Patient Briefcase

The Patient Briefcase is a technology for delivery of telemedical services developed at and now a part of daily operations at Odense University Hospital. The briefcase is supplied by the company TREFOR Telecare (former Medisat) who also took part in the development of the briefcase.

The Patient Briefcase allows patients to speak to hospital staff via an easy-to-use video solution on a secure network. Furthermore, relevant medical devices can be connected to the briefcase, so that monitoring can take place in the home and data sent directly to the hospital staff for medical evaluation. Based on this the hospital staff can assess the condition of the patient and give advice for management and further treatment – or tell the patient to contact the GP or hospital if their condition has worsened drastically.

Currently the Patient Briefcase is being used as a regular part of the treatment for COPD patients at OUH, but is also being used for heart failure patients and has been tested for other patient groups as well.
Below you can read about the areas where the briefcase is being used and tested.

Originally the briefcase was developed and pilot tested as a part of the EU project Better Breathing which took place from 2007 to 2009.


In-home treatment of COPD patients – “The COPD Briefcase

The term ‘COPD Briefcase’ is used about telemedical monitoring and follow-up of discharged COPD patients via the Patient Briefcase. After discharge the patient receives a Patient Briefcase in their home so they can communicate with the hospital. The briefcase is delivered and installed by a TREFOR Telecare (former Medisat) technician who also helps make the first test call with the hospital. During the first week after discharge the COPD nurse at the hospital calls the patient daily on the Briefcase. Together they measure blood oxygenation and lung function using the devices that are connected to the briefcase.
The data from the devices are sent electronically to the nurse via the briefcase. This way the patient’s condition is checked daily and any exacerbation can be dealt with before they become severe and require re-admission to hospital.

Read more about the COPD Briefcase here.

Odense University has done a PhD study about the COPD Briefcase which was a part of the large European project Renewing Health.

 

COPD rehabilitation

The patient briefcase is also part of a rehabilitation offer at OUH where rehabilitating physical training is carried out using the briefcase for the group of COPD patients whose condition is so severe that they are unable to attend rehabilitation offers at the hospital or municipality.
Read more here


Patient briefcase for patients with heart failure

At OUH Svendborg Sygehus they are testing the use of the briefcase to monitor heart failure patients.
See more in this short video from TREFOR Telecare (former Medisat) (currently only available in Danish).

 

Baby-briefcase

During the fall of 2012 the birthing clinic at OUH carried out a pilot project with the briefcase where parents to new-born babies were offered the briefcase to test whether the possibility for video contact after ambulant birth could provide an increased feeling of security and could replace the current contact by telephone or visits to the clinic.
With the briefcase the hospital staff could follow the baby and the first attempts at breast feeding via video even when mother and child had been discharged. The project was a part of the national telemedicine project Patient@Home. Read more on their website.

The results of the pilot project showed that it was a quite expensive service that didn’t show any economical or clinical benefits beyond increased feeling of safety, as the families barely made use of the service and there was no impact on the number of ambulant visits. Based on the project it was decided not to use the briefcase on this specific patient groups.

 

European study focused on investments in IT for active ageing

The EU Commission and the Institute of Technology have carried out a study around business and financing models for implementation of IT solutions for healthy and active ageing. The study included 20 detailed cases of successfully implemented solutions to support active and independent ageing in European countries – and one of these cases was the COPD Briefcase from the Region of Southern Denmark. The study showed that it CAN be a good investment to implement this type of new solutions and that it can lead to several economical and organisational advantages.
The study can be found on the website of the European Commission.

 

Contact person

Claus Duedal Pedersen
Chief Innovation Officer
Phone: +45 2115 3578
Mail: claus.duedal.pedersen@rsyd.dk

Permanent link to this article: http://old.cimt.dk/ouh-innovative-practices/patient-briefcase/