E Bridge Ems Telemedicine Overview

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Power Point presentation on the BR-Med Connect pre-hospital telemedicine project in Baton Rouge, LA.

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  • Lets talk about some of the issues with the technology.Wi-Fi is high speed broadbandThis gear is expensive about 8,000 per node.Need very technical people to install and maintain gear as apposed to air cards which are used by everyone these days.
  • Lets talk about some of the issues with the technology.Wi-Fi is high speed broadbandThis gear is expensive about 8,000 per node.Need very technical people to install and maintain gear as apposed to air cards which are used by everyone these days.
  • Lets talk about some of the issues with the technology.Wi-Fi is high speed broadbandThis gear is expensive about 8,000 per node.Need very technical people to install and maintain gear as apposed to air cards which are used by everyone these days.
  • E Bridge Ems Telemedicine Overview

    1. 1. Linking Pre-Hospital EmergencyCare in Baton Rouge<br />
    2. 2. What is EMS Telemedicine?<br />TELEMEDICINE is defined as the delivery of health care at a distance. <br />But isn’t that what EMS has ALWAYS done?<br />
    3. 3. What is EMS Telemedicine?<br />So why is “EMS” telemedicine something “new”?<br />What’s “new” is the ability to send large amounts of data at low costin a mobile wireless environment.<br />
    4. 4. What is EMS Telemedicine?<br />So where will this take EMS?<br />Because sending images and data is becoming as commonplace as the home computer, EMS has already begun to move in this direction. <br />
    5. 5. SO WHAT WE HAVE LEARNED? <br />The nature of EMS is such that communications and technology has, and always will play a defining role...<br />
    6. 6. SO WHERE IS ALL THIS TAKING EMS <br />EMS will improve itself by capitalizing on the capabilities offered by advanced communications and information management technologies …<br />You can call it EMS telemedicine <br />(or whatever you like)!<br />
    7. 7. Patient Care Applications<br />Cardiac Care<br />Trauma<br />MCI & Disaster<br />Stroke<br />Patient Refusals<br />Pediatric & Other Specialty Care<br />What will EMS telemedicine mean for the Hospital?<br />
    8. 8. Operational Improvements<br />Management of Patient Data<br />Risk Reduction<br />Alleviate ED Overcrowding<br />Training & QA<br />Medical/Legal Documentation<br />Resource utilization<br />What will EMS telemedicine mean for the Hospital?<br />
    9. 9. Benefits<br />Enhance Hospital Stature<br />EMS Included in Pt. Medical Record<br />Staff Training<br />Community Relations<br />Reimbursement???<br />Homeland Security & Disaster Response<br />What will EMS telemedicine mean for the Hospital?<br />
    10. 10. ExtremeExample…<br />
    11. 11. Practical Example …Baton Rouge EMS “BR Med-Connect”<br />
    12. 12. Answering the Call<br />
    13. 13. Demo<br />
    14. 14. How Does it Work?<br />E-Bridge<br />Ambulance Equipment<br />CarePoint System<br />Hospital Equipment<br />Connectivity<br />Wi-Fi Mesh Network<br />Cellular Air Card (Verizon, AT&T)<br />
    15. 15. How Does it Work?<br />E-Bridge<br />Ambulance Equipment<br />
    16. 16. How Does it Work?<br />CarePoint System<br />Hospital Equipment<br />Controls Data <br />& <br />Communications<br />Displays &<br />Controls Video<br />
    17. 17. How Does it Work?<br /><ul><li>Contact Any Hospital with 2 button clicks
    18. 18. Once in Session – Doctors Control Cameras from control panel
    19. 19. Can Send 12 Lead Strips to any email or fax machine</li></li></ul><li>How Does it Work?<br />Connectivity<br />Wi-Fi Mesh Network<br />Cellular Air Card (Verizon, AT&T)<br />
    20. 20. How Does it Work?<br />Connectivity<br />Wi-Fi Mesh Network<br />
    21. 21. How Does it Work?<br />Connectivity<br />Wi-Fi Mesh Network<br />Cellular Air Card (Verizon, AT&T)<br />
    22. 22. Issues with Technology<br />Is This High-Def TV??<br />No – We cannot expect mobile video to be crystal clear moving 60 mph down the interstate <br /> – At least not yet!<br />
    23. 23. Issues with Technology<br />Quality of Transmissions<br /><ul><li>Over the Wi-Fi
    24. 24. Has More bandwidth – very good video, audio, and data transmissions
    25. 25. Downside – fewer mesh locations available across the city/parish because of the cost of equipment and deployment
    26. 26. Need technical people to maintain the system</li></li></ul><li>Issues with Technology<br />Quality of Transmissions<br /><ul><li>Over Air Cards
    27. 27. Video quality can be choppy- audio can be broken up
    28. 28. Sending data is reliable
    29. 29. No maintenance necessary
    30. 30. Upgrading is easy and no additional cost</li></li></ul><li>BR Med-ConnectWIRELESS MESH NETWORK<br />455 Square Mile Area<br />Currently 9 Square Miles Covered<br />95 Total Node and Gateway Radios<br />21 Ambulances<br />7 Hospital<br />
    31. 31. BR Med-ConnectCONNECTING THE HOSPITALS<br /><ul><li>Daily telemedicine calls
    32. 32. Ability to share data between hospitals
    33. 33. Video conferencing between hospitals and Office of Homeland Security during disasters</li></li></ul><li>BR Med-ConnectPLAN FOR DEPLOYMENT<br />78 Square Mile – City of Baton Rouge<br />Cover Major Streets First<br />Expand to Parish Rural Areas <br />Work With the 3 Other Cities in the Parish to Include Their Area<br />
    34. 34. EMS Pilot Program<br />STEMI Patients <br />“Patients having ST-segment elevation myocardial infarction, or STEMI, heart attacks have the best chance of a good outcome if they get primary percutaneous cardiac intervention (or &quot;angioplasty&quot;) within 90 minutes of arrival at a hospital, recent research confirms.”<br />
    35. 35. EMS Pilot Program<br />Process<br />Acquire 12-Lead<br />Establish video call with hospital and connect all diagnostic equipment - ready to send data <br />Send 12-Lead to receiving hospital<br />PDF version goes to CarePoint system<br />Raw data from Zoll Monitor goes to pick up point on city server to be retrieved by Southern Medical – to be included with previous patient record<br />ED staff conducts patient evaluation <br />Voice, Video, EKG, SpO2, BP Monitoring, Breathe Sounds, Pulse<br />Session can continue in-route to hospital<br />All data along with voice recordings are part of patient record<br />
    36. 36. EMS Pilot Program<br />Future Planned Studies<br />Identifying severe sepsis patients <br />Provide early antibiotics treatment<br />Stroke Patients<br />Early Thrombolytic Treatment ?<br />Trauma<br />Using portable sonogram technology<br />
    37. 37. Funding<br />Multi Agency Project<br />Police Crime Cameras, Reporting<br />Fire Reporting, Inspections<br />DPW Inspections<br />EMS Telemedicine, Reporting<br />Total City Investment to Date<br />$200,000<br />Federal Grants<br />Health & Hospitals<br />Homeland Security<br />Federal Stimulus Money<br />Department Budget Dollars<br />
    38. 38. Questions??<br />Chad Guillot<br />(225) 389-5155<br />cguillot@brgov.com<br />

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