Shaping a World of  Health Without   BoundariesPrakash KumarDirector, Internet Business Solutions GroupCisco              ...
Health Infra for North-Eastern States: Shortage            of Medical Specialists            Shortage shown as % of total ...
Can Technology Come to Our Help for      “Health for all”?     To provide convenient access to      delivery of health ca...
Can we have a Solution       Where doctor/specialist can provide service from OPD, his        office room, clinic, home (...
Can we have a Solution            Where Doctor is able to see the vital parameters of the             patient and talk to...
Cisco HealthPresence SolutionAfrican Delegation   © 2006 Cisco Systems, Inc. All rights reserved.   Cisco Confidential   6
Cisco Connected Health:           Three Solution Portfolios. One Secure Foundation.                                       ...
Solution Architecture – WAN approach through Internet                                                                     ...
Cisco Care-at-a-Distance Solutions                 Begin with a Portfolio of Video Solutions for Telehealth               ...
Cisco HealthPresence 2.1     An advanced visual collaboration solution for Telehealth                                    E...
Key Features - Medical Devices Integration         Digital ECG         Electronic Stethoscope         Temperature      ...
Example: Appointment SchedulingOpen EMR Medical Scheduler                                                                 ...
Cisco HealthPresence:Teleradiology Integration Access to RadSpa tool from Telerad Technologies clinical collaboration     ...
Prescription Management Capability           Ability to prescribe medicines online through            ePrescription form ...
Cisco HealthPresence– Solution SnapshotAfrican Delegation   © 2006 Cisco Systems, Inc. All rights reserved.   Cisco Confid...
Cisco HealthPresence– Solution SnapshotAfrican Delegation   © 2006 Cisco Systems, Inc. All rights reserved.   Cisco Confid...
Cisco HealthPresence– Solution SnapshotAfrican Delegation   © 2006 Cisco Systems, Inc. All rights reserved.   Cisco Confid...
Cisco HealthPresence - Solution SnapshotAfrican Delegation   © 2006 Cisco Systems, Inc. All rights reserved.   Cisco Confi...
Cisco HealthPresence - Solution SnapshotAfrican Delegation   © 2006 Cisco Systems, Inc. All rights reserved.   Cisco Confi...
Cisco HealthConnect - Solution SnapshotAfrican Delegation   © 2006 Cisco Systems, Inc. All rights reserved.   Cisco Confid...
Multi-Point Consultation            Patients can be referred to             other doctors, no matter             where th...
Other Usage (apart from Tele-Consultation)            Training of staff who need not leave PHC or CHC            Continu...
Business Models            (1) Where government buys the platform and runs and             operates it.            (2) G...
African Delegation   © 2006 Cisco Systems, Inc. All rights reserved.   Cisco Confidential   24
Experience            Cisco Health Presence is deployed in 20 Primary             Health Centers (PHC) across 2 states (K...
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Shaping a world of health without boundaries ne e_gov summit shillong 30 may 2012

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How Tele-Health can bring quality healthcare to remote parts of India. Government data shows that Community Health Centers have shortage of specialists varying from 60% to 100% at CHCs in NE-India. The Tele-Health solution can solve this problem to a great extent without compromising on quality.
The solution enables doctors sitting in cities to treat patients in remote locations while not being tied to a studio and can use any device. The patient is not only able to talk to teh doctor and his vital parameters seen by the doctor but the prescription signed by the doctor gets printed at patient's end.

