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Martin Fuchs Chief Executive Officer, InterComponentWare (Switzerland) AG, Zurich

Good Practical Experience Worldwide: Value-Added Services of PHR – Customized to the Needs of Various Groups of Patients. Martin Fuchs Chief Executive Officer, InterComponentWare (Switzerland) AG, Zurich. Peter Reuschel. Norbert Olsacher. Dr. Frank Warda. Founded:. 1998

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Martin Fuchs Chief Executive Officer, InterComponentWare (Switzerland) AG, Zurich

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  1. Good Practical Experience Worldwide: Value-Added Services of PHR – Customized to the Needs of Various Groups of Patients Martin FuchsChief Executive Officer, InterComponentWare (Switzerland) AG, Zurich

  2. Peter Reuschel Norbert Olsacher Dr. Frank Warda Founded: • 1998 • 2000: Conversion into a corporation (unlisted) Locations • Walldorf, Germany (Corporate HQ) • Cologne, Germany • Vienna (Austria) • Zurich (Switzerland) • San Mateo, CA (USA) • Sofia (Bulgaria) Employees • 600 (and growing) Investors • Dietmar Hopp (co-founder of SAP AG) • Dr. Andreas and Dr. Thomas Strüngmann (Santo Holding [Deutschland] GmbH) • EnBW Energie Baden-Württemberg AG • ICW Executive Board, Supervisory Board of Directors, and employees Executive Board • Peter Reuschel (CEO) • Norbert Olsacher • Dr. Frank Warda The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia

  3. Our Fields of Activity LifeSensor – the Web-based personal health record Networking solutions for professionals in the health care market Development technology and open standards for the eHealth market The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia

  4. References BARMER National research project for the personal health record The Rhine-Neckar Health Care Initiative Implementation of the LifeSensor personal health record in the Rhine-Neckar region Patient-Partner AssociationIntegrated care with the personal health record National Electronic Health Card in Bulgaria Pilot project introducing the eHC and required infrastructure components University Clinic in Heidelberg Cross-institutional networking of the individual clinics' information systems BKK Hoesch and BKK VOR ORT Optimization of individual care management The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia

  5. Health Care Trends in EuropeElderly population on the rise: Demographic Changes United Nations: Population Aging 2002 5 May 2008 The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia

  6. Health Care Trends in EuropeEthical Conflicts on the Rise Increased Customer Demands: • Promotion of self-determination/patient empowerment • Equal and just access to health • Improved medical treatment (independent of cost issues) • Security - Protection and Privacy Conflicts of resources and supply (30% of the primary physicians in Germany will retire by 2010) 6 May 2008 The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia

  7. Health Care Trends in EuropeIncreasing Transparency: Quality Ranking and Economic Resources 7 May 2008 The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia

  8. Health Care Trends in EuropeQuality Issues on the Rise: Comparative Performance of Health Care Systems – QA & Benchmarking 8 May 2008 The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia

  9. Health Society …the third health care revolution as a solution • 1. Ensuring survival (19th century) • The major advance in health care policy in the 19th century ensured public health care • 2. Access to medical care (20th century) • Insurance and medical care systems ensure that people receive support during illness, invalidity and old age • The individual was a passivepatient • 3. Establishing the health society (21th century) • Focuses on prevention and maintaining and promoting health in all walks of modern -day life • The individual plays an active, crucial role • Health literacy is a key factor for success 9 May 2008 The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia

  10. Consumer Patient Employee Citizen Health Literacy …the role of the individual in the health society System Market Consumer behavior System orientation Personal Health Health Literacy Work environment Health policy Economy State/Country 10 May 2008 The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia

  11. Health Literacy …“Personal Health Life Cycle“ Schematic diagram of the state of a person‘s health Well Healthy Senior citizen Child Adolescent Adult Unwell Unhealthy BurnoutHelp with recoveryLifestyle counseling Alzheimer‘s disease management program Health checkParental educationCourses on nutrition for childrenInoculations Potential services and programs offered Broken leg Back strengthenig exerciesMental transformationBotox Health educationprevention by the market 11 May 2008 The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia

  12. Personal preventive program Personal disease and illness curation programs Health Literacy …information-based health management Personal Health Life Cycle Prenatal Baby Childhood Adolescence Life - Work 50+ Old Age Health Cockpit Electronic Health Diary 12 May 2008 The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia

  13. The Use of Technology …Personal Health Records Empowering Consumers 13 May 2008 The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia

  14. Personal Health Records: Integration of Equipment for Preventing and Monitoring Chronic Illnesses Consumers can access health resources using new interfaces • Self-test/-diagnosis/-treatment • User can use interactive online tools to enter health-related information and are then guided to relevant information Self-monitoring and analysis • Universal computing devices can be used to prescibe medication and continously monitor the patient‘s state of health • Save measurement readings online. These are regularly analyzed by online tools Potential for Telemonitoring 14 May 2008 The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia

  15. PracticalExample …Aargau / Sports Group XL Youth Sport Camp XL Smile More active thanks to the happy ActiSmile. ActiSmile is an exercise measurer that records how much you move everyday. Its smile motivates you to move more. At the youth sport camp XL, you will learn how to raise a smile with ActiSmile. And with a bit of luck you could win your own ActiSmile! The youth sport camp for overweight children and teenagers 15 May 2008 The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia

  16. actismile …BioFeedback Device; Motivation through Monitoring 16 May 2008 The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia

  17. actismile …actismile family assessment 17 May 2008 The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia

  18. Telemedicine and Mobile Health Autonomy Freedom of Choice Independency • In the Future • Interaction of records with health information databases and intermediaries • Tests automatically arranged and medication automatically prescribedas and when required • Messages sent to the patients portable device if required • Referral to the appropriate health care providers • Portable devices regularly update the personal health record in real time • Receive all information about the person’s physical condition • Advantages • Consumers play a more active role in their own health care • Immediate access to important information • Access to information from anywhere in the world • Reduced duplication of services • Health professionals are automatically notified if the system recognizes potential issues or problems • Improved information exchange between health care providers 18 May 2008 The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia

  19. Example: Chronic Heart Failure • Epidemiology • 1.5% of the German population (1.2 m patients) • Approximately 160,000 – 200,000 people diagnosed with chronic heart failure every year • Increasingly prevalent, one in 10 people in Germany > 65 years old • Health Economy • 2% of the total health care budget • Costs/cardial decompensation approximately €5,000 • 5% of all hospital stays • Most common cause of hospitalization of older people > 65 years old Reducing treatment costs while maintaining the same quality of treatment vs Same costs but improving the quality of treatment 19 May 2008 The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia

  20. Domestic Sub-acute clinical health care Integration into the community Advice Teaching skills for everyday life Self-diagnosis Assisted living Access to acute health care Help with professional issues Patients with Chronic Heart Failure Clinical Signs: • Fast and weak pulse • Swollen legs and abdomen • Weakness • Shortness of breath with little physical movement • Labored breathing when lying down • Must sit up straight or with a pillow for support • Foamy, bloody sputum Image. Netter-Atlas 20 May 2008 The Eight Annual Disease Management Colloquium, May 19-21, 2008, Philadelphia

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