Armenian Association of Telemedicine

Armenian Association of Telemedicine ICT in Healthcare @ DigiTec Business Forum Yerevan, June 20, 2015 Georgi Chaltikyan, MD, PhD President of AATM

Armenian Association of Telemedicine, G. Chaltikyan Presentation Outline Telemedicine and ehealth in the world; Current situation, trends and developments, challenges and prospects; About Armenian Association of Telemedicine: Mission and objectives, main activities and projects; New European Joint Master s Program in Biomedical Technologies: TEMPUS educational initiative Biomedical Engineering in Armenia.

Armenian Association of Telemedicine, G. Chaltikyan Telemedicine & ehealth in the World In the US 90% of hospitals have begun developing or implementing telemedicine, and ½ have active telemedicine programs [NEJM, 2015]; Between 50% and 70% of all office or emergency visits can be handled via telemedicine [AATM, 2010; First Stop Health analysis, 2014]; Revenue for telemedicine devices and services worldwide is expected to increase 10-fold in 5 years: from $440 in 2013, to $4.5 bln in 2018; The number of patients using telemedicine services will have increased 20- fold in the same period [IHS Technology]; Special focus on ehealth by WHO, ITU, European Commission; Big Business : special emphasis on Digital Health (Siemens, Agfa, Phillips, Intel, Microsoft, Samsung, IBM, Google, Apple, and others).

Armenian Association of Telemedicine, G. Chaltikyan Mobile Health: By 2018 50% of smartphone / tablet users will have health apps By 2016 - market size $20 bln Remote Monitoring: Cardiology Diabetes Asthma, COPD, etc. Virtual Visits evisits: 75 million of the 600 million GP visits (US and Canada) in 2014 were evisits (12.5%) [Deloitte] Current Global Trends

Armenian Association of Telemedicine, G. Chaltikyan Wearables, Connected Health : Smart clothes Ingestible sensors, nanosensors Artificial Intelligence: IBM s Watson supercomputer - 605,000 pieces of medical evidence, 2 million pages of text, 25,000 training cases and input of 14,700 physicians Incredible research data: Genome, EHR, monitoring etc. Robotic [Tele]Surgery; and other. Near Future?

Armenian Association of Telemedicine, G. Chaltikyan Advances, Challenges, Prospects Telemedicine and ehealth have shown feasibility and efficiency however, it is still a challenge to move from pilot projects to sustainable programs; More efforts needed to educate both professionals and general public in efficacy of telemedicine and ehealth; More research is needed to demonstrate that telemedicine and ehealth improve patient outcomes, to show how, when, and where they work best; International collaboration is needed to ensure identification of the proper ways to implement ehealth globally and effective use of resources; Standardization, interoperability, security and privacy, liability, reimbursement issues saw tremendous progress, but still present major challenge; Integration of telemedicine and ehealth services into the mainstream healthcare seems to be a not-so-far perspective.

Armenian Association of Telemedicine, G. Chaltikyan AATM Mission & Objectives Platform for Exchange of Information and Collaboration of Stakeholders (Promotion & Collaboration): Conferences and meetings; Global networking; Public awareness & information sharing; Implementation of telemedicine projects: Cross-border teleconsultations; Local telemedicine projects; Collaboration with public authorities; Educational and research activities.

Armenian Association of Telemedicine, G. Chaltikyan Conferences & Meetings International Congress ARMTELEMED, October 14-16, 2011, Yerevan: 287 participants from 20 countries, 19 invited speakers, 6 expo booths;

Armenian Association of Telemedicine, G. Chaltikyan Conferences & Meetings One-day sessions ICT in Medicine and Healthcare @DigiTec 2012, 2014, 2015: international meetings of authorities, academia and business;

Armenian Association of Telemedicine, G. Chaltikyan National Member of the International Society for Telemedicine and ehealth (ISfTeH); Official partner of Med-e-Tel the international forum on ehealth and Telemedicine in Luxembourg; MoU partner with American Telemedicine Association (ATA); National Member of the European Federation for Medical Informatics (EFMI) Global Networking

Armenian Association of Telemedicine, G. Chaltikyan Awareness & Information

Armenian Association of Telemedicine, G. Chaltikyan Telemedicine Projects Pilot telemedicine projects between rural / regional health canter and hub in Yerevan, and development of telemedicine network concept 2010-2011

Armenian Association of Telemedicine, G. Chaltikyan Cross-border teleconsultation for Armenian patients and physicians: Telemedicine Projects Germany Charité-Universitätsmedizin Berlin, Uni Regensburg, Uni Göttingen, Uni Münster, Uni Heidelberg, et al.; Austria AKH Wien, St. Josef; UK Swinfen Charitable Trust; USA USC (LA), University of Michigan; Russia various medical centers; France with UMAF (prospective).