  • Thanks for sharing the ppt, however I have always felt that most companies focus on the technology component but do not focus on the operational parts - What are the kind of ailments that telemedicine could address, how do you address change management issues. Probably you could also have shared the experience of CISCO telemedicine centres in Karnataka and MP. Also how do they compare with the Narayan Hridulaya experience
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Shaping a world of health without boundaries ne e_gov summit shillong 30 may 2012

  1. 1. Shaping a World of Health Without BoundariesPrakash KumarDirector, Internet Business Solutions GroupCisco 1
  2. 2. Health Infra for North-Eastern States: Shortage of Medical Specialists Shortage shown as % of total requirement States Doctors Surgeon Gyne at CHC Physician Paediatric Total Radiograp at PHC s at CHC at CHC ians at specialist hers at CHC s at CHCs CHC Arunachal 25% 89% 98% 93% 100% 95% 84% Pradesh Assam 59% 78% 38% 83% 69% 68% NA Manipur 0% 100% 100% 100% 100% 100% 25% Meghalaya 0% 96% 100% 96% 100% 98% 4% Mizoram 8% 100% 100% 100% 100% 100% 0% Nagaland 8% 95% 100% 100% 100% 98% 95% Tripura 0% NA NA NA NA NA 90% Sikkim 0% 75% 50% 50% 50% 56% 0% * 2008 figure from MoHFW, GoI http://www.mohfw.nic.in/NRHM/Health_Profile.htmAfrican Delegation © 2006 Cisco Systems, Inc. All rights reserved. Cisco Confidential 2
  3. 3. Can Technology Come to Our Help for “Health for all”?  To provide convenient access to delivery of health care  To enable GP to Specialist Consultations  To optimize scarce specialist expertise through innovative service delivery models  To improve patient satisfaction Tele-Medicine: •Tried since last one decade •Doctors have to go to a Tele-Medicine Studio •Mere video conferencing will not sufficeAfrican Delegation © 2006 Cisco Systems, Inc. All rights reserved. Cisco Confidential 3
  4. 4. Can we have a Solution  Where doctor/specialist can provide service from OPD, his office room, clinic, home (wherever s/he is without any need to go to a studio)  Where Doctor could use desktop PC or laptop or a tablet  Which uses a mix of high-definition video conferencing, contact centre, and medical device integration to virtualize the clinician-patient encounter.  Where patient comes to a location convenient to him/her - a booth/room in a medical centre, CSC.  Where a consultation is set up with a remote doctor with the requisite skills and patient preferences (e.g. gender, ethnicity, language etc) by click of a mouse.  Where quality of video adjusts with bandwidthAfrican Delegation © 2006 Cisco Systems, Inc. All rights reserved. Cisco Confidential 4
  5. 5. Can we have a Solution  Where Doctor is able to see the vital parameters of the patient and talk to him/her  Where Doctor is able to write prescription which can be printed with doctor’s signature on the patient side  Where patient HER gets generated and the system is able to integrate with HIS/Appointment scheduler etc  Which also manages inventory of drugs and equipments along with their AMCAfrican Delegation © 2006 Cisco Systems, Inc. All rights reserved. Cisco Confidential 5
  6. 6. Cisco HealthPresence SolutionAfrican Delegation © 2006 Cisco Systems, Inc. All rights reserved. Cisco Confidential 6
  7. 7. Cisco Connected Health: Three Solution Portfolios. One Secure Foundation. Cisco Medical-Grade Network Care-at-a-Distance Compliance and Continuing Health and Clinical Medical Device Education and Workflow Management Business Collaboration End-to-End Solutions That Address Critical Healthcare ChallengesAfrican Delegation © 2006 Cisco Systems, Inc. All rights reserved. Cisco Confidential 7
  8. 8. Solution Architecture – WAN approach through Internet INTE Doctor RNE Remote Clinic T Doctor Remote Clinic Firewall VPN Internet Router CUPS CUCM PUB Remote Clinic IPCCTelemedicine EMR Center UC Cluster Data Center Broadband connectivity Doctor VPN tunnel Remote ClinicAfrican Delegation © 2006 Cisco Systems, Inc. All rights reserved. Cisco Confidential 8
  9. 9. Cisco Care-at-a-Distance Solutions Begin with a Portfolio of Video Solutions for Telehealth Enable remote clinical Collaboration and Care with an end-to-end portfolio of video and collaboration solutions Desktop Video Mobile Telehealth Immersive Care Team Consultations with Carts for Basic Collaboration Endpoint Flexibility Consults and Exams Conference- Desktop Mobile Carts StyleAfrican Delegation © 2006 Cisco Systems, Inc. All rights reserved. Cisco Confidential 9
