Dr. Shweta Gaur          Asst ProfessorICRI, Bangalore Campus
TELEHEALTH & TELEMEDICINEWhat is the difference between Telehealth and Telemedicine?  Telehealth can either refer to cli...
IntroductionThe advancement in telecommunication and satellite communication in the recent years has experienced many fol...
In the last decade leading hospitals and healthcare providers in India have used telemedicine as a medium of communicatio...
Making healthcare accessible reduces investment in health thus contributing to overall economic and social development. I...
First Wave          Second Wave           Third Wave                                        Early 90’s            ComingTi...
TELEMEDICINE???Tele-medicine system consists of customized medical software integrated with computer hardware, along with...
Assessment                                                              Plan                                  Control     ...
What is telemedicineIt consists of three elements:   Firstly, it uses the information technology to provide   informatio...
Objectives of TelemedicineTo enhance citizens equality in the availability of  specialised medical services by bringing t...
NEED FOR TELEMEDICINEIn India only one-third of households are in urban areas, with remaining two-thirds in rural areas b...
NEED FOR TELEMEDICINETele-medicine helps patients in rural and distant areas to avail timely consultations of Specialist ...
ExamplesSome examples of telemedicine teleconsultation, telemonitoring, telediagnosis, teletreatment, telecare-provi...
TeleconsultationConnect professionals to share data and obtain expert opinion. For example video-consultation
Video conferencingAny videoconferencing terminal must have afew basic components: a camera (to capture local video), a...
TelediagnosisTo perform diagnosis remotelyPatient-to-doctor connection (vs. doctor to doctor connection in Teleconsultat...
TELEMEDICINE IN INDIAOne of the recent applications of space technology initiated by ISRO is in the field of Tele-medicin...
TELEMEDICINE IN INDIAIndian Space Research Organisation has done pioneering work by partnering with leading healthcare pr...
TELEMEDICINE IN INDIAIntegrated Telemedicine Tele-health Project is the first-of-its-kind initiative jointly sponsored by...
TELEMEDICINE IN INDIAISRO’s satellite based Telemedicine network, which started in 2001 on an experimental basis has link...
TELEMEDICINE IN INDIAISRO’s satellite based Telemedicine network, which started in 2001 on an experimental basis has link...
TELEMEDICINE IN INDIAApart from ISRO’s telemedicine network association, Asia Heart Foundation and Narayana Hrudayalaya h...
TELEMEDICINE INSTRUMENTSTelemedicine enables access to specialists for seeking their  opinion in shorter time with accura...
Mobile Video Cart with Digital Stethescope          The i8570 MVC is specifically          designed for applications where...
StethOne™ Chest Piece Set                  The StethOne™ Telephonic                  Stethoscope transmits and            ...
Telemedicine carts are essential in todays hospital environment.Full solution medical carts with portable video conferen...
LIMITATIONS OF TELEMEDICINEExpensive Telemedicine Software and high tech gadgets like digital cameras, online microscopes...
Assessment                                                              Plan                                  Control     ...
ConclusionTelemedicine offers solutions for emergency medical assistance, long-distance consultation, administration and ...
ConclusionTelemedicine needs to be implemented carefully and managed well.The impact of telemedicine on health care stru...
ConclusionThe medical establishment is not currently equipped to  address this problem    A partnership between medicine...
ConclusionNeed to adopt sound policies and strategic plans which can guarantee the provision of high quality, sustained a...
Introduction to Telemedicine: Dr Shweta Gaur
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Introduction to Telemedicine: Dr Shweta Gaur

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A small presentation introducing the concept of Tele medicine

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  • what have you done within this 4 years on tele medicicine .isro , finance deptt health department all are to be under vigillance lokpal very shortly. ministers health department ajim premji dr. sweta will also be under this sevior missaps wait
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  • i can not subscribe bcause i am the pioneer to the mission. if you are the pioneer you can claim subscriptions ,ofcourse i see you have introduced this page since19.8.2010 since 4 years at ajim premji initiative on government finance it seems but i see no heart for this in you why should you be subscribe for hno heart no life instictive work exploiting and corruptive work
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  • dear Dr shwetaji , my contact number is 91 8594956443.i am also too much interested in tele health,i see the crowding in cuttack scb medical college,see only people and people patient andpatient very poor care ,accomodation difficulty other sanitation difficulty no transcription facilility no guarantee no insurance all in chaos,your posting has inspired me a retired electronics professional to pioneer this mission to bring it to a running condition. medical science will be cheaper for students and remote patients will get immense help remotely .plz post your note of progress since 19.8.2010. my email is samalhina@gmail.com or contact no. is 91 8594956443.
