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Page 1: Mo bile Medical Emergency Collaboration - ITU ia g n o st ic Mob ile Ap p N EXES R e mo te Me d ic C o n su lta tio n R e mo te Me d ic C o n su lta tio n D rive r 1 1 2 D isp a tch
Page 2: Mo bile Medical Emergency Collaboration - ITU ia g n o st ic Mob ile Ap p N EXES R e mo te Me d ic C o n su lta tio n R e mo te Me d ic C o n su lta tio n D rive r 1 1 2 D isp a tch

Mobile Medical Emergency Collaboration

Experience in Mass Incident Scenario in Slovenia

Byline to go here

Page 3: Mo bile Medical Emergency Collaboration - ITU ia g n o st ic Mob ile Ap p N EXES R e mo te Me d ic C o n su lta tio n R e mo te Me d ic C o n su lta tio n D rive r 1 1 2 D isp a tch

Key Challenges for Mass Incident Digital Collaboration – Save Lives

• Establish immediate pacient triage information transfer to decision makers to optimize resource usage and save lives

• Provide multimedia support for operations and training– Consultation via video conference and whiteboard– Live streaming from situational cameras– Attach photo and video to medical records– Attach pacient data

• Provide reliable and robust communications– Hybrid solution from 4G, 4GLocal, Wifi Mesh, Satellite, 5G in future,

Bluetooth– Local server with optimized redundant operation– Optimize data transfer for messaging and multimedia

• User friendly and efficient UX/UI• Extended tracking, analytics and learning –immersive learning

Page 4: Mo bile Medical Emergency Collaboration - ITU ia g n o st ic Mob ile Ap p N EXES R e mo te Me d ic C o n su lta tio n R e mo te Me d ic C o n su lta tio n D rive r 1 1 2 D isp a tch

Mass Incident Medical Setup(a lot of time spent to understand workflow)

Page 5: Mo bile Medical Emergency Collaboration - ITU ia g n o st ic Mob ile Ap p N EXES R e mo te Me d ic C o n su lta tio n R e mo te Me d ic C o n su lta tio n D rive r 1 1 2 D isp a tch

Experience from Mass Incident Exersizes in Slovenia

• Stožice Terorist Attack• Largest 350 patients• Local WiFi/4G GW

• Tlake Train Accident• Live Streaming

• Brnik Airplane Crash• Improved Workflow

• Novo Mesto MRMI 2x• Comparative analysis

• Bled, Stan

Page 6: Mo bile Medical Emergency Collaboration - ITU ia g n o st ic Mob ile Ap p N EXES R e mo te Me d ic C o n su lta tio n R e mo te Me d ic C o n su lta tio n D rive r 1 1 2 D isp a tch

Transition from Paper and Walkie Talkie to Digital Collaboration

Dramatic Operations Change

Page 7: Mo bile Medical Emergency Collaboration - ITU ia g n o st ic Mob ile Ap p N EXES R e mo te Me d ic C o n su lta tio n R e mo te Me d ic C o n su lta tio n D rive r 1 1 2 D isp a tch

Wide Variety of User Experience

• Super simple triage on smartphone

• Local Coordination on Tablet

• Multi Screen in Center

Page 8: Mo bile Medical Emergency Collaboration - ITU ia g n o st ic Mob ile Ap p N EXES R e mo te Me d ic C o n su lta tio n R e mo te Me d ic C o n su lta tio n D rive r 1 1 2 D isp a tch

Operations Center Trial Setup

Page 9: Mo bile Medical Emergency Collaboration - ITU ia g n o st ic Mob ile Ap p N EXES R e mo te Me d ic C o n su lta tio n R e mo te Me d ic C o n su lta tio n D rive r 1 1 2 D isp a tch

From Live Action

Page 10: Mo bile Medical Emergency Collaboration - ITU ia g n o st ic Mob ile Ap p N EXES R e mo te Me d ic C o n su lta tio n R e mo te Me d ic C o n su lta tio n D rive r 1 1 2 D isp a tch

Improve Digital Skills by Introduction of Daily Intervention Support

• In regular operation for 18 month in Gorenjska region with 100.000 people

• 7 Urgent Centers and 7 clinics in Ljubljana UKC

• Integration with HIS• 20 Urgent and 40+ non urgent

actions per day• Outstanding user response• Advanced learning center• New projects in pipeline• Paliative workflow and data

Page 11: Mo bile Medical Emergency Collaboration - ITU ia g n o st ic Mob ile Ap p N EXES R e mo te Me d ic C o n su lta tio n R e mo te Me d ic C o n su lta tio n D rive r 1 1 2 D isp a tch

Functional Architecture for Emergency Collaboration in Slovenia

Ambulance/Helicopter

NMP Medical

Server

Distr. keys

ParamedicCar

DMR

Doctor Handheld

DMRMob.

