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00:00:00
so can you hear me well right okay cool so first of
00:00:04
all thanks not here think sebastian to invite me to be here
00:00:07
second um as you can relies i'm i'm portuguese
00:00:12
don't blame me about two days ago i was in the stadium when cassandra now okay
00:00:18
so uh um one of the the founders last word elf
00:00:23
and what we do we are reinventing of physiotherapy was was
00:00:27
has been deliver and we're actually saying the the next fifty years
00:00:31
the for what's this place is going to be how we do that um i'm going to explain a bit but let me
00:00:38
tell me about how everything started and everything started with a little the other with one of our family members
00:00:45
and when the other was a eleven is so for corrected and anyone
00:00:50
tacoma um he wakes up after three months the and when he wakes up
00:00:56
a a nice to have intensive physical therapy and the best kind
00:01:00
of the top notch clinical facility in portable back there was in lisbon
00:01:04
um so pale need to um to most uh lisbon to have a physical therapy so
00:01:10
while i was is on time one is a small village in portugal interior of portugal
00:01:15
and you need to move to a lisbon for six months with uh with this parents
00:01:21
but the problem was that six months was the cap it cannot stay there more than six months
00:01:26
um so you need to go back to wire that and when he goes back to
00:01:30
work but the problem was the same which is you need to have physical therapy everyday
00:01:34
and it can it can only have one so we could because there
00:01:37
was not enough easier therapies in that region to supply on on that bet
00:01:42
so we spare once kind of desperate i'm talking to cuba
00:01:47
and um what we relies after it was there are two months
00:01:53
was that what was nothing special in the sense solves the therapy quality was the same
00:01:59
the difference was the therapist was there twenty four seven because
00:02:03
they were more therapies their uh then the worry in whatever
00:02:08
so what is the problem with physiotherapy is this here on the left you can see a much sixty years ago
00:02:14
and here is a men's off now and the problem of physiotherapy a
00:02:18
it didn't change it super dependent on these interaction one one patient one therapist
00:02:24
and the and and that interaction creates this problem that the other so for which was
00:02:30
i need to have access and i can because they're not enough physical therapy
00:02:34
so at the end of the day the parents turn to become that's easier therapist
00:02:38
they need to give up about their professional careers their personal uh lives in order to help the other
00:02:44
so this was kind of a trauma for us as a family and what we're allies was
00:02:50
this was a problem will so basically says a fair bit depending
00:02:53
on this want one specialist um human resource which is not scalable
00:02:59
and the other problem is actually no one is tracking while patients are doing everybody so the
00:03:05
data that's around the recovery of the patient is really short and because of that they're not
00:03:12
the treatments cannot be really efficient and the decision making cannot be really efficient
00:03:16
so that's why we kind of transform uh with our passion
00:03:20
about solving this problem we dedicate our lives i i went
00:03:24
for a masters in in biomedical engineering on medical electronics my
00:03:27
parker p. h. d. in electronics the other one's a medical doctor
00:03:31
and what we we're wise and what we came about was
00:03:34
transformed the physiotherapy in order to be more accessible and convenient for
00:03:38
the patients all changing the us which is the reality to new reality which is a town or and this is what we do
00:03:46
oh
00:03:50
really
00:03:53
right
00:03:56
is it
00:04:01
and
00:04:03
it's not actively in
00:04:05
just to make every once it didn't
00:04:12
yeah
00:04:14
it's it isn't it isn't huh
00:04:19
didn't know engine
00:04:25
and
00:04:28
it's
00:04:30
using sue
00:04:33
i mean
00:04:35
it's still
00:04:37
really
00:04:39
mitch
00:04:41
one crop
00:04:43
jeez
00:04:47
it's pretty it's going inside
00:04:50
why don't you just speech to new i realise it is noted mission instruments
00:04:57
the teams
00:05:03
this one
00:05:05
then you should
00:05:10
digits to congratulate me which means right
00:05:14
you mean it
00:05:18
so
00:05:24
and that one intends
00:05:27
and
00:05:31
doing entirely new means i just don't know
00:05:38
so now another hidden secret of me now that you know i'm
00:05:41
portuguese i'm a biomedical engineers back wrong this is my father actually
00:05:45
um and my mom was the late in the in the couch so in
00:05:48
a nutshell this is what we do so what we have came about was
00:05:52
we reinvent and we quit rehabilitation centre in the call
00:05:55
so basically we have that physical therapists actually given the treatment
00:06:00
through the technology well their remote and with the question
00:06:03
at home our medical device that's delivering care much more efficiently
00:06:10
in reducing kind of what are the take a waste here we
00:06:13
can reduce the operative costs logistics back and forth to clinical facilities
