C Current status of Telemedicine Network in t t t f T l di i N - - PowerPoint PPT Presentation

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C Current status of Telemedicine Network in t t t f T l di i N - - PowerPoint PPT Presentation

C Current status of Telemedicine Network in t t t f T l di i N t k i India and Future perspective Prof. S K Mishra, MS, FACS Head Dept of Endocrine Surgery & Head, Dept. of Endocrine Surgery & Faculty I/C, SGPGI Telemedicine


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C t t t f T l di i N t k i Current status of Telemedicine Network in India and Future perspective

  • Prof. S K Mishra, MS, FACS

Head Dept of Endocrine Surgery & Head, Dept. of Endocrine Surgery & Faculty I/C, SGPGI Telemedicine Programme Sanjay Gandhi Postgraduate Institute of Medical Sciences (SGPGIMS) Lucknow,India skmishra@sgpgi.ac.in

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Content Content

  • Brief review of Application of Telemedicine Project around the country
  • Nation wide Telemedicine Network

– IDSP – National Rural Telemedicine Project – ONCONET India – Proposed layout of National Medical College Network

  • International Telemedicine Network

– SAARC Telemedicine Network – PAN AFRICA Network

  • m-Health in India

– Mobile eHealth units for specific health conditions – General Purpose Mobile Telemedicine Units Wi l M bil H lth S t – Wireless Mobile Health System

  • Opportunities and Challenges

Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011

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Brief overview of telemedicine Brief overview of telemedicine project around the country

Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011

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Major Implementing Agencies Major Implementing Agencies

Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011

4

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Indian Space Research Organization

Since - 2001

  • Satellite Telemedicine Network
  • Satellite-Telemedicine Network

through Indian Satellite System (INSAT) (INSAT)

  • Collaboration with state

t governments

  • 439 nodes across the country – 17

Mobile Vans

  • Free satellite bandwidth

www isro org/scripts/telemedicine aspx www isro org/scripts/telemedicine aspx

Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011

www.isro.org/scripts/telemedicine.aspx www.isro.org/scripts/telemedicine.aspx

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ONCONET Kerala

C C f R l M Cancer Care for Rural Masses

Free Satellite i i communication link & Bandwidth provided by ISRO Satellite : INSAT 3C Antenna : 3.8 m Carrier : Extended C Band Bandwidth : 384 kbps Backup Link 128 Kbps ISDN connection

Active Nodes

  • Kannur,

128 Kbps ISDN connection

,

  • Kochi,
  • Palakkad,
  • Kozhencherry

Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011

  • Kollam
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OncoNET Kerala- Year 2003

  • Regional Cancer Centre, Trivandrum
  • 5 peripheral centers linked
  • No. of Follow-up pts -13566

(yr 2004 onwards)

  • CMEs- 53 & Panel Discussion – 33
  • Nursing training prog. – 41
  • Didactics talk – 13
  • Didactics talk – 13
  • Public Awareness campaigns - 14

Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011 www.rctvm.org

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Tele-onconet

Regional Cancer Centre, Thiruvananthapuram Tata Memorial Hospital, Mumbai

  • Total Nodes: 8

Thiruvananthapuram

  • Total nodes-5
  • Connectivity – VSAT
  • Activities: Tele Follow up
  • Total Nodes: 8
  • Connectivity: VSAT
  • Activities: Tele-consultation

/ Follow up and CME

  • Activities: Tele-Follow up,

Tele-CME, Panel Discussions, Nurses Training programs, talks by doctors of RCC, Cancer Awareness / Follow up and CME

  • Platform- Data Sharing, VC,

Tele-pathology / Radiology ,

http://www.rcctvm.org/Telemedicine.htm http://tmc.gov.in/misc/aboutus.htm

UP Tele-radiotherapy Network

T l N d 2

RCC, Adyar , Chennai

  • Total Nodes – 2

(1st Phase)

  • Connectivity: ISDN
  • Total nodes: 7
  • Connectivity: ISDN & VSAT
  • Activities: Tele-consultation

y

  • Activities:Tele-education

& Tele-CME

  • Activities: Tele-consultation

& Tele-follow up Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011

http://www.cancerinstitutewia.in/

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Tripura Tele-ophthalmology Project p p gy j

  • Tripura Tele-ophthalmology (Vision) Centres set up in Blocks to

p p gy ( ) p provide eye-care to patients at door-steps

  • Linked to IGM Hospital through Tele-medicine infrastructure.

