Medting International Telestroke Network


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Project Presentation
First International Telestroke Network sample video. Department of Neurology (Mayo Clinic, Arizona). Use of Medting as second opinion platform to share and discuss clinical cases between different countries. In the video a sample dialogue between Mayo Clinic (Dr. Bart Demaerschalk, Vascular Neurology) and Hotel Dieu Grace (Dr. Goron Vail, Emergency Medicine, Canada).

Presented by Dr. Demaerschalk
Technology used:

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  • Currently Medting is in early stage development. Through networking consultations, Medting achieved pilot projects with several organizations of varying form including: University of Geneva, Catelonia Health Ministry, Hospital Clinic (Barcelona), Heilderberg University, King Fahad Medical City, and Optomed Ltd. Medting’s current enterprise contracts are with USP Hospitals Group, (31 hospitals and clinics), Universidad Rey Juan Carlos (Medicine Faculty in Madrid), Universitat Oberta de Catalunya (Open University), and Temos (5 facility pilot). Customer acquisition is through senior team contacts as Medting has focused on demonstrating the viability of the product as well as the business model for distribution. Our plans for sales expansion embrace three strategies: 1) Lead generation through senior team networking and attendance at trade shows, 2) Lead generation through targeted marketing to hospital groups and academic medical centers, and 3) Channel sales through development of resellers and distributors (e.g., vendors [Optomed]). Medting chose this sales strategy after considering models used by similarly priced and positioned products (e.g., VisualDx). * Case Study available
  • Medting International Telestroke Network