00:06:17
we can be accountable because everything that the the patients performing is being tracked
00:06:22
so in that regard everyone knows what's happening there the clinical outcomes are higher because the patient is not
00:06:28
performing just two or three times per week is actually performing seven days per week including saturdays and sundays
00:06:34
and it's engaging because at the end of the day and
00:06:36
all of you make 'em wise in in internet everyone likes
00:06:41
to have something come toward or uh and basically we send
00:06:45
the the the feature thirties to people's or like amazon right
00:06:48
and it's so engaging because people can actually perform whatever they want it's convenient and comfortable
00:06:55
this what looks like how much logistics we can reduce
00:06:58
how much want one feature therapy time the we can reduce
00:07:03
and how that can create a really effective reduction in terms
00:07:07
of cost uh but this is not just about the cost
00:07:11
um it's about also the clinical outcomes okay um
00:07:15
the clinical outcomes and this is comparing traditional therapy
00:07:18
uh which is want one in the in the clinical facility the grey one with our our curve
00:07:24
and what you can see in our clinical trials uh uh these trials were for keep any replacement
00:07:30
we have been able to reach better clinical outcomes in
00:07:33
four weeks then the control group was able to reach me
00:07:37
and in that regard recover faster and better the patients and once again it's about intensity it's about
00:07:42
having people performing every day seven days per week because they are at home performing their exercise therapy
00:07:50
this what looks like when people ask this is just for young people
00:07:54
text say the people et cetera and we are in the tech event
00:07:58
no it doesn't our average age is around seventy one years old uh which is
00:08:03
thousands of patients so far and this is what looks like the the rest and satisfaction
00:08:08
let us means my one percent is on the seven days so that means they're
00:08:11
performing saturdays and sundays and satisfaction is our weed out of our it's our of ten
00:08:17
um and everything is objective right
00:08:22
the clinical team one p. t. now can straight take care
00:08:25
much more patients because it can remotely give access to those patients
00:08:30
and actually you can make the decision on date i can make the
00:08:33
decision on how is my patient evolving how i can change the prescription
00:08:37
how i can um communicate with him in order to to see him involving better
00:08:43
for the visitor pays for the medical doctors they will have access to this paper that so far they haven't
00:08:49
so our customers are mainly uh we are not that tech company
00:08:54
uh we start our company as being a tech company
00:08:58
but we actually are now a tech unable provider of physiotherapy
00:09:01
so we have our own feature therapies we have our own technology and we provide therapy
00:09:06
directly um in that regard our customers usually are insurance companies or the national health services
00:09:13
how is the flow of it so the insurance companies going to reference the patient to us
00:09:18
we will on board we will take care of the treatment we will
00:09:21
report frequently to insurance company about how is the patient uh evolving into treatment
00:09:27
and at the end they play as a fee for the for for treating the the member so we're turnkey solution for all of this
00:09:34
where we are we start out from portugal um five years ago
00:09:40
um then we expand between europe week spent was frail yeah
00:09:45
um and then we expand to canada and us
00:09:49
uh nowadays or focuses mainly on us uh our men customers are still in us and
00:09:55
we are we are drawing and actually we we have they have worked uh now in your
00:09:59
um now it is so bizarre customers that work with us i
00:10:03
just want to name one really interesting example the porsches national health service
00:10:09
they can to was saying that they have more than four hundred
00:10:12
people waiting for physiotherapy for more than two years in one house
00:10:18
i'm talking about four hundred people more than two years again
00:10:22
and they can't was saying we cannot we cannot give treatment to to to these people and say okay
00:10:28
let's leverage our or does the fair this with your team and actually
00:10:32
will be able to address these people that are waiting on the waiting list
00:10:36
in the in less then more or less like one and a half years we were able to clean up
00:10:42
the waiting list and how they can make their ongoing we treating the
00:10:46
patients because of the scalability that technology give them to treat more patients um
00:10:53
back there in twenty fifteen we were recognised by the european commission as one of the most innovative companies in europe
00:10:59
and um that was really important for us to to to grow the company um
00:11:06
because of rampant because of the this recognition and more recently like one month ago forbes
00:11:12
sense releases an article about our a. i. therapist and
00:11:16
always been effective uh in order to treat a patient
00:11:21
