integrated mobile medical & telemedicine/telehealth research centers copyright © 2005 cgi...

Integrated Mobile Medical & Telemedicine/Telehealth Research

Centers

Copyright © 2005

CGI Communications Services, Inc.


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Centers

IMPROVING HEALTH CARE ACCESS IN THE RURAL COMMUNITIES WITH MODERN TECHNOLOGY“TELEMEDICINE/TELEHEALTH AND MOIBLE MEDICAL CENTER PARADIGM”


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Executive SummaryTechnological innovations lead to applications development for enhancement of human life and its value, which largely remained limited to certain areas of the world creating Digital Divide.

Rapid development of telecommunication technology has given the opportunity for access to development system, irrespective of geographic distance, again such remained confined to urban population of many nations, creating Digital Access Divide (DãD).

The Rural Organ for Access to Development (The ROAD Project) is an initiative, to allow access to development tools for rural population in less developed areas of developing nations.


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CentersMRI Unit


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CentersGynecological Suite


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CentersInterCare Vascular Diagnostic Center


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CentersSpecial Procedure Unit


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CentersRadiology/Nuclear Medicine Unit


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CentersMini-Dental Unit


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CentersConsulting Room


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CentersMicrobiology Unit


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CentersClinical Laboratory Unit


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CentersDigital Mammography Unit


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CentersTwo Bed ICU


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CentersThree Bed Medical Ward


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CentersOB-Delivery Room


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CentersNeonatal ICU


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CentersMini-Gym


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CentersSpecial Hospital Layout


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CentersAmbulatory Care Center Layout


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Executive Summary - Continued

The first program under the ROAD project is an Integrated Mobile Medical & Telemedicine/Telehealth Research Centers, a healthcare delivery and management vehicle for the developing countries.

The Mobile Medical Center which is built on a large van or trailer, epitomizes the Millennium initiative to bring healthcare technology closer to the beneficiaries in the rural population. The aim has been to bring advancements in modern medical sciences at the doorstep of the common man, who otherwise would have been neglected of its benefits.


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Executive Summary (continued)

• These private sector programs will empower development schemes of government and non-government machineries, to create a viable, visible and sustainable access mechanism, for continued development of rural population, as newer technologies evolve.

• This health care model will make it possible to provide state of the art comprehensive health care to the needy and poor people at their doorstep in remote areas of Latin American Countries practically at no cost to the recipients, since relatives abroad will underwrite the cost of services for the relatives at home.


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Mission

To harness the advanced efficiencies and capabilities of current medical, information, and communications technologies to improve the delivery of primary and specialized health care to rural populations.


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Objectives• Meet basic and primary health care needs of rural

communities.• Deliver expert medical services to rural doctors, nurses,

healthcare aids.• Provide network-based tele-diagnostic services and sample

collection for testing at advanced laboratories.• Assure timely intervention into disease processes.• Provide an intervention resource for disease.• Increase awareness for safe motherhood and childhood.• Improve patient compliance; reduce drug abuse.• Improve delivery and administration of prescription drugs.• Deploy each MMTTRC at a cost <US $500,000.• Provide support resources to rural medical professionals to

improve care delivery to their patients.• Elevate the rural economy by

– reducing morbidity rate and healthcare costs– reducing frequency and costs of travel for medical purposes– improving productivity


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HEAD QUARTER

FACILITIES

PHYSICIAN NETWORK IN DHAKA

REFERRAL HOSPITALS

IMAGING FACILITY

REFERENCE LABORATORY

INTERNATIONAL PHYSICIAN NETWORK

MEDIA: PRODUCTION / DISTRIBUTION

EDUCATION & TRAINING

RESEARCH

BROADBAND INTERNET

SUPPORT SERVICES

LOGISTICS

INTEGRATION END USERSDELIVERABLESWAREHOUSE

& DISTRIBUTIONNETWORK

PROCESS PORTAL

CORPORATE FINANCE

INTERNATIONALFINANCE

COLLABORATIVEFINANCE

BANKSFOREIGN & LOCAL

Mobile Medical & Telemedicine/Telehealth Research Center

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Mobile Hospital Unit

Mobile Obstetric and GYN Unit

Mobile Surgical Unit

Mobile Radiology Unit

Mobile Trauma Unit

Mobile Surgical Center

RURAL MEDICAL CENTERS

RETAIL PHARMACY OUTLETS

GENERAL PRACTITIONERS

FIELD MEDICSPROCUREMENT &

SUPPLIERS

TELECOMMUNICATION

TRANSPORTATION & COURIER SYSTEM

ASSEMBLY & PACKAGING FACILITY

HEAD QUARTER

FACILITIES

PHYSICIAN NETWORK IN GUATEMALA

REFERRAL HOSPITALS

IMAGING FACILITY

REFERENCE LABORATORY

INTERNATIONAL PHYSICIAN NETWORK

MEDIA: PRODUCTION / DISTRIBUTION

EDUCATION & TRAINING

RESEARCH

BROADBAND INTERNET

SUPPORT SERVICES

LOGISTICS

INTEGRATION END USERSDELIVERABLESWAREHOUSE

& DISTRIBUTIONNETWORK

PROCESS PORTAL

CORPORATE FINANCE

INTERNATIONALFINANCE

COLLABORATIVEFINANCE

LOCAL PERSONNEL

Mobile Medical & Telemedicine/Telehealth Research Center

DIA

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Mobile Hospital Unit

Mobile Obstetric and GYN Unit

Mobile Surgical Unit

Mobile Radiology Unit

Mobile Trauma Unit

Mobile Vaccination Unit

MMTTRC

PHARMACIST

GENERAL PRACTITIONERS

FIELD MEDICSPROCUREMENT &

SUPPLIERS

TELECOMMUNICATION

TRANSPORTATION & COURIER SYSTEM

ASSEMBLY & PACKAGING FACILITY

n

LOCAL CHAMBER OF COMMERCE


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SPECIALIST DOCTORS

200-500 DOCTORS

TERTIARY DIAGNOSTIC FACILITIES

MMTTRCRadiology Unit

MMTTRCOB-GYN Unit

MMTTRC Special Hospital

Unit

BROADBAND WIRELESS NETWORK

MOBILE & LAND PHONE

BASIC NETWORK FOR MMTTRC MEDICAL PORTAL (URBAN & RURAL)

