A case study on Telemedicine and Telehealth. It is how VM Ware vSphere turns into a cornerstone for the hybrid cloud solution of City Clinic, which is then easily utilized for Telemedicine
Digitalizing Healthcare- Ralph Wiegner, Siemens Healthineers for mHealth IsraelLevi Shapiro
Presentation by Dr. Ralph Wiegner, Global Head of Digitalizing Healthcare, Siemens Healthineers, March 2, 2021, for mHeatlh Israel. Key themes:
- COVID-19 pandemic has created new challenges for CEOs
- Acceleration of digitalization in healthcare – are healthcare decision makers well prepared for this?
- How to digitalize healthcare?
- What are the right measures and technologies to ensure sustainable digital transformation?
- The integration of clinical and non-clinical data and patient outcome sharing is seen most critical globally
- Future vision: Digital Twin – management of complex medical scenarios by patient centered data integration and modelling
- Stroke is the second leading cause of death worldwide
- Major challenges and trends for stroke – Facts and figures
- Vision: Connected intelligence in stroke – Self-learning real-time network of intelligent machines
- Proactive risk evaluation and early detection
- Real-time stroke response and diagnosis
- Precise stroke treatment
- Seamless integrated patient-centered rehabilitation and aftercare
- Stroke supervision platform orches-trates the overall patient workflow
- Siemens Healthineers Insights Series
What in the world is a digital hospital? Global trends in digital healthcare ...MaRS Discovery District
Public and private healthcare organizations around the world are leveraging data, mobile and social technologies to reshape their patient relationships and build operating dexterity to improve outcomes and reduce costs. Attendees will learn how these organizations are thinking about opportunities to use the tools of the digital revolution to transform healthcare.
با گسترش فناوری اطلاعات و سرویس های مختلفی امروزه در زندگی انسان ها ارائه می شود حوزه سلامت و درمان هم بی بهره از این گسترش فناوری نبوده و در صورتی که سیاستمداران و برنامه ریزان کشور بتوانند از ظرفیت های ترکیب دانش پزشکی و فناوری اطلاعات بهره ببرند شاید با وجود افزایش جمعیت کهنسال و نیاز به رسیدگی های خاصی که در این قشر احساس می شود بتوان در کاهش هزینه های درمان گامی برداشت
Presented at UKRC 2013, this presentation discusses healthcare needs, what vendor neutral archives are, and how to choose the right VNA supplier.
For more information on Carestream's Vue for VNA, visit http://carestream.com/vna
Whitepaper: Leveraging the Cloud to Enhance an Enterprise Imaging StrategyCarestream
What is the cloud's future in imaging?
Enterprise imaging strategies are front and center in healthcare IT these days. The increasing sophistication of imaging technology has resulted in substantial increases in imaging data. The upside of this increase is that clinicians have more imaging information available to aid in diagnosis and treatment. www.carestream.com/cloud
Digitalizing Healthcare- Ralph Wiegner, Siemens Healthineers for mHealth IsraelLevi Shapiro
Presentation by Dr. Ralph Wiegner, Global Head of Digitalizing Healthcare, Siemens Healthineers, March 2, 2021, for mHeatlh Israel. Key themes:
- COVID-19 pandemic has created new challenges for CEOs
- Acceleration of digitalization in healthcare – are healthcare decision makers well prepared for this?
- How to digitalize healthcare?
- What are the right measures and technologies to ensure sustainable digital transformation?
- The integration of clinical and non-clinical data and patient outcome sharing is seen most critical globally
- Future vision: Digital Twin – management of complex medical scenarios by patient centered data integration and modelling
- Stroke is the second leading cause of death worldwide
- Major challenges and trends for stroke – Facts and figures
- Vision: Connected intelligence in stroke – Self-learning real-time network of intelligent machines
- Proactive risk evaluation and early detection
- Real-time stroke response and diagnosis
- Precise stroke treatment
- Seamless integrated patient-centered rehabilitation and aftercare
- Stroke supervision platform orches-trates the overall patient workflow
- Siemens Healthineers Insights Series
What in the world is a digital hospital? Global trends in digital healthcare ...MaRS Discovery District
Public and private healthcare organizations around the world are leveraging data, mobile and social technologies to reshape their patient relationships and build operating dexterity to improve outcomes and reduce costs. Attendees will learn how these organizations are thinking about opportunities to use the tools of the digital revolution to transform healthcare.
