Transcript eWaveMD Healthcare Everywhere

Israel ICT Day World Bank
Oren Shuster
CEO
eWaveMD
June 2012
Who We Are

eWaveMD is a provider of eHealth solutions for developed and developing countries

Established in 2006 as an international company, operating in the USA, Brazil, India
and Ethiopia. Part of the eWave Group

Our solutions serve more than 15K physicians and 3M patients world wide with:
• Centralized Cloud-Based EHR
• Patients PHR and Information Kiosk
• Remote Diagnostic System
eWaveMD’s eHealth Products
Developed Countries
2006
 ONC-ATCB certified EHR
 Certified for Meaningful Use
 Practice Management
 Billing
 Scheduling
Developing Countries

ARTECTM - eWaveMD’s eHealth/mHealth
solution for rural areas

Pilots in Ethiopia and India

“go to market’ collaboration
agreement with Intel.

Single offering of Intel SkooolTM
and ARTECTM
2009
The ARTECTM - eWaveMD’s eHealth Solution
The Global Challenge
 3.4 billion people live in rural environments with minimal or no healthcare
infrastructure
 Critical Threshold: 23 physicians, nurses and midwives per 10,000 population
Country
Rural Population
(number of persons)
India
850.0 million
Pakistan
118.4 million
Bangladesh
118.3 million
Nigeria
79.4 million
Ethiopia
70.8 million
Vietnam
62.0 million
USA
56.2 million
Data: UN Population Division, WHO
Density of Physicians, Nurses and Midwives
(per 10,000 population)
16.45
13.76
5.65
20.05
2.62
22.34
122.44
The Challenges of Healthcare in Rural Areas

Lack of healthcare infrastructure

Shortage of qualified medical personnel

Shortage of healthcare specialists

Wide target area with limited accessibility

Lack of medical education and awareness
Pilot in Ethiopia - Background
 Acute shortage of healthcare professionals
 Health workers in rural areas have no or limited access to specialist support and up-todate information
 Patients need to travel long distances for healthcare services at considerable expenses
 The Ethiopian government has recognized Telehealth as the adequate alternative
solution in resource-poor environments
Ethiopia Pilot - Description

Signed MOU with the Ethiopian Federal
MOH

In partnership with the Clinton
Foundation, USAID/AHSI and in
cooperation with Intel.

Launched in March 2012

16 stations deployed in Addis Ababa,
Amhara and Oromia regions

Over 300 health practitioners, nurses and
doctors were trained in hospitals and
medical centers

Scale up to 3,000-5,000 Stations within 3
years
Ethiopia Pilot – Challenges and Solutions
The Challenges
The Solutions
 Problematic internet infrastructure
 Data cards and store-and-forward system
 Electricity failures
 Usage of batteries
 Leadership
 Close cooperation with EFMOH officials
 Hardware operating usually in developed
 Developing new hardware designed for
rural areas
countries is not designed to work in
extreme environmental conditions such as
dust, high temp etc.
 Change management
 Dedicated project manager at site
The ARTEC
TM
- Holistic eHealth Solution
Supports progress towards UN MDG’s 4, 5 and 6.
Monitoring
TM
Centralized
Linked
withaccess
children
Intel
Skoool
medical
medical
 Immediate
tohealthcare
affordable
Easy access
to
regular
checkups
for
records,
education
ensure
tool. of
better
child health
services.
early detection
diseases.
monitoring.
Medical
education
workflow
forhospitals
 Connecting
remote
clinics with
Dissemination
of prevention
Education
Education for
Constant
Medical
Staff.
monitoring
of HIV/AIDS,
consultation
and treatment.
campaigns
via e-learning
platform.Malaria
and TB patients.
Accessible
health
to rural local
 Non
personnel
canoutbreaks,
operate
Earlymedical
detection
of education
disease
 health
Pre
population.
andpost
post-natal
monitoring
of mothers
to data
overcome
of
via analysis
of
storedshortage
in EHR.
Prevention
and newborns.
medical
personnel.
Prevention
 Training
of non medical
staff,on
allowing
Disease
management
based
Monitoring
ARTEC
the
operation
Hardware
ofof
local
includes:
healthcare
ECG,
Glucose
posts.
 Local
treatment
HIV/AIDS,
Malaria
and
medical
history.
Meter,
Spirometer, Stethoscope, Non
TB
patients.
Invasive Blood Pressure, Pathology
Treatment
Microscopeof
and
more.
 Prescribing
medications
from a distance.
Treatment
Use Cases

Visiting nurse/Social worker healthcare
services (data collection, primary care,
education).

Computerized screening of patients at Triage.

Remote monitoring and interpretation
services
(ECG, Holter BP, Spirometer, X-Ray Digitizer
etc.).

Health posts deployment in rural areas not
necessarily managed by medically trained
personnel.

Second opinion between physicians.
Global Benefits

Strengthen the rural health infrastructure.

Foster development by creating a eHealth
infrastructure.

Furnishes countries with a more efficient way of
treatment.

Encourage medical education.

Local job creation.

Provide innovative infrastructure for additional
medical solutions in the future.

Supports progress towards UN MDG’s 4, 5 and 6.
Thank You
UN MDGs 4,5,6
(4) Child health
• Reduce by two thirds – between 1990 and 2015 – the under-five
mortality rate
(5) Maternal Health
• Reduce by three quarters the maternal mortality rate
• Achieve universal access to reproductive health
• Achieve – by 2010 – universal access to treatment for HIV/AIDS
(6) HIV \ Infectious diseases
• Reduce to half by 2015 and begin to reverse the incidence of malaria and
other major diseases
• Reduce to half by 2015 and begin to reverse the spread of HIV/AIDS
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Appendix
TM
The ARTEC Solution
The ARTEC™ Solution
The ARTEC™ Solution
Subjective
Information
The ARTEC™ Solution
The ARTEC™ Solution
Request
Measurements
The ARTEC™ Solution
Perform
Measurements
The ARTEC™ Solution
Provide Diagnosis
& Treatment
The ARTEC™ Solution
•
Scalability:
•
Sustainability: the more the system is used
(data is collected) the greater the
value for both patient and country
both in the number of concurrent
sessions, the number of stations and
the devices on each station
Smart Client / ASP.NET Web Client
UI Components
UI Process Components
Service Gateway
Security
Management
Communication
Policies
Façade
Business Layer
Service Interfaces (SI)
Business
Workflows
Business
Components
Business Entities
Data Access Layer
Data Access Logic
Components
Service Agents (SA)
Data Sources
Services