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COMARCH HEALTHCARE

COMARCH E-HEALTH SOLUTIONS

COMARCH HEALTHCARE COMARCH E-HEALTH SOLUTIONS

AGENDA

1. COMARCH HEALTHCARE GENERAL INFORMATION

2. COMARCH E-HEALTH PLATFORM

3. REMOTE MEDICAL CARE

4. REGIONAL PLATFORMS AND „HEALTH CITY”

5. INTERNET OF THINGS (IoT)

6. ELECTRONIC HEALTH RECORD (EHR)

7. HOSPITAL INFORMATION SYSTEM (HIS)

AND „HEALTH CITY” 5. INTERNET OF THINGS (IoT) 6. ELECTRONIC HEALTH RECORD (EHR) 7. HOSPITAL INFORMATION

COMARCH HEALTHCARE GENERAL INFORMATION

COMARCH HEALTHCARE – GENERAL INFORMATION

PRODUCTS AND SERVICES

Portfolio

Hospital Information System (HIS)

Radiology Software (RIS)

Electronic Health Record (EHR)

Regional Platforms (HIS, ERP, BI, EHR)

Remote Medical Care

“Health City” - IT service platform for cities

and regions comprising a set of collaborating applications and IT systems.

Facts and Figures

Over 280 medical units use our systems

(including 80 hospitals)

30,000 users utilize our solutions on a daily basis

Our systems serve about 2,500,000 patients a year

In 2016 e-Care Remote Medical Center

provided services to 3,500 patients

Our solutions support the medical sector 24/7/365

e-Care Remote Medical Center provided services to 3,500 patients ▪ Our solutions support the medical sector

KEY SOLUTIONS

KEY SOLUTIONS HIS Comarch Optimed Comarch ERP Comarch BI MEDICAL DOCUMENTATION Comarch EHR Comarch Concierge Comarch

HIS

Comarch Optimed

Comarch ERP

Comarch BI

KEY SOLUTIONS HIS Comarch Optimed Comarch ERP Comarch BI MEDICAL DOCUMENTATION Comarch EHR Comarch Concierge Comarch

MEDICAL

DOCUMENTATION

Comarch EHR

Comarch Concierge

Comarch Mednote

DOCUMENTATION Comarch EHR Comarch Concierge Comarch Mednote R I S Comarch RIS Comarch Teleradiology Comarch DICOM

RIS

Comarch RIS

Comarch Teleradiology

Comarch DICOM Viewer

I S Comarch RIS Comarch Teleradiology Comarch DICOM Viewer REMOTE MEDICAL CARE Remote Cardiology Care Remote

REMOTE MEDICAL

CARE

Remote Cardiology Care

Remote Maternity Care

Remote Care for Seniors

Comarch DICOM Viewer REMOTE MEDICAL CARE Remote Cardiology Care Remote Maternity Care Remote Care for Seniors

STRATEGIC DEVELOPMENT

Important numbers

Income approx. 15 million EUR per year

Number of employees 500

Clients

All types of hospitals

Clinics

Health Centers

Regions

Individual Medical Practice

Laboratories

Patients

Markets

Poland (Home Market)

All EME markets, where new regulations for EHR and Telehealth are introduced, with particular emphasis on:

DACH (strong ability of Comarch Group)

UK (huge investments in Healthcare sector)

Nordics (market developed in the field of telemedicine)

Middle East (mature and rapidly developing

market with high demands)

(market developed in the field of telemedicine) ▪ Middle East (mature and rapidly developing market with

MEDICAL CENTRE

MEDICAL CENTRE iMed24 Medical Centre, located in Krakow, Poland, is a part of Comarch Healthcare division.
MEDICAL CENTRE iMed24 Medical Centre, located in Krakow, Poland, is a part of Comarch Healthcare division.

iMed24 Medical Centre, located in Krakow, Poland, is a part of Comarch Healthcare division. The Centre is the natural environment for the

development of the company’s solutions for the

healthcare market.

Over 100 physicians

Over 30 specialist clinics

20 comfortable doctor's offices

Remote Medical Care services

Medical care 24/7/365

specialist clinics ▪ 20 comfortable doctor's offices ▪ Remote Medical Care services ▪ Medical care 24/7/365

COMARCH HEALTHCARE AN UNIQUE EXAMPLE OF BUSINESS

TO FOSTER INNOVATION

25 years of comprehensive experience on wide IT&Tech market

Expertise and resources

Know-how

End to End software

provider and devices

producer

Advanced R&D

Own production line

Perfect combination of Technology & advanced clinical knowledge

Own Medical Centre iMed24

Team of qualified experts in medicine and public health

advanced clinical knowledge ▪ Own Medical Centre iMed24 ▪ Team of qualified experts in medicine and

COMARCH E-HEALTH PLATFORM

COMARCH E-HEALTH PLATFORM

COMARCH E-HEALTH PLATFORM

COMARCH E-HEALTH PLATFORM Comarch cloud-based e-Health Platform for managing relationships between patients and big parts
COMARCH E-HEALTH PLATFORM Comarch cloud-based e-Health Platform for managing relationships between patients and big parts

Comarch cloud-based e-Health Platform for managing relationships between patients and big parts of the health care industry offers unique services enabling to perform a day-to-day activities by various medical stakeholders, including hospital groups, regional platforms, medical centers, nursing homes and private specialist clinics.

including hospital groups, regional platforms, medical centers, nursing homes and private specialist clinics.
including hospital groups, regional platforms, medical centers, nursing homes and private specialist clinics.
including hospital groups, regional platforms, medical centers, nursing homes and private specialist clinics.