با گسترش فناوری اطلاعات و سرویس های مختلفی امروزه در زندگی انسان ها ارائه می شود حوزه سلامت و درمان هم بی بهره از این گسترش فناوری نبوده و در صورتی که سیاستمداران و برنامه ریزان کشور بتوانند از ظرفیت های ترکیب دانش پزشکی و فناوری اطلاعات بهره ببرند شاید با وجود افزایش جمعیت کهنسال و نیاز به رسیدگی های خاصی که در این قشر احساس می شود بتوان در کاهش هزینه های درمان گامی برداشت
Presented at UKRC 2013, this presentation discusses healthcare needs, what vendor neutral archives are, and how to choose the right VNA supplier.
For more information on Carestream's Vue for VNA, visit http://carestream.com/vna
Whitepaper: Leveraging the Cloud to Enhance an Enterprise Imaging StrategyCarestream
What is the cloud's future in imaging?
Enterprise imaging strategies are front and center in healthcare IT these days. The increasing sophistication of imaging technology has resulted in substantial increases in imaging data. The upside of this increase is that clinicians have more imaging information available to aid in diagnosis and treatment. www.carestream.com/cloud
Telehealth Failures & Secrets to Success Conference 2017 by VSee
Speaker: Trey McMillian
Health & Life Sciences Lead of Dell
More info here: vsee.com/conference
To improve value and minimize patient exposure to ionizing
radiation, healthcare providers’ use of medical imaging must
be prudent and appropriate. The cornerstone of value-based
imaging is technology that provides broad access to patient
reports and images, enhancing communications among
physicians and with the patient while protecting patient data.
This is the role of the enterprise viewer. www.carestream.com/motion
Financial Implications for Integrating Carestream OnSight 3D Extremity System...Carestream
Carestream Health commissioned a working group of surgeons and administrators from four leading orthopedic practices to
evaluate the clinical application and economic impact of the OnSight 3D Extremity System. This paper outlines the results of that working group’s findings, including specific economic models for practices of various sizes and throughputs.
Current Trends of Wearable Technology Devices in Clinical DiagnosticsAwladHussain3
Wearable devices are real-time, and noninvasive biosensors allow for the continuous monitoring of individuals and thus provide sufficient information for determining health status and even preliminary medical diagnosis. This presentation briefly introduces the latest advances in wearable healthcare systems, which can be used for real-time diagnosis and treatment of patients.
An Opportunity for delegates to know how much they really know / need to know . The first person who answers a question correctly will get a prize. 30 Minutes of action
packed intellectual treat to find out the smartest !
Patient centricity and digital solutionsAhmed Graouch
Beyond product offerings, it also positions Medtech companies to help hospitals and health systems transition to the future of health through services.
The term “digital twin” refers to the digital version of a physical device or process. By bridging the physical and the virtual worlds, data is transmitted seamlessly allowing the virtual entity to exist simultaneously with the physical device or process. Digital twins are emerging as virtual test beds for
possible solutions before they implement physical devices. These computer-based models are fed individual and population data and mimic the electrical and physical properties of an object.
Medical device companies are using this technology to simulate how their devices are being used in the
clinical setting.
In our view of the future of health, radically interoperable data is likely to play a huge role in transforming health care. Data from medical technologies such as wearables, remote monitors, and
sensors will be standardized, stored, updated, and aggregated with other sources of information such as social media platforms, retailers, and electronic health records.
The combined data will create a complete personal profile that physicians and health systems can use to help ensure that
I deliver health services in an appropriate fashion.