Started in April 2007; 35 Centres set up so far

  • Started in April 2007; 35 Centres set up so far
  • 5 Blocks (Korbook, Jampui Hills, Dasda, Chawmanu and Bishalgarh)

yet to be covered.

  • Over 71,000 patients screened upto August 10, of which 5,092 patients

referred to Referral Hospital (IGM Hospital) Average number of patients per Centre per month: around 100

  • Average number of patients per Centre per month: around 100.
  • National e-Governance Gold Award for 2009.

Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011

9 http://www.ilfsindia.com/projects1.asp?Category=2&Project=12&subLink=125 http://www.ilfsindia.com/projects1.asp?Category=2&Project=12&subLink=125

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Current Status

  • 40-50 ophthalmalic centers are connected to tertiary center
  • Mobile vans with satellite connectivity providing ophthalmic

y p g p care at doorsteps.

Sankara Nethralaya, Chennai 2 Aravind Eye Hospital Madurai 1 Agarwal Eye Hospital 1 Agarwal Eye Hospital, Chennai 1 Chaitanya Hospital, Cochin 1

www.drmohandiabetes.com

Prabha Eye Clinic, Bangalore 1

Blindness Prevention Initiative

Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011

Blindness Prevention Initiative Diabetic Retinopathy Screening

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Mobile Tele-ophthalmology Programs Mobile Tele ophthalmology Programs

Shankara Nethralaya, Chennai Aravind Tele-Ophthalmology Network

  • Total Mobile Unit: 4 (Karnataka, Andhra

Pradesh, Tamil Nadu & Maharashtra)

  • Connectivity: VSAT
  • Mobile Unit: 1
  • Connectivity :VSAT
  • Connectivity: VSAT
  • Activities: Eye check up, tele-consultation,

educating about eye care, Teaching & Training for local Ophthalmologist / y

  • Activities: Diabetic Retinopathy Assessment

& Grading Over Network g p g General Physicians / Optometrists / Opticians / Nurses & teachers

  • Tele-education & Tele-CMEs – nodes -3

Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011

http://www.sankaranethralaya.org/tele_mobile.htm www.aravind.org/Telemedicine/mobilevan.htm

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Tele-cardiology gy

Asia Heart Foundation Kolkata & F ti h lth N t k & Asia Heart Foundation Kolkata & Narayana Hrudayalaya, Bangalore

  • Total Nodes: 20

Fortis healthcare Network & Escort Heart Institute, New Delhi

  • Total Nodes: 12 satellite/heart
  • Pan African e-Network
  • Connectivity : VSAT/ ISDN/ PSTN
  • Activities: Tele-consultation & VC,

command centers Activities: Tele consultation & VC, Tele-CME

Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011

www.narayanahospitals.com/tele_medicine_centers.html

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Nation Wide Telemedicine Networks

Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011

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Disease Surveillance Integrated Disease Surveillance Project (IDSP)- Year 2004

  • EDUSAT Satellite

Current status

  • Decentralized state based surveillance

Current status

  • Data Centre - 750 locations

system for communicable & non communicable diseases

  • Connectivity - 559 locations
  • Training Centre

communicable diseases

  • Improve the efficiency of surveillance

– NIC 218 / 400 sites – ISRO 297 / 400 sites activities, detect disease trends, – ISRO 297 / 400 sites

