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LEADERSHIP • CROSS-COLLABORATION • WINNING PRACTICES
VOLUME 19 • ISSUE 4 • 2019 • € 22 ISSN = 1377-7629
Monitor Me!
©For personal and private use only. Reproduction must be permitted by the copyright holder. Email to copyright@mindbyte.eu.
MONITOR ME! T. RASSAF
CONSUMER TECH PROMOTES PATIENT ENGAGEMENT, A. CHERRINGTON
PATIENT TRUST NEEDED FOR HEALTHCARE DATA SUCCESS, J. GUANYABENS
CARDIOLOGY AND MHEALTH - RETHINK ABOUT MONITORING, R. VIDAL-PEREZ
SENSORS IN EVERYDAY OBJECTS FOR DEMENTIA CARE, T.G. STAVROPOULOUS ET AL.
IMPROVING PATIENT COMPLIANCE WITH FUTURE MHEALTH, I. DAVALUR
IN DATA WE TRUST, J. SINIPURO ET AL.
INNOVATION AND A UNIQUE THE HOSPITAL AS A BRAND, NUCLEAR CARDIOLOGY:
EXPERIENCE AT EAHM 2019, M.C.VON EIFF & W. VON EIFF MOLECULAR INSIGHTS INTO THE
D. HAVENITH HEART, C. RISCHPLER ET AL.
CARDIOVASCULAR DISEASE
THE FUTURE OF CARDIOVAS- PREVENTION 2019: QUO VARDIS? PUTTING MEDICAL RADIATION
CULAR DISEASE TREATMENT AND A. A. MAHABADI PROTECTION FIRST, G. FRIJA
MANAGEMENT, A. M. FELDMAN
SEX AND GENDER IMPACTS IN CLOSING THE LOOP: THE ROAD
EDUCATING PHYSICIANS TO BE CARDIOVASCULAR DISEASE: TO ZERO MEDICATION ERRORS,
LEADERS, E. E. SULLIVAN A TYPICAL PRESENTATION OF N. M. SIMS
CARDIOVASCULAR DISEASE?
FINANCE, SKILLS GAP, THE DEATH OF CANCER,
K. LINDSTROM & T. ROHR-KIRCH-
GOVERNANCE: ADDRESSING CIO THE PATIENT PERSPECTIVE,
GRABER
CHALLENGES, S. MOORHEAD P. KAPITEIN
INOTROPIC AGENTS FOR HEART
NURSES AND CUTTING #PINKSOCKS: CHANGING THE
FAILURE - WISHFUL THINKING?
EDGE TECHNOLOGY, WORLD WITH HEART SPEAK,
J. W. HERZIG
I. MEYENBURG-ALTWARG HUGS AND GIFTING, N. ADKINS
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EDITORIAL
Monitor Me!
m Health has gained considerable
momentum in recent years, but,
contrary to common percep-
tion, mHealth is not limited
to mobile health. It has a broad application
Our focus on mHealth makes a fitting back-
drop to the theme of the 28th congress of the
European Association for Hospital Managers
(EAHM) in Ghent, Belgium from September
11th to 14th. The congress will bring the latest
across healthcare, including the use of biosen- developments in Big Data and digital health,
sors, wearable personal technology, precision finance and health economics, architecture,
medicine, personalised care, patient engage- and governance and ethics into focus. In our
ment, and patient empowerment. We could say Spotlight section, we feature Danny Havenith,
mHealth is the dream example of how tech- Congress Chairman who talks about the unique Tienush Rassaf
nology and innovation intersect with health- experience that the Congress will offer. We Editor-in-Chief CARDIOLOGY
care, and it has the potential to revolutionise also feature Arthur Feldman, Professor of Department Head and Chair of
Cardiology and Vascular Medicine
how we diagnose, treat, and manage patients. Medicine at the Lewis Katz School of Medi- Westgerman Heart and
Vascular Center
The key, however, lies in realising its full cine who talks about the future of cardiovas- University of Essen, Germany
©For personal and private use only. Reproduction must be permitted by the copyright holder. Email to copyright@mindbyte.eu.
potential. There is a great deal of talk about cular disease treatment and management.
Tienush.Rassaf@uk-essen.de
the opportunities that mHealth offers, but very In our Management section, experts weigh
@UniklinikEssen
little discussion on its limitations and how to in on educating physicians to be leaders,
effectively integrate it in healthcare. There are addressing the skills and strategy gaps in
thousands of health applications out there, HIT, nursing and cutting edge technology,
and most smartphone users have at least one and the benefits of branding your hospital. In
mHealth app installed. But there is more to our Winning Practices section, we explore the
mHealth. There are nearly 300 million people future of nuclear cardiology, effective cardi-
in the US and the European Union with at least ovascular prevention strategies, the use of
one chronic disease. Each could significantly inotropic agents for heart failure and recog-
benefit from wireless home monitoring and nising gender and treatment differences in
integrated medical devices - just one example cardiovascular disease. We also look at Euro-
of what mHealth has the potential achieve. safe’s journey to strengthen medical radiation
But how close are we to realising this poten- protection and highlight the #pinksocks move-
tial? In Monitor Me, our contributors explore ment which helps people connect by sharing
how we can make healthcare data work for stories. Our patient perspective includes an
both provider and patient and how we can individual’s take on dealing with cancer; and
better utilise mHealth tools to change the way the importance of reducing medical errors.
cardiology is practiced. We also examine how We hope this journal will provide you valu-
mHealth could work in parallel with healthcare able information. As always, we welcome your
consumerism for a better patient experience news and views.
plus how we can improve patient compliance
through mHealth. Happy Reading!