Computational Disease Management with Wearable DevicesPetteriTeikariPhD
Machine Learning modelling of disease trajectory with deep
learning and/or Gaussian Processes.
Alternative download link:
https://www.dropbox.com/s/jg73ymvkenx8rv4/computational_disease_management.pdf?dl=0
Telehealth Failures & Secrets to Success Conference 2017 by VSee
Speaker: Trey McMillian
Health & Life Sciences Lead of Dell
More info here: vsee.com/conference
To improve value and minimize patient exposure to ionizing
radiation, healthcare providers’ use of medical imaging must
be prudent and appropriate. The cornerstone of value-based
imaging is technology that provides broad access to patient
reports and images, enhancing communications among
physicians and with the patient while protecting patient data.
This is the role of the enterprise viewer. www.carestream.com/motion
Financial Implications for Integrating Carestream OnSight 3D Extremity System...Carestream
Carestream Health commissioned a working group of surgeons and administrators from four leading orthopedic practices to
evaluate the clinical application and economic impact of the OnSight 3D Extremity System. This paper outlines the results of that working group’s findings, including specific economic models for practices of various sizes and throughputs.
Current Trends of Wearable Technology Devices in Clinical DiagnosticsAwladHussain3
Wearable devices are real-time, and noninvasive biosensors allow for the continuous monitoring of individuals and thus provide sufficient information for determining health status and even preliminary medical diagnosis. This presentation briefly introduces the latest advances in wearable healthcare systems, which can be used for real-time diagnosis and treatment of patients.
An Opportunity for delegates to know how much they really know / need to know . The first person who answers a question correctly will get a prize. 30 Minutes of action
packed intellectual treat to find out the smartest !
Patient centricity and digital solutionsAhmed Graouch
Beyond product offerings, it also positions Medtech companies to help hospitals and health systems transition to the future of health through services.
The term “digital twin” refers to the digital version of a physical device or process. By bridging the physical and the virtual worlds, data is transmitted seamlessly allowing the virtual entity to exist simultaneously with the physical device or process. Digital twins are emerging as virtual test beds for
possible solutions before they implement physical devices. These computer-based models are fed individual and population data and mimic the electrical and physical properties of an object.
Medical device companies are using this technology to simulate how their devices are being used in the
clinical setting.
In our view of the future of health, radically interoperable data is likely to play a huge role in transforming health care. Data from medical technologies such as wearables, remote monitors, and
sensors will be standardized, stored, updated, and aggregated with other sources of information such as social media platforms, retailers, and electronic health records.
The combined data will create a complete personal profile that physicians and health systems can use to help ensure that
I deliver health services in an appropriate fashion.
Computational Disease Management with Wearable DevicesPetteriTeikariPhD
Machine Learning modelling of disease trajectory with deep
learning and/or Gaussian Processes.
Alternative download link:
https://www.dropbox.com/s/jg73ymvkenx8rv4/computational_disease_management.pdf?dl=0
Unlock your potential!
My purpose is to share my experience to help you move forward.
I facilitate trainings and keynotes about productivity, presentation, communication, leadership, creativity & personal development.
Trainings: presentation skills • time-management • e-mail management • creativity • brainstorming • meeting techniques • ...
Keynotes: leaders of the smartphone generation • dare to speak • the 7 e-mail sins • inbox zero • finding your quality time • ...
Presentation coaching: got an important presentation coming up? Let me help getting your message across with impact!
Languages: Dutch, French, English
More information on www.stevenvandenabeele.be
Hospital Launches Healthcare IT Center of Excellence.
City Clinic steps closer to realizing vision of becoming reference center of excellence for south-east Europe.
