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Edit Comment Close Premium member Presentation Transcript Telemedicine: Telemedicine Dr.S.S.Rathaur CMS-CLW ChittaranjanTelemedicine: Telemedicine “A journey of a thousand miles begins with one step”Definition: Definition Telemedicine is composed of the Greek word τελε (tele) meaning 'far', and medicine. Telemedicine usually means transmission of information followed immediately by medical care. Image acquisition, storage, display, processing, and transfer represent the basis of telemedicineWhat is telemedicine?: What is telemedicine? Telemedicine is becoming an integral part of health care services in several countries including the UK, USA, Canada, Italy, Germany, Japan, Greece, Norway, China and now in India .Why telemedicine?: Why telemedicine? Secondary and tertiary medical expertise is not available in several areas of the world. Quite often, many patients are sent to higher centres at considerable cost . In a number of these cases the treatment could have been carried out by the local doctor with advice from a specialist.Goal of telemedicine?: Goal of telemedicine? E-Medicine is not an evolutionary concept but a revolutionary concept . To make high quality healthcare available to traditionally under privileged population at minimal cost. Save the time wasted by both providers and patients in traveling from one location to another to avail services on time- Reduced costs of medical care –The incidental expenses related to patient care, i.e. the cost other than the actual medial care such as cost of travel, accommodation for relatives, food disruption of daily routine of self & family members & leave etc all these are borne by patients. In Telemedicine ,one transfers the expertise, not the patientHow is telemedicine delivered?: How is telemedicine delivered? Telemedicine hinges on transfer of text, reports, voice, images and video, between geographically separated locations ( a) “ store-and-forward ”, in which clinical information is sent (like email) to a provider at a distant site for their evaluation. This does not allow for a dialogue between the patient and provider (b) “ Videoconferencing” enables patients and health care providers at distant sites to interact “face-to-face” using a desktop computer / TVRequired equipments: Required equipments (a) For Store & forward facility Normal Pentium PC, A webcam, Telemedicine tools (to capture patient data or images) and An Internet dialup connectionRequired equipments: Required equipments (b) For Real time consultation: REMOTE END (Patient end) Video conferencing equipment e.g. PC, Color TV, & digital camera with teleconferencing software, Medical Scanner for X-ray, CT scan, MRI & ECG Digital ECG recorder, Ultrasound machine with digital output, Digital microscope, and Networking using 126 kbps ISDN, broad band, OFC or Satellite connection through ISRO SPECIALIST END Video conferencing equipment e.g. PC, Color TV, & digital camera with teleconferencing software, Networking using 126 kbps ISDN, broad band, OFC or Satellite connection through ISROAdvantages?: Advantages? Practical, safe and cost effective Reduces the traveling time Increases physician efficiency Improves hospital management Decreases rush in hospitalsWho can access the system?: Who can access the system? The system can be used by any interested health care professional. In addition it can also be used for long distance Administrative meetings Continuing medical education Health check-up camps etc. Can you connect with more than one site at a time? : Can you connect with more than one site at a time? Yes , through the use of a piece of hardware at the hub called a Multipoint Control Unit (MCU) or “bridge”, several sites can be connected together for a conferenceCME from Fortis Hospital to KG Hospital- CLW through Telemedicine : CME from Fortis Hospital to KG Hospital- CLW through TelemedicineWhat are difficulties?: What are difficulties? Availability of Specialists in base centre for consultation A contact person in telemedicine room