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Digital Health for Rural Communities: a Spectrum of Challenges ITU , Geneva, 17 September 2010. Peter Drury PhD., Director, Health and Development Internet Business Solutions Group Emerging Markets Cisco Systems [email protected]. Healthcare: a Spectrum of Opportunities for Transformation. - PowerPoint PPT Presentation
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IBSG - 1Copyright © 2007 Cisco Systems, Inc. All rights reserved.Cisco Confidential IBSG - 1Cisco Confidential
Digital Health for Rural Communities: a Spectrum of Challenges ITU, Geneva, 17 September 2010
Peter Drury PhD.,Director, Health and DevelopmentInternet Business Solutions GroupEmerging MarketsCisco [email protected]
IBSG - 2Copyright © 2007 Cisco Systems, Inc. All rights reserved.Cisco Confidential IBSG - 2Cisco Confidential
Healthcare: a Spectrum of Opportunities for Transformation
Improve health outcomes Provide better access to care for all patients by offering healthcare without boundaries
Create more efficient clinical workflow and process
Provide better point-of-care information in hospitals, clinics, and remote sites
Develop preventative care solutions to manage infectious and chronic disease
Offer better access to healthcare content for Continuing Medical Education
IBSG - 3Copyright © 2007 Cisco Systems, Inc. All rights reserved.Cisco Confidential IBSG - 3Cisco Confidential
Managing Health Systems: a Spectrum of issues
Outcomes
Solutions
Income: Afforda
bility
Spatial organisatio
n
IBSG - 4Copyright © 2007 Cisco Systems, Inc. All rights reserved.Cisco Confidential IBSG - 4Cisco Confidential
IBSG - 5Copyright © 2007 Cisco Systems, Inc. All rights reserved.Cisco Confidential IBSG - 5Cisco Confidential
IBSG - 6Copyright © 2007 Cisco Systems, Inc. All rights reserved.Cisco Confidential IBSG - 6Cisco Confidential
IBSG - 7Copyright © 2007 Cisco Systems, Inc. All rights reserved.Cisco Confidential IBSG - 7Cisco Confidential
IBSG - 8Copyright © 2007 Cisco Systems, Inc. All rights reserved.Cisco Confidential IBSG - 8Cisco Confidential
Health Facilities in Kenya
IBSG - 9Copyright © 2007 Cisco Systems, Inc. All rights reserved.Cisco Confidential IBSG - 9Cisco Confidential
Spectrum of IncomeGross National Income of Countries
Population (m)
GN
I per
cap
ita (U
SD
PP
P)
World distribution of High, Middle, Low Income
United States
Russian Federation
Brazil
China
India
0
10000
20000
30000
40000
50000
60000
70000
0 1000 2000 3000 4000 5000 6000 7000
Mexico
Kenya
Source: World Bank 2008
Area of bars represent
country GNI
IBSG - 10Copyright © 2007 Cisco Systems, Inc. All rights reserved.Cisco Confidential IBSG - 10Cisco Confidential
-
10,000.00
20,000.00
30,000.00
40,000.00
50,000.00
60,000.00
70,000.00
- 50 100 150 200 250
GNI p
er ca
pita
(USD
PPP
)
Population (millions)
Brazil
lncome Distribution within Brazil
HIGH 53M MIDDLE 128M LOW 11MSource: World Bank 2008 WDR Table 2.7
IBSG - 11Copyright © 2007 Cisco Systems, Inc. All rights reserved.Cisco Confidential IBSG - 11Cisco Confidential
State Population (2005)
GDP per capita PPP (US$) (2007)
Acre 656,043 8,789
Alagoas 3,015,912 5,858
Amapa 594,587 10,254
Amazonas 3,232,330 13,043
Bahia 13,815,334 7,787
Ceara 8,097,276 6,149
Distrito Federal 2,333,108 40,696
Espírito Santo 3,408,365 18,003
goias 5,619,917 11,548
Maranhao 6,103,327 5,165
Mato Grosso 2,803,274 14,954
Mato Grosso do Sul 2,264,468 12,411
Minas Gerais 19,237,450 12,519
Para 6,970,586 7,007
Paraiba 3,595,886 6,097
Parana 10,261,856 15,711
Pernambuco 8,413,593 7,337
Piaui 3,006,885 4,662
Rio de Janeiro 15,383,407 19,245
Rio Grande do Norte 3,003,087 7,607
Rio Grande do Sul 10,845,087 16,689