Antenna

Router

Sat Antenna

Indoor CameraCar PC

Vehicle

Dispatcher

Server

Hospital & UC

Information

System

eHCR

DMR Voice

Messaging Low

speed Data

4G/5G Voice &

Data

Satellite

Data -

backup

Video/Messaging

Collaboration

Video Streaming

Server

GIS Database &

Application

Server

PSTN

Mobile

Internet

Remote

Station

PTZ

Outdoor

Remote

Station

National eHCR

OnBoard Medic

Diagnostic

Mobile App

NEXES

Remote Medic

Consultation

Remote Medic

Consultation

Driver

112 Dispatcher

Call Server

Voice

“Call 112”

Hospital & UC

Information

System

National

Coordination

CenterHospital Resource

Tracking

Local Vehicle

Dispatcher Server

National

Coordination

Center

Patient Dispatching and Tracking

Resource Dispatching

and Tracking

Hospital ResourceTracking

Page 12: Mo bile Medical Emergency Collaboration - ITU ia g n o st ic Mob ile Ap p N EXES R e mo te Me d ic C o n su lta tio n R e mo te Me d ic C o n su lta tio n D rive r 1 1 2 D isp a tch

Functional Architecture for Emergency Collaboration in Slovenia

Ambulance/Helicopter

NMP Medical

Server

Distr. keys

ParamedicCar

DMR

Doctor Handheld

DMRMob.

Antenna

Router

Sat Antenna

Indoor CameraCar PC

Vehicle

Dispatcher

Server

Hospital & UC

Information

System

eHCR

DMR Voice

Messaging Low

speed Data

4G/5G Voice &

Data

Satellite

Data -

backup

Video/Messaging

Collaboration

Video Streaming

Server

GIS Database &

Application

Server

PSTN

Mobile

Internet

Remote

Station

PTZ

Outdoor

Remote

Station

National eHCR

OnBoard Medic

Diagnostic

Mobile App

NEXES

Remote Medic

Consultation

Remote Medic

Consultation

Driver

112 Dispatcher

Call Server

Voice

“Call 112”

Hospital & UC

Information

System

National

Coordination

CenterHospital Resource

Tracking

Local Vehicle

Dispatcher Server

National

Coordination

Center

Patient Dispatching and Tracking

Resource Dispatching

and Tracking

Hospital ResourceTracking

Page 13: Mo bile Medical Emergency Collaboration - ITU ia g n o st ic Mob ile Ap p N EXES R e mo te Me d ic C o n su lta tio n R e mo te Me d ic C o n su lta tio n D rive r 1 1 2 D isp a tch

Unified User Experience on all Tools and Devices

LMS

Lecture Captur

e

Webinar Live Stream

Video Web

Conference

Online White board

Document,

Content

Sharing

Messaging,

Comments

Forum

Notifications

Polls, Quizes, Survey

s

Knowledge

Community

Events

Content

Creation

Multimedia

Library

Work spaces

Website,

Custom

workflow

Open API

Custom workflowsLecture CaptureWebinar, Video Web ConferenceOnline White boardDocument, Content SharingMessaging, CommentsForumNotifications, Newsletter SignagePolls, Quizzes, SurveysKnowledge ManagementCommunity ManagementEvents ManagementContent Creation ToolsMultimedia LibraryWorkspaces and Groups

Page 14: Mo bile Medical Emergency Collaboration - ITU ia g n o st ic Mob ile Ap p N EXES R e mo te Me d ic C o n su lta tio n R e mo te Me d ic C o n su lta tio n D rive r 1 1 2 D isp a tch

Functional ArchitectureDigital Collaboration Platform MiTeam

Page 15: Mo bile Medical Emergency Collaboration - ITU ia g n o st ic Mob ile Ap p N EXES R e mo te Me d ic C o n su lta tio n R e mo te Me d ic C o n su lta tio n D rive r 1 1 2 D isp a tch

Key Technologies ofDigital Collaboration Platform

• Mobile – interactive HTML5• WebRTC evolved to production

quality fully integrated into custom workflows and all devices

• WebRTC Sever and PSTN GW• XAPI (TinCan API) & Learning

Records Store• Big Data: detailed 360 deg

tracking, open analytics, instant reporting

• Advanced content and creation tools– HTML5, XAPI, Mobile, Augmented reality

• Open API and customized interfaces

Page 16: Mo bile Medical Emergency Collaboration - ITU ia g n o st ic Mob ile Ap p N EXES R e mo te Me d ic C o n su lta tio n R e mo te Me d ic C o n su lta tio n D rive r 1 1 2 D isp a tch

Future Challenges for Mass Incident Digital Collaboration

• Improve situational awareness with advanced workflows and GUI – Operations Center Local Command Center Hospital

• Integrate IoT devices such as Bracelet and Portal Scanners– Minimize human monitoring– Constant observation.and better precision , location

• Improve multimedia experience and support– Better video coding, WebRTC improvements– Addition of AR features

• Provide reliable and robust communications– Introduce local and independant 4G/5G data switching– Local server with optimized redundant operation

• Improve tracking, analytics, simulation and immersive learning

• Internationalize operations - H2020 SME Support