Transcript Integrated Rural Health Information System (IRHIS)

Integrated Mobile Medical &
Telemedicine/Telehealth Research Centers
Copyright © 2005
CGI Communications Services, Inc.
Integrated Mobile Medical &
Telemedicine/Telehealth Research Centers
IMPROVING HEALTH CARE ACCESS IN THE RURAL COMMUNITIES WITH MODERN TECHNOLOGY
“TELEMEDICINE/TELEHEALTH AND MOIBLE MEDICAL CENTER PARADIGM”
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Executive Summary
Technological innovations lead to applications
development for enhancement of human life and its
value, which largely remained limited to certain
areas of the world creating Digital Divide.
Rapid development of telecommunication
technology has given the opportunity for access to
development system, irrespective of geographic
distance, again such remained confined to urban
population of many nations, creating Digital Access
Divide (DãD).
The Rural Organ for Access to Development (The
ROAD Project) is an initiative, to allow access to
development tools for rural population in less
developed areas of developing nations.
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Integrated Mobile Medical &
Telemedicine/Telehealth Research Centers
MRI Unit
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Integrated Mobile Medical &
Telemedicine/Telehealth Research Centers
Gynecological Suite
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Integrated Mobile Medical &
Telemedicine/Telehealth Research Centers
InterCare Vascular Diagnostic Center
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Integrated Mobile Medical &
Telemedicine/Telehealth Research Centers
Special Procedure Unit
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Integrated Mobile Medical &
Telemedicine/Telehealth Research Centers
Radiology/Nuclear Medicine Unit
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Integrated Mobile Medical &
Telemedicine/Telehealth Research Centers
Mini-Dental Unit
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Integrated Mobile Medical &
Telemedicine/Telehealth Research Centers
Consulting Room
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Integrated Mobile Medical &
Telemedicine/Telehealth Research Centers
Microbiology Unit
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Integrated Mobile Medical &
Telemedicine/Telehealth Research Centers
Clinical Laboratory Unit
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Integrated Mobile Medical &
Telemedicine/Telehealth Research Centers
Digital Mammography Unit
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Integrated Mobile Medical &
Telemedicine/Telehealth Research Centers
Two Bed ICU
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Integrated Mobile Medical &
Telemedicine/Telehealth Research Centers
Three Bed Medical Ward
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Integrated Mobile Medical &
Telemedicine/Telehealth Research Centers
OB-Delivery Room
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Integrated Mobile Medical &
Telemedicine/Telehealth Research Centers
Neonatal ICU
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Integrated Mobile Medical &
Telemedicine/Telehealth Research Centers
Mini-Gym
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Integrated Mobile Medical &
Telemedicine/Telehealth Research Centers
Special Hospital Layout
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Integrated Mobile Medical &
Telemedicine/Telehealth Research Centers
Ambulatory Care Center Layout
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Executive Summary
- Continued
The first program under the ROAD project is an
Integrated Mobile Medical & Telemedicine/Telehealth
Research Centers, a healthcare delivery and
management vehicle for the developing countries.
The Mobile Medical Center which is built on a large van
or trailer, epitomizes the Millennium initiative to bring
healthcare technology closer to the beneficiaries in the
rural population. The aim has been to bring
advancements in modern medical sciences at the
doorstep of the common man, who otherwise would
have been neglected of its benefits.
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Executive Summary
(continued)
• These private sector programs will empower
development schemes of government and nongovernment machineries, to create a viable, visible and
sustainable access mechanism, for continued
development of rural population, as newer technologies
evolve.
• This health care model will make it possible to provide
state of the art comprehensive health care to the needy
and poor people at their doorstep in remote areas of
Latin American Countries practically at no cost to the
recipients, since relatives abroad will underwrite the cost
of services for the relatives at home.
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Mission
To harness the advanced efficiencies and
capabilities of current medical, information,
and communications technologies to improve
the delivery of primary and specialized health
care to rural populations.
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Objectives
• Meet basic and primary health care needs of rural
communities.
• Deliver expert medical services to rural doctors, nurses,
healthcare aids.
