Telemedicina nei pazienti con dolore toracico acuto

Referent name Massimo Surname MANDO Funzione Direttore Centrale Operativa 118
Telephone 3356894463

Company USL 8 Arezzo Email address m.mando@usl8.toscana.it

State Italia

Regione TOSCANA

Province Arezzo

Data avvio del progetto 1-01-2009
Numero di mesi intercorsi tra l'inserimento del primo utente e la data di rilevazione corrente 36
Service status current/expected: Pienamente Operativo Data di avvio del servizio 1-01-2009

Project Mission

trasmissione dati strumentali clinici ( ECG e parametri vitali) dal luogo ove si effettua il soccorso 118 alle UTIC USL 8 di Arezzo e Valdarno - la trasmissione dell'ecg e dei parametri vitali permette una diagnosi immediata di infarto miocardico acuto e l'attivazione UTIC/PTCA al fine di garantire nel minor tempo possibile la prestazione sanitaria più appropriata

Sono stati adottati atti normativi di riferimento in materia di telemedicina?: (apri / chiudi)

Level of regulation adoption	Regulation typology	Information about adopted regulation	Upload file
Business level	Specific	codice documento PG/c0118/201

Application fields-telemedicine services matrix (apri / chiudi)

Telemedicine services	Cardiology
Tele-consulting	X
Tele-diagnosis	X
Tele-monitoring	X
Tele-aid	X

Territorial area of reference: Livello aziendale

The project addressees

Main Target pazienti con dolore toracico acuto

Project target:
- Pazienti a rischio

Obiettivi e innovazioni del progetto

Which changes have occurred after introducing the telemedicine services, and which fields did they involve?

attivazione della rete cardiologica / 118 in tutto il territorio USL8 , gestione e trasmissione dati ecg e parametri vitali , attivazione delle UTIC/PTCA con la dovuta tempistica ed appropriatezza

Typology of provided services: Pacchetti di prestazioni
ecg - trasmissione - soccorso e trasporto presso la UTIC più vicina

What is the role of private operators in the provision of telemedicine services?

Private operators involvement: no

Please specify how the services provided by the project are rated and remunerated to the providing body

Rated service: Services packages

Under which payment conditions are the provided services supplied?

Gratis

Modalità di finanziamento del progetto:
- Progetto di ricerca regionale

How much in total does the network cost to be maintained over a year? 80000

Dimensione (apri / chiudi)

User Number

Number of potential users of the Network 200
Number of users traditionally assisted in the last 12 months 110
Number of users assisted with telemedicine in the last 12 months 88
Number of users assisted with telemedicine in the previous 12 months 93

Telemedicine services	Cardiology	Volume Annuo
Tele-consulting	X	0
Tele-diagnosis	X	0
Tele-monitoring	X	0
Tele-aid	X	0

What benefits and criticalities were encountered while introducing and providing the telemedicine services? (apri / chiudi)

Telemedicine services	Cardiology	Encountered benefits	Encountered criticalities
Tele-consulting	X
Tele-diagnosis	X
Tele-monitoring	X
Tele-aid	X

Project Managers:

Does the service reach the users at their usual homes/workplaces?

Yes
Note:domicilio e territorio

Is the service aviable H24?

Yes

Is the service aviable 7/7?

Yes

Is the service available every month of the year

Yes

Total number of contacts registered by the system (requested by the user or established by the service operators)

Number of contacts in the last 12 months: 100

Average of services performed on each assisted user

Monthly average of actions performed within every available service (for instance, electrocardiograms�)

Formalization of a standard for the provided service

Has a standard answering time, for each service request, been defined? Yes

Are answering times monitored?
no

Incidence of rehospitalization on users followed:

Rehospitalization rate in the last 12 months among users, followed by the Net 0%

Rehospitalization rate in the last 12 months among users of the pool of reference:0%

There will be e-service care for other diseases, or other clinical problems within the same disease?

Services and care levels involved

Figura professionale	Ultimi 12 mesi	12 mesi precedenti
Assistente Sociale	---	---
Medico di Medicina Generale	---	---
Medico di Continuità Assistenziale	---	---
Medico Ospedaliero (escluso Emergenza-Urgenza)	---	---
Emergency Room doctor	58	0
Medico Specialista Convenzionato	---	---
Pediatra di libera scelta	---	---
Professional nurse	32	0
Personale Tecnico Sanitario	---	---
Personale della Riabilitazione	---	---
Altro operatore/Collaboratore Sanitario	---	---
Altro operatore/Collaboratore Socio-Sanitario	---	---
Altre figure professionali	---	---
Altro (specificare)	---	---

What and how many levels are involved in care services to the patient?

Volontariato
Sistema delle cure di secondo livello (ricovero osperaliero o attività specialistica in ambulatorio)

Is any provided initiative oriented towards the fostering of trust, acceptance and diffusion of telemedicine services?

Initiatives status	Initiatives target	Please describe the initiative
fully operating	Citizens	campagne di comunicazione , formazione e promozione

Clinical Indicators

Monitoring indicators reported

indicatorors	quantity
Monitoraggio dei sintomi	0
Monitoraggio dei segni	---
Monitoraggio degli esami bioumorali	---
Monitoraggio degli esami strumentali	0

How is such monitoring performed?

Monitoraggio continuo
Monitoraggio ad intervalli predefiniti
Monitoraggio a richiesta dell' operatore o dell' utente

Specifically, describe the types of parameters which are detected in case of device-carrying users:

With PaceMaker

Frequenza di stimolazione
Carica della batteria
Misurazione del sensing
Analisi recorder ECG per eventuali disfunzioni
Analisi ECG per eventuali eventi aritmici

Carriers of implantable defibrillators

Frequenza di stimolazione
Carica della batteria
Misurazione del sensing
Analisi recorder ECG per eventuali disfunzioni
Analisi ECG per eventuali eventi aritmici

Does the network make use of a specific software for the surveying and the processing of the service users clinical data (socio-health file, patient folder or similar)?

Yes

The medical record is adhering to the following standards:

Detailed information:

Are there available links for the transfer of clinical data towards structures/networks which ensure telemedicine, second opinion and/or first aid services?

Are there available links for the transfer of clinical data towards specialised networks of doctors (for instance: general practitioners), health or socio-health operators?

Is the software you use covered by an open source license?

Are the medical devices, that are used for the service supply, self-manageable by the patient, or do they require a specialised intervention?

Devices are used not by the patient

Are the technological devices, that are used for the service supply, self-manageable by the patient, or do they require a specialised intervention?

Hardware

Lifepak 12 Medtronic

Connectivity

Linea telefonica fissa

Do the services that may be offered through the Web conform with the accessibility requirements set by the act 4/2004?

Anno Scheda:

2010

Tag

Territori

Location