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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)
Friday, June 7, 2019 · 11:54 a.m. · 17m 59s
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so can you hear me well right okay cool so first of
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all thanks not here think sebastian to invite me to be here
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second um as you can relies i'm i'm portuguese
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don't blame me about two days ago i was in the stadium when cassandra now okay
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so uh um one of the the founders last word elf
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and what we do we are reinventing of physiotherapy was was
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has been deliver and we're actually saying the the next fifty years
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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
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tell me about how everything started and everything started with a little the other with one of our family members
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and when the other was a eleven is so for corrected and anyone
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tacoma um he wakes up after three months the and when he wakes up
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a a nice to have intensive physical therapy and the best kind
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of the top notch clinical facility in portable back there was in lisbon
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um so pale need to um to most uh lisbon to have a physical therapy so
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while i was is on time one is a small village in portugal interior of portugal
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and you need to move to a lisbon for six months with uh with this parents
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but the problem was that six months was the cap it cannot stay there more than six months
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um so you need to go back to wire that and when he goes back to
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work but the problem was the same which is you need to have physical therapy everyday
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and it can it can only have one so we could because there
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was not enough easier therapies in that region to supply on on that bet
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so we spare once kind of desperate i'm talking to cuba
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and um what we relies after it was there are two months
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was that what was nothing special in the sense solves the therapy quality was the same
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the difference was the therapist was there twenty four seven because
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they were more therapies their uh then the worry in whatever
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so what is the problem with physiotherapy is this here on the left you can see a much sixty years ago
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and here is a men's off now and the problem of physiotherapy a
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it didn't change it super dependent on these interaction one one patient one therapist
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and the and and that interaction creates this problem that the other so for which was
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i need to have access and i can because they're not enough physical therapy
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so at the end of the day the parents turn to become that's easier therapist
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they need to give up about their professional careers their personal uh lives in order to help the other
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so this was kind of a trauma for us as a family and what we're allies was
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this was a problem will so basically says a fair bit depending
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on this want one specialist um human resource which is not scalable
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and the other problem is actually no one is tracking while patients are doing everybody so the
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data that's around the recovery of the patient is really short and because of that they're not
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the treatments cannot be really efficient and the decision making cannot be really efficient
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so that's why we kind of transform uh with our passion
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about solving this problem we dedicate our lives i i went
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for a masters in in biomedical engineering on medical electronics my
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parker p. h. d. in electronics the other one's a medical doctor
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and what we we're wise and what we came about was
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transformed the physiotherapy in order to be more accessible and convenient for
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the patients all changing the us which is the reality to new reality which is a town or and this is what we do
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oh
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really
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right
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is it
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and
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it's not actively in
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just to make every once it didn't
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yeah
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it's it isn't it isn't huh
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didn't know engine
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and
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it's
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using sue
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i mean
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it's still
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really
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mitch
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one crop
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jeez
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it's pretty it's going inside
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why don't you just speech to new i realise it is noted mission instruments
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the teams
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this one
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then you should
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digits to congratulate me which means right
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you mean it
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so
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and that one intends
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and
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doing entirely new means i just don't know
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so now another hidden secret of me now that you know i'm
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portuguese i'm a biomedical engineers back wrong this is my father actually
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um and my mom was the late in the in the couch so in
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a nutshell this is what we do so what we have came about was
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we reinvent and we quit rehabilitation centre in the call
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so basically we have that physical therapists actually given the treatment
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through the technology well their remote and with the question
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at home our medical device that's delivering care much more efficiently
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in reducing kind of what are the take a waste here we
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can reduce the operative costs logistics back and forth to clinical facilities
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we can be accountable because everything that the the patients performing is being tracked
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so in that regard everyone knows what's happening there the clinical outcomes are higher because the patient is not
