Integrated Mobile Medical & Telemedicine/Telehealth Research Centers Copyright © 2005 CGI...
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Transcript of Integrated Mobile Medical & Telemedicine/Telehealth Research Centers Copyright © 2005 CGI...
Integrated Mobile Medical & Telemedicine/Telehealth Research
Centers
Copyright © 2005
CGI Communications Services, Inc.
CGI Communications Services, Inc.
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Integrated Mobile Medical & Telemedicine/Telehealth Research
Centers
IMPROVING HEALTH CARE ACCESS IN THE RURAL COMMUNITIES WITH MODERN TECHNOLOGY“TELEMEDICINE/TELEHEALTH AND MOIBLE MEDICAL CENTER PARADIGM”
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Executive SummaryTechnological innovations lead to applications development for enhancement of human life and its value, which largely remained limited to certain areas of the world creating Digital Divide.
Rapid development of telecommunication technology has given the opportunity for access to development system, irrespective of geographic distance, again such remained confined to urban population of many nations, creating Digital Access Divide (DãD).
The Rural Organ for Access to Development (The ROAD Project) is an initiative, to allow access to development tools for rural population in less developed areas of developing nations.
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Integrated Mobile Medical & Telemedicine/Telehealth Research
CentersMRI Unit
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Integrated Mobile Medical & Telemedicine/Telehealth Research
CentersGynecological Suite
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Integrated Mobile Medical & Telemedicine/Telehealth Research
CentersInterCare Vascular Diagnostic Center
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Integrated Mobile Medical & Telemedicine/Telehealth Research
CentersSpecial Procedure Unit
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Integrated Mobile Medical & Telemedicine/Telehealth Research
CentersRadiology/Nuclear Medicine Unit
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Integrated Mobile Medical & Telemedicine/Telehealth Research
CentersMini-Dental Unit
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Integrated Mobile Medical & Telemedicine/Telehealth Research
CentersConsulting Room
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Integrated Mobile Medical & Telemedicine/Telehealth Research
CentersMicrobiology Unit
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Integrated Mobile Medical & Telemedicine/Telehealth Research
CentersClinical Laboratory Unit
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Integrated Mobile Medical & Telemedicine/Telehealth Research
CentersDigital Mammography Unit
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Integrated Mobile Medical & Telemedicine/Telehealth Research
CentersTwo Bed ICU
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Integrated Mobile Medical & Telemedicine/Telehealth Research
CentersThree Bed Medical Ward
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Integrated Mobile Medical & Telemedicine/Telehealth Research
CentersOB-Delivery Room
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Integrated Mobile Medical & Telemedicine/Telehealth Research
CentersNeonatal ICU
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Integrated Mobile Medical & Telemedicine/Telehealth Research
CentersMini-Gym
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Integrated Mobile Medical & Telemedicine/Telehealth Research
CentersSpecial Hospital Layout
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Integrated Mobile Medical & Telemedicine/Telehealth Research
CentersAmbulatory Care Center Layout
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Executive Summary - Continued
The first program under the ROAD project is an Integrated Mobile Medical & Telemedicine/Telehealth Research Centers, a healthcare delivery and management vehicle for the developing countries.
The Mobile Medical Center which is built on a large van or trailer, epitomizes the Millennium initiative to bring healthcare technology closer to the beneficiaries in the rural population. The aim has been to bring advancements in modern medical sciences at the doorstep of the common man, who otherwise would have been neglected of its benefits.
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Executive Summary (continued)
• These private sector programs will empower development schemes of government and non-government machineries, to create a viable, visible and sustainable access mechanism, for continued development of rural population, as newer technologies evolve.
• This health care model will make it possible to provide state of the art comprehensive health care to the needy and poor people at their doorstep in remote areas of Latin American Countries practically at no cost to the recipients, since relatives abroad will underwrite the cost of services for the relatives at home.
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Mission
To harness the advanced efficiencies and capabilities of current medical, information, and communications technologies to improve the delivery of primary and specialized health care to rural populations.