so this is our mission once again setting up the next fifty years of physiotherapy
00:11:26
and this is not the future this is happening nowadays and the features
00:11:31
now so they can so much if you won't talk to me just
00:11:35
you and i right right now right okay given a now so thank you
00:11:44
thank you ready for the presentation is there any question from the audience
00:11:52
with the why there is no points on them up in switzerland
00:11:57
of i try i try to um doesn't work it's it's uh
00:12:05
we tried so basically our customers are insurance companies and we we approach insurance companies
00:12:10
saying okay we can give you a a better quality treatment for your members from the elf plans et cetera
00:12:16
my surprise was and i ask them where do you touch the patients journey right where
00:12:22
do you advise your question what's the best treatment how how you interact with your member
00:12:28
initials companies here told me like we don't have what you do we collect bills and we play
00:12:35
and unfortunately so far this was a reality that we have here in in in
00:12:41
switzerland uh probably is going to change this is not also switzerland's not the the
00:12:47
when you think about health care problems healthcare wasting money uh and all of that
00:12:53
us is kind of number one top number one they've with plenty of money don't have a uh
00:12:59
a really good health care system here you have so probably the
00:13:02
probably is not here today or it is but it's kind of
00:13:07
the time is not now uh we have uh let's in the future we are we
00:13:10
are open to what does it mean do we have too much money to do probably yes
00:13:17
or your system is really well the the fine i don't know but yeah my right
00:13:22
when it reaches companies answer me that i was like okay if you cannot that's your
00:13:27
member or if you are not touching so there's nothing that we can do that because
00:13:32
we need to be in that patients journey okay
00:13:35
the question you in the middle things it's very interesting okay i have a question i'm not sure i want is to let us see
00:13:43
for example you cool that he's asking what they'll say she's if you just at least
00:13:49
uh use use might sound giuseppe and uh oh yeah
00:13:55
i to be placed his tank beal station
00:13:59
i couldn't stand each station i look to ask
00:14:04
so basically um we give all the sessions so it all starts with a visit from the
00:14:09
physiotherapy that the patient on and then it takes the device makes it less with the men trains
00:14:15
uh the difference is that usually now if you think about ten sessions anything off
00:14:22
to to just three times you will need like one month to
00:14:25
give ten sessions now we give ten sessions in like ten days because
00:14:30
combining the therapist with the remote therapy you give in one more to give study sessions
00:14:36
and these are real sessions this is in the sense that this is exercise
00:14:41
thurber prescribe and and the ending remote treated by the by the feature therapist
00:14:46
when there is a need for specific of condition for example for many will therapy that's when the future therapies go
00:14:51
back to the patient home and work with him on that so sometimes a physiotherapy just go there on the first session
00:14:57
and on the the last session of the of the entire program like two miles
00:15:02
sometimes it goes there once a week for example to visit the page it depends on the of conditions so you cannot tackle everything
00:15:09
it does not kind of a one size fits all just send the keypad that's it no depending on the of condition you need
00:15:14
to address our problems are differently and changing by off huge but
00:15:18
the majority of the treatment is always delivered by the by the technology
00:15:24
like you yeah you looked i would like to use speech
00:15:28
it'll take you can do is you will but so you technology that
00:15:32
you the human interaction with this kind of it's yeah yeah yeah to chase
00:15:38
as a patient i see the call doctor to select the shot like he's yeah
00:15:42
real features you happy style is yeah nice there's all the prescription form that medical doctors
00:15:49
so we don't um we always think have the buying from the medical
00:15:53
doctors so we don't push our programs without the medical doctor saying that
00:15:59
it must go go for the right is actually this is prescribe and starts with the medical doctors
00:16:05
yeah in the us is a bit different but let's not talk about t. i. c. s. is all is a special thing
00:16:10
uh but uh in europe yes so every every patient that comes to was
00:16:15
first goes to the consultation from the medical doctor and it only comes was because the medical doctor reference to patients was
00:16:21
so basically if the metadata don't believe that we can deliver the best care we won't be selected
00:16:28
okay just a last question let's see the last one yes thank you thank you and
00:16:33
oh do you mean you dad prescription do you make evaluation now
00:16:38
yeah well you have to see a good octane descent ah easy sapping
00:16:43
so it's happening in two ways we have depending on the of condition we have
00:16:47
functional scales like for them for he pony replacement to k. o. s. h. o. s.