Volume 19 • Issue 4 • 2019 277
277
HEALTHMANAGEMENT.ORG EDITORIAL BOARD
Promoting Management, Leadership and Winning Practices amongst Key Disciplines
IMAGING HEALTHCARE IT CARDIOLOGY
EDITOR-IN-CHIEF EDITOR-IN-CHIEF EDITOR-IN-CHIEF
Prof. Lluís Donoso Bach Prof. Christian Lovis Prof. Tienush Rassaf
Hospital Clinic – University of Barcelona, Spain University Hospitals of Geneva, Switzerland Essen University Hospital, Germany
ldb@healthmanagement.org cl@healthmanagement.org tr@healthmanagement.org
EDITORIAL BOARD MEMBERS EDITORIAL BOARD MEMBERS EDITORIAL BOARD MEMBERS
Prof. Stephen Baker João Bocas Prof. Gunter Breithardt
Rutgers New Jersey Medical School, USA Digital Salutem, UK University of Munster, Germany
Prof. Hans Blickman Miguel Cabrer Prof. Hugo Ector
University of Rochester Medical Center, USA University Hospital Son Espases, University of the University Hospital Leuven, Belgium
Prof. Edward I. Bluth Balearic Islands, Palma, Spain Prof. Michael Glikson
Ochsner Healthcare, USA Richard Corbridge Shaare Zedek Medical Center, Israel
Prof. Georg Bongartz Leeds Teaching Hospital NHS Trust, UK Priv.-Doz. Philipp Kahlert
University of Basel, Switzerland
Dr. Marc Cuggia Universitätsklinikum Essen, Germany
Prof. Frank Boudghene Pontchaillou Hospital, France Prof. Peter Kearney
Tenon Hospital, France
Prof. Georges de Moor Cork University Hospital, Ireland
Prof. Davide Caramella State University of Ghent, Belgium Prof. Alexandras Laucevicius
University of Pisa, Italy
Dr. Peter Gocke Vilnius University Hospital, Lithuania
Dr. Ai-Lee Chang Amedes Medizinische Dienstleistungen, Germany Prof. Fausto J. Pinto
Guys and St Thomas NHS Foundation Trust, UK
Prof. Jacob Hofdijk Lisbon University, Portugal
Prof. Alberto Cuocolo European Federation for Medical Informatics, Prof. Piotr Ponikowski
University of Naples Federico II, Italy The Netherlands Clinical Military Hospital, Poland
Prof. Johan de Mey Prof. Werner Leodolter Prof. Silvia G. Priori
Free University of Brussels, Belgium University of Graz, Austria University of Pavia, Italy
Prof. Nevra Elmas
©For personal and private use only. Reproduction must be permitted by the copyright holder. Email to copyright@mindbyte.eu.
Prof. Eric Lepage Prof. Amiran Revishvili
Ege University, Turkey Hôpitaux de Paris, France Scientific Center for Cardiovascular Surgery, Russia
Dr. Mansoor Fatehi Prof. Josep M. Picas Prof. Massimo Santini
Medical Imaging Informatics Research Center, Iran Adaptive HS, Spain San Filippo Neri Hospital, Italy
Prof. Guy Frija Prof. Eric Poiseau Prof. Ernst R. Schwarz
Georges-Pompidou European Hospital, France IHE Europe, France Cedars Sinai Medical Center, USA
Assoc. Prof. Frederik L. Giesel Prof. Karl Stroetmann Prof. Dan Tzivoni
University Hospital Heidelberg, Germany Empirica Communication & Technology Research, Israel Heart Society, Israel
Prof. Wolfram Knapp Germany
Prof. Alex Vahanian
Hannover Medical School, Germany Ms. Diane Whitehouse Bichat Hospital, France
Prof. David Koff The Castlegate Consultancy, UK
Hamilton Health Sciences; McMaster University, Canada Ing. Martin Zeman INDUSTRY AMBASSADORS
Prof. Elmar Kotter CESNET, Czech Republic
University Hospital Freiburg, Germany Dan Conley, USA
Prof. Heinz U. Lemke Marc De Fré, Belgium
International Foundation for Computer Assisted Prof. Okan Ekinci, USA
Radiology and Surgery (IFCARS); University of Leipzig, Prof. Mathias Goyen, UK
Germany Dr. Rowland Illing, UK
Prof. Lars Lönn Jurgen Jacobs, Belgium
National Hospital, Denmark Ljubisav Matejevic, Germany
Prof. Elisabeth Schouman-Claeys Gregory Roumeliotis, USA
APHP Medical Organisation Directorate; University of
Dr. Jan Schillebeeckx, Belgium
Paris 7, France
Prof. Valentin Sinitsyn
Federal Center of Medicine and Rehabilitation, Russia
Dr. Nicola H. Strickland
Imperial College Healthcare NHS Trust, UK
Have your say. Engage!
Prof. Henrik S. Thomsen What are your thoughts on the potential and pitfalls of mHealth?
Copenhagen University Hospital; University of
Copenhagen, Denmark
We welcome your views. As a leading print and digital publication
Prof. Vlastimil Valek on healthcare management and leadership, there are many ways
Masaryk University, Czech Republic
to share your ideas and join our faculty of highly-esteemed writers.
Prof. Berthold Wein
Group Practice, Aachen, Germany To contribute, contact us on edito@healthmanagement.org
AUTHORS
EXEC
EDITOR-IN-CHIEF Danny Havenith,
Nick Adkins, USA Belgium
#Pinksocks: Changing the Innovation and a Tienush Rassaf,
Alexandre Lourenço World With Heart Speak, Unique Experience at Germany
Centro Hospitalar e Universitário de Coimbra, Portugal Hugs and Gifting, p 353 EAHM 2019, p 284 Monitor Me! p 277
al@healthmanagement.org
EDITORIAL BOARD MEMBERS
Christoph Rischpler,
Dr. Gilbert Bejjani Iris Meyenburg-
Joachim W. Herzig,
Germany
Matthias Totzeck, Ken
Herrmann, Germany
CHIREC Hospital Group, Brussels, Belgium Altwarg, Germany Inotropic Agents for Nuclear Cardiology:
Nurses and Cutting Edge Heart Failure: Wishful Molecular Insights into
Philippe Blua Technology, p 302 Thinking? p 335 the Heart, p 340
Hospital Center of Troyes, France
Juraj Gemes
F.D. Roosevelt University Hospital, Slovakia
Prof. Sir Muir Gray
Better Value Healthcare, Oxford, UK Adam Cherrington, USA Peter Kapitein, Nathaniel M. Sims, USA
Consumer Tech The Netherlands Closing the Loop: The
Sjaak Haakman Promotes Patient
Engagement, p 314
The Death of Cancer: The
Patient Perspective, p 351
Road to Zero Medication
Errors, p 347
Reinaert Kliniek, The Netherlands
Marc Hastert
Federation of Luxembourg Hospitals, Luxembourg
Prof. Karl Kob
General Hospital Bolzano, Italy Inder Davalur, India Janna Sinipuro Finland,
Katia Katsari, Hungary
Improving Patient John Bullivan UK,
Heinz Kölking Compliance with Future
Better Insight*,
Better Peace of Marina Gafanovich USA
Lilienthal Clinic, Germany mHealth, p 326 Mind, p 290 In Data We Trust, p 328
Nikolaus Koller
President EAHM Editorial Board, Austria
©For personal and private use only. Reproduction must be permitted by the copyright holder. Email to copyright@mindbyte.eu.
Dr. Manu Malbrain
University Hospital Brussels, Belgium Maximilian C. von
Eiff, Wilfried von Erik Kongsgård, Gerrit Slooter,
Chris McCahan Eiff, Germany Norway The Netherlands
International Finance Corporation (IFC) The Hospital as a A Value-Based Approach Transforming Colorectal
Brand, p 306 to Atrial Fibrillation, p 295 Surgery Outcomes, p 288
World Bank Group, USA
Louise McMahon
Health and Social Care Board, Northern Ireland Kathryn Lindstrom,
Theresa Rohr- Thanos G.