EXAMPLES OF USE

EXAMPLES OF USE
EXAMPLES OF USE
EXAMPLES OF USE
EXAMPLES OF USE

PATIENT-CENTERED CARE

Remote registration for visits

Possibility to order prescriptions, referrals and laboratory tests remotely

Access to test results and recommendations from

previous visits

Consultations and advice provided online (chat, audio, video)

Secure contact mailbox for communication with the

doctor

Health Diary and patient self-care (tailored medical knowledge base)

mailbox for communication with the doctor ▪ Health Diary and patient self-care (tailored medical knowledge base)
mailbox for communication with the doctor ▪ Health Diary and patient self-care (tailored medical knowledge base)
mailbox for communication with the doctor ▪ Health Diary and patient self-care (tailored medical knowledge base)
mailbox for communication with the doctor ▪ Health Diary and patient self-care (tailored medical knowledge base)

MANAGING HEALTHCARE FACILITIES

MANAGING HEALTHCARE FACILITIES ▪ Integrated information systems for management of the operations of healthcare
MANAGING HEALTHCARE FACILITIES ▪ Integrated information systems for management of the operations of healthcare

Integrated information systems for management of

the operations of healthcare facilities

Possibility to implement telemedical services, including telemetry system for hospitals

Access to EHR from various periods

Pre-defined appropriate procedures for any medical document

Possibility to integrate with systems offered by various manufacturers

Medical data security

medical document ▪ Possibility to integrate with systems offered by various manufacturers ▪ Medical data security
medical document ▪ Possibility to integrate with systems offered by various manufacturers ▪ Medical data security

REMOTE MEDICAL CARE

Patient care plan

24-hour monitoring medical center

Remote diagnostics, early detection of medical threats

Remote rehabilitation

Teleradiology

Telemetry system for hospitals

Remote Cardiac Care, Remote Maternity Care, Remote Care for Seniors

Teleradiology ▪ Telemetry system for hospitals ▪ Remote Cardiac Care, Remote Maternity Care, Remote Care for
Teleradiology ▪ Telemetry system for hospitals ▪ Remote Cardiac Care, Remote Maternity Care, Remote Care for
Teleradiology ▪ Telemetry system for hospitals ▪ Remote Cardiac Care, Remote Maternity Care, Remote Care for
Teleradiology ▪ Telemetry system for hospitals ▪ Remote Cardiac Care, Remote Maternity Care, Remote Care for

SOFTWARE ARCHITECTURE

SOFTWARE ARCHITECTURE
SOFTWARE ARCHITECTURE

REMOTE MEDICAL CARE

REMOTE MEDICAL CARE

REMOTE MEDICAL CARE

Permanent Monitoring of the Patients Condition and Modern Diagnostics Without Leaving Home

Provision of the SOFTWARE and HARDWARE for healthcare and remote care

Components of Remote Medical Care:

Telemedicine equipment

e-Care application with WEB interface

Provision of medical services

Medical Care: ▪ Telemedicine equipment ▪ e-Care application with WEB interface ▪ Provision of medical services
Medical Care: ▪ Telemedicine equipment ▪ e-Care application with WEB interface ▪ Provision of medical services

BENEFITS OF REMOTE MEDICAL CARE

For the Medical Unit

Shortening the length of hospitalization and reducing the use of hospital bedsBENEFITS OF REMOTE MEDICAL CARE For the Medical Unit Taking a load off medical staff Increasing

Taking a load off medical staffof hospitalization and reducing the use of hospital beds Increasing patient adherence to medical recommendations

Increasing patient adherence to medical recommendationsthe use of hospital beds Taking a load off medical staff Increasing the effectiveness of treatment

Increasing the effectiveness of treatmentIncreasing patient adherence to medical recommendations Convenient access to patients medical data Improvement of

Convenient access to patients medical datarecommendations Increasing the effectiveness of treatment Improvement of image and boost of institutional reputation

Improvement of image and boost of institutional reputationof treatment Convenient access to patients medical data For the Patient Reducing waiting time for admission

For the Patient

Reducing waiting time for admission into hospital and shortening hospital stayimage and boost of institutional reputation For the Patient The possibility of continued treatment in a

The possibility of continued treatment in a home environmentfor admission into hospital and shortening hospital stay Increased sense of safety through easier and faster

Increased sense of safety through easier and faster contact with the medical staffThe possibility of continued treatment in a home environment Shortened response time to life and health

Shortened response time to life and health threatsthrough easier and faster contact with the medical staff Improving effectiveness of time-limited therapy Easier and

Improving effectiveness of time-limited therapythe medical staff Shortened response time to life and health threats Easier and safer access to

Easier and safer access to patients own medical datawith the medical staff Shortened response time to life and health threats Improving effectiveness of time-limited

and health threats Improving effectiveness of time-limited therapy Easier and safer access to patients own medical

REMOTE MEDICAL CARE

REMOTE MEDICAL CARE
REMOTE MEDICAL CARE

MULTIDEVICE / MULTIVENDOR PLATFORM

MULTIDEVICE / MULTIVENDOR PLATFORM
MULTIDEVICE / MULTIVENDOR PLATFORM

COMARCH E-CARE PLATFORM

COMARCH E-CARE PLATFORM Comarch e-Care Platform • The platform allows permanent remote monitoring of the patient’

Comarch e-Care Platform

The platform allows permanent remote monitoring of the patient’ health, and receives and processes medical data and data from measurement devices controlling specific vital signs.

from measurement devices controlling specific vital signs. • Support for medical staff in the performance of
•

Support for medical staff in the performance of pre-determined procedures.

devices controlling specific vital signs. • Support for medical staff in the performance of pre-determined procedures.
devices controlling specific vital signs. • Support for medical staff in the performance of pre-determined procedures.
devices controlling specific vital signs. • Support for medical staff in the performance of pre-determined procedures.
devices controlling specific vital signs. • Support for medical staff in the performance of pre-determined procedures.

REMOTE MEDICAL CARE - DEVICES

Comarch homeCTG
Comarch homeCTG

Comarch Personal Medical Assistant (PMA)

Comarch homeCTG Comarch Personal Medical Assistant (PMA) Pocket device (event ECG) Comarch Home Medical Assistant

Pocket device

(event ECG)

Personal Medical Assistant (PMA) Pocket device (event ECG) Comarch Home Medical Assistant (HMA) Comarch Life Bracelet

Comarch Home Medical Assistant (HMA)

device (event ECG) Comarch Home Medical Assistant (HMA) Comarch Life Bracelet Comarch Hospital Telemetry Assistant

Comarch Life Bracelet

Comarch Home Medical Assistant (HMA) Comarch Life Bracelet Comarch Hospital Telemetry Assistant (HTA) Comarch CardioVest
Comarch Home Medical Assistant (HMA) Comarch Life Bracelet Comarch Hospital Telemetry Assistant (HTA) Comarch CardioVest

Comarch

Hospital Telemetry Assistant (HTA)

