MIDDLE EAST HOSPITAL - Sept/October 2014 Issue

Medica Review

Mio - Healthcare Tablet Clinical ResearchMiddle East Brian De Francesca

ANATOMICAL MODELS, SIMULATORS AND CHARTS FOR CLINICAL SKILLS AND TRAINING

[email protected] www.adam-rouilly.co.uk +44 (0) 1795 471378

NEW for MEDICA 2012, we are delighted to introduce our latest product innovation, Desperate Debra - a revolutionary new simulator for training of impaction of a fetal head at caesarean section.

Developed in collaboration with expert consulants, professors and widwives at Guys and St Thomas NHS and NHS Fife, the Desperate Debra simulator aims to both introduce fetal head impaction and improve confidence to new trainees as well as increase awareness and enhance practice for current professionals.

For further information and to view the simulator we look forward to welcoming you to our stand in Hall 16, Stand G24-3.

October 2014 | 3

Middle East Hospital magazine

www.middleeasthospital.com

Editorial

Ken Findlay - Media [email protected]

Regional DirectorAbdullah Al ThariArmada Network Healthcare ServicesOlaya, Mosa Bin Nosair RoadRiyadh. Saudi ArabiaTel : +966 595 99 22 [email protected]

MEH Publishing LimitedCompany Number 7059215151 Church Rd

Mike Tanousis - PublisherTel: 0044 1702 296776Mobile: 0044 0776 [email protected]: mike.tanousis1

Guy Rowland - EditorMob: 0044 7909 [email protected]: guyrowlandTwitter: @MEH_editor

Chris Silk - Associate [email protected]

October is always an important month for the medical technology industry with MEDICA a key event for companies launching new products and hoping to meet new customers and distributors from across the globe. We preview the show and some of the new prod-ucts on display; in particular an exciting new tablet computer from Mio, and Adam,Rouillys latest medical training aid. The issue has a health IT theme with a feature on mobile healthcare, and a review of web-based EMR system, Atreya.

This issue sees the first column from Brian de Francesca, who will be writing for us regularly on health leadership issues, and exploring how we can get closer the holy grail of Perfect Health-care. Also, we have a specialist article on clinical research in the region, and preview the important upcoming events World Health Care Congress Middle East in Abu Dhabi, and Health 2.0 Middle East-Dubai, for both of which MEH is an offcial media partner.

Editors Introduction Contentspg. 4-6 Mio: Global launch of worlds first tablet computer

designed for hospitals with integrated 2D barcode scanner at MEDICA 2014

pg. 8-10 Specialist article: Initiation of clinical research in the Middle East by Dr. Ramzieh Sabbah

pg. 12-14 Expert column: Perfect Healthcare by Brian de Francesca

pg. 16-29 MEDICA 2014: An in-depth preview of the worlds largest and most influential medical technology trade show,

pg 30-32 The Atreya web-based EMR system by Janus Medical CEO Seema Singh

pg 34-35 Preview: 3rd World Health Care Congress Middle East in Abu Dhabi, 9-11 December 2014

pg. 36-43 Special feature: The mobile future of medicine

pg. 44-45 UAE News: Health 2.0 Middle East-Dubai 25-28 January 2015

pg. 46-48 GCC healthcare news

pg. 50 Event listings

ANATOMICAL MODELS, SIMULATORS AND CHARTS FOR CLINICAL SKILLS AND TRAINING

[email protected] www.adam-rouilly.co.uk +44 (0) 1795 471378

NEW for MEDICA 2012, we are delighted to introduce our latest product innovation, Desperate Debra - a revolutionary new simulator for training of impaction of a fetal head at caesarean section.

Developed in collaboration with expert consulants, professors and widwives at Guys and St Thomas NHS and NHS Fife, the Desperate Debra simulator aims to both introduce fetal head impaction and improve confidence to new trainees as well as increase awareness and enhance practice for current professionals.

For further information and to view the simulator we look forward to welcoming you to our stand in Hall 16, Stand G24-3.

ShoeburynessEssex. SS3 9EZUnited Kingdom

If you would like to discuss adver-tising or contributing editorial to Middle East Hospital please contact the Publisher or Editor, or email [email protected]


Product launch

Mio A105

Global launch of the worlds first tablet computer designed for medical use to take place at MEDICA 2014 (Stand 16/G10-1)

October 2014 | 4www.middleeasthospital.com

October 2014 | 5



Product launch

A new breed of tablet computer will be launched at MEDICA in Dusseldorf this year; the Mio A105 tablet computer with inte-gral barcode scanner. This is the worlds first tablet computer with a 2D barcode scanner, which integrates barcode and QR code reader functions, Mio A105 provides the user with a better solution for inputting and cata-loguing a patients identity and medical history.

With a thickness of only 13 mm, 99.8 mm width, and a 5.88-inch screen, Mio A105 is a handy, powerful and durable tool to enhance the work environment of any of todays medical profes-sionals. Whereas most tablets are made and then launched to different markets, Mio has specifi-cally designed this product for the medical market.

For example, in hospitals a tablet need to be easily held in the hand and Mios research showed that 5.88 inches was the optimum screen size, as opposed to the industry average of around 7 inches (the new mini iPad is 7.88 inch screen). The Mio A105 can be comfortable held in one hand by men and women.

Furthermore, Mio A105 combines leading-edge hardware design and customizable medical-use soft-ware to create an improved mobile device concept Patient Safety Decision Support. Medical profes-sionals can rely on the handheld device to assess patients physical status quickly and conveniently. This year, the 2012 Computex Best-Choice committee honoured Mio by awarding the companys new

professional tablet Best Choice of the Year in the IPC and Embedded Product category.

Mike West, VP Operations EMEA, and Business Manager for the healthcare Division, told MEH:

The Mio A105 is semi-ruggedised (IP54) making it tough enough to survive a metre drop, and still weighing only 360 grams. The device is also cleanable using 70% alcohol solutions commonly used in healthcare, and has a seal around the screen.

The colour is important as research showed that hospitals

wanted something bright and easily noticeable , and also something that looks different to anything else on the market to prevent them being stolen and resold. This product will only be sold to health-care providers, distributers and resellers, and not available on the high street.

The Mio A105 will be available with a cradle (available in December 2012) in order to easily enable the device to be recharged. This is an important part of the offering as we have found that tablets in hospitals regularly lose power as users forget to recharge as they are passed between shift workers. If there is a

October 2014 | 6


Product launch

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MIDDLE EAST09-11 DECEMBER 2012 s ABU DHABI, UNITED ARAB EMIRATESPROMOTING HEALTH CARE THROUGH GLOBAL INNOVATIVE BEST PRACTICES

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SAVE THE DATE

4HE7ORLD(EALTH#ARE#ONGRESS-IDDLE%ASTwill once again feature the top thought leaders and industry influencers including health ministers, leading government officials, hospital directors,

health system and hospital providers, patient safety directors, disease management professionals

and health and wellness experts, chief financial leaders, IT and mHealth innovators, decision makers

from public and private insurance funds, investment and venture capital principals, pharmaceutical

and biotech executives and consulting firm directors.

See the Registration desk today for information regarding sponsoring or attending the 2012

event. Take advantage of locked in pricing.

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Become a part of the worlds foremost gathering of health care innovators. Find out how you can take an

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cradle it acts as home for the device and it will more often than not be returned there and recharged when not in use. We are also introducing a 6-unit cradle (from Q1 2013) in order to reduce the use of sockets, save space, and reduce trip hazards.

Asked about the unique integral 2D barcode scanner William Brook, Director of Product Management at Mio, explained:

2D barcodes are expected to become widespread in the next few years due to their potential for streamlining the treatment of patients and reducing medical errors. All patient information is built into the barcode and displays immediately in a readable format for the user, rather than as a number that must then be checked against a database (as with 1D barcodes). With the Mio A105 you are inter-acting directly with the actual patients record straight from the tablet. The potential for reducing paper in hospitals is therefore huge, as are the potential cost savings.

In the UK all hospitals are required to use 2D barcodes for patient iden-tification by 2013. Also, in 2014 the EU Parliament will require phar-maceutical tracking by 2D barcodes from time of manufacture to time of dispensing in order to combat counterfeiting. This requires a central database of pharmaceutical products which will verify that the product is genuine.