  10. 10. Cisco HealthPresence 2.1 An advanced visual collaboration solution for Telehealth Enable remote clinical Collaboration and Care with an end-to-end portfolio of video and collaboration solutions Personalized Doctor Portable Solution Bring the Patient’s Care Consult from Remote Addressing Team, Vital Information Location Bandwidth and Health Record 2 to Constraints 1 the Point of Need Immersive Deployment Informed Experience Flexibility Decision Making 1 Third-party medical devices available only directly from its manufacturer and resellers. Not available in all countries; 2 Requires integration with EMRAfrican Delegation © 2006 Cisco Systems, Inc. All rights reserved. Cisco Confidential 10
  11. 11. Key Features - Medical Devices Integration  Digital ECG  Electronic Stethoscope  Temperature Welch Allyn Spot Vital Signs Lxi (Blood Pressure,  Spirometer Temperature, Pulse Rate, (ECG, NiBP, Electronic, Pulse Oximetry)  Glucose Meter Stethoscope, Temperature Reader, Heart Rate Reader,  Pulse Oximeter Pulse Rate Reader)  Heart Rate  NiBP  ENT Scope  Gen examination camera AMD-2500 General AMD-3700 Telephonic AMD-2015 3M Examination ENT Scope Camera 1 Stethoscope Stethoscope An architectural approach to integrating high definition video, audio, medical devices and collaboration toolsAfrican Delegation © 2006 Cisco Systems, Inc. All rights reserved. Cisco Confidential 11
  12. 12. Example: Appointment SchedulingOpen EMR Medical Scheduler EDCS-962042 (7/11)African Delegation © 2006 Cisco Systems, Inc. All rights reserved. Cisco Confidential 12
  13. 13. Cisco HealthPresence:Teleradiology Integration Access to RadSpa tool from Telerad Technologies clinical collaboration EDCS-962042 (7/11)African Delegation © 2006 Cisco Systems, Inc. All rights reserved. Cisco Confidential 13
  14. 14. Prescription Management Capability  Ability to prescribe medicines online through ePrescription form  Easy and intuitive prescription form allows the doctors to quickly complete the task, reducing the risk of errors  Database of medicines/drugs, dosages, etc. for quick lookup  Integration with Mobile eNotes Taker gives the flexibility for the specialists to write the prescription by hand  Handwritten prescriptions scanned and stored with the patient record  Ability to print prescription at the remote locationAfrican Delegation © 2006 Cisco Systems, Inc. All rights reserved. Cisco Confidential 14
  15. 15. Cisco HealthPresence– Solution SnapshotAfrican Delegation © 2006 Cisco Systems, Inc. All rights reserved. Cisco Confidential 15
  16. 16. Cisco HealthPresence– Solution SnapshotAfrican Delegation © 2006 Cisco Systems, Inc. All rights reserved. Cisco Confidential 16
  17. 17. Cisco HealthPresence– Solution SnapshotAfrican Delegation © 2006 Cisco Systems, Inc. All rights reserved. Cisco Confidential 17
  18. 18. Cisco HealthPresence - Solution SnapshotAfrican Delegation © 2006 Cisco Systems, Inc. All rights reserved. Cisco Confidential 18
  19. 19. Cisco HealthPresence - Solution SnapshotAfrican Delegation © 2006 Cisco Systems, Inc. All rights reserved. Cisco Confidential 19
  20. 20. Cisco HealthConnect - Solution SnapshotAfrican Delegation © 2006 Cisco Systems, Inc. All rights reserved. Cisco Confidential 20
  21. 21. Multi-Point Consultation  Patients can be referred to other doctors, no matter where they are to have patient-GP-Specialist conference, on the fly  Cisco HealthPresence on a mobile cart allows the remote specialist to consult with patients at their bedside Patient Exp FilmAfrican Delegation © 2006 Cisco Systems, Inc. All rights reserved. Cisco Confidential 21
  22. 22. Other Usage (apart from Tele-Consultation)  Training of staff who need not leave PHC or CHC  Continuing Education (Refresher courses for doctors/ANMs/ASHA etc)  Tele-radiology  Tele-monitoring  Psychiatric consultation  Administration (inventory management of medicines, vaccines, medical equipments etc)  Creation of EHRAfrican Delegation © 2006 Cisco Systems, Inc. All rights reserved. Cisco Confidential 22
  23. 23. Business Models  (1) Where government buys the platform and runs and operates it.  (2) Government buys Telemedicine as a service where service provider brings platform, connectivity, end equipment and trained paramedic for each center (2A) Doctors provided by State Government Health Department. (2B) Doctors provided by the Service provider  SLAs could be worked out  Payment on monthly basis based on uptime, SLA etc. Keeping in view huge investment some upfront payment may be required.African Delegation © 2006 Cisco Systems, Inc. All rights reserved. Cisco Confidential 23
  24. 24. African Delegation © 2006 Cisco Systems, Inc. All rights reserved. Cisco Confidential 24
  25. 25. Experience  Cisco Health Presence is deployed in 20 Primary Health Centers (PHC) across 2 states (Karnataka and Madhya Pradesh)  2100+ remote consultations in less than a year  Solution Reach – 16 Lakh people  Solution is operational from -Nov - Dec 2011  Central Site i.e. Data Centre is at Cisco Bangalore  Doctors are provided by State’s District HospitalAfrican Delegation © 2006 Cisco Systems, Inc. All rights reserved. Cisco Confidential 25

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