Comarch CardioVest

COMARCH E-CARE PLATFORM

Maternity Care

Maternity

Care

Pulmonological Care
Pulmonological Care

Pulmonological

Care

Holter App

Holter

App

Cardiac Care
Cardiac Care
Cardiac Care

Cardiac

Care

Care Pulmonological Care Holter App Cardiac Care Mobile App Elderly Care Comarch e-Care Platform

Mobile

App

Elderly Care

Elderly

Care

Comarch e-Care Platform REGIONAL     PLATFORM   Comarch Medical Algorithms Platform  
Comarch e-Care Platform REGIONAL     PLATFORM   Comarch Medical Algorithms Platform  
Comarch e-Care Platform REGIONAL     PLATFORM   Comarch Medical Algorithms Platform  
Comarch e-Care Platform REGIONAL     PLATFORM   Comarch Medical Algorithms Platform  
Comarch e-Care Platform REGIONAL     PLATFORM   Comarch Medical Algorithms Platform  
Comarch e-Care Platform REGIONAL     PLATFORM   Comarch Medical Algorithms Platform  

Comarch e-Care Platform

REGIONAL

 
 

PLATFORM

 

Comarch Medical Algorithms Platform

 
Hospital Telemetry
Hospital Telemetry
Hospital Telemetry
Hospital Telemetry

Hospital

Telemetry

REGIONAL     PLATFORM   Comarch Medical Algorithms Platform   Hospital Telemetry

E-CARE - COMARCH SERVER INFRASTRUCTURE

E-CARE - COMARCH SERVER INFRASTRUCTURE
E-CARE - COMARCH SERVER INFRASTRUCTURE

E-CARE MODULAR ARCHITECTURE

Comarch server Comarch server
Comarch server
Comarch server
– MODULAR ARCHITECTURE Comarch server Comarch server Comarch server Comarch Comarch gateway Pentavox server Web

Comarch server

ARCHITECTURE Comarch server Comarch server Comarch server Comarch Comarch gateway Pentavox server Web Web Web Pentavox

Comarch

Comarch gateway

Comarch server Comarch server Comarch Comarch gateway Pentavox server Web Web Web Pentavox SXT Comarch gateway

Pentavox

server

Comarch server Comarch Comarch gateway Pentavox server Web Web Web Pentavox SXT Comarch gateway BREAS HMA

Web

Comarch server Comarch Comarch gateway Pentavox server Web Web Web Pentavox SXT Comarch gateway BREAS HMA

Web

server Comarch Comarch gateway Pentavox server Web Web Web Pentavox SXT Comarch gateway BREAS HMA Comarch

Web

Pentavoxserver Comarch server Comarch Comarch gateway Pentavox server Web Web Web SXT Comarch gateway BREAS HMA

server Comarch Comarch gateway Pentavox server Web Web Web Pentavox SXT Comarch gateway BREAS HMA Comarch

SXT

Comarch gateway
Comarch gateway
server Comarch Comarch gateway Pentavox server Web Web Web Pentavox SXT Comarch gateway BREAS HMA Comarch
server Comarch Comarch gateway Pentavox server Web Web Web Pentavox SXT Comarch gateway BREAS HMA Comarch
server Comarch Comarch gateway Pentavox server Web Web Web Pentavox SXT Comarch gateway BREAS HMA Comarch

BREAS

HMA

Comarch server

Web

server Comarch Comarch gateway Pentavox server Web Web Web Pentavox SXT Comarch gateway BREAS HMA Comarch

REMOTE MEDICAL CARE CENTRE

REMOTE MEDICAL CARE CENTRE A key element of the remote care system is the Remote Medical

A key element of the remote care system is the Remote

Medical Care Centre, where medical staff monitor round- the-clock the patients health status.

Remote Medical Care Centre

Brings together qualified medical staff: paramedics,

midwives, doctors of different specializations, dieticians and physiotherapists

Monitors patients health around the clock, including on holidays

Intervenes in the case of automatically detected

anomalies, parameterized individually for each patient (exceeded norms and alarm values), as well as on every request of the patient (triggered by, e.g., the use of the “SOS Button” alarm device)

values), as well as on every request of the patient (triggered by, e.g., the use of

REMOTE CARDIAC CARE

REMOTE CARDIAC CARE Comarch Personal Medical Assistant (PMA) • Detection of cardiac abnormalities, including:

Comarch Personal Medical Assistant (PMA)

Detection of cardiac abnormalities, including:

tachycardia and bradycardia, ventricular tachycardia, ventricular fibrillation and flutter, atrial fibrillation and atrial flutter or ineffective pacemaker stimulation.

Used both in the case of patients during a hospital stay

as well as in the case of health checks for patients

undergoing cardiac rehabilitation at home.

during a hospital stay as well as in the case of health checks for patients undergoing

REMOTE CARDIAC CARE

REMOTE CARDIAC CARE
REMOTE CARDIAC CARE

REMOTE CARDIAC CARE

REMOTE CARDIAC CARE
REMOTE CARDIAC CARE

REMOTE CARDIAC CARE

General Features

Long-term ECG analysis (7 days and more)

Examination management

Multiple views (Page, Superimposition, Patient Diary and more)

Measurement tools

Result charts, tables and extensive reports

Multi display support

Modern UI design

Support for themes and extensive UI configuration

Analysis

Tachycardia and bradycardia

Interval in atrial fibrillation

Ventricular tachycardia, fibrillation and flutter

Atrial fibrillation and flutter

Beats clustering

HR and HRV analysis

ST and QT intervals analysis

Architecture

Client-Server Architecture

Remote access (VPN)

and HRV analysis • ST and QT intervals analysis Architecture • Client-Server Architecture • Remote access
and HRV analysis • ST and QT intervals analysis Architecture • Client-Server Architecture • Remote access

REMOTE MATERNITY CARE

REMOTE MATERNITY CARE Comarch homeCTG • Non-invasive CTG examination in patients home which allows full monitoring

Comarch homeCTG

Non-invasive CTG examination in patients home which allows full monitoring of the child heart rate and uterine contractions

After the exam, measurements are sent to the Remote Medical Care Centre and evaluated by

a gynaecologist or midwife.