  • 38 Hi-End VC Equipments (Multi

f ) evaluate control strategies of the disease control programmes conference 5 nodes) - between CSU and States/UTs HQ

Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011

disease control programmes

http://idsp.nic.in/

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National Rural Telemedicine Project National Rural Health Mission ( Framework developed)

  • Design, development and implementation of

– Low cost rural telemedicine infrastructure – Village Tele-ambulance System and rural emergency healthcare services / Trauma care module – Rural Health Knowledge Resource through web portal and e-CME module f f – Technology platform for harvest, compilation, storage (Data Base) at Regional District Hub and Central Data Center at MOH & FW archive and distribution across Center at MOH & FW, archive and distribution across network

Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011 www.mohfw.nic.in www.mohfw.nic.in

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ONCONET-India

Ministry of Health & Family Welfare (Govt. of India)

ONCONET KERALA

ONCONET INDIA INDIA

27 RCCs & 108 Peripheral 27 RCCs & 108 Peripheral Cancer Centers (PCC) in India (Under implementation)

  • Dept. of Information Technology

Ministry of Health & FW

Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011

p gy

  • Govt. of India

Ministry of Health & FW

  • Govt. of India
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ONCONET India ONCONET India

U d N ti l C C t l

  • Under National Cancer Control

Programme Nationwide Tele-oncology Network in India

Chandigarh Chandigarh Chandigarh Chandigarh Chandigarh Chandigarh Chandigarh Chandigarh Chandigarh Shimla Shimla Shimla Shimla Shimla Shimla Shimla Shimla Shimla Shrinagar

ONCONET

  • To facilitate early detection of cancer

patients across the country through peripheral centers, delivery of t l di i i t th ti

Allahabad Allahabad Allahabad Allahabad Allahabad Allahabad Allahabad Allahabad Allahabad Lucknow Lucknow Lucknow Lucknow Lucknow Lucknow Lucknow Lucknow Lucknow Gwalior Gwalior Gwalior Gwalior Gwalior Gwalior Gwalior Gwalior Gwalior Delhi Delhi Delhi Delhi Delhi Delhi Delhi Delhi Delhi Rohtak Rohtak Rohtak Rohtak Rohtak Rohtak Rohtak Rohtak Rohtak Bikaner Bikaner Bikaner Bikaner Bikaner Bikaner Bikaner Bikaner Bikaner Guwahati Guwahati Guwahati Guwahati Guwahati Guwahati Guwahati Guwahati Guwahati Patna Patna Patna Patna Patna Patna Patna Patna Patna Imphal Imphal

INDIA

telemedicine services to them, creation

  • f cancer patients' register, Electronic

Health Records (EHR), Continued Medical Education (CME)

Aizwal Aizwal Aizwal Aizwal Aizwal Aizwal Aizwal Aizwal Aizwal Raipur Raipur Raipur Raipur Raipur Raipur Raipur Raipur Raipur Nagpur Nagpur Nagpur Nagpur Nagpur Nagpur Nagpur Nagpur Nagpur Cuttak Cuttak Cuttak Cuttak Cuttak Cuttak Cuttak Cuttak Cuttak Kolkata Kolkata Kolkata Kolkata Kolkata Kolkata Kolkata Kolkata Kolkata Ahmadabad Ahmadabad Ahmadabad Ahmadabad Ahmadabad Ahmadabad Ahmadabad Ahmadabad Ahmadabad Imphal Imphal

Medical Education (CME) programmes, R & D works etc..