Future of Digital Healthcare on Cloud .pdfayushiqss
Healthcare has been an integral part of the discussion and a transformative force towards innovation. With increasing advancements and awareness, people are becoming more conscious about their choices, what they eat, and where and how to get the best treatment facilities. This brings the need to provide the best healthcare services, disease detection, and the right treatment, with the best tools and hospital staff. The internet has played a significant role in serving such kinds of top-notch consumer needs. One of these internets of things is Cloud Technology. Let’s look at cloud computing in healthcare, models of cloud computing and how it has transformed the digital healthcare sector.
This is a re-boot of a presentation originally given on the potential role of cloud infrastructure in healthcare delivery from eHealth Canada 2012.
Key concepts are the drivers of change in healthcare, how hospitals can protect themselves when using of cloud, the potential use of enterprise content management as part of healthcare delivery and the current models that we are seeing in Canada and the US.
I9 is a brazilan company focused on healthcare and tele-health and provides software solution that integrated medical devices to the Hospital Information System (HIS) and Electronic Health Record (EMR)
Samsung Zero Clients Unlock Efficiencies for Physicians and Accelerate Electr...Samsung Business USA
Olympic Medical Center (OMC) in Port Angeles, Wash., had been building a virtual environment to support faster electronic health record (EHR) adoption by its physicians. The program’s success depended on the ability of the virtual solution to make the physician’s job easier and more productive, while maintaining patient data security. The existing program utilizing tablets suffered a setback, however, when challenges integrating key applications such as physician dictation software led to an inefficient workflow, loss of productivity and higher costs. Learn how Samsung zero client displays helped unlock efficiencies for physicians and accelerate electronic health record adoption.
Carestream’s Vue Motion provides on-demand access to patient images throughout and beyond the healthcare enterprise and it is easily adapted to work with healthcare IT systems already installed. http://www.carestream.com/motion.
For more information, please visit us at: http://www.carestream.com/vue
Role of Cloud Computing in Healthcare Systemsijtsrd
The healthcare industry is complex because it is so vast in terms of the processes involved and the amount of private and sensitive information it needs to deal with. The industry’s complexity often leads to two major challenges - increased operational cost including data storage cost and difficulty in building a self sufficient health ecosystem. Technology has always been the savior that workaround for overcoming major healthcare industry challenges. One such technology is cloud computing. It has been in use in the healthcare industry for several years and continuously evolving with industry changes. Cloud computing is transforming the healthcare industry at different levels with features like collaboration, scalability, reach ability, efficiency, and security.The on demand computing feature of the cloud adds value, especially when healthcare institutes and care providers need to deploy, access and handle network information at the drop of a hat. With the rise in demand for data based security, there needs to be a shift in the creation, usage, better storage, collaboration, and sharing of healthcare data techniques. It is where cloud computing leaves no stone unturned Healthcare is one such sector that has been at the forefront of adopting cloud technology. Healthcare providers are coming to realize the true potential of cloud solutions across the globe.According to the BBC research report, estimated global spending by stakeholders in the industry on cloud computing is expected to be around 35 billion dollars by 2022. It is anticipated that the CAGR of cloud services and solutions will maintain a trajectory of 15 rise and the size of the Cloud powered healthcare market is to be around 55 billion dollars by the year 2025. Nidhi Prasad | Mahima Chaurasia "Role of Cloud Computing in Healthcare Systems" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-6 | Issue-3 , April 2022, URL: https://www.ijtsrd.com/papers/ijtsrd49488.pdf Paper URL: https://www.ijtsrd.com/computer-science/other/49488/role-of-cloud-computing-in-healthcare-systems/nidhi-prasad
Healthcare expenditure accounts for a significant portion of global GDP, around 10%. The number is significantly larger for countries like the US. The cost will likely trend higher as larger numbers of people suffer from chronic conditions, leading to longer hospitalization times and increasing care requirements. Globally, there is a dearth of hospital beds and qualified doctors. Critical care waiting times are on the rise.
Healthcare needs a transformation to become more sustainable and accessible.
The most fundamental expectation from the healthcare sector is that it provides a safe and reliable environment to serve patients. Medical supplies and equipment have also improved with technological advancements, making them easier to use, providing a better experience, and increasing their longevity. With advancement in technology, medical services can also be tracked for efficiency.
