Plattelandsparlement 2017 - kansen digitale zorg

Presentatie Tom van de Belt tijdens Plattelandsparlement 2017 event te Bronckhorst, Gelderland.

Santé

Workshop
Zorg op
afstand
brengt zorg
dichtbij

Kansen digitale zorg voor
kleine kernen
dr. Tom van de Belt 17 juni 2017
@rwhooijer)
#plattelandsparlement

Image source: http://cdn.business2community.com/wp-content/uploads/2016/01/Adaptive_World.jpg.jpg

Web 2.0Web 1.0
Sociale media
© Tom van de Belt

Consume
Sociale Media
- Kaplan and Haelein, 2010
Create
Connect
Control

@rwhooijer)
Source: http://www.ZorgkaartNederland.nl

@rwhooijer)
Verhoef et al. 2013 JMIR
more =
mortality
rate (-)
- patient experience (+)
- infection rates (-)
- readmission rates (-)

@rwhooijer)
http://www.jmir.org/2014/2/e56/

@rwhooijer)
‘To have a signiﬁcant impact on healthcare’
@rwhooijer)
Healthcare in 2017:
higher demand, better treatment options, budget cuts,
more ‘self-empowered patients’

@rwhooijer)
Internet
Professional Patient
Informal
Care
2010

@rwhooijer)
Internet
Professional Patient
Informal
Care
2017

@rwhooijer)
Internet
Professional Patient
Informal Care
Internet
Professional Patient
Informal Care
“Digital health(care) transformation”

@rwhooijer)
Research
and
Explore
Inspire
and
Educate
Innovate
and
Enable
@rwhooijer)

01010010 01100101 01110011 01101000
01100001 01110000 01100101
0 1
“creating something out of nothing”

@rwhooijer)
Nijmeijer H; Grim D, MSc ; Engelen L; Ter Laan M,MD, PhD ; Van Gelder, M PhD ; Van de Belt T, PhD .

understand deﬁne ideate prototype test
Design Thinking

deﬁne
Creativity
starts with
defining
the
problem

Why is it a problem?
to needs
WHAT DOES
YOUR USER
WANT TO
ACHIEVE?
from problem

“Technology is
just a tool,
not our goal.”

HTML(text)
Video
Social
Location
Crowd Sourcing
Quantiﬁed Self
The Internet of Things
The Internet of Everything
Searching
Being found
Health Data
Sensor Networks

image source: http://www.digitaltrends.com/wearables/apple-watch-saves-man-heart-attack/

image source: http://cdn.macrumors.com/article-new/2016/03/Kardia-Band-apple-watch-800x450.jpg

@rwhooijer)
pre OR OR IC/MC ward
continuous monitoring 3-6d MEWS
pre
check
random patient journey

@rwhooijer)
prehospital hospital posthospital
random patient journey
pre OR OR IC ward
continuous monitoring 3-6d MEWS
pre
check

@rwhooijer)
random patient journey
pr h po
p I a
cont 3-pre
Prevention

Cufﬂess blood pressure monitoring
PPG: Photo PlethysmoGraphy
PTT: Pulse Transite Time
PWV: Pulse Wave Velocity

@rwhooijer)
“Technology is the hype, the change will be permanent”
@lucienengelen

The best way to predict
your future, is to create it
- Abraham Lincoln

The best way to predict
your future, is to create it
@tomvandebelt
- Abraham Lincoln
slideshare.net/tomvdbeltǉ
follow at
slides available on
Tom van de Belt
@reshape

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A well-known hospital in Gwalior, Madhya Pradesh, ITM Hospital & Research Center has recently updated its super specialty and elevated the pre-existing facilities including critical care and minimal invasive surgery protocols. As per the hospital's management team, "The 300-bedded tertiary care hospital operates under the guidance of highly experienced medical and healthcare professionals and includes 20 ICU beds, 20 beds for Obs, Gynae, and NICU, three modern operating theaters, a well- equipped and 24x7 available ER department, dialysis center, a dedicated mother and child care unit, along with highly advanced technologies like CT scan, MRI, Bone DEXA along with ECHO, TMT, Physiotherapy and more. Our highly experienced doctors bring a multidisciplinary approach across 25+ super specialties, including oncology, cardiology, joint replacement, minimal access surgery and others. We aim to enhance health care in Gwalior, Madhya Pradesh by providing quality medical care with trust, transparency and empathy while meeting all safety standards," says Mr. Ramashankar Singh, Chairman of the hospital. The hospital has also been recognised as the best emerging hospital in the vicinity for several specialties for following the moral of “Sewa Samta aur Sammaan”. Dr. Ramashankar adds, "This recognition is a testament to our mission of serving people with the best critical care and minimal invasive surgery. We remain committed to delivering outcome-driven experiences and care to treat and heal people, based on the same values that the group has followed for the past three decades”

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Disinfection of medical instruments is important for preventing the spread of disease. Cleaning and disinfecting reusable equipment after it comes into contact with patients can be expensive, both in the cost of the disinfection procedure, but also in terms of time away from the patients themselves. Not all medical instruments can be fully sterilized after each use. Thankfully, not all reusable instruments need the highest level of disinfection. But how to determine the minimum level of disinfection in a given situation? Earle H. Spaulding devised a rational approach to disinfection and sterilization of patient-care items and equipment Spaulding believed the nature of disinfection could be understood readily if instruments and items for patient care were categorized as critical, semi-critical, and non-critical according to the degree of risk for infection involved in use of the items. Spaulding recognized that the need for disinfection of equipment in medical settings ranged from non-critical to semi-critical to critical, depending on the likelihood of spreading disease. For example, sterilization is necessary for equipment that comes into contact with a patient’s bloodstream or sterile tissue. This category of equipment, such as surgical knives, is designated “critical” because it presents a high risk of disease transmission from patient to patient. Equipment that only touches healthy, unbroken skin presents a low risk of contamination because intact skin acts as an effective barrier to most microorganisms. Examples in this “non-critical” category include bedpans, blood-pressure cuffs, and bedrails. In between those two scenarios, a “semi-critical” level of disinfection presents a medium risk of contamination. This would include equipment such as endoscopes used on mucous membranes or areas of broken skin.

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