Prof. Iris Meyenburg-Altwarg Kirchgraber, USA Stavropoulos. Spiros
Arthur M. Feldman, USA Sex and Gender Impacts Nikolopoulos, Ioannis
Nursing Medical University, Hannover Medical School The Future of in Cardiovascular Disease: Kompatsiaris, Greece
(MHH), Germany Cardiovascular Disease A “Typical” Presentation Sensors in Everyday
Treatment and of Cardiovascular Objects for Dementia
Dr. Taner Özcan Management, p 292 Disease? p 332 Care, p 323
MLPCare, Turkey
Prof. Denitsa Sacheva
Council of Ministers, Bulgaria
Jean-Pierre Thierry Amir A. Mahabadi,
Synsana, France Germany
Jürgen Fortin, Austria Cardiovascular Disease Erin E. Sullivan, USA
Hans-Peter Wyss Hypertension – Prevention
is Better Than Cure, p 289
Prevention 2019:
Quo Vadis? p 330
Educating Physicians
to be Leaders, p 296
Spital Davos, Switzerland
REGIONAL AMBASSADORS
Sarah Moorhead,
Joan Marques Faner Rich Corbridge, UK Lydia Unger-
Son Dureta University Hospital, Spain Finance, Skills Gap, Hunt, Belgium
Guy Frija, France Governance: Reducing Risks and
Dr. Thomas Kaier Putting Medical Radiation
Protection First, p 344
Addressing CIO Generating Economic
Challenges, p 300 Benefits, p 286
King’s College London, UK
Dr. Sergej Nazarenko
Estonian Nuclear Medicine Society, Estonia
Dr. Nadya Pyatigorskaya
Pitié Salpêtrière Hospital, France Rafael Vidal-
Joan Guanyabens, Spain Perez, Spain
Andreas Sofroniou Patient Trust Needed Cardiology and
Limassol General Hospital, Cyprus for Healthcare Data mHealth: Rethink
Success, p 317 About Monitoring, p 320
Dr. András Vargha
National Centre for Patients' Rights and Docu, Hungary
Anton Vladzymyrskyy
Virtual Hospital m-Health, Russia
TABLE OF CONTENTS
HealthManagement.org • Volume 19 • Issue 4 • 2019
EDITORIAL
EDITORIAL SPOTLIGHT
SPOTLIGHT
277 Monitor Me! 284 Innovation and a Unique Experience
The potential of mHealth and how it can revolutionise the future at EAHM 2019
of healthcare. An overview of the EAHM Congress 2019 and Innovative Healthcare
Tienush Rassaf, Germany Strategies.
Danny Havenith, Belgium
292 The Future of Cardiovascular Disease
POINT OF VIEW Treatment and Management
Recipient of the 2019 Distinguished Scientist Award-Basic Domain by
286 Reducing Risks and Generating Economic Benefits
the American College of Cardiology and an overview of his contributions
By implementing in-line filtration, we can reduce the risk to the patient
whilst also benefiting the hospital and national economy. in cardiovascular medicine.
Dr. med. Lydia Unger-Hunt, BBraun Arthur M. Feldman, USA
288 Transforming Colorectal Surgery Outcomes
Implementation of a new colorectal care pathway at Máxima Medical
Center (MMC) has shown improved patient outcomes.
Dr. Gerrit Slooter, Johnson & Johnson CareAdvantage
MANAGEMENT MATTERS
MANAGEMENT MATTERS
296 Educating Physicians to be Leaders
289 Hypertension – Prevention is Better Than Cure
For the clinician leaders healthcare desperately needs, training
Preventing hypertension could be the most cost-effective for health
organisations to improve Cardiovascular Disease (CVD) outcomes. should be integrated throughout a career.
Dr. Jürgen Fortin, CNSystems Erin E. Sullivan, USA
300 Finance, Skills Gap, Governance: Addressing
©For personal and private use only. Reproduction must be permitted by the copyright holder. Email to copyright@mindbyte.eu.
290 Better Insight*, Better Peace of Mind
Affidea breastInsight|Mammography is a recently launched Artificial CIO Challenges
Intelligence (AI) clinical product to streamline and improve the clinical How can CIOs tackle the obstacles of finance, skills and strategy to
performance of screening mammography and drive the earlier detection run a department successfully?
of breast cancer.
Sarah Moorhead, Rich Corbridge, UK
Katia Katsari, Affidea
295 A Value-Based Approach to Atrial Fibrillation 302 Nurses and Cutting Edge Technology
Enhancing Atrial Fibrillation Patient Satisfaction and Procedure Flows Adopting new technology in healthcare requires the input and training
Garners Profound Results of those on the frontline of care industry.
Dr. Erik Kongsgård, Johnson & Johnson Biosense Webmaster Iris Meyenburg-Altwarg, Germany
311 Lions Health 2019: Creativity and 306 The Hospital as a Brand
Innovation in Healthcare Establishing a strong brand as a healthcare provider builds recognition,
Cannes Lions for the most innovative ideas in the healthcare industry.
loyalty, and competitiveness.
Maximilian C. von Eiff, Wilfried von Eiff, Germany
DISCLOSURE
Point-of-view articles are part of the HealthManagement.org
Corporate Engagement Programme
COVER STORY:
COVER STORY: MONITORMONITOR
ME! ME!
314 Consumer Tech Promotes
LEADERSHIP • CROSS-COLLABORATION • WINNING PRACTICES
Patient Engagement
LEADER
VOLUME 19 • ISSUE 4 • 2019 • € 22 ISSN = 1377-7629
VOLUME
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How can healthcare leverage mHealth and the parallel movement
UE G PRA
4 • 201 CTICES
towards consumerism to better patient engagement?
9•€
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ISSN =
1377-7
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Adam Cherrington, USA
316 Patient Trust Needed for Healthcare
Monitor Me! Monitor M Data Success
MONITOR ME! T. RASSAF
e!
CONSUMER TECH PROMOTES PATIENT ENGAGEMENT, A. CHERRINGTON
PATIENT TRUST NEEDED FOR HEALTHCARE DATA SUCCESS, J. GUANYABENS
CARDIOLOGY AND MHEALTH - RETHINK ABOUT MONITORING, R. VIDAL-PEREZ
SENSORS IN EVERYDAY OBJECTS FOR DEMENTIA CARE, T.G. STAVROPOULOUS ET AL.
IMPROVING PATIENT COMPLIANCE WITH FUTURE MHEALTH, I. DAVALUR
IN DATA WE TRUST, J. SINIPURO ET AL.
MONITO
CONSUMR ME! T. RAS
PATIEN ER TECH PRO
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IN DAT
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Saluscoop looks at how we can make data work in the mHealth
framework for provider and patient.
Joan Guanyabens, Spain
ST, J.
FOR
NCE WIT DEMENTIA ITORIN J. GUANYABEN
SINIPUR CAR G, R. VID S
INNOVATION AND A UNIQUE THE HOSPITAL AS A BRAND, NUCLEAR CARDIOLOGY: O ET AL. H FUTURE MHE E, T.G. STA AL-PER
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EXPERIENCE AT EAHM 2019, M.C.VON EIFF & W. VON EIFF MOLECULAR INN OVATIOINTO THE
INSIGHTS ALTH,
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EXPERIE ET AL. N AND A R AL.