Quality of images sent through medical scanner Quality of video Connectivity problems- ISDN,Broad band,OFC,INSAT Patient satisfactionTELEMEDICINE IN KG HOSP.: TELEMEDICINE IN KG HOSP . Inaugurated on 2 nd Dec,06 with-Fortis Hospital-Noida Connectivity to RTIICS Kolkata inaugurated on 29 th Jul,07TELEMED.EQUIPMENTS: TELEMED.EQUIPMENTSHIGH END CAMERA: HIGH END CAMERAMEDICAL SCANNER: MEDICAL SCANNER12 LEAD DIGITAL ECG MACHINE: 12 LEAD DIGITAL ECG MACHINENT BOXES: NT BOXESCONNECTIONS TO PC: CONNECTIONS TO PCPC WINDOWS BASED: PC WINDOWS BASEDREMOTE & MIKE: REMOTE & MIKECommunication link:: Communication link: OFC/Broadband/Leased lines connectivity - a two-way communication between the hub / server (HQ) and the remote end. The Dial up, OFC, ISDN or DSL connectivity is used to connect the remote systems with the centralized server. Once the access to the server is established, the relevant components that are needed at the remote end PC are automatically downloaded. This happens only for the first time the remote PC connects to the server. Subsequently, the required controls are stored within the PC and are pulled up automatically on demand. Such architecture keeps the maintenance and service support for the remote simple and fewer complexes.Slide 26: The medical data like ECG, X-ray Images, Path slides etc,.. are stored along with the patient demography details in a centralized server.Video Conferencing system: Video Conferencing system Video conferencing between medical personnel is possible for tele-Consultation and CME. The system can be used on unicast or broadcast mode depending on the type of solution that one is planning for and the Video conferencing system that is used. Stand alone box : High quality and requires good bandwidth and includes : camera, microphone and the display is on a normal television.TELE CONSULTATIONS AT KGH: TELE CONSULTATIONS AT KGH SN MONTH NO.OF PATIENTS HOSPITAL CONSULTED 1 JAN07 5 FORTIS HOSPITAL NOIDA 2 FEB07 5 FORTIS HOSPITAL NOIDA 3 MAR07 7 FORTIS HOSPITAL NOIDA 4 APR07 5 FORTIS HOSPITAL NOIDA 5 MAY07 5 FORTIS HOSPITAL NOIDA 6 JUN07 6 FORTIS HOSPITAL NOIDA 7 JUL07 5 FORTIS HOSPITAL NOIDA 8 AUG07 7 RTIICS-KOLKATA 9 SEPT07 3 FORTIS HOSPITAL NOIDA & RTIICS-KOLKATA 10 OCT07 3 FORTIS HOSPITAL NOIDA & RTIICS-KOLKATASPECIALITY WISE BREAK UP : SPECIALITY WISE BREAK UP SPECIALITY NO.OF PATIENTS LIVES SAVED FOLLOWING TELE CONSULTATION CARDIOLOGY 9 1.VASCULITIS 63 YRS F NEUROLOGY 11 2.AC.CORONARY SYNDROME 47 YRS M CHEST MED 3 3.ANGIONEUROTIC OEDEMA 53 YRS M PSYCHIATRY 3 4.PNEUMONIA WITH SEPTIC SHOCK 21 YRS M HEMATOLOGY 4 5.POST-OP CASE CABG 57 YRS M RHEUMATOLOGY 3 GASTRO 3 DERMATOLOGY 15USEFULNESS OF TELEMEDICINE: USEFULNESS OF TELEMEDICINE Helpful in proper diagnosis- 21 cases Helpful in treatment modification-17 cases Life saving-5 casesTelemedicine in Indian railways: Telemedicine in Indian railways Malegaon -NF Rly. to PER Danapur-EC Rly. to PER Trichy-S Rly. to PER Bilaspur-EC Rly to PER. KGH-Chittaranjan-to Fortis Hosp & -to RTIICSTELEMEDICINE IN KG HOSPITAL: TELEMEDICINE IN KG HOSPITAL Connected with 2 ISDN & 1 Broadband Costed Rs.6.85 lakh All consultations are free So far 51 consultations done Very useful to KGH as no Consultants are willing to join here due to remoteness. Future plan to connect ICU & OTFuture of Telemedicine in Railways?: Future of Telemedicine in Railways? All H.Units can be connected to Divisional Hospitals for day today consultation. All Divisional Hospitals can be connected to Central hospitals All Central hospitals can be interconnected for mutual consultation in different specialities All this is possible with help of OFC from Rail-Tel or Satellite from ISRO: Tele consultation in KG Hospital from Fortis Hospital, NoidaTHANKS: THANKS You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.