On their plans for introducing the Mio A105 to the Middle East market Mr West said: The Middle East is a key target market for Mio, and we recently visited Saudi

Arabia as part of a UK healthcare delegation. There is great potential in the Middle East for the quick uptake of this cutting-edge tech-nology as new hospitals being built are designed to be paper light and use the latest EMR systems. With no legacy of heavy paperwork as there is in European hospitals, adoption of new technologies can by much quicker. We have just signed a cooperation agreement in Kuwait, and are looking for distrib-utors in the Middle East region.

Mio profile

Mio is a division of MiTAC Group, based in Taipei with a $1.5 billion turnover. Mio division has 1500 employees in 47 countries. Over the past thirty years, MiTAC has evolved into a multinational organisation offering R&D, design, manufacturing, assembly, marketing and solution services, covering the full range of electronics manufacturing services.

www.miocare.mio.com

5NITED!RAB%MIRATES5NITED!RAB%MIRATES

MIDDLE EAST09-11 DECEMBER 2014 s ABU DHABI, UNITED ARAB EMIRATESPROMOTING HEALTH CARE THROUGH GLOBAL INNOVATIVE BEST PRACTICES

.ETWORKWITH3ENIOR,EADERSTO#ULTIVATE#RUCIAL"USINESS2ELATIONS

RD7ORLD(EALTH#ARE#ONGRESS

4HE4WoRLD(EALTH#ARE#ONGRESS-IDDLE%ASTwill once again feature the top thought leaders and industry influencers including health ministers, leading government officials, hospital directors,

health system and hospital providers, patient safety directors, disease management professionals

and health and wellness experts, chief financial leaders, IT and mHealth innovators, decision makers

from public and private insurance funds, investment and venture capital principals, pharmaceutical

and biotech executives and consulting firm directors.

See the Registration desk today for information regarding sponsoring or attending the

2014 event. Take advantage of locked in pricing.

SAVE THE DATE*/)./52'2/7).',)34/&!44%.$%%330/.3/23!.$3500/24%23&/2 4(%2$!..5!,7/2,$(%!,4(#!2%#/.'2%33-)$$,%%!34$%#%-"%22014

Become a part of the worlds foremost gathering of health care innovators. Find out how you can take an

active role. Contact [email protected] for a complete list of opportunities.

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October 2014 | 8



Specialist article

The global landscape for clinical trials has continued to evolve and change over the last ten years. One of the biggest changes has been the shift towards the emerging markets.

The Middle East region is gener-ally one of the fastest growing economies in the world, one of the industries enjoying this increase in demand is the clinical research sector. Key factors for this include a large treatment nave population, the improvement of the health-care infrastructure and the large number of therapeutic indications.

Why the Middle East? Rising drug-development costs and pressing needs to advance drugs quickly are pushing global pharmaceutical companies to look for emerging markets to conduct clinical trials. With spon-sors and CROs still on the hunt for emerging markets with exten-sive treatment-naive patients and good infrastructure, interest in the Middle East is increasing.

The Middle East is projected to be one of the fastest growing markets for clinical research based on avail-

ability of the required infrastruc-ture, access to necessary patients, faster timelines and lower cost compared to other markets. The attractions of the Middle East as a location for clinical research include patient diversity, world-class medical facilities, cost advan-tages and favorable infrastructure. Indeed multinational CROs think the region is about to experience a surge in clinical trials.

Facts As of Oct. 11, 2011, 1,767 studies were underway in the 14 coun-

Initiation of Clinical Research in the Middle East

Author: Dr. Ramzieh Sabbah, Head of Medical and Regu-latory Writing, ClinServ International-ClinGroup Holding

October 2014 | 9



Specialist article

tries the FDA considers part of the region, according to ClinicalTrials.gov. Thats 1.5% of the 114,546 trials registered across the globe, still small yet up significantly from the 2006 to 2009 period, when there were just 400 trials in the region.

While the pharmaceutical industry projects 4% of its sales will come from the region, only 0.4% of trial participants currently come from the Middle East, which has a popu-lation of 280 million.

According to ClinicalTrials.gov, Turkey has 874 trials, followed by Iran with 379, Saudi Arabia with 169 and Lebanon with 130.

Advantages of the Middle East

Low Cost Since the Middle East countries are still in the emerging phase as far as clinical research is concerned, the costs for conducting clinical trials are not as high as in the United States and Europe. This is an advan-tage as most global companies are currently seeking to limit costs of clinical trials.

Population Meeting patient recruitment and enrolment targets is the number one problem in clinical research globally, which is slowing down drug development. To speed up drug development, pharmaceutical companies should consider what the Middle East can offer - access to large patient pools, as well as local and international expertise. Getting a head start in the Middle East markets, with a population of over 300 million and counting, could also prove to be a strategic advantage.

The Middle East has a predomi-nantly young population compared to an ageing population in the West. It is one of the fastest growing regions in the world, and expected to grow in double digits in the next few years, offering a wide range of patients and specific disease areas.

The Middle East has a unique patient population with high disease prevalence. In fact, it has more than 500 rare genetic disor-ders, high prevalence of hepatitis, diabetes, obesity, cardiovascular disease, growing cancer incidence and asthma.

Expertise It is also important to note that the expertise in the Middle East is quite sophisticated and up to the Western standard. Many of the physicians have trained in major centers in Europe and the US, which translates to international as well as local expertise. This cannot be found in other parts of the

world. As for the sites, they have a low number of competing studies, highly centralized healthcare system, most treatment protocols conform to US/EU standards, high interest of hospitals and doctors (investigators) to participate, inves-tigators western-trained with excel-lent command of English, hospital source documents in English/French.

Political issues

The volatile nature of the region is an important topic and managing trials during political unrest is a concern some view as a red flag but which shouldnt be. We have seen from previous crises that unless theres a large-scale mili-tary involvement, local unrest or political disruption tends to have minimal impact on business. Theres a deep understanding in the community of the importance of not letting disruptions get in the way of business.

October 2014| 10


Specialist article

Regulatory submissions and timelinesTimelines are improving across most of the region. Also boosting confidence in the region is the fact that the FDA is now working to open an office in Jordan.

Clinical trial approvals in Middle East region countries can be complex and time consuming. Comprehensive local knowledge is of great importance and can expe-dite approval timelines. Therefore it is imperative that pharmaceutical companies and clinical research organizations (CROs) have a clear understanding of the regulatory requirements in the Middle East region in order to obtain timely approvals and fast study start-up. Due to the complex requirements of the ethics committees and regu-latory authorities in the different

Middle East regions it is recom-mended that the advice of local regulatory experts be sought to minimize delays during the startup activities.

Conclusion The Middle East is of great impor-tance in clinical research and has not yet reached its full poten-tial; the number of studies being performed continues to increase. The increase in clinical research in the Middle East is the result of a collaborative, multidisciplinary effort of the regulatory authori-ties, ethics committees, investi-gators, pharmaceutical compa-nies and CROs. The continuation of this cooperation is the key to the further development and the establishment of the Middle East on the global market for clinical research.

About ClinServClinServ International is a full service contract research orga-nization CRO headquartered in France, providing services across the MENA Region. Services provided are Clinical Operations, Project Management, Clinical Data Management, Medical Writing, Biostatistics, Training, Regula-tory Services and Safety reporting. ClinServ is ISO 9001:2008 certi-fied capable of providing validated and audited clinical research data management services.www.clin-serv.com

ClinServ is part of ClinGroup Holding SA a mother company administrating and managing a continuously growing expanding group of companies in France and the Arab World, aiming to develop the healthcare system and assis-tance throughout the Middle east and North Africa. www.clingroup-holding.com

ReferencesQatalyst Global, Promoting Clinical Trials Mena, October 2013Dubai, UAE

Foreign Exchange Translations, Middle East presents opportunities, challenges for clinical research, Feb 2013

Suz Redfearn, Middle East region poised for clinical trials growth, CenterWatch, Oct 2013

Faraz Kermani, How to run clini-cal trials in the Middle East, Scrip Intelligence, 2014

Rani Abraham, MENA: The Dawn of a New Era. Applied Clinical Tri-als Online. Apr 2013

October 2014 12



Expert column

I invite you to join me in my search for perfection in health-care. I want perfect healthcare for my family and I sincerely desire to provide perfect healthcare for our community.

Of course, we will fail to achieve this quixotic goal; however, I am confident that globally we are now extremely far from anything that

resembles perfection in health-care. Together, we can move the ball forward towards better. What perfection in healthcare would look like, and how to head in that direction, is what I would like to discuss with you over the coming months and years. Since this is the start of our relationship, please allow me to explain my intentions, desires and purpose.

