Transcript Assisted Telemedicine Kiosks

Assisted Telemedicine Kiosks
A Proposal for
Efficient Healthcare Delivery
©K.J. Cleetus, CERC
Mar 1999
Confidential
Goals
• Field Telemedicine Applications on the new Internet
– flexible Quality of Service
– pay for use
– very high speed
• Shift from high-cost low usage telemedicine facilities
to lower cost high-usage facilities
• Make telemedicine a commonplace
• Expand geographical coverage of Medical Clinics
• Enlarge and widen access to specialty care
Requires funding for development
Connection of Kiosk Clinics
Kiosk Clinic 1
Lab
Image
GP
GP
Kiosk
Kiosk
Kiosk Kiosk
Kiosk Clinic 2
ENT
Kiosk
Lab
Image
GP
GP
Kiosk Kiosk Kiosk Kiosk
Nurses, Patients,
& Technicians
Computer System for
Care Management
ENT
Kiosk
Nurses, Patients,
& Technicians
Internet
Cloud
Medical Offices
Physician 5
working from private clinic
Physician 1 Physician 2 Physician 3
Physician 4
working from home
Kiosk Clinic Layout
Int. Int. Int.
VC VS VE
Primary Care Primary Care
Kiosk
Kiosk
Internet
Image
Kiosk
Clinic
EMR
Primary Care Primary Care
Kiosk
Kiosk
Legend:-VC - Videoconference
VS - Vital Sign Monitors
VE - Visual Examination Instruments
HE - Haptic Examination Instruments
IM - Imaging instruments
PT - Pathology tests
Int.- High Speed Computer Interfaces
Pathology
Kiosk
Kiosk Layout
Int.
IM
Int.
Int.
Int.
VC
VS
VE
Int.
AU
Internet
Patient & Attending Nurse
Clinic
EMR
Legend:-VC - Videoconference
VS - Vital Sign Monitors
VE - Visual Examination Instruments
HE - Haptic Examination Instruments
IM - Imaging instruments
PT - Pathology tests
Int.- High Speed Computer Interfaces
Detective Power of Kiosk
Can neither detect
nor eliminate
Detect (+) or Eliminate (-)
but NOT Diagnose conclusively
Vital Signs
Images (X-ray, sound)
Visual Exam
with highQ still image
Diagnose conclusively &
Prescribe treatment
Local Physician
EMR (history)
VideoConference
Patient-Physician
Pathology Tests
Kiosks can be equipped for different needs and purposes
Kiosk
(artist’s impression)
Kiosk Equipment Selection
What is the budget available?
What type of care
do you want to provide?
What Equipment will
the Health Station have?
What is the Patient Population?
What are the prevalent ailments?
- Primary
- Specialty
- Routine Screening for common diseases
- Immunization
- Consultation between PCP & Specialist
What kind of cost-effective
and reliable diagnostic equipment is available?
Equipment selection depends on several criteria
Kiosk Equipment Types
• VideoConference
• General Purpose Vital Sign Sensors
– BP, temperature, weight, pulse, blood oxygen, EKG, Electronic
stethoscope
• Images
– Ultrasound, Filmless X-ray for ordinary purposes
• Visual Examination
– Video Otoscope, Ophthalmosocpe, Intraoral Cameras, Video
Dermatoscope
Configure according to need
Physician's Station
Patient EMR
(21 inch)
Patient
Vital Signs
Patient
Video Conf
(4' by 3')
Specialist
Video Conf
Exp. Systems &
Med Databases
Gigabit LAN
Patient
Radiology
Images
Internet
Patient
Visual Exam
Images
EMR
Cache
The VideoConference screens could be large flat displays on the wall or 35 inch displays on a stand.
The Patient diagnostic displays face the physician, and are ranged at the ends of a long table.
The Expert System and other diagnostic aids screen is sunk below the table so as not to obtrude.
The haptic sensor-embedded dummy lies on the table in front of the physician.
All the displays are controlled by separate computers linked in a Gigabit LAN.