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  • dear shweta ji good morning my mobile number is 91 8594956443 email samalhina@gmail.com,samal.alekha@gmail.com plz sms me or call for telehealth care in ppp mode we in odisha also feel the need but for want of awareness the mission is not materialised i will request you to plz communicate me of your progress since19.8.2010
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Introduction to Telemedicine: Dr Shweta Gaur

  1. 1. Dr. Shweta Gaur Asst ProfessorICRI, Bangalore Campus
  2. 2. TELEHEALTH & TELEMEDICINEWhat is the difference between Telehealth and Telemedicine? Telehealth can either refer to clinical and/or non- clinical services. Telemedicine only refers to the provision of clinical services.
  3. 3. IntroductionThe advancement in telecommunication and satellite communication in the recent years has experienced many fold development in India in IT enabled services, BPOs, Overseas communication, rural telephony, and also in the field of medicine.Telemedicine is the new buzz word amongst the healthcare administrators around the world.
  4. 4. In the last decade leading hospitals and healthcare providers in India have used telemedicine as a medium of communication between medical fraternity in seeking opinion for rendering better patient care services and sharing of knowledge base to the fellow counterparts.
  5. 5. Making healthcare accessible reduces investment in health thus contributing to overall economic and social development. India faces various problems in the provision of medical services and health care, including funds, expertise and resources.Telemedicine has the potential to improve both the quality and the access to health care regardless of the geography. It enables medical and health care expertise to be accessed from under served locations.
  6. 6. First Wave Second Wave Third Wave Early 90’s ComingTimeframe 60’s-70’s to present decade ClinicalEmphasis Feasibility Industrialization Development Fringe Mainstream Scope Very limited populations Care Delivery Nature Video links + Instrumentation + InformaticsTelemedicine is still young and evolving. Maturing it fully will require vision and deliberate attention to the technical foundations on which it rests.
  7. 7. TELEMEDICINE???Tele-medicine system consists of customized medical software integrated with computer hardware, along with diagnostic instruments connected to the VSAT (Very Small Aperture Terminal) at each location.Generally, the medical record/history of the patient is sent to the Specialist Doctors, who will in-turn study and provide diagnosis and treatment during video-conference with the patients end.
  8. 8. Assessment Plan Control Stimuli Clinical Status Observables Device Clinical Data Aide Patient Doctor TeleconsultationTraditional AssessmentEncounter Order Plan Control Status Stimuli Patient Doctor Observables Station Clinical Station Clinical Data DataAutomated Patient DoctorAssessment Plan Control Smart Status Doctor Patient Assessment Assessment Stimuli Station Station Observables Doctor Patient
  9. 9. What is telemedicineIt consists of three elements:  Firstly, it uses the information technology to provide information for medical decision making.  Secondly, it changes signals which could be Bioengineering components. Thirdly, arrange the practice for medicine at distance.
  10. 10. Objectives of TelemedicineTo enhance citizens equality in the availability of specialised medical services by bringing these services to remote primary health care centers.To promote the proficiency of physicians and other health care personnel by means of teleconsultation and video conference based trainingTo reduce the waiting lists in specialised health care, e.g. for glaucoma and retinopathy screening and follow-up, and for initial and follow-up visits in surgery.To save money!
  11. 11. NEED FOR TELEMEDICINEIn India only one-third of households are in urban areas, with remaining two-thirds in rural areas but majority of healthcare activities and availability of healthcare facilities are present in urban areasNon availability of adequate number of resources and the challenge to overcome can possibly be done by ( a) Making specialist services available in rural / remote healthcare settings and (b) Making critical care accessible to rural / remote areas.