D. HAVENITH HEART, C. RISCHPLER
CARDIOVASCULAR DISEASE D. HAV NCE AT EAH UNIQUE
THE FUTURE OF CARDIOVAS- PRVENTION 2019: QUO VARDIS? PUTTING MEDICAL ENIT H
RADIATION M 201
9, THE HOS
CULAR DISEASE TREATMENT AND A. A. MAHABADI PROTECTION THE FUT G. FRIJA
FIRST, M.C.VO PITAL AS
MANAGEMENT, A. M. FELDMAN CULAR URE OF CAR N EIFF A BRA
ND,
SEX AND GENDER IMPACTS IN CLOSING THE DISTHE
EASE DIOVAS CARDIO & W. VON
MANLOOP:
AGEMEN ROAD
TRE - EIFF NUCLEA
EDUCATING PHYSICIANS TO BE CARDIOVASCULAR DISEASE: TO ZERO MEDICATION T, A. M. ATMENT AND
ERRORS, PRVENT VASCULAR MOLECU R CARDIOLOG
DISEAS
LEADERS, E. E. SULLIVAN A TYPICAL PRESENTATION OF N.M. SIMSEDUCATING FELDMA
N A. A. MAHION 2019:
QUO VARE HEART, LAR INSIGH Y:
LEADER PHYSIC ABADI C. RISC TS
CARDIOVASCULAR DISEASE? S, E. E. THE IANS TO DIS?
FINANCE, SKILLS GAP, THE DEATH OF CANCER, SULLIVA BE SEX AND PUTTIN HPLER INTO THE
K. LINDSTROM & T. ROHR-KIRCH- FINANC N CARDIO GENDER IMP ET AL.
GOVERNANCE: ADDRESSING CIO
GRABER
PATIENT PERSPECTIVE,
GOVERNE, SKILLS GAP
P. PROTECG MEDICAL
A TYP VASCULAR ACT TION FIRS RADIATI
CHALLENGES, S. MOORHEAD KAPITEIN
CHALLE ANCE: ADD , ICA DISEASS IN T, G. FRIJ ON
CARDIO L PRESEN CLOSIN
INOTROPIC AGENTS FOR HEART NGES, RES
THE SING CIO TATION E: TO ZER G THE LOOP: A
NURSES AND CUTTING #PINKSOCKS:
NURSES CHANGING S. MOO K. LIND VASCULAR
FAILURE - WISHFUL THINKING?
SPEAK, RHEAD DISEAS OF N.M. SIMO MEDICATIO THE ROAD
EDGE TECHNOLOGY, WORLDEDGWITH HEARTAND CUT GRABERSTROM & T.
I. MEYENBURG-ALTWARG
J. W. HERZIG
HUGS I.ANDEGIFTING,
TEC TIN
N. ADKINS ROHR-K E? S N ERR
MEYENB HNOLOGY, G INOTRO IRCH - THE ORS,
URG-AL DEA
TWARG FAILUREPIC AGENTS PATIEN TH OF CAN
KAPITEI T PERSPECTIV CER, THE
J. W. HER - WISHFU FOR HEART
ZIG L THINKI N E, P.
NG? #PINKSO
WORLD CKS: CHANGI
HUGS WITH HEART NG THE
AND GIFT SPE
ING, N. AK,
ADKINS
280 HealthManagement.org
©For personal and private use only. Reproduction must be permitted by the copyright holder. Email to copyright@mindbyte.eu.
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TABLE OF CONTENTS
HealthManagement.org • Volume 19 • Issue 4 • 2019
COVER STORY: MONITOR ME!
320 Cardiology and mHealth – Rethink About 344 Putting Medical Radiation Protection First
Monitoring Guy Frija, Chair of EuroSafe Imaging speaks about the impressive
How is mHealth impacting the field of cardiology and what tools are success of the initiative and what's in the works for the future.
changing the way cardiology is practiced? Guy Frija, France
Rafael Vidal-Perez, Spain
347 Closing the Loop: The Road to Zero Medication
323 Sensors in Everyday Objects for Dementia Care Errors
The past, present & future of dementia care using sensors in everyday The majority of deaths caused by medical errors are due to the
life objects through four use cases from research labs to large-scale misuse of medicine.
pilots & adoption by pharmaceutical companies. Nathaniel M. Sims, USA
Thanos G. Stavropoulos, Spiros Nikolopoulos, Ioannis Kompatsiaris,
Greece 351 ‘The Death of Cancer,’ The Patient
Perspective
326 Improving Patient Compliance with Future A cancer patient and advocate gives his views on a leading oncologist's
mHealth book on the fight against the disease.
What can we learn from social media to improve patient compliance Peter Kapitein, The Netherlands
in the not so distant future?
Inder Davalur, India 353 #Pinksocks: Changing the World With Heart
Speak, Hugs and Gifting
328 In Data We Trust #pinksocks founder Nick Adkins talks about the movement in healthcare
Three health experts weigh in on securing patient trust when it comes spreading like wildfire in all industries, activating people to connect
to accessing and using their data. by sharing each other’s stories with compassion and empathy to
©For personal and private use only. Reproduction must be permitted by the copyright holder. Email to copyright@mindbyte.eu.
Jaana Sinipuro, Finland, John Bullivant, UK, Marina Gafanovich, USA work together.
Nick Adkins, USA
329 Monitor Me! Infographic
I-I-I BLOG
I-I-I BLOG
WINNING PRACTICES
WINNING PRACTICES
356 Immanuel Azaad Moonesar
330 Cardiovascular Disease Prevention 2019: President – AIB-MENA
Quo Vadis? Assistant Professor of Health Policy – Mohammed Bin Rashid School
Primary prevention strategies for cardiovascular disease remains a of Government, UAE
major challenge in both research and clinical practice.
Amir A. Mahabadi, Germany Ariella Shoham
Vice President Marketing – AIDOC Ltd., Israel
332 Sex and Gender Impacts in Cardiovascular
Disease: A “Typical” Presentation of Michael Johnson-Ellis
Cardiovascular Disease? Managing Director – Healthier Recruitment, UK
Differences in sex and gender need to be considered when identifying
the presentations and risk factors of cardiovascular diseases. Michael D. Catten
Kathryn Lindstrom, Theresa Rohr-Kirchgraber, USA Private Practitioner – Salt Lake City, USA
335 Inotropic Agents for Heart Failure - Wishful
Thinking?
Joachim W. Herzig warns of the caution that should be taken when
administering inotropic agents to patients with heart failure.
Joachim W. Herzig, Germany
340 Nuclear Cardiology: Molecular Insights into
the Heart
A dynamic subspecialty in nuclear medicine, allowing for the non-invasive
assessment of cardiac diseases.