Rondonia 1,534,594 10,320
Roraima 391,317 10,534
Santa Catarina 5,866,568 17,834
Sao Paulo 40,442,795 22,667
Sergipe 1,967,761 8,712
Tocantins 1,305,728 8,921
IBSG - 12Copyright © 2007 Cisco Systems, Inc. All rights reserved.Cisco Confidential IBSG - 12Cisco Confidential
-
2,000.00
4,000.00
6,000.00
8,000.00
10,000.00
12,000.00
14,000.00
- 5 10 15 20 25 30 35 40 45
GNI p
er ca
pita
(USD
PPP
)
Population (millions)
Kenya
lncome Distribution within Kenya
MIDDLE 23M LOW 16MSource: World Bank 2008 WDR Table 2.7
IBSG - 13Copyright © 2007 Cisco Systems, Inc. All rights reserved.Cisco Confidential IBSG - 13Cisco Confidential
Solutions:
Portfolios:
Healthcare Messaging
Hospital Drivers: Reduce Costs. Improve Productivity. Deliver Better Care.
PatientDrivers:
Patient Safety • Quality of Care • Patient Satisfaction • Cost Effectiveness • Staff Satisfaction • Regulatory Compliance
Connected Imaging Solutions
Solutions that optimize imaging
workflow and image access.
Care-at-a-Distance SolutionsSolutions that
support clinical care unbounded by
distance, physical location or setting.
Clinical Workflow Solutions
Solutions that streamline workflows
and improve communication
among clinicians.
Healthcare Technology Foundations
Comprehensive healthcare IT infrastructure
solutions that enable security, reliability, and regulatory compliance.
• Collaboration
and Reporting• Medical Data
Exchange• Image
Architecture
Smart Healthcare Facility Solutions
Services that enable hospitals to reduce
capital and operating expenses of their facilities.
• Collaboration and Reporting
• Tele Presence for Healthcare
• WebEx for Healthcare
• Health Presence
• Mobile Collaboration
• Nurse Connect• Context-Aware
Healthcare• Collaboration
and Reporting
• Medical Data Exchange
• Digital Media System for Healthcare
• WebEx for Healthcare
• Security and Compliance
- Biomed Network Access Control• Secure Wireless• Data Center for
Healthcare
• Digital Media System for Healthcare
• Connected Real Estate for Healthcare
InfrastructureFramewo
rkMedical-Grade Network
Framework to meet healthcare’s unique needs for interoperability, security, availability, productivity, and flexibility.
Spectrum of Solutions: Connected Health Framework
IBSG - 14Copyright © 2007 Cisco Systems, Inc. All rights reserved.Cisco Confidential IBSG - 14Cisco Confidential
Connected Health Workers Within health organizations:
Continuing education and trainingIntegrated care pathwaysClinical knowledge supportClinical recordsManagement information and activity reporting
Between organizationsTelehealthTele-education Interpreter servicesExpert networks
Map of Medicine, developed by the UK NHS,
CASE STUDY
Source: Cisco IBSG, 2008
IBSG - 15Copyright © 2007 Cisco Systems, Inc. All rights reserved.Cisco Confidential IBSG - 15Cisco Confidential
Cisco HealthPresence Pilot
“Cisco HealthPresence is an asset to improve the quality of telephone advice and triage. Being able to visualize and have physiological parameters on a patient will improve patient care. It also enables us to offer convenience for patients and service delivery efficiency for our doctors.“
Dr. Karyn Webster andDr. Fiona Mair, Royal Aberdeen Infirmary,Scotland
NHS & The Scottish Centre for TelehealthInnovative Patient Care Delivery
Improved access to clinicians Richer diagnostic capability
Improved patient care Reduced cost of deliveryPatient satisfaction
Benefits ResultSource: Cisco IBSG, 2008
IBSG - 16Copyright © 2007 Cisco Systems, Inc. All rights reserved.Cisco Confidential IBSG - 16Cisco Confidential
HK-SC HealthPresence Centre – Opened April 2009
Psychological Counselling Centre
Huaxi Hospital Chengdu
ChengduPeople’s Hospital
Prince of Wales
