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E Bridge Ems Telemedicine Overview
 

E Bridge Ems Telemedicine Overview

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Power Point presentation on the BR-Med Connect pre-hospital telemedicine project in Baton Rouge, LA.

Power Point presentation on the BR-Med Connect pre-hospital telemedicine project in Baton Rouge, LA.

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  • Lets talk about some of the issues with the technology.Wi-Fi is high speed broadbandThis gear is expensive about 8,000 per node.Need very technical people to install and maintain gear as apposed to air cards which are used by everyone these days.
  • Lets talk about some of the issues with the technology.Wi-Fi is high speed broadbandThis gear is expensive about 8,000 per node.Need very technical people to install and maintain gear as apposed to air cards which are used by everyone these days.
  • Lets talk about some of the issues with the technology.Wi-Fi is high speed broadbandThis gear is expensive about 8,000 per node.Need very technical people to install and maintain gear as apposed to air cards which are used by everyone these days.

E Bridge Ems Telemedicine Overview E Bridge Ems Telemedicine Overview Presentation Transcript

  • Linking Pre-Hospital EmergencyCare in Baton Rouge
  • What is EMS Telemedicine?
    TELEMEDICINE is defined as the delivery of health care at a distance.
    But isn’t that what EMS has ALWAYS done?
  • What is EMS Telemedicine?
    So why is “EMS” telemedicine something “new”?
    What’s “new” is the ability to send large amounts of data at low costin a mobile wireless environment.
  • What is EMS Telemedicine?
    So where will this take EMS?
    Because sending images and data is becoming as commonplace as the home computer, EMS has already begun to move in this direction.
  • SO WHAT WE HAVE LEARNED?
    The nature of EMS is such that communications and technology has, and always will play a defining role...
  • SO WHERE IS ALL THIS TAKING EMS
    EMS will improve itself by capitalizing on the capabilities offered by advanced communications and information management technologies …
    You can call it EMS telemedicine
    (or whatever you like)!
  • Patient Care Applications
    Cardiac Care
    Trauma
    MCI & Disaster
    Stroke
    Patient Refusals
    Pediatric & Other Specialty Care
    What will EMS telemedicine mean for the Hospital?
  • Operational Improvements
    Management of Patient Data
    Risk Reduction
    Alleviate ED Overcrowding
    Training & QA
    Medical/Legal Documentation
    Resource utilization
    What will EMS telemedicine mean for the Hospital?
  • Benefits
    Enhance Hospital Stature
    EMS Included in Pt. Medical Record
    Staff Training
    Community Relations
    Reimbursement???
    Homeland Security & Disaster Response
    What will EMS telemedicine mean for the Hospital?
  • ExtremeExample…
  • Practical Example …Baton Rouge EMS “BR Med-Connect”
  • Answering the Call
  • Demo
  • How Does it Work?
    E-Bridge
    Ambulance Equipment
    CarePoint System
    Hospital Equipment
    Connectivity
    Wi-Fi Mesh Network
    Cellular Air Card (Verizon, AT&T)
  • How Does it Work?
    E-Bridge
    Ambulance Equipment
  • How Does it Work?
    CarePoint System
    Hospital Equipment
    Controls Data
    &
    Communications
    Displays &
    Controls Video
  • How Does it Work?
    • Contact Any Hospital with 2 button clicks
    • Once in Session – Doctors Control Cameras from control panel
    • Can Send 12 Lead Strips to any email or fax machine
  • How Does it Work?
    Connectivity
    Wi-Fi Mesh Network
    Cellular Air Card (Verizon, AT&T)
  • How Does it Work?
    Connectivity
    Wi-Fi Mesh Network
  • How Does it Work?
    Connectivity
    Wi-Fi Mesh Network
    Cellular Air Card (Verizon, AT&T)
  • Issues with Technology
    Is This High-Def TV??
    No – We cannot expect mobile video to be crystal clear moving 60 mph down the interstate
    – At least not yet!
  • Issues with Technology
    Quality of Transmissions
    • Over the Wi-Fi
    • Has More bandwidth – very good video, audio, and data transmissions
    • Downside – fewer mesh locations available across the city/parish because of the cost of equipment and deployment
    • Need technical people to maintain the system
  • Issues with Technology
    Quality of Transmissions
    • Over Air Cards
    • Video quality can be choppy- audio can be broken up
    • Sending data is reliable
    • No maintenance necessary
    • Upgrading is easy and no additional cost
  • BR Med-ConnectWIRELESS MESH NETWORK
    455 Square Mile Area
    Currently 9 Square Miles Covered
    95 Total Node and Gateway Radios
    21 Ambulances
    7 Hospital
  • BR Med-ConnectCONNECTING THE HOSPITALS
    • Daily telemedicine calls
    • Ability to share data between hospitals
    • Video conferencing between hospitals and Office of Homeland Security during disasters
  • BR Med-ConnectPLAN FOR DEPLOYMENT
    78 Square Mile – City of Baton Rouge
    Cover Major Streets First
    Expand to Parish Rural Areas
    Work With the 3 Other Cities in the Parish to Include Their Area
  • EMS Pilot Program
    STEMI Patients
    “Patients having ST-segment elevation myocardial infarction, or STEMI, heart attacks have the best chance of a good outcome if they get primary percutaneous cardiac intervention (or "angioplasty") within 90 minutes of arrival at a hospital, recent research confirms.”
  • EMS Pilot Program
    Process
    Acquire 12-Lead
    Establish video call with hospital and connect all diagnostic equipment - ready to send data
    Send 12-Lead to receiving hospital
    PDF version goes to CarePoint system
    Raw data from Zoll Monitor goes to pick up point on city server to be retrieved by Southern Medical – to be included with previous patient record
    ED staff conducts patient evaluation
    Voice, Video, EKG, SpO2, BP Monitoring, Breathe Sounds, Pulse
    Session can continue in-route to hospital
    All data along with voice recordings are part of patient record
  • EMS Pilot Program
    Future Planned Studies
    Identifying severe sepsis patients
    Provide early antibiotics treatment
    Stroke Patients
    Early Thrombolytic Treatment ?
    Trauma
    Using portable sonogram technology
  • Funding
    Multi Agency Project
    Police Crime Cameras, Reporting
    Fire Reporting, Inspections
    DPW Inspections
    EMS Telemedicine, Reporting
    Total City Investment to Date
    $200,000
    Federal Grants
    Health & Hospitals
    Homeland Security
    Federal Stimulus Money
    Department Budget Dollars
  • Questions??
    Chad Guillot
    (225) 389-5155
    cguillot@brgov.com