  • Connect 27 Regional Cancer Centres

ith 4 i h l di t i t

Hyderabad Hyderabad Hyderabad Hyderabad Hyderabad Hyderabad Hyderabad Hyderabad Hyderabad Mumbai Mumbai Mumbai Mumbai Mumbai Mumbai Mumbai Mumbai Mumbai

with 4 peripheral district hospitals/medical colleges for each RCC across the country

Bangalore Bangalore Bangalore Bangalore Bangalore Bangalore Bangalore Bangalore Bangalore Chennai Chennai Chennai Chennai Chennai Chennai Chennai Chennai Chennai Kanchipuram Pondicherry Pondicherry Pondicherry Pondicherry Pondicherry Pondicherry Pondicherry Pondicherry Pondicherry Thi th Thi th Thi th

Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011

Thiruvananthapuram Thiruvananthapuram Thiruvananthapuram Thiruvananthapuram Thiruvananthapuram Thiruvananthapuram Thiruvananthapuram Thiruvananthapuram Thiruvananthapuram

http://onconet.nic.in/

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U.P. State Telemedicine Network

  • Department of Medical Education,

G t f U P t U P M di l

  • Govt. of U.P. setup U.P. Medical

Colleges Telemedicine Network.

  • School
  • f

Telemedicine & Bi di l I f ti SGPGIMS Biomedical Informatics, SGPGIMS, Lucknow entrusted the job

  • f

designing the technical architecture and System requirement and System requirement

  • National

Co-operative Consumer Federation of India Ltd. (NCCF) id tifi d t i l t th was identified to implement the project.

  • The

pilot phase has been l t d ith d l t f completed with deployment

  • f

telemedicine infrastructure in Medical Colleges at Allahabad, Kanpur and Meerut

Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011

Kanpur and Meerut.

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Design of UP Medical College Network

WAN & LAN & Digital Library Network WAN & LAN & Digital Library Network Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011

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Proposed National Medical College Telemedicine National Medical College Telemedicine Network Architecture

Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011

20

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Design of National Medical College Network

WAN & LAN N t k WAN & LAN Network

National Resource Center

Apex Medical Institutions

Medical Colleges

Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011

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National HUB at SGPGI, Lucknow at o a U at SG G , uc

  • Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011
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Network Monitoring & Data Storage et o

  • to

g & ata Sto age

Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011

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International Telemedicine Networks

Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011

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Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011 http://www.jdwnrh.gov.bt/?page_id=69

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SAARC Telemedicine Network

  • Ministry of External Affairs, Govt. of

India India

  • Implementing Agency:

Telecommunications Consultants India Ltd (TCIL)

  • Ltd. (TCIL)
  • Connectivity: Satellite & fiber optic

network N t ki f /t h it l i

  • Networking of one/two hospitals in

each of the SAARC countries with 3-4 Super Specialty hospitals in India C S

  • Current Status: JDWNRH, Bhutan ,

Indira Gandhi Child Hospital, Kabul, Afghanistan & Patan Hospital, K th d N l ith SGPGIMS Kathmandu, Nepal with SGPGIMS, Lucknow & PGIMER, Chandigarh with academic activities

Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011

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Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011

www.panafricanenetwork.com

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PAN Africa Network

Ministry of External Affairs, Govt.

  • f India
  • Implementing Agency: TCIL
  • 53 countries of the African Union
  • Connectivity: Satellite & fibre optic

network network

  • Activities: tele-healthcare & tele-

education

  • Current status: 47 African countries
  • Current status: 47 African countries

joined the project

Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011

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mHealth in India

Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011

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1st Mobile eHealth System & Disaster Management Kit y g

Prototype of First Mobile eHealth System developed. Suitcase and Mobile Van were developed and demonstrated. ISDN as Communication Media Designed and Developed as P.O.C. used in Gujarat Earthquake

Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011

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Mobile eHealth units for specific Mobile eHealth units for specific health conditions

Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011

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Shankar Nethralaya Tele-Opthalmology Unit y p gy

WDF Mobile Unit in Karnataka Vidarbha Mobile Unit at Maharastra ISRO Mobile Unit at Maharastra

htt // k th l /

Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011

Vidarbha Mobile Unit at Maharastra

http://www.sankaranethralaya.org/

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Mobile Refraction Unit Mobile Refraction Unit

Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011

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Aravind Mobile Eye Screening VAN Aravind Mobile Eye Screening VAN