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performing just two or three times per week is actually performing seven days per week including saturdays and sundays
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and it's engaging because at the end of the day and
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all of you make 'em wise in in internet everyone likes
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to have something come toward or uh and basically we send
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the the the feature thirties to people's or like amazon right
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and it's so engaging because people can actually perform whatever they want it's convenient and comfortable
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this what looks like how much logistics we can reduce
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how much want one feature therapy time the we can reduce
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and how that can create a really effective reduction in terms
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of cost uh but this is not just about the cost
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um it's about also the clinical outcomes okay um
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the clinical outcomes and this is comparing traditional therapy
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uh which is want one in the in the clinical facility the grey one with our our curve
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and what you can see in our clinical trials uh uh these trials were for keep any replacement
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we have been able to reach better clinical outcomes in
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four weeks then the control group was able to reach me
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and in that regard recover faster and better the patients and once again it's about intensity it's about
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having people performing every day seven days per week because they are at home performing their exercise therapy
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this what looks like when people ask this is just for young people
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text say the people et cetera and we are in the tech event
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no it doesn't our average age is around seventy one years old uh which is
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thousands of patients so far and this is what looks like the the rest and satisfaction
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let us means my one percent is on the seven days so that means they're
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performing saturdays and sundays and satisfaction is our weed out of our it's our of ten
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um and everything is objective right
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the clinical team one p. t. now can straight take care
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much more patients because it can remotely give access to those patients
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and actually you can make the decision on date i can make the
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decision on how is my patient evolving how i can change the prescription
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how i can um communicate with him in order to to see him involving better
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for the visitor pays for the medical doctors they will have access to this paper that so far they haven't
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so our customers are mainly uh we are not that tech company
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uh we start our company as being a tech company
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but we actually are now a tech unable provider of physiotherapy
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so we have our own feature therapies we have our own technology and we provide therapy
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directly um in that regard our customers usually are insurance companies or the national health services
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how is the flow of it so the insurance companies going to reference the patient to us
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we will on board we will take care of the treatment we will
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report frequently to insurance company about how is the patient uh evolving into treatment
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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
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where we are we start out from portugal um five years ago
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um then we expand between europe week spent was frail yeah
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um and then we expand to canada and us
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uh nowadays or focuses mainly on us uh our men customers are still in us and
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we are we are drawing and actually we we have they have worked uh now in your
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um now it is so bizarre customers that work with us i
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just want to name one really interesting example the porsches national health service
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they can to was saying that they have more than four hundred
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people waiting for physiotherapy for more than two years in one house
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i'm talking about four hundred people more than two years again
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and they can't was saying we cannot we cannot give treatment to to to these people and say okay
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let's leverage our or does the fair this with your team and actually
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will be able to address these people that are waiting on the waiting list
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in the in less then more or less like one and a half years we were able to clean up
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the waiting list and how they can make their ongoing we treating the
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patients because of the scalability that technology give them to treat more patients um
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back there in twenty fifteen we were recognised by the european commission as one of the most innovative companies in europe
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and um that was really important for us to to to grow the company um
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because of rampant because of the this recognition and more recently like one month ago forbes
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sense releases an article about our a. i. therapist and
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always been effective uh in order to treat a patient
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so this is our mission once again setting up the next fifty years of physiotherapy
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and this is not the future this is happening nowadays and the features
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now so they can so much if you won't talk to me just
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you and i right right now right okay given a now so thank you
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thank you ready for the presentation is there any question from the audience
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with the why there is no points on them up in switzerland
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of i try i try to um doesn't work it's it's uh
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we tried so basically our customers are insurance companies and we we approach insurance companies
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saying okay we can give you a a better quality treatment for your members from the elf plans et cetera
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my surprise was and i ask them where do you touch the patients journey right where
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do you advise your question what's the best treatment how how you interact with your member
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initials companies here told me like we don't have what you do we collect bills and we play
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and unfortunately so far this was a reality that we have here in in in
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switzerland uh probably is going to change this is not also switzerland's not the the
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when you think about health care problems healthcare wasting money uh and all of that
