medical knowledge management over nkn infrastructure...
TRANSCRIPT
First NKN Annual Workshop "The e-Infrastructure of India" ; 31-1 November 2012
Medical Knowledge Management over NKN Infrastructure & Process
SGPGI, Lucknow Case Study
Prof. S K Mishra, MS, FACS Head, Dept. of Endocrine Surgery &
Faculty I/C, SGPGI Telemedicine Programme Sanjay Gandhi Postgraduate Institute of Medical Sciences (SGPGIMS)
Lucknow, India [email protected]
www.sgpgi-telemedicine.org
First NKN Annual Workshop "The e-Infrastructure of India" ; 31-1 November 2012
Agenda
• Infrastructure & Operation – Physical (Collaborative Knowledge Exchange Environment)
– Technical (ICT, A/V, Content Development)
– Human Resources
• Knowledge Management Modules
• SGPGI Knowledge Management SOP
• Usage Statistics (1999 ~ 2012) – NKN Component (2010 ~ 2012)
First NKN Annual Workshop "The e-Infrastructure of India" ; 31-1 November 2012
SGPGIMS – National Knowledge Network Partners
First NKN Annual Workshop "The e-Infrastructure of India" ; 31-1 November 2012
International Partners
First NKN Annual Workshop "The e-Infrastructure of India" ; 31-1 November 2012
SAARC Telemedicine Network
First NKN Annual Workshop "The e-Infrastructure of India" ; 31-1 November 2012
PAN Africa e-Network
First NKN Annual Workshop "The e-Infrastructure of India" ; 31-1 November 2012
Technical Infrastructure
• Video Conference Suites (Point to Point & Point to Multi-point)
• Integrated Networked Lecture Theatre/ Auditorium • Surgical Telepresence Suite • Digital, Integrated Operation Theatre • Desktop Videoconference Enterprise • Mobile Telemedicine Kiosk • Telemedicine Network Operating Center • SGPGI Studio • Knowledge Processing Edit/Voice Over • Data Center • Advance Multimedia & Animation Lab
First NKN Annual Workshop "The e-Infrastructure of India" ; 31-1 November 2012
Point to point Video Conferencing Suite
Ongoing Telemedicine session with Raibareli District Hospital
First NKN Annual Workshop "The e-Infrastructure of India" ; 31-1 November 2012
Point to Multipoint Video conferencing Suite
Dept. of Medical Genetics in Multi party session Ongoing conference using TEIN Network with
Nepal & Thailand
First NKN Annual Workshop "The e-Infrastructure of India" ; 31-1 November 2012
Integrated Networked Lecture Theatre/ Auditorium
First NKN Annual Workshop "The e-Infrastructure of India" ; 31-1 November