connected healthcare - Telekom Healthcare Solutions

BEST
PRACTICE.
Special e
dition
Healthcare Special 2013⁄ 2014
CONNECTED
HEALTHCARE
BETTER QUALITY OF LIFE.
connecTeD heAlThcAre
PAves The wAy for BeTTer
mAnAGemenT of Processes
AnD lower cosTs.
Dr. Axel Wehmeier
has been head of the
healthcare business at Deutsche
Telekom since 2010.
According to health insurer Techniker Krankenkasse,
adults in Germany spend an average of seven hours
sitting down – every single day. for a third of people
in employment, this figure is a high as nine hours. This
leaves hardly any room for exercise in our lives. now, the
Quantified self movement is encouraging people to get
up out of their seats and get fit, helping them compare
their performance with friends and keep an eye on their
calorie intake. It’s all about fun and motivation. Because
even small successes make us feel good, improving
quality of life.
DISEASE PREVENTION PORTAL
Tools that enable people to measure and record their
own vital signs not only help to improve personal fitness
but are increasingly being embraced by the healthcare
industry. As part of disease prevention and treatment
programs, patients monitor their own blood pressure,
blood sugar and weight and send the readings securely
via a smartphone or healthcare portal to their physician.
These proven methods offer medical professionals accurate data that, in turn, helps them improve the quality
of treatments. for example, Deutsche Telekom’s diabetes prevention portal delivers advice and assistance that
can even help a type-2 diabetes sufferer recover completely. At the very least, their quality of life is improved.
Telemedicine solutions go one step further. They
supplement conventional healthcare services, help
bridge gaps in areas and cities with poor infrastructure,
improve life for high-risk patients and help doctors respond faster and save lives. research project fontane,
backed by Deutsche Telekom, has proven this point.
Patients in rural areas record their vital signs every day
and send the data quickly, securely and reliably to a
physician at the telemedicine control center. This helps
doctors identify changes early on and take timely action. connected solutions like this improve treatment
and enhance quality of life.
Dr. Axel wehmeier,
head of the healthcare business
Contents
2013/2014 issue
— 03
10 hospitals.
3D in the Or. Virtual reality is becoming a key part of operation room
processes at a growing number of hospitals. It allows surgeons simulate
procedures in real time, helping them minimize risk.
bedside Multimedia. Schwarzwald-Baar’s Entertain for Hospitals solution
is an example of how new healthcare facilities can meet rising demands for
patient comfort and leaner hospital processes.
11 or Management system. Digitizing operating room processes benefits patients and staff by enhancing interdisciplinary communications and
supporting effective documentation of surgical procedures.
11 interview. Dr. Herbert Gruber, Head Physician at Krages hospital in the
Burgenland region of Austria, on electronic OR management systems that
safeguard quality and boost the efficiency of resource deployment.
12 Dynamic Healthcare Center. This modular system has a range of
demand-driven uses – from simple applications that improve patient care to
the management of entire IT landscapes.
Connected solutions improve healthcare, enhance
patients’ quality of life and boost the efficiency of
medical processes.
Healthcare Special
04 connected care.
medical aids. German health insurer BARMER GEK leverages a digital platform to provide four million patients each year with medical aids – accelerating the distribution of wheelchairs, crutches and the like, and reducing costs.
06 healthcare at work. Deutsche Telekom and HausMed, an initiative
run by the German Association of General Physicians, have created a program to offer employees advice on preventing illness.
06 contract management. Deutsche Telekom and the German Association of General Physicians help doctors invoice their services directly to
health insurers.
Photos: Deutsche Telekom AG, azgAr Donmaz/Getty Images
07 ER – yes or no? Using a real-time online emergency service, parents
can request expert advice from qualified pediatricians on the best action to
take if their child is sick or hurt.
07 disease prevention. Markus Homann, Director of Health Management at insurance provider Central, on digital healthcare programs that help
prevent complications in diabetes patients.
08 graphic. A look at how hospitals, doctors and other healthcare providers are improving treatment based on the fast, secure, real-time exchange of
patient data.
12 Peace of mind. Connected beds feature sensors that deliver data on
the patient to relatives and care providers, which is particularly useful when
people are cared for in their own homes.
13 Big Data. Long-term archiving solution STARCS is helping a growing
number of hospitals and doctors’ offices stem the rising tide of patient data
and flexibly store image files.
13 IT interpreter. Interface Manager for Healthcare (IM4HC) helps
hospitals reduce the administrative overhead associated with their IT systems.
What’s more, it enables them to add new interfaces for sub-systems at any
time.
14 AAL.
the digital Butler. A smart ambient assisted living (AAL) project is being
put through its paces in Lower Saxony, Germany. Supported by Deutsche
Telekom, the initiative helps elderly patients stay in their own home for longer,
by connecting them to a dedicated service center via a tablet PC.
