Telelettura ECG in emergenza territoriale da parte della centrale 118

Referent name Alessandro Surname Rosselli Funzione Direttore Dipartimento Emergenza Urgenza
Telephone 0556939201

Company Azienda Sanitaria di Firenze Email address alessandro.rosselli@asf.toscana.it Website http://www.asf.toscana.it

State Italia

Regione TOSCANA

Province Firenze

Ambito tutti i comuni Azienda Sanitaria di Firenze

Data avvio del progetto 1-06-2010
Numero di mesi intercorsi tra l'inserimento del primo utente e la data di rilevazione corrente 18
Service status current/expected: Pienamente Operativo Data di avvio del servizio 1-06-2010

Project Mission

Garantire una diagnosi elettrocardiografica in loco al paziente soccorso da ambulanza infermieristica 118.
Gli infermieri eseguono ECG, che viene poi trasmesso alla centrale operativa 118, dove l'esame viene refertato da personale medico.

Sono stati adottati atti normativi di riferimento in materia di telemedicina?: (apri / chiudi)

Non sono presenti dati sugli atti normativi di riferimento in materia di telemedicina

Application fields-telemedicine services matrix (apri / chiudi)

Telemedicine services	Cardiology	Emergency Rooms
Tele-diagnosis	X	X

Territorial area of reference: Livello aziendale

Elenco enti pubblici
FIRENZE

The project addressees

Main Target pazienti soccorsi in emergenza da ambulanze infermieristiche con necessità di effettuare ecg

Obiettivi e innovazioni del progetto

Garantire una diagnosi elettrocardiografica in loco al paziente soccorso da ambulanza infermieristica 118. Gli infermieri eseguono ECG, che viene poi trasmesso alla centrale operativa 118, dove l'esame viene refertato da personale medico.

Which changes have occurred after introducing the telemedicine services, and which fields did they involve?

Riduzione degli accessi inappropriati ai DEA.

Typology of provided services: Singole prestazioni
ecg refertato in telelettura

What is the role of private operators in the provision of telemedicine services?

Private operators involvement: no

Please specify how the services provided by the project are rated and remunerated to the providing body

Service typology: ecg in telelettura

Rated service: Single services

Rating modalities: non tariffato in quanto prestazione in emergenza

Under which payment conditions are the provided services supplied?

Gratis

Modalità di finanziamento del progetto:
- Altro (specificare)

Altro: finanziamento aziendale

How much in total does the network cost to be maintained over a year? 1

Dimensione (apri / chiudi)

User Number

Number of potential users of the Network 800000

Number of users assisted with telemedicine in the last 12 months 4000
Number of users assisted with telemedicine in the previous 12 months 2000

Telemedicine services	Cardiology	Emergency Rooms	Volume Annuo
Tele-diagnosis	X	X	4000

What benefits and criticalities were encountered while introducing and providing the telemedicine services? (apri / chiudi)

Telemedicine services	Cardiology	Emergency Rooms	Encountered benefits	Encountered criticalities
Tele-diagnosis	X	X	- Riduzione del numero di ricoveri ospedalieri inappropriati - Riduzione del numero di accessi in pronto soccorso - Ottimizzazione e razionalizzazione dei costi

Project Managers:

Does the service reach the users at their usual homes/workplaces?

Yes
Note:luogo di soccorso

Is the service aviable H24?

Yes

Is the service aviable 7/7?

Yes

Is the service available every month of the year

Yes

Total number of contacts registered by the system (requested by the user or established by the service operators)

Number of contacts in the last 12 months: 4000 Number of contacts in the previous 12 months: 2000

Average of services performed on each assisted user

Monthly average of actions performed within every available service (for instance, electrocardiograms�)

Number of performance in the last 12 months: 1 Number of performance in the previous 12 months: 1

Formalization of a standard for the provided service

Has a standard answering time, for each service request, been defined? Yes

Are answering times monitored?
Yes

Percentage of answers to the service requests which were performed within the defined standard answering time:: 100%

Incidence of rehospitalization on users followed:

Rehospitalization rate in the last 12 months among users, followed by the Net 0%

Rehospitalization rate in the last 12 months among users of the pool of reference:0%

e-Services

There will be e-service care for other diseases, or other clinical problems within the same disease?

Services and care levels involved

Figura professionale	Ultimi 12 mesi	12 mesi precedenti
Assistente Sociale	---	---
Medico di Medicina Generale	---	---
Medico di Continuità Assistenziale	---	---
Medico Ospedaliero (escluso Emergenza-Urgenza)	---	---
Emergency Room doctor	10	0
Medico Specialista Convenzionato	---	---
Pediatra di libera scelta	---	---
Professional nurse	68	0
Personale Tecnico Sanitario	---	---
Personale della Riabilitazione	---	---
Altro operatore/Collaboratore Sanitario	---	---
Altro operatore/Collaboratore Socio-Sanitario	---	---
Altre figure professionali	---	---
Altro (specificare)	---	---

What and how many levels are involved in care services to the patient?

Volontariato

Is any provided initiative oriented towards the fostering of trust, acceptance and diffusion of telemedicine services?

Initiatives status	Initiatives target	Please describe the initiative
not operating	Health and socio-health operators

Clinical Indicators

Monitoring indicators reported

indicatorors	quantity
Monitoraggio dei sintomi	---
Monitoraggio dei segni	---
Monitoraggio degli esami bioumorali	---
Monitoraggio degli esami strumentali	1

How is such monitoring performed?

Monitoraggio continuo
Monitoraggio ad intervalli predefiniti
Monitoraggio a richiesta dell' operatore o dell' utente

Specifically, describe the types of parameters which are detected in case of device-carrying users:

With PaceMaker

Frequenza di stimolazione
Carica della batteria
Misurazione del sensing
Analisi recorder ECG per eventuali disfunzioni
Analisi ECG per eventuali eventi aritmici

Carriers of implantable defibrillators

Frequenza di stimolazione
Carica della batteria
Misurazione del sensing
Analisi recorder ECG per eventuali disfunzioni
Analisi ECG per eventuali eventi aritmici

Does the network make use of a specific software for the surveying and the processing of the service users clinical data (socio-health file, patient folder or similar)?

Yes

The medical record is adhering to the following standards:

Adopted standards:

Detailed information:

Are there available links for the transfer of clinical data towards structures/networks which ensure telemedicine, second opinion and/or first aid services?

Yes

Note : centrale operativa 118

Are there available links for the transfer of clinical data towards specialised networks of doctors (for instance: general practitioners), health or socio-health operators?

Is the software you use covered by an open source license?

Yes

Are the medical devices, that are used for the service supply, self-manageable by the patient, or do they require a specialised intervention?

Devices are used not by the patient

Are the technological devices, that are used for the service supply, self-manageable by the patient, or do they require a specialised intervention?

Connectivity

Connessione a larga banda fissa

Do the services that may be offered through the Web conform with the accessibility requirements set by the act 4/2004?

Yes

Anno Scheda:

2010

Tag

Territori