Nevada Broadband Task ForceTelehealth Video Innovation Overview

Steve Lebedoff, CEBS

PPN Health Access/

Center for Sustainable Healthcare

Milton Chen, PhDCEO, VSee

VSee Video Collaboration Background

Developed by team at Stanford University

• Led By Milton Chen PhD (CEO VSee)- Graduate work on human factors and design of video collaboration

• Milton co-authored XMPP video standard (Google Talk and Facebook Chat)

• Human Computer Interaction Scientists and Network Experts

• Funded by Salesforce.com and National Science Foundation

Goal- Simple, yet full featured

• Any network

• Requires minimal training

VSee Secure Video Chat and EHR collaborative view

• Collaborative screen view with live annotation

• HD group video chat

• 256 bit AES encryption- HIPAA compliant

- FDA registered

Former Apple CEO John Sculley at SIIA

VSee Medical Device Streaming andWork Flow Support via API

• Remote pan, tilt, zoom camera control

• Medical device integration:- Stethoscope

- Ophthalmoscope

- Otoscope

- Dermatoscope

- Ultrasound

- EKG

- PHR

• One-click web API• Waiting room, triage

• Hide doctor username See real-time medical device readings and patient’s video in HD

InterMountain NICU

3 HD webcam + Mac Mini

Telepresence-inspired layout

Warmer w/ touch panel

• Send 3 camera feeds outbound• No infrastructure to setup• Trivial to setup multiple work flows

Hillary Clinton using VSee + BGAN with Syria on the Iraq border

VSee on NASA International Space Station

Space telemedicineJan 13, 2014 going live

VSee telemedicine kit in Rwanda, Gabon

Competition Landscape

Skype, FaceTime• Patient privacy issues, medical features

OpenTok (Flash), WebRTC• Great building blocks, not complete solution

Cisco, Polycom• Not consumer friendly (firewalls, servers …)

Vidyo• Raised $120M, but client-server, can’t

simultaneously send webcam + medical device cam, and 2-10X more expensive

Patient workflow

Doctor workflow

Mobihealthnews- May 8, 2013

Five reasons virtual MD visits might be better than in-person ones

1) Convenient for both patient and doctor

2) A virtual waiting room is better than the physical one

3) Increased patient engagement thanks to screensharing

4) More convenient, automatic record-keeping

5) Patients feel like doctors pay better attention to them

during virtual visits