ewave MD First Primary Care\ Remote Consultation in Rural Areas: The New Health Delivery Channel - From Theory to Practice VIRTUAL CONSULTATION PLATFORM Med@Tel April 2011 Roberto Schliesser VP Telemedicine Solutions ewave MD schliesser@ewavemd.comcom
AGENDA About ewavemd ewave MD ehealth platform Market overview Remote Virtual Consultation Workflow example Business model
ABOUT ewavemd An international company developing web-based medical applications since 1999. Part of the ewave Group, an integrator and provider of software solutions, employing 400 software professionals. Our solution serves more than 1K physicians and 3M patients.
ACCUMULATIVE EXPERIENCE 2001-2,000,000 patients t PHR 2003 Large Scale Healthcare SOA implementation (IHE) 2003 Patient Information Kiosk 2004 Centralized Web-Based EHR (1,500 physicians) 2005 Remote Cardiac Diagnostics 2006 ewave MD spinoff 2006 PQRI & EHR for the USA Market (ehealth Made Easy) 2007 Home Based CHF Disease Management 2009 Remote Consultation (India) 2010 Full ONC Certification (Meaningful Use)
ONE PLATFORM, MULTIPLE SOLUTIONS Disease Management Remote Virtual Consultation Home Care ewavemd Unified e-health Platform Remote Diagnostics esched PHR EMR ARTEC (Advanced Rural Telemedicine Clinic)
THE ehealth PLATFORM PRODUCT LINE
OUR PLATFORM S ADVANTAGES Fully browser-based platform to enable accelerated implementation of electronic medical record solutions Off-the-shelf h software modules and accelerators Rule-Based Engine at the user level for maximum customization Multiple segment solutions
ONE PLATFORM: FROM DEVELOPING TO DEVELOPED WORLD SOLUTIONS The platform supports a wide range of solutions, from basic needs in India to more complex demands in the US. ehealth platform Progress Note - US vs. INDIA US - ehealthmadeeasy India - OTTET virtual consultation ti
WORLD STATUS 3.4 billion people live in rural environments with minimal or no Healthcare infrastructure Source: Un World urbanization prospects 2009.
RURAL HEALTH STATUS Public health systems fail to deliver basic health services Lack of infrastructures Shortage of qualified medical personnel Wide target area with limited accessibility Uneducated manpower
RURAL HEALTH STATUS - UN MDG The Target MDG s and general goals: Child health Maternal Health Reduce by two thirds between 1990 and 2015 the under-five mortality rate Reduce by three quarters the maternal mortality rate Achieve universal access to reproductive health Achieve by 2010 universal access to treatment for HIV/AIDS HIV \ Infectious diseases Reduce to half by 2015 and dbegin to reverse the incidence of malaria and other major diseases Reduce to half by 2015 and begin to Reduce to half by 2015 and begin to reverse the spread of HIV/AIDS
OUR GOALS Provide a new Health Delivery Channel for rural populations by enabling virtual medical services Improve availability and quality of medical care for rural populations Establish an environment for virtual medical services, which is easy and simple to implement and maintain Provide an IT infrastructure for additional medical services Create the infrastructure for a National Centralized EHR The Goal of the Mission (NRHM) is to improve the availability of and access to quality health h care by people, especially for those residing in rural areas, the poor, women and children.
THE MARKETS India, National Rural Health Mission (NRHM) In India in 2009-10 the Federal government has increased the support for NRHM, which aims to improve the availability and access to quality healthcare for people living in remote areas from Budget estimate of Rs.12,070 crore (US $2.7B) by Rs.2,057 crore (US $462M) China, New Rural Cooperative Medical Scheme (NRCMS) Funding for NRCMS is provided d by central and local l governments on a per capita basis (CNY20 in 2003, CNY80 in 2009) and rural residents contribute a fixed amount on a voluntary basis (CNY10 in 2003, CNY20 in 2009). UN Millennium Development Goals The UN and WHO are implementing variety of projects for strengthening rural healthcare project around the globe in order to mean the UN MDG.
THE SOLUTION Provide primary health care based on ewavemd Electronic Health Record (EHR) and Medical Video Conferencing at the village level Communications (Cellular, VSAT) Urban healthcare Medical clinic in the rural village
THE MEANS Provide primary care services in rural areas using ewavemd ehealth platform Centralized control Comprehensive Electronic Health Record (EHR) Single data source ARTEC Advance Remote Telemedicine Clinic (at the point of care) Medical Video Consultations Integrated Medical devices Consultation & Treatment workflows e-learning
THE VIRTUAL CONSULTATION SOLUTION
WHAT IS THE ARTEC? A proprietary hardware platform designed to provide remote consultation capabilities in a simple cost effective manner. Embedded Computer Video Conferencing Integrated Medical Devices Integrates Communications Simple to maintain Low cost
THE ARTEC (ADVANCED REMOTE TELEMEDICINE Clinic) Medical measurements 12 Lead ECG Single Lead ECG NIBP (Non Invasive Blood Pressure) Blood Saturation (SpO2) Body Temperature Breathing Rate Optional peripherals (Project Dependent) Electronic Stethoscope X- Ray Digitizer Pathology Microscope Others* (Flexible platform) Glucose meter Precision weight scale Pick flow (Spirometer)
THE VALUE PROPOSITION COUNTRY Strengthen rural services Controlled and centralized data source Nationwide statistics Detects t trends Detects disease outbreaks Fraud detection and prevention Basic infrastructure for a national EHR PATIENT Immediate access to medical consultation Affordable medical services Immediate response Time and money saving In 2009, the Indian government spent more money on transportation of rural population to the hospitals than on the medical treatment itself Telemedicon, 2010
THE VIRTUAL CONSULTATION SOLUTION National level Centralized EHR Province \ District level Rural level
THE VIRTUAL CONSULTATION SOLUTION
WORKFLOWS & SCREENSS
LOGIN PAGE
AGENT > HOMEPAGE
AGENT > PATIENT DEMOGRAPHIC
AGENT > INITIAL CONSULTATION
PROVIDER > HOMEPAGE
PROVIDER > INITIAL CONSULTATION
AGENT > INITIAL CONSULTATION CONT
MEASUREMENTS WIZARD
PROVIDER > SECONDARY CONSULTATION
PROVIDER > SECONDARY CONSULTATION CONT
AGENT > SECONDARY CONSULTATION
SUMMARY & PAYMENT
VIRTUAL ENCOUNTER WORKFLOW
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