Prof. Dr. Paul Dendalepaul.dendale@uhasselt.be

Personal experience with telehealth in Flanders

Telemonitoring : personal experience

The past: Tema HF 1

Dendale et al. Eur J Heart Fail. 2012 Mar;14(3):333-40

Telemonitoring in heart failure

The present : Tema HF 2

Telemonitoring in heart failure

The future:

Incorporation of smart algorithms (Censtat)

Health economic analysis (RIZIV)

Telerehabilitation in heart disease

The past: TeleRehab 1

I Frederix et al. J Telemed Telecare. 2011;17(5):231-4

Telerehabilitation

The present: TeleRehab 2

Frederix et al :Eur J Prev Cardiol 2013

Telerehabilitation

The near future: TeleRehab 3

Telerehabilitation

2015 (?): MobileHeart

EU funded (?)International

MultidisciplinaryState of the art

Incasa : integrated care to stimulate adherence

INCASAOnline

platform

Integrated Care to Stimulate Adherence

Patient

Hospital GP

• Medication• Vaccination• Intake

Informed consent

• Point of care testing• Bloodpressure • Weight – BMI• HbA1c• Lipids• Questionnaires

• Connection to eHealth box and Vitalink• Health management

• Education• Supportive actions• Promotional messaging• Tailored screens

• Connection towards online patient platform• Encrypted data storage (intra muros)

Barriers to implementation

- Low quality of providers- Lack of business case for “service providers”- Lack of reimbursement- Patient and GP acceptance- Liability, confidentiality

Totally new health care organisation and financing

-Patient empowerment/increased self care-Tsunami of data-Integration in Electronic Patient Files-Constantly changing technology-Elderly population-Hospital-centric or patient-centric (or GP-centric)?-Multimorbidity

Questions ?

paul.dendale@uhasselt.be