  • ISRO Connectivity
  • Known Diabetic Pts are collected by

Physician

  • Recorded in a specialized software

Recorded in a specialized software “EyeTalk” & transmitted to the reading grading center at Base Hospital

Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011 http://www.aravind.org/telemedicine/va.htm

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Satellite Based Mobile Telemedicine Unit

Asia Heart Foundation, Kolkata Chitrakoot, MP Gangaram Hospital, New Delhi

Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011

http://laico.org/v2020resource/files/remote_rural_population.htm

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Madras Diabetes Research Foundation (MDRF)

  • Collaboration between MDRF, World Diabetes

, Foundation and ISRO.

  • Serves 42 villages (in and round Chunmpet

village) in Kancheepuram District, Tamilnadu, I di India.

  • The experts testing, diagnosis, medicines and

even laser surgery are at door step Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011

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Tele-Oncology Unit M l b C C S i t K Malabar Cancer Care Society, Kannur

Comprehensive Disease Control Activities Through Early Detection Treatment & Awareness Building for Cancer Detection, Treatment & Awareness Building for Cancer Cancer, AIDS, TB, Cardiac diseases & Pre and post natal requirements. ‘Sanjeevani’ is a Mobile Tele Oncology unit with satellite Sanjeevani is a Mobile Tele Oncology unit with satellite communication link, advanced diagnostic and treatment equipments, telemedicine infrastructure, software for Electronic Health Record e-Health Card for patients etc Electronic Health Record, e Health Card for patients etc. aimed to provide telemedicine services for early cancer detection, follow up consultation, treatment of cervical cancers and awareness building to rural masses at five ca ce s a d a a e ess bu d g to u a asses at e northern districts of Kerala.

Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011

http://cancercaremccskannur.org/

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Interior view of Tele-Oncology Unit gy

Laboratory

Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011

Videoconference Station Operation Table for Colposcopy and cauterization for early cervical cancer

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Equipment installed inside mobile van, Patient Access Door and Satellite External Unit Housing Door and Satellite External Unit Housing

M bil Ul d d X U i Colposcopy Unit used for early Mobile Ultrasound and X-ray Unit Colposcopy Unit used for early detection

  • f Cervical Cancer & intervention

Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011

Patient Access Door Satellite external Unit housing

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Regional Institute of Ophthalmology “Sunayanam” A Tele ophthalmology Unit Sunayanam – A Tele-ophthalmology Unit

  • Regional Institute of Ophthalmology
  • Regional Institute of Ophthalmology

(RIO), Trivendrum

  • Designed and implemented by C-

DAC

  • Well-equipped to carry out complete
  • phthalmic examination
  • phthalmic examination.
  • Further assistance are met with by

contacting the specialists at RIO by f id f i way of videoconferencing

  • Equipped with photo slit lamps.

http://www yentha com/news/view/1/2724

Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011

http://www.yentha.com/news/view/1/2724

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General Purpose General Purpose Mobile Telemedicine Unit

Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011

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General Purpose Mobile Telemedicine Unite

Sri Ram Medical College, Amrita Institute of Medical Sciences, C hi

Sri Ram Medical College, Chennai & Amrita Institute of Medical Sciences

g , Chennai General Purpose Rural Tele-health Clinic with ISRO Antenna & VSAT i i Cochin AIMS Hospital’s Mobile Telemedicine Unit is the size of a city bus and includes X-ray facilities ECG scanner pathology lab work connectivity facilities, ECG scanner, pathology-lab-work facility, specialty cardiac services and a telemedicine satellite link with AIMS Hospital. Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011

http://www.srmc.edu/telemedicine.htm

http://www.aimshospital.org/hospital/cdh/facilities_telemedicine.php#8

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Application of AIMS Telemedicine Van Tele health service in Koshi flood affected Area Tele-health service in Koshi flood affected Area

First used in tsunami-relief work in Kerala and Tamil Nadu. Direct Relief International ( a U.S based NGO) has supported in setting up of this van while Indian Space Research Organization Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011 based NGO) has supported in setting up of this van while Indian Space Research Organization ( ISRO) provides the satellite-technology and connectivity