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Objectives• Meet basic and primary health care needs of rural
communities.• Deliver expert medical services to rural doctors, nurses,
healthcare aids.• Provide network-based tele-diagnostic services and sample
collection for testing at advanced laboratories.• Assure timely intervention into disease processes.• Provide an intervention resource for disease.• Increase awareness for safe motherhood and childhood.• Improve patient compliance; reduce drug abuse.• Improve delivery and administration of prescription drugs.• Deploy each MMTTRC at a cost <US $500,000.• Provide support resources to rural medical professionals to
improve care delivery to their patients.• Elevate the rural economy by
– reducing morbidity rate and healthcare costs– reducing frequency and costs of travel for medical purposes– improving productivity
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HEAD QUARTER
FACILITIES
PHYSICIAN NETWORK IN DHAKA
REFERRAL HOSPITALS
IMAGING FACILITY
REFERENCE LABORATORY
INTERNATIONAL PHYSICIAN NETWORK
MEDIA: PRODUCTION / DISTRIBUTION
EDUCATION & TRAINING
RESEARCH
BROADBAND INTERNET
SUPPORT SERVICES
LOGISTICS
INTEGRATION END USERSDELIVERABLESWAREHOUSE
& DISTRIBUTIONNETWORK
PROCESS PORTAL
CORPORATE FINANCE
INTERNATIONALFINANCE
COLLABORATIVEFINANCE
BANKSFOREIGN & LOCAL
Mobile Medical & Telemedicine/Telehealth Research Center
DIA
GN
OS
TIC
ST
RA
ININ
GE
DU
CA
TIO
N &
AW
AR
EN
ES
SP
HA
RM
AC
YT
EL
EC
ON
SU
LTA
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N
Mobile Hospital Unit
Mobile Obstetric and GYN Unit
Mobile Surgical Unit
Mobile Radiology Unit
Mobile Trauma Unit
Mobile Surgical Center
RURAL MEDICAL CENTERS
RETAIL PHARMACY OUTLETS
GENERAL PRACTITIONERS
FIELD MEDICSPROCUREMENT &
SUPPLIERS
TELECOMMUNICATION
TRANSPORTATION & COURIER SYSTEM
ASSEMBLY & PACKAGING FACILITY
HEAD QUARTER
FACILITIES
PHYSICIAN NETWORK IN GUATEMALA
REFERRAL HOSPITALS
IMAGING FACILITY
REFERENCE LABORATORY
INTERNATIONAL PHYSICIAN NETWORK
MEDIA: PRODUCTION / DISTRIBUTION
EDUCATION & TRAINING
RESEARCH
BROADBAND INTERNET
SUPPORT SERVICES
LOGISTICS
INTEGRATION END USERSDELIVERABLESWAREHOUSE
& DISTRIBUTIONNETWORK
PROCESS PORTAL
CORPORATE FINANCE
INTERNATIONALFINANCE
COLLABORATIVEFINANCE
LOCAL PERSONNEL
Mobile Medical & Telemedicine/Telehealth Research Center
DIA
GN
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RA
ININ
GE
DU
CA
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N &
AW
AR
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ES
SP
HA
RM
AC
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EL
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ON
SU
LTA
TIO
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Mobile Hospital Unit
Mobile Obstetric and GYN Unit
Mobile Surgical Unit
Mobile Radiology Unit
Mobile Trauma Unit
Mobile Vaccination Unit
MMTTRC
PHARMACIST
GENERAL PRACTITIONERS
FIELD MEDICSPROCUREMENT &
SUPPLIERS
TELECOMMUNICATION
TRANSPORTATION & COURIER SYSTEM
ASSEMBLY & PACKAGING FACILITY
n
LOCAL CHAMBER OF COMMERCE
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SPECIALIST DOCTORS
200-500 DOCTORS
TERTIARY DIAGNOSTIC FACILITIES
MMTTRCRadiology Unit
MMTTRCOB-GYN Unit
MMTTRC Special Hospital
Unit
BROADBAND WIRELESS NETWORK
MOBILE & LAND PHONE
BASIC NETWORK FOR MMTTRC MEDICAL PORTAL (URBAN & RURAL)
PRIVATE MEDICAL INSTITUTIONS & FACILITIES
PUBLIC MEDICAL INSTITUTIONS & FACILITIES(SUBSIDIZED)
INDIVIDUAL PATIENTS
MEDICAL PORTAL
PBX
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Components of MMTTRC - Physical
MMTTRC
Doctor’s Office Telemedicine Pharmacy Laboratory
Computer
ICE Software
D-Camera
D-Stethoscope
D-Spirometry
Bar Code Reader
Electronic Record
Drug Advise
Printer
Sample Collection
Labeling
Centrifuging
Computer
Library
Monitoring System
Telephone Generator
Rapid Tests
Vasogram
Microscope
Mobile Doctor
ECG, BP, WeightPackaging and Courier
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Benefits• For Rural Patients:
Patient’s access to expert medical advice through Telemedicine
Improved care at lower cost (patient will spend ~40% of the cost compared to district level medical care)
Improved diagnoses: Advanced pathological services from rural health centers
Timely and accurate intervention and referral systems
Expanded formulary of quality prescription medications and services, used accurately.
