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Road Map Dermato-ICT Model and Possible
Opportunity to Explore in the Field to Establish
                  Public Health Network (PHN)



               Md. Reza Bin Zaid PhD, DDV. MBBS
             Professor, Dermatology and Venereology
   Chairman, Teledermatology Working Group Bangladesh (TWgBD)
TWgBD organogram
                           of Dermato-ICT model



                                                        TWgBD
                                                      consisted of


                                   Mutant
                               Professionals
                                 Doctor
                               Medical Writer
 TWgBD                          Bio- physicist
 works on                      Software Engr.
                                                                  TWgBD
                                                                 Healthcare

                   Research      Clinical        Academy

•Hardware                      Modes are-
•Software                      •Teledermatology for patient
                               •e- health on skin & beauty for patient and public
Developed for healthcare
delivery                       •e-dermatology for doctor
                               •m-health for doctor-patient-citizen relationship
TWgBD Developed Hardware and Software
                      Suitable for teledermatology & m-dermatology




Motorized
 Camera
         Light
        source   Elevator




                                                                The web-software –TIMES®
                                                               (Telemedicine Information, Management and
                                                                           Education System)



         Control
         Paddle




                    The hardware-DICOT®
           (Digital Imaging & Communication in Telemedicine)
The Hardware DICOT®
        DICOT® is suitable at remote end-point for
        teledermatology                                       DICOT® functionality


          Patient with DICOT® Assistant




                                                     Allows doctor to examine skin
                                                     disease remotely

                                                     Allows a natural view to patient
                                                     (as such face- to- face)

                                                     It is real-time / synchronized in
                                                     both end-points.




Since
 2006
The Web-Software TIMES®
                (Telemedicine Information, Management and Education System)

           •Dynamic for patient management (from help-desk to billing)
    •Processes data for teledermatology, e-health, e-dermatology & m-health


                        Demographic Data                          Clinical Data
                 From remote end-point, sent by Patient’s
                 Assistant (PA) or from home by patients          From dermatologist’s
                                                                  center, sent by doctor
                 themselves (Pt)

                 ID                                         C/C
                 Name                                       History
                 Age                                        Lesion examination:
                                                            On Teledermatology
                 Sex                                        (2D image)

                 Address                                    Investigation reports
                 Lesion imaging
                 Cell Phone Number                          Diagnosis
                                                            Management & Follow-up
                 e-mail
Since
 2006
The data are employed onto the value added service (VAS) for
                      doctor-patient-citizen relationship

               www.myspecialistdoctors.com
               (Teledermatology site for dermatologist)
                    • Consult with dermatologist from remote end-point
                    • EHR (electronic Health Record)
                    • e-prescription
                    • Online appointment & billing
               www.skinvd.org
               (e-dermatology site for doctors)
                   • Case report • article • CME • Dermatology update
               www.skinproblembd.com
               (e- skin health & Beauty site for patient and citizen)
                    • Skin topics • PHR (personal Health Record)
                     • e-PIL (Patient’s Info Leaflet) • blog & forum on disease
                    • Consult with dermatologist from home • Online
                         appointment, billing & e-mail health alert
               m-dermatoloy
               (m-health for doctor-patient-citizen is   under production)
               www.twgbd.com
Since
               (e-commerce for sponsors & ads.)
 2006
TD remote nodes run by TWGBD and Grameenphone CIC
TWgBD establishes doctor-patient-citizen relationship
                                  Dermatologist employed for teledermatogy,
 Remote end-point                 m-dermatology and creating VAS

 Tele-assistant operating                                                       TIMES®
 DICOT® at grameenphone CIC                  Dermatologist’s center of
                                             virtual examination room




                                       TIMES® -generates vast data to
                                       create an ultimate value added
                                       services (VAS)
Patient & citizen operating PC/                        ID:                                                    Name:
                                                                                                  Age:
Mobile at their own place                              Address:
                                                                            Cell no.:
                                                                                                  Weight:
                                                                                                  E-mail:
                                                       Date:
                                               Eczem
                                               a

                                                             1.              Dermovate ointment
                                                                 পােেয় ১ বার লাগােবন ১ মাস
                                                             2. Tab. Piriton
                                                                ১ + ০ + ১--- ১৫ িিন
                                              CBC               ১ মাস পর েিখােবন
                                                                                                              Send
                                              S. IgE         Check your email & get :
                                              level
                                                              e-Prescription , e-hand out, EMR, next
                                                                             appointment, consultation from
                                                                             your home, forum/blog on
                                                                             eczema, e-health topics and
                                                                             many others you may like.
Why doctors are related to Dermato-ICT?
               An TWGBD analysis on www.skinvd.org