This is a space for dialogue, not for self-serving pontification. I am not offering answers but desire to serve as a conduit, forum or virtual meeting place where we can discuss what needs to be done to improve healthcare across the Middle East and possibly farther. That is if you, like me, agree there is a need and potential for improvements in healthcare. My intention is to inspire constructive and provoc-ative conversation between like-minded persons.

It is important for you to know why I am investing my time to write this. I believe that people act out of rational self-interest; so what is in it for me? There are several inter-related and serious problems facing our society today regarding Educa-tion, Healthcare and Cultural/reli-gious conflict.

1. The way we educate is antiquatedand generally not effective;

2. Our healthcare industry can bemuch more efficient, more safe, more humane and accessible to all; and;

3. There are increasing conflictsbetween cultures and religions around the world, which are rooted in ignorance and poor communication.

In approaching the second half of my life, I would like to do what I can to help make improvements in these three areas. This will benefit all of our children and their chil-drens children as well. In this space, we will focus on improving healthcare. It is my professional purpose, mission and intention to

Perfect HealthcareBy Brian de Francesca

MEHNov2012.indd 12 02/11/2012 21:55:34

October 2014| 13



Expert column

help as best I can. This will require seeing and accepting reality, which at some times is not possible and most times is uncomfortable. It is easier to allow the emperor to parade around naked.

I could not measure the amount of arrogance it would require to assume I have the answers to the many questions and challenges we will face in our journey towards perfection. I am a messenger, here to help ask the questions and provide a safe forum for discussion, debate and the creation of solutions to problems and challenges.

The first step, will be deciding what questions to ask in the first place? The danger is in assuming that we dont need to ask questions and can assume that the status quo is acceptable. Continually ques-tioning is mandatory.

In preparing this writing, I attempted to list questions and separate them by related category, this proved an onerous, if not impossible, task as the questions and topics are all interrelated and at times mutually dependent. So I offer the following phalanx of ques-tions in a rather mixed minestrone soup sort of arrangement. What follows is a small sampling of the various and many questions we will consider and seek answers to over the coming months:

1. What does perfect healthcarelook like?

Where are we now and what are the impediments to making improve-ments to healthcare? Legacy systems, policies, beliefs and rela-

tionships? Self interest? Resources? Competence? Fear?

2. Regarding staff and patients:Who should be leading a hospital or healthcare system?

A physician or a layperson? What is a leader? What is a manager? What about staff: Imported versus local labor the challenges of a transient labor pool and patient base. Are we creating a valuable learning envi-ronment and investing in continual education that yields a return on investment? Should we be consid-ering more pay-for-performance compensation?

3. On processes, facilities andcapacity: Which systems and models should be imported and followed?

Which not? What best practices? Lean principles have been proven to reduce waste and improve safety but have not been embracedacross the world of healthcare. Why not? What is the optimal size for a hospital and how do you measure size? How many beds are actually required in this region and specifically where should they be placed and when? How will day case, home care and eHealth effect the number of beds we have today or will need tomorrow?

4. Are the big Western healthcarebrands truly able to export their best practices to the Middle East?

Are there more appropriate alter-natives? What real value do they provide? Or for that matter, are those brands even the best today, or are they resting on their laurels and

selling no more than a name? How do we know and decide?

5. What about healthcareconsumer perceptions? How do they choose a healthcare provider? What is really important to them? What is not?

6. And on money: How dowe migrate from the current Transactional thinking about spending and cost to a systemic life-cycle cost mind-set?

And how much is enough? How much money should we be spending on salaries, equipment, facilities and the rest? How many staff do we need to serve how many patients? How many beds? How many medical devices of what specification? How many three Tesla MRIs and PET CT scanners is too many?

7. Public versus the privatesector: who should be doing what and why? Are the local markets large enough to support a truly competitive environment?

8. What do we really mean when weare saying that we want, or in fact deliver, world-class healthcare?

The average person in the world has a relatively low, or non-exis-tent, income and if they do have access to healthcare, it is generally far from exceptional. According to Patrick Belser an economist with the United Nations' Inter-national Labor Organization the average salary is still pretty low," he says. "And so, that the worldwide level of economic development is in fact still pretty low, in spite of

MEHNov2012.indd 13 02/11/2012 21:55:34

November 2012 | 14


Expert column

the huge affluence that we see in some places." The average level of healthcare in the world may in fact not be very good and is certainly far from perfect. Do we really only want world class healthcare or something better?

9. How do you measure the truequality and performance of a healthcare system, facility or caregiver?

Relative to what? (Regarding rela-tivity: at some point I will discuss with you my studies comparing the Total Cost of Medical Capital Employed relative to Adjusted Patient Days between like facili-ties and what this revealed about the impact of physician prefer-ence purchasing versus formal technology assessment and long range equipment planning. But that is for later)

10. Are we learning from themistakes of others, avoiding those

mistakes and importing only proven, and locally suitable, best practices?

Do we truly want to replicate the healthcare systems in the USA or Europe? Are we doing the same things, in the same way with the same people and expecting a different outcome?

11. Regarding the illusive andmagical world of healthcare tourism/travel: What is the size of the market?

And of equal, if not greater, impor-tance: what is the size of the supply (those competing for the traveling buyers of healthcare services) how many hospitals are going after how many patients is there enough to go around for all? Is your organi-zation, system, country truly differ-entiated from the alternatives?

That is of course only a partial helping the tip of a growing

iceberg of questions to be discussed. We could also delve in the need to align interests, the value of preven-tive care, the case against fee for service. And we have not gotten close to personalized medicine, electronic medical records, big data and so much more; remem-bering that these questions are all part of one system and should not be considered in isolation.

The West has allowed a healthcare system to develop that is good but inefficient, relatively unsafe and not available to everyone and quite far from perfect. The Middle East is in the process of developing healthcare systems and has the potential to leapfrog the West. The region has the potential to create some of the best healthcare on the planet; however, this will require bold action by brave leaders. It will require us to not blindly accept the status quo but continually ques-tion, and question some more.

There is a Chinese saying He who asks a question is a fool for five minutes; he who does not ask a question remains a fool forever. We need not be foolish about healthcare lets ask and discuss lots of questions it is in everyones best interest.

Brian de Francesca is an interna-tional healthcare executive with over 20 years experience having worked in Asia, the Middle East, Europe and the USA. He is devoted to achieving healthcare greatness and strives towards delivering perfect healthcare. To be part of this dialogue, please contact him at: [email protected]

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October 2014 | 16


MEDICA 2014

MEDICA 2014 Global medtech industry meets in Dsseldorf

Every November, MedTech manufacturers from around the world take advantage of MEDICA to present the entire spectrum of new products, services and solu-tions devised to increase the effi-ciency and quality of both in- and out-patient care.

This is where they meet key deci-sion makers from the European markets with the greatest potential and volume as well as trade visitors from every continent, from a total of some 120 different countries. Of the 134,500 visitors who attended

MEDICA 2013, more or less half came to Dsseldorf from abroad.Before the show Joachim Schfer, Managing Director of organisers Messe Dsseldorf GmbH, has emphasised the importance of Asia and the Middle East to the industry,

The manufacturers of medical devices and technologies have most recently turned their atten-tion primarily to the booming markets of the Middle East and Asia, some of which have managed to gleam with double-digit growth

rates. These markets still promise lucrative business, without a doubt. In China alone, where about 2,000 new hospitals currently being built or expected to open in the next eight years, the market for medical technology is expected to grow even more rapidly in the years ahead from approx. 12 billion at present. Since there is demand for high quality medical devices, espe-cially in the megacities, the repre-sentatives of government institu-tions and decision-makers from the healthcare sector in China are increasingly looking to Germany

October 2014| 17


MEDICA 2014

and Europe to find industrial part-ners for upcoming projects.

Mr Schfer also stressed that the industry has a sound base in Europe and North America, despite recent economic upheaval,

In spite of the pressure on public spending to cut costs even the supposedly saturated markets of the industrialised nations in Europe and North America, are gaining greater prominence again, for a variety of reasons. The total market volume here is still dispro-portionately higher than in the Asiatic region, with Germany alone accounting to about 8 billion more than the Chinese market. Over and above that, health profes-sionals are very well trained, the level of care is high, the proce-dure for marketing authorisa-tion is comparatively fast and the "secondary" health services market for self-payers is gaining increasing significance. The increasingly aging patient population is willing to pay a certain proportion of the costs of health care, over and above the standard provision, to boost their quality of life. This willingness to pay depends, however, on making the effectiveness of medical inno-vations evident.