The exam is to be performed on women in the last trimester of pregnancy.

and evaluated by a gynaecologist or midwife. • The exam is to be performed on women

REMOTE MATERNITY CARE

REMOTE MATERNITY CARE
REMOTE MATERNITY CARE

REMOTE MATERNITY CARE

General functions

Portable device for home use

Allows CTG examination of high quality signal

Passive, acoustic based (no energy emitted)

Build in speaker for hearing fetus heartbeat

Tele-functions

Autonomous data transmission (SIM on-board)

Displays examination feedback on screen

Integration with Comarch e-Care

Certified CTG Viewer

Example of integrating a third-party device

on screen Integration with Comarch e-Care • Certified CTG Viewer • Example of integrating a third-party
on screen Integration with Comarch e-Care • Certified CTG Viewer • Example of integrating a third-party

REMOTE CARE FOR SENIORS

REMOTE CARE FOR SENIORS Comarch Home Medical Assistant (HMA) • Remote consultation services for seniors with

Comarch Home Medical

Assistant (HMA)

Remote consultation services for seniors with primary care physicians, physiotherapists, dieticians, psychologists and other medical professionals.

Tests can be performed by patients themselves, their

caregivers or medical staff.

Tests may be performed at home (for one patient), as well as in nursing homes or centres with numerous patients (group-oriented services).

at home (for one patient), as well as in nursing homes or centres with numerous patients

REMOTE CARE FOR SENIORS

REMOTE CARE FOR SENIORS
REMOTE CARE FOR SENIORS

REMOTE CARE FOR SENIORS

General Features

Portable device for home use

CE mark Class IIa

Hub for short-range communication with medical devices (BT, USB)

Tablet interface

Transmits collected medical data to e-Care Center

Redundant network interfaces (ethernet, GPRS)

Power backup (internal UPS)

Build in microphone and speaker

Triple user interface (voice prompts, keypad, Android tablet GUI)

Integration with Medical Devices

Blood pressure, Scales, Pulsoximeter, Holter pulse oximeter, Thermometer, Peakflowmeter, Spirometer, Glucometer, Pulmonary ventilator

Tele-functions

Contact request (audio and video call)

Remote medical measurements

Remote applications (reminders, auto-interview, rehabilitation)

and video call) • Remote medical measurements • Remote applications (reminders, auto-interview, rehabilitation)
and video call) • Remote medical measurements • Remote applications (reminders, auto-interview, rehabilitation)

REMOTE PATIENT CARE

General Features

Ability to run on smartphone and tablet (Android)

CE mark Class IIa

Always with the patient

Integrated with medical devices (Pulseoxymeter, thermometer, peak flow meter, blood pressure monitor, glucometer)

Possibility to submit questionnaires

Collecting of data through BT

Security: restricted access to application PIN Code

For patient

Two way text messaging with the Monitoring Center

Designed for elder patients (large font)

Reminder for patients: integrated with system notification center and with system calendar

Ability to send video message to patient from Monitoring Center

system notification center and with system calendar ▪ Ability to send video message to patient from
system notification center and with system calendar ▪ Ability to send video message to patient from

COMARCH CARDIOVEST

COMARCH CARDIOVEST
COMARCH CARDIOVEST
COMARCH CARDIOVEST

CARDIOVASCULAR DISEASES

SEVERE CONSEQUENCES FOR HEALTH VEST

CARDIOVASCULAR DISEASES SEVERE CONSEQUENCES FOR HEALTH VEST ▪ Well known but growing issue, ▪ 1 s

Well known but growing issue,

1 st cause of death globally,

Higher ischemic stroke risk,

Direct correlation with neurological disorders,

Significant financial and social burden.

ischemic stroke risk, ▪ Direct correlation with neurological disorders, ▪ Significant financial and social burden.
ischemic stroke risk, ▪ Direct correlation with neurological disorders, ▪ Significant financial and social burden.

HOW TO SOLVE THIS PROBLEM?

HOW TO SOLVE THIS PROBLEM? MUTUAL COOPERATION TO FOSTER INNVATION

MUTUAL COOPERATION

TO FOSTER INNVATION

HOW TO SOLVE THIS PROBLEM? MUTUAL COOPERATION TO FOSTER INNVATION
HOW TO SOLVE THIS PROBLEM? MUTUAL COOPERATION TO FOSTER INNVATION

CARDIOVEST

Long term ECG monitoring

Prophylaxis

Diagnostics

Advanced algorithms

Non-invasive monitoring

Wireless and comfortable

▪ Prophylaxis ▪ Diagnostics ▪ Advanced algorithms ▪ Non-invasive monitoring ▪ Wireless and comfortable
▪ Prophylaxis ▪ Diagnostics ▪ Advanced algorithms ▪ Non-invasive monitoring ▪ Wireless and comfortable
▪ Prophylaxis ▪ Diagnostics ▪ Advanced algorithms ▪ Non-invasive monitoring ▪ Wireless and comfortable

CARDIOVEST SOLUTION ELEMENTS

CARDIOVEST SOLUTION ELEMENTS 1 2 3 ECG Vest Sensor Recorder Dock Transmission Station
1 2 3
1
2
3
CARDIOVEST SOLUTION ELEMENTS 1 2 3 ECG Vest Sensor Recorder Dock Transmission Station

ECG Vest

CARDIOVEST SOLUTION ELEMENTS 1 2 3 ECG Vest Sensor Recorder Dock Transmission Station

Sensor Recorder

Dock Transmission Station

CARDIOVEST SOLUTION ELEMENTS

CARDIOVEST SOLUTION ELEMENTS 1 ECG Vest ▪ Allows recording of ECG signal ▪ Comfortable carrying (light,
CARDIOVEST SOLUTION ELEMENTS 1 ECG Vest ▪ Allows recording of ECG signal ▪ Comfortable carrying (light,
1
1

ECG Vest

CARDIOVEST SOLUTION ELEMENTS 1 ECG Vest ▪ Allows recording of ECG signal ▪ Comfortable carrying (light,

Allows recording of ECG signal

Comfortable carrying (light, body-fit)

Biocompatible materials

Special material electrodes, that ensure high recording quality.

(light, body-fit) ▪ Biocompatible materials ▪ Special material electrodes, that ensure high recording quality.

