UN OOSA Expert Meeting AIMS, Kochi, August 29 06

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1 UN OOSA Expert Meeting AIMS, Kochi, August Welcome to Amrita 10/6/2006 1

2 Telemedicine Management Solution Agenda Objective Challenges in today s solution Amrita Telemedicine solution Functional highlights X-ray digitizing solution Usage of tools and technologies Future of Telemedicine: wireless mobile solution 10/6/2006 2

3 Objectives Provide access to care in rural areas Improve the quality of care Facilitate and create network of specialists Enable inter-operability between Telemedicine networks Ability to use any of the available network options Support multiple architectures Peer-2-Peer connection and Hub-n-Spoke network To summarize : overcome the challenges and difficulties in the current solution preventing doctors from availing and embracing it 10/6/2006 3

4 Challenges in current solution Not international standard compliant Telemedicine consultation with Developed countries Medical tourism on the rise Non-integrated patient data Patient data transmitted is not part of the EMR Specialist updates not reflected / available at patient s end User friendly and accessibility Un availability of menu driven customized interface Specialist can t provide consultation from office Non-scalable architecture Does not support different architectures Client installation required, not web-based based Cost of solution last but not the least!!! 10/6/2006 4

5 Amrita solution: Standards based As per the guidelines by GOI ITIH released by DIT National task force on Telemedicine With special focus on developing countries Uses IHE (Integrating the Health Enterprise) standard for interoperability DICOM support ASTM compliant HL7 support 10/6/2006 5

6 Functional Highlights Ease of consultation for specialists Available at Doctor s desk Not limited only to central Telemedicine studio Patient Context Synchronization Clinical information from remote end, available to specialist Clinical updates made by specialist, available remotely Integrated with Hospital/EMR systems Does not create a separate data island Track patient s complete medical history 10/6/2006 6

7 Functional Highlights Menu driven customized UI Remote doctor / patient s end Specialist providing telemedicine consultation Automatically bandwidth-negotiated negotiated service delivery Multi-network selection Dual-mode operation Store-n-Forward (offline access) Connected mode HL7 and DICOM based transfer of information 10/6/2006 7

8 Functional Highlights remote Patient s view 10/6/2006 8

9 Remote Patient s view 10/6/2006 9

10 X-Ray Digitizer Digitize the film-based X-X ray including CT MR CR DICOM support Integrated with a viewer Preview / Multi Scan Support 10/6/

11 X-Ray Digitizer Key Points Advanced image control settings Default factory settings Different resolution support Multi - sized films Automatic Calibration Capture up to 12 films per min Low Total Cost of Ownership Minimal initial cost High up-time Low maintenance 10/6/

12 Integrated EMR 10/6/

13 Amrita - Schiller ECG Interface Live Streaming support Store and forward support Printing support Standardization scale support Integrated with EMR SCHILLER HEALTHCARE INDIA PVT. LTD 10/6/ ECG

14 Amrita Clinical equipment Interface Electronic Stethoscope High Resolution Camera Tele-pathology Microscope 10/6/

15 Integrated EMR 10/6/

16 Computer hardware Community PC (Intel) Heat/dust resistant Low power consumption Self diagnosis Thin client (AMD) Robust Portable Low cost of ownership 10/6/

17 Telemedicine: System Requirement The base unit consist of 9 Computer with telecommunication facility 9 Software for displaying medical signals and view Digital images 10/6/

18 Hub-n-Spoke/Central Telemedicine network model Remote Site / Telemedicine Workstation ISDN (3x128 Kbps) Remote Site / Telemedicine Workstation Remote Site / Telemedicine Workstation Not Scalable Single point of failure Internet Telemedicine Service Provider Satellite Network Remote Site / Telemedicine Workstation Remote Site / Telemedicine Workstation Remote Site / Telemedicine Workstation Telemedicine - Hub and Spoke model 10/6/

19 Peer-2-Peer/Distributed Peer/Distributed Telemedicine network model Data Islands No single point of control 10/6/

20 Hybrid Telemedicine network model Remote Site / Telemedicine Workstation ISDN (3x128 Kbps) Remote Site / Telemedicine Workstation Remote Site / Telemedicine Workstation Telemedicine Service Provider Satellite Network Internet Remote Site / Telemedicine Workstation Remote Site / Telemedicine Workstation Remote Site / Telemedicine Workstation Telemedicine - Hub and Spoke model 10/6/

21 Wireless/Mobile Telemedicine Unit Mobile telemedicine Van Wireless equipments Satellite connectivity Door to Door expert healthcare service 10/6/

22 Tools and Technology PDA Mobile but small screen Tablet PC Bigger screen but expensive Digital PAD Cheap but image capture Hand held computer Light weight but being prototyped 10/6/

23 Future of Telemedicine Satellite VSAT Wi-Fi Mobile Unit Telemedicine Exchange Server Super Specialty Hospital Wi-Fi Remote patient 10/6/

24 Future of Telemedicine Analog Signal Digital Signal 10/6/

25 Animation Telemedicine scenario AIMS Satellite Lab technician Mobile Unit Doctor w/ patient Lab Equipment 10/6/

26 Expertise required For computer hardware Robust, easy to maintain Basic knowledge Medical equipment Easy to handle Lab technician With minimal training Health and social workers Primary health center staff 10/6/

27 Budget constraints Medical equipments Automated devices Low cost innovative devices Research in Wireless communication Hardware Computer Audio visual Software Web based Open source Adherence to healthcare standards Networking Wired Research in Wi-fi and Wi-max 10/6/

28 Demos PC to PC conferencing Mobile van connectivity Remote location connectivity Patient EMR access Image and ECG data transfer Integrated EMR solution Computer On Wheels (COW) 10/6/

29 Healthcare Network Secondary Primary Internet / Intranet Outpost Telemedicine Outreach Programs Mobile Units 10/6/

30 Urban network Tertiary Care Secondary Care Primary Care Hospitals Urban Outpost / GP Rural Outpost / GP Mobile / Telemedicine Centers 10/6/

31 Urban rural connectivity Tertiary Care Secondary Care Primary Care Hospitals Urban Outpost / GP Rural Outpost / GP Mobile / Telemedicine Centers 10/6/

32 State grid Tertiary Care Secondary Care Primary Care Hospitals Urban Outpost / GP Rural Outpost / GP Mobile / Telemedicine Centers 10/6/

33 National grid Tertiary Care Secondary Care Primary Care Hospitals Urban Outpost / GP Rural Outpost / GP Mobile / Telemedicine Centers Central Data-ware-house 10/6/

34 Govn of Maharashtra: Project scope Central Server Hospital + Medical College 10/6/2006 Hospital 34

35 Govn of Maharashtra: Project scope Central Server Hospital + Medical College 10/6/2006 Hospital 35

36 Thank You Q&A 10/6/