Navigating through life. The Tagesnavi app allows seniors to stay in
touch with relatives using video telephony on a tablet computer. In addition, it
helps them plan their day-to-day activities and coordinate care providers and
other healthcare services.
about this publication
Published by:
Thomas Spreitzer (responsible for
content),
T-Systems International GmbH
Publisher:
HOFFMANN UND CAMPE
VERLAG, a GANSKE
VERLAGSGRUPPE company
Layout:
HOFFMANN UND CAMPE VERLAG GmbH
Copy:
PR-Partner Köln GmbH
Printing:
NEEF + STUMME premium
printing GmbH & Co. KG, Wittingen
Barmer GEK provides
services to the tune of
850 million euros each year
for its health insurance
customers, processing
Fotos: Aritescient aut inveratur sapelibus eiunt invene es aut dolo dolore et, odipien
around four million cases.
Healthcare
— 05
Connected care
Barmer GEK
Managing medical aids online:
Patient satisfaction climbs as costs fall.
Photos: GettyImages, Natalie Bothur
<Copy> Thomas van Zütphen
Health insurers in Germany spend billions each year on both standard
medical aids such as bandages, wheelchairs, breathing equipment, and
custom-made products such as orthotics. Experts estimate that over 20 percent of the total cost could be saved through greater competition in the
country’s highly regulated health insurance market, but also by better organizing the collection and reallocation of reusable items such as hospital
beds and walkers. The failure to recover and reassign medical aids continues
to be an unresolved logistical challenge for suppliers, pharmacies, manufacturers and, ultimately, the patients. As Dr. Doris Pfeiffer, chair of the board
of the German Association of Statutory Health Insurance Providers, explains: “We suffer from a Bermuda triangle effect, with products getting lost
somewhere between collection, returning them to storage, and supplying
them for reuse. The associated costs run into the millions.” And insurance
providers, and their customers, pick up the tab.
Barmer GEK, Germany’s largest provider of statutory health insurance,
decided to tackle this issue early in 2013. Four million aids are supplied to
its customers each year, adding up to 850 million euros. However, 20 percent of these cases account for 80 percent of the costs. Jürgen Rothmaier,
the member of the Barmer GEK management board responsible for IT, HR,
sales and marketing, recognized the need for a central system for managing medical aids. Rothmaier says: “This system helps us meet our patient
needs, enhance process transparency, and cut costs.”
The result is ZHP.X3, an e-platform implemented by T-Systems and
HMM – a company based in Moers, north-west Germany, and specializing
in the digitization of healthcare processes. The new solution, hosted by
T-Systems, provides end-to-end support for all aspects of the use and reuse of medical aids. This includes approval and monitoring processes,
cost accounting and contract management. It models the entire logistics
chain, from initial supply, to collection, to storage and reassignment to a
new customer. Rothmaier’s strategy is designed to fulfill a number of goals:
“We want to accelerate our previously paper-based processes in order to
provide better customer service. But we are also looking to save money
and time through greater efficiency and synergy.”
Above all, automation has significantly reduced time-to-delivery for
patients. The entire procedure entails 50 individual steps, from the submission of an application, to gaining a cost quote, to granting approval, to arranging delivery. In the past, this could take several days to complete. Now,
it can be performed by ZHP.X3 in a matter of hours. Digitization has greatly
accelerated Barmer GEK’s internal workflows. But equally important has
been integration of the platform with external systems operated by medical
aid suppliers (with around 10,000 outlets throughout Germany), makers of
orthopedic shoes, pharmacists and other stakeholders. German medical
aid retailers alone use 12 different standard solutions. All these diverse software products had to be connected to ensure seamless data exchange. As
Udo Lingen, the Barmer GEK Account Executive at T-Systems, explains:
“Now, insurance providers and their partners gain visibility into the current
location of reusable products. This enables thousands of hospital beds,
wheelchairs and walkers to be reallocated more quickly.”
The platform provides detailed information on medical aids held in central
storage and on those already at customers’ homes. What’s more, Barmer
GEK benefits from lower process costs and reduced administrative overhead compared with paper-based systems. Standardized data exchange
with suppliers streamlines a variety of tasks, including approvals and audits.
As Jürgen Rothmaier explains, “This is an outstanding example of how
greater digitization of the healthcare value chain can deliver better service
to patients and save millions of euros.”
<Contact> udo.lingen@t-systems.com
<Links> www.en.barmer-gek.de
www.telekom.de/health
“Greater digitization
of the healthcare
value chain can deliver better service
to patients and save
millions of euros.”
Jürgen Rothmaier, CIO of Barmer GEK
Neuepartnership
New
Partnerschaft
between
mit derDeutsche
Hausärztlichen
TelekomVertragsgemeinschaft
and HÄVG
Weniger Verwaltungsaufwand.
Reduced
administrative effort.
Deutsche
Die
Telekom
Telekom
verstärkt
is ihr
stepping
Engagement
up its activities
im Gesundheitswesen:
in healthcare: Gemeinsam
in collaboration
mit der
withHÄVG
HÄVG,
Hausärztlichen
a subsidiary
Vertragsgemeinschaft
of
the German Association
AG, einem
of General
Tochterunternehmen
Physicians (Deutscher
des Deutschen
Hausärtzeverband),
Hausärzteverbandes
it has launched
e. V., baut
a joint
die
Telekom HÄVG
venture:
ein Gemeinschaftsunternehmen
Rechenzentrum. The telcoauf
holds
undaerwirbt
25 percent
dazu stake
25 Prozent
in thean
company.
der HÄVG
Headquartered
Rechenzentrum
in
GmbH. Das
Cologne,
HÄVG
Unternehmen
Rechenzentrum
mit Sitz will
in Köln
be ist
a leading
Abrechnungsspezialist
provider of payment
für Selektivverträge
services, including
im Gesundheits­
invoicing,
wesen. Damit
settlement
and
wird
clearing,
das Gemeinschaftsrechenzentrum
for players in the country’s healthcare
Marktführermarket.
in diesem Segment.