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Apollo Telemedicine Network Foundation p

  • Jointly undertaken by ISRO, Philips India,

y y , p , Apollo Telemedicine Networking Foundation (ATNF) and the Madurai based NGO, Development of Human Action (DHAN)

  • A tele clinical van equipped with diagnostic
  • A tele-clinical van, equipped with diagnostic

equipment provided by Philips India. The van has an ultrasound machine, an X-ray, a defibrillator and an ECG machine

  • ISRO is providing the connectivity through

VSAT

www.medetel.lu/download/2010/.../Growth_and_Development.pdf

Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011

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Wireless Mobile Health System

Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011

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Wireless Mobile Health System y

  • Evolution
  • f

wireless communication

  • Evolution
  • f

wireless communication technologies have enabled telemedicine systems to operate in the remotest place for systems to operate in the remotest place for rural health practices hence expanding telemedicine benefits applications and telemedicine benefits, applications, and services.

  • In India majority of the people are living in the

rural and remote locations where even the basic facilities are not available for the society.

Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011

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3G enabled mHealth Apollo Telemedicine Network Foundation Apollo Telemedicine Network Foundation

Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011

http://www.medetel.lu/download/2010/parallel_sessions/presentation/day1/mHealth_Bridging.pdf

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C-DAC Mohali : Tele-Ophthalmology Van

Mobile Tele-Ophthalmology Van is equipped with various equipments like Slit lamp, auto-refractometer, tonometer, ophthalmoscope, retinoscope and a wireless internet enabled computer with which the user can connect to internet at anytime and anywhere in the field to transfer the captured images of patient’s eyes and other related data through the software e-Sanjeevani

Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011

patient s eyes and other related data through the software e-Sanjeevani http://www.cdacmohali.in

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mHealth4u Suitcase and backpack model School of Telemedicine & Biomedical Informatics SGPGIMS School of Telemedicine & Biomedical Informatics, SGPGIMS

Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011

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Integrated Medical Equipments PC Interface: USB & Bluetooth

Blood Pressure Digital Glucometer Common Interface Spirometer Wrist Clinic Wrist Clinic Weighing Machine SPO2

Atom based Low Cost Laptop with Integrated Telemedicine Software

ECG

Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011

Connectivity via High Speed Broadband (HSB)

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Opportunities and Challenges Opportunities and Challenges

Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011

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Opportunities Opportunities

  • Vast and diverse geography with dominant

rural population

  • Disparity in healthcare infrastructure
  • Low

cost local technical solution & ICT

  • Low

cost local technical solution & ICT expertise Fast adoption of Mobile technology

  • Fast adoption of Mobile technology
  • Successful pilot projects
  • Policy on adoption of ICT in service delivery

Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011

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Challenges 1 g

N ti l H lth P li

  • National e Health Policy
  • Evaluation & Identification of Best Telemedicine

Practices

  • Confidentiality & Security of Personal Health Record
  • Credentials and competence of the remote physician

Credentials and competence of the remote physician

  • Legal, ethical and social issues yet to be addressed
  • Broadband internet yet to reach rural areas

NGN lik Wi M d 3G t t b l h d

Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011

  • NGN like Wi Max and 3G yet to be launched
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Challenges 2 Challenges 2

  • E-health adoption by stake holders

p y

  • e-Health Program sustainability Models
  • Inter-operability of e Health system
  • Integration into prevailing Health System
  • Integration into prevailing Health System
  • Development of National e-Health Observatory
  • Capacity Building in e-health System
  • Research & Development in e-health technology and

system appropriate for local situation with global impact

Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011

y pp p g p

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School of Telemedicine & Biomedical Informatics

Thank you

Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011

www.nrct.in | www.telemedindia.org | www.stbmi.ac.in | www.sgpgi-telemedicine.org National Resource Center