Christoph Rischpler, Matthias Totzeck, Ken Herrmann, Germany
282 HealthManagement.org
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260 16
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1300
diagnostic and
cancer care
modalities
7
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million
patients / year
SPOTLIGHT
Innovation and a Unique
Experience at EAHM 2019
The 28th congress of the European
Association of Hospital Managers (EAHM)
will take place in Ghent in Belgium from
September 11–14. Danny Havenith, con-
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gress chairman spoke to HealthManage-
ment.org and shared the unique experience
that will be offered to participants at the
EAHM Congress 2019.
The congress theme of Innovative for their daily actions. This is applicable For the Inauguration Ceremony, we
Healthcare Strategies encompasses to the quality in medicine and nursing, have asked two people for a keynote
the following areas: Big data & digital but also in technology, paramedicine, ad- speech - people who live this vision:
health; Finance & health economics; ministration, and management. It is about Prof. Fidelos Soh, CEO of Tan Tock Seng
Smart buildings & logistics; Health exchanging experiences and developing Hospital, Singapore & Central Health,
management, governance & ethics; visions among the participants. It is about National Healthcare Group, and Paul
Innovation & technology; and Healing doing the right things in the right way. Stoffels, Chief Strategic Officer, J & J
architecture. Which of these areas do worldwide. They will give us a glimpse
you think hospital managers across Can you give some examples of hos- into the future they already live in their
Europe need to prioritise in order to pitals across Europe that are working businesses.
improve care quality? effectively and leading the way in any
The theme of the EAHM 2019 Congress of the above areas? In your Congress video address, you
is: Innovative Healthcare Strategies. It The six selected Belgian hospitals that mention the need for open minds
sheds light on a key issue that should can be visited during the Congress are and networking. How do you encour-
occupy the CEOs of hospitals in Europe, places where this innovation can be age this at the event?
indeed throughout the world: innovation. seen, especially in the topics that are We as organisers and members of the
Innovation is the engine of the future, specifically offered there. But I am also Belgian Hospital Managers Association
anticipates future success, and enhances pleased that we have found intersections have put our vision under these very
the quality of healthcare providers. Thus, in cooperation with industry. We all work keywords: to reach excellence, to remain
all six themes are also quality issues, each towards the same goal: to provide high open-minded, to follow innovation in
of which in their own way gives the man- quality and innovative health service that the sector, and to cultivate friendship
agers and guests of the Congress input puts people first. with colleagues. These four aspects
284 HealthManagement.orgSPOTLIGHT
are the cornerstones of the commu-
nity of a Congress that brings together
managers.
Innovative Healthcare Strategies
Six Themes, Six Hospitals
The Belgian Association of Hospi- The European Association of Hospital Managers our constant need to provide personalised care.
(EAHM) Annual Congress focuses on six main The new phase of construction at AZ Delta Ro-
tal Managers has worked to create themes this year, Big Data & Digital Health; eselare shows exactly how smart architecture
an impressive network amongst six Finance & Health Economics; Smart Buildings and logistics have been prioritised.
hospitals that has addressed criti- & Logistics; Health Management, Governance
cal areas such as digital transfor- & Ethics; Innovation & Technology; and Healing With the digital revolution comes a new change
Architecture. EAHM 2019 aims to explore these in priorities. At EAHM 2019, the benefits of the
mation and finances. What insights themes by linking their implementation to dif- digital revolution to both patients and care pro-
will you be sharing with delegates ferent hospitals and centres around Belgium. viders are explored and the subsequent changes
on how this network works? that are needed to take place in healthcare to
The Congress theme is, as already indi- The digitalisation of healthcare has meant that accommodate this. UZA Antwerp prioritises
data is now more accessible. AZ Groeninge these governance and ethical concerns in its
cated: Innovative Healthcare Strategies. Kortrijk has made digital health and big data a continuum of care.
We have also created a new concept focus by the implementation of their integrated
in the organisation and pedagogy of computerised patient record. The safeguarding To make progress in the face of technology
the Congress. Instead of organising and coordination of health data in systems such and the mass of medical data available, we
as this will be explored at EAHM 2019. need to innovate. Strategies for innovation and
an ex-cathedra congress in which 500 technology, for example, those from AZ Maria
participants sit together in a confer- EAHM 2019 will also aim to focus on finance and Middelares, will be examined at EAHM 2019.
ence room and listen to the lectures health economics and the long-term benefits AZ Maria Middelares aims to simultaneously
and impulses, we have decided on a of investing in technology and prevention. The provide high-tech healthcare along with basic
efforts of Delta CHIREC Brussels in the invest- care, making it an efficient hospital constantly
decentralised concept. ment of their new site along with their neigh- striving for quality.
The participants vote for two of the bourhood centres demonstrates the group’s aim
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six proposed topics that you have al- to offer high-quality care in a multidisciplinary Hospitals’ aim to get patients back to their com-
ready mentioned. To do this, you leave approach. forts and the importance of healing architecture
is the final theme to be explored at EAHM 2019.
the conference centre on two half days The development of smart buildings will also AZ Zeno Knokke is always innovating demon-
of the three-day congress and go in be explored at EAHM 2019. Intelligent hospitals strated by its slogan ‘This is not a hospital.' The
smaller groups of 80 people max in new need to be able to utilise technology for the centre thrives from the benefits of unique archi-
innovative hospitals. By creating small benefit of the patient, whilst also evolving with tectural designs to deliver care of high quality.
groups, we will create communication
among the participants. Interested
people on a particular topic will get to- sessions in the conference centre. In little differently, putting ideas and vision
gether in a dynamic process. This offer addition to the inauguration ceremony, into practice, so that the patient feels
creates a great logistical challenge for which we talked about earlier, there will that “appropriate and optimal health
the participants' exchange and for us, be a very dynamic workshop on innova- care is offered here.” Maybe the Con-
organisers, which we will handle with tion, including spin-off ideas and other gress will also help make new innovative
professional partners on-site. sectors, and giving input to CEOs. discussions between key players in the
Last but not the least, we are organ- hospitals possible. That would be a nice
What will delegates see on visits to ising an Innovation Award for the first reward for our efforts.
future-proof hospitals? time in cooperation with the European
The participants will have special offers Association EAHM. So, the Congress of- What changes do you think are nec-
in hospitals. Each session is presided by fers many facets, and there is something essary to be implemented in hospi-
a chairman, and there will be an aca- for everyone. The social programme tal management by the EAHM 2020
demic contribution. The other speak- provides an adequate framework so that congress in Budapest?
ers are contributing from the industry. the exchange between the participants Each national association - the organiser
The second part includes a visit to the is effective and sustainable. of the congress, sets its priorities. We
hospital to present innovative projects have a wonderful team in Belgium that
from the hospital and industry partners. What do you hope delegates will take organises the Congress. It is already in
The visit starts with the bus ride — a away from the 28th EAHM Congress contact with the Hungarians to exchange
kick-off video introduces visitors to the in Ghent? best practices. In the same way, I thank
hospital and the subject. We hope t hat t he delegates of all the Portuguese colleagues who or-
Not to be forgotten and, of course, EAHM2019 Congress will go back to their ganised the Congress in Cascais in 2018
worth mentioning is also the plenary hospitals and do their daily business a for all the support we have received.