Seit
In
2009,
2009the
haben
German
die Krankenkassen
government introduced
die Pflicht,
legislation
ihren Versicherten
mandatingmit
theder
primary
hausarztzentrierten
care provider (usually
Versor­
gung
the
family
Selektivverträge
doctor) to coordinate
anzubieten,
all healthcare
die für Innovationsfähigkeit
services for patients.
und Wettbewerbsbereitschaft
To ensure innovative, competitive
mit dem and
Ziel
von Versorgungsverbesserungen
high-quality
care, health insurers now
stehen.
conclude
Den Vertragspartnern
agreements with individual
bleibt dabei
groups
die Ausgestaltung
of medical profession­
der Ver­
gütung
als
– rather
ohnethan
Beteiligung
collectiveder
contracts
Kassenärztlichen
with all healthcare
Vereinigungen
providers
überlassen.
via a single
Selektivvertragsleistungen
association. The new system
rech­
nen diethem
allows
Ärztetomit
invoice
den Kassen
these services
separat directly.
ab. Hierbei
Andunterstützt
that is where
die HÄVG
HÄVG Rechenzentrum
Rechenzentrum comes
GmbH in
als–Abrech­
deliver­
nungsdienstleister.
ing
invoicing and associated payment services for these individual agreements.
Healthcare management
in the workplace
Betriebliches
Prevention
Gesundheitsmanagement
through
Prophylaxe
online
online.
resources.
Ob Großkonzern,
oder kleine
und
As
a 2013 reportBehörde
from health
insurance
mittlere Unternehmen
allein in Deutsch­
provider
AOK reveals, –employees
in Ger­
land lassen
sichwork
mehrforalsmore
2,4 Millionen
many
were off
than 2.4
Fehltagedays
von due
Mitarbeitern
aufofdieaddictive
Einnah­
million
to the use
me von Suchtmitteln
zurückführen.
substances.
This impacts
internationalDas
en­
geht aus government
dem „Fehlzeiten-Report
terprises,
agencies and2013“
SMEs
der AOK
hervor.
zur betrieb­
alike.
Since
2003,AlstheAngebot
consumption
of al­
lichen and
Gesundheitsförderung
cohol
tobacco products inentwickelte
particular
HausMed,
einestaff
Initiative
des Deutschen
has
increased
absence
by around
Hausärzteverbandes,
gemeinsam
17
percent. In response,
HausMed,mit
ander
ini­
Telekom
tiative
run eine
by theOnline-Gesundheitsplatt­
German Association of
form, diePhysicians
Mitarbeitern
Serviceleistungen
General
(Deutscher
Hausärtze­
mit Betreuungsangeboten,
Coacheshave
so­
verband),
and Deutsche Telekom
wie Informationen
alltagstaugliche
teamed
up to createund
an online
healthcare
Hilfsmittel–zuroffering
Verfügung
stellt. Mitarbeiter
program
anonymous
advice
absolvieren
zunächst eine
evidenzbasier­
aimed
at prevention.
Identity
protection
te Gesundheitsanalyse
undoferhalten
indi­
increases
the likelihood
employees
viduelle up,
Empfehlungen,
sie suffering
in nach­
signing
particularly die
when
haltige
Gesundheitsprogramme
und
from
mental
illnesses such as depression
Schulungen
and
burn-out. führen. Die Gesundheits­
programme sind anonym, sodass die
­Bereitschaftpetra.stracke@t-systems.com
zur Teilnahme besonders
<Contact>
dann, wennwww.telekom.de/health
psychische Erkrankungen wie
<Link>
Depressionen und Burn-out vorliegen,
sehr hoch ist. Das Onlineangebot bietet
außerdem eine Vielzahl weiterer Kurse
wie „Stressmanagement“, „Gesunder
­Rücken“, „Leichter leben“, „Rauchentwöh­
nung“, „Diabetes“ und „Bluthochdruck“.
<Kontakt> petra.stracke@t-systems.com
<Link> www.telekom.de/gesundheit
Ausbau von Selektivverträgen
„Gemeinsames healthcare
Supporting
Ziel der Partnerschaft
processes
mit der Telekom ist es, die Entwicklung einer flächendeckenden Ver­
sorgung
IT-Lösungen
sagt Eberhard
Mehl,Eber­
Vor­
“The
goalmit
of Selektivverträgen
the partnership ismit
to intelligenten
ensure robust
IT support zu
forunterstützen“,
healthcare processes,”
explains
standsvorsitzender
derofHÄVG.
Durch die Beteiligung
der Telekom
an der HÄVG
Rechenzentrum
GmbH
sei
hard
Mehl, Chairman
the Management
Borad at HÄVG.