November 2012 | 18


MEDICA 201424-27 March 2013Park Hyatt Hotel, Abu Dhabi, UAE

Strategies for implementing quality systems and embedding a culture of safety

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Features of thisinnovative event include:

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Dr Nashat NafouriHead of Quality Health Care Interest GroupSaudi Quality Council, KSA

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The definitive event for healthcare management, practitioners, policy-makers and research professionals committed to improving quality, productivity and patient care in the Middle East

Diane PinakiewiczPresidentNational Patient Safety Foundation, USA

Dr Edward KelleyHead, Strategic Programmes and Coordinator, Patient Safety ProgrammeWorld Health Organization (WHO), Switzerland

Kevin StewartClinical Director, Clinical Effectiveness and Evaluation Unit, Royal College of Physicians,and National Safe Care Team - QIPP programme, Department of Health, UK

MEPSQC A4 ad.indd 1 21/09/2012 10:50

GHEs excellent contacts with ministries and institutions such as the Germany Trade and Invest.

Mr Braun told MEH, The GHE offers its members a pool of know-how from which everyone benefits. Proven Partnership is our motto, and we demonstrate this not only during the regular meetings of the GHE, but also in our day to day work.

The GHE represents almost the entire medical technology product range: Whether stethoscopes, CT equipment or hospital IT, suppliers from all product segments are represented in the GHE. But poten-tial customers from abroad in particular sometimes find it easier to have one single contact for all their questions. This is what the

GHE offers them by channelling their enquiries and passing them on to the right person.

The GHE counts members of all sizes, from global players like Siemens Healthcare, B. Braun and Drger Medical to medium-scale enterprises like Meiko, Tunstall or seca. The more different the sizes of enterprises, the more varied the product range: The greater part of the GHE companies are active in electrical and medical technology, followed by those dealing with and manufacturing medical commodi-ties and expendable items, physio-therapy, orthopaedics, laboratory processing, services and publica-tions. Besides, areas like rescue equipment, medicine for emer-gency purposes, diagnostic prod-ucts, IT and communication tech-

nology are also represented in the GHE. Overall, the German Health-care Export Group represents about 80 per cent of the German export volume in medical technology.

Mr Braun explained, Over the years, the GHE has become a business network that promotes direct communication between the members of the GHE. Meet-ings dealing with present thematic priorities and specific country issues take place three times a year, serving primarily as experience exchange. There, member fi rms can openly discuss questions of distribution, foreign markets and other export topics. Moreover, commercial and scientific experts give lectures on the chosen topic. The GHE celebrated its 20-year existence at MEDICA 2014.

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October 2014 20


MEDICA 2014

This year at MEDICA several Qatari healthcare organisations will be exhibiting for the first time in Hall 16, Stand B49.

Pavilion organiser Weill Cornell Medical College in Qatar (WCMC-Q) invites visitors to discover how WCMC-Q is contributing to Qatars objective to become a knowledge-based society by advancing our mission of excel-lence in education, research and patient care.

A spokesperson says, We are a young institution that established academic operations in 2002 as a historic partnership between Qatar Foundation and Cornell Univer-sity. We offer a unique, six-year

American curriculum, which includes premedical and medical education, leading to the same M. D. awarded to graduates of Weill Cornell Medical College in New York City. Through the generous support of the Qatar Foundation, we are becoming a significant contributor to the renaissance of education, research and state-of-the-art patient care in Qatar and the region.

WCMC-Q has graduated four classes of physicians who continue their graduate medical training in residencies and clinical research at outstanding institutions in the United States and Qatar. Many of these young physicians will soon begin to return to become leaders

and innovators in the planning and delivery of medical care in Qatar and the region.

The College has a world-class biomedical research team who are conducting basic, transla-tional and clinical research that focuses on diseases and disorders that are among the most frequent and challenging issues for patient care in Qatar.

Aspeter Qatar Aspetar is the first specialised Orthopaedic and Sports Medi-cine Hospital in the Gulf region. It provides the best possible medical treatment for sports-related inju-ries in a state-of-the-art facility, staffed by some of the worlds

Qatar Pavilion @ MEDICA

October 2014 21


MEDICA 2014

leading sports medicine practi-tioners and researchers.

A spokesperson says, Through the delivery of excellence in sports medicine, physiotherapy, sports science, orthopaedic surgery and rehabilitation, Aspetar services the needs of football and Sports Clubs and Federations throughout the state of Qatar, and regularly services international athletes and professional sportspeople. In 2009, Aspetar was officially accredited by F-MARC as a FIFA Medical Centre of Excellence.

Aspetar provides a full service offering from injury prevention to injury management and perfor-mance improvement. The philos-ophy of Aspetar is to provide sportspeople with the clinical support, knowledge and facili-ties to maximise their training and competitive potential. This is achieved through tailored educa-tion programmes and support in areas of health including fitness assessment, nutrition, psychology, physiology and physical training.

The hospital strives to meet the highest international stan-dards obtainable in its treatment of musculo-skeletal injuries and combines best-practices with the latest technology to guide athletes from diagnosis through rehabilita-tion and recovery.

Our teams of dedicated researchers and physicians couple leading methodologies with state-of-the-art technology to provide athletes with total health, physical management and perfor-mance strategies.

Aspetar is situated within Aspire Zone (www.aspirezone.qa), a modern multi-purpose leisure and recreation complex that played host to the Doha 2006 Asian Games.

Anti Doping Laboratory Qatar The Anti-Doping Lab Qatar (ADLQ), the first specialised

facility of its kind in the Gulf and the whole of West Asia, is opened under the auspices of HH the Heir Apparent Sheikh Tamim bin Hamad al-Thani this year. The state-of-the-art lab, estab-lished under Emiri Decree No 14

of 2011, conducts advanced tests and research to eliminate the use of illegal performance-enhancing drugs in all sports and uphold the Olympic ideals of fair play and sportsmanship.

Located within Aspire Zone, the facility will also protect the

health of the public through tests conducted in its toxicology labo-ratory, in addition to the research laboratory that will support both the anti-doping and the multi-pur-pose labs.

October 2014| 22


MEDICA 2014

Brazil pavilionIn line with the growing demand for innovative technology, more than 70 per cent of the Brazilian companies producing health equipment are investing in tech-nological research and innovation. As a result of these efforts, exports of high technology products by the medical and electro-medical industries have seen a 34 per cent increase in 2014.

This was the highest growth amongst overall health equip-ment sector for the period. Brazil's health equipment companies have earmarked 3.6 per cent of their revenues to research and develop-ment (R&D) in order to maintain their high quality and expand into new markets, ensuring that the country becomes more competi-tive within the sector.

The Brazilian health devices industry brand was launched in the last year's edition of MEDICA and this year, Brazil will arrive in Dsseldorf aiming to outdo its results from 2011, when the companies led by ABIMO closed deals to the tune of US$ 22 million. The participation of Brazil's health equipment companies at MEDICA is coordinated by ABIMO, in part-nership with Apex-Brasil, with an aim to increase the export of Brazilian products worldwide.

According to the Brazilian Medical Devices Manufacturers Associa-tion (ABIMO) vice president Paulo Fraccaro, In order to survive and grow in a sector such as ours, which requires high technology, constant research and development, the industry needs to innovate. Thus

Visit us at MEDICA 2014 Hall 16 Stand G12-2

MEHNov2012.indd 23 02/11/2012 21:55:48

October 2014| 24


MEDICA 2014

we constantly take initiatives and develop programmes to encourage technological innovation and research within the health sector's industries.

ABHI UK Pavilion The Association of British Health-care Industries (ABHI) is once again organising the UK Pavilion at MEDICA in partnership with UK Trade and Investment (Hall 16 G19-1). The Pavilion houses 100 of the UKs most innovative med-tech companies. MEDICA is a great opportunity to showcase the high quality medical devices that UK companies produce to a global audience, and to enable small companies with innovative products to reach out to overseas markets.

For 30 years regular exhibitors Malem Medical have been manu-facturing the worlds best and largest range of Enuresis Alarms and Vibrating Watches for the treatment and permanent cure of Nocturnal as well as Diurnal Enuresis. With the latest Universal Wireless alarm you can use up to seven transmitters, each one of them can be attached to a different sensor (such as Enuresis body worn Sensor; Bed-Mat Enuresis Sensor; Pressure-Mat; and Pressure Release Mat) to help detect patient movement and prevent dangerous falling or unauthorised wandering.