Armenian Association of Telemedicine, G. Chaltikyan Telemedicine Projects Pilot ECG-telemonitoring project ( Home Care / mhealth) 2013 ECG Datacollector ECG Datacollector 3G mobile 3G mobile 1 3G mobile Mobile Provider Internet & Voice Provider ECG Datacollector ECG Datacollector 3G mobile Private APN Internet Internet Internal Data 2 External VPN Voice Switch Firewall Server 4Firewall + VPN Router Firewall Switch Router Workstation 1 Workstation 2 3 5 Switch Confidential! 2011 mobilecardio.nl

Armenian Association of Telemedicine, G. Chaltikyan Education Biomedical Engineering Education Tempus Initiative in Eastern Neighboring Area; EU Grant: EUR 1.3 mln (90% of the budget); Duration: 3 years Dec 2013 to Nov 2016; Consortium: 17 institutions from 11 countries 7 EU, and 4 Eastern European countries (Armenia, Georgia, Moldova and Ukraine); Coordinator: University of Patras, Greece; Objective: to implement a joint study program BME, Health ICT, ehealth and telemedicine.

Armenian Association of Telemedicine, G. Chaltikyan Evaluation of Scientific, Educational and Practical Collaboration between German and Armenian Institutions in Healthcare ICT (SEP-DA-HIT): Funded by BMBF and MoES AM; September 2014 August 2015; Three workshops: Nov 18-20, 2014 Yerevan, April 13-17, 2015 Deggendorf, July 2015 Yerevan; Education Establishing joint educational, research and practical programs.

New Joint Master s Program in Biomedical Engineering: Tempus IV Project BME-ENA in Armenia

Background Biomedical Engineering is one of the fastest growing specialties at the interface between life sciences / medicine on the one hand, and technical sciences / engineering on the other; Biomedical Engineering is predicted to grow due to increasing penetration of technical processes into medical practice, education and research; in many countries it is currently considered one of the most attractive specialties; Armenia s healthcare is in growth and development phase, and demand for Biomedical Engineers is predicted to grow over the next decades; BME education in Armenia requires significant modernization / reformation; In the EU significant advances in the field of Biomedical Engineering Education have been achieved, in part due to cooperative efforts under Tempus project CRH-BME.

Tempus BME-ENA General Information Title: Biomedical Engineering Education Tempus Initiative in Eastern Neighboring Area (BME-ENA) Reference Number: 543904-TEMPUS-1-2013-1-GR-TEMPUS-JPCR Grant Requested from the EU: EUR 1,320,891.82 (90% of the total budget) Project Duration: 3 years (36 months) December 2013 November 2016 A multi-national consortium: 17 institutions from 11 countries 7 EU, and 4 Eastern European countries (Armenia, Georgia, Moldova and Ukraine) Project Coordinator: University of Patras, Greece Main Objective: to develop and establish at the participating universities in Eastern Neighboring Area (ENA) countries a joint interdisciplinary MSc (Master of Science) program in Biomedical Engineering

Tempus BME-ENA EU Partners University of Patras, Greece (COORDINATOR); Vrije Universiteit Brussel, Belgium; Technical University of Varna, Bulgaria; University of Ljubljana, Slovenia; Alma Mater Studiorum University of Bologna, Italy; West Pomeranian University of Technology, Poland; "Grigore T. Popa" University of Medicine and Pharmacy, Iasi, Romania; External expert from the University of Zagreb, Croatia.

Tempus BME-ENA ENA Partners National Polytechnic University of Armenia, Yerevan, Armenia; Russian-Armenian (Slavonic) University, Yerevan, Armenia; Armenian Association of Telemedicine, Yerevan, Armenia; Georgia Technical University, Tbilisi, Georgia; Tbilisi State Medical University, Tbilisi, Georgia; Akaki Tsereteli State University, Kutaisi, Georgia; Technical University of Moldova, Kishinev, Moldova; State University of Medicine and Pharmacy, Kishinev, Moldova; National Technical University of Ukraine ( Kyiv Polytechnic ), Kyiv, Ukraine; Sumy State University, Sumy, Ukraine.

Work Packages WP 1: Project Management: Coordination of General Assembly (GA) and Steering Committee (SC) meetings; Overall day-to-day Management. WP 2: Design and Development of the interdisciplinary curricula for BME MSc studies: Requirements analysis; Curricula design according to recommendations and partner countries demands; Preparation of the content of courses; Laboratory/Infrastructure design and implementation, equipment procurement and installation.

Work Packages WP 3: Capacity building for Staff and preparation of Materials: Staff selection and training; Selection and Preparation of Educational and Teaching materials; Training seminars. WP 4: Implementation of the 4 BME MSc study Programs (Sep 2015): Implementation of the BME program in Armenia; Implementation of the BME program in Georgia; Implementation of the BME program in Moldova; Implementation of the BME program in Ukraine.

Work Packages WP 5: Dissemination and Sustainability: Design, development and regular updating of the web portals; Dissemination and Promotion of project results; Implementation of BME Programs Sustainability plans. WP 6: Project Quality Assurance: Establishment of the Projects QA Plan; Preparation of the projects internal guidelines for reporting and reviewing procedures; Implementation of the projects QA system.

