The Brazilian Telemedicine University Network RUTE

Network experimental services arquitectures: mobility, computation and security

New ways to run joint applications: universities and enterprises

Academic Reserach and Education Network

Integrating the Health Ministry to the NREN RNP

• Networks and Resources in Brazil - eHealth

Brazilian National Telehealth NetworkPrimary Care Program2013: 14 states and 2874 municipalities

4141 atendance points

www.telessaudebrasil.org.br

The Open Health UniversityTraining on-the-jobfor thousands health professionalswww.universidadeabertadosus.org.br

The Telemedicine University Network, RUTE connects University and Teaching Hospitals in all statesToday: 91 Telehealth Centerswww.rute.rnp.br

Rem

ote

Assis

tance

Continuous

Education

Colla

abora

tive

Researc

h

The World Health Organization

has adopted the following description:

“Telemedicine is the delivery of health care services, where

distance is a critical factor, by all health care professionals

using information and communication technologies for the

exchange of valid information for diagnosis, treatment and

prevention of disease and injuries, research and evaluation,

and for the continuing education of health care providers, all

in the interests of advancing the health of individuals and

their communities”Telemedicine - opportunities and developments in Member States:

report on the second global survey on eHealth 2009. (Global Observatory for eHealth Series, 2)

CFM: Defines Telemedicine as the Medical practice through

the use of interactive audio-visual communication

methodologies, with the aim to assist, educate and research

in Health. CFM – Medical Federal Council, Resolution nº 1.643/2002 Brazil

In addition: permanent Management and Evaluation !

Each institution member of the Telemedicine and Telehealth

University Network:

• Creates a Telehealth Center with a dedicated area

• Connect to at least 1Gbps in 27 state capital + 12 cities

• Implant videoconference rooms, teleconsulting, telediagnosis

• Certify the videoconference rooms

• Train the personal in network, video- and webconference

• Creates and participates in Special Interest Groups

Health professionals, researchers, managers, professionals and professors

Today: 56 SIGs; circa 50-60 sessions/month ; 310 participating institutions

25 Pediátrics Cardiology 10 10 10

26 Teaching Hospitals Management 9 16 29

27 Tele Human Milk Bank 28 34 36

28 Bucomaxilofacial Surgery and Traumatology 3 8 16

29 SIG Operational Technicalities 7 23 26

30 Telephononoaudiology - - 10

31 Collaborative Medical Education - 8 15

32 Cardiopulmonar Ressuscitation ( RCP) - 6 15

33 Poisonous Animals - 7 9

34 TeleNursing – Mental Health - 3 5

35 Cervical Pathology - 5 7

36 Health Family Community and Strategy - 8 13

37 Endometriosis 3 7 9

38 Indigenous Health - 4 6

39 Medical Residency - - 11

40 Audiology - - 11

41 Pediatrics Endocrinologiy - - 7

42 Oncology Nursing - - 9

43 Mastology - - 7

44 Perinatology - - 5

45 Clinic Research National Network - - 34

46 Oral health - - 5

47 Workers Health - - 5

48 Teleliver - - 5

Total 412 595 876

Aumento em % (Dezembro de 2010 / Janeiro de 2012) 47,23%

SIG - TeleRedeBLH

Human Milk Bank

22 countries in LAC and

portuguese speaking

countries

SIGs created in 2013:Pediatrics Surgery,

Hemocenter Management,

Hemocenter Tecnical/Scientific,

Hansen, Sports Medicine,

Ocupational Terapy,

Pediatrics Reumatology

http://rute.rnp.br/eventos

Telehealth in the State of Minas Gerais

12hours/day

1500 ecg/day

1300 Teleconsult/month(UFMG, UFU, UFTM, UFJF,

Montes Claros, UFSJ)

80% of the telepatients need no transfer to

Reference Centers

10% municipal health budget savings

660 Municipalities

821 Points

Federal University of Minas Gerais - UFMG

Minas Gerais Health State Department

(Tele Minas Saúde)