He continues:
“In Deutsche
Telekom,
we ha­
einfounded
innovativer
und leistungsstarker
Aufgaben
gewonnen worden, so Mehl.
ve
a strong
and innovativePartner
partnerfürfordiese
HÄVG
Rechenzentrum.”
Rund 16 000 Hausärzte
und etwa 3,2
Versicherte
nehmen
bisherinan
der hausarztzentrierten
Around16,000
general physicians
andMillionen
approximately
3.2 million
patients
Germany
have embraced
Versorgung
teil. Die
Tendenz
istmodel
steigend,
insgesamt
bestehen
aktuell
545time.
Verträge
zur hausarztzentrierten
the
new primary
care
provider
– and
this figure
is growing
all the
Around
545 individual con­
Versorgung
mit Krankenkassen
mehreren
Bundesländern.
So wurden
JanuarofAbschlüsse
mit den
tracts
have been
concluded withinhealth
insurance
providers, including
in seit
the states
Hesse, RhinelandAllgemeinen
Ortskrankenkassen
in Hessen
und23Rheinland-Pfalz
dennegotiated.
Ersatzkassen
Palatinate,
Bremen,
Berlin and Saxony.
A further
agreements areerreicht,
currentlymit
being
As awurden
result,
Verträge
in Bremen,
Berlin
und Sachsen
Weitere
23 Verträge mitisKrankenkassen
the
total annual
volume
of payments
to beabgeschlossen.
processed by HÄVG
Rechenzentrum
expected to risewerden
to four
momentan
Mittelfristig
dasservice,
von derincluding
HÄVG Rechenzentrum
abgerechnete
billion
euros.verhandelt.
The company
deliverssoll
an dadurch
end-to-end
invoicing, in lineGmbH
with the
relevant da­
Honorarvolumen
zu vier
Euro steigen.
ta
protection lawsauf
andbis
based
onMilliarden
secure IT systems.
Die HÄVGTelekom
Rechenzentrum
GmbHnew
betreibt
ihre Kunden
kompletten
Geschäftsprozess
Ver­
Deutsche
is not entirely
to thefür
market:
last fall,den
the telco
launched
a separate joint der
venture
tragsabrechnung.
Dazu gehört
die Rechnungsstellung
with
HÄVG: Medizinisches
Rechenzentrum
(Med-RZ). gegenüber den Kostenträgern auf Basis der daten­
schutzrechtlich gesicherten Verarbeitung der Daten. Die Telekom war im vergangenen Herbst in den
­Abrechnungsmarkt für die hausarztzentrierte Versorgung eingestiegen und hat zusammen mit der HÄVG
bereits dasthomas.hartung@t-systems.com
Gemeinschaftsunternehmen Med-RZ Medizinisches Rechenzentrum GmbH gegründet.
<Contact>
<Links> www.telekom.de/health
thomas.hartung@t-systems.com
<Kontakt> www.t-systems.com/solutions/health
<Links> www.haevg-rz.de
www.hausaerzteverband.de
www.telekom.de/gesundheit
Healthcare
Vernetzungcare
Connected
— 07
Online-Sprechstunde
Online advice for parents
für Eltern
and children
und Kinder
Erste
First aid
Hilfe
via the web.
aus dem Netz.
Photos: Fotostudio Pfluegel, GettyImages/LWA Dan Tardif, plainpicture, PR
It’s a nightmare scenario for any mom or dad: it’s the middle of the
night, and their young child is screaming for no apparent
reason.kleine
the worst,
often race
their
child straight
to the
Fearing
Wenn
Kinder
ohne parents
ersichtlichen
Grund
schreien,
sind Eltern
nearest ER. However,
studies have
justsie
tenSorge,
percentRatlosig­
of such
naturgemäß
sofort alarmiert.
Nichtshown
seltenthat
führen
cases
actual
medical
emergencies.
With this Da
in mind,
T-Systems
keit
undare
Stress
sofort
zur nächsten
Notaufnahme.
sich Studien
zu­
has liaised
with
pediatricians
insuranceNotfälle
providers
to
Fällemedical
folge
aber nur
zehn
Prozent derand
als tatsächliche
erwei­
develop
onlinemit
consultation
service.
unique triage
sen,
planta ­Tnew
‑Systems
Kinderärzten
und This
Krankenkassen
dieservice
syste­
will allow Einrichtung
doctors to choose
the best course of action for their
young
matische
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als Triagepatients,Bei
based
uponService
answers
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aufgrund
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parents
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können
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wählen,pediatrician.
ihr Problem
the problem
and kleiner
be put Patienten
straight through
to a qualified
schildern
und dann an
mite-health
einem Kinderarzt
werden.
Der Vor­
Dr. Yossi Bahagon,
specialistverbunden
who has helped
to develop
teil:
Service
und eine
sichere
Videoverbindung
der
and„Durch
run thisden
service
for clients
such
as Clalit
Health Servicesnimmt
– Israel’s
Arzt
dashealthcare
Kind direkt
in Augenschein
und trifft
Entschei­
largest
organization
– highlights
one eine
of theerste
benefits:
“The
dung“,
Dr.a Yossi
der als Arzt
und E-Health-Experte
serviceerklärt
features
secureBahagon,
video connection,
meaning
that the doctor
unter
anderemthefürchild
die größte
Israels, The
die
can examine
closelyGesundheitsorganisation
and make an initial diagnosis.”
