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Determined to tackle the many challenges facing our healthcare, Europe is gearing up to install integrated models in its care systems. Starting on January 1st, a consortium of European partners including iMinds will join forces in KISS2.0, a one-of-a-kind project that focuses on the development of efficient and viable business models for this new approach to healthcare. It envisions generic solutions on a pan-European scale – adaptable to local care settings – involving digital technology and patient engagement.<br /><br />The strengths of the TAVIERX solution resides in part in its disease-specific approach and in the rigorous process each platform development goes through. To create a customized Virtual Nurse, the TAVIERX group works with clients’ teams (medical and brand teams) and produces customized disease- and treatment- related educational content. These complement the behavioral components created and tailored by the TAVIERX scientific team. Due to a uniqiue algorithm, the interactions between the Virtual Nurse and the patients can be tailored, critical content emphasized, and outcomes improved.<br /><br /><strong>Tackling challenges in European healthcare</strong><br />The dramatic rise of chronic diseases and co-morbidity in Europe is putting tremendous pressure on the financing of our healthcare systems. The way our care is currently organized needs a drastic shift towards a new and sustainable model: integrated care, involving prevention and self-management by patients. <br />In order to accelerate the implementation of efficient and financially viable integrated care systems in Europe, EIT Health (European Institute of Innovation &amp;amp; Technology) has launched the KISS2.0 project (January 2016 – February 2017) in which a consortium of European partners, including iMinds, will join forces.<br /><br /><strong>Models for integrated and personalized care </strong><br />Unique in its approach, KISS2.0 will develop business models for integrated and personalized care in three European regions: Flanders, Germany and Sweden. These models will be based on a commercial ICT tool for chain management by the care team and will leverage the patients’ capacity to self-manage and assess their chronic diseases, for example through the use of wearables. They will generate important market opportunities for SMEs that are directing their operations, products or services towards the integrated care system.<br /><br /><strong>Business scenario and chain management tool</strong><br />As a primary outcome, KISS2.0 will deliver valuable information for policy makers and health insurers on the most likely business scenario for integrated care in Flanders, Sweden and Germany.<br />A secondary outcome will be the development of an ICT tool to be used by (teams of) health professionals for care coordination, organization of secondary prevention and early detection of co-morbidities; but also by patients to self-manage their health and care processes. After the 1-year project duration, this stratification and chain management technology will have been tested on patients with diabetes type 2 in Belgium, Sweden and Germany and will be ready for commercialization on a European scale.<br /><br />Four small enterprises partnering in the European project consortium play a lead role in realizing these outcomes. Two of them will develop the new care organization models, while two other SMEs will build ICT tools based on an existing solution for commercial chain management. <br /><br />“We want to have a system such as Vital Health Software at our disposal that offers the intelligence and optimization features for optimal clinical assessment and stratification of diagnosed citizens, developing stratification and care pathway solutions that can be applied in Belgium. This will pave the way for new approaches to local integrated care settings and a business case for our company, fully aligned with the Belgian government’s plans on organizing Chronic Care,” explains <strong>Jan Van Emelen</strong> of MACX (KISS2.0 project partner).<br /><br /><strong>Leveraging existing know-how and living lab methodology</strong><br />The project will build on the best practices and learnings from six years of integrated eCare implementation in Gesundes Kinzigtal, Germany by project partner OptiMedis AG, and on the experience with diabetes care as an integral part of the Swedish primary care system, coordinated by Rise.<br />iMinds contributes its expertise in living lab methodology. “Our experience in panel management and setting up focus groups to capture information, as well as our know-how of innovative business modelling bring real assets to the project,” says Roger Lemmens (iMinds). The models will be tested and fine-tuned through LiCalab, one of the six Flemish Care Living Lab platforms supported by iMinds.<br /><br /><strong>Chronic Care plan of Belgian government</strong><br />In Belgium, the KISS2.0 project aligns with the federal government’s large-scale plan to improve the organization of chronic care through 4-year projects. It will offer Belgian partners iMinds and MACX unique insights on the implementation, IT challenges and customization of information systems in a multidisciplinary setting around a chronic patient, reinforcing them as candidates to spearhead one or more of Belgium’s ambitious chronic care projects starting in 2017.<br /><br />More info:<br />Katrien Van Gucht – iMinds Coordinator of KISS2.0<br /><hr />*1 – Reime, Birgit; Kardel, Udo; Melle, Christian; Roth, Monika; Auel, Marcus; Hildebrandt, Helmut (2013) From Agreement to Realisation: Six Years of Investment in Integrated eCare in Kinzigtal. In: Meyer, I., Müller, S., Kubitschke, L. (ed) Achieving effective integrated e-care beyond the silos, Empirica, Germany. Advances in Healthcare Information Systems and Administration Book series (AHISA). pp272-289
