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How Telemedicine is Transforming India

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Telemedicine in India
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 Introducing T elemedicine 2.0 How Telemedicine eConsult Innovations are T ransforming Healthcare in Rural India Telemedicine eConsult and eConsult Live are Not-for-profit Initiatives of Hope Foundation
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  • Introducing Telemedicine 2.0How Telemedicine eConsult Innovations are

    Transforming Healthcare in Rural India

    Telemedicine eConsult and eConsult Live are Not-for-profit Initiatives of Hope Foundation

  • What is Telemedicine 2.0?

    Telemedicine 2.0 is a set of economic, social, and technology trends that collectively form the basis for the next generation of healthcare.

    2010 saw mature, distinctive web with participation and networks.

    Most villages in India will get connected in 2 years.

    200+ Million blogs already, 4 new created every second.

    More than two billion people have access to Internet.

    Mobile devices outnumber PCs and landlines.

    Introducing Telemedicine 2.0

  • 6 Top Benefits of Telemedicine 2.0

    1. Decreasedhealthcare costs

    2. Increased efficiency and effectiveness

    3. Easy to use

    4. Closer relationship with users

    5. Real-time data for quantifiable decisions

    6. Increased responsiveness

    Introducing Telemedicine 2.0

  • 6 Telemedicine eConsult Innovations that are Transforming Healthcare

    1. Patient Portals

    2. Virtual Visits

    3. Electronic Records

    4. Expert Systems

    5. Standardization

    6. Behavioural Economics

    6 Telemedicine eC

    onsult Innovations

  • 1. Patient Portals

    Patients can log on to their ownsecure portal, access and share theirmedical records, check lab results,renew prescriptions, deal withinsurers, and communicate withdoctors and nurses. The potential forreducing mistakes, inefficiency, andcosts is clear.

    6 Telemedicine eC

    onsult Innovations

  • 2. Virtual Visits

    Health care is routinely done at adistance with video-conferencing.Doctors and their patients havereadily taken to tele-visiting, whichhas become a component of patientportals. The convergence ofconvenience, low cost, and thepotential to enrich doctor-patientrelationships could move tele-visitinginto the mainstream.

    6 Telemedicine eC

    onsult Innovations

  • 3. Electronic Medical Records

    Electronic medical records collectimportant information forcoordinated care. Physicians andnurses are alerted to potential errorsand best practices. At a basic level,electronic records simply gather andorganize health information. But attheir best they offer decision support,reminding the doctor of a test youmight need, pointing out a worrisometrend in your health history, andwarning against prescribing the wrongdrug.

    6 Telemedicine eC

    onsult Innovations

  • 4. Preventive Medicine Expert System

    We have created expert medicalsystems in Preventive Medicine. It isbased on medical research during lastthree years. We also provide liveassistance through chat, voice andphone. You can search the knowledgebase by sending an email. Get instantreply. Or browse.

    6 Telemedicine eC

    onsult Innovations

  • 5. Standardization

    We require health care providers tofollow strict protocols forprocedures that benefit fromroutinization. Using a simple checklistcan help doctors catch stupidmistakes before they happen --reducing deaths nearly half.

    6 Telemedicine eC

    onsult Innovations

  • 6 Behavioral Economics

    If we all acted rationally, we'd eatright, floss, and take our pills asdirected. But of course we can bepretty disobedient about doctors'orders, which is bad for our health.Behavioral economics tools -- gentleprods that nudge us to behave indesired ways -- may be moreeffective than any amount ofbrowbeating by doctors. Reminders,social pressure, default options,rewards, and other behavioral trickscan be used to improve compliance.

    6 Telemedicine eC

    onsult Innovations

  • How Remote Villages in India Benefit from 5 Cs of Telemedicine 2.0

    1. Consultation

    2. Connectivity

    3. Community

    4. Content

    5. Capacity building

    How

    remote Indian villages are benefitting?

  • eConsult Services for Rural India

    Telemedicine eConsult Services Current Status

    Telemedicine Specialist Consultations 200,000+ in 2010

    Accredited Healthcare Providers 20,000+ in 15 States

    Real Time Telemedicine In 15 States

    Regional Healthcare Networks In 15 States

    Information and Knowledgebase In 15 States

    Medical E-Learning In 15 States

    How

    remote Indian villages are benefitting?

