Shaping a world of health without boundaries ne e_gov summit shillong 30 may 2012

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Shaping a World of Health Without

Boundaries

Prakash Kumar

Director, Internet Business Solutions Group

Cisco

© 2006 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialAfrican Delegation Dec 09

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Health Infra for North-Eastern States: Shortage of Medical Specialists

States Doctors at PHC

Surgeons at CHC

Gyne at CHC Physician at CHC

Paediatricians at CHC

Total specialists at CHCs

Radiographers at CHC

Arunachal Pradesh

25% 89% 98% 93% 100% 95% 84%

Assam 59% 78% 38% 83% 69% 68% NA

Manipur 0% 100% 100% 100% 100% 100% 25%

Meghalaya 0% 96% 100% 96% 100% 98% 4%

Mizoram 8% 100% 100% 100% 100% 100% 0%

Nagaland 8% 95% 100% 100% 100% 98% 95%

Tripura 0% NA NA NA NA NA 90%

Sikkim 0% 75% 50% 50% 50% 56% 0%

* 2008 figure from MoHFW, GoI http://www.mohfw.nic.in/NRHM/Health_Profile.htm

Shortage shown as % of total requirement


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Can Technology Come to Our Help for “Health for all”?

To provide convenient access to delivery of health care

To enable GP to Specialist Consultations

To optimize scarce specialist expertise through innovative service delivery models

To improve patient satisfactionTo improve patient satisfaction

Tele-Medicine: •Tried since last one decade•Doctors have to go to a Tele-Medicine Studio•Mere video conferencing will not suffice


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Can we have a Solution

Where doctor/specialist can provide service from OPD, his office room, clinic, home (wherever s/he is without any need to go to a studio)

Where Doctor could use desktop PC or laptop or a tablet

Which uses a mix of high-definition video conferencing, contact centre, and medical device integration to virtualize the clinician-patient encounter.

Where patient comes to a location convenient to him/her - a booth/room in a medical centre, CSC.

Where a consultation is set up with a remote doctor with the requisite skills and patient preferences (e.g. gender, ethnicity, language etc) by click of a mouse.

Where quality of video adjusts with bandwidth


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Where Doctor is able to see the vital parameters of the patient and talk to him/her

Where Doctor is able to write prescription which can be printed with doctor’s signature on the patient side

Where patient HER gets generated and the system is able to integrate with HIS/Appointment scheduler etc

Which also manages inventory of drugs and equipments along with their AMC

Can we have a Solution


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Cisco HealthPresence Solution


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Cisco Connected Health: Three Solution Portfolios. One Secure Foundation.

End-to-End Solutions That Address CriticalHealthcare Challenges

Care-at-a-Distance and Clinical

Workflow

Compliance and Medical Device Management

Continuing Health Education and

Business Collaboration

Cisco Medical-Grade Network


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Solution Architecture – WAN approach through Internet

Data Center

EMR

UC Cluster

CUPS

IPCC

CUCM PUB

VPNFirewall

INTERNE

T

Doctor

Telemedicine

Center

Doctor

Doctor

Remote Clinic

Remote Clinic

Remote Clinic

Remote Clinic

Internet Router

Broadband connectivityVPN tunnel


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Immersive Care Team Collaboration

Desktop Video Consultations with Endpoint Flexibility

Mobile Telehealth Carts for Basic

Consults and Exams

Cisco Care-at-a-Distance Solutions

Mobile Carts

Begin with a Portfolio of Video Solutions for Telehealth

DesktopConference-Style

Enable remote clinical Collaboration and Care with an end-to-end portfolio of video and collaboration solutions


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Personalized Doctor Consult from Remote

Location

Portable Solution Addressing Bandwidth

Constraints 1

Bring the Patient’s Care Team, Vital Information and Health Record 2 to

the Point of Need

Cisco HealthPresence 2.1

An advanced visual collaboration solution for Telehealth

Deployment Flexibility

Immersive Experience

1 Third-party medical devices available only directly from its manufacturer and resellers. Not available in all countries; 2 Requires integration with EMR

Informed Decision Making

Enable remote clinical Collaboration and Care with an end-to-end portfolio of video and collaboration solutions


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Key Features - Medical Devices Integration

Digital ECG

Electronic Stethoscope

Temperature

Spirometer

Glucose Meter

Pulse Oximeter

Heart Rate

NiBP

ENT Scope

Gen examination camera AMD-2500 General

Examination Camera 1

AMD-2015 ENT Scope

AMD-3700 Telephonic Stethoscope3M

Stethoscope

(ECG, NiBP, Electronic, Stethoscope, Temperature

Reader, Heart Rate Reader, Pulse Rate Reader)

Welch Allyn Spot Vital Signs Lxi (Blood Pressure,

Temperature, Pulse Rate, Pulse Oximetry)

An architectural approach to integrating high definition video, audio, medical devices and collaboration tools


12EDCS-962042 (7/11)

Example: Appointment SchedulingOpen EMR Medical Scheduler


13EDCS-962042 (7/11)

Cisco HealthPresence:Teleradiology Integration Access to RadSpa tool from Telerad Technologies clinical collaboration


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Prescription Management Capability

Ability to prescribe medicines online through ePrescription form

Easy and intuitive prescription form allows the doctors to quickly complete the task, reducing the risk of errors

Database of medicines/drugs, dosages, etc. for quick lookup

Integration with Mobile eNotes Taker gives the flexibility for the specialists to write the prescription by hand

Handwritten prescriptions scanned and stored with the patient record

Ability to print prescription at the remote location


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Cisco HealthPresence– Solution Snapshot


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Cisco HealthPresence - Solution Snapshot


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Cisco HealthPresence - Solution Snapshot


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Cisco HealthConnect - Solution Snapshot


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Multi-Point Consultation

Patients can be referred to other doctors, no matter where they are to have patient-GP-Specialist conference, on the fly

Cisco HealthPresence on a mobile cart allows the remote specialist to consult with patients at their bedside

Patient Exp Film


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Other Usage (apart from Tele-Consultation)

Training of staff who need not leave PHC or CHC

Continuing Education (Refresher courses for doctors/ANMs/ASHA etc)

Tele-radiology

Tele-monitoring

Psychiatric consultation

Administration (inventory management of medicines, vaccines, medical equipments etc)

Creation of EHR


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Business Models

(1) Where government buys the platform and runs and operates it.

(2) Government buys Telemedicine as a service where service provider brings platform, connectivity, end equipment and trained paramedic for each center

(2A) Doctors provided by State Government Health Department.

(2B) Doctors provided by the Service provider

SLAs could be worked out

Payment on monthly basis based on uptime, SLA etc. Keeping in view huge investment some upfront payment may be required.


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Experience

Cisco Health Presence is deployed in 20 Primary Health Centers (PHC) across 2 states (Karnataka and Madhya Pradesh)

2100+ remote consultations in less than a year

Solution Reach – 16 Lakh people

Solution is operational from -Nov - Dec 2011

Central Site i.e. Data Centre is at Cisco Bangalore

Doctors are provided by State’s District Hospital

Date post:	28-May-2015
Category:	Health & Medicine
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Shaping a world of health without boundaries ne e_gov summit shillong 30 may 2012

Health & Medicine