PRIVATE MEDICAL INSTITUTIONS & FACILITIES

PUBLIC MEDICAL INSTITUTIONS & FACILITIES(SUBSIDIZED)

INDIVIDUAL PATIENTS

MEDICAL PORTAL

PBX


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Components of MMTTRC - Physical

MMTTRC

Doctor’s Office Telemedicine Pharmacy Laboratory

Computer

ICE Software

D-Camera

D-Stethoscope

D-Spirometry

Bar Code Reader

Electronic Record

Drug Advise

Printer

Sample Collection

Labeling

Centrifuging

Computer

Library

Monitoring System

Telephone Generator

Rapid Tests

Vasogram

Microscope

Mobile Doctor

ECG, BP, WeightPackaging and Courier


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Benefits• For Rural Patients:

Patient’s access to expert medical advice through Telemedicine

Improved care at lower cost (patient will spend ~40% of the cost compared to district level medical care)

Improved diagnoses: Advanced pathological services from rural health centers

Timely and accurate intervention and referral systems

Expanded formulary of quality prescription medications and services, used accurately.

Diagnostic needs met faster, and greatly reduced error, at half current cost.

Disease monitoring services for Diabetes, Hypertension, etc.

Customized and appropriate attention to family medical needs


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Benefits• For Rural Doctors:

Continuity of present practice

Improved diagnostics through Telemedicine technologies

Potential earnings increased by 3x

Access to no-cost, continuous CME

Improved Confidence through professional support

Clinically acceptable practice guidelines

Evidence-based medical practice

Care providers form focal point for rural development

Connected to advanced medical facilities 24H/7D

Elimination of professional isolation


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EXAMPLE: ICE ELECTRONIC HEALTH RECORD SYSTEM

Patient Attends the

MMTTRC

NEW PATIENT REGISTRATION

PROCESS (MRN)

CONSULTATION BY LOCAL

DOCTOR AT MMTTRC PORTAL

CLIENT

CReferred From Local MMTTRC Portal Client for Teleconsultation

TELEMEDICINE SYSTEM AT RURAL CENTER

Digitization of ECG, X-Ray, Spirometry,

Heart-Lung Sounds, & other diagnostic

evidences

Completion of Electronic Patient

Folder

Transmission of the Patient Folder to MMTTRC Medical

Portal in Los Angeles

MMTTRC PORTAL Sends Message to Concerned

Expert Doctor for Teleconsultation

MM

TTR

C P

OR

TAL

Tran

smits

Gen

erat

ed A

dvic

e to

Con

cern

ed R

ural

MM

TTR

C (R

ural

Clie

nt)

Report is Delivered to the Patient and Treatment is Managed by the Local

Consultant

OLD PATIENT

WITH MRN

PATIENT VISIT LOG

ALOCAL PRESCRIPTION

GENERATION

BPATHOLOGY

TESTS

Expert Doctor

in Guatamela

Expert Doctor in USA and Canada

National or International Expert

Doctor View the Patient Folder Online

and Writes Advice

MMTTRC PHARMACY

D


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Patient Attends the Rural Medical

Center

NEW PATIENT REGISTRATION

PROCESS (MRN)

CONSULTATION BY LOCAL

DOCTOR AT IRHIS PORTAL CLIENT

OLD PATIENT WITH MRN

PATIENT VISIT LOG

A: LOCAL

PRESCRIPTION GENERATION

BPATHOLOGY TESTS REQUEST SENT TO MMTTRC PORTAL

RAPID TESTS AT RURAL CENTER

SAMPLE COLLECTION FOR ADVANCED TESTS

IN DHAKA LAB

BLOOD SAMPLE SENT TO

TRANSPORTATION HUB

SAMPLES DELIVERED TO

LAB IN CITY

PATH TESTS ARE PERFOMRED AT CITY LAB (ZERO-

ERROR REPORTING)

PORTAL INFORMS LAB INFO SYSTEM

OF LAB

CITY LAB WITH AUTOMATED & ROBOTIC PLATFORM

MMTTRC CLIENT SERVER AT RURAL

END

REPORT SENT TO PATIENT

FOLDER

MMTTRC PORTAL IN Los

Angeles

EXAMPLE: ELECTRONIC MMTTRC DIAGNOSTIC SYSTEM


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Software Integrated in Web Portal

• ICE Electronic Health Record with Telemedicine & Telehealth Component;

• Messaging System;• E-Commerce System;• Laboratory Information System;• Pharmacy Retail - Chain Management System;• Management Information & Training System;• Data Storage, Archiving and Retrieving System;• Communication and Networking System;


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Healthcare Service Programs

1. Diagnostic Healthcare System;2. Primary Healthcare & Teleconsultation System for

expert opinion (includes all medical specialties);3. Women’s Healthcare System;4. Children’s Healthcare System;5. Pharmacy Retail Chain System;6. Professional and field force training Mechanism;7. Education, research and monitoring System;8. Rural (Community) Health Insurance Programs;


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Foundation of Rural Health System

ClinicalMedicine

Pharmacy

Telemedicine

Telecommunication

Clinical Laboratory & Hospital

integrated mobile medical & telemedicine/telehealth research centers copyright © 2005 cgi...

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