3 - MAST model info

How will decision makers of
Azienda Ospedaliera of Padova/
Padova University Hospital
use MAST in practise?
Narne E, MAST 5th May 2010, Berlin
Azienda Ospedaliera of Padova
University Hospital of Padova
Azienda Ospedaliera di Padova is a national referral hospital, in charge
of teaching, care and research, linked with the School of Medicine of
Padua University.
ITS MISSION IS :
•to contribute to the promotion, recovery and maintenance of health;
•to deliver specialistic outpatient and inpatient care in the framework of
health national and regional planning;
•to work for a system approach
to patient-centred care
Narne E, MAST 5th May 2010, Berlin
Outcomes useful for decisions on
investment in telemedicine application
Outcomes “weighting” could depend on the kind of
telemedicine application!
–
–
–
Azienda Ospedaliera of Padova as “third level specialized
centre” for other regional hospitals (as for neurosurgical
teleconsultation) (clinical effectiveness, safety as reduction
of delays in care )
Azienda Ospedaliera of Padova as deliver of Services (lab
exams, specialistic visit) integrated with primary and
secondary points of care (as for periferic monitoring of
anticoagulation therapy) (patient accessibility)
Azienda Ospedaliera of Padova as deliver of Education
Services (improvement of staff performances, efficiency of
provider and staff satisfaction)
Narne E, MAST 5th May 2010, Berlin
Neurosurgical teleconsultation
Emergency
Azienda Ospedaliera di Padova
Primary/secondary Hospital
More than 3500 teleconsultation since 2004
(12 Hospitals Net)
With kind permission of Ing. De Nardi
Narne E, MAST 5th May 2010, Berlin
Surgery on line:
“live” and “on demand”
In Azienda
Ospedaliera of
Padova:
299 surgical
videos published
1525 hours of
surgical
intervention
recorded
493 hours of
Video conferences
(live)
With kind permission of Giancarlo Pengo
Narne E, MAST 5th May 2010, Berlin
7 Domains of MAST and specific
outcomes of telemedicine applications
1.
2.
Health problem and characteristics of the application
Safety:
•
•
3.
Lower severity and frequency of harms compared to
conventional methods;
Reduction of delays in care.
Clinical effectiveness:
•
•
•
•
4.
Improvement of quality of care;
Increased appropriateness of hospitalization;
Reduction of rehospitalization;
Increased efficiency of provider.
Patient perspectives:
•
•
Reduction of barrier to access,
Increased patient satisfaction.
Narne E, MAST 5th May 2010, Berlin
7 Domains of MAST and specific
outcomes of telemedicine applications
Economic aspects:
5.
•
•
•
6.
Reduction of overall health care costs (considering Hospital, staff,
administrative, equipment costs of telemedicine application and its
consequences),
Reimbursment from Health System.
Measurement with health indicators as QALYs;
Organizational aspects:
•
•
7.
Identification of different steps in workflow process and organizational
relations,
Effective address of access problems.
Socio-cultural, ethical and legal aspects:
•
Compliance with legal regulation and with regional and local ethics
committee reccomendations.
Narne E, MAST 5th May 2010, Berlin
MAST and
Azienda Ospedaliera di Padova
In conclusion:
MAST can produce useful informations for assessing a
telemedicine application for AOP
• Strenghts:
– Multidisciplinary approach,
– Broad evaluation,
– Standardization with other countries,
• Weekness:
– Limitation in evaluating new application
Narne E, MAST 5th May 2010, Berlin
Thank you to:
Dott. G. Rupolo, Health Director of Azienda Ospedaliera di Padova
Ing. P. De Nardi, Director of Information and Clinical Technology Unit, AOP
Dott. M. Castoro, Director of Health Technology Assessment Unit, AOP
Mr G. Pengo, Surgical Video Producter, collaborating with AOP.
And thank you for the attention
Narne E, MAST 5th May 2010, Berlin