CARDIOVEST SOLUTION ELEMENTS

CARDIOVEST SOLUTION ELEMENTS 2 Sensor Recorder ▪ Battery life is over 24h ▪ Self operating ▪
2
2

Sensor Recorder

Battery life is over 24h

Self operating

Wireless

Small in size

Minimum weight

2 Sensor Recorder ▪ Battery life is over 24h ▪ Self operating ▪ Wireless ▪ Small
2 Sensor Recorder ▪ Battery life is over 24h ▪ Self operating ▪ Wireless ▪ Small

CARDIOVEST SOLUTION ELEMENTS

3
3

Dock Transmission Station

Station transmitting data from the Recorder to the Remote Care Center

Wide range of communication capabilities with Monitoring Center (3G, WiFi, LAN)

Maintenance-free

Care Center ▪ Wide range of communication capabilities with Monitoring Center (3G, WiFi, LAN) ▪ Maintenance-free
Care Center ▪ Wide range of communication capabilities with Monitoring Center (3G, WiFi, LAN) ▪ Maintenance-free
Care Center ▪ Wide range of communication capabilities with Monitoring Center (3G, WiFi, LAN) ▪ Maintenance-free

CARDIOVEST SOLUTION ELEMENTS

CARDIOVEST SOLUTION ELEMENTS ▪ CMAP - Comarch Medical Analysis Platform – detection among others of: ▪

CMAP - Comarch Medical Analysis

Platform detection among others of:

Tachycardia

Bradycardia

Pause

Atrial fibrillation

Used algorithms time and personnel recourses saving solution

Bradycardia ▪ Pause ▪ Atrial fibrillation ▪ Used algorithms – time and personnel recourses saving solution
Bradycardia ▪ Pause ▪ Atrial fibrillation ▪ Used algorithms – time and personnel recourses saving solution

HOW CARDIOVEST ELEMENTS WORKS TOGETHER?

HOW CARDIOVEST ELEMENTS WORKS TOGETHER?
HOW CARDIOVEST ELEMENTS WORKS TOGETHER?
HOW CARDIOVEST ELEMENTS WORKS TOGETHER?

COMARCH BRACELET OF LIFE

COMARCH BRACELET OF LIFE • Portable device for the seniors • SOS Emergency Button • Fall

Portable device for the seniors

SOS Emergency Button

Fall detection sensor

Maximum simplicity

Bluetooth/GSM

Wear time sensors

Integration with Comarch Beacons

detection sensor • Maximum simplicity • Bluetooth/GSM • Wear time sensors • Integration with Comarch Beacons

HOW IT WORKS?

HOW IT WORKS? ▪ Portable device for the seniors ▪ SOS Emergency Button ▪ Fall detection

Portable device for the seniors

SOS Emergency Button

Fall detection sensor

Maximum simplicity

Bluetooth/GSM

Wear time sensors

Integration with Comarch Beacons

detection sensor ▪ Maximum simplicity ▪ Bluetooth/GSM ▪ Wear time sensors ▪ Integration with Comarch Beacons

COMARCH ELECTRONIC LIFE CARD

Electronic Life Card, dedicated to seniors and chronically ill patients, consists of two elements.

These are a beacon acting as a carrier of data on the patient’s state of health, and a dedicated application where this information is read.

as a carrier of data on the patient’s state of health, and a dedicated application where
as a carrier of data on the patient’s state of health, and a dedicated application where
as a carrier of data on the patient’s state of health, and a dedicated application where

BRACELET OF LIFE IN USE

BRACELET OF LIFE IN USE How it works? ▪ Life Card is a personalized device containing

How it works?

Life Card is a personalized device containing a carrier of data pertaining to the given patient.

A physician or paramedic reading the information from the Life Card via a mobile device (smartphone or tablet) obtains complete information on the patient.

It is particularly important when direct contact with the patient is impossible, for

example when they are unconscious. Thus the rescuers are able to take relevant decisions and render immediate help to the patient.

when they are unconscious. Thus the rescuers are able to take relevant decisions and render immediate

BRACELET OF LIFE IN USE

Advantages

Rapid transfer of medical data to medical staff

Increased sense of security for the patient, due the reduction in the potential for error during rescue actions

Alarm button triggers immediate action by rescuers

Notifying the immediate family by sending

an SMS about the emergency call

Beneficiaries

Seniors

People with chronic conditions

immediate family by sending an SMS about the emergency call Beneficiaries ▪ Seniors ▪ People with
immediate family by sending an SMS about the emergency call Beneficiaries ▪ Seniors ▪ People with

BENEFICIARIES

BENEFICIARIES Patients with cardiological and neurological problems Diabetics Patients with disturbed balance and motor

Patients with cardiological and neurological problems

Patients with cardiological and neurological problems Diabetics Patients with disturbed balance and motor activity

Diabetics

with cardiological and neurological problems Diabetics Patients with disturbed balance and motor activity Seniors,

Patients with

disturbed

balance and

motor activity

problems Diabetics Patients with disturbed balance and motor activity Seniors, patients at risk of loss of

Seniors, patients at risk of loss of consciousness

problems Diabetics Patients with disturbed balance and motor activity Seniors, patients at risk of loss of

SPECIFICATIONS

Size 1.3 inches (32mm) diameter,0.4 inches (10mm) thickness

Weight .3 ounces (8 grams)

Durability Waterproof up to 1 meter for 30 minutes (IP 67)

Battery Life up to one year depending on use

Battery Type: Pre-inserted and replaceable CR2032 battery (commonly available at most drugstores)

Range Bluetooth 4.0 technology allows for a range of up

to 75 feet indoors and up to 300 feet outdoors between

the Life Bracelet and smartphone

Supported Phones: Android 4.3 or higher with Bluetooth LE capability.

between the Life Bracelet and smartphone ▪ Supported Phones: Android 4.3 or higher with Bluetooth LE
between the Life Bracelet and smartphone ▪ Supported Phones: Android 4.3 or higher with Bluetooth LE

HOSPITAL TELEMETRY SOLUTION

HOSPITAL TELEMETRY SOLUTION Portable device for hospital use with PC App that allows real time monitoring
HOSPITAL TELEMETRY SOLUTION Portable device for hospital use with PC App that allows real time monitoring
HOSPITAL TELEMETRY SOLUTION Portable device for hospital use with PC App that allows real time monitoring
HOSPITAL TELEMETRY SOLUTION Portable device for hospital use with PC App that allows real time monitoring
HOSPITAL TELEMETRY SOLUTION Portable device for hospital use with PC App that allows real time monitoring

Portable device for hospital use with PC App that allows real time monitoring of patients via Wi-Fi infrastructure. Patient location is known by scanning Comarch Beacon. Automaticaly updates HIS data and supports call-for-help

function

updates HIS data and supports call-for-help function HIS Optimed Server Comarch Hospital Telemetry Assistant
updates HIS data and supports call-for-help function HIS Optimed Server Comarch Hospital Telemetry Assistant