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TAVIE entered and won second place at the Doctors 2.0 and You Start Up Award Competition. The jury composed of European and American doctors recognized TAVIE’s innovative approach and positive impact on medication adherence. TAVIE was developed by healthcare professionals seeking to improve their patient’s outcome while fitting with medical practice. The rigorous validation process behind the TAVIE portfolio didn’t go unnoticed by the jury. The awarding jury member and Stanford doctor told 360Medlink Director of Patient Programs, Claire Kamoun, she can, “see the tool helping her patients and is looking forward to the first real-life deployments in Europe and US.”<br /><br />Following the award, TAVIE will also be presented at the U.S. sister conference Stanford X in San Francisco in September 2015. As Award winner, TAVIE is invited to the next edition of Doctors 2.0 &amp; You in June 2016.<br /><br />Read Press Release: <a href=”http://www.doctors20.com/2015/07/05/doctors20-2015-startupcontest-cansurround-medclinik-winners/”>http://www.doctors20.com/2015/07/05/doctors20-2015-startupcontest-cansurround-medclinik-winners/</a>
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Following rapid uptake in France and interest shown by partners and prospective clients, 360Medlink confirmed its dedication to expand in Europe and registered a subsidiary in France, MedClinik SAS. With this registration, MedClinik is able to partake in French and European development and experimentation programs such as H2020 and EIT.<br /><br />In collaboration with European partners including iMinds Belgium, a premiere research organization, TAVIE-Vital was already approved for funding through EIT’s Knowledge and Innovation Community and deployment in 2016 to sample private practices in Germany, Sweden and Belgium. The project aims to integrate TAVIE-Vital with an existing care pathways solution to show the value of the integrated care approach and impact on outcomes in the diabetic and pre-diabetic population.<br /><br />TAVIE-Vital is a VirtualNurseTM intervention focusing on lifestyle behavior to reduce co-morbidities and onset of metabolic disease and improve treatment adherence in the general or pre-diabetic population. Further pilot studies in other territories and therapeutic indication are under review. The experimentation deployments will aim to validate perceived value and cultural adequacy at user level (patients and prescribing healthcare professionals) as well as a sustainable business model according to the different market dynamics.
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The European 360Medlink team has been invited to present TAVIE at the Barcelona Health 2.0 event. Health 2.0 is an international eHealth convention showcasing the most innovative eHealth and mHealth solutions that advance medical practice.<br /><br />TAVIE was recognized for its unique positioning and truly patient centered approach.<br /><br />Following a short demo of the tool, panelists and 360Medlink Director of Patient Programs, Claire Kamoun, discussed the necessary cultural and adaptations and market specificities inherent to a successful deployment. Interest for TAVIE from the participating crowd was very high and marked by ongoing discussions with leading European health insurances and pharma as well as venture capitalists.
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In late 2014, TAVIE was selected by the first Canadian Technology Accelerator Program. These highly selective programs allowed 360Medlink to have a first high level market response to the VirtualNurse. Over the early months of 2015 and with the publication of the quantitative results of TAVIE showing efficacy to sustainably improve adherence, interest from partners and prospective clients was clear.<br /><br />Just a few weeks after completing the Acceleration Program, 360Medlink already signed with local distributor IDS-Santé to accelerate commercialisation of TAVIE to French Pharma clients. IDS-Santé is an established twenty-year old group promoting innovative healthcare solutions. IDS-Santé rapidly saw TAVIE potential on the French market and is actively promoting the TAVIE portfolio to leading pharmaceutical laboratories in France.<br /><br />Read Press release: <a href=”http://www.ids-sante.fr/infirmiere-virtuelle-amelioration-observance/”>http://www.ids-sante.fr/infirmiere-virtuelle-amelioration-observance/</a>
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EXTRACT. Most experts agree that increasing patient engagement and improving self-management skills for chronic disease will greatly reduce healthcare inefficiencies, but right now, there are limited resources available to patients for around-the-clock guidance, available to answer the 3 a.m. questions.<br /><br />Our natural opportunity to remove the access barriers, increase patient literacy and greatly improve engagement is to employ technology that enlists patient participation. It’s the only way to sustainably improve the state of healthcare. This is where we need the most help from tech. <br /><br />See more in:<br /><a href=”http://www.forbes.com/sites/ciocentral/2013/03/13/how-virtual-health-assistants-can-reshape-healthcare/”>http://www.forbes.com/sites/ciocentral/2013/03/13/how-virtual-health-assistants-can-reshape-healthcare/<br /></a>Salvitz, E. (2013) Forbes online, March, 3.
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TAVIE-PainRelief was validated in randomized clinical trials, for its benefits in supporting patients with postoperative pain management and adherence to prescribed opioid regimen. The trial included two arms of thirty patients, one assigned to the TAVIE program and one assigned to standard of care. Investigators tested the acceptability and validity of a Virtual Nurse intervention in acute care. Results were published in the journal Computers Informatics Nursing 2013. <br /><br />The protocol assigned to the experimental group included a 30-minute virtual pre-operative educational session about postoperative pain management as well as two short in person postoperative reinforcement sessions. Results were highly positive with 96% of patients showing “high appreciation” and agreeing that “the strategies proposed responded to [their] needs”. <br /><br />The study concluded on the acceptability and viability of using a VirtualNurse as part of the discharge process to improve outcomes. The TAVIE team is further exploring the benefits of TAVIE-PainRelief in the transitional care process to improve recovery and reduce hospital readmissions as well as in chronic pain management.