• Provide network-based tele-diagnostic services and
sample collection for testing at advanced laboratories.
• Assure timely intervention into disease processes.
• Provide an intervention resource for disease.
• Increase awareness for safe motherhood and childhood.
• Improve patient compliance; reduce drug abuse.
• Improve delivery and administration of prescription drugs.
• Deploy each MMTTRC at a cost <US $500,000.
• Provide support resources to rural medical professionals
to improve care delivery to their patients.
• Elevate the rural economy by
– reducing morbidity rate and healthcare costs
– reducing frequency and costs of travel for medical purposes
– improving productivity
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Mobile Medical & Telemedicine/Telehealth Research Center
DELIVERABLES
END USERS
DIAGNOSTICS
WAREHOUSE
& DISTRIBUTION
NETWORK
PROCESS
PORTAL
INTEGRATION
RURAL MEDICAL
MMTTRC
CENTERS
PHYSICIAN NETWORK
IN DHAKA
IN GUATEMALA
INTERNATIONAL
PHYSICIAN NETWORK
REFERENCE
LABORATORY
Mobile Obstetric and
GYN Unit
FACILITIES
IMAGING FACILITY
Mobile
Surgical
Mobile
Vaccination
Center
Unit
REFERRAL HOSPITALS
n
Mobile Trauma Unit
ASSEMBLY &
PACKAGING FACILITY
TRANSPORTATION &
COURIER SYSTEM
LOGISTICS
TELE
CONSULTATION
PROCUREMENT &
SUPPLIERS
FIELD MEDICS
HEAD QUARTER
Mobile Radiology Unit
PHARMACY
TELECOMMUNICATION
GENERAL
PRACTITIONERS
BROADBAND INTERNET
Mobile Surgical Unit
SUPPORT
SERVICES
EDUCATION & TRAINING
Mobile Hospital Unit
TRAINING
EDUCATION &
AWARENESS
MEDIA: PRODUCTION /
DISTRIBUTION
RETAIL PHARMACY
PHARMACIST
OUTLETS
RESEARCH
CORPORATE
FINANCE
INTERNATIONAL
FINANCE
COLLABORATIVE
FINANCE
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LOCAL
CHAMBER OF COMMERCE
BANKS
LOCAL PERSONNEL
FOREIGN & LOCAL
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BASIC NETWORK FOR MMTTRC MEDICAL PORTAL
(URBAN & RURAL)
SPECIALIST
DOCTORS
BROADBAND WIRELESS NETWORK
200-500 DOCTORS
INT
ERN
PUBLIC MEDICAL INSTITUTIONS &
FACILITIES(SUBSIDIZED)
ET
PBX
TERTIARY
DIAGNOSTIC
FACILITIES
PRIVATE MEDICAL INSTITUTIONS &
FACILITIES
INDIVIDUAL
PATIENTS
MEDICAL PORTAL
MOBILE & LAND PHONE
MMTTRC
Radiology Unit
MMTTRC
OB-GYN Unit
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MMTTRC
Special Hospital
Unit
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Components of MMTTRC - Physical
MMTTRC
Telephone
Doctor’s Office
Generator
Pharmacy
Telemedicine
Laboratory
Computer
Computer
Bar Code Reader
Sample Collection
Library
ICE Software
Electronic Record
Labeling
Monitoring System
D-Camera
Drug Advise
Centrifuging
Mobile Doctor
D-Stethoscope
Printer
Rapid Tests
D-Spirometry
Vasogram
Microscope
Packaging and Courier
ECG, BP, Weight
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Benefits
• For Rural Patients:
 Patient’s access to expert medical advice through Telemedicine
 Improved care at lower cost (patient will spend ~40% of the cost
compared to district level medical care)
 Improved diagnoses: Advanced pathological services from rural
health centers
 Timely and accurate intervention and referral systems
 Expanded formulary of quality prescription medications and
services, used accurately.
 Diagnostic needs met faster, and greatly reduced error, at half
current cost.
 Disease monitoring services for Diabetes, Hypertension, etc.