Volume 19 • Issue 4 • 2019 285POINT OF VIEW
Reducing Risks and
Generating Economic
Dr. med. Lydia
Unger-Hunt
Benefits
Did you know that IV filtration in an intensive care unit (ICU) could help to
lydia.unger@gmail.com
reduce risks and generate economic benefits?
Introduction during the preparation process.6 Various in the rate of overall complications –
Intravenous administration of fluids and studies have demonstrated the contam- SIRS, sepsis (defined according to the
drugs is an important part of patient care ination of infusion solutions with glass International Paediatric Sepsis Con-
for the critically ill. However, the contam- particles from opening glass ampoules, sensus Conference9, 10), organ failure,
ination of infusion solutions by particles particles from rubber stoppers or con- and thrombosis – whereas second-
is a largely unknown and underestimated glomerates of the parenteral nutrition ary objectives were a reduction in the
side effect of intravenous therapy, which components.7,8 Particles have also been length of stay in the intensive care unit
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can lead to particle-induced mechani- shown to be inherent to generic drug and overall hospital stay.
cal blockage of vessels and the develop- formulation.2 The filter group received in-line fil-
ment of pulmonary foreign body granu- If these particles are not eliminated, tration throughout the period of infu-
lomata.1, 2, 3, 4 In an intensive care setting, they will enter the patient, with poten- sion therapy, with eligible fluids admin-
the particle burden may rise up to one tially severe consequences such as istered via in-line IV filters. The appro-
million infused particles per day, increas- organ damage (lungs, kidneys, liver, bone priate IV filters –
ing with the complexity and quantity of marrow), particularly in organs that were • 1.2 µm pore size for infusion of
the administered infusions.3, 5 damaged before. It is therefore impor- lipid-containing admixtures;
During the EAHM congress in Cascais, tant to optimise infusion therapy in • 0.2 µm pore size positively charged
Portugal in September 2018, Dr. Michael order to minimise medication errors and filters for aqueous solutions –
Sasse, leading senior physician of the particle load. In-line filtration has been were arranged in the lumen of each
PICU at Hannover Medical School (MHH), shown to prevent the infusion of parti- venous catheter. IV filters for lipid con-
showed that implementing standard cles almost completely. taining infusions were replaced after
operating procedures for infusion man- 24 hours, IV filters for aqueous solu-
agement and the use of in-line IV filters Clinical Trial Methods tions were changed after 72 hours of
significantly lowers the occurrence of The aim of the study published by Dr. regular use, or in cases of blockage.
SIRS and the length of stay in the ICU by Sasse and his team was to evaluate the
23%. Based on these results, the MHH impact of in-line filtration of particles Results of Clinical Trial
was able to increase the capacity in its with respect to severe complications Analysis showed that in-line filtration
ICU, which also had important economic such as systemic inflammatory response significantly decreased the overall com-
effects. syndrome (SIRS), sepsis, thrombosis, and plication rate for the filter group (40.9%
organ failure in critically ill patients. versus 30.9%; p=0.003). A signifi-
Particulate Contamination: Why is it A single-centre, prospective, ran- cant difference (p=0.003) between the
a Problem? domised controlled trial was conducted. control and filter groups was detected
The contamination of infusion solutions A total of 807 children under 18 years of concerning the time to first occur-
by particles is a widely unknown and age were randomly assigned to either a rence of any complication per patient:
underestimated side effect of intrave- control group (n = 406) or a filter group the median event-free duration for the
nous therapy.1, 2 Particulate contamina- (n = 401), with the latter receiving in-line control group (7.0 ± 0.2 days) differed
tion is due to drug incompatibility reac- filtration. significantly from that of the filter group
tions or their incomplete reconstitution The primary endpoint was a reduction (10.0 ± 1.9 days).
286 HealthManagement.orgPOINT OF VIEW
The incidence of SIRS was signifi- revenue for the ICU of around 1.6 million Conclusion
cantly lowered from 30.3% in the control euros per year. The additional costs for IV The conclusion of Dr. Sasse is clear:
group to 22.4% in the filter group (p= filters for 807 patients came to 50,000 “Managed infusion therapy with in-line
0.01). euros per year, an amount that is some- IV filters will increase patient health and
Additionally, the use of filters led to a what dwarfed in respect to the improved significantly lower the length of stay at
significant reduction in the length of stay outcome. the ICU but also have a positive financial
in the intensive care unit. The length of Other economic aspects should be impact on the hospital and the national
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stay at ICU could be reduced by 23% considered as well: “Less severe com- economy.”
(3.89 days versus 2.98 days; p=0.025). plications result in fewer drugs such as This article is based on a lecture by
“Because 12 to 18-year-olds are like antibiotics, reduction of organ replace- Dr. Michael Sasse, MHH, at the EAHM
adults when it comes to factors such as ment, medical staff workload and also co n gre s s f ro m 26-28.0 9. 2018 in
the capillary bed, we can safely assume a decrease in costs for diagnostic pro- Cascais, Portugal.
that the effect must be the same in cedures. Being able to release patients
adults,” comments the expert Dr. Michael sooner also increases the flexibility
Sasse. of ICU allocation and the capacity for
surgeries.” REFERENCES
Economic Impact of IV Filtration For the ICU at Hannover Medical
Dr. Sasse can also prove that using filters School, the results of the study also 1.
Hellinger A, Piotrowski J, Konerding MA, Burchard WG,
Doetsch N, Peitgen K, Erhard J, Reidemeister JC (1975)
make financial sense: the length of ICU mean that no patients have to be turned Impact of particulate contamination in crystalloid cardiople-
stay can be decreased by an average away due to lack of capacity. Or to make gic solutions: studies by scanning and transmission electron
microscopy. Thorac Cardiovasc Surg 45:20-6.
of 21.75 hours per patient, represent- it snappier: “shorter length of stay equals 2.
Oie S, Kamiya A (2005) Particulate and microbial contami-
ing a 23% drop. Almost an entire day can treat more patients equals save more nation in in-use admixed parenteral nutrition solutions. Biol
Pharm Bull 28:2268-70.
thus be saved – a substantial economic lives,” says the German intensive care 3.
Walpot H, Franke RP, Burchard WG, Agternkamp C, Müller
advantage. specialist. FG, Mittermayer C, Kalff G (1989) Particulate contamina-
Together with his team, Dr. Sasse KRINKO, the German commission for tion of infusion solutions and drug additives within the scope
of long-term intensive therapy. 1. Energy dispersion elec-
evaluated ICU costs, which were found hospital hygiene and infection preven- tron images in the scanning electron microscope-REM/EDX.