Clalit
Health
Services,
diesenacross
DienstIsrael
aufgebaut
und
verantwortet
hat.
company
runs
14 hospitals
and can
already
draw upon
Als
Versorgungsdienstleister
für landesweit
five medizinischer
years’ experience
of running online consultation
services.14
As Kran­
Yossi
kenhäuser
sammelte
die Klinikgruppe
mit Onlinesprechstunden
be­
Bahagon explains,
“we’ve
saved thousands
of parents from making
reits
vor fünf Jahren
erste Erfahrungen.
„Seither“, so Yossi Bahagon,
an unnecessary
late-night
dash to the hospital.”
„haben wir sicherlich Zigtausenden Eltern einen unnötigen oder vor­
eiligen
nächtlichen
Weg zum Krankenhaus abnehmen können.“
<Contact>
uta.bruns@t-systems.com
<Links> www.clalit.co.il
<Kontakt>
uta.bruns@t-systems.com
www.telekom.de/health
<Links> www.clalit.co.il
www.telekom.de/gesundheit
Interview
Interview
Fotos: Fotostudio Pfluegel, GettyImages/LWA Dan Tardif, plainpicture, PR
“There should always be a fun factor in
„Gesundheitsprogramme müssen SpaSS machen.“
healthcare programs.”
Markus Homann, Leiter Gesundheitsmanagement der Central Krankenversicherung AG
Markus Homann, Director of Health Management at health insurance provider Central
Die Central hat seit Frühjahr ein digitales Präventi- ­digitale Schrittzähler von Fitbit die Aktivitäten der Versicherten.
onsprogramm für Menschen mit neu diagnostiziertem Diese Daten werden auf einem interaktiven Onlineportal zusamdasprovides
wir gemeinsam
der Deutschen
Typ-2-Diabetes.
Was verspricht
davon?
In
the spring, Central
introducedsieansich
online
healthcare mengeführt,
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instantmit
feedback
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results.
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le- <Contact>
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der <Link> www.telekom.de/health
vels at any
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Markus Homann,
Leiter GesundheitsMarkus
Homann,
management
der
Director
of Health
Central
KrankenverManagement
sicherung
AG.
at health insurance
provider Central.
BETTER HEALTH THROUGH
BETTER TECHNOLOGY.
STEMO
transmits data
to the hospital
ICT ALREADY PLAYS A PIVOTAL ROLE IN HEALTHCARE. It supports the
rapid and secure exchange of data between physicians, the transmission of
x-rays and other images, and remote monitoring of vital signs. The digital capture of heart rate, weight, blood pressure and sleeping phases is not only
beneficial for people suffering from ill health. It can also aid individuals seeking to improve fitness levels: using smartphones and tablets, they can share
key metrics with friends and family, with physicians and coaches.
Advanced technology can also help doctors streamline communications and
improve the quality and efficiency of their work. They can exchange patient
data, view vital signs and remotely monitor their patients. It can also benefit
seniors wishing to live independent lives. Sensors, for example, can automatically detect a fall and issue an alert to support services.
E PRO
VI
HOS
DOC
STEMO
STEMO is a mobile emergency
response unit equipped for stroke
victims. A CT scan can be
performed in-vehicle, and data
transmitted to the hospital,
enabling preparations for the
patient’s arrival.
Home emergency
call system
Sensors in the home automatically detect a
fall and place a call to support services.
P I TA L
STARCS
Tumor conference
Long-term archiving solution STARCS enables doctors to
store images and share them with colleagues. For example,
this means patients do not need to undergo a second scan
as the data is already saved. This approach cuts costs and is
less stressful for patients.
TO R S
Doctors use web conferencing to decide
on a course of treatment.
DOC
Via tumor conference, physicians of diverse disciplines can
jointly decide on the best treatment for cancer sufferers.
TO R S
LT H
INSUR
E
Health insurers exchange data with
suppliers of medical aids
via a dedicated platform.
Digital healthcare card
In the future, Germany’s smart card for
healthcare provision will be used to store
information for use in an emergency. This
will help doctors and paramedics at the
scene to take appropriate action.
DOC
www.t-systems.com/solutions/health
EA
H
Doctors will be
able to access
patient data via a
smart card.
<Link>
P I TA L
RS
L
CAR
DE
RS
HEA
TH
Sensors raise
the alarm in an
emergency
HOS
TO R S
DOC
TO R S
Process
automation
The seamless exchange of data
between health insurance
providers and suppliers of
medical aids via a dedicated
online portal guarantees the
rapid and reliable delivery of
crutches, grab rails and more.
HEALTHCARE
Connected care
Graphic
Users share data
online with friends
and family.
Runtastic, Jawbone Up und Fitbit
FA
With the Runtastic app and strap, runners
can measure heart rate, distance and
calorie consumption – and share data online.
The Fitbit tracker records sleep phases
and physical exercise around the clock, and
the Jawbone Up armband monitors
eating behavior.
M
I LY
DS
AND FRIE
N
Mobile healthcare
Patients can use a smartphone app to measure
and monitor their blood pressure, body temperature and
weight – with the help of special devices: CardioDock,
ThermoDock and TargetScale.