 Customized and appropriate attention to family medical needs
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Benefits
• For Rural Doctors:
 Continuity of present practice
 Improved diagnostics through Telemedicine technologies
 Potential earnings increased by 3x
 Access to no-cost, continuous CME
 Improved Confidence through professional support
 Clinically acceptable practice guidelines
 Evidence-based medical practice
 Care providers form focal point for rural development
 Connected to advanced medical facilities 24H/7D
 Elimination of professional isolation
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EXAMPLE: ICE ELECTRONIC HEALTH RECORD SYSTEM
NEW PATIENT
REGISTRATION
PROCESS
(MRN)
C
CONSULTATION
BY LOCAL
DOCTOR AT
MMTTRC PORTAL
CLIENT
PATIENT VISIT
LOG
Referred From
Local MMTTRC
Portal Client for
Teleconsultation
TELEMEDICINE SYSTEM AT
RURAL CENTER
EN
TE
R
Patient
Attends the
MMTTRC
A
B
LOCAL PRESCRIPTION
GENERATION
PATHOLOGY
TESTS
Digitization of ECG, XRay, Spirometry,
Heart-Lung Sounds, &
other diagnostic
evidences
R
EP
O
R
T
&
A
D
VI
C
E
SE
N
T
TO
R
U
R
A
L
C
OLD
PATIENT
WITH MRN
MMTTRC PORTAL Transmits Generated Advice
to Concerned Rural MMTTRC (Rural Client)
MMTTRC
PHARMACY
Report is Delivered to the
Patient and Treatment is
Managed by the Local
Consultant
D
Completion of
Electronic Patient
Folder
Expert
Doctor
in Guatamela
National or
International Expert
Doctor View the
Patient Folder Online
and Writes Advice
MMTTRC PORTAL Sends
Message to Concerned
Expert Doctor for
Teleconsultation
Transmission of the Patient
Folder to MMTTRC Medical
Portal in Los Angeles
Expert Doctor in
USA and Canada
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EXAMPLE: ELECTRONIC MMTTRC DIAGNOSTIC SYSTEM
A:
LOCAL
PRESCRIPTION
GENERATION
Patient Attends
the Rural Medical
Center
NEW PATIENT
REGISTRATION
PROCESS
(MRN)
PATIENT VISIT
LOG
CONSULTATION
BY LOCAL
DOCTOR AT IRHIS
PORTAL CLIENT
MMTTRC CLIENT
SERVER AT RURAL
END
REPORT SENT
TO PATIENT
FOLDER
OLD PATIENT
WITH MRN
B
MMTTRC
PORTAL IN Los
Angeles
PORTAL
INFORMS LAB
INFO SYSTEM
OF LAB
PATHOLOGY TESTS
REQUEST SENT TO
MMTTRC PORTAL
RAPID TESTS AT
RURAL CENTER
SAMPLE
COLLECTION FOR
ADVANCED TESTS
IN DHAKA LAB
BLOOD SAMPLE
SENT TO
TRANSPORTATION
HUB
PATH TESTS ARE
PERFOMRED AT
CITY LAB (ZEROERROR REPORTING)
CITY LAB
WITH AUTOMATED &
ROBOTIC PLATFORM
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SAMPLES
DELIVERED TO
LAB IN CITY
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Software Integrated in Web Portal
• ICE Electronic Health Record with Telemedicine
& Telehealth Component;
• Messaging System;
• E-Commerce System;
• Laboratory Information System;
• Pharmacy Retail - Chain Management System;
• Management Information & Training System;
• Data Storage, Archiving and Retrieving System;
• Communication and Networking System;
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Healthcare Service Programs
1. Diagnostic Healthcare System;
2. Primary Healthcare & Teleconsultation System
for expert opinion (includes all medical
specialties);
3. Women’s Healthcare System;
4. Children’s Healthcare System;
5. Pharmacy Retail Chain System;
6. Professional and field force training Mechanism;
7. Education, research and monitoring System;
8. Rural (Community) Health Insurance Programs;
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Foundation of Rural Health System
Clinical
Medicine
Pharmacy
Telemedicine
Telecommunication
Clinical Laboratory & Hospital
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