An overview about Telmedicine Brazilian Project, focus on the Brazilian Telemedicine University Network - RUTE and IDB Telehealth Project to LATAM, based in Luiz Ary Messina (RUTE - National Coordinator) and Alaneir de Fatima dos Santos (coordinator of IDB Telehealth Project)

1. The Brazilian Telemedicine University Network RUTE

2. Network experimental services arquitectures: mobility, computation and security
New ways to run joint applications: universities and enterprises
Academic Reserach and Education Network

3. Integrating the Health Ministry to the NREN RNP
• Networks and Resources in Brazil - eHealth
Brazilian National Telehealth Network
Primary Care Program
2013: 14 states and 2874 municipalities
4141 atendance points
www.telessaudebrasil.org.br
The Open Health University
Training on-the-job
for thousands health professionals
www.universidadeabertadosus.org.br
The Telemedicine University Network, RUTE
connects University and Teaching Hospitals
in all states
Today: 91 Telehealth Centers
www.rute.rnp.br
Remote
Assistance
Continuous
Education
Collaaborative
Research

4. The World Health Organization
has adopted the following description:
“Telemedicine is the delivery of health care services, where
distance is a critical factor, by all health care professionals
using information and communication technologies for the
exchange of valid information for diagnosis, treatment and
prevention of disease and injuries, research and evaluation,
and for the continuing education of health care providers, all
in the interests of advancing the health of individuals and
their communities”
Telemedicine - opportunities and developments in Member States:
report on the second global survey on eHealth 2009. (Global Observatory for eHealth Series, 2)
CFM: Defines Telemedicine as the Medical practice through
the use of interactive audio-visual communication
methodologies, with the aim to assist, educate and research
in Health. CFM – Medical Federal Council, Resolution nº 1.643/2002 Brazil
In addition: permanent Management and Evaluation !

5. Each institution member of the Telemedicine and Telehealth
University Network:
• Creates a Telehealth Center with a dedicated area
• Connect to at least 1Gbps in 27 state capital + 12 cities
• Implant videoconference rooms, teleconsulting, telediagnosis
• Certify the videoconference rooms
• Train the personal in network, video- and webconference
• Creates and participates in Special Interest Groups

6. Health professionals, researchers, managers, professionals and professors
Today: 56 SIGs; circa 50-60 sessions/month ; 310 participating institutions
25 Pediátrics Cardiology 10 10 10
26 Teaching Hospitals Management 9 16 29
27 Tele Human Milk Bank 28 34 36
28 Bucomaxilofacial Surgery and Traumatology 3 8 16
29 SIG Operational Technicalities 7 23 26
30 Telephononoaudiology - - 10
31 Collaborative Medical Education - 8 15
32 Cardiopulmonar Ressuscitation ( RCP) - 6 15
33 Poisonous Animals - 7 9
34 TeleNursing – Mental Health - 3 5
35 Cervical Pathology - 5 7
36 Health Family Community and Strategy - 8 13
37 Endometriosis 3 7 9
38 Indigenous Health - 4 6
39 Medical Residency - - 11
40 Audiology - - 11
41 Pediatrics Endocrinologiy - - 7
42 Oncology Nursing - - 9
43 Mastology - - 7
44 Perinatology - - 5
45 Clinic Research National Network - - 34
46 Oral health - - 5
47 Workers Health - - 5
48 Teleliver - - 5
Total 412 595 876
Aumento em % (Dezembro de 2010 / Janeiro de 2012) 47,23%
SIG - TeleRedeBLH
Human Milk Bank
22 countries in LAC and
portuguese speaking
countries
SIGs created in 2013:
Pediatrics Surgery,
Hemocenter Management,
Hemocenter Tecnical/Scientific,
Hansen, Sports Medicine,
Ocupational Terapy,
Pediatrics Reumatology

7. http://rute.rnp.br/eventos

9. Telehealth in the State of Minas Gerais
12hours/day
1500 ecg/day
1300 Teleconsult/month
(UFMG, UFU, UFTM, UFJF,
Montes Claros, UFSJ)
80% of the telepatients need no transfer to
Reference Centers
10% municipal health budget savings
660 Municipalities
821 Points
Federal University of Minas Gerais - UFMG
Minas Gerais Health State Department
(Tele Minas Saúde)
More than 1million TeleECG

