Transcript E-health-Workshop Tuxtla

Extending e-health to rural areas
Tuxtla, 18-19 May, 2006
Alcatel Alenia Space broadband telemedicine solutions
Extending e-health to rural areas : geographical context
French initiative in South East of France, Department of les Alpes Maritimes
4 valleys whose access is very difficult
Landslides, snow in winter are blocking roads
Aging population
Local medical staff isolation
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Extending e-health to rural areas : objectives
Professionals
Maintain general practitioners in mountainous/isolated areas
Maintain qualified staffs in local hospitals
Provide remote assistance / expertise to local staff to treat patients
Patients
Accelerate recovery at home or in usual environment
Provide locally new services avoiding travelling to urban hospitals
Reduce hospitalization frequency, transfer and cost
Increase population’s confidence into local teams
Deal with medical but also social aspects
Maintain quality of life
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Extending e-health to rural areas : set up of a specific program
To achieve the objectives, setting up of a specific program including medical
training, teleconsultation & tele-expertise with relevant partners
Strong partnership :
 General Council Alpes Maritimes
 telemedicine local development,
 contractual matters and funding,
 planning, communication
 Nice Faculty of Medicine
 provides medical expertise, specialists coordination,
 referents in local hospitals,
 training program
 Alcatel Alenia Space leader for
 satellite technology, telemedicine Workstation and e-health
applications,
 network installation / configuration / optimisation,
 end-users support, technical training
 supervision, maintenance
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Extending e-health to rural areas : Satellite network architecture
A9780 DVB-RCS based satellite network
Hub and applications platform hosted at Alcatel Alenia Space France
premises and managed by AASF technical team
12 sites : 8 local hospitals (isolated area) and 4 Hospitals in Nice (urban
area)
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Extending e-health to rural areas : DVB-RCS technology
Two ways satellite broadband technology. Ground network independency
(2W architecture) of the DVB-RCS satellite solution enables customers
currently suffering of the lack of terrestrial broadband networks, to access
value added services
DVB-RCS standard compliant : mature and fully operational technology
implementing DVB-S norm (DVS-S2 ready) on the forward link & offering
powerful capabilities (up to 2 Mbps return) on the return link to access and
transmit over satellite from anywhere.
DVB-RCS system ensures interoperability with
heterogeneous network like terrestrial, mobile,
wireless and secures customer investments in
infrastructure
It supports current and upcoming IP services ,
providing network functionality to support new
generation of interactive and multimedia
applications (high quality video based applications)
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Extending e-health to rural areas : SIT installation
Ease of installation of the DVB-RCS satellite terminal allows fast
installation of a new site and its integration into the overall network.
Ground, wall, roof
Vehicle
Container
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Extending e-health to rural areas : DVB-RCS technology & telemedicine
requirements
2W design & High Rate on return link (medical training, teleconsultation,
tele-expertise/telediagnosis)
 High quality video transmission from teacher/specialist side (H264)
 Asymmetric/Symmetric traffic
 Applications interactivity (videoconference, questions/answers)
 Very high image quality transmission
QoS mechanisms (medical training, teleconsultation, tele-expertise
/telediagnosis)
 Robust audio communication
 Guaranteed BW
Multicast (medical training)
 Satellite is the best solution (coverage, terrestrial multicast nodes)
 Point to multipoint architecture
 Videostreaming
 Push of contents
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Extending e-health to rural areas : Medical training
Doctors, nurses, auxiliary nurses, pharmacists
3 hours sessions (1-2 per months)
Management of end-of-life care : physical, psychological, social, spiritual, and
practical needs of patients and caregivers
Emergency : introduction to the use of a Semi-automatic defibrillator
Geriatrics : disorders of sphincter / swallowing risks and elimination
Gastroenterology : repercussion of non-steroidian anti-inflammatory (NSAI)
drugs usage
Proctology : acute pain identification and treatment
Psychiatry, Gynaecology, Endocrinology, Dermatology
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Extending e-health to rural areas : Medical training
DVB-RCS HUB
Management tools
Security
Applications & services
Contents
Presentation
DVB-RCS
Remote
SIT
End user WS
Each participant connects to the Alcatel Alenia Space broadband medical training application
Return : 256kbps remote participants/512kbps teacher
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Extending e-health to rural areas : examples
Unlimited number of participants
Meeting room with several participants
and video-projector and wall screen
Remote pointer
session recording for further use
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Extending e-health to rural areas : teleconsultation
Nurses, doctors, specialists
Regular ½ hour point to point sessions
Psychiatry : patient with personality or mental disorders, mortality / morbidity
related disorders (suicide, injuries from accidents, substance abuse)
Elderly
 Nutritional disorders
 Kinesytherapy: evaluation, diagnosis, rehabilitation in locomotion
 Cognitive disturbances
 Orthoepy: speech and swallowing troubles
 Dermatological or rheumatologic disorders
Gerontology : Care of scabs, podology and chiropody
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Extending e-health to rural areas : teleconsultation
DVB-RCS HUB
Management tools
Security
Applications & services
Each participant connects to the same core application
Patient transfer, local hospital recovery ?
Return : 256-512kbps
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Telemedicine
WS
Extending e-health to rural areas : tele-expertise / telediagnosis
Specialists
½ hour point to point sessions
Specific tele-expertise application with advanced image processing
capabilities
Interconnecting with DICOM compliant modality
Radiology (fractures, angiogram, mammography, ..)
Dermatology (melanoma or dermatitis or pictures/MRI examination,
tissue microscopic examination)
Cardiology (prevention, investigation and treatment of diseases involving
the cardiovascular system)
Anatomo-pathology
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Extending e-health to rural areas : tele-expertise / telediagnosis
DVB-RCS HUB
Management tools
Security
Applications & services
SIP
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Extending e-health to rural areas : tele-expertise / telediagnosis
DICOM compliant
Acquisition from DICOM modalities
Image manipulation (any manipulation is remotely reproduced)
 zoom
 contrast, brightness
 black & white
 magnifying glass
 measurements, annotation
 window levelling
 scrolling
Tele-cursor
Diabetic eye disease examination
Return : 512 kbps
Echography
Return : 1024 kbps
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Conclusion
Leading position in telemedicine using satcoms
 System and solutions integrator, not only a supplier
 Take advantage of Alcatel Group competencies for network architecture
definition (terrestrial, mobile, satellite, wireless) and integration of end
users applications for medical uses
 Build robust partnerships for industrial solutions (cost sharing, roadmap)
and commercial deployments success (user acceptance)
 Design and provide end-to-end solutions for e-Health vertical market
(unique interlocutor)
 Have got a unique experience in Europe of deploying and exploiting an
operational medical training and teleconsultation network
 Is the coordinator of the Healthware European project (Aeronautics &
Space program – European Commission 2005-08), which is the
reference in Europe regarding telemedicine by satellite and the driver for
the development and the deployment of DVB-RCS based telemedicine
applications : http://healthware.alcasat.net
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Contacts
Pascal LOCHELONGUE (technical manager)
[email protected]
Olivier AUTRAN (marketing manager)
[email protected]
Pierre LEON (local marketing manager)
[email protected]
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