Transcript TTeC06, Tromsø, 13.06.2006

TTeC06, Tromsø, 13.06.2006
Connecting People through
Innovative Telemedicine Solutions
Stephan Schug1, Pascal Lochelongue2 , Marc Lange1
1EHTEL, 2Alcatel Alenia Space
Healthware Project Partners (SIP4-CT-2004-516171)
Healthware Project (FP6)
SIP4-CT-2004-516171
TTeC06, Tromsø 13.06.2006
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"Telemedicine is healthcare's new frontier"
(ESA, 2005)
 Telemedicine is [..] a means of facilitating the distribution of
human resources and professional competences.
 It can speed up diagnosis and therapeutic care delivery and
allow peripheral and primary healthcare providers to receive
continuous assistance from specialised centres.
 Information and Communication Technology (ICT) has
reached a sufficient degree of maturity that it is now possible
to envisage setting up a virtual hospital in a patient's home,
 obtaining real-time teleconsulting and diagnosis from a
remote location and
 transmitting clinical data and multimedia medical content
from one location to a large number of geographically
dispersed locations.
Healthware Project (FP6)
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"Telemedicine is healthcare's new frontier"
(ESA, 2005)
 In order to improve the adoption and effectiveness of
telemedicine, advanced ICT infrastructures are needed that
would guarantee access, availability and quality of service in
the required locations.
 Satellite communications, accessible from virtually any
location and capable of instantly activating communication
channels adapted to specific needs, could prove an important
factor driving the development of telemedicine.
 At present the use of satellite-based ICT for telemedicine is
gradually moving from an exploratory phase towards a more
stable and operational profile, in which integration into the
existing healthcare system and the rapid attainment of selfsustainability are essential preconditions for success.
Healthware Project (FP6)
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The Healthware Project
(SIP4-CT-2004-516171)
“Standard and Interoperable satellite solution
to deploy health care services over wide area”
Healthware Project (FP6)
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Healthware Workpackages:
Overview
Healthware Project (FP6)
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Framework and Key Elements
of the Healthware Project
 "Aeronautics and Space" thematic priority of the 6th
Framework Program (FP6)
 Addresses the development of end to end satellite
telecommunication systems for telemedicine applications
 Three years project, started on 1 May 2005
 Alcatel Space coordinates a consortium of 19 partners
 Overall budget is 5.5 M€, of which 3.7 M€ are funded by EC
 The project is built on a four steps approach
 Analysis of users & services requirements
 System specification and architecture design
 Industrial testbed integration and validation
 Pilot deployment, usage/validation and evaluation
Healthware Project (FP6)
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TTeC06, Tromsø 13.06.2006
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Project strategy
Technology Focus:
DVB-RCS
(Interactive Satellite Communication)
Telemedicine Service
and Medical Focus
Healthware Project (FP6)
SIP4-CT-2004-516171
Users and Citizens
Open Group
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Information and Communication
Technologies Focus of Healthware
 To focus on the development of end to end telemedicine
solutions/services over the DVB-RCS satellite technology
 Design a modular, standard based and interoperable platform
 To integrate and validate solutions that will fulfil end-users
requirements
 set up of a “testbed” platform to achieve industrial validation
 validation of network and telecommunication solutions (star,
mesh DVB-RCS, QoS mechanisms, ...)
 validation of applicable solutions compliant with users needs
 To achieve large scale pilot deployment and validation over
networks managed by medical leaders
 To identify options that will allow to turn the Healthware
solutions/services into sustainable ones
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Technology Focus: DVB-RCS
(Interactive Satellite Communication)
 Concern mainly DVB-RCS satellite terminal and
interoperability of such solutions with complementary network
solutions (terrestrial, wireless, ..)
feed
power amplifier / Tx
LNB / Rx
dish
Rx
mount
 50 m
Tx
RF/IP
Indoor modem
Healthware Project (FP6)
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DVB-RCS Technology advantages
 DVB-RCS is a mature and fully operational technology : on the forward
link, it capitalizes on the success of DVB-S norm for TV broadcast and on
the return link, it offers powerful solutions (up to 2 Mbps return) for access
and transmission over satellite from anywhere.
 DVB-RCS is an open standards technology which secures customer
investments in infrastructure by ensuring interoperability with
heterogeneous network like terrestrial, mobile, wireless
 DVB-RCS supports current and upcoming IP services and provides the
network functionality to support new generation of interactive and
multimedia applications (high quality video based applications).
 The 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.
 Ease of installation of the DVB-RCS satellite solution allows fast
installation of a new site and its integration into the overall network.