  12. 12. NEED FOR TELEMEDICINETele-medicine helps patients in rural and distant areas to avail timely consultations of Specialist Doctors without going through the ordeal of travelling long distances.The facility enables transmission of patients medical records including images, besides providing live two-way audio and video link.With the help of these, a Specialist Doctor can advise a Doctor or a paramedic at the patients end on the course of treatment to be followed. He can even guide the Doctor during a surgery.In the context of rural and distant areas, the Tele-medicine- based medical care is also highly cost effective.
  13. 13. ExamplesSome examples of telemedicine teleconsultation, telemonitoring, telediagnosis, teletreatment, telecare-provision. Store and forward
  14. 14. TeleconsultationConnect professionals to share data and obtain expert opinion. For example video-consultation
  15. 15. Video conferencingAny videoconferencing terminal must have afew basic components: a camera (to capture local video), a video display (to display remote video), a microphone (to capture local audio), and speakers (to play remote audio). optionally a docum
  16. 16. TelediagnosisTo perform diagnosis remotelyPatient-to-doctor connection (vs. doctor to doctor connection in TeleconsultationMobile tele-medical unit can perform specialist care (central hospital standard) studies in health care centres usingmobile telemedical units.The results can be sent to super specialty hospital, thuspermitting telediagnosis.
  17. 17. TELEMEDICINE IN INDIAOne of the recent applications of space technology initiated by ISRO is in the field of Tele-medicine to provide expert medical services to the rural and remote areas.Under the Tele-medicine project, Hospitals/health centers in remote locations are linked via INSAT satellites with super specialty Hospitals at major towns/cities, bringing in connectivity between patients at remote end with the Specialist Doctors for medical consultations and treatment.Tele-medicine pilot projects are undertaken by ISRO with the involvement of selected super specialty Hospitals located in major cities and smaller health centers in distant and rural areas.
  18. 18. TELEMEDICINE IN INDIAIndian Space Research Organisation has done pioneering work by partnering with leading healthcare providers, various state governments in making healthcare accessible in the rural and remote parts of the country.With the advent of communication technology especially the Satellite Communication (Sat-Com) combined with Information Technology, enables benefiting from the advanced medical sciences to reach even the remote and inaccessible areas.Indian Space Research Organisation (ISRO) as a part of application of space technology for Health care and education, under GRAMSAT (rural satellite) programme, has initiated number of Telemedicine pilot projects which are very specific to the needs of development of the society.
  19. 19. TELEMEDICINE IN INDIAIntegrated Telemedicine Tele-health Project is the first-of-its-kind initiative jointly sponsored by Indian Space Research Organisation (ISRO), Asia Heart Foundation in Kolkata and Narayana Hrudayalaya in Bangalore was initiated in 2001.With the inception of the program, it has been implemented in the remote areas of north eastern states of Tripura, Nagaland and in south Indian state of Karnataka in its tribal belt.
  20. 20. TELEMEDICINE IN INDIAISRO’s satellite based Telemedicine network, which started in 2001 on an experimental basis has linked remote/rural district hospitals with super-speciality hospitals in major cities via INSAT. While ISRO provides the software, hardware and communication equipment as well as satellite bandwidth, the speciality hospitals provide the infrastructure, manpower and maintain the system. ISRO’s telemedicine network has matured into an operational system and now covers 165 hospitals – 132 remote/rural/district hospitals/health centres connected to 33 speciality hospitals located in major cities.
  21. 21. TELEMEDICINE IN INDIAISRO’s satellite based Telemedicine network, which started in 2001 on an experimental basis has linked remote/rural district hospitals with super-speciality hospitals in major cities via INSAT.While ISRO provides the software, hardware and communication equipment as well as satellite bandwidth, the speciality hospitals provide the infrastructure, manpower and maintain the system.ISRO’s telemedicine network has matured into an operational system and now covers 165 hospitals – 132 remote/rural/district hospitals/health centres connected to 33 speciality hospitals located in major cities.