HIS

Optimed

Server

updates HIS data and supports call-for-help function HIS Optimed Server Comarch Hospital Telemetry Assistant (HTA)

Comarch

Hospital Telemetry Assistant (HTA)

updates HIS data and supports call-for-help function HIS Optimed Server Comarch Hospital Telemetry Assistant (HTA)

HOSPITAL TELEMETRY SOLUTION

General Features

Portable device for hospital use

PC App allow real time monitoring

Data transmission over Wi-Fi infrastructure

Patient location by scanning Comarch Beacon

Automatic update of EPR and HIS

Tablet App for alarm notification and vital signs data

Alarm button

Parameters

ECG 5 or 10 leads

Thermometer

Pulsoximeter

Detect patient fall

signs data • Alarm button Parameters • ECG 5 or 10 leads • Thermometer • Pulsoximeter
signs data • Alarm button Parameters • ECG 5 or 10 leads • Thermometer • Pulsoximeter

REMOTE MEDICAL CENTER

REMOTE MEDICAL CENTER

REMOTE MEDICAL CENTER

Efficient Patient Care Based on the Provision of Telemedicine Services and Electronic Health Record

Remote Medical Center makes it possible to offer medical services remotely.

The solution does not replace traditional healthcare, but is complementary to it, offering an extended range of services

without the need for employing additional medical staff.

The implementation of cost-effective telemedicine solutions improves work efficiency, which allows more patients to be handled at the same time.

Owing to the application of telecommunication tools that offer continuous health monitoring, as well as prophylactic and

control tests at home, Remote Medical Center improves the efficiency of treatment and provides patients with a greater

sense of safety by assuring permanent contact with qualified medical staff.

Apart from quick and secure access to electronic medical documentation, doctors can offer tele-consultations to patients, and can consult other specialists, at any time and place, leading to savings in terms of time and money. Thus, the services offered supplement treatment perfectly, particularly in the case of patients who require the continuous supervision of a specialist doctor or long-term care.

particularly in the case of patients who require the continuous supervision of a specialist doctor or

SERVICES OFFERED BY REMOTE MEDICAL CENTER

SERVICES OFFERED BY REMOTE MEDICAL CENTER
SERVICES OFFERED BY REMOTE MEDICAL CENTER

TELECONSULTATIONS

Online consultations (chat, audio or video) between the patient and qualified medical staff including doctors of various specializations, paramedics, nurses, midwives, dieticians, psychologists, occupational therapists, and physiotherapists.

These are offered where there is no need for another visit to the center (e.g. for the interpretation of results, planning further treatment, or training).

Such consultations can be performed ad hoc, where the patient waits in a queue, or by appointment.

During consultations, file exchange (e.g. with test results) is possible.

waits in a queue, or by appointment. ▪ During consultations, file exchange (e.g. with test results)
waits in a queue, or by appointment. ▪ During consultations, file exchange (e.g. with test results)

REGIONAL PLATFORMS AND „HEALTH CITY”

REGIONAL PLATFORMS AND „HEALTH CITY”

HEALTH CITY

Modern Medical Solutions for Regions and Cities

Service and information technology platform,

consisting of a set of mutually interconnected applications and IT systems

Patient-centric platform for implementing regional health policies

interconnected applications and IT systems • Patient-centric platform for implementing regional health policies
interconnected applications and IT systems • Patient-centric platform for implementing regional health policies

HEALTH CITY CONCEPT

The main assumption of the project is to provide residents with life-long comprehensive healthcare from birth, while simultaneously shaping medical services available in the city.

with life-long comprehensive healthcare from birth, while simultaneously shaping medical services available in the city.
with life-long comprehensive healthcare from birth, while simultaneously shaping medical services available in the city.

COMPONENTS OF THE HEALTH CITY PLATFORM

LOCAL LAYER

HIS/EHR

HIS/HOSPITAL TELEMETRY

HIS/RIS/PACS

EDCS (Electronic Document Circulation System)

CITY LAYER

EDCS (Electronic Document Circulation System) CITY LAYER • EHR • Analytics platform SERVICE LAYER Services

EHR

Analytics platform

System) CITY LAYER • EHR • Analytics platform SERVICE LAYER Services for Patients • Register of

SERVICE LAYER

Services for Patients

Register of medical services

Cardiac telecare

Analysis of medical data

Central registration

Medical records

Evaluation of medical service quality

Services for Seniors

Telecare for seniors

SOS Emergency Button

Activation Center

Services for Parents

School health prevention programme

Environmental surveys

Personal child health record

Services for Residents

Health promotion

Loyalty program

Prevention programs

child health record Services for Residents • Health promotion • Loyalty program • Prevention programs

COMARCH REGIONAL PLATFORM

Regional Layer Regional Business Intelligence Management Portal (report viewer) Regional EHR Registry (searchable
Regional Layer
Regional Business
Intelligence
Management Portal
(report viewer)
Regional EHR Registry
(searchable metadata
index)
Teleradiology
Medical Concierge
Visit registration, Lab Results,
Online consultations, PHR, …

ENTERPRISE SERVICE BUS

Remote care

Remote care Integration with medical equipment

Integration with

medical equipment

LIS LIS … RIS/ RIS/ Other local systems PACS PACS ERP, EOD, HD+BI HIS HIS
LIS
LIS
RIS/
RIS/
Other local systems
PACS
PACS
ERP, EOD, HD+BI
HIS
HIS
Local EHR Repository
Local EHR Repository
Local Layer
Other local systems PACS PACS ERP, EOD, HD+BI HIS HIS Local EHR Repository Local EHR Repository

INTERNET OF THINGS (IoT)

INTERNET OF THINGS (IoT)

INTEGRATION WITH IoT

INTEGRATION WITH IoT

USE OF BEACONS IN HOSPITALS

USE OF BEACONS IN HOSPITALS

USE OF BEACONS IN HOSPITALS

USE OF BEACONS IN HOSPITALS

INTEGRATION WITH IoT

eCare Solution (medical plane) Field Service Maintenance (technical/SLA plane)

n ( m e d i c a l p l a n e ) Field

Vertical Applications

Maintenance (technical/SLA plane) Vertical Applications Comarch IoT Platform (Application Enablement Platform)
Maintenance (technical/SLA plane) Vertical Applications Comarch IoT Platform (Application Enablement Platform)