Healthware Project (FP6)
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Telemedicine Service and Medical Focus
of Healthware
 Focus on three conditions
 Chronic respiratory diseases
 Heart problems
 Oncology
 In four preferred application domains
 Services at home: monitoring and remote assistance to patient located
in isolated areas (islands, campaigns, mountains)
> areas with poor telecom infrastructure
 Medical training: medical knowledge dissemination towards medical
staff, nurses, auxiliary nursing staff
> high rate for quality contents transmission from the teacher side
 Second opinion: interactive video-communication between specialists
and document sharing > symmetric traffic and short delays
 Teleconsultation: interactive video-communication between patient and
doctor > high rate from the patient side
Healthware Project (FP6)
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Pilot Site: FTO EKAB Medical Training
3 Units in prehospital
emergency care
 EKAB, ICU Heraklion Hospital,
ICU Lefkosia Hospital
 Material: TRAYMA,
CARDIOLOGY, ALLERGIES etc
Year round course
 2 hour sessions biweekly
 Power point presentations & Real
time demonstrations
Target: Primary care centers and
rural offices
 Charakas, Kandanos, Santorini,
Spili, Arkalochori, Siteia
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Healthware Project (FP6)
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Cybermedicine
Prevention
Self Help
Telemedicine
Self
Care
Ambulatory
medicine
Assisted
Care
Hospital
medicine
Disease
Management
Consumer oriented
Provider oriented
Institution oriented medicine
Consumer oriented medicine
ICT supports the healthcare of individuals
time
Source: Eysenbach, BMJ, 2000 (modified by T. de Vries 2004)
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© T. de Vries 2004
Why UCOG in Healthware?
Healthware strategy relies …
…on the User’s requirement and working environment
For customizing the proposed solutions
For designing an operational model for the development of
end-to-end telemedicine solutions
…and therefore the UCOG’s members are:
Medical Users
Healthware Project (FP6)
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Beneficiaries
Deciders
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Industrials..
Consortium
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Members of UCOG
The UCOG is created to establish a strong cooperation between
:
Consortium
Medical Users
Beneficiaries
Deciders
 industrials, building the offer, and
 professional medical users, having a specific
demand,
 taking into account the patients and citizen's fears
and requirements to ensure acceptance,
 while studying the best operational model to
ensure the development and the sustainability of
the Healthware based services
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Mission of UCOG
An Open Forum in which
The Healthware pilot sites (Medical Users)
 Coordinate their activities and welcome new users
 Share the lessons learned from
the implementation and operation of telemedicine
services
Any other stakeholders (Observers & Experts),
 Benefit from a real-environment use and evaluation,
led in different areas in Europe, on a large pool of endusers,
 Identify side effects and discuss own requirements
and acceptance criteria
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UCOG activities
Every year
A UCOG WORKSHOP
 For sharing lessons learned
 With external speakers for broadening the scope
 Open to the public for inviting new participants
In the meantime
A USER WORKING DAY
 For evaluating project’s progress,
 Reviewing users’ feedback and new/fine-tuned
requirements, encountered obstacles …
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UCOG is Open
New pilot sites are invited to join
 Who: Hospitals, GPs and Specialists, Home
Nurses, Medical Emergency Services, existing
networks considering satellite communication as a
means to complement their terrestrial network
 What: to participate in an existing network or create
a new one
 by requesting the support of the Healthware
consortium
 purchasing the equipment and bandwidth “fee”
…
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UCOG is Open (…)
New observers & experts are invited to join
 Who: any patients & citizens representative,
hospital managers, health insurance
organisation, representatives of Ministries of
Health, researchers … any expert in TM.
 What: to attend UCOG meetings, contribute as
speakers and launch debates on their own views
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Healthware Users & Citizens Open Group:
Patient’s acceptance
 Patient’s acceptance appears as a crucial success factor
for the development of telemedicine.
 Healthware relies on patients’ organisations’ contribution to
the project’s activities, as the specific patients
requirements are not foreseeable by anyone else.
 One objective of the User and Citizens Open Group is to
give a privileged area for expression to patients’
representatives, whose viewpoint, experience, fears
and concern differ from the other actors’ and bring some
key-elements for a long-lasting development
of telemedicine.
 Patient representatives are considered as significant
experts and will be tightly involved in the project.
Healthware Project (FP6)
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EHTEL Empowering citizens Task Force:
(Chair: Angelica Frithiof) Objectives
 To identify fundamental issues of importance to the patient in
the world of EHealth
 To ensure that the voice of the patient is:
 recognised
 valued
 understood and
 acted upon
 To establish a Charter of Patient Rights in relation to eHealth
 To produce position papers in specific areas of eHealth
linked to that Charter
 To influence and shape future developments to meet patient
needs and requirements
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Healthware Dissemination
(WP8, WP-Leader: EHTEL)
The Project Homepage is online at: http://healthware.alcasat.net
Description area
 downloadable project
description sheet
Publications area
Co-funded by EC
 regularly updated
according to project’s
publications
Contacts area
 main partners’ contacts
Intranet area
 private project’s area
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