• Continued Medical Education ( CME) through IPTV Continued Medical Education ( CME) through IPTV ServiceService

• 24/7 Medical Call Center24/7 Medical Call Center

• Remote Patient Monitoring ServiceRemote Patient Monitoring Service

• Mobile DoctorMobile Doctor

• ICT enabled Mobile ClinicsICT enabled Mobile Clinics

• SMS based Health alert ServicesSMS based Health alert Services

• 0900 / 0800 Health Information Service Bureau0900 / 0800 Health Information Service Bureau

• Tele-Health via International Call CenterTele-Health via International Call Center

• Tele-Health through Video & Audio ConferenceTele-Health through Video & Audio Conference

This presentation will be covering the following :

1. What do Telecare brings

2. Scope

3. Possible verticals

4. Proposed Projects

5. Way forward

Telecare is currently working on Tele Health, CME through E learning, New Media in form of cluster with local and international partners, which include but not limited to

Present facilities and infrastructure:            e-Health & e-Training technology partners:

1. Remote Patient Monitoring company                Germany         Tunstall 2. Remote Video transmitters – wireless               Korea              SBN Tech

3. Remote Video evaluation of patient Italy MIRAL4. IP based Live video Publishing                         Romania          PBX Telecom 5. Cardio e card  ( mobile ECG)                              UAE                 VitaPhone ME 6. Blue Tooth enabled Glucometer                        USA                 Entra Health Systems 7. IP based call handling                                        USA              Turbulin Inc 8. WIFI technology-Long range – Low cost           USA                 Wiborne 9. Set Top Box / Thin Client/Mini PC                      Korea              SBCORP 10. Overseas Pakistani Project Bangladesh     TRCL 11. Electronic Medical Record/Mobile Apps Pakistan ZRG International12. Call Center monitoring, Multi Lingual IVR         Pakistan          Phonecast13. Professional Development Education Pakistan Ziauddin Medical

University

• Complete call center Phonecast

• Call Recording Digital- Synway

• Call conferencing Panasonic

• EMR & Mobile device integration ZRG International

• Toll free lines Incoming PTCL

• 0900 Charged call Incoming PTCL

• Digital PBX Digital Panasonic

• Digital line mapped ISDN - PTCL

• Fiber Link 1 MB-CIR Worldcall

• Power backup with UPS for 2 Hour 17 KVA

• Power backup by 2 gas generator 18 KVA + 6 KVA

• 24 x 7 capable office facility PECHS

• A equipped disaster recovery site Business Arcade, Shahra e Faisal

• Call Center license from IT Ministry- PSEB

• Value added service license from Regulators- PTA

• ISO 9001 2008 certification by TQCSI /JAZ-ANZ

Work of our partners – in e-health –Pilot projects; ( Prev & Current)

1. Pakistan Medical Association                                              PMA

2. Pakistan Broadcasting Corporation                                    Radio Pakistan

3. e-health services                                                                   Tele-Hospital

4. PAIMAN –Mother & Child Helpline                                       USAID

5. PAIMAN – Media Research John Hopkins

6. Business Support Fund- Asian Development Bank           BSF- Asian Dev Bank

7. Flood Relief HelpLine Pakistan Television &

Ziauddin

• Pakistan’s first company to establish Medical Call Center in collaboration with Pakistan Medical Association –PMA and Radio Pakistan covering whole of Pakistan – Back in 2007.

• Been involved with USAID –John Hopkins's initiative for Mother care called PAIMAN for l0 months covering 13 districts of Pakistan

• First company to launch an Inbound medical support service for Overseas Pakistani expats in UAE

• Been awarded support and grant from Asian Development Bank (ADB) for HIMS ( Hospital Information Medical Systems)

• Our Mother & Child ICT based project have also been recommended for grant from Research & Advocacy Fund – DIFID funded initiative

• Pakistan’s only ISO 9001-2008 certified Medical Call Center by TQSI.

• Phonecast Mother & Child tele health project has been nominated for Gold medals in 3 categories, in most prestigious Contact Center Awards 2010, Gold Coast, Australia

• India largest e-India awards 2010 have nominated Phonecast –Mother & Child project in the best private sector ICT based health initiative in the region.