One small battery operated receiver that can be carried by the carer will communicate with up to seven Transmitters. This Universal wire-less product is ideal for nursing/care homes, or for use at home (www.malem.co.uk).

November 2012 | 26


MEDICA 2014

UK exhibitors DDC Dolphin are dedicated to excellence and inno-vation in dirty utility room design, and equipment manufacture, installation, testing and servicing. Established for over 20 years in the UK the company is rapidly expanding internationally through a network of experienced distribu-tion partners.

The company specialises in hygienic dirty utility rooms, in hospitals, hospices, care homes and special needs schools. Twenty years of experience allows them to provide comprehensive and meaningful advice and support throughout planning, design, and specification processes for new or existing facilities.

Designing hospitals for the 21st century requires an innova-tive, informed, and cost-effective approach. Incorporating sluice rooms into the architectural design of new hospitals needs consider-ation of all factors relating to, as a

minimum, infection control, access, flow of work, and layout. Sluice room design must meet or exceed Healthcare Associated Infections (HCAI) policies. A demonstrably integrative and rigorous approach is required that meets the specific needs of the hospital design in hand. Dolphin DDC pride them-selves on being able to supply all of the needs of design teams at this critical stage of the hospital design process through the application of their unique one-stop-shop meth-odology to sluice room design.

Our industry-leading technology, such as our newly patented hands-free equipment, and Microbe safe surfaces, allow us to tailor solutions to your requirements and enable you to comply or exceed infec-tion control standards, says the company (www.ddcdolphin.co.uk)

Interdisciplinary mindset Alongside the perfect combination of knowledge transfer, discussion between experts and practical, hands-on application, one of the main strengths of MEDICA is the

October 2014| 27


MEDICA 2014

fact that it is not just limited to solu-tions for individual medical disci-plines, but looks at topics from the point of view of the increasing need for an interdisciplinary mindset to cover the complete workflow of treatment, with all of the rele-vant interface aspects. Mr Schfer explains,

A perfect example of the extent to which MEDICA highlights these key interface aspects is provided by the points of contact between medical technology and medical IT. No matter whether you take an MRI scanner, ultrasound system, robotic surgery technology, elec-tronic endoscope or an ECG unit, all of these devices use software that can be very complex and calls

for perfect integration in hospital information systems. The wealth of vendors of such innovative solu-tions at MEDICA will demonstrate how this can be achieved smoothly.

The interface aspects between laboratory diagnostics and imaging diagnostics also promise to be interesting, in the context of which it is worth recalling an exciting IT lecture on the topic of the person-alisation of medicine at last years MEDICA. Molecular biomarkers as an indicator of pathogenic changes in the body can increasingly be revealed using medical imaging techniques. This generates an enor-mous amount of data, which calls for high-performance hard- and software to process this data.

While the markets for complete hospital information systems and surgery IT are undergoing a period of stagnation and are characterised by concentration and consolida-tion processes on the supplier side, the area of eHealth is booming at the moment, a field on which MEDICA has already focused for several years.

This includes, for example, compact mobile IT systems for use at the point of care, telemedicine appli-cations for rapid exchange of infor-mation between the doctors that are treating a particular patient and so-called home care solutions for remote monitoring, for instance of chronically ill or elderly patients. Industry experts expect the tele-

October 2014 | 28


MEDICA 2014

medicine market to see strong growth in the years ahead, with bank analysts predicting annual growth rates as high as 10% in this field up until 2020.

Programme highlights This year will see the return of the MEDICA WOUND CARE FORUM, which was successfully launched in 2011 (current trends and new approaches to treating chronic wounds, in Hall 6) and the MEDICA TECH FORUM (in Hall 12), which was launched in 2010, and includes lectures in English on current trends in medical tech-nology, for instance looking at

topics such as clinical innovation and life cycle management and hospital hygiene concepts.

This year will also see the return of the MEDICA TECH FORUM (in Hall 12), which was launched in 2010, and includes lectures in English on current trends in medical technology, for instance looking at topics such as clinical innovation and life cycle manage-ment or hospital hygiene concepts.

A new event this year is Future-Care, a joint stand presented in cooperation with the IT industry association BITKOM, covering

about 350 m (in Hall 15) which will feature at current develop-ments and solutions for IT-based health care. The FutureCare health course will depict scenes from the different areas of the health care system and illustrate them with medically relevant case studies on various guided tours, featuring, for example, the use of the elec-tronic health card and the health professional card, the electronic patient and health record, doctor-to-doctor communication, doctor search and evaluation portals and the use of mobile devices in surgeries and hospitals as well a mobile and inpatient care.

One further programme highlight will be launched at MEDICA 2012: the MEDICA ECON FORUM organised by the Techniker Kran-kenkasse (TK, a German health insurance company), which will focus specifically on topics geared to the issues of interest to deci-sion-makers in the health care system as well as presenting the new self-image of the insurance companies, which have started playing an active role in shaping the health care system.

Held in parallel with MEDICA is COMPAMED, the leading inter-national marketplace for the upstream suppliers to the medical device technology sector (14 to 16 November).

MEDICA welcomes new target groups with specialist congresses The planning for the MEDICA Congress shows that it is also responding to current trends with an attractive range of topics. For instance, this year will feature

October 2014| 29


MEDICA 2014

the annual meetings of several high-calibre professional medical associations under the umbrella of the MEDICA Congress. Partic-ularly noteworthy are the annual congress of the German Society of Computer- and Robot-Assisted Surgery (CURAC) as well as the annual meetings of the German Society for Management and Market Orientation in Medicine, the Foundation of Personalised Medicine (PMS) and the German Scientific Society of Traditional Chinese Medicine. The integration of such sub-congresses attracts new groups of visitors from the medical sector to MEDICA, from which all those involved benefit, not least the exhibitors.

This year, as every year, MEDICA will once again host the 35th German Hospital Conference, the leading information and communication platform for deci-sion-makers at German hospi-tals. As well as current aspects of health policy, the main focus here will be on IT for hospitals, with the programme organised by the deci-sion-maker factory (Entscheider-fabrik), which will present exam-ples of best practice for current IT projects in hospitals in the Health IT area at MEDICA.

Following its successful debut in 2011, the EUROPEAN HOSPITAL CONFERENCE will continue as the event for key decision-makers from European hospitals on a 2-year cycle, returning in 2013 to complement the German Hospital Conference, when it will address forward-looking issues in the field of European hospital policy.

October 2014| 30



Electronic Medical Records

Compared to paper records, using an EMR (Electronic Medical Record) system is a quick and efficient way to preserve critical medical information. Its superb storage capability creates huge efficiencies for physicians, patients and various health systems.

Efficiency is not the only benefit of using an EMR system. The system provides a great deal of benefits to clinical processes including better access to chart, enhance docu-mentation, improve clinical deci-sion making and disease manage-ment, simplify patient education, increase free time to spend with

patients, and improved perception of care and quality of work life.

Benefits of Atreya to Clinicians The introduction of EMR management systems, test result and disease management offers significant impact to clinical processes. Alert various clin-ical modules on smartphones, the Janus Atreya EMR is created to improve physician work and patient care.

Janus also provides the secu-rity concern that list admissions and modifications by users to patients file with a record of the date and time. Therefore, the

accessibility and modification of patients file can be traced easily.

Specific benefits of EMR to physicians;

The system enables physi-cians to properly store all of a patients medical information such as medical and family history, past treatments and their effects, diag-noses, allergies, weight, medica-tions, chief complaints, and most recent laboratory test results in an organised and readily retrievable format.

If theres one thing thesystem does, it relegates the need for the huge amounts of physical

The benefits of the Atreya web-based EMR system to clinicians


October 2014 | 31




storage required for paper records to the background.

Compared to the effortrequired to fetch and refile paper records, EMR saves time spent on retrieving and refiling a patients medical information.

It allowsphysician to keepthe right questions, reviews medi-cations, updates information, and checks to see that screening and monitoring test are completed on schedule.

Oneofthemostimportantand perhaps the biggest benefits of this system is that each patients medical records are uploaded to a database accessible by other health-

care organisations. The shared database helps to ensure that physicians have enough options to access comprehensive information required to diagnose and/or treat a patient properly, even in such situ-ation when a record transfer is not practical or possible.

The system also helps toprevent medical errors that could result from illegible or omitted information. Most importantly, information can be shared between the physicians offices, thus elim-inating the need for the timeconsuming and often inefficient physical records transfers.