Anaesthethist 38:544-8.
to be around 1,800 euros per patient per tion, which is part of the Robert-Koch-
Bruning EJ (1955) Pathogenesis and significance of intra-
4.
day, with an average refund of around Institute and has a similar standing in arterial foreign body embolisms of the lung in children.
8,000 euros per ICU patient from the Germany as the CDC or FDA, has taken Virchows Arch 327:460-79.
5.
Mehrkens HH, Klaus E, Schmitz JE (1977) Possibilities
health insurers. on these study results. Since 2016, this of material contamination due to additional injections. Klin
“The 23% shorter length of ICU stay body has recommended that in-line Anasthesiol Intensivther 14:106–113
that we found in our study translates to particle IV filters with pore size 0.2 µm 6.
Schroder F (1994) Compatibility problems in intensive care
medicine. Infusionsther Transfusionsmed 21:52–58
around 21.75 hours per patient. For 807 should be used in infusion systems of 7.
Ball PA (2003) Intravenous in-line filters: filtering the evi-
patients per year this would free up 731 intensive care patients to decrease the dence. Curr Opin Clin Nutr Metab Care 6:319–325 5.
ICU days per year, which means that we amount of SIRS and to eliminate air 8.
Jack T, Brent BE, Boehne M, Muller M, Sewald K, Braun
A, Wessel A, Sasse M (2010) Analysis of particulate contami-
could treat 209 more patients per year.” bubbles from infusion solutions (recom- nations of infusion solutions in a pediatric intensive care unit.
In turn, this also leads to an increase in mendation cat. II). Intensive Care Med 36:707–711
Volume 19 • Issue 4 • 2019 287POINT OF VIEW
Transforming Colorectal Surgery Outcomes
How End to End Enhanced Recovery and Prehabilitation Transformed Colorectal Surgery Outcomes
Dr. Gerrit Slooter Dutch Institute for Clinical Audit- 86.0% of patients who underwent pre-
MD, PhD, Surgical Oncologist ing. Although results were average, habilitation reached their pre-opera-
they wanted to optimize their care tive health status (as measured by six
pathway and ERAS® compliance by strength and fitness tests) compared
taking a multidisciplinary, value-driven with 40.0% of patients in the control
approach to revitalize ways of working. group. In 2018 MMC, a national and
Importantly, achieving sustainable international prehabilitation leader,
results would only be possible through began introducing prehabilitation into
multidisciplinary stakeholders’ involve- other care pathways including liver
ment in and responsibility for design- surger y, bladder surger y, and lung
C
om plications in all t y pes of ing improvements. So, in 2015, MMC surgery, amongst others.
su rge r y p lace a sig nif ic a nt convened 140 hospital department Dr. Gerrit Slooter, MD, PhD, Surgi-
burden on patients’ quality of members in dedication to a new colo- cal Oncologist and team lead of this
life and on all clinicians involved in the rectal care pathway and renewed focus journey to excellence at MMC, shared:
care pathway. In laparoscopic colo- on compliance. This session served “The program was an integral part of
rectal surgery, anastomotic leaks are to both raise awareness and achieve the hospital’s success in driving inte-
of great concern to surgeons and can alignment on the importance of a new gration to deliver improved outcomes.
©For personal and private use only. Reproduction must be permitted by the copyright holder. Email to copyright@mindbyte.eu.
place considerable economic pressure pathway. Introducing this protocol ensured that
on a hospital. A fully integrated approach to pre-, the care pathway encompassed treat-
As a specialist center for colo- peri-, and postoperative care resulted, ment from the point of diagnosis to the
rectal surgeries in the Netherlands, and the Colorectal Care 2.0 program end of patient follow-up.
the Máxima Medical Center (MMC) was born, shortly followed by Colorec- “It is the condition of the patient
decided to face colorectal complica- tal Care 3.0 in 2016 incorporating a that determines the outcome and not
tions head on. In doing so they uncov- 4-week period of prehabilitation. This the quality of the surgeon. Thus, focus
ered multilayer pressure being exerted four-pillar, multimodal program was on prehabilitation and enhanced recov-
on facilities with a three- to four-fold designed to optimize treatment out- ery principles for laparoscopic surgery
increase in the cost of care involv- comes by preparing patients between patients at MMC has elevated out-
ing anastomotic leakage. Surgeons diagnosis and surgery. comes to the high standards expected
also reported a considerable mental Implementation has quickly shown of a specialist center.”
burden associated with supporting a marked improvement in patient out- To lear n m ore abou t w hat was
patients and their caregivers through comes. MMC results from the National achieved at MMC via a white paper
the complication. Dutch Institute for Clinical Auditing for entitled Improving Outcomes Through
Since 2004, MMC has been at the 2015–2017 versus 2012–2014, show the I m ple mentation of En ha nced
forefront of developments and quality reduced: Recovery and Prehabilitation in Colo-
assurance for colorectal surgery in the • median length of hospital stay recta l Su rge r y, o r to co nt ac t t h e
Netherlands as one of the country’s down from eight days to four Johnson & Johnson CareAdvantage
first hospitals to offer a laparoscopic • frequency of patient complica- team about how you’d like to enhance
solution for all bowel operations. tions within 30 days post-sur- value in healthcare, visit:
In the same year, they also intro- gery down from 26.5% to 11.9% w w w.jnjmedicaldevices.com/
duced peri-operative care for laparo- • mean comprehensive compli- en-EMEA/service/care-advantage.
scopic colorectal surgery according to cation index (CCI) postopera- Meet the CareAdvantage team on
enhanced recovery principles, includ- tive morbidity score down from Stand 22 at the European Association
ing Enhanced Recovery After Surgery 10 to six of Hospital Managers (EAHM) congress
(ERAS®) protocols. • incidence of anastomotic in Ghent, Belgium, 11-14 September
To further elevate standards, in leakage down from 8% to 2.5%. 2019 and sign up to attend one of two
2015 the center reflected on their In an international randomized con- Big Data and Digital Health congress
results from the 2012–2014 National trolled trial, four weeks after surgery, workshops.
288 HealthManagement.orgPOINT OF VIEW
Hypertension – Prevention is
Better Than Cure
How can we get the most common, costly, and modifiable cardiovascular risk factor under control?
Dr. Jürgen worldwide. 4 The challenge for spe- for blood pressure”5 and found environ-
Fortin cialists is that hypertension being the mental factors more significant.
CEO most “modifiable” 1 risk factor, ver y Other TFM studies described the
CNSystems
often remains undetected and symp- positive impact of physical activity on
feedback@cnsystems.com
tom-free at an early stage and is only the cardiovascular system.4,6,7 Consid-
www.cnsystems.com treated when it has already become a ering that “physical inactivity is now the
long-term disease. fourth leading cause of death world-
So it is critical for cardiologists to wide,”8 the correlation seems obvious.
understand the influencing factors Also the kind of exercise can influence
in order to predict or detect early and efficacy as isometric exercise train-
prevent this widespread disease. ing has a higher positive impact on
C
ardiovascular disease (CVD) is In a new study publication with resting arterial pressure than traditional
the number one cause of death the Task Force® Monitor (TFM) in the aerobic and resistance training.4 Physi-
with an upward trend beyond Journal Nature, Man et al. investigated cal training therefore not only supports
30% and a tripling in costs between the essential cardiovascular parame- the therapy for hypertension patients
©For personal and private use only. Reproduction must be permitted by the copyright holder. Email to copyright@mindbyte.eu.