More than 1million TeleECG

Santa Catarina State Health Secretary

Federal University of Santa Catarina

• 2005: 5 municipalities

• 2012: 235 municipalities ( 80% of

the state), over 1 million image

diagnosis

Prof. Dr. Chao Lung Wen

chao@usp.br

Virtual Human Being

Computer graphics 2, 3, 4D, illustration, serious games,

simulation and training

Dr. Hermes Prado Jr

CEAPS – HCRP – USP

hermespradojr@hcrp.usp.br

Grade de segunda opinião formativa

Captação, transmissão e visualização em 4k (2160x4096)

Telehealth delegates from National Health Ministries: Brazil, Colombia, Ecuador, Mexico, Uruguai, El Salvador, Peru, Argentina, Guatemala, Costa Rica, Venezuela, Paraguai, Dominican Rep., Haiti, Bolivia, Panama, Guiana

Telehealth Best Practice Certificate Awards for institutions in Latin America

Honor to telehealth suporters in Latin America: Health Ministries, PAHO, CEPAL,

AIDB,SES MG, RNP, e CBTMS

Celebration to 10 years telehealth in Belo Horizonte and UFMG

Oct 16th -19th 2013 - Ouro Preto, MG

Project RG-T1509 – 20 countries

Regional Protocols for Telehealth Public Policies

in Latin America (2013)

1. Estándar regional de requisitos mínimos

2. Estrategia para la oferta de servicios de la telesalud

3. Directrices para la gestión de telesalud

4. Estrategia para una red de investigación en temas de

telesalud

5. Modelo de capacitación y certificación en telesalud

1.Curso de Formación en

Telesalud - 2012

353 INSCRITOS

• 14 PAÍSES AL

• ALUMNOS OCTA

29%

71%

Distribución de los alumnos según la culminación de los módulos básicos

No finalizaron

todos los módulos

Finalizaron los

módulos básicos

2. Comité de mejores

prácticas en TS-AL

- Universidades latinoamericanas

- Ministerios de Salud de América Latina

- CEPAL, OPAS, BID, ALAMES, ATALACC

MetodologíaRegistro de la práctica

en la página web

Distribución de la práctica a

dos evaluadores, quienes

emiten un parecer

Reunión del Comité

Certificación efectuada

en eventos de TS en

América Latina

• Brindar a los países una guía para el desarrollo de acciones en Telesalud

• Permitir el seguimiento del proceso de desarrollo de las acciones en Telesalud en América Latina de manera comparativa

Variables

comparativas

NIVELES/

PAÍS

1.INEXISTENTE 2.INCIPIENTE 3.INTERMEDIO 4.AVANZADO 5.EJEMPLAR

MÉXICO

Distribución de los países según el grado de madurez en varios componentes

País/Com-ponente Estándar Estrategia Gestión RUTE

Capacita-ción Media

Grado de madurez

Colombia5 4 2 4 3 3,6

Intermedio

Argentina/ Mendoza 2 4 1 4 2 2,6 Intermedio

México 2 4 2 4 2 2,8 Intermedio

Brasil 2 4 4 4 2 3,2 Intermedio

Venezuela 2 3 1 3 2 2,2 Incipiente

Ecuador 3 2 2 2 2 2,2 Incipiente

Surinam 1 2 2

Bolivia 2 2 2

Costa Rica 1 2 2

El Salvador 1 1 1 1 1 1 Inexistente

Guatemala 1 1 1 1 1 1 Inexistente

Panamá 1 1 1

Perú 3 1 1 2

Uruguay 1 1 1 1 1 1 Inexistente

NÍVEL/PAÍS EJEMPLAR AVANZADO INTERMEDIO INCIPIENTE INEXIS-

TENTE/

prelimi

nar

Colombia

Argentina/ Mendoza

México

Brasil

Venezuela

Ecuador

Suriname

Bolivia

Costa Rica

El Salvador

Guatemala

Panamá

Perú

Uruguay

eHealth Comunity

Use the NRENs National

Research and Education

Networks to integrate,

cooperate, expand,

disseminate, organize,

Manage and evaluate Health

Knowledge !

Reinforce the participation and

importance of the Health, Education,

Culture, Science and Technology

Ministries in the Interministerial

Program for Maintenance and

Development of the NRENs .

The Brazilian Telemedicine University Network RUTE