EMRbenefitstheworkflowprocess by improving data input

and communication, reducing transcription costs, and better management of referrals, labo-ratory results, and prescriptions. Prescriptions and patient educa-tion materials can be printed with just a click away.

It improves data inputaccuracy by avoiding duplication and omission of information. For instance, entering the same infor-mation that has been inputted or omitting important informa-tion that need inputted for future references.

Benefits of Atreya EMR to Individuals Not only that the Atreya EMR benefits physicians, it also benefits

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October 2014| 32



patients. Individuals can use the system for their personal medical data management. The Janus EMR system is designed with you in mind, and it is most suitable for;

Individuals with chronicconditions that require frequent monitoring

New mothers managingappointments for their babies vaccinations

Concernedfamilymemberswho need a family member's emer-gency health information

Business and holidaymakers who need access to their medical history

Specific benefits of EMR to you (as a patient) include;

For one thing, the Janus Atreya EMR offers a digitised form of the paper chart you often see physi-cians using. But when the system is connected to all of your healthcare providers, it could offer so much more;

EMR reduces your paper-work. This means shorter and fewer forms for you to complete on your arrival, thus reducing the health-care stress factor.

It accurately gets yourinformation into the right hands. Even with relatively simple health-care needs, information coordina-tion among healthcare providers can be overwhelming, and could even lead to medical errors if not done correctly. When providers can share your medical information

among themselves through EMR, each one of them will have more accurate and uptotheminute information about your healthcare, therefore enabling them to make the best possible decisions, espe-cially in an emergency situation.

The system helps yourphysician coordinate your health-care and protect your safety.

It also eliminates unnec-essary tests and procedures. With each of your care providers having easy and more accurate access to all of your test results and records, potential for unnecessary tests repetition is reduced.

One of the biggest bene-fits of EMR to you is that it gives you direct access to your personal health information. This access lets you keep better track of your health-care, and in some cases, enables you to communicate securely with your care provider.

Benefits of Atreya EMR to Insur-ance Companies

Aside from clinician and individ-uals, Janus Medical Systems incor-porates customised solutions that can benefit insurance providers.

Specific benefits of the system to Insurance Providers include;

Atreya EMR can bebundled with various insurance plans thereby helping insurance companies to have accurate and the basic health information of their clients. This can help them adjust their policies as per the health risk of their clients.

Patients with chronicdisease can be identified for hassle free claim processing.

Insurance companieshowever can provide the system to their clients for easy and quick access to their digital medical records and can even use it over-seas as at when required.

They can also provide thesystem to their clients for imme-diate access to their medical records should an emergency situ-ation surface.

AtreyaEMRcanbeupdatedwith the latest health informa-tion and treatment processes. This can go a long way to saving a lot of time in claim processing, and thus increasing the productivity of insurance personnel.

Author: Seema Singh, CEO, Janus Medical Systems

About Janus Medical Systems

Based in Singapore, and serving the entire globe, Janus Medical Systems has extensive knowl-edge and experience in appli-cation development, medical systems, and Electronic Medical Records. Janus Medical Systems has been nominated for a pres-tigious Health and Innovation 2012 award for the Atreya Elec-tronic Medical Record (EMR) system by Middle East Hospital (MEH) magazine.

www.janusmed.com

eHealth

Clinical Engineering

Telemedicine

The leading international provider of hospital equipment and telemedicine services is expanding to the Middle East and is immediately looking for qualied partners...

www.tbsgroup.com

TBS G.B Telematic & Biomedical Services Ltd.Dubai Biotechnology & Research Park

Umm Suqueim road EastBarsha South Dubai

UAE 500767

Contact:Brian de Francesa, Executive [email protected]: +971. 528. 411. 501

Ocial Nomineefor 2012 Awards

MEH

2012

Health and Innovation Aw

ard

eHealth

Clinical Engineering

Telemedicine

The leading international provider of hospital equipment and telemedicine services is expanding to the Middle East and is immediately looking for qualied partners...

www.tbsgroup.com

TBS G.B Telematic & Biomedical Services Ltd.Dubai Biotechnology & Research Park

Umm Suqueim road EastBarsha South Dubai

UAE 500767

Contact:Brian de Francesa, Executive [email protected]: +971. 528. 411. 501

Ocial Nomineefor 2012 Awards

MEH

2012

Health an

d Innovation Award

MEHNov2012.indd 33 02/11/2012 21:56:02

October 2014 | 34



Preview

A truly global health care event designed to meet the challenges facing health care in the Middle East and around the world.

The 3rd Annual World Health Care Congress Middle East (WHCC ME), co-sponsored by the Health Authority Abu Dhabi and the Abu Dhabi Tourism Authority, is the premier conference in the region and brings together over 600 health care, government and industry leaders from over 25 countries.

The health systems of the Middle East and the world are diverse and face specific local issues. They

however increasingly face many common challenges. These chal-lenges are also faced by health systems the world over, many of

whom are pioneering innovative solutions. The World Health Care Middle East has been designed to present these global innovations, and to feature the best in local excel-lence addressing key regional issues.

In 2012 the Congress will focus on the following themes:

StrategicandPracticalResponsesto Public and Population Health Challenges and Delivering the Health Care Prevention Agenda

Developing a CoordinatedApproach to the Management of Chronic Diseases

World Health Care Congress Middle East

Abu Dhabi, 9-11 December 2014

WHCC Middle East is important because theres a sharing of knowledge. Theres a huge appetite for innovation at the moment because of all the challenges facing health care systems.

Lord Ara Darzi, Chairman of Surgery at Imperial College London and the Institute for Global Health Innovation

October 2014| 35



Preview

Building the Human CapitalRequired to Deliver Healthcare Sustainably in the Middle East

DefiningandImplementingStan-dards for Health Care Quality and Patient Safety

Improving Health Care Afford-ability through Public Private Part-nerships (PPPs)

UnderstandingtheOpportunitiesin Post-conflict Health Infrastruc-ture Redevelopment within the Middle East

5 Key Reasons to Attend:

To develop implementablestrategies and solutions to the key health challenges facing the Middle East

To share the experiences ofleading global health systems and learn how to replicate their successes

To participate in high levelstrategic keynote panel discus-sions and attend focused streams of detailed content

To network with high levelpeers from across the Middle East and from around the World

Tohearthelatestglobalinno-vations in mHealth and telemed-icine at the World Connected Health Care Congress, co-lo-cated in Abu Dhabi

Using Mobile and ConnectedHealth Care to Transform Through Innovation

This is the time to learn from the worlds leading experts on the busi-ness of health care. The market-place continues to evolve, with governments demanding reform and better outcomes. The worlds health care systems are under increased pressure. Join us in Abu Dhabi to network and learn from innovators around the globe.

Reforms in healthcare systems are being mandated by governments in the Middle East due to the rising obesity rates. The obesity rate for men age 30-60 by some estimate is as high as 70-85% and among women ages 30-60 its estimated to be 75-88%.

Also the elderly population in the Middle East is increasing and with that chronic care becomes even more prevalent. These topics and more will be discussed by leading industry thought-leaders. This is an extremely informative hands-on

It is an innovative event where you understand the challenges and changes of health care systems in the MENA region and what are the elements you have to understand going forward in the planning of health care systems.

Laila Al Jassmi, CEO-Health Policy & Strategy Sector Dubai Health Authority (DHA) United Arab Emirates

conference for anyone interested in the evolving health care models from around the world.

The Congress presents the latest ideas in modern healthcare and features the Worlds leading providers, payers and policy makers; Including: health minis-ters, leading government officials, hospital directors, health system and hospital providers, patient safety directors, disease manage-ment professionals and health and wellness experts, chief financial leaders, IT and mHealth innova-tors, decision makers from public and private insurance funds, investment and venture capital principals, pharmaceutical and biotech executives and consulting firm directors.

www.worldcongress.com/events/HR12004/

November 2012 | 36


MEDICA 2014

The Mobile Future of Medicine

Health IT trends on show at MEDICA 2014 point to a revolution in healthcare delivery

October 2014 | 37


MEDICA 2014

Patients are being included more and more in the supervision and monitoring of their own health or illness. This will have a signif-icant influence on the situation of healthy people, patients, doctors and healthcare facilities.

However, There is no outstanding megatrend in medical IT at present. There are several main currents. That, in a nutshell, is the market assessment of Bernhard Calmer, Chairman of the German Associa-tion for Heath IT (bvitg) and Head of Sales for Siemens Healthcare IT Germany.