SCOPE OF THE PRESENTATION

• Establishing tele-health services, with a special focus on old aged and families.

• To explore jointly for introduction of Remote Patient Monitoring tele-health services initially in Karachi and expanding nation-wide at a later stage.

• To explore the establishing of Remote Clinics in outskirts of Karachi

RATIONAL OF THE PROPOSITION• Looking at current geo-economical and business strategy

environment,

• Joint ventures between two diff parties having the same agenda and goals are best options inorder to achieve quick and effective results.

• Both parties play on each other’s strengths,

• Joint venture enables to move ahead with lessons learned and results for a higher magnitude project,

• Targeting the regional coverage.

Therefore Telecare is seeking collaborations for;

Increased horizon through use of its technology based tele healthcare solutions and services

SELF REALIZATION:

We feel that Telecare do contain equity in form of

• State of the art technology infrastructure;

• Access to mobile and wireless based healthcare technology

• Support of Technology from International Players

• ICT & Tele Health know how and background;

• International Recognition and certification;

• Possibility of revenue streams,

AS WELL AS

Telecare IS ALSO READY TO BE LAUNCHED THROUGH

PHASED APPROACH -BUT

For Telecare to capitalize and successfully deliver through the possibilities

RATHER THAN let them fly pass, while Telecare is only able to catch a small quantity, while remaining opportunity is lost;

It should explore into venturing with an organization that has ----------

1. Strong management capabilities,

2. Financial and technical resources,

3. International presence,

4. Organizational backup

5. Over and above must have similar vision

6. Required inorder to take the above opportunities to next level successfully,

TELCARE HAS ITS FOCUS TO ESTABLISH;

1. State of art tele-health support and referral network;

2. Having live doctors available 24 /7 –with Multilingual support

3. Create ICT linkage between satellite clinics with call center;

4. Supporting through mobile healthcare system and remote health sensors platform;

5. Enhance capacity of Community Health Workers through handheld smart devices to enable in not only sending live data of patients but;

Based on the study and last meetings, “Telecare” would like to propose options to work together

PROPOSED PROJECTS

• Working on utilization of existing Mobile workforce with Telecare – CallDoc project-Mobile Home Doctor

• Through use of Wireless medical sensors and WIFI based Video transmission create linkage between Ambulances- Support line – Tele Clinics,

THE TELCARE FACILITY OF E-HEALTH

Mobile Clinics using state of the art remote sensing devices, Through Multi Media platform, connecting using WIRELESS BROADBAND – EDGE/GPRS – BLUE TOOTH - WIFI

PARTNERS

CREATE “e-AMBULANCE” NETWORK

1. These will be ambulances equipped with remote sensors and video transmission units through Wireless Broad Internet.

2. These e-ambulances are already placed in different locations

3. On arrival at site of accident patients will be placed infront of video transmitter and sensors to be placed on body and vital signs of patient will be transmitted to the Call Center at Karachi,

4. Where doctors will talk to patient, look at their vitals, and will immediately provide

first level support, as well as

5. If needed will re direct the patient to nearby doctor of health facility for physical

check up.

6. This project will be very vital, as it might be able to save lives of such patients in

ambulances, who die in the way, thus ,

7. Through the live linkage off Video, Audio and Data the doctors at Call Center will

be monitoring while the patient is on the way to hospital.

To create the first ever e-ambulance network working with remote sensors, Using live audio - video transmission, Generation of major vitals through mobile telephony using EDGE or 3G (EVO-by PTCL)

210423/ /21

e-health solution on e-ambulance Project

210423/ /22

e-health solution on e-ambulance Project

210423/ /23

e-health solution on e-ambulance Project

210423/ /24

e-health solution on e-ambulance Project

CREATE “HOMECARE” NETWORK

1. These can be current ambulances, manned by licensed doctors on board equipped with remote sensors and video transmission units through Wireless Broad band Internet.

