Analysis of Telemedicine Project deployed in Sub- Himalayan Region in the Indian state of Uttaranchal

Transcription

1 Analysis of Telemedicine Project deployed in Sub- Himalayan Region in the Indian state of Uttaranchal Prof. S K Mishra, MS, FACS Head, Dept. of Endocrine Surgery & Nodal Officer, Telemedicine SGPGIMS, Lucknow,India skmishra@sgpgi.ac.in PSC/APT Workshop, Okinawa, 5-6, June 2007 Okinawa, JAPAN,

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3 India Total Area :3,287,263 sq. km No. of Provinces : 29 Union Territories : 6 Districts : 466 Coastal line : 6,700 km

4 Health Delivery System Primary level Health Centres - Villages Secondary level Health Centres - Districts Tertiary Level (Medical Colleges, Hospitals) - Cities. Few Advanced super specialty & sub specialty Medical Institutes - Big Cities or Metros

5 Lucknow

6 Uttaranchal State & Telemedicine Network Altitude up to 7,87m Regions 2 Base Hospital, Srinagar Base Hospital, Almora SGPGIMS, Lucknow Kumaon Garhwal 500 km Districts - 3 Population 8.4 million

7 Project planning, system study & design Discussion with Uttaranchal Govt : Sept Studied state health system and infrastructure, prevailing telecommunication facility Preparation of project model & financial proposal Worked out telemedicine platform with technical partner (OTRI, Ahmedabad) Selected communication media Prepared technical & financial proposal for implementation for 3 years

8 Implementation of the Project First phase networking of one district each in Kumaon and Garhwal region Inspection of physical infrastructure for establishing telemedicine center Dimension of the room Power situation Acoustics Appointment of manpower Training at Telemedicine Resource Center, SGPGIMS

9 Location of Telemedicine Nodes (First Phase) 3 ISDN lines of 28 kbps each 3 ISDN lines of 28 kbps each SGPGIMS, Lucknow Located in plain area Base Hospital, Almora Altitude 646m Base Hospital, Srinagar Altitude 84m

10 Sl No Technical Configuration Expert End Pentium P-4, 40 GB HDD, 256 MB RAM,.44 FDD, NIC 0/00, Scroll Mouse & Keyboard, CD Drive, Multimedia 5 LCD Monitor 29 flat TV for Display of both local & remote end TV Based Video Conferencing Dedicated Telemedicine License Software Tele-pathology Module Tele-radiology Module Tele-cardiology Module Peripherals: Laser Printer NT ISDN Phone Document Scanner Customised Configuration Unit 2 3

11 Technical Configuration Remote End Sl No Pentium P-4, 40 GB HDD, 256 MB RAM,.44 FDD, NIC 0/00, Scroll Mouse & Keyboard, CD Drive, Multimedia 7 LCD Monitor 29 flat TV for Display of both local & remote end TV Based Video Conferencing Dedicated Telemedicine License Software Tele-pathology Module Tele-radiology Module Tele-cardiology Module Peripherals: NT ISDN Phone Customised Configuration Unit 2

12 Telemedicine platform at expert end

13 Telemedicine platform at remote ends

14 Telemedicine Software Tele-radiology Tele-cardiology Tele-pathology Videoconferencing

15 Telemedicine Sessions (April 2004-March 2007) Total no. of Telemedicine Sessions held : 397 Demo and Technical testing sessions : 24 Tele-consultation sessions : 67 Tele-education sessions : 06

16 Tele-consultation (April 2004-March 2007) Store and Forward Technology & Real Time Documents exchanged - patients history,ecg, radiology & pathology images No. of sessions 67 No. of patients consulted - 24

17 Consultant s Opinion

18 Tele-consultation - Specialties (April 2004-March 2007) Sl No Name of the Department No. of patients. Radiology Cardiology Neurology 3 4. Neurosurgery 3 5. Surgical Gstroenterology Endosurgery Gynecology Gastroenterology Urology Haematology 02. Endocrinology 0 2. Nephrology 0 3. Pathology 0 4. Neuro-ophthalmolgy 0 Total 24

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20 Tele-education (n=06) Starting from July 05-February 07 Point to multipoint Real Time July 2005 December2005 Total no. of sessions held: 69 January 2006 to September 2006 No of sessions on demand : 6 October 2006 February 2007 Total no. of sessions held : 2

21 Various Specialties Participated Planned Tele-education sessions n= Hospiatl Adminstration Nursing Adm Meeting Endosur Gastroenterology Gynecology Haematology Neuro-ophthalmology Neurosurgery General Medicine Neurology Paediatrics Anaesthesia Technical meeting Transfusion Medicine Radiology Rheumatology Cardiology Surgical Gastroenterology Nehrology Pathology Tele-CME

22 Reasons for cancellation of Planned Tele-education sessions Planned - 94, Cancelled - 04 Reasons for cancellation SGPGIMS Base Hospital, Almora Power failure Nonfunctioning of ISDN line Non availability of doctors Non availability of Technical Person Miscellaneous Base Hospital, Srinagar There could be more than one reason for the cancellation of the sessions

23 Nursing Skills Development & Hospital Administration (n=9 & n=4)

24 Tele-education session Neurosurgery

25 Tele-microbiology & Tele-cardiology

26 Tele-Continuing Medical Education (Workshop on Diabetic Foot Care-Nov 2005)

27 Outcome of the project Awareness about the technology by the healthcare professionals Doctors from participating hospitals and telemedicine technicians were trained Reducing referral numbers On site disease management with patient satisfaction Distance medical education for the doctors and paramedical professionals

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29 Acknowledgement Lily Kapoor Repu Daman Chand Sandeep Singh Pankaj Joshi Maneesh Semwal Durgapal K S Negi Ragesh Shah S K Mishra

30 School of Telemedicine & Biomedical Informatics, SGPGIMS, Lucknow Thank You