2010 and 2030, placing a significant ters of five large consanguineous fami- but also plays an important role as an
economic burden on public healthcare lies to find out if hypertension is herit- efficient preventive measure.6
services.1,2,3 The most common risk able and if it depends on genetic and/ Risk prediction approaches and
factor for developing CVD is hyperten- or environmental factors. The study powerful monitoring tools help iden-
sion1 affecting one billion individuals team described “moderate heritability tify potential hypertension patients “for
timely prevention and treatment at an
early stage before obvious symptoms
happen.”3
There is also evidence that long-
term complications of undetected,
untreated or ineffectively controlled
hypertension can also lead to cerebro-
vascular diseases, an impairment of
the cognitive function and even organ
damage. Early detection and promptly
initiated antihypertensive management
can reverse these implications.9
Image Credit: © Valitudo MGM & INJOYmed Müllheim | Germany | valitudo.de
We can conclude from these find-
ings that we can contribute to a better
cardiovascular health by making the
“most common, costly, and preventable
CVD risk factor”2 an avoidable one. This
might finally lead to the efficient reduc-
tion of the terrifying number of hyper-
tensive patients and the high cost for
health organizations.
REFERENCES
For full references, please email edito@healthmanage-
ment.org or visit https://iii.hm/x5h
Volume 19 • Issue 4 • 2019 289POINT OF VIEW
Better Insight , *
Better Peace of Mind
Enhanced diagnostic accuracy of screening mammography with the use of
Artificial Intelligence
Katia Katsari
Chief medical Physicist Affidea,
Project Leader AI Operations
and Dose Excellence
B
reast cancer is the most frequent cancer among support radiologists to interpret the images with higher
women, with an estimated incidence of 560,000 accuracy. Studies have shown that the AI solution matches
©For personal and private use only. Reproduction must be permitted by the copyright holder. Email to copyright@mindbyte.eu.
cases in 2018, in Europe.1 The World Health Organi- the performance of breast imaging radiologists,3 and can
sation (WHO) estimated that 627,000 women worldwide, 2 be used as a second opinion. In this way, doctors can gain
out of which 150.0002 only in Europe, died from breast a better and more accurate insight 4 and patients, the
cancer, in the same year. In order to improve breast cancer peace of mind that any woman should have when under-
outcomes and survival, early detection is critical. For this going a mammography examination.
reason, many European countries have successfully intro-
duced breast cancer screening programmes. Affidea breastInsight|Mammography brings benefits to
all stakeholders, and most importantly, to both women who
Affidea breastInsight|Mammography is a recently need to undergo screening mammography and their referring
launched Artificial Intelligence (AI) clinical product to physicians:
streamline and improve the clinical per formance of
screening mammography and drive the earlier detection A Faster Diagnostic Pathway for their patients
of breast cancer. It is powered by TransparaTM, an FDA Effective triage of mammograms with low likelihood of malig-
cleared and CE approved AI solution for breast cancer nancy allows radiologists to focus on the high-risk cases5 which
screening of ScreenPoint Medical. TransparaTM uses deep will allow doctors to get a faster diagnosis for their patients.
learning algorithms to automatically detect lesions suspi-
cious for breast cancer in 2D and 3D mammograms and Enhanced diagnosis which results in reduction of unnecessary
has been validated for multiple vendors and mammogra- recall rates and false positive findings (fewer biopsies), giving
phy models. The software categorises mammograms on a women who undergo a mammography the peace of mind they
10-point scale indicating the risk of cancer. deserve.
The Transpara™ Score can be used to triage examina- Improved clinical accuracy and diagnostic confidence4
tions and help radiologists to prioritise patients for further The AI solution matches the performance of a breast imaging
investigation. CAD marks for calcifications, soft tissue radiologist3,4 and can be used as a second opinion reader to
lesions and interactive decision support are provided to improve diagnostic outcomes.
290 HealthManagement.orgPOINT OF VIEW
“This is our second AI innovative project that
we embed across our European Network
with the goal of expanding precision medi-
Affidea at a glance:
cine, improving accuracy and driving a faster, Multinational healthcare provider, with
presence in 246 centres across 16
more personalised breast imaging diagno- countries in Europe, providing high
sis with the help of advanced artificial intel- quality affordable care for millions of
ligence solutions. In this way, we support our patients every year.
doctors to take full advantage of the AI tools Working with over 7,500 professionals,
which allow them to foster diagnostic confi- producing 13 million scans every year.
dence and ultimately, to save more lives. Our Affidea is the only healthcare operator in
Europe to sit on the Imaging Advisory
vision, our digital and clinical capabilities and
Board of IBM Watson Health and also
our experienced teams across 16 countries sits on Microsoft Cloud’s board.
provide us with a unique opportunity to sig- 50% of the European winning centres
nificantly improve the delivery of patient care.” awarded by the European Society of
Radiology belong to Affidea.
©For personal and private use only. Reproduction must be permitted by the copyright holder. Email to copyright@mindbyte.eu.
Giuseppe Recchi
CEO, Affidea
“We are pushing the boundaries in terms of
enhanced productivity, increased diagnostic
accuracy, more personalised treatment and
ultimately, improved clinical outcomes with
an outstanding patient experience. The new
AI solution that we are implementing in our
REFERENCES
countries, Transpara™, will provide our doctors
with an automated clinical decision support * The ScreenPoint Medical AI solution TransparaTM plus expert radiologist’s opinion are
more accurate than sub-specialty radiologist alone - see reference 7
that can boost reading performance and
Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for
1
faster distinguish between healthy and tumour Research on Cancer:
tissue, thus increasing diagnostic accuracy.” 2
Curado et al. (2007) Cancer Incidence in Five Continents, Vol. IX, IARC Scientific
Publications No. 160. IARCPress: Lyon.
Prof. Rowland Illing 3
Rodriguez-Ruiz et al. (2019) Standalone artificial intelligence for breast cancer detec-
tion in mammography: Comparison with 101 radiologists. Journal of the National
Senior VP, Chief Medical and Cancer Institute. Available from doi.org/10.1093/jnci/djy222.
Digital Strategy Officer, Affidea 4
Rodríguez-Ruiz et al. (2019) Detection of Breast Cancer with Mammography: Effect of
an Artificial Intelligence Support System. Radiology 290(2):305-314.
5
K. Lång et al. (2019) Can artificial intelligence identify normal mammograms in
screening? B-0696, Presented at ECR 2019, Vienna
Volume 19 • Issue 4 • 2019 291You can also read