Hospital Hong Kong
Mobile Clinic
Temp Clinic Mobile hand-held
device
HK-Sichuan Rehabilitation Centre: Traumatology
IBSG - 17Copyright © 2007 Cisco Systems, Inc. All rights reserved.Cisco Confidential IBSG - 17Cisco Confidential
Cisco HealthPresence Extended Reach Desktop based Telemedicine Solution Flexibility for the doctor and patient to
provide and receive consultation from any location
Cisco Unified Communication based High quality audio-video collaboration in real time
Information on availability of specialists, their status, and preferred mode of communication
Easy to establish contact with any available specialist – needs just one click
Biomedical device interfacing Ability to capture, store, and retrieve all
patient details including demographic details, patient history, allergies, clinical findings, vitals, and medications
Reporting functionality Ability to function effectively on bandwidth
as low as 512 kbps
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Apollo DataCenterCommunication modalities
TSC : Telemedicine Specialist Center TCC : Telemedicine Consultation Center
TSC and TCC Consultation Workflow: ISDN / Broadband
Telemedicine DB server
CUCM cluster
CUP cluster
Internet/ VPN Router
ArchiveServers
Application Server
EMR
Apollo Hospital - Chennai
Port Blair
Guwahati
Burdwan
Siliguri
Durgapur
Network
IBSG - 19Copyright © 2007 Cisco Systems, Inc. All rights reserved.Cisco Confidential IBSG - 19Cisco Confidential
Online, NHS Choices provides text, audio, video, and other resources to help
citizens make informed choices
Connected Citizens Health information
Posters, pamphlets, books Radio programs, TV Call centers Videos, CDs, DVDs Websites
Self-support tools Health risk assessments Health diaries / records
Home monitoring Diabetes management Fetal monitoring SMS reminders
Peer support Health blogs
Patient clinician linkage
Source: Cisco IBSG, 2008
CASE STUDY
IBSG - 20Copyright © 2007 Cisco Systems, Inc. All rights reserved.Cisco Confidential IBSG - 20Cisco Confidential
Fixed camera, can be
remotely activated
Large screen,
can easily
change display
Voice connectivity
can be remotely activated
Key pad could be configured for accessibility
USB port for data feeds
Pre-configured call lists, can display
currently available care/service providers
on soft
ALERT
Audio and Visual Alarm
Conversation can transfer to
TV
CarePhone
IBSG - 21Copyright © 2007 Cisco Systems, Inc. All rights reserved.Cisco Confidential IBSG - 21Cisco Confidential
Mobile phones
Source: mHealth Alliance: mHealth for Development. 2010
IBSG - 22Copyright © 2007 Cisco Systems, Inc. All rights reserved.Cisco Confidential IBSG - 22Cisco Confidential
Business Owners
Vocational Trainers
Health Workers
Citizens and Employees Bank Staff Teachers
Community Portal
Market Status and Prices
Knowledge and Skill Content
Health Advice and Disease Prevention
Personal Property and
Census Records
Commercial Content and
ServicesLearning Support
News Feeds and Industry Community
Content Management
Systems
Healthcare Knowledge
StoresE-government
SystemsEnterprise Systems
Education Systems
Communication and Collaboration Tool
Intelligent Network
Connected (Health) Communities
Health Education in Schools
Health & Wellness Programs: Fitness, Nutrition, Smoking Cessation
Connected Clinicians
PCs, Telepresence Tools Provide Resources for
Telehealth Services
Map of Medicine, NHS Choices
WebEx Platform, Integrated Call Center
Health Infrastructure Contributes to Community's Social and Economic
Development
Source: Cisco IBSG, 2008
Connected Citizens
IBSG - 23Copyright © 2007 Cisco Systems, Inc. All rights reserved.Cisco Confidential IBSG - 23Cisco Confidential