. 4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002 Treasure Hunt - Screenshots

23. 4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002 Treasure Hunt - Screenshots

24. 4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002 Treasure Hunt - Screenshots

25. 4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002 Sharing Experience – Black Board / PenPals

26. 4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002 Sharing Experience - Chat / Experts Chat

27. 4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002 FTM-Plattform – Motivation Concept  Use of the homepage  Achievement list  with prices  Individualized automatic motivation (Email, SMS, etc.)

28. 4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002 Feedback of the acceptance study by GSK and BARMER from July 2000 to February 2001 on 50 children: "Congratulations!" "Patient-friendly Internet site" "Many thanks for the ongoing and extensive replies to our requests and for the attempt to motivate Simon". Acceptance by FTM Patients

29. 4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002 Acceptance by FTM-Patients

30. 4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002 Module use

31. 4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002  Self-empowerment (knowledge, behavior)  Contact with others sharing similar views  Feeling of security  Fun  Advantage Patients’ motivation to FTM Participation

32. 4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002  Distinction  Work reduction in the guidance of chronically ill patients (observation, summoning, statistics)  Stronger link to patients  Rewards linked to performance Doctors’ / Clinics’ Motivation to FTM Participation

33. 4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002 Summary Because of the individualized concept Forum Telemedicine is NO  Health-portal  Call-center  Virtual doctor

34. 4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002 Summary Forum Telemedicine as a "tool" for:  improved long-term management of chronically ill patients  reduced use of resources thanks to increased observation  cost savings for health insurance providers & trusts Forum Telemedicine is a "plus" for: patients and their parents doctors and clinics health insurance providers & trusts sponsors and partners

35. 4th Southern Institute for Health Informatics (SIHI) Conference, University of Portsmouth, March 26th 2002 horn@forum-telemedizin.de