telemedicine drathaur Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 224 Category: Entertainment License: All Rights Reserved Like it (0) Dislike it (0) Added: May 04, 2011 This Presentation is Public Favorites: 0 Presentation Description Telemedicine is the best solution for proper utilisation of Medical skills for humanity in the remotest areas. Comments Posting comment... By: swaraj.khare (7 month(s) ago) pls allow me to download this ppt for education purpose Saving..... Post Reply Close Saving..... Edit Comment Close By: devashree.tripathy (10 month(s) ago) can i download this ppt? Saving..... Post Reply Close Saving..... Edit Comment Close Premium member Presentation Transcript Telemedicine: Telemedicine Dr.S.S.Rathaur CMS-CLW ChittaranjanTelemedicine: Telemedicine “A journey of a thousand miles begins with one step”Definition: Definition Telemedicine is composed of the Greek word τελε (tele) meaning 'far', and medicine. Telemedicine usually means transmission of information followed immediately by medical care. Image acquisition, storage, display, processing, and transfer represent the basis of telemedicineWhat is telemedicine?: What is telemedicine? Telemedicine is becoming an integral part of health care services in several countries including the UK, USA, Canada, Italy, Germany, Japan, Greece, Norway, China and now in India .Why telemedicine?: Why telemedicine? Secondary and tertiary medical expertise is not available in several areas of the world. Quite often, many patients are sent to higher centres at considerable cost . In a number of these cases the treatment could have been carried out by the local doctor with advice from a specialist.Goal of telemedicine?: Goal of telemedicine? E-Medicine is not an evolutionary concept but a revolutionary concept . To make high quality healthcare available to traditionally under privileged population at minimal cost. Save the time wasted by both providers and patients in traveling from one location to another to avail services on time- Reduced costs of medical care –The incidental expenses related to patient care, i.e. the cost other than the actual medial care such as cost of travel, accommodation for relatives, food disruption of daily routine of self & family members & leave etc all these are borne by patients. In Telemedicine ,one transfers the expertise, not the patientHow is telemedicine delivered?: How is telemedicine delivered? Telemedicine hinges on transfer of text, reports, voice, images and video, between geographically separated locations ( a) “ store-and-forward ”, in which clinical information is sent (like email) to a provider at a distant site for their evaluation. This does not allow for a dialogue between the patient and provider (b) “ Videoconferencing” enables patients and health care providers at distant sites to interact “face-to-face” using a desktop computer / TVRequired equipments: Required equipments (a) For Store & forward facility Normal Pentium PC, A webcam, Telemedicine tools (to capture patient data or images) and An Internet dialup connectionRequired equipments: Required equipments (b) For Real time consultation: REMOTE END (Patient end) Video conferencing equipment e.g. PC, Color TV, & digital camera with teleconferencing software, Medical Scanner for X-ray, CT scan, MRI & ECG Digital ECG recorder, Ultrasound machine with digital output, Digital microscope, and Networking using 126 kbps ISDN, broad band, OFC or Satellite connection through ISRO SPECIALIST END Video conferencing equipment e.g. PC, Color TV, & digital camera with teleconferencing software, Networking using 126 kbps ISDN, broad band, OFC or Satellite connection through ISROAdvantages?: Advantages? Practical, safe and cost effective Reduces the traveling time Increases physician efficiency Improves hospital management Decreases rush in hospitalsWho can access the system?: Who can access the system? The system can be used by any interested health care professional. In addition it can also be used for long distance Administrative meetings Continuing medical education Health check-up camps etc. Can you connect with more than one site at a time? : Can you connect with more than one site at a time? Yes , through the use of a piece of hardware at the hub called a Multipoint Control Unit (MCU) or “bridge”, several