                 Contains an update dermatology knowledge
                 that useful in their clinical practice




Since 2006
Why Patients are related to Dermato-ICT ?
             An TWGBD analysis on www.skinproblembd.com


                  •   Teledermatology available at neighborhood
                  •   Teledermatology availability at home
                  •   Meets demand of following value added services:
                      PHR
                      e-prescription
                      e-handout
                      Appointment
                      Billing
                      e-mail alert on health
                      VAS in m-dermatology




Since 2006
Why citizen are related to Dermato-ICT?
               An TWGBD analysis on www.skinproblembd.com



             Citizen have interest to meet the experts in a blog on
             ‘skin -health & beauty',' nutrition & healthy living’.




Since 2006
Why Grameenphone mobile operator is related to
                          Dermato-ICT ?

                  An TWGBD analysis on www.myspecialistdoctors.com




              MOP has ability to reach people with healthcare products:
              - By m-dermatology
              - By teledermatology at Community Info Center (CIC)
              - VAS has financial importance




Since 2006
Why Pharmaceutical are health-friendly sponsors
                     are related to Dermato-ICT ?

                      An TWGBD analysis on www.twgbd.com




    Health-friendly sponsor has aim to build a healthy community.
    Ultimately allow patients and doctors to experience their products.




Since 2006
References:


•   RB Zaid, DB Zaid, A Islam, AA Rupak. AM Bipu, N Milon, J Begum. Global Telemedicine and
      eHealth   Updates 2012; 5: 336-40.  http://www.medetel.eu/index.php?
    rub=educational_program&page=program
•   Zaid RB, Begum J, Ahmad M, Rahman A, B Shuza, Zaid DB and Bhuiyan AR.        Diagnostic
    Accuracy   and Management Reliability of Hybrid Teledermatology - a Study on 221 Skin
    Lesions.   http://www.ksyos.org/images/stories/Abstracts_Booklet.pdf
•   Zaid RB, Begum J, Ahmad M, Rahman A, B Shuza, Zaid DB, Hassan Z and          Bhuiyan
    AR.     HealthCare in Teledermatology - A Live Demo
    http://www.ksyos.org/images/stories/Abstracts_Booklet.pdf
•   www.skinvd.org- a web based educational program for Doctors and Patients.
•   www.skinproblembd.com- a provision for teledermatology information, management and
    education system
•   www.sexproblebbd.com- a provision for on-line sexology consultation and education system.
•   www.myspecialistdoctors.com- a teledermatology and m-dermatology portal in Bangladesh

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Road -map of Teledermatology for doctor-patient-citizen relationship