Adoption of Cloud Computing in Healthcare to Improves Patient Care Coordinati...Mindfire LLC
The cloud has revolutionized the way we live and work. It has brought about a new era of flexibility and convenience, allowing us to access information and collaborate with others from anywhere in the world.
According to a Gartner survey, global spending on cloud services is projected to reach over $482 billion this year (2022). The numbers are much higher than those recorded last year, i.e., $313 billion.
The most fundamental expectation from the healthcare sector is that it provides a safe and reliable environment to serve patients. Medical supplies and equipment have also improved with technological advancements, making them easier to use, providing a better experience, and increasing their longevity. With advancement in technology, medical services can also be tracked for efficiency.
A definition of the term “smart hospitals” may thus be: “A smart hospital is a hospital that relies on optimised and automated processes built on an ICT environment of interconnected assets, particularly based on Internet of things (IoT), to improve existing patient care procedures and introduce new capabilities”.
How IoMT is Enabling Healthcare & Medtech Organizations to Tackle Critical Ch...JessiRyan1
This Infographics shows the best unique ways how IoMT will be helpful for healthcare industries and Medtech Organizations to overcome the critical challenges.
We understand the unique challenges pickleball players face and are committed to helping you stay healthy and active. In this presentation, we’ll explore the three most common pickleball injuries and provide strategies for prevention and treatment.
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
QA Paediatric dentistry department, Hospital Melaka 2020Azreen Aj
QA study - To improve the 6th monthly recall rate post-comprehensive dental treatment under general anaesthesia in paediatric dentistry department, Hospital Melaka
Navigating the Health Insurance Market_ Understanding Trends and Options.pdfEnterprise Wired
From navigating policy options to staying informed about industry trends, this comprehensive guide explores everything you need to know about the health insurance market.
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
1. VMWARE CASE STUDY
INDUSTRY
Healthcare
LOCATION
Sofia, Bulgaria
THE CHALLENGE
Building an open telemedicine
platform for mobile medical
examination rooms, capable
of accommodating any kind
of standards-based medical
instruments and integrating it
with Electronic Medical Records
systems.
THE SOLUTION
Aossia’s Sphere of Care solution
based on vSphere for Desktop and
Horizon View VDI software as the
core enabling technology.
THE BENEFITS
• a leap in medical examination
availability and quality,
especially for small communities
and rural areas
• more patients served with
existing budget and resources
• productivity gains and reduced
cost per patient
• flexibility from easily adding
extra resources
• reduced waiting times, public
service obligation fulfilled
• lower risk and cost from early
diagnosis and treatment
• easy cross-examination with
many doctors available online
• fast and cost-effective access to
new markets
• numerous options for revenue
and profit growth
• better service for chronical
conditions and the elderly
• avoiding unnecessary patient
transportation and related cost
City Clinic taps VDI technology to save lives
and cut costs
City Clinic implements an innovative cloud-based mobile
telemedicine solution combining state-of-the-art medical
instrumentation and proven virtual desktop technology
from VMware to expand the reach and lower the cost of
medical examination. Applications include disaster response,
prevention programs, chronic condition monitoring, distributed
first-contact care, home care and many more. City Clinic blazes
the trail for both private and public healthcare organizations,
gaining the ability to provide high quality care to more people,
faster and cheaper – all at the same time – and with existing
human resources.
For all the hype it gets, telemedicine is often just that, a hype. The reason is simple: most
solutions have limited features accompanied by high price tags and thus, little chance for
broader adoption. This is, however, not the case with Aossia’s Sphere of Care.
