Post on 17-Dec-2015
Multimedia
• The need for Multimedia
• Applications: Education, Journalism, Engineering, Industry, Mathematical and scientific research, Medicine
• Multimedia in Health, comparing hospitals of the past with today:
• What has been changed? Source: www.epha.org
Multimedia in Health
• Goal: Accessible and comprehensive medical system with high quality of care.
• Engineering in hospital environments began only as electrical safety, and have grown into integral part of medical system
Responsiveness High Level of Patient Care
Reduced Downtime
Cost Effectiveness
• Clinical Outcomes of Engineers bringing multimedia and technology into hospital:
Source: T.Zakutney
Multimedia in Health
• In this presentation:
• Multimedia Health Applications
• Telemedicine• Mobile Health Care Technology
• Trend and Future Vision
• Conclusion
Telemedicine
Telemedicine Definition & Introduction
Brief History
Example : New Telemedicine System
Telemedicine in developing countries
Source: Imedicalapps.com
Telemedicine – Introduction
What is Telemedicine?
• Use of telecommunication technologies to provide medical services, medical diagnosis, and patient care.
• Transferring of medical information through interactive audiovisual media.
• The practise of delivering health care over distance.
Source: http://gentelecare.com/acc/telemedicine.jpg
Telemedicine – Introduction
Real-time interactive consulting, remote examination, remote procedure.
Batch processing of patient data and information for diagnosis at a later time (asynchronous).
Continuing medical education and patient education, such as distance learning.
Providing health-care services to patients who either will not or cannot travel to seek speciality care. Source: http://globalhousecall.com/
Before 2000
• One of the earliest implementations of interactive television for medical consults was in Nebraska in the late 1950s using a microwave link for tele psyschiatry consults between a state mental hospital and the Nebraska Psychiatric Institute.
• By 1997 there were as many as 72 telemedicine programs in the U.S.
Example of one of the newest Award winning Telemedicine systems
Virtual Critical Care Unit (ViCCU)
2006 – An advanced telemedicine system developed by CSIRO in conjunction with Sydney West Area Health Services.
http://www.csiro.au/http://www.ict.csiro.au/J.Li, L.Wilson, S.Tapleton, P.Cregan
ViCCU ®
The problem
Hospitals in rural and regional parts of Australia have difficulty providing the round-the-clock specialist expertise.
The standard way: Travelling a long distance in far from ideal situations
The Solution
ViCCU® - using technology to make information available in real time: specialist is virtually in the same room.
Design of Adv Telemedicine SystemsVirtual Critical Care Unit (ViCCU)
A mobile trolley was designed to be located at the end of patient bed at the emergency department at Katoomba Hospital. At Nepean Hospital a workstation enabled the specialist to receive multiple streams of real-time information from Katoomba Hospital and interact with the Katoomba team members.
The two hospitals were connected by a Gigabit Ethernet-based network.
Features of ViCCU
• Explicitly purpose designed
• Applying Usability and Ergonomic design principles
• Always on
• Plug-and-play
• Robust
• Integrated into standard clinical procedure
• Patient-centric
Is Telemedicine a Practical reality?
“Is telemedicine a practical reality?”
Paper by: Terry L.Huston and Janis L.Huston, June 2000
Number of challenges: Cost Not enough cases Legal issues: security and
confidentiality Tele medico legal issues: licensing,
and liability Fully functioning conversion:
standard into an electronic formation Source: futurevigil.com
Telemedicine in developing countries - Example: Africa
• Improving extremely poor state of health care delivery systems.
• Health care is already costly.
• Telecommunication access is on an upward trend in most African countries. Rate of growth 82% a year, much faster than the 33% growth rate in the Americas.
• In mid 1990s, only 12 countries in Africa had Internet access, Now 54
• Some global satellite networks, are users for the delivery of Telemedicine services to remote and rural areas.
• Areas with limited medical facilities and personnel.
P.Meso, V.Mbaika
Mobile Healthcare technology
• What about
Other technology in the hospitals? Patient monitoring?When the patient goes home?Social networking?
Applications of Social, Mobile Health
Case Studies:
1. Electronic Patient Information Systems
2. User Personal Health Record
3. Health Wireless Social Health Network
Then: Future!
Scenario:
Medical professionals treat multiple patients.
Problem:
Getting information from doctor to further treatment, such as approval for surgeries difficult.
Alerts in Mobile Healthcare
Solution: healthcare alert managementSystem (HAMS)
Source: Kafeza et al.
Uses of HAMS
Effectively convey alerts:
• to the right person(s)
• at the right time
• through the right device(s),
Minimizes delays and provides a monitoring system for assuring service quality.
Source: Kafeza et al.
What if we implemented PDAs in hospital?
• Cloud Computing
• Replace Traditional paper with electronic records
• What do simulations suggest?
Source: Computer.org
Electronic Patient Information Systems
WISH:
• Real-time Update:Wifi connected medical professionals
• Electronic Healthcare in Hospital
• Security, PrivacyRFID Identifies patient
• Traditional Information System:
• Outdated Printouts• Updates to record
manually, later
Source: Yu, Ray, and al.
Connecting the Patients
• Wifi provides data connection and RFID provides security
• Studies show how Multimedia IT infrastructure can improve efficiency& reliability
• Question left unanswered is: how can patients use this information?
Source: Yu, Ray, and al.
User Personal Health Record
• Home monitoring
• Electronic Health Record (Cloud)
• Doctor Review
Source: Telus
Scenario:
Patients go home, have immensely difficult to understand data, or have more questions
Problem:
Getting accurate information from the internet is difficult, and accurate information often requires a costly follow-up visit to doctor
Solution: Social Networking- mCare
Services Provided by mCare
- ask general and emergency questions.
- through question/answer database.
- rate and comment answers- capability to send answers to
friends.- search for physicians and
specialists.- rate and comment physicians
and specialists.Source: Yu and Siddiqui
Future
• Integration of hospital electronic records, patient access, and social networks
• Patients could give permission to hospitals to share information with their Telus Personal health record
• The Telus Personal Health Record could be given access to link into a Facebook Application
• The Facebook application would provide features of the mCare app, but without reinventing the wheel on a platform people are comfortable with
Proposal:Health Wireless Mobile Social Network
• Facts, Diagram
• Benefit to users?
• Geographical/Monetary Regions
• Multimedia Application
Modified from Facebook
Further Connection
Healthbook links telemedicine doctors to the end patient
Healthbook
becomes integrator
RecordsTelemedici
ne
Accountability,
Effectiveness
Source: T.Zakutney
Vision: Evolution of Healthcare Multimedia
• Multimedia will be future of healthcare and large growth sector
• People now are born after Internet boom!
• Technologies must adopt social and technological trends to become successful
Source: cimwareukandusa