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us is kind of number one top number one they've with plenty of money don't have a uh
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a really good health care system here you have so probably the
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probably is not here today or it is but it's kind of
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the time is not now uh we have uh let's in the future we are we
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are open to what does it mean do we have too much money to do probably yes
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or your system is really well the the fine i don't know but yeah my right
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when it reaches companies answer me that i was like okay if you cannot that's your
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member or if you are not touching so there's nothing that we can do that because
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we need to be in that patients journey okay
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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
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for example you cool that he's asking what they'll say she's if you just at least
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uh use use might sound giuseppe and uh oh yeah
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i to be placed his tank beal station
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i couldn't stand each station i look to ask
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so basically um we give all the sessions so it all starts with a visit from the
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physiotherapy that the patient on and then it takes the device makes it less with the men trains
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uh the difference is that usually now if you think about ten sessions anything off
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to to just three times you will need like one month to
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give ten sessions now we give ten sessions in like ten days because
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combining the therapist with the remote therapy you give in one more to give study sessions
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and these are real sessions this is in the sense that this is exercise
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thurber prescribe and and the ending remote treated by the by the feature therapist
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when there is a need for specific of condition for example for many will therapy that's when the future therapies go
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back to the patient home and work with him on that so sometimes a physiotherapy just go there on the first session
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and on the the last session of the of the entire program like two miles
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sometimes it goes there once a week for example to visit the page it depends on the of conditions so you cannot tackle everything
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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
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to address our problems are differently and changing by off huge but
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the majority of the treatment is always delivered by the by the technology
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like you yeah you looked i would like to use speech
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it'll take you can do is you will but so you technology that
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you the human interaction with this kind of it's yeah yeah yeah to chase
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as a patient i see the call doctor to select the shot like he's yeah
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real features you happy style is yeah nice there's all the prescription form that medical doctors
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so we don't um we always think have the buying from the medical
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doctors so we don't push our programs without the medical doctor saying that
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it must go go for the right is actually this is prescribe and starts with the medical doctors
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yeah in the us is a bit different but let's not talk about t. i. c. s. is all is a special thing
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uh but uh in europe yes so every every patient that comes to was
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first goes to the consultation from the medical doctor and it only comes was because the medical doctor reference to patients was
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so basically if the metadata don't believe that we can deliver the best care we won't be selected
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okay just a last question let's see the last one yes thank you thank you and
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oh do you mean you dad prescription do you make evaluation now
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yeah well you have to see a good octane descent ah easy sapping
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so it's happening in two ways we have depending on the of condition we have
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functional scales like for them for he pony replacement to k. o. s. h. o. s.
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the the self reported scales was we have all the data
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that we collect range of motions velocities pasta controls et cetera
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and the and sometimes there's also a a want one interaction one
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is needed so it's once again some mix usually when insurance companies
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but at least we are working more for example in this area workers compensation in portugal they go
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to the medical doctor at least every four weeks
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so every four weeks the medical doctor gets the report
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uh from what was the complete evolution of that patient from
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the functional scales everything so it gets a real detailed report
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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
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again doing everything and losing time on the doing reassessing everything
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because he's already having that data so we can focus on
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decision making about what's the best best way that i can send my patient through
Conference Program
Mots de bienvenue
Sébastien Mabillard, CEO | Swiss Digital Health
June 7, 2019 · 9:05 a.m.
140 views
Mots de bienvenue
Victor Fournier, Chef de Service de la santé publique | Canton du Valais
June 7, 2019 · 9:09 a.m.
151 views
Mots de bienvenue
Laurent Sciboz , Directeur des instituts informatiques
June 7, 2019 · 9:14 a.m.
155 views
Vidéo avec Nao
June 7, 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)
June 7, 2019 · 9:28 a.m.
188 views
La santé à l'ère des assistants numériques
Yariv Adan, Chef produits Google Assistant, GOOGLE (Suisse)
June 7, 2019 · 9:56 a.m.
149 views
Preventive medicine at home allows health costs reduction
Guillaume Dupasquier, CEO, Domosafety
June 7, 2019 · 10:29 a.m.
Introduction de la 2ème partie, Assistants @ Home
Sébastien Mabillard, CEO | Swiss Digital Health
June 7, 2019 · 11:22 a.m.
How humanoid robot can be an assistant to the healthcare personnel
Thierry Perronnet, General Manager, Avatarion Technology (Switzerland)
June 7, 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)
June 7, 2019 · 11:54 a.m.
208 views
Aging in Place – A story of intelligent design and assistive technology
James Wyman, COO & co-founder, PILLO HEALTH (USA)
June 7, 2019 · 12:14 p.m.
The Power of Clinical Curiosity
Benjamin Errett, Senior Director of Brand, FIGURE 1 (Canada)
June 7, 2019 · 12:43 p.m.
Introduction à la 3ème partie: Seeds of innovation and pre-arranged meetings
Sébastien Mabillard, CEO | Swiss Digital Health
June 7, 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)
June 7, 2019 · 2:07 p.m.
124 views
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)
June 7, 2019 · 2:29 p.m.
622 views
How do health companions change our daily lives?
Giovanni Joerger, Marketing & sales director, OFAC (Switzerland)
June 7, 2019 · 2:47 p.m.
113 views
Soignez-Moi.ch: your doctor without delay
Romain Boichat, COO & co-founder, SOIGNEZ-MOI.CH (Switzerland)
June 7, 2019 · 3:10 p.m.
501 views
Table ronde
June 7, 2019 · 3:29 p.m.
Conclusions
Sébastien Mabillard, CEO | Swiss Digital Health
June 7, 2019 · 4:24 p.m.
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