  22. 22. TELEMEDICINE IN INDIAApart from ISRO’s telemedicine network association, Asia Heart Foundation and Narayana Hrudayalaya have initiated telemedicine activities with the help of high speed telephone connectivity or Integrated Services Digital Network (ISDN) connectivity to connect remote Intensive Care Units to provide critical care to cardiac patients admitted in government district level or sub-divisional hospitals in the remote areas of West Bengal, Assam, Bihar, Jharkhand and tribal belts of Karnataka.AHF & NH have created a network of 4-5 Intensive Care Units and 20 telemedicine centres providing 24 hour support in treating the patients and also rendering outpatient consultation in all available specialties
  23. 23. TELEMEDICINE INSTRUMENTSTelemedicine enables access to specialists for seeking their opinion in shorter time with accuracy, efficiency and precision.Provide expert advice to remote locationsLink medical professionals by utilizing live video from a microscope through video conferencing softwareOffer instant answers to patients or other clinicians through live video communicationDisplay real-time motion video over broadband networks through existing PC or room-based videoCreate easy to use, affordable and scalable solution
  24. 24. Mobile Video Cart with Digital Stethescope The i8570 MVC is specifically designed for applications where a compact, mobile system is required. The i8750 MVC can be utilized for many clinical applications, such as remote consultations, rural health care and emergency response, as well as administrative meetings and continuing medical education.
  25. 25. StethOne™ Chest Piece Set The StethOne™ Telephonic Stethoscope transmits and receives heart sounds through high speed broadband connections or through most videoconferencing systems for the ultimate in medical video conferencing. This patient transmit package includes; one - dual noise reduction headset, one - extended frequency transmit and receive bases and one - chest piece.
  26. 26. Telemedicine carts are essential in todays hospital environment.Full solution medical carts with portable video conferencing systems enable doctors, nurses, patients, practitioners and other individuals involved in medicine to communicate directly. Portable Medical carts with wheel base and flat screen monitors make it easy to transport the medical video conferencing cart.
  27. 27. LIMITATIONS OF TELEMEDICINEExpensive Telemedicine Software and high tech gadgets like digital cameras, online microscopes, medical scanners used in transfer and storage of medical data like X-Rays, CT Scans & MRIs get eliminated in centres where there is no facility for a patient to access and undergo such high-tech examinations in the first placeTrained manpower
  28. 28. Assessment Plan Control Stimuli Clinical Status Observables Device Clinical Data Aide Patient Doctor TeleconsultationTraditional AssessmentEncounter Order Plan Control Status Stimuli Patient Doctor Observables Station Clinical Station Clinical Data DataAutomated Patient DoctorAssessment Plan Control Smart Status Doctor Patient Assessment Assessment Stimuli Station Station Observables Doctor Patient
  29. 29. ConclusionTelemedicine offers solutions for emergency medical assistance, long-distance consultation, administration and logistics, supervision and quality assurance and education and training for health care professionals and providers.Telemedicine needs to be implemented carefully and managed well. The impact of telemedicine on health care structures can be significant. In this respect, telemedicine can be seen as a tool that is being used to build up new health care horizon. However, there are
  30. 30. ConclusionTelemedicine needs to be implemented carefully and managed well.The impact of telemedicine on health care structures can be significant. In this respect, telemedicine can be seen as a tool that is being used to build up new health care horizon.However, there are also concerns about liability, confidentiality and other policy, regulatory issues and pricing.
  31. 31. ConclusionThe medical establishment is not currently equipped to address this problem  A partnership between medicine, engineering, law, business, economics, social sciences, and other disciplines is requiredNo entity currently owns the problem  Not primary, secondary healthcare bodies nor any private concernsThis work could be “birthed” at the local level and then “raised” at the national  Workshops / pilot initiatives would help provide insights needed to engender a national dialogIf successfully cultivated, healthcare delivery science will necessarily drive industry
  32. 32. ConclusionNeed to adopt sound policies and strategic plans which can guarantee the provision of high quality, sustained and integrated health care services to the population.Such provisions are required to be developed in order to make healthcare more accessible to the rural and remote areas with few entrepreneurs to lead.
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