Teleconsultation: an innovative initiative in wound care

Initially created as a research project with a medico-economic evaluation, Domoplaies then transformed into a standard care model with reimbursement offered by social security. The project was deployed in partnership with the Occitanie region, which already had a healing network, and added teleconsultation.

The major issues:

Improving access to care : facilitating patient access to healing expertise in medically deserted areas of Normandy. All structures, such as MRs, HADs , and peripheral hospitals, patients hospitalized at the CHU, and private doctors can benefit from it.

Allow a faster return home : continue monitoring the patient at home and reduce the average length of stay in hospital.

Around 2000 teleconsultations are carried out per year.

Domoplaies is a scheduled teleconsultation service intended for patients with complex and/or chronic wounds.

This service is an organized care pathway bringing together doctors and nurses trained in the field of wounds, also with all the medical and surgical possibilities offered by the University Hospital.

This e-health solution offers all patients access to medical expertise where they live, relying on coordination and a regional telemedicine platform. Domoplaies is not an emergency service but the coordination provided by Normand'e-Santé provides faster access to advice from a specialist in the face of a complex situation. It facilitates and ensures a strong link between healthcare professionals and avoids disruptions in the care pathways of patients with complex and/or chronic wounds.

The Healing Center of the Caen University Hospital (within the Dermatology department ) which has developed a patient pathway including teleconsultation (Domoplaies) has been labeled an expert Healing Center by the Normandy Regional Health Agency. Normand'e-Santé ensures coordination, communication and support for staff users of the Domoplaies service.

The future ambitions of the health professionals, doctors and nurses who lead the Domoplaies network are to continue and amplify this care pathway thanks to the city, hospital and university link with 3 components of care, teaching and clinical research.

Domoplaies represents a pioneering initiative from Caen Normandy University Hospital, combining innovation, expertise in healing and interdisciplinary medical and surgical collaboration to optimize the management of chronic and complex wounds.