    1. 1. Medting – Using Web 2.0 Tools for Medical Video / Image Sharing
    2. 2. Medting is a web plataform that allows physicians to share medical images and videos and build clinical cases. Medting is useful for posting and searching cases, Knowledge database, managing private cases (telemedicine ) and linking professionals around specific health topics. Medting uses SNOMED and is also integrated with PubMed. Automatic Translation. The Power of Collective Wisdom
    3. 3. Create your organization relevant clinical cases and teaching repository for your medical community (clinicians, students, residents) Improve medical education and quality of care Clinical Transformation , Knowledge Management and Transfer Using Social Networking Connect your doctors with reference academic centers New ways for the medical community to build relationships within the organization The collective intelligence of a broad community exceeds the capabilities on any individual member. Next generation
    4. 4. Clinical Cases
    5. 5. Atlas
    6. 6. Multilanguage <ul><li>Keywords (tags) are based on SNOMED CT terminology </li></ul><ul><li>Automatic translation of the keywords   </li></ul><ul><li>SNOMED provides a battery of 1 million+ clinical terms in several languages. </li></ul><ul><li>The more SNOMED terms used as keywords, the better the content is indexed. </li></ul>
    7. 7. Repository and Tool <ul><li>Private and Public cases: </li></ul><ul><ul><li>Public cases can be reviewed by any user since it is published on the platform.   </li></ul></ul><ul><ul><li>Private content (cases, images or videos) can be also posted and uploaded to Medting. Those cases will not be shown on the MEDTING website and only invited users will be permitted to review those cases. This functionality is useful for telemedicine and second opinion services. </li></ul></ul><ul><li>Any user can be invited by the author to review a private case: </li></ul>
    8. 8. Current Projects <ul><li>Pilot projects </li></ul><ul><ul><li>University of Geneva </li></ul></ul><ul><ul><li>Heilderberg University* </li></ul></ul><ul><ul><li>King Fahd Medical City </li></ul></ul><ul><ul><li>Temos </li></ul></ul><ul><ul><li>COTMES* </li></ul></ul><ul><li>Enterprise contracts </li></ul><ul><ul><li>Catalonia Health Ministry* </li></ul></ul><ul><ul><li>USP Hospitals Group </li></ul></ul><ul><ul><li>Rey Juan Carlos University (Madrid) </li></ul></ul><ul><ul><li>Universitat Oberta de Catalonia </li></ul></ul><ul><ul><li>Optomed, Ltd </li></ul></ul><ul><ul><li>International Medical Support Action* </li></ul></ul>
    9. 9. Doctors Students Residents International Collaboration Telemedicine Network, Second Opinion EHR RHIO Relevant Clinical Cases Academic Teaching Repository International Telestroke Network
    10. 10. One click telemedicine
    11. 11. <ul><li>Telestroke is being a priority for Health organizations worldwide </li></ul><ul><li>Some regional / national networks already exist </li></ul><ul><li>Base technology is a videoconferencing system </li></ul><ul><li>But we can see further, international collaboration and exchange can be relevant. Medting can help </li></ul><ul><ul><li>To create a private a exclusively network and knowledge repository of stroke sample cases </li></ul></ul><ul><ul><li>To connect worldwide institutions and reference centers for a second opinion / recommendation as a data collecting tool and asynchronous discussion </li></ul></ul><ul><ul><li>To link and integrate disparate EMR’s on a case exchange </li></ul></ul><ul><ul><li>To provide a huge repository of stroke images and cases for education, research </li></ul></ul><ul><ul><li>Connect your doctors with reference academic centers </li></ul></ul><ul><ul><li>Integrated with already exiting videoconferencing systems or robots </li></ul></ul><ul><li>The collective wisdom of a broad community better than an individual member for stroke patient management </li></ul>International Telestroke Network Medting Value Proposition
    12. 12. First International Telestroke Network Pilot Research Project Dr. Bart Demaerschalk, Vascular Neurology, Mayo Clinic, Principal Investigator Dr. Gordon Vail, Emergency Medicine, Hotel Dieu Grace Hôpital, Co-Principal Investigator
    13. 13. Objective Telestroke workflow validation Pilot <ul><li>To validate Medting as a Telemedicine Platform for acute stroke </li></ul><ul><li>To establish the first international telestroke network between </li></ul><ul><ul><li>Mayo Clinic, Phoenix, USA </li></ul></ul><ul><ul><li>Hôtel-Dieu Grace, Windsor, Canada </li></ul></ul><ul><li>Medting as Global Health platform allowing to exchange clinical case referral between worldwide hospitals </li></ul><ul><li>Some extra functionalities will be later implemented under a global project scope </li></ul><ul><li>The pilot will implement the basic automation capabilities for a first evaluation. </li></ul>
    14. 14. The Challenge Telestroke workflow validation (Pilot) <ul><li>CT Scan Images and other complementary media should be captured, indexed and stored into Medting as a new clinical case. </li></ul><ul><li>Physicians should be capable to easily share them, privately , with their colleagues. </li></ul><ul><li>All images and videos stored into Medting should be accessible by registered physicians for reviewing and reporting using web browsers </li></ul><ul><li>Dicom source images could be also reviewed with a Dicom Viewer </li></ul><ul><li>Images should be automatically uploaded into Medting directly from CT Scan. </li></ul>
    15. 15. Pilot project workflow proposal 2. MIO Workstation (Listener) MIO gets patient ID and Images, uploads content and creates a private Case on Medting Website 3. MEDTING Clinical case web repository. MEDTING stores and indexes uploaded images, videos and data. MEDTING web interface allows the sender physician to invite the receiver specialist. 4. Review (Mayo Clinic) (Using any web browser receiver doctors can review, exchange and report all the information (images, videos and data) that has been uploaded to MEDTING. Images could be also reviewed with a Dicom Viewer. 1. Source Hospital (Windsor, Canada) Hospital CT Scan automatically sends Dicom Images to MIO . < Patient ID & Images Images, Videos, Data > Images, Videos, Data > OUT OF THE PILOT PROJECT SCOPE Specialist recommendations Alerts: possibility to send an alert / notification to receiver physician (SMS, pager, phone call) Automatic Invitation : possibility to automatically invite receiver group of physicians to review the case. Online VideoConferencing : possibility to activate an online videoconference or collaborative session or integration with already existing videoconferencing system
    16. 16. Features <ul><li>Research pilot conducted in Canada </li></ul><ul><li>Proof of concept </li></ul><ul><li>Validate clinical workflow </li></ul><ul><li>IRB approval and oversight in Canada </li></ul><ul><li>PI Dr. Vail at Hotel Dieu Grace Hospital </li></ul><ul><li>12 Patients at Hotel Dieu Grace Hospital </li></ul><ul><li>Utilize existing hub & spoke workflow </li></ul><ul><li>Duration of trial, 1 year </li></ul><ul><li>Medting sponsorship </li></ul><ul><li>Dr. Demaerschalk, Mayo Clinic consultant </li></ul><ul><ul><li>Canadian, licensed in Ontario, Canada </li></ul></ul><ul><li>Ontario neurologists, responsible post pilot </li></ul><ul><li>Regional goal, pilot is stepping stone for established regional network and an international network </li></ul>