  • 200,000+ New Consultations in 2010 via 20,000+ AHPs & 1000+ Specialists

    Telemedicine Consultations by Type

    Specialists, Radiology & Pathology

    34%

    Specialists & Radiology 11%

    Specialists & Pathology 18%

    Specialists only 32%

    Other Service Categories 5%

    By Gender

    Males 53%

    Females 47%

    Telemedicine Consultations by Specialty

    Oncology 40%

    Dermatology 15%

    Neurology 10%

    Pediatric Intensive Care 10%

    Cardiology 10%

    Ophthalmology 5%

    Neurosurgery 5%

    Other Specialties 5%

    Consultation

  • How the Case Management was Affected

    Diagnosis changed in 28% of cases

    Care plan changed in 72% of cases

    Change in Case Management

    Change % Cases

    New drug regimen recommended 67%

    Other medical regimen 17%

    New therapy recommended 13%

    Termination of drugs recommended

    3%

    Drug dosage change recommended

    3%

    Other recommendations 7%

    Turnaround Time

    eConsult Personal Visit

    Time for an eConsult specialist to enter opinion = 1-2 days

    Time taken to see the same specialist = 10-14 days

    Consultation

  • We Deploy Multiple Technologies to Connect Even Remote Patients

    Electronically facilitated self-help Remote professional consultation Provision of second opinionsAssisted interventions Online professional health groups

    Connectivity

  • We Help in Creating Regional Healthcare Networks

    Remotely monitored preventive healthcare Remote monitoring of health signals Emergency medicine and vital sign monitoring for disasters Electronic healthcare records

    Com

    munity

  • We Disseminate Up-to-date Knowledge for Good Decision Making

    Public health and reporting ofinfectious diseases Real time epidemiological analysis Electronic health informationcollection, analysis and reporting Research and electronic statisticalhealth analysis Management of health consequences of disasters

    Content

  • We Provide Medical E-Learning for Health Workers Even in Remote Areas

    Remote learning, development andcompetence monitoring forhealthcare professionalsAccess to high-quality healthinformation including currentliteratureAccess to evidence-based medicine Patient education for preventivemedical care and disease management Preventive health education andhealth enquiry services

    Capacity Building

  • What are we trying to do? How?What are we trying to do? How?

    Empower users and patients Offering choices based on knowledge Interactivity Participation in decision-making processes

    Improve access to medical care

    Continuity of care Second opinion

    Increase quality and cost/efficiency

    Shorter waiting lists/Shorter stay in hospitals Safer prescription, diagnostics and treatment

    Build capacity for healthcareprofessionals

    Access to knowledge databases Education and training

    Reduce burden of travel for patients

    Remote monitoring Second opinions and Referrals

    Support decision-making Improving information systems Epidemiology and Access to databases

    Executive Summ

    ary

  • eConsult Live is a Not-for-profit Initiative of Hope FoundationWe connect healthcare providers and patients enhancing quality healthcare interactions through communications and technology.Contact Us. There is an opportunity for interested individuals to contribute to our initiatives to support the underserved. Please email [email protected] and a member of our team will get back to you.

    About U

    s

    Patient Portals Virtual Visits Electronic Health RecordsExpert Medical

    Systems StandardizationBehavioral Economics

    Telemedicine eConsultLive|www.eConsultLive.com |[email protected]

    Introducing Telemedicine 2.0What is Telemedicine 2.0? 6 Top Benefits of Telemedicine 2.06 Telemedicine eConsult Innovations that are Transforming Healthcare1. Patient Portals2. Virtual Visits 3. Electronic Medical Records4. Preventive Medicine Expert System5. Standardization 6 Behavioral EconomicsHow Remote Villages in India Benefit from 5 Cs of Telemedicine 2.0eConsult Services for Rural India200,000+ New Consultations in 2010 via 20,000+ AHPs & 1000+ SpecialistsHow the Case Management was AffectedWe Deploy Multiple Technologies to Connect Even Remote Patients We Help in Creating Regional Healthcare NetworksWe Disseminate Up-to-date Knowledge for Good Decision MakingWe Provide Medical E-Learning for Health Workers Even in Remote AreasWhat are we trying to do? How?eConsult Live is a Not-for-profit Initiative of Hope Foundation


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