New Endoscopic Suite and New System Setup at University of Malaya

Transcription

1 New Endoscopic Suite and New System Setup at University of Malaya MOHAMAD ZAHIR AHMAD INFORMATION TECHNOLOGY DEPARTMENT UNIVERSITY OF MALAYA MEDICAL CENTER (UMMC)

2 8km from city centre 2

3 University Of Malaya Medical Center -Teaching hospital for Faculty Of Medicine University Malaya -Established in 5 th Aug 1968 for; -Healthcare services -Health education -Research -1 st teaching hospital in Malaysia -1 st reference hospital in Malaysia doctors & 5000 staff beds outpatient & 200 inpatient daily 3

4 Started in E-Lecture : Waste management by University of Kyoto, University of Tsinghua and University Malaya 8MB MYREN, polycom & tandberg (512kbps-1MB) -APAN Medical Group meeting - Active video conference session in UMMC: Endoscopy Workshop since 1993 and 2010 start transmit to outside Medical Group/APAN meeting since 2007 Laparoscopic Workshop Open Surgery Workshop Exam evaluation/discussion Teaching for MO/HO Dominanced Endoscopy Team 4

5 H323 -Commonly used for short meeting and multi-site conferencing -Simple setup and easy to use DVTS -Use for high quality case presentation (recorded video/live) - More complex setup DVTS Plus -Use for average quality multi-site conferencing -simple setup and require lower bandwidth (8MBp/s) Vidyo -Use for simple conferencing/chat -Mobile setup Direct -Use for HD -Using separate LAN/network Streaming -Broadcasting -One way only 5

6 H323 DVTS Vidyo DVTS Plus Webcast Technology H DVTS Vidyo DVTS Plus Webcast TOTAL % Dominanced Endoscopy Team MYREN 35.90% LOCAL 6

7 Endoscopy Unit -Consultant = 6 -Specialist = 2 -MO = 4 -Nurses = 30 -Attendant = 5 -Clerk = 4 -Patients = 10,000/year 7

8 - Better security - Bigger waiting area - 4 X OT vs 6 X OT - Bigger Conference Room - Room for Doctors/Medical Office - Research Room - Dedicated AV and Server Room - Direct Connection into Main Auditorium - Direct Connection with MYREN 8

9 Level 6, New Building New loc Old loc 9

10 Conference Room AV & Server Room Room1 Room3 Room5 Preparation Room2 Room4 Room6 Stabilization 34.4m Registration 44.55m 1, m2 vs m2 10

11 Registration Area 11

12 Preparation Waiting Area 12

13 90% wifi covered 20

14 Room 1 Room 3 Room 5 Room 6 Room 4 Room 2 13

15 - Fluoro X 1 - OGDS X 1 - EUS X 1 - BRONCO X 1 - Multiroom X 2 Reporting Room 14

16 Hall of fame 15

17 H323 DVTS/ Vidyo PC MYREN port DVTS/ Vidyo PC 5 pax 15 pax 19

18 AV interconnect, Server & AV Room, 16

19 17

20 OT (H323) LAN WAN Auditorium (H323) Control Room (H323) TEMDEC (Vidyo Gateway) Kyushu (Vidyo) Changi Hospital (Vidyo) Chao Ray Hospital (Vidyo) Adelaide U (Vidyo) Nagoya Univ. (Vidyo) 18

21 5

22 Audio communication problem from rest of the world to Auditorium due to improper audio mixer tuning during Malaysian Endoscopy Conference 2014 Low quality transmission for few events from Dec 2013 onwards due to MYREN network restructuring 21

23 MOU Signing on 25 Nov In conjunction with MYREN Conference For Tele-medicine Activity between SNUBH & UMMC - Formal documentation for common understanding and agreement for commitment of both SNUBH & UMMC - SNUBH to provide network equipment to improve transmission quality 22

24 MYREN 50MBp/s all the way from UM to UMMC in 1GBps pipe BYPASS internal network, LESS HOP Direct MYREN IP to codec/dvts/vidyo PC Router UM Data Center Direct Fiber (1GBps) Firewall Direct Fiber (50MBps) UMMC Data Center UM Network VLAN Trunk (1GBps) Direct Fiber (1GBps) Direct Fiber (1GBps) Direct Fiber (1GBps) OT VC Set Endos/Surg Dept VC Set Auditorium Notebook Notebook VC Set Notebook 23

25 MYREN UM Data Center TOTAL = 2km on Single Mode Fiber Surgery Dept & Auditorium UMMC Datacenter OT Completed 13 Nov 2014 Endoscopy Unit & Auditorium 24

26 Installed & replaced 19 Nov

27 Tuesday 2 Dec p.m MY/3.00p.m KR Attendance: - Dr Yoong Boon Koon - Dr Koh Peng Soon - Dr Koong Jun Kit - Master MO Student 26

28 Mobile H323 System 27

29 0% packet lost Ping <100ms Jitter <15ms 28

30 - Smooth movement - Sharp images - Clear voice 29

31 New Endoscopy Suite allow UMMC to have more procedure More productivity More comfortable for patient and family members Dedicated setup for Telemedicine Activity -> more convenience for doctors faster technical preparation Direct MYREN connection -> faster and reliable connection 30

32 Regular Telemedicine Session -more frequent ECE, MTC (SNUBH) -Preparation for Malaysian Endoscopy Conference 2015 Collaboration with other Medical Center - Tele-medicine activity 31

33 Zahir Ahmad 39