  • 1. Road Map Dermato-ICT Model and Possible Opportunity to Explore in the Field to Establish Public Health Network (PHN) Md. Reza Bin Zaid PhD, DDV. MBBS Professor, Dermatology and Venereology Chairman, Teledermatology Working Group Bangladesh (TWgBD)
  • 2. TWgBD organogram of Dermato-ICT model TWgBD consisted of Mutant Professionals Doctor Medical Writer TWgBD Bio- physicist works on Software Engr. TWgBD Healthcare Research Clinical Academy •Hardware Modes are- •Software •Teledermatology for patient •e- health on skin & beauty for patient and public Developed for healthcare delivery •e-dermatology for doctor •m-health for doctor-patient-citizen relationship
  • 3. TWgBD Developed Hardware and Software Suitable for teledermatology & m-dermatology Motorized Camera Light source Elevator The web-software –TIMES® (Telemedicine Information, Management and Education System) Control Paddle The hardware-DICOT® (Digital Imaging & Communication in Telemedicine)
  • 4. The Hardware DICOT® DICOT® is suitable at remote end-point for teledermatology DICOT® functionality Patient with DICOT® Assistant Allows doctor to examine skin disease remotely Allows a natural view to patient (as such face- to- face) It is real-time / synchronized in both end-points. Since 2006
  • 5. The Web-Software TIMES® (Telemedicine Information, Management and Education System) •Dynamic for patient management (from help-desk to billing) •Processes data for teledermatology, e-health, e-dermatology & m-health Demographic Data Clinical Data From remote end-point, sent by Patient’s Assistant (PA) or from home by patients From dermatologist’s center, sent by doctor themselves (Pt) ID C/C Name History Age Lesion examination: On Teledermatology Sex (2D image) Address Investigation reports Lesion imaging Cell Phone Number Diagnosis Management & Follow-up e-mail Since 2006
  • 6. The data are employed onto the value added service (VAS) for doctor-patient-citizen relationship www.myspecialistdoctors.com (Teledermatology site for dermatologist) • Consult with dermatologist from remote end-point • EHR (electronic Health Record) • e-prescription • Online appointment & billing www.skinvd.org (e-dermatology site for doctors) • Case report • article • CME • Dermatology update www.skinproblembd.com (e- skin health & Beauty site for patient and citizen) • Skin topics • PHR (personal Health Record) • e-PIL (Patient’s Info Leaflet) • blog & forum on disease • Consult with dermatologist from home • Online appointment, billing & e-mail health alert m-dermatoloy (m-health for doctor-patient-citizen is under production) www.twgbd.com Since (e-commerce for sponsors & ads.) 2006
  • 7. TD remote nodes run by TWGBD and Grameenphone CIC
  • 8. TWgBD establishes doctor-patient-citizen relationship Dermatologist employed for teledermatogy, Remote end-point m-dermatology and creating VAS Tele-assistant operating TIMES® DICOT® at grameenphone CIC Dermatologist’s center of virtual examination room TIMES® -generates vast data to create an ultimate value added services (VAS) Patient & citizen operating PC/ ID: Name: Age: Mobile at their own place Address: Cell no.: Weight: E-mail: Date: Eczem a 1. Dermovate ointment পােেয় ১ বার লাগােবন ১ মাস 2. Tab. Piriton ১ + ০ + ১--- ১৫ িিন CBC ১ মাস পর েিখােবন Send S. IgE Check your email & get : level e-Prescription , e-hand out, EMR, next appointment, consultation from your home, forum/blog on eczema, e-health topics and many others you may like.
  • 9. Why doctors are related to Dermato-ICT? An TWGBD analysis on www.skinvd.org Contains an update dermatology knowledge that useful in their clinical practice Since 2006
  • 10. Why Patients are related to Dermato-ICT ? An TWGBD analysis on www.skinproblembd.com • Teledermatology available at neighborhood • Teledermatology availability at home • Meets demand of following value added services: PHR e-prescription e-handout Appointment Billing e-mail alert on health VAS in m-dermatology Since 2006
  • 11. Why citizen are related to Dermato-ICT? An TWGBD analysis on www.skinproblembd.com Citizen have interest to meet the experts in a blog on ‘skin -health & beauty',' nutrition & healthy living’. Since 2006
  • 12. Why Grameenphone mobile operator is related to Dermato-ICT ? An TWGBD analysis on www.myspecialistdoctors.com MOP has ability to reach people with healthcare products: - By m-dermatology - By teledermatology at Community Info Center (CIC) - VAS has financial importance Since 2006
  • 13. Why Pharmaceutical are health-friendly sponsors are related to Dermato-ICT ? An TWGBD analysis on www.twgbd.com Health-friendly sponsor has aim to build a healthy community. Ultimately allow patients and doctors to experience their products. Since 2006
  • 14. References: • RB Zaid, DB Zaid, A Islam, AA Rupak. AM Bipu, N Milon, J Begum. Global Telemedicine and eHealth Updates 2012; 5: 336-40. http://www.medetel.eu/index.php? rub=educational_program&page=program • Zaid RB, Begum J, Ahmad M, Rahman A, B Shuza, Zaid DB and Bhuiyan AR. Diagnostic Accuracy and Management Reliability of Hybrid Teledermatology - a Study on 221 Skin Lesions. http://www.ksyos.org/images/stories/Abstracts_Booklet.pdf • Zaid RB, Begum J, Ahmad M, Rahman A, B Shuza, Zaid DB, Hassan Z and Bhuiyan AR. HealthCare in Teledermatology - A Live Demo http://www.ksyos.org/images/stories/Abstracts_Booklet.pdf • www.skinvd.org- a web based educational program for Doctors and Patients. • www.skinproblembd.com- a provision for teledermatology information, management and education system • www.sexproblebbd.com- a provision for on-line sexology consultation and education system. • www.myspecialistdoctors.com- a teledermatology and m-dermatology portal in Bangladesh