Economic models and employment creation in the sector of technologies for informal carers

Transcription

1 CARICT Meeting Seville, September 26 th, 2012 Economic models and employment creation in the sector of technologies for informal carers 2IM Conseil 7, rue Jean Mermoz VERSAILLES Tél. (+331) Emmanuel PAVAGEAU 1

2 Emmanuel G. PAVAGEAU Education 1975: Ecole Centrale de Paris 1976: MSc, University of California, Berkeley : General Electric GE Calma: London, Paris GE HealthCare Europe : European R&D Mgr GE HealthCare HQ: Global Vascular eng, Milwaukee Since 1998 : 2IM S.A. Own Company, capital 301 k HealthCare network organization (80%) French administration (Health Ministry, State Dpt, Social security) R&D studies, Medical Imaging (20%) in liaison with French Administration (Industry, Foreign Affairs) European projects: SIMPHS, RTF International + HealthCare organization 2

3 History : E-Health development Telemedecine, 1/3 Historically, two approaches Specialized diagnostics: Medical imaging (radiology) and pathology images» Few ressources, «teleexpertise», high added value» Pathology: codification is key Patient trajectory: «telestaff» or «teleconsultation»» Healthcare network in pediatrics, oncology ; interhospital cooperation Telemedicine deployment In France: Public Hospital Healthcare organization: urgency, duty, staff, in Neurosurgery and paediatrics; private medical imaging (since 1995) Canada, Norway, Danemark Many experiments for remote diagnosis access (since early 1990 s) Priority: medical expertise access Two sets of technologies: digital images, visioconf. 3

4 History : E-Health development Telehealth, 2/3 Access to patient information, allowing a safer stay at home Biological parameters monitoring PHM = Patient HealthCare Monitoring Service at home : data management platform «Service à la personne» platform and NFC Near Field Contact iphone with NFC chip Telehealth Patient centered 4

5 History : E-Health development Home automation (domotique) 3/3 High investments rather slow results Technology revolution: wireless network, approx Home security Healthcare Communication / social link Comfort 5

6 E-Health: a new deal, in France? «Investissement d avenir» and e-health, june

7 E-Health platform: VHP example 7

8 E-Health platform: VHP example Coordination Agenda télé-alertes Proches ou aidants Action sociale Plateforme applicative Création et mise à jour de la fiche patient Service à domicile Constat/Conseils Education thérapeutique Télé-surveillance Urgence Pompier Police Plateforme médicalisée Téléconseillers Paramédicaux Relais du Médecin référent Partie centralisée +/- déport Lien social et visioconférence Informations Création Enrichissement interventions Patient Lieu de vie/domicile et en déplacement Capteurs et dispositifs de surveillance Téléconsultatio n Suivi Télé-alerte médicale ou autre Médecin traitant Lecture Enrichissement Soins au domicile Consultation, suivi Education thérapeutique Avis spécialisé Télé assistance Spécialistes SSIAD Télé expertise 8 Contact numérique Contact humain (visio, téléphone) 8

9 E-Health : Vigisanté example 9

10 E-Health some figures Home security Monthly fee: from 10 to 40 / month Social link Investments available through territorial collectivities Interactive TV, ergonomic Internet Retirement house Monthly fee: starting 50 per month, retirement house e-health Security (alarm button): from 20 to 60 / month Monthly fees: from 20 to 160 per month (BPCO, cardiac, diabetes ) High tier fonctionality, security e.g. Alzheimer; > 180 / month 10

11 E-Health some facts related to employment Service à la personne > employees in France Reimbursement: ALLOCATION PERSONNALISÉE D'AUTONOMIE, Maximum APA: 1260 / month linked to handicap classification Minimum: 27 / month linked to revenues. Social links devices, security devices may be covered through APA Natural carers: fee may be convered (partially) through APA Employment, regional service platforms Human resources mutualisation : say, 1 employee / 100 people staying at home (or retirement house) Natural carers partial payment e-health systems (from alarm button to Alzheimer syndrom follow-up) 11

12 Questions / réponses Merci de votre attention 12