Luke Russell

Yasser Jafer

Multimedia in Health

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

Questions?

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