sites can be connected together for a conferenceCME from Fortis Hospital to KG Hospital- CLW through Telemedicine : CME from Fortis Hospital to KG Hospital- CLW through TelemedicineWhat are difficulties?: What are difficulties? Availability of Specialists in base centre for consultation A contact person in telemedicine room Quality of images sent through medical scanner Quality of video Connectivity problems- ISDN,Broad band,OFC,INSAT Patient satisfactionTELEMEDICINE IN KG HOSP.: TELEMEDICINE IN KG HOSP . Inaugurated on 2 nd Dec,06 with-Fortis Hospital-Noida Connectivity to RTIICS Kolkata inaugurated on 29 th Jul,07TELEMED.EQUIPMENTS: TELEMED.EQUIPMENTSHIGH END CAMERA: HIGH END CAMERAMEDICAL SCANNER: MEDICAL SCANNER12 LEAD DIGITAL ECG MACHINE: 12 LEAD DIGITAL ECG MACHINENT BOXES: NT BOXESCONNECTIONS TO PC: CONNECTIONS TO PCPC WINDOWS BASED: PC WINDOWS BASEDREMOTE & MIKE: REMOTE & MIKECommunication link:: Communication link: OFC/Broadband/Leased lines connectivity - a two-way communication between the hub / server (HQ) and the remote end. The Dial up, OFC, ISDN or DSL connectivity is used to connect the remote systems with the centralized server. Once the access to the server is established, the relevant components that are needed at the remote end PC are automatically downloaded. This happens only for the first time the remote PC connects to the server. Subsequently, the required controls are stored within the PC and are pulled up automatically on demand. Such architecture keeps the maintenance and service support for the remote simple and fewer complexes.Slide 26: The medical data like ECG, X-ray Images, Path slides etc,.. are stored along with the patient demography details in a centralized server.Video Conferencing system: Video Conferencing system Video conferencing between medical personnel is possible for tele-Consultation and CME. The system can be used on unicast or broadcast mode depending on the type of solution that one is planning for and the Video conferencing system that is used. Stand alone box : High quality and requires good bandwidth and includes : camera, microphone and the display is on a normal television.TELE CONSULTATIONS AT KGH: TELE CONSULTATIONS AT KGH SN MONTH NO.OF PATIENTS HOSPITAL CONSULTED 1 JAN07 5 FORTIS HOSPITAL NOIDA 2 FEB07 5 FORTIS HOSPITAL NOIDA 3 MAR07 7 FORTIS HOSPITAL NOIDA 4 APR07 5 FORTIS HOSPITAL NOIDA 5 MAY07 5 FORTIS HOSPITAL NOIDA 6 JUN07 6 FORTIS HOSPITAL NOIDA 7 JUL07 5 FORTIS HOSPITAL NOIDA 8 AUG07 7 RTIICS-KOLKATA 9 SEPT07 3 FORTIS HOSPITAL NOIDA & RTIICS-KOLKATA 10 OCT07 3 FORTIS HOSPITAL NOIDA & RTIICS-KOLKATASPECIALITY WISE BREAK UP : SPECIALITY WISE BREAK UP SPECIALITY NO.OF PATIENTS LIVES SAVED FOLLOWING TELE CONSULTATION CARDIOLOGY 9 1.VASCULITIS 63 YRS F NEUROLOGY 11 2.AC.CORONARY SYNDROME 47 YRS M CHEST MED 3 3.ANGIONEUROTIC OEDEMA 53 YRS M PSYCHIATRY 3 4.PNEUMONIA WITH SEPTIC SHOCK 21 YRS M HEMATOLOGY 4 5.POST-OP CASE CABG 57 YRS M RHEUMATOLOGY 3 GASTRO 3 DERMATOLOGY 15USEFULNESS OF TELEMEDICINE: USEFULNESS OF TELEMEDICINE Helpful in proper diagnosis- 21 cases Helpful in treatment modification-17 cases Life saving-5 casesTelemedicine in Indian railways: Telemedicine in Indian railways Malegaon -NF Rly. to PER Danapur-EC Rly. to PER Trichy-S Rly. to PER Bilaspur-EC Rly to PER. KGH-Chittaranjan-to Fortis Hosp & -to RTIICSTELEMEDICINE IN KG HOSPITAL: TELEMEDICINE IN KG HOSPITAL Connected with 2 ISDN & 1 Broadband Costed Rs.6.85 lakh All consultations are free So far 51 consultations done Very useful to KGH as no Consultants are willing to join here due to remoteness. Future plan to connect ICU & OTFuture of Telemedicine in Railways?: Future of Telemedicine in Railways? All H.Units can be connected to Divisional Hospitals for day today consultation. All Divisional Hospitals can be connected to Central hospitals All Central hospitals can be interconnected for mutual consultation in different specialities All this is possible with help of OFC from Rail-Tel or Satellite from ISRO: Tele consultation in KG Hospital from Fortis Hospital, NoidaTHANKS: THANKS