10. Santa Catarina State Health Secretary
Federal University of Santa Catarina
• 2005: 5 municipalities
• 2012: 235 municipalities ( 80% of
the state), over 1 million image
diagnosis

11. Prof. Dr. Chao Lung Wen
chao@usp.br
Virtual Human Being
Computer graphics 2, 3, 4D, illustration, serious games,
simulation and training
Dr. Hermes Prado Jr
CEAPS – HCRP – USP
hermespradojr@hcrp.usp.br

12. Grade de segunda opinião formativa

13. Captação, transmissão e visualização em 4k (2160x4096)

14. Telehealth delegates from National Health Ministries:
Brazil, Colombia, Ecuador, Mexico, Uruguai,
El Salvador, Peru, Argentina, Guatemala,
Costa Rica, Venezuela, Paraguai, Dominican Rep.,
Haiti, Bolivia, Panama, Guiana
Telehealth Best Practice Certificate Awards for institutions in Latin America
Honor to telehealth suporters in Latin America: Health Ministries, PAHO, CEPAL,
AIDB,SES MG, RNP, e CBTMS
Celebration to 10 years telehealth in Belo Horizonte and UFMG
Oct 16th -19th 2013 - Ouro Preto, MG
Project RG-T1509 – 20 countries
Regional Protocols for Telehealth Public Policie
in Latin America (2013)

15. 1. Estándar regional de requisitos mínimos
2. Estrategia para la oferta de servicios de la telesalud
3. Directrices para la gestión de telesalud
4. Estrategia para una red de investigación en temas de
telesalud
5. Modelo de capacitación y certificación en telesalud

16. 1.Curso de Formación en
Telesalud - 2012
353
INSCRITOS
• 14 PAÍSES AL
• ALUMNOS OCTA
29%
71%
Distribución de los alumnos según la
culminación de los módulos básicos
No finalizaron
todos los módulos
Finalizaron los
módulos básicos

17. 2. Comité de mejores
prácticas en TS-AL
- Universidades latinoamericanas
- Ministerios de Salud de América Latina
- CEPAL, OPAS, BID, ALAMES, ATALACC

18. Metodología
Registro de la práctica
en la página web
Distribución de la práctica a
dos evaluadores, quienes
emiten un parecer
Reunión del Comité
Certificación efectuada
en eventos de TS en
América Latina

21. • Brindar a los países una guía para el
desarrollo de acciones en Telesalud
• Permitir el seguimiento del proceso de
desarrollo de las acciones en Telesalud en
América Latina de manera comparativa
Variables
comparativas

22. NIVELES/
PAÍS
1.INEXISTENTE 2.INCIPIENTE 3.INTERMEDIO 4.AVANZADO 5.EJEMPLAR
MÉXICO

23. Distribución de los países según el grado de madurez en varios componentes
País/Com-
ponente Estándar Estrategia Gestión RUTE
Capacita-
ción Media
Grado de
madurez
Colombia
5 4 2 4 3 3,6
Intermedio
Argentina/
Mendoza 2 4 1 4 2 2,6 Intermedio
México 2 4 2 4 2 2,8 Intermedio
Brasil 2 4 4 4 2 3,2 Intermedio
Venezuela 2 3 1 3 2 2,2 Incipiente
Ecuador 3 2 2 2 2 2,2 Incipiente
Surinam 1 2 2
Bolivia 2 2 2
Costa Rica 1 2 2
El Salvador 1 1 1 1 1 1 Inexistente
Guatemala 1 1 1 1 1 1 Inexistente
Panamá 1 1 1
Perú 3 1 1 2
Uruguay 1 1 1 1 1 1 Inexistente

24. NÍVEL/PAÍS EJEMPLAR AVANZADO INTERMEDIO INCIPIENTE INEXIS-
TENTE/
prelimi
nar
Colombia
Argentina/
Mendoza
México
Brasil
Venezuela
Ecuador
Suriname
Bolivia
Costa Rica
El Salvador
Guatemala
Panamá
Perú
Uruguay

25. eHealth Comunity
Use the NRENs National
Research and Education
Networks to integrate,
cooperate, expand,
disseminate, organize,
Manage and evaluate Health
Knowledge !
Reinforce the participation and
importance of the Health, Education,
Culture, Science and Technology
Ministries in the Interministerial
Program for Maintenance and
Development of the NRENs .

26. The Brazilian Telemedicine University Network RUTE