Telemedicine Technology Low Cost Solutions · California Telehealth Resource Center ... Designed...

California Telehealth Resource Center Presents:

Daniel Kurywchak President and CEO

Telemedicine.com, Inc. [email protected]

Telemedicine Technology Low Cost Solutions

Copyright Telemedicine.com, Inc. 2013

Uh Oh, Tech Talk Coming

Please turn on your cell phone ringers as this will help keep the audience awake…

To assist you in staying awake, I will call on you for answers so you better pay attention... Really, I will…


Experience in Telemedicine 17 years with the University of CA, Davis

Director of Technology Managed

Technical Team Distance Education Team

Seen over 11 thousand patients in 35 specialties Setup Telemedicine Programs

Urban and rural hospitals and clinics PICU, NICU, OR, ER, County Jails, Prisons, Parole offices

Designed Telemedicine Systems 2 Patents on Telemedicine Systems POTS to Satellite Communications

Director of the Telemedicine Learning Center

Trained over 800 Clinicians on how to develop their own telemedicine program

Developed classroom design & course curriculum


Experience in Telemedicine

Intel Corporation Senior Management / Engineer

In charge of Telemedicine efforts worldwide Designed and deployed Telemedicine programs with World

Ahead Engineer on Telemedicine medical devices



Experience in Telemedicine

Telemedicine.com, Inc. Telemedicine Systems and Medical Peripheral Sales Telemedicine Installation and Training of Physicians and

Technical Staff Telemedicine Custom System Development Telemedicine Support Developed Hundreds of Telemedicine Programs

Worldwide Worldwide Telemedicine Deployments:

• Lebanon • Nigeria • South Africa • South Korea

• USA • Brazil • China • India


Goals of this talk Discuss various low cost solutions available in

the field of Telemedicine Educate you on when is the right time to

introduce low cost solutions and how to select the right device

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History

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Show old legacy video systems, and why now we can use PC’s.

Slide show how can you keep your legacy video based telemedicine devices.

Wireless issues Printing issues Now susceptible to viruses and software

corruption No mulitpoint on the system


Current Hardware Solutions Video Conferencing Systems

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Low Cost Hardware Solutions Smartphones, Laptops, Tablet PCs, etc.

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High/Low Cost Hardware Solutions Video Conferencing Systems

Only wireless network access depending on the device Susceptible to viruses attacks Software corruption No video inputs for medical peripherals No file saving capabilities No ability to convert files to other formats such as PDf’s EMR support No automated video input selection No local FECC Printing issues


Standard Cable Connections Composite (RCA) Audio

White and Red

Composite (RCA) Video Yellow

Chrominance/Luminance Ground

S-Video 4 pins

1 Chrominance 2 Luminance 3 & 4 are grounds

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Standard Cable Connections Component Video

R – Red G – Green B – Blue

HDMI Includes audio and video

HDMI to DVI


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Transcoder

S-video or composite to USB


California Telehealth Network

A state wide broadband network dedicated to expanding health care access in rural and medically underserved communities CTN

Backbone

Low Cost Network Solutions


Low Cost Software Solutions

Blue Jeans Clearsea Real Presence M100 Ardadin Vsee Iocom Vidyo


Big Myths in Telemedicine? “Technology, it just works” Network Infrastructure LAN Wan Bandwidth Utilization QOS

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Should you make the switch to wireless? Considerations

What will be on the wireless network Broadband Utilization Latency QOS Floors, walls, windows, etc.

Spectrum analysis required


Basics of Electronics Flows just like water

1 - “Video Out” of the Medical Peripheral

2 – To “Video In” on VC 3 - “Video Out” of the VC

4 - “ Video In” to the Monitor

Make the Connection

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Standard Cable Connections Composite (RCA) Audio

White and Red

Composite (RCA) Video Yellow

Chrominance/Luminance Ground

S-Video 4 pins

1 Chrominance 2 Luminance 3 & 4 are grounds


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Standard Cable Connections Component Video

R – Red G – Green B – Blue

HDMI Includes audio and video

HDMI to DVI


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Specialty Current video system

Audio/video connections Standard Definition High Definition Many of the new VC systems don’t even have

composite and s-video connectors any more.

What system does the site you are connecting to have? Electronic Stethoscopes

Choosing Medical Peripherals


What is Bluetooth? Bluetooth wireless technology is built into a wide range of

products, from cars and mobile phones to medical devices and computers. Bluetooth technology you share voice, music, photos, videos, and other information wirelessly between two paired devices. (2400–2480 MHz)

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What is Bluetooth? The biggest difference between Bluetooth technology and

devices like FM radios and TV is distance. Radios and TV are meant to broadcast to many people over miles or kilometers. Bluetooth technology sends information within your own personal space, which is called your Personal Area Network or "PAN" at distances up to 50 meters (164 feet). Class 1: range up to 100 meters (in most cases 20-30 meters) Class 2: range up to 30 meters (in most cases 5-10 meters)

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Make the Switch Mobile Platforms Are you ready to make the switch from high-end video

conferencing systems to laptops, ipads, and smart phones? What specialties do you plan to support? Texting medical data? No physical inputs available, must use wireless. What medical peripherals do you currently have?

Are they blue tooth enabled?

Do the sites you connect to have mobile technology and using the same applications. May or may not be an issue.

Cloud Computing Patient data storage – risk management All data images are on the cloud

No local storage


Future of Telemedicine Technology

Wireless handheld devices designed specifically for Telemedicine with embedded sensors

Wider selection of Bluetooth medical peripherals Cloud Services Healthcare Internets like the CTN in each state

connected together Improved cellular speeds Home health systems that tie-in with cable TV

subscriptions

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&docid=iop36ROctZhaZM&tbnid=nQ_r3g_fpEbcSM:&ved=0CAUQjRw&url=http://future-technologez.blogspot.com/2011/05/green-future-technology.html&ei=7SUmUc6aGoqyiQL0moGACg&bvm=bv.42661473,d.cGE&psig=AFQjCNHiksvbZBFY9CWj_-iCsJD01hKxBA&ust=1361540624967372�

Thank You, Questions?

California Telehealth Resource Center Presents:

Daniel Kurywchak President and CEO

Telemedicine.com, Inc. [email protected]

Telemedicine Technology Low Cost Solutions

Date post:	01-May-2018
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