The challenge
As an IT solution integrator Aossia works
with a large number of technologies
using them to build industry-specific
solutions for customers. One of them
is City Clinic, the leading healthcare
provider in Bulgaria who recently tasked
the company with developing a solution
for remote medical examination. The
reason was City Clinic doctors’ frustration
while evaluating various telemedicine
solutions available on the market. In
short, in their view, most of them did
not deliver on the initial promises of
productivity improvement and long-term
cost-efficiency gains, while also imposing
compromises in other areas, such as
openness or mobility.
“We were not interested in integrating
many single-purpose, often proprietary
solutions. Rather, we wanted to see an
open platform enabling us to perform
a multitude of medical examination
procedures as well as tests remotely. That
essentially meant having one solution
integrating many medical instruments.
We also stressed the need to tightly
integrate remote examination with
centralized, standards-based Electronic
Medical Record systems. Without such
integration, the solution would not be
much of an improvement for our doctors’
productivity” – explains Ilian Grigorov,
CEO, City Clinic.
Aossia took all those remarks home with
the aim to give the idea a serious try.
After further consultations, technology
tests and investments the company
came up with a solution being exactly
what City Clinic hoped for. “Internally, we
developed a set of projects, each with
goals addressing specific challenges on
the way to the envisioned solution. These
were, for example, device integration,
interoperability and standards,
security, compliance, management,
teleconferencing, usability, mobility,
cost and a lot more” – explains Miroslav
Ivanov, Sales Manager, Aossia.
The solution
“Working with City Clinic we have
developed, tested and productized
a general purpose remote medical
examination solution. It enables
hospital-type medical examination just
anyplace with a cellular or fixed Internet
connection. Combining any IoT medical
2. C U S T O M E R C A S E S T U DY / 2
VMWARE CASE STUDY
devices with the latest medical and
information technology innovations,
the Sphere of Care gives City Clinic new
service delivery options as well as radical
cost savings”– says Ivaylo Petrov, CEO,
Aossia.
Conceptually, the solution imitates
a medical examination room in a clinic
or hospital, the key difference being
both the patient and the doctor can be
anywhere in the world, teleconferencing
in real time. The patient is attended by
a nurse who acts the ‘doctors’ hands’,
physically operating medical instruments
e.g. a stethoscope, a heart monitor,
a blood pressure monitor, an ultrasound
scanner, a glucose-level meter or
a laparoscope set. In fact, any digital
medical device can be used as long as
it can transfer data over a USB, Wi-Fi or
Bluetooth to a laptop (Windows, Mac
OS), a tablet (Android, iOS) or even
a smartphone (Android, iOS) running
VMware Horizon View 6 software.
The VMware vSphere for Desktop and
Horizon View are VDI, or Virtual Desktop
Infrastructure software products which
are the core enabler for the Sphere of
Care solution. Both the nurse and the
doctor use it to access their virtual
desktops running in Aossia’s cloud.
“VDI is a crucial part of the solution
because medical desktop applications
often require a lot of computing
resources and high speed networking
available as well as some special
operating system. These, of course,
may be hard to get under truly mobile
circumstances. Centralizing desktops
is also essential because of information
security and compliance requirements.
With vSphere for Desktop and Horizon
View, no data is stored on a remote
location – it is only displayed while
constantly residing in the security vault in
the cloud. We have chosen VMware’s VDI
technology for its flexibility, reliability and
proven track record worldwide” – stresses
Aossia’s Petrov.
Secure access to patient information
is based on dedicated server software,
distributed hardware security modules
and user’s smart cards. The solution
assumes two separate HD screens
are used – one for the patient-doctor
teleconferencing using telepresence
software and the other for imaging
and medical applications. In the case
when a tablet or smartphone are used
for urgent cases, screen switching is
inevitable, but it is still very usable.
As for connectivity… “Any decent
broadband can handle the connection.