The trend towards Mobility IT continues unabated. Thanks to mobile computing information and communication technology has arrived for the first time at the point-of-care. It can be used to transmit the data required for making decisions directly to the sickbed or to record the ideas conceived during the course of a visit, explains Bernhard Calmer.

Personalised medicine on the way

The area of personalised medi-cine, pHealth, is also on the rise. I believe that the personalisation of medicine will increase, says a confident Bernhard Calmer. But personalization is not restricted to drug treatments, as Calmer goes on to explain: Currently at Siemens we take about 2,000 to 3,000 images of a normal knee. A computer-aided detection program recommends about 10 to 15 of these images for the doctor to look at. IT can now help doctors to filter out the information they need from the flood of available data.

The Mobile Future of Medicine

October 2014| 38


MEDICA 2014

Knowledge management can help to tailor treatments to the indi-vidual patients. But medicine is becoming more individual in the private sphere too. According to Calmer, Some running shoes can transmit the number of meters run and other parameters to an iPhone app, which can then be added to the personal Facebook Timeline. Users can discuss such vital infor-mation among themselves or bring it to their doctor at a later date.

Deutsche Telekom and the Swiss company Quentiq launched their online product ranges at the start of 2012. A free app, a smartphone or other networked devices such as a digital scale or a blood pres-sure measuring device record customers dietary habits, stress situations, sleep phases or fitness activities. A fitness app now offers a selection of sports and calculates how intensive the activity was, based on the measured distance and time.

From the point of view of Deut-sche Telekom, telemedicine is an on-going trend which was already evident at previous MEDICAs. It is used to cope better with the increasing average age of the popu-lation. The company expects to bring a new home emergency call system onto the market in 2013. Contact-free sensors similar to those on the games console Wii are used to reliably detect falls and, if necessary, to trigger an alarm, with the smallest possible error rate. In cooperation with the clinics of Lahn-Dill and the Dutch IT company Portavita, Deutsche Telekom has also started a project for the palliative care of outpa-

MEHNov2012.indd 39 02/11/2012 21:56:10

November 2012 | 40


MEDICA 2014

tients (SAPV) in the district of Giessen-Wetzlar. An electronic patient file will simplify the docu-mentation. Everyone involved in the treatment process can view the web-based file from their Tablet-PCs while they are on the move or from the patient's bedside, and record the treatment measures in it. Deutsche Telekom will present its full range of telemedical applica-tions at MEDICA 201 4.

Meanwhile, Bernhard Calmer is certain that If several doctors want to help the same patient, this places specific demands on the information technology. They need the patient file to be mobile. The first solutions to the question of whether and how doctors can view patient files from their smart-phones while on house calls will surely be presented in autumn.

A secure telematics infrastructure would, of course, be desirable for many things. With reference to the electronic health card, Calmer remarks that, If we want to work in networks and to maintain the current standards of medical care in rural areas, then we need tele-medicine, and for this we require the kind of secure telematics infra-structure that comes with the intro-duction of the electronic health card.

IT Forum with App Circus

Mini-applications (apps) for smartphones and tablet computers are booming. What originally appeared to be nothing more than gimmicks could now be said to be coming of age. Apps may not only revolutionise the private health

market, some of them also have the potential to influence how we deal with medicine at home, in hospitals and in medical practices. MEDICA 2012 will provide an overview of the latest app trends and some sample applications.

Parallel to the presentation of the exhibitors, the App Circus, a program element organised in cooperation with dotopen as

part of the MEDICA HEALTH IT FORUM (formerly MEDICA MEDIA), will demonstrate just how lively this branch is. At the App Circus (further information online at http://appcircus.com) innovative health apps will be presented by their creators with the goal of bringing developers, start-up companies and the organ-isations involved in the software development together with poten-

MEHNov2012.indd 40 02/11/2012 21:56:13

November 2012 | 42


MEDICA 2014

Simpledatatransfer(moreorlessas a modem)

Mobilewardrounds

Viewing of ECGs and X-rayimages

Displayingalphanumericalvalues

Diagnosis and treatment deci-sions, etc.

From the point of view of the ZVEI, users of the devices and apps ultimately have a certain amount of responsibility for the way in which they use them. They should (according to a leaflet published by the association) ensure that they only use the devices in the context for which they were designed and advertised by the manufacturer.

App for dialysis patients under-going trials

The current trials being carried out by organisations such as Siemens-Forschung Corporate Technology, Vivantes Clinic, Tele-medicine Centre Charit (TMCC), Prisma, Tembit and other partners could also be relevant to the health market. They are looking at how, with the help of an app, patients with kidney damage can receive dialysis in a gentle and safe manner in their own homes. In a test, which is the first of its kind in the world, selected dialysis patients in Berlin will be equipped with a telemedical assistance system.

This should enable them to perform a telemedically assisted peritoneal dialysis every day by themselves, with a doctor helping via remote control. The field test, which should run for several months, is

October 2014| 43


MEDICA 2014

part of the Smart Senior project funded by the Federal Ministry for Research. Its goal is to increase the quality of life for elderly people and to enable them to live a largely independent life at home. In this field test, an app on a smartphone lists the vital signs as agreed with the doctor. It guides the patient through the measurement of blood pressure, heart rate, oxygen satura-tion or ECG.

The measuring instruments encode the measurements and provide them with a pseudonym before sending them via a special router, known as a Med-I-Box, to the dial-ysis centre. The app ensures that the data has arrived at its desti-nation. Later, the data is saved in the patients medical record on the server of the TMCC. The doctor checks the vital signs and treatment data daily and also receives an auto-matic message if any abnormalities are detected. As a result, he can detect health changes earlier than before and contact the patients immediately. In this way, complica-tions can be avoided.

App solutions for hospitals and practices

A more general approach is followed by RAM Mobile Data, which the company already put forward at MEDICA 2011. The starting point of their considerations was the idea that all employees in hospi-tals and nursing facilities need to have fast access to various type of information. The company devel-oped special organisation-specific app stores for this purpose, which are designed to enable fast access. Employees in hospitals and nursing

facilities can use their own smart-phones or tablet PCs to access the apps available to them and thus view all the relevant data. Direct editing and storage means that the patient data are always automati-cally up to date.

Only authorised employees have access to the hospital-specific app store and rights to download the individual apps can be defined for different user groups. For instance, a doctor can use an application to update the patients medical record, whereas the caregivers may only have reading rights on their version. That works independently of the platform both at the backend and for mobile devices and is compatible with all hospital information systems.

This trend, known as Bring Your Own Device, could have several advantages. Hospitals, for example, could save money in the procure-ment area. On the other hand, problems are posed by the lack of a clear distinction between private and company hardware as well as the security aspect. In this regard, the solution of hospital-specific app stores is supposed to assist with saving the apps on a separate area of the mobile device. In this way, firstly, it is possible to avoid any confusion between private and professional data. Secondly, if the smartphone or tablet is lost or an employee leaves the organization, the hospital has the ability to delete the hospital-specific apps and the associated data from a distance, without effecting private contents.

The CGM Mobile app from CompuGroupMedical is specially

designed for the needs of doctors working in their own practice. In future, doctors using this app in conjunction with their iPhone or iPad will always have their file card ready to hand. The online technology platform telemed.net enables secure mobile access to medical documents from the medical software ALBIS and provides an optimized display on the iPhone or iPad. This trend-set-ting function is particularly useful for house calls and gives the doctor more mobility and comfort. It is also possible to view directions or call the patient directly from the app.

The above examples show that the development of new apps for the health sector is still an exciting topic and the presentations of new solutions will certainly provide plenty to talk about once again at MEDICA 2012.

October 2014 | 44



UAE News

The 6th Abu Dhabi Medical Congress (ADMC), held at the Abu Dhabi National Exhibition Centre (ADNEC) last month, was officially inaugurated by His Excellency Zaid Al Siksek, CEO, Health Authority - Abu Dhabi (HAAD).

The event ran from 14-16 October and attracted more than 4000 professionals working in the Primary Healthcare, Emergency, Patient Safety, Rehabilitation, Dentistry and Nursing sectors across the region. The show expanded from 7,000 sqms in 2011 to more than 9,000 sqms this year, with more than 110 exhib-itors from 25 different countries and 12 CME-accredited confer-ences.