Comarch IoT Platform (Application Enablement Platform)

Comarch IoT Platform (Application Enablement Platform)
Option1: HMA to to IoT Option1: HMA to do IoT USB Comarch BLE Module Option2:
Option1: HMA to to IoT
Option1: HMA to do IoT
USB
Comarch BLE Module
Option2: Comarch BLE Module
to IoT Hub
Comarch BLE Module Option2: Comarch BLE Module to IoT Hub Option3: Comarch BLE Module to smartphone

Option3: Comarch BLE Module to smartphone

Comarch Mobile SDK

Breas technical information

to smartphone Comarch Mobile SDK Breas technical information Comarch IoT Hub Breas related events For predictive
to smartphone Comarch Mobile SDK Breas technical information Comarch IoT Hub Breas related events For predictive

Comarch IoT Hub

Breas related events For predictive maintenance

smartphone Comarch Mobile SDK Breas technical information Comarch IoT Hub Breas related events For predictive maintenance

COMARCH ELECTRONIC LIFE CARD

Electronic Life Card, dedicated to seniors and chronically ill patients, consists of two elements.

These are a beacon acting as a carrier of data on the patient’s state of health, and a dedicated application where this information is read.

as a carrier of data on the patient’s state of health, and a dedicated application where
as a carrier of data on the patient’s state of health, and a dedicated application where

COMARCH ELECTRONIC LIFE CARD

How it works?

Life Card is a personalized device containing a carrier of data pertaining to the given patient.

A physician or paramedic reading the information from the Life Card via a mobile device (smartphone or tablet) obtains complete information on the patient.

It is particularly important when direct contact with the patient is impossible, for example when they are unconscious.

Thus the rescuers are able to take relevant decisions and render immediate help to the patient.

when they are unconscious. Thus the rescuers are able to take relevant decisions and render immediate
when they are unconscious. Thus the rescuers are able to take relevant decisions and render immediate

COMARCH ELECTRONIC LIFE CARD

Advantages

Rapid transfer of medical data to medical staff

Increased sense of security for the patient, due the reduction in the potential for error during rescue actions

Alarm button triggers immediate action by rescuers

Notifying the immediate family by sending an SMS about the emergency call

Beneficiaries

Seniors

People with chronic conditions

immediate family by sending an SMS about the emergency call Beneficiaries ▪ Seniors ▪ People with

ELECTRONIC HEALTH RECORD (EHR)

ELECTRONIC HEALTH RECORD (EHR)

COMARCH EHR

Archiving Medical Documents and Searching for Data via a Web Browser

IT system used for managing e-documentation in

all kinds of medical service facilities

Efficient gathering and processing of medical data owing to central access to documents originating

from various systems

Designed to assist physicians in making diagnoses and saving time for both patients and medical staff

various systems • Designed to assist physicians in making diagnoses and saving time for both patients
various systems • Designed to assist physicians in making diagnoses and saving time for both patients

ELECTRONIC HEALTH RECORD

ELECTRONIC HEALTH RECORD Comarch Medical Concierge Multichannel, Communication Platform for Patients, Ensuring Continuity

Comarch Medical Concierge

Multichannel, Communication Platform for Patients, Ensuring Continuity of Medical Care

Effective doctor-patient communication outside the hospital environment, medical clinic or GP's office through online video calls and secure inbox

Constant online access to patient health records and remote monitoring of patient health status

Personalized recommendations for the patients

Multiple services available online, which shorten waiting lines at medical facilities

online, which shorten waiting lines at medical facilities Comarch Mednote Modern Application for Managing the GPs

Comarch Mednote

Modern Application for Managing the GPs Office

Web application which provides physician with all necessary medical information and minimizes the time spent on medical procedures and formalities

Efficient conduct of patient medical history and a significant reduction in costs associated with the need to securely store long medical records

Availability from the Cloud

Keep and manage electronic medical documentation

securely store long medical records ▪ Availability from the Cloud ▪ Keep and manage electronic medical

HOSPITAL INFORMATION SYSTEM (HIS)

HOSPITAL INFORMATION SYSTEM (HIS)

COMARCH OPTIMED

Patient-Centric Software

Comprehensive management of the hospital's medical and administrative processes

Allows for optimizing of the patient care in the hospital

Facilitates access to medical data from different sources

Allows for optimizing of the patient care in the hospital ▪ Facilitates access to medical data
Allows for optimizing of the patient care in the hospital ▪ Facilitates access to medical data

COMARCH ERP

Comprehensive management of the hospital's administrative processes

management of the hospital's administrative processes ▪ Increases the productivity through business processes

Increases the productivity through business processes automatization

Supports monitoring of the profitability

of institution, budget execution, cost control and clinical analytics

Assists in human resources and payroll management

Accelerate the administrative decision making processes

▪ Assists in human resources and payroll management ▪ Accelerate the administrative decision making processes

COMARCH BI

Supports financial management, medical procedures, reporting and tracking of the patient flow at hospitals

reporting and tracking of the patient flow at hospitals ▪ Allows for planning of the operating

Allows for planning of the operating and

treatment costs in the hospital

Optimizes purchases and inventory management in hospital pharmacy

Allows for monitoring of the current state of the hospital, providing data that facilitate

prompt decision making

▪ Allows for monitoring of the current state of the hospital, providing data that facilitate prompt

CASE STUDIES

CASE STUDIES

TELEMEDICINE FOR PUBLIC HOSPITAL

TELEMEDICINE FOR PUBLIC HOSPITAL Cardiology: ▪ 8 PMA used everyday for 24h holter examination and telemonitoring

Cardiology:

8 PMA used everyday for 24h holter examination and telemonitoring

Hospitalized patients after AMI

More than 100 examination/ month

Maternity Care:

5 homeCTG

24h/7days remote care provided by iMed24

Listening to the child’s heart anytime

Maternity Care: ▪ 5 homeCTG ▪ 24h/7days remote care provided by iMed24 ▪ Listening to the
Maternity Care: ▪ 5 homeCTG ▪ 24h/7days remote care provided by iMed24 ▪ Listening to the

TELEMEDICINE FOR DEDICATED TELEMEDICINE CENTER

TELEMEDICINE FOR DEDICATED TELEMEDICINE CENTER ▪ Medical facility owned by Comarch ▪ 50 PMA teleholter and

Medical facility owned by Comarch

50 PMA teleholter and telemonitoring

Over 1500 patient after 1.5 years of active

monitoring service with cardiac problems

10 CTG

Over 100 patients and more than 350

examinations

Several medical interventions including calling an

ambulance, changing treatment strategy, medical

consultation and other

Several medical interventions including calling an ambulance, changing treatment strategy, medical consultation and other
Several medical interventions including calling an ambulance, changing treatment strategy, medical consultation and other
Several medical interventions including calling an ambulance, changing treatment strategy, medical consultation and other

COMARCH EHR MALOPOLSKA MEDICAL INFORMATION SYSTEM

Medical Data Exchange Platform providing services for patients and medical units across the region

Pilot implementation full functional scope, limited to 3 entities

Document Repositories implemented in 3 large hospitals

Central Document Registry (index) shared among the participants

Online appointment scheduling system

Identity management and e-signatures for the region

Consistent consent management across all units

Information Portal

consent management across all units ▪ Information Portal Secure and fully transparent (automated) document retrieval
consent management across all units ▪ Information Portal Secure and fully transparent (automated) document retrieval

Secure and fully transparent (automated) document retrieval from remote medical facilities

Strong foundation for a longitudinal medical record for each patient in Malopolska

from remote medical facilities Strong foundation for a longitudinal medical record for each patient in Malopolska

COMARCH HIS COPERNICUS (GDAŃSK)

5th largest Polish hospital

Project worth about €2 million

Delivery of integrated solution: HIS/RIS/LIS/EHR

Documentation created in all hospital departments including:

Inpatient care

Outpatient care

Emergency department

Project metrics

Over 1.000 active users

Over 300 different form templates filled regularly by personnel

Over 250 different print templates in regular use

Over 300.000 actions documented every month

Over 2.500 actions documented for most treated patients

regular use ▪ Over 300.000 actions documented every month ▪ Over 2.500 actions documented for most
regular use ▪ Over 300.000 actions documented every month ▪ Over 2.500 actions documented for most

REGIONAL PLATFORM FOR PODLASKIE VOIVODSHIP

REGIONAL PLATFORM FOR PODLASKIE VOIVODSHIP 36 Healthcare units ▪ Marshal's Office of Podlaskie ▪ 25 medical

36 Healthcare units

Marshal's Office of Podlaskie

25 medical entities

10 district offices

ca. 8700 employees

Many forms of business and ownerships

District and provincial hospitals

Emergency Ambulance Service

Marshal's Office of Podlaskie

Private medical centers

Delivery and implementation of integrated systems

Regional Platform: Regional Registry System, Regional EHR, Patient Portal, e- Registration, Managerial Portal, BI, Regional Integration Layer

Local Systems: ERP, HIS, EHR, DMS, BI

1 193 348 citizens

about 12 000 km 2

about 70 km distance

between cities

ERP, HIS, EHR, DMS, BI ▪ 1 193 348 citizens ▪ about 12 000 km 2

PARTNERSHIP WITH MEDICAIR

PARTNERSHIP WITH MEDICAIR
PARTNERSHIP WITH MEDICAIR

MEDICAIR BUSINESS MODEL 1

MEDICAIR – BUSINESS MODEL 1 HOSPITAL ▪ Purchase of devices ▪ Purchase of sw and cloud
MEDICAIR – BUSINESS MODEL 1 HOSPITAL ▪ Purchase of devices ▪ Purchase of sw and cloud
HOSPITAL
HOSPITAL

Purchase of devices

Purchase of sw and cloud service

Service support (first line in Italy and second line in Poland)

Apply for public tenders

Install the solution at patients’ home

Perform training for nurses, physicians and patients

First line technical support for hospitals and patients

“non clinical” support for data management

Patient engagement

Data monitoring and analysis using internal monitoring center (nurses and physicians)

▪ Patient engagement ▪ Data monitoring and analysis using internal monitoring center (nurses and physicians)

MEDICAIR BUSINESS MODEL 2

MEDICAIR – BUSINESS MODEL 2 HOSPITAL Private Companies ▪ Consultant activity to develop the monitoring protocol
MEDICAIR – BUSINESS MODEL 2 HOSPITAL Private Companies ▪ Consultant activity to develop the monitoring protocol
HOSPITAL Private Companies
HOSPITAL
Private
Companies

Consultant activity to develop the monitoring protocol and operational workflow

Comarch solution optimization on specific project requirements

ICT and devices supplier

Technical and service support

On site installation and technical support

Clinical service (in the future when the Medicare clinic will be ready)

Sales and marketing activity

Clinical data managing

Patient engagement

Sales and marketing activity

Sales and marketing activity ▪ Clinical data managing ▪ Patient engagement ▪ Sales and marketing activity

CENTRO CARDIOLOGICO MONZINO

We provided:

PMAsCENTRO CARDIOLOGICO MONZINO We provided: e-Care platform Comarch Holter software and Comarch holter web App Services:

e-Care platformCENTRO CARDIOLOGICO MONZINO We provided: PMAs Comarch Holter software and Comarch holter web App Services: Long

CENTRO CARDIOLOGICO MONZINO We provided: PMAs e-Care platform Comarch Holter software and Comarch holter web App

Comarch Holter software

and Comarch holter web App

platform Comarch Holter software and Comarch holter web App Services: Long term ECG Holter examination (7-14

Services:

Long term ECG Holter

examination (7-14 days)

Home ECG tele-monitoring (3 months patient monitoring at home)e-Care platform Comarch Holter software and Comarch holter web App Services: Long term ECG Holter examination

App Services: Long term ECG Holter examination (7-14 days) Home ECG tele-monitoring (3 months patient monitoring

CENTRO CARDIOLOGICO MONZINO BUSINESS MODEL

CENTRO CARDIOLOGICO MONZINO – BUSINESS MODEL ▪ Consultant activity ▪ Device and ICT solution provider ▪
CENTRO CARDIOLOGICO MONZINO – BUSINESS MODEL ▪ Consultant activity ▪ Device and ICT solution provider ▪

Consultant activity

Device and ICT solution provider

On site training and service support

Patient engagement

Clinical monitoring and examination description

▪ On site training and service support ▪ Patient engagement ▪ Clinical monitoring and examination description

THANK YOU!

THANK YOU!