Telemedicine. Planning,Execution and Future. Murali Vasudevan Sankara Nethralaya
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1 Telemedicine Planning,Execution and Future Murali Vasudevan Sankara Nethralaya
2 WHY MOST TELEMEDICINE SYSTEMS FAIL?
3 THE PRIMARY REASON IS THAT THE SYSTEMS WERE NOT DESIGNED TO MEET A VALID NEED
4 Planning! Strategy! Goals and Objectivities! Program Organization! Relationship to Specialist and clinicians! Hierarchy! Nature and Scope of Services! Clinical / Education and Training / Awareness! Impact of Services! Level of usage and impact on the Programme! Financial Plan Telemedicine
5 Planning! Legal Issues! Time Line! Future plans (Near and Long term)! Improve service and equipment! Plans to expand type of services offered Telemedicine
6 Scope of Services!Patient Care!Education!Awareness!Research collaboration Planning
7 Patient Care! Home care! Community care! Primary care! Screening! Secondary care! Tertiary care Planning
8 Education! CME for Physicians, Specialists and Paramedics! Training for Technicians! Higher education - International and National Connectivity! Surgery broadcasting Planning
9 Awareness! Patients! General Public Planning
10 Research Collaboration! Connectivity among Research Centers Planning
11 Future Plans " Future plans (Near and Long term)! Improve service and equipment! Plans to expand type of services offered! Miniature of Equipments! Creating HL7 and DICOM Standard software (Low Cost)! Tele-mentoring Planning
12 Execution! Finance and Grants! Site preparation and vehicle design! Connectivity and Network Protocol! Software and Standards (DICOM & HL 7)! Computer Hardware! Selection of Equipments and Instruments! System products and its standards! Personnel and Training! Management Information systems! National & International Telemedicine Collaboration
13 Finance! Budget for the Project! Self Sustenance of Project " Capital Purchase! Grants? " Revenue Expenditure " Income? " Plan for next five years Execution
14 Site Preparation! Size and type of the Room! Lighting! Electricity and back-up with required safety! Background and Audio Engineering! Air Condition! General Ambience Execution
15 Vehicle Design! What do you need to do with the Mobile unit! Selection of Chassis and body works! Air Condition and Dust proof! Vibration due to Road conditions! Power Back-up facilities (Dual System)! Teleconsultation - Connectivity opitions VSAT / ISDN / Wireless? Execution
16 Connectivity and Network Protocol! Available bandwidth in your area! Estimate the general quality /frequency of information transmission required! Remember, determine what you need to do from your available bandwidth. Then and only then, start researching hardware and software to meet those needs. Execution
17 ! Software Software and Standards " Internet or Server and client " Chatting Utility " Desktop video Collaboration " Picture Acquiring " Electronic Medical Records " In-house development or Select the vendor " Standards (DICOM & HL7) Execution
18 !Computer Hardware " Servers " Clients (Desktop) Computer Hardware " Grabbing Cards for Audio and Video Execution
19 Equipment and Instruments!Equipments and Instruments " Analog to Digital output " Digital output " Video Camera " Digital Still Camera " Support from the Vendor Execution
20 System Products! Video Collaboration " Desk top " Personal Systems " Small to medium Group Conference " Medium to Group Conference " Support from the Vendor " Standards Execution
21 Personnel and Training! The key person of the Project is Telemedicine Administrator! Training for the doctors is very important! Personnel in the Vehicle must be multiskilled.! Provide for short-term replacements necessitated due to leave / sickness Execution
22 Information systems! Management Information systems " Financial details " Monthly - Projected and actual " Periodic reviews of the Project Execution
23 Future! Internet2! EDUSAT! Newer Instruments and Equipments! Higher bandwidth (OFC)! Faster Computers! Price! More jobs in Telemedicine Telemedicine
24 Related Areas! Virtual Reality! Robotic Surgery! Virtual Class Room Telemedicine
25 FUTURE OF TELEMEDICINE IN INDIA IS BRIGHT AND WE CAN MAKE IT BRIGHTER
26 My grateful thanks to Dr S S Badrinath, Chairman, Sankara Nethralaya for his guidance in developing this concept
27 Telemedicine Planning,Execution and Future
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