DOC
Health management in
the workplace
TO R S
Users can share information
online with doctors, health
coaches, friends and family.
Online courses provide employees with
guidance on a variety of health issues, such
as burn-out, high blood pressure and back
pain. Users can share information online with
company doctors and health coaches.
C OAC H
FA
M
I LY
DS
AND FRIE
N
C OAC H
Diabetes portal
People suffering from type 2 diabetes can
enter their vital signs into an online portal
to monitor disease development. Using
special devices GlucoDock and FitBit, they
measure their blood sugar and capture
data on physical exercise.
Specially trained coaches
provide useful advice on
staying healthy.
Physicians and coaches can
access the data remotely.
The patient can also share
information with
selected friends and family.
DOC
TO R S
Steps
C OAC H
Telemedicine
Patients can monitor their vital signs in the
comfort of their own homes, and transmit data
to their physicians. This means fewer trips
to the doctor’s office and less time in the hospital.
Patients
transmit vital
signs to remote
physicians
DOC
TO R S
Illustration: Silke Weissbach
— 09
Virtual reality in medicine
3D technology in
the OR.
Hospitals are increasingly making use of virtual reality (VR) in
their operating rooms. They are taking advantage of simulation
software and 3D models to improve efficiency and minimize risk.
Surgeons, for example, can simulate operations in real time. TSystems Iberia already delivers CPU power, methods and algorithms to a variety of Catalonian university hospitals for their VR
solutions. Imaging systems can, for example, pinpoint the edges
of tumors. This enables hospitals to precisely target radiotherapy
to avoid damaging healthy tissue and nerve cells. Spanish medical professionals are already using this solution for successful
fetal surgery.
<Contact> bertholt.sterzl@t-systems.com
<Link> www.t-systems.com/pdf/factsheet/
clinical-services-health
Germany’s high-tech hospital
Multimedia at
the bedside.
In July 2013, the Schwarzwald-Baar hospital in Villingen-Schwenningen in Germany’s Black
Forest relocated from two former sites to a single, brand-new facility, completed after four
years of construction work. For the center’s directors, meeting patients’ growing demands
for comfort and convenience was a priority. The new building features a host of innovative
solutions, making it one of the most technologically advanced hospitals in the country. The
facility is used as a teaching hospital for medical students from the University of Freiburg. It
boasts 27 departments, and is among the ten largest, non-university-affiliated hospitals in
the state of Baden-Württemberg. It has 750 beds – including 72 in intensive care for adults
and children – plus 15 operating rooms.
Providing better service to patients was a primary objective from the get-go, and fulfilling this
goal called for state-of-the-art technology. The results are impressive: “The Entertain for Hospitals solution, delivered by Deutsche Telekom, enables patients to listen to the radio, surf the
net, and watch television, using time shift functionality to stop and start their favorite shows
via touchscreen monitors and headphones,” explains hospital director Rolf Schmid. In some
rooms,patientscanevenplaycomputergames,controltheirreadinglampandthewindowblinds
using the same user interface. Some services are subject to a fee which is deducted from a
pre-paid card using a dedicated reader. In the future, the solution will support routine hospital tasks, for example by allowing people to select their meals via touchscreen, simplifying order processes. Deutsche Telekom is behind the high-tech system. The telco has also
installed bedside telephones, the network infrastructure and a server farm at the healthcare
center. Now, the 46,000 patients that stay there each year, “benefit from secure, reliable data
communications,” says Schmid.
<Contact> thomas.wycisk@t-systems.com
<Links> www.sbk-vs.de (only available in German)
www.telekom.de/health
www.t-systems.com/pdf/
factsheet/clinical-services-health
HEALTHCARE
Hospitals
— 11
OR management system
gReaTeR TRanSPaRenCy FoR
PaTIenTS anD STaFF.
Interview
<Copy> FrankGriesel
Photos: gettyImages/oliver Burston, PR, andreas Thomasberger, gettyImages/Troels graugaard
Krages (operator of four hospitals in the Burgenland region of austria) has fully digitized its operation room (oR)
processes. This includes the scheduling of operations,
preoperative evaluations, oR documentation and automated generation of the codes required by insurance
providers. The result is greater efficiency and improved
patient care. Krages based the oR management system
on their existing hospital information system, i.s.h. The
oR solution was recently implemented at Krages’ hospital in oberwart, where it has improved communication
between patients and staff at all stages of treatment. It
also ensures precise, automatic documentation of all
procedures performed and treatment provided.
Patients can log themselves into the system and
enter their data from the comfort of their own homes.
They arrange the operation and agree a date with the
hospital online – no waiting, no time-consuming telephone calls. a traffic light system enables doctors to
see immediately whether a patient is ready and has
been declared fit for an operation, or whether further
examinations or test results are needed. In the operating room itself, checklists provide guidance on procedures for surgeons and nurses. Documentation is also
largely predefined, reducing the workload on staff – they
only have to enter specific quantities and detail any nonstandard action taken. after the procedure, the surgeon
uses the system to compile relevant data by selecting
elements from a catalog. He can also include recommendations for post-operative care. He then enters a
password as confirmation. Using this input, the system
generates an oR report, which the surgeon must check
and sign off.