The bandwidth requirement is 5 Mb/s or
more. In the case the connection slows
down the solution automatically drops
the frame rate while keeping the picture
and voice quality intact. The solution
reliably works even over a 3G cellular
“We were not interested in
integrating many single-
purpose, often proprietary
solutions. Rather, we wanted
to see an open platform
enabling us to perform
a multitude of medical
examination procedures as
well as tests remotely. That
essentially meant having one
solution integrating many
medical instruments. We also
stressed the need to tightly
integrate remote examination
with centralized, standards-
based Electronic Medical
Record systems. Without
such integration, the solution
would not be much of an
improvement for our doctors’
productivity”
Ilian Grigorov, Chief Executive Officer,
City Clinic
SOFTWARE
• vSphere for Desktop
• Horizon View 6
“Any decent broadband can
handle the connection. The
bandwidth requirement is
5 Mb/s or more. In the case
the connection slows down
the solution automatically
drops the frame rate while
keeping the picture and voice
quality intact. The solution
reliably works even over a 3G
cellular data link which speaks
volumes about the robustness
of the Horizon View 6 and its
PCoIP remote protocol”
Roch Norwa, Lead System Engineer,
VMware who validated the architecture
3. C U S T O M E R C A S E S T U DY / 3
VMWARE CASE STUDY
data link which speaks volumes about the
robustness of the Horizon View 6 and its
PCoIP remote protocol” – declares Roch
Norwa, Lead System Engineer, VMware
who validated the architecture.
Indeed, the mobility is a game changer
for the patient. The quality of diagnosis
and adequate care during the first 60
minutes often determine the results of
all further efforts doctors undertake.
“Within these 30 or 60 minutes we
can adequately react and we can base
treatment and diagnostics on accurate
facts and information about the patient”
– City Clinic’s CEO, Ilian Grigorov explains.
Initially, City Clinic considered the
Sphere of Care as a disaster response
solution to be used just about anywhere.
This required the whole set to be put
into a dome-shaped environment-
resistant tent of special material, with
special flooring etc. Anywhere means…
anywhere, after all. The characteristic
spherical shape of the tent inspired the
name, even though the ‘tentless’ use
scenarios now seem to be even more
prospective for City Clinic.
The benefits
“Whether the doctor is in the hospital
or in some other location he has
access to current medical information,
at any time, and at any stage of the
patient’s treatment” – notes Ilian
Grigorov.
It doesn’t take much imagination to
envision a broad array of use cases for
the Sphere of Care. Working with Aossia,
City Clinic has crystalized real-world
requirements for telemedicine and
essentially blazed the trail for many new
initiatives, including in public healthcare.
“Public healthcare faces ever mounting
demand for services while budgets
and human resources are already very
strained. Long waiting times even for
basic public medical service have become
a norm across the world. We believe
we can help local governments address
the ever mounting cost and resource-
shortage issues” – City Clinic’s CEO,
Grigorov argues.
These arguments are fair but obviously,
this is just a tip of the iceberg in terms of
optimization opportunities. “The Sphere
of Care provides a practical means to
solve a long list of problems. For example,
better prioritizing patients in time critical
situations, avoiding unnecessary medical
transport, speeding up diagnosis and
preventing deterioration, better serving
the chronically ill and the elderly as well
as enacting prevention programs. Being
able to quickly consult many doctors in
real time reduces the risk of inappropriate
diagnosis or treatment which is highly
desirable not only by patients but doctors
as well” – Aossia’s Petrov adds.
This is not to say City Clinic stops being
a private healthcare provider. Just to
“Whether the doctor is in the
hospital or in some other
location he has access to
current medical information,
at any time, and at any stage
of the patient’s treatment”
Ilian Grigorov, Chief Executive Officer,
City Clinic
“AOSSIA IT Healthcare
Innovations, working closely
with End User Computing
solutions from VMware, has
developed “Sphere of Care”,
a revolutionary and world-
leading mobile healthcare
delivery solution that can
be rapidly deployed to rural
areas, areas of emergency
need such as natural disasters,
large scale outdoor events,
military and refugees camps
and etc. Well, you don’t have
imagine any longer as the
remote medical examination
is no longer in the realm of
science fiction”
Miroslav Ivanov, Sales Manager, Aossia