00:16:52
the the self reported scales was we have all the data
00:16:55
that we collect range of motions velocities pasta controls et cetera
00:16:59
and the and sometimes there's also a a want one interaction one
00:17:03
is needed so it's once again some mix usually when insurance companies
00:17:09
but at least we are working more for example in this area workers compensation in portugal they go
00:17:15
to the medical doctor at least every four weeks
00:17:19
so every four weeks the medical doctor gets the report
00:17:22
uh from what was the complete evolution of that patient from
00:17:26
the functional scales everything so it gets a real detailed report
00:17:30
and when the patient comes he already knows what's is range of motion what is also the medical doctor don't need to be like
00:17:36
again doing everything and losing time on the doing reassessing everything
00:17:40
because he's already having that data so we can focus on
00:17:44
decision making about what's the best best way that i can send my patient through

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Conference Program

Mots de bienvenue
Sébastien Mabillard, CEO | Swiss Digital Health
7 June 2019 · 9:05 a.m.
Mots de bienvenue
Victor Fournier, Chef de Service de la santé publique | Canton du Valais
7 June 2019 · 9:09 a.m.
Mots de bienvenue
Laurent Sciboz , Directeur des instituts informatiques
7 June 2019 · 9:14 a.m.
Vidéo avec Nao
7 June 2019 · 9:23 a.m.
Soutenir le parcours du patient à l'ère du numérique
Frédéric Ehrler, R&D chef de groupe Interaction homme-machine et capteurs, HUG (Suisse)
7 June 2019 · 9:28 a.m.
La santé à l'ère des assistants numériques
Yariv Adan, Chef produits Google Assistant, GOOGLE (Suisse)
7 June 2019 · 9:56 a.m.
Preventive medicine at home allows health costs reduction
Guillaume Dupasquier, CEO, Domosafety
7 June 2019 · 10:29 a.m.
Introduction de la 2ème partie, Assistants @ Home
Sébastien Mabillard, CEO | Swiss Digital Health
7 June 2019 · 11:22 a.m.
How humanoid robot can be an assistant to the healthcare personnel
Thierry Perronnet, General Manager, Avatarion Technology (Switzerland)
7 June 2019 · 11:24 a.m.
Physical Therapy made Digital ? The new standard of care for the next 50 years
André Eiras Dos Santos, COO, General Manager EMEA & APAC, SWORD HEALTH (Portugal)
7 June 2019 · 11:54 a.m.
Aging in Place – A story of intelligent design and assistive technology
James Wyman, COO & co-founder, PILLO HEALTH (USA)
7 June 2019 · 12:14 p.m.
The Power of Clinical Curiosity
Benjamin Errett, Senior Director of Brand, FIGURE 1 (Canada)
7 June 2019 · 12:43 p.m.
Introduction à la 3ème partie: Seeds of innovation and pre-arranged meetings
Sébastien Mabillard, CEO | Swiss Digital Health
7 June 2019 · 2:04 p.m.
A conversational robot doubles the success rate of quitting smoking
Roland Savioz and Michael Schumacher, OBEEONE / HES-SO Valais-Wallis (Switzerland)
7 June 2019 · 2:07 p.m.
What are the challenges facing the health system in the face of the digitalization of family life?
Maddalena Di Meo, CEO & founder, BABY & KIDS CARE (Switzerland)
7 June 2019 · 2:29 p.m.
How do health companions change our daily lives?
Giovanni Joerger, Marketing & sales director, OFAC (Switzerland)
7 June 2019 · 2:47 p.m.
Soignez-Moi.ch: your doctor without delay
Romain Boichat, COO & co-founder, SOIGNEZ-MOI.CH (Switzerland)
7 June 2019 · 3:10 p.m.
Table ronde
7 June 2019 · 3:29 p.m.
Conclusions
Sébastien Mabillard, CEO | Swiss Digital Health
7 June 2019 · 4:24 p.m.