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Last month marked the 4th annual “Women Leaders Forum: Connecting Women’s health and girls’ education for scalable and sustainable change”, a side session of the 68th United Nation General Assembly. “If we want to eliminate childhood HIV by 2015 we need to stop maternal transmission” stated Michel Sibidé, Executive Director of UN AIDS in his closing speech. Among others, UN AIDS, the First Lady of Zambia and the Secretary General of the International Union of Telecommunication all stressed the need for technological input and sustainable plans, reaching the conclusion that “Charity needs to be a profitable business” as asserted by Mohammed Yunus, Nobel Peace Prize.<br /><br />The forum marked the launch of Zero Mothers Die, a public private partnership program to improve maternal and early childhood health through the use of mobile health technologies. After winning the Care Challenge in 2012, TAVIE-HIV (virtual nurse platform) was invited onto the Zero Mothers Die as an innovative solution to HIV positive pregnant mothers to learn to manage their medication, improve adherence and improve clinical outcomes for themselves and their babies. <br /><br />The TAVIE-HIV mobile application is to be made available on web platforms and smartphones on which women will learn about the treatment and care available as well as learn the crucial skills necessary to manage their therapy during the pregnancy. To best respond to the needs of patients in developing countries, and to successfully support them with their therapy: the team will further emphasize some of the core features of the platform: cultural and literacy sensitivity, personalized interactions respecting women’s privacy, and video based oral content.<br /><br />Interactions with key players in the global health scene further highlighted the value of TAVIE to yield measurable and sustainable benefits. As agreements with the Millennia2015 foundation and Advance Development Africa (ADA.org) are being finalized for the Zero Mothers Die project. The preparations for the TAVIE worldwide launch are on the way with experts from scientific, medical, health-economic, and communications domain. “At 360Medlink we believe patient non-adherence is highly underestimated in terms of negative consequences on treatment efficacy, patient well being and overall costs for public and private payors. The availability of TAVIE as a new tool clinically validated to show tangible results in various chronic disease indications is already receiving great interest from key healthcare stakeholders.” stated Jean Manassé Théagène, President of 360Medlink.<br /><br /><img class=”aligncenter wp-image-514 size-full” src=”http://35.162.57.251/wp_tavie/wp-content/uploads/2016/11/millenia01.jpg” alt=”millenia01″ width=”632″ height=”228″ /><p style=”text-align: center;”>Left to Right: José Coté, PhD and lead research of TAVIE; Dr. Veronique Thouvenot, Co-founder &amp; Scientific Director, Millennia2025 Foundation; Jean Manassé Théagène, MBA and President of 360Medlink; Claire Kamoun, MA and Director of Patient Adherence at 360Medlink<br /><br /><img class=”wp-image-515 size-full aligncenter” src=”http://35.162.57.251/wp_tavie/wp-content/uploads/2016/11/millenia02.jpg” alt=”millenia02″ width=”904″ height=”227″ /><br /> Left to right: Ms. Kirsten Gagnaire, Global Director, MAMA (Mobile Alliance for Maternal Action); Ms. Phyllis Arn Zimmer, MN, FNP, FAAN, President, Nurse Practitioner Healthcare Foundation, USA ; Dr. Veronique Thouvenot, Co-founder &amp; Scientific Director, Millennia2025 Foundation ; Dr. Jordi Serrano Pons, President, Universal Doctor ; Ms. Kirsten Haglund, Miss America 2008, Founder, The Kirsten Haglund Foundation ; Dr. Patricia Mechael, Executive Director, mHealth Alliance.<br /><br /><img class=”aligncenter wp-image-516 size-full” src=”http://35.162.57.251/wp_tavie/wp-content/uploads/2016/11/millenia03.jpg” alt=”millenia03″ width=”602″ height=”291″ />Letft to right: Dr. Hamadoun I. Touré, Secretary General, International Telecommunication Union ; H.E. Toyin Ojora Saraki, Founder – President, The Wellbeing Foundation Africa<br /><br /><img class=”wp-image-517 size-full aligncenter” src=”http://35.162.57.251/wp_tavie/wp-content/uploads/2016/11/millenia04.jpg” alt=”millenia04″ width=”602″ height=”353″ /><br />Left to right: Dr. Hamadoun I. Touré, Secretary General, International Telecommunication Union; Ms. Coumba D. Touré, Founder &amp; President, Advanced Development for Africa Foundation; H.E. Dr. Madame Christine Kaseba-Sata, First Lady of Zambia ; H.E. Toyin Ojora Saraki, Founder – President, The Wellbeing Foundation Africa ; Amir Dossal, Chairman, Global Partnerships Forum</p>
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