Dr. Robert Kelly discusses pressures facing the Irish health system including resources, costs, quality, and efficiency. Barriers include doctors' limited time and resources, and patients' issues with access, time, mobility and costs. Telemedicine can help overcome these barriers by giving patients more convenient lower-cost access supported by information to high-quality care. VideoDoc is an Irish telemedicine platform provider that operates a virtual clinic model and enables doctors to integrate the platform into their practices to develop telemedicine solutions for patients. The platform aims to improve healthcare experiences and outcomes at affordable costs through more engaged patients.

1. Dr Robert V Kelly MD MBA FRCPI
Consultant Cardiologist
Medical Director

2. State of Health
Significant pressures at
all levels of health
system in Ireland
Resources
Cost
Quality
Efficiency
People
Patient demand
Euro
Access
Time
Infrastructure

3. Barriers
Doctors: time, limited resources, logistics, patient care
Patients: access, time, mobility, cost, convenience
Providers: resources, cost

4. Solving Problems
Need to find solutions that improve care by
overcoming barriers; e-health has a huge
enabling role.
Give patients more convenient access at lower
cost, supported with information to high quality
care. Telemedicine.
Increasing trust among patients in technology;
86% people are on-line
100% mobile phone penetration in Ireland
70% mobile phone users aged over 50

5. Telemedicine Telemedicine is defined as a remote video consultation between a
doctor and a patient.
In 2014, the Federation of State Medical Boards (FSMB) in USA
established guidelines about what constitutes an appropriate
telemedicine encounter.
Be HIPAA compliant
Have an audio and video connection
Produce a record of the visit
Allow patient to know with whom they are connecting with.
High-quality tele-health provides: On-demand and/or scheduled video
visits; The ability for physicians to see new and/or existing patients;
Optional Electronic medical record integration; Training for physicians

7. Clinical Scenarios
1.Live and Video services – urgent care
2.Store and Forward – OLOGIES
3.Patient portal, mobile, apps
4.Telehealth – Home monitoring
Practical examples:
Post hospital discharge; Follow up.
Minor urgent care triage / medications
CDM – Diabetes, Epilepsy, Obesity
Elderly home + nursing home televisits
Doctor experience:
ROI, Records, referral, Education, web
conferencing, CME
Doctor-doctor referral

9. Doctors perspective- Pros and Cons of TM
Flexible work-life balance
Opportunity to earn more income
Improve outcomes for patients by
making follow-up easier
Be on the leading edge of telemedicine
Attract new patients to practice
Retain existing patients
Questions about clinical appropriateness
Unsure about reimbursement
Concerns about security, HIPAA
Lack of training in clinical protocols for
telemedicine
Top Reasons Not Sure / Not Willing:
Top Reasons for doctors to use TM

10. Global experience
Reduced admissions: 20% less A+E; reduced GP
office visits
VA Heart Failure Program reduced admission
50%
In UK TM programs associated with 45%
reduction in mortality.
Patient + physician approval is growing.

11. VideoDoc
VideoDoc is an Irish telemedicine platform provider.
• operates a virtual clinic model to corporates clients.
• primary care model that enables doctors / HC providers to integrate platform
into their own practices and roll out their own offering
VideoDoc operates a secure, safe, high quality IT platform backed by
an established HIPAA compliant technology, currently used in
practice in USA.
We aim to improve healthcare experience, that leads to better patient outcomes at
an affordable cost.
More engaged patients lead to higher quality care at lower cost and to
better health. Improved outcomes and quality of care comes from
innovation and technology (NIH 2015)

12. Summary
Video enabled Face-to Face consultation between patient and doctor
enables convenient, easy to access and very affordable way to see doctor
Easier access for patients to their doctor will enhance care delivery
and improve patient engagement
TM platform also allows doctors to develop their own solutions for their
patients.
TM is technology empowers better care through more patient
engagement, less admissions to A+E, closer doctor-patient collaboration,
ROI, happier patients, happier employers and happier doctors

14. VideoDoc - Summary
VideoDoc is an Irish telemedicine platform provider.
• operates a virtual clinic model to corporates clients.
• primary care model that enables doctors / HC providers to integrate platform
into their own practices and roll out their own offering
VideoDoc operates a secure, safe, high quality IT platform backed by
an established HIPAA compliant technology, currently used in
practice in USA.
We aim to improve healthcare experience, that leads to better patient outcomes at
an affordable cost.
More engaged patients lead to higher quality care at lower cost and to
better health. Improved outcomes and quality of care comes from
innovation and technology (NIH 2015)