2. These HOMECARE Units can be placed in different locations

3. Telecare will create a product line of HOMECARE network, its call center will assign these mobile units to visit customers;

4. This service will be marketed by Telecare- initially at DHA, Clifton, PECHS, KDA.

5. On arrival at location, patients will be placed infront of video transmitter and sensors to be placed on body and vital signs of patient will be transmitted to the Call Center at Karachi,

6. HOMECARE doctor will evaluate and examine HOMECARE member family, look at their vitals, and will create input in the EMR database, if needed will enable video link with call center doctors.

7. If needed will re direct the patient to nearby doctor of health facility for physical

check up.

To create the first ever HOMECARE network, CREATING OF Mobile Doctor on e-ambulances on with remote sensors, Using live audio - video transmission,

CREATE “REMOTE CLINIC” NETWORK

1. These can be current ambulances, manned by licensed doctors on board equipped with remote sensors and video transmission units through Wireless Broad band Internet.

2. These REMOTE CLINICS Units can be placed in different locations

3. Telecare to work on transforming some of the ambulances in state of the art Remote Clinics;

4. These clinics will be equipped with all latest medical equipment and will be linked up with Emergency Medical Service of partner hospital,

5. The Remote Clinics can be scheduled at different locations at different times

6. On arrival at location, patients will be placed infront of video transmitter and sensors to be placed on body and vital signs of patient will be transmitted to the Call Center;

7. Doctor on board will evaluate and examine, look at their vitals, and will create input in the EMR database, if needed will enable video link with call center doctors.

8. If needed will re direct the patient to nearby doctor of health facility for physical

check up.

To create a state of the art REMOTE CLINIC network in Karachi- connected with central location through Wireless Video and Data

REMOTE LOCATIONS

• STEEL TOWN• JAM GOTH• MEMON GOTH• DARSANO GOTH• ALTAF JOKHIO GOTH• HILAL GOTH • LOCATION OPP TO

SABZI MANDI• GADAP TOWN• JAMALI GOTH• SHARAFI GOTH• KEMARI• BABA BHIT

• MANGOPIR• MACH GOTH• SAEED ABAD• BHITTAI GOTH• HAWKSBAY• ORANGI NUMBER 11• GHANI GOTH• SURJANI• LOCATION ADJACENT

TO HAMDARD UNIVERSITY

• TARA MANGAL GOTH

DATABASE

PrinterCTI SERVER

BACKUP DRIVE

PHONE

HOUSE HOLDS FROM UP COUNTRY

1 2 3

4 5 6

7 8 9

* 8 #

HOUSE HOLD

PROPOSED “e-HEALTH FACILITY”

ULP-MAIN DATABASE SERVER

CALLER FROM NAWABSHAH

TV VIEWERIN BADIN

ACD AT FRONT END, WITH INFO ON ALL CLIENTS CLI & ANI

RELATIONSHIP MANAGEMENT

TOLL FREE NUMBER

B

GHOTKI

SHIKARPUR

DOCTORS SITTING AT e-HEALTH FACILITY

Remote Clinics network – Pilot project - Karachi

Remote Monitoring PlatformRemote Monitoring Platform

Server Monitoring Centre

Remote PhysicianHome / Office / Travel

Environment

Home / Office / Travel

Environment

Patient

Web Viewer

3rd Party Medical Applications

MiniGateMiniGate

PC / Laptop

Set Top Box

MiniGateMiniGate

(situation) call centercall center

BUILDING CAPACITY OF COMMUNITY HEALTH WORKERS (CHW)

• Explore on building capacity of Karachi based CHW, • Provide them training on ICT and Mobile applications, • Equipped with video and graphic material enabled smart

handheld devices for awareness to visiting patients;• CHW activity to be supported through the 24/7 tele-health facility, • Doctors receiving data and reports through the mobile phones

applications of the visiting CHW, in and outside Karachi city locations.

• Data analysis through duty doctors, • Duty Doctor can then instruct the CHW what to do.• The required cases to be forwarded to nearby Remote clinic via

ambulance service

• Technical Support - Optional: • From Ziauddin University of Health Sciences, through doctors

sitting at Telecare facility.

THANK YOU

WAY FORWARD