Diagnostic needs met faster, and greatly reduced error, at half current cost.
Disease monitoring services for Diabetes, Hypertension, etc.
Customized and appropriate attention to family medical needs
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Benefits• For Rural Doctors:
Continuity of present practice
Improved diagnostics through Telemedicine technologies
Potential earnings increased by 3x
Access to no-cost, continuous CME
Improved Confidence through professional support
Clinically acceptable practice guidelines
Evidence-based medical practice
Care providers form focal point for rural development
Connected to advanced medical facilities 24H/7D
Elimination of professional isolation
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EXAMPLE: ICE ELECTRONIC HEALTH RECORD SYSTEM
Patient Attends the
MMTTRC
NEW PATIENT REGISTRATION
PROCESS (MRN)
CONSULTATION BY LOCAL
DOCTOR AT MMTTRC PORTAL
CLIENT
CReferred From Local MMTTRC Portal Client for Teleconsultation
TELEMEDICINE SYSTEM AT RURAL CENTER
Digitization of ECG, X-Ray, Spirometry,
Heart-Lung Sounds, & other diagnostic
evidences
Completion of Electronic Patient
Folder
Transmission of the Patient Folder to MMTTRC Medical
Portal in Los Angeles
MMTTRC PORTAL Sends Message to Concerned
Expert Doctor for Teleconsultation
MM
TTR
C P
OR
TAL
Tran
smits
Gen
erat
ed A
dvic
e to
Con
cern
ed R
ural
MM
TTR
C (R
ural
Clie
nt)
Report is Delivered to the Patient and Treatment is Managed by the Local
Consultant
OLD PATIENT
WITH MRN
PATIENT VISIT LOG
ALOCAL PRESCRIPTION
GENERATION
BPATHOLOGY
TESTS
Expert Doctor
in Guatamela
Expert Doctor in USA and Canada
National or International Expert
Doctor View the Patient Folder Online
and Writes Advice
MMTTRC PHARMACY
D
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Patient Attends the Rural Medical
Center
NEW PATIENT REGISTRATION
PROCESS (MRN)
CONSULTATION BY LOCAL
DOCTOR AT IRHIS PORTAL CLIENT
OLD PATIENT WITH MRN
PATIENT VISIT LOG
A: LOCAL
PRESCRIPTION GENERATION
BPATHOLOGY TESTS REQUEST SENT TO MMTTRC PORTAL
RAPID TESTS AT RURAL CENTER
SAMPLE COLLECTION FOR ADVANCED TESTS
IN DHAKA LAB
BLOOD SAMPLE SENT TO
TRANSPORTATION HUB
SAMPLES DELIVERED TO
LAB IN CITY
PATH TESTS ARE PERFOMRED AT CITY LAB (ZERO-
ERROR REPORTING)
PORTAL INFORMS LAB INFO SYSTEM
OF LAB
CITY LAB WITH AUTOMATED & ROBOTIC PLATFORM
MMTTRC CLIENT SERVER AT RURAL
END
REPORT SENT TO PATIENT
FOLDER
MMTTRC PORTAL IN Los
Angeles
EXAMPLE: ELECTRONIC MMTTRC DIAGNOSTIC SYSTEM
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Software Integrated in Web Portal
• ICE Electronic Health Record with Telemedicine & Telehealth Component;
• Messaging System;• E-Commerce System;• Laboratory Information System;• Pharmacy Retail - Chain Management System;• Management Information & Training System;• Data Storage, Archiving and Retrieving System;• Communication and Networking System;
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Healthcare Service Programs
1. Diagnostic Healthcare System;2. Primary Healthcare & Teleconsultation System for
expert opinion (includes all medical specialties);3. Women’s Healthcare System;4. Children’s Healthcare System;5. Pharmacy Retail Chain System;6. Professional and field force training Mechanism;7. Education, research and monitoring System;8. Rural (Community) Health Insurance Programs;