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Home-Delivered Colon Capsule Endoscopy at OUH
Using a Private-Public-Partnership to re-
invent the CRC screening strategy
WHINN, Odense, October 22nd 2015
&
Current iFOBT-based CRC screening
iFOBT
Colon-
oscopy
30-70% false positives =
unnecessary colonoscopies
at hospital
iFOBT
Colon-
oscopy
HD-CCE
Introduce filter = only mid- to
high risk patients at hospital
&
Home
Nurses
Data Management
Patient Portal
Central
Diagnostic
Center
Odense
University
Hospital
PPP
Capsule endoscopy delivered as-a-service
Home
Nurses
Central
Diagnostic
Center
Odense
University
Hospital
Current screening strategy is very resource intensive
Odense
University
Hospital
~2500 additional
colonoscopies / year from
iFOBT screening
• Overtime
• Extra rooms
• Extra equipment
Tailored screening via HD-CCE can remove overload
Odense
University
Hospital
Study: Only ~50% at risk now
• Focus on intervention
• Reduce cost
• Increase quality
Proving the case with 3 trials in CAREforCOLON study
Trial I
Trial II
Trial III
Accuracy comparison of back-to-back HD-CCE and colonoscopy
with 250 iFOBT-positive patients
Quality and user experience analysis of HD-CCE with 3,000 iFOBT-
positive patients compared against other Danish regions
Accuracy comparison of back-to-back HD-CCE and CT
colonography with 100 patients with incomplete colonoscopy
After >60 cases HD-CCE challenges
“Gold-Standard”-status of colonoscopy
SUNDHED.DK is the public Danish eHealth portal
• 24/7 access to personalized health data by
citizens, GPs, hospitals, municipalities
• 1.4 million unique users a month (of
population 5.6m) after launch in
December 2003
• Continuous development of new
functionality in front-end, content,
platform and infrastructure
In HD-CCE Sundhed.dk manages data & automates workflows
- Data management and security
- Infrastructure between collection
points (patients), diagnostic
center and health professionals
(hospitals)
- Workflow for nurses, doctors and
patients
Scaling across Denmark and beyond
Patients
Data-
center
Analysis
Patients
Patients
Patients
Patients
Successful PPP leads to broad innovation
Odense
University
Hospital
HD-CCE
International
Research Center
Precision Medicine CRC Monitoring
Chron‘s Disease
Peder Jest, Chief Medical Officer, Odense University Hospital
peder.jest@rsyd.dk
Jakob Uffelman, Head of Innovation, sundhed.dk
jau@sundhed.dk
Cornelius Glismann, Managing Director, CorporateHealth
cornelius@ch-eckup.com
Thank You!

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Peder Jest's, Cornelius Glismann's, and Jakob Uffelman's presentations from Hospital + Innovation 2015

  • 1. Home-Delivered Colon Capsule Endoscopy at OUH Using a Private-Public-Partnership to re- invent the CRC screening strategy WHINN, Odense, October 22nd 2015 &
  • 2. Current iFOBT-based CRC screening iFOBT Colon- oscopy 30-70% false positives = unnecessary colonoscopies at hospital iFOBT Colon- oscopy HD-CCE Introduce filter = only mid- to high risk patients at hospital & Home Nurses Data Management Patient Portal Central Diagnostic Center Odense University Hospital PPP
  • 3. Capsule endoscopy delivered as-a-service Home Nurses Central Diagnostic Center Odense University Hospital
  • 4. Current screening strategy is very resource intensive Odense University Hospital ~2500 additional colonoscopies / year from iFOBT screening • Overtime • Extra rooms • Extra equipment
  • 5. Tailored screening via HD-CCE can remove overload Odense University Hospital Study: Only ~50% at risk now • Focus on intervention • Reduce cost • Increase quality
  • 6. Proving the case with 3 trials in CAREforCOLON study Trial I Trial II Trial III Accuracy comparison of back-to-back HD-CCE and colonoscopy with 250 iFOBT-positive patients Quality and user experience analysis of HD-CCE with 3,000 iFOBT- positive patients compared against other Danish regions Accuracy comparison of back-to-back HD-CCE and CT colonography with 100 patients with incomplete colonoscopy After >60 cases HD-CCE challenges “Gold-Standard”-status of colonoscopy
  • 7. SUNDHED.DK is the public Danish eHealth portal • 24/7 access to personalized health data by citizens, GPs, hospitals, municipalities • 1.4 million unique users a month (of population 5.6m) after launch in December 2003 • Continuous development of new functionality in front-end, content, platform and infrastructure
  • 8. In HD-CCE Sundhed.dk manages data & automates workflows - Data management and security - Infrastructure between collection points (patients), diagnostic center and health professionals (hospitals) - Workflow for nurses, doctors and patients Scaling across Denmark and beyond Patients Data- center Analysis Patients Patients Patients Patients
  • 9. Successful PPP leads to broad innovation Odense University Hospital HD-CCE International Research Center Precision Medicine CRC Monitoring Chron‘s Disease
  • 10. Peder Jest, Chief Medical Officer, Odense University Hospital peder.jest@rsyd.dk Jakob Uffelman, Head of Innovation, sundhed.dk jau@sundhed.dk Cornelius Glismann, Managing Director, CorporateHealth cornelius@ch-eckup.com Thank You!