Working Meetings Working Group Meeting, Yerevan, Armenia March 26-27, 2014

Working Meetings 1 st General Assembly and Kick-Off, Patras, Greece, April 28-29, 2014

Working Meetings Local Working Group Meetings, Yerevan, March 2014 May 2015 Local Working Group Meeting, Varna, Bulgaria, July 24-24, 2014

Working Meetings MBEC Special Session on BME Education Tempus BME-ENA Project & 1 st Steering Committee Meeting, Dubrovnik, Croatia, September 9-10, 2014

Curriculum Main features of the future Joint Master s Program in BME in Armenia: Joint MSc: 4 semesters, 120 credits; Core Topics (Biomaterials, Biomedical Data & Signal Processing, Biomedical Instrumentation & Sensors, Medical Imaging, ICT in Medicine & Healthcare, Clinical Engineering, Cell & Tissue, Gene & Molecular Engineering, as well as basic subjects: Biology, Biochemistry, Human Anatomy, Physiology, Biophysics, Math, Computer Science), and a number of Elective Topics; The subjects will be taught by both local and EU partners faculty; Mobility of the new program students to the EU partner universities; Professional Development Courses (e.g., on telemedicine and ehealth); Joint and Double Degrees between Armenian and European Universities.

Term Lectures (Core Activities: Topics and Elective Curriculum Topics) Development N R A E ECTS(hours) 1 Biology & Biochemistry X 3 (90) Human Anatomy & Physiology X 4 (120) Biophysics including Biomechanics X X 2 (60) Mathematics in Engineering X X 4 (120) Computer Science Software & Programming X X 4 (120) Basics of Electronics X 4 (120) Language (EN, FR, DE) X X 2 (60) Bioethics, Humanities X 2 (60) Diagnostic & Therapeutic Methods X 2 (60) History & Fundamentals of Modern Science & Technology X 2 (60) Biomedical Informatics X 5 (150) Elaboration of a Master s Thesis X 5 Subtotal 30 (900)

Term Lectures (Core Activities: Topics and Elective Curriculum Topics) Development N R A E ECTS(hours) 2 Biomedical Data & Signal Processing X 6 (180) Medical Imaging & Image Processing X X 4 (120) Biomaterials, Artificial Organs, Prostheses X 4 (120) Biomedical Instrumentation & Sensors X 4 (120) Health Technology Assessment, Regulation and Standards X 2 (60) Modeling & Simulation X 4 (120) Cell & Tissue Engineering X 6 (180) Computer Science Software & Programming X 4 (120) Language (EN, FR, DE) X 2 (60) Research Methodology X 2 (60) Elaboration of a Master s Thesis X 10 Subtotal 30 (900)

Term Lectures (Core Activities: Topics and Electives) Curriculum ENGINEERING Development N R A E ECTS(hours) 3 ICT in Medicine and Healthcare X 4 (120) Biomedical Instrumentation & Sensors X 4 (120) Clinical Engineering X 8 (240) Medical Physics, Radiotherapy, Radiation Protection X 4 (120) Health Technology Assessment, Regulation & Standards X 2 (60) Telemedicine & Telehealth X 2 (60) Healthcare Organization & Management X 2 (60) Patient Safety & Hospital Environment X 2 (60) Research Methodology X 2 (60) Biomedical Statistics & Data Analysis X 2 (60) Biomedical Research Methods X 2 (60) Elaboration of a Master s Thesis X 5 Subtotal 31 (930)

Term Lectures (Core Activities: Topics and Electives) Curriculum BIOENGINEERING Development N R A E ECTS(hours) 3 ICT in Medicine and Healthcare X 4 (120) Artificial Intelligence and Neural Networks X 4 (120) Gene & Molecular Engineering X 6 (180) Bionics, Biocybernetics, Robotics X 4 (120) Radiation Biology X 4 (120) Nanotechnologies in Medicine X 4 (120) Telemedicine & Telehealth X 2 (60) Healthcare Organization & Management X 2 (60) Patient Safety & Hospital Environment X 2 (60) Research Methodology X 2 (60) Biomedical Statistics & Data Analysis X 2 (60) Subtotal 30 (900)

Term Lectures (Core Activities: Topics and Electives) Curriculum ENGINEERING Development N R A E ECTS(hours) 4 Diagnostic Radiology X 3 (90) Bionics, Biocybernetics, Robotics X 4 (120) Modeling and Simulation X 4 (120) Biomedical Acoustic and Optical Electronics X 4 (120) Nanotechnologies in Medicine X 4 (120) Elaboration of a Master s Thesis X 5 Subtotal 29 (870) Term Lectures (Core Topics and Electives) BIOENGINEERING ECTS(hours) 4 Elaboration of a Master s Thesis X 30 Subtotal 30 (900) TOTAL 120 (3600)

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