“VC” Your Event Live!

Vmukti’s TELEMEDICINE APPROACH

Redefining Scalability and Utility of Telemedicine

Solutions

December 2010

Background– Definition– History– Usage– Legal Framework– Design Criteria – Solution Components

Current Solution Challenges

Vmukti’s Approach to Telemedicine Solution– Solution Overview– High Level Architecture– Benefits

Agenda

Telemedicine - Definition

"rapid access to shared and remote

medical expertise by means of

telecommunications and information

technologies, no matter where the

patient or relevant information is located”*

*The European Commission’s health care Telematics program

Telemedicine - History

1924 – First Public Exposition of Telemedicineon Radio News Magazine cover

1906: ECG Transmission investigation by Einthoven, the father of electrocardiography

1922: Radios to link physicians and sailors on ships at sea in Sweden

1924: Radio News Magazine in April 1924 issue talked first time publicly about Telemedicine

1955: The Nebraska Psychiatric Institute used closed-circuit television for Telepsychiatry

1967: Massachusetts General Hospitalfor providing health services at airport

1970s: Multiple NASA initiatives, remote Alaskan and Canadian villages connected over satellite

Telemedicine - Usage

Extending Healthcare Organization’s Reach

Bridging Urban-Rural Divide

Healthcare Hub

Home Care

Chronic Care

Second Opinion

PartnerChain

Center-1

MedicalCollege

ContinuousEducation

DiseaseManagement

Telemedicine related legal

framework

Licensure

Liabilities Transparency

Privacy

Services-Scope Quality

Payment

Penalties

Design Criteria

Type of Care

Medical Requirements

Remote Point Infrastructure

Patient Profile

• Primary Healthcare

• Second Opinion / Expert Connect

• Chronic Care

• Disease Profile

• Quantum of services

• Employees Only

• General Public

• Both

• Availability of Medical Practitioner

• Proficiency of Technician

Solution Components

VIDEOCONFERENCING

TELEMEDICINESOFTWARE

TELEMEDICINEEQUIPMENTS

Current Solution Challenges

• Scalability – One-to-one infrastructure inhibits rapid creation and management of infrastructure

• Infrastructure Sharing - Limited possibility of sharing between different institutions

• Inflexibility of Solution – Doctors are tied to the video conferencing room for conducting sessions

• Limited Coverage - both geographical as well as from Medical Specialties perspective

Virtual OPD

Physician

Eye Specialist

Gynecologist

Psychologist

VMukti’s Approach - Virtual OPD

Center-1

Center-3

Center-2

Request

ManageQueue

Queue

Conduct Consultation Session

PC

Internet

PC

PC

PC

Internet

PC

Internet

Location #1

Location #n

Host Location

Location # 2

VMukti’s LMS

Solutions overview

VMukti LMS in VMukti

US Data Center

Connectivity Diagram

Key Benefits

Benefits

• Easy Scalability – Doctor &Patient side end points can beadded easily at less cost

• Better Spectrum of MedicalServices – Deliver multiplespecialties simultaneously

• Increased Flexibility –Specialists can conduct sessionsfrom where ever they want

• One backbone – Differentinstitutions can share theirpatient end points through oneback bone

Challenges

• Scalability – One-to-one infrastructure inhibits rapid creation and management of infrastructure

• Limited Coverage - both geographical as well as from Medical Specialties perspective

• Inflexibility of Solution –Doctors are tied to the video conferencing room for conducting sessions

• Infrastructure Sharing - Limited possibility of sharing between different institutions

Full Screen Video Streaming Without Jitters

At 100kbps So That Even Rural India Can Connect

That Works With Data Card, Dial Up And Broadband

And Provides Moderated Interactivity With Host For Effective Q&A using

Audio, Video or Chat

Very easy to use with no install and no downloads

Which Is Highly Scalable To Thousands Of Participants

– Tested for around 15,000 Login IDs in a single instance

– Multiple Live Channels

At Low Cost At Both Host As Well As Client Side

And Is Very Easy To Set Up

With Saas Pricing Model to Make it Affordable for Everyone

Security Features to Prevent Copy / Record of Live Video by Participants

– No Proprietary Equipments Needed

– No large investments in Capital Expenses; Easy to scale up and down

Works across corporate firewalls and Proxies

We also provide Audit Reports & Live Monitoring

& More To Come….

What does 1vc.tv offer?

VMukti Proprietary - Must not copy without Permission.

Right Solution for Developing Counties …

Right Solution for Untapped Opportunities

Live Streaming on Intranet/ Internet

VMukti Proprietary - Must not copy without Permission.

Connectivity: 50kbps –256 kbps

Access to VMukti LMS can be made

available to all participant locations

via the intranet/ internet.

Location 1 Location 2 Location N

Center 1

Center 2

Center 3

Feed

Audio Feed

Video Feed

bandwidth at

each viewing

location

Internet

VMukti LMS in VMukti

US Data Center PC/Laptop with

VMukti Encoder

Input from Camera

– RCA/ USB

Public Address

System

Internet

Benefits Throughout Any Organization

• Enjoy faster time to market

• Reduce costs and CO2 footprint

• Increase shareholder value

• Maximize revenue and profitabilityFin

ancia

l

• Develop closer integration

• Build trust and rapport remotely

• Increase partner satisfaction

• Reduce partner attritionPart

ners

• Better, faster decision making

• Improve work-life balance

• Increase employee satisfaction

• Recruit faster; reduce turnover

Em

plo

yees

• Improve productivity

• Increase efficiency

• Encourage innovation

• Competitive advantageWork

flow

Interface

Event Screen

VMukti Proprietary - Must not copy without Permission.

Key Message

Reached Thousands of Participants Across 110 locations and 70 countries

“This technology provides all features to give a real classroom type environment to

both the students as well as the faculty hence it can be very well said it's a complete

food in one Meal”

Client Name: Indian Institute of Management – Ahmedabad (IIM-A)

26

VMukti Proprietary - Must not copy without Permission.

Case: Webcasting of Major Events

Key Message

Proven Technology, Enormous Scale (60000 viewer’s in Vibrant Gujarat) without

High Capital Expenses

“As it was projected on a big screen real-time, it was like sitting in front of Buddhist

leaders and listening to their message,” said a student of GFSU”-Jayendrasinh Solanki, Student, GFSU

27

VMukti Proprietary - Must not copy without Permission.

We have developed a disruptive service which is required by educational

institutes, enterprises, government and all kinds of businesses you can

think of…

Technology which is built to cater specific problems of India makes

Webcast accessible & affordable

Technology is Proven; Enough Empirical Evidence

Risks are low and gains are high

In Summary…

Interested Links

VMukti Proprietary - Must not copy without Permission.

Linkedin

http://in.linkedin.com/in/hardiksa

Twitter

http://twitter.com/hardiksa

http://twitter.com/VMukti

ET

http://bit.ly/1uCYpA

Techcrunch

http://bit.ly/10qdax

Home

http://www.VMukti.com