Speaking during the official tour of the event, His Excellency Zaid Al Siksek, CEO, HAAD, said:

"The Abu Dhabi Medical Congress reflects the improvements and advancements achieved in the healthcare sector in the Emirate of Abu Dhabi and is an opportunity for all healthcare players in Abu Dhabi and the region to exchange knowledge and identify common challenges. The Congress is also an opportunity for investors to get an understanding on the industry business potential within the Emirate. In line with the contin-uous expansion of health services within the Emirate of Abu Dhabi, the Health Authority - Abu Dhabi (HAAD) is pleased to support the Abu Dhabi Medical Congress as they work towards furthering the

clinical and market interests of the healthcare industry in Abu Dhabi."

Amongst the highlights of this year's Abu Dhabi Medical Congress was the release of the findings of the Abu Dhabi Antibiotic Resistance Surveillance Report 2011 (AD ARS 2011) by the Health Authority - Abu Dhabi (HAAD). Data analysis on the AD ARS 2011 report was conducted by an expert working group under the lead of HAAD and the findings were presented this morning by Dr. Jens Thomsen, Section Head, Occupational and Environmental Health, Public Health & Policy Division, HAAD.

"Overall, key findings of this report demonstrate that antimicrobial resistance levels of the fourteen most relevant groups of human pathogens against the key anti-biotics needed for treatment of related infections, have reached a very concerning high level, compared to other countries, and to published historical local data," says Dr. Thomsen. "Urgent action is required to prevent and control the further development and spread of multidrug-resistant organisms. By developing an Antimicrobial Surveillance System, HAAD can hopefully reverse this trend."

Emergency care focus

Robert Ball, Chief Executive Officer of the National Ambulance Company, Abu Dhabi spoke about Emergency Medicine services in the region at the 10th Middle East Emergency Medicine Conference which took place at the ADMC.

Ball believes that Dubai and Abu Dhabi have excellent emergency medicine systems and are providing good patient outcomes.

It is crucial to train and accredit emergency staff on a national level. One of the most important issues for any organisation is to know that the staff they employ have the right credentials and to ensure they are continually supported by regular CME training, said Ball.

The National Ambulance Company, in line with HAAD, is a recognised provider and an Authorised Training Centre with the American Heart Association, Emergency Care and Safety Institute (ECSI) as well as the American College of Paedi-atrics (ACP). Both the National Ambulance Company, and the Abu Dhabi Medical Congress, offers continuing medical educa-tion (CME) programmes for health professionals in the region.

HAAD Releases Antibiotic Resistance Surveillance Report at ADMC

Zaid Al Siksek

October 2014| 45



UAE News

Health Innovation Meets Dubai at Health 2.O Middle East - DubaiThe Emirate of Dubai in the United Arab Emirates has well established itself as the global hub and geographic crossroads of innovation and connectivity. Medica IQ is bringing the worlds most talked about health innova-tion conference to Dubai.

Health 2.0 Middle East - January 27-28, 2015. will be the first of its kind in the region. Showcasing the latest web and mobile based health technology tools for health care consumers, caregivers, patients, health professionals, and biomed-ical researchers.The very first Health 2.0 Conference was held in San Francisco in 2007, over the last five years it has grown to reach 13 countries. Since its incep-tion health leaders and stakeholders have convened at health 2.0 confer-ences globally and Dubai will be no different. The Dubai conference will feature a mixed line-up of health innovators delivering live demon-strations of the latest bleeding edge health tools and apps changing the way healthcare is being delivered in the region.

The conference will explore how Health 2.0 technologies play out in real life and how they can unleash the true potential of big data streams within the broader infrastructure of the Middle East healthcare delivery systems. Because health is broader than what happens in a doctors offices or at the gym. But how do you give consumers health infor-mation without playing doctor on the web? Health 2.0 Middle East will address this question and invite

a panel of health care stakeholders and policy makers to address the latest developments and plans for protecting individuals and their privacy while ensuring that they receive the information they need to make conscious health decisions while managing their own health and well being. This expert panel will discuss and clarify the laws and policy affecting these emerging tools and transfer of information in the region.

A most notable keynote for Health 2.0 Middle East will be Dr. Bernard Harris Jr. Dr Harris is the past President of the American Tele-medicine Association and a former NASA Astronaut. Dr Harris was not only the first African American to walk in space, he logged over 438 hours and 7.2 million miles in space travel. Dr Harris will be

sharing his insights on telemedi-cine and other out of this world perspectives, having performed the first telemedicine consult from space with the Mayo Clinic.

Health 2.0 has always been about live demonstrations, deep dives into relevant topics and Health 2.0 Middle East will be more of the same. It will feature two packed days with session topics including: Geo-Medicine, Diabetes 2.0, mHealth, Sensors and Wearable technology, Pharma 2.0, Telemed-icine, EHR, Social Media, Health Law and Policy.

For more information and to register visit: www.health2con. c o m / e v e n t s / c o n f e r e n c e s /health-2-0-middle-east-2015

By Kenneth Seymens

October 2014 | 46



Saudi Arabia News

KSA Healthcare Expenditures to Reach SAR 91 Billion in 2014The aggressive adoption of medical devices is dramatically influencing the demand for more advanced IT solutions.

Healthcare expenditures in KSA are expected to increase by 16 percent, from SAR 78.63 billion in 2011 to SAR 91.23 billion in 2012, driven by aggressive public sector investments in healthcare facilities.

The medical devices sector, on the other hand, will sustain a 17.9 percent growth, reaching SAR 6.53 billion in 2012 from SAR 5.54 billion in the previous year. The increase in healthcare spend has attracted the attention of global healthcare suppliers and manufac-turers, while giving KSAs health-

care sector better access to the latest state-of-the-art medical tech-nologies and value-added services.

Demand for healthcare IT solu-tions for managing critical data assets has registered consider-able growth in KSA in light of the governments aggressive healthcare expenditure, according to Compu-Group Medical, one of the worlds leading eHealth companies. Taking advantage of the excellent market conditions, CGM has intensified its growth plans in KSA by developing custombuilt eHealth solutions that cater to the specific needs of hospi-tals and other healthcare institu-tions in KSA. Mehmet Bilginsoy, Managing Director, CGM Middle East, said:

The aggressive government and private expenditure on healthcare has created a corresponding boost in demand for sophisticated health-care IT solutions. As hospitals and other medical facilities increasingly use more advanced medical devices and techniques, they likewise need to adopt comprehensive healthcare IT solutions that will enable them to function efficiently and achieve greater productivity.

CompuGroup Medical intends to complement the aggressive adop-tion of modern healthcare tech-nologies in the KSA by providing scalable IT products and solu-tions that will empower health-care providers to further raise the quality of their services.

Custodian of the Two Holy Mosques King Abdullah inaugu-rated 420 health projects and laid foundation stones for 127 other health facilities worth SR 12 billion in a function at his palace in Jeddah on 19 October.

The king pressed the buttons announcing the inauguration and laying of foundation stones of the projects. During the function the king stressed the importance of hard work and honesty.

May Allah bless you and create many like you as you are hard-working men. People speak too much but what is important is honesty. The most correct is the good work. I pray to Allah Almighty to help you serve your

religion and nation. This is what I wish and this is what every citizen wishes. Thank you, the king said.

These projects, which are consid-ered a cultural qualitative shift, are in fact the largest event in the history of the Ministry of Health, Minister of Health Abdullah Al-Rabeeah said.

The newly opened projects comprised 29 hospitals and health facilities and 391 primary health care centers, the minister said. The king also laid the foundation stones for two medical cities in the northern and southern regions, projects in three medical cities, a specialist hospital, seven public hospitals, two medical towers, 73 digitized operation theaters and

111 primary health care centers, the minister said. With these new additions, the number of hospitals commissioned by the ministry over the last three years reached 54 and primary health care units 645, the minister said.

The ministry is currently constructing 122 hospitals and medical towers, 305 primary health care units and is planning to double beds in its hospitals in the next seven years. Highlighting his ministrys qualitative performance, Al-Rabeeah said 10 Saudi hospitals won the Accreditation Certificate by the US Accreditation Authority for Public Health Program and 30 other hospitals of the Accreditation certificate of the Saudi National Committee on Quality Assurance.

King Abdullah Inaugurates 420 New Health Projects Worth SR 12 Billion

October 2014 | 47



GCC News

Dubai Silicon Oasis, the inte-grated free zone technology park, announced Symbiosis Medical Centre has opened doors at the hi-tech park offering holistic healthcare services to residen

Documents

MIDDLE EAST HOSPITAL - Sept/October 2014 Issue