1. Improving patient access through technology Regional added value to support boards achieve targets 29th October 2008 Teledermatology helps doctors and hospitals to serve their clients. Visit David Ezra Dr. Leonard Witkamp www.KSYOS.orgwww.KSYOS.org, +31-20-6000060 Director KSYOS TeleMedical Centre

3. Literature

7. Scientific publications in TeleDermatology Outdated

8. Questions to be asked in assessing quality aspects at the level of care provision are at least:  is the care consumer receiving proper care;

9. Questions to be asked in assessing quality aspects at the level of care provision are at least:  is the care consumer receiving proper care;  does the care consumer receive this care in good time;

10. Questions to be asked in assessing quality aspects at the level of care provision are at least:  is the care consumer receiving proper care;  does the care consumer receive this care in good time;  does the care consumer receive care at the best location;

11. Questions to be asked in assessing quality aspects at the level of care provision are at least:  is the care consumer receiving proper care;  does the care consumer receive this care in good time;  does the care consumer receive care at the best location;  is the care consumer receiving care from the proper actor;

12. Questions to be asked in assessing quality aspects at the level of care provision are at least:  is the care consumer receiving proper care;  does the care consumer receive this care in good time;  does the care consumer receive care at the best location;  is the care consumer receiving care from the proper actor;  to what extent have the intended results been achieved and have there been any unintentional side-effects;

13. Questions to be asked in assessing quality aspects at the level of care provision are at least:  is the care consumer receiving proper care;  does the care consumer receive this care in good time;  does the care consumer receive care at the best location;  is the care consumer receiving care from the proper actor;  to what extent have the intended results been achieved and have there been any unintentional side-effects;  is the care consumer receiving care where efficient use is being made of the available material and financial resources;

14. Demographic changes

15. Costs of care per age group

16. KSYOS TeleMedical Centre  KSYOS TeleMedical Centre founded in 2005,  First official virtual health institution  TeleDermatology Consultations since June 2005  May 1st 2008: 2000 GP’s and 142 Dermatologists  Now 24.657  Contracts with all health insurers for TeleDermatology Consultations  Reimbursements between €46 - €64 per TDC

17. Software Hardware Courses, onsite education Administration and finance Contracts Health Insurance Companies Official reimbursement Liability Quality indicators Helpdesk TeleDermatology service:

18.  Afbeeldingen Breda\000_0032.jpg Afbeeldingen Breda\000_0032.jpg

20. Overview

21. Detail

23. Step 2: Unique Healthworker identification pass

27. (Automatische e-mail van de huisarts aan de dermatoloog)

28. TDC’s per region

29. Results  70% of all live referrals could be prevented.  Mean response time 5.6 hours.  40% cost reduction  GP and dermatologist TD = enrichment  Quality improvement and learning effect.

30. KSYOS TeleMedical Centre Succesful because of Public and private cooperation

31. TeleDermatology Best Practice.