Transatlantic Teleconsultation - Andre PETITET
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Transcript of Transatlantic Teleconsultation - Andre PETITET
Dr.André PETITET-april 14-15 201116th Finnish National Conference
A telemedicine’s new step ongoingTransatlantic teleconsultation HEALTH Alfa
Dr.André PETITET,MDTelemedicine and e-health International expert
ISfTeH secretary President of the CATEL international commission
CONSULTATION
1 welcome
3 auscultation
4 percussion
5 palpation
2 interrogation
6 exams
7 diagnostic
8 treatment
9 prescription
10 drug
delivery
TELECONSULTATION
TELECONSULTATION
What does it means ?
Tele is the latin word’s root for equivalent of far in
english… like Far West ..!!
Tele is the latin word’s root for equivalent of far in
english…like Far West ..!!
So, in english Teleconsultation
isFar Consultation
What is telemedicine ? Telemedicine is the use of telecommunications to
facilitate health care.This could mean using technologies as simple as phone lines , fax machines , and e-mail , or the use of more sophisticated as computers, scanners , cameras , and various diagnostic tools that can instantly communicate information between two or more distant sites.
1995- JOHNS HOPKINS telemedicine
Telemedicine is a kind of remote medical practice using the technologies of information and communication. It puts in relationship, between them or with a patient, one or several healthcare professionals among whom there is inevitably a physician and, if necessary, the other professionals bringing their care to the patient.It allows to establish a diagnosis, to insure, for a risk patient , a preventive follow-up or a post therapeutic treatment follow- up, to require a specialized opinion, to prepare a therapeutic decision, to prescribe products, to prescribe or to perform services or acts, or to make a survey of the state of health of the patients French Law n°2009-879
July,21,2009
TELEGERIA
TELEOPHTALMOLOGY
TELEPSYCHIATRY
TELETRAUMATOLOGY
TELEEXPERTISE
MEDICAL DISPATCH CALL CENTERS
HOSPITALS’ TELE INTER CONNECTIONS
TELECONSULTATIONS
1 welcome
3 auscultation
4 percussion
5 palpation
2 interrogation
6exams
7diagnostic
8treatment
9prescription
10drug
delivery
eHealth in Europe: growing interest
70% of european countrieshave an e-Health strategy
30
So…HEALTH AlphaWhat was the challenge ?
•To implemente and to simplify the equipment•To reach as closed as possible the basic consultation process•To be adapted and to be in conformity with different countries legal rules for health and drugs
HEALTH Alpha
equipment
HEALTH Alpha
It "teleports" the doctor to the patient making the act of remote consultation so natural as possible
LIM Star
HEALTH Alpha
•Remote camera•Stethoscope•Blood Pressure•SpO²•Laryngoscope•Otoscope•Ophtalmoscope•Dermascope •EKG•Ultrasound •Spirometer
It "teleports" the doctor to the patient making the act of remote consultation so natural as possible
LIM Star
HEALTH Alpha
HEALTH Alpha
FranceUSAHOUSTON
Transatlantic teleconsultation
Health Alpha medical building at Houston (Texas)
Health Alfa waiting room
Health Alfa teleconsultation room
•One french technician•One french nurse•One french pharmacist
Health Alfa teleconsultation start point
Health Alfa First visual contact between physician and patient
French Physician authentification Card and its reader
French personal patient health care and social security card
Health Alfa .Patient French informed consent form
Health Alfa : US patient informed consent form
Real time Auscultation
Houston (TX) USA
France
Real time throat exam
Houston (TX) USA
France
Real time ear exam
Houston (TX) USA
France
Real time Ultrasound
Real time 12 leads EKG
Health Alfa prescription
Electronic pen
France
Health Alfa prescription
France
Health Alfa prescription
Transmission and printing
French pharmacist authentification card and its reader
Security bar code control by the french pharmacist
Health Alfa . End of the teleconsultation and verification of the patient EHR
Welcome1
3 auscultation
4 percussion
5 palpation
2 interrogation
6 exams
7 diagnostic
8 treatment
9prescription
10 drug
delivery
Health alfa teleconsultation
•Because they are 10.000 expatried french people living at Houston•Because they are a majority of young people with kids•Because health care in US is very expensive•Because some linguistic difficulties between french and english•Because most of french expatried prefer a french physician•Because french expatried are more familiar with french drugs
Health Alfa….why ?
•Presented and accepted both by french and american authorities•FDA agreement for importation of french drugs•Respect of rules and guidelines for teleconsultation on both sides : USA and France•Diplomatic support by the french Consulate at Houston
Health Alfa process
HEALTH Alpha
LIM Star
It "teleports" the doctor to the patient making the act of remote consultation so natural as possible
Thank you for your attention dhanyavaad
J.CinqualbreD.UhlrichS.d’HardivilleG.MenandE.ClocherS.WildnerC.Bronner