The oR management system enables authorized
users to view progress and current status of operations
in real time. For example, hospital staff know exactly
when a patient will be leaving the oR, and when the
next operation is scheduled to begin. all information is
displayed on-screen. Head physician Dr. Herbert gruber
explains: “Because this new system is tailored to our oR
processes here in oberwart, it gives us gives a tool for
long- and short-term oR planning. It streamlines communication between the various departments and disciplines. In the future, the electronic oR management
system will be central to assuring quality.”
<Contact> alexander.lachowitz@t-systems.at
<Links>
www.krages.at(onlyavailableinGerman)
www.ishmed.com
www.telekom.de/health
Dr. Herbert Gruber,
HeadPhysicianatKrages,inthe
BurgenlandregionofAustria
What changes has the new OR management system brought about for
Krages doctors?
We now have greater transparency
whenplanning,performinganddocumenting operations at Oberwart
hospital.Notonlydoesthismakelife
easierforalldepartments,fromgynecology to trauma surgery, but it also
greatly benefits patients. The new
system streamlines communications
acrossalldisciplines.
Can you give us an example?
Operatingroomemployeesnowhave
fingertip access to all pre-procedure
documentation, including consent
forms. This simplifies planning for
our departments. All hospitals need
to ensure maximum effi
ciency when
deploying the costly resources requiredforsurgery.Runninganoperatingroomisexpensive.Soevenhalf
an hour of non-use is a waste. Now,
departments can see the operating
schedulesforallsurgicalteams.Asa
result, we can switch things around
at short notice to ensure capacity is
utilizedtothefull.
So you not only have to plan and
consolidate human resources, you
also need to make the information
transparent and centrally available.
How do you do that?
Aligning demand with capacity is
central.Atourdailyinterdisciplinary
briefingsontheproceduresplannedfor
thefollowingday,weusethesoftware
andaprojectortolookat,discussand
agreeonschedules.Inourexperience,
having something tangible to look at
all together makes communication
mucheasier.
Connected beds
Greater
peace of mind.
Modular system for
improved patient care.
Today, IT systems such as servers, imaging systems and hospital information systems are
vital to the smooth operation of hospitals. Doctors and other hospital staff require constant, reliable access to information and functions. However, operating systems, software
interfaces and hardware evolve rapidly, creating complex environments that generate significant administrative effort and cost. Deutsche Telekom now offers a modular system
for hospitals, rehabilitation centers, laboratories and other healthcare organizations – in
conjunction with flexible pricing. Customers can choose from a variety of individual solutions, including SAP software and hospital information systems, or can outsource their
entire IT landscape to the Dynamic Healthcare Center platform. The offering is charged
according to the resources and services actually used.
<Contact> frank.schlosse@t-systems.com
<Link> www.telekom.de/health
<Contact> nils.lipprandt@t-systems.com
<Link> www.telekom.de/health
Photos: GettyImages/azgAr Donmaz, T-Systems, GettyImages/gerenme, plainpicture/Laura Doss
Dynamic Healthcare Center
When people in need of care get out of bed
at night, they often fall and seriously injure
themselves. In the future, smart, connected
hospital beds (the Intelligent Care Solution)
will take the pressure off family members,
giving them greater peace of mind. Integrated sensors automatically register when
the person gets out of bed, and switch the
lights on. At the same time, a communication module transfers information to the
German Red Cross (DRK) control center in
Herten, Germany. Using the same data connection, the healthcare professionals can
contact the patient’s family by telephone or
text message. And if required, the DRK can
send out a care team to check that everything is ok. This is particularly important for
dementia sufferers who are being cared for
in their own home. Deutsche Telekom and
DRK are currently piloting the solution, with
30 different hospital beds installed across
Germany and Austria. Partnering them in
the project are Burmeier, a company that
manufactures hospital beds and provides
homecare systems, and Linak, the leading
expert in electric linear actuator systems for
hospital beds with integrated sensor and information technology.
Healthcare
Hospitals
— 13
Big data
Damming the data flood.
Bedside service
Inselspital, Bern University
Hospital, is home to a long-term
The healthcare sector is becoming increasingly digitized – and the tide of data is rising all the time. Everything from ultrasound
scans to mass screenings during epidemics has become digital. And it’s not only that doctors are performing more examinations – modern devices produce far more image data than they did just a few years ago. A computed tomography can easily
generate 500MB of data per patient. But that’s not the only challenge: legal retention periods, for example, for information
captured during radiation therapy, are being extended to up to 30 years. Conventional storage systems cannot process these
high volumes of data. Study-Based Archiving Service (STARCS) is Deutsche Telekom’s flexible, new archiving solution, which
allows hospitals and doctors’ offices to store their data long-term. What’s more, no upfront investment is required: users can
simply leverage the service in line with demand – on a pay-per-use basis. Physicians can also use STARCS to share image data
with their colleagues in line with IHE (Integrating Healthcare Enterprise) standards. This avoids duplications, and assures fast
availability of critical information.
archiving system, developed
and operated by T-Systems.
The solution also supports
mobile data access. This means
doctors and other healthcare
professionals can show patients
digital images on a tablet PC
at their bedside, helping them
explain results in greater detail.
<Contact> knut.dietrich-thiel@t-systems.com
<Link> www.telekom.de/health
Streamlining hospital IT environments
Breaking down barriers to data transfer.
In hospitals, IT environments are frequently a complex patchwork of diverse technologies, with a
hotchpotch of systems from a range of vendors. And each vendor employs their own standards
and protocols for data transfer. As a result, exchanging information is no easy task. Hospital applications therefore require point-to-point connections in order to communicate – but these are associated with significant implementation and maintenance effort. Interface Manager for Healthcare
(IM4HC) from T-Systems is the perfect solution. This integration server reliably and seamlessly links
all hospital sub-systems. It significantly reduces administrative overhead. And thanks to its open,
platform-independent enterprise service bus (ESB) architecture, it supports all major formats and
protocols, such as HL7. It allows new interface modules to be introduced at any time. And it can be
remotely monitored via a smartphone app.
<Contact> christian.de-win@t-systems.com
<Link> www.telekom.de/health
Independent living for seniors
THE DIGITAL BUTLER.
An ambient assisted living project in Sarstedt in Lower Saxony employs smart technology that allows seniors to lead independent lives, within their own four walls. A dedicated online portal, seniornet, provides
support in the shape of a variety of services, designed to increase safety, convenience, and quality of life.
With a special tablet complete with an intuitive, user-friendly interface, residents at the facility in northwest
Germany can control lighting, heating and window blinds with tap-and-swipe simplicity. They can also take
advantage of more sophisticated applications developed especially for older members of society. If they
enable the “leave home” function, the system switches off all non-essential electrical appliances. “Nightlight” activates motion detectors that automatically switch on dimmed lights if the person needs to get up
during the night. And the “service call” button establishes communications with the staff of the ambient
assisted living center. The portal also provides access to location-based information, such as upcoming
events and weather forecasts, and allows users to subscribe to newspapers. Additional features are under
development, such as video telephony and senior-friendly online shopping.
Appointements
Messages
Healtcare
Security
Programs
<Contact> christoph.meyer-delpho@t-systems.com
<Link>
www.telekom.de/health
To enable seniors to live
Photos: PR, Pictafolio, GettyImages
independently within their
own four walls, Johanniter
International is testing an
intelligent assisted living
system with AAL functionality (ambient assisted
living) in a housing complex
in northwest Germany.
NAVIGATING THE PITFALLS OF OLD AGE.
A dedicated app for people in the third and fourth ages of their lives helps them structure their day, communicate via video with nursing
and support staff and family, and better coordinate the provision of care. Tagesnavi, available from the T-Systems app store, offers assistance geared to the very particular needs of seniors with cognitive and neurodegenerative issues who still wish to live independent lives
in a familiar environment. The software is designed to encourage greater interaction with others, and to foster a more active lifestyle –
counteracting the loneliness common among the elderly. With the help of a tablet computer, users can organize their daily schedules. The
systems reminds them of important dates and events, of recurring tasks and chores – for example, it may prompt them to take medication.
Access to key facts and figures, such as the date, the hour of the day, and the weather, helps seniors to gain and retain their bearings. And
it helps them plan shopping trips and similar activities. Moreover, support service professionals and family members can get involved, and
help coordinate activities, and the delivery of medical and care services. They can also keep an eye on the senior’s general well-being. A
top priority for the older generation is regular contact with children and grandchildren. Against this background, the system supports video telephony and messaging. The functionality also extends to entertainment, with made-to-measure games and a photo album. What’s
more, if it is deployed in a dedicated district for seniors, it also delivers up-to-date information about local events and activities.
<Contact> irene.maucher@t-systems.com
<Link>
www.telekom.de/health
Together. Innovative. For the people.
Telemedicine – For us, an affair of the heart.
More than one third of all Germans suffer from one or more chronic diseases - approximately 27 million people. The
number of chronic patients will continue to increase due to demographic and lifestyle changes. Living and coping with
chronic conditions is a challenge for patients as well as relatives and friends. Furthermore, the need for lifelong medical
care puts specific requirements on the health care system.
We, the German Foundation for the Chronically Ill, aim to improve the health care supply for chronic patients. Hence, we
actively promote and realize research projects which focus on the optimization of health care structures and processes
and include innovative technologies, such as telemedicine. We want that patients with chronic diseases can live as
self-determined and independent as possible.
Help us to help others – Every donation counts!
Account number: 18075911
IBAN: DE52763200720018075911
BIC: HYVEDEMM417 (HypoVereinsbank Erlangen)
Intended purpose: Donation
Thank you for your support!
www.dsck.de
This advertisement is published free of charge by the Telekom.
210x290_AZ_DScK_DE.indd 2
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some things are less
popular with patients.
▲
▲
others even more.
turn comfort into a competitive advantage.
with entertain for hospitals from telekom.
From Hollywood movies at the press of a button to simple menu composition – the innovative entertainment system has
been designed to meet the highest patient requirements. And as the level of comfort rises, so does the appeal of your facility.
Find out more now: www.telekom.de/health
life is for sharing.
210x290_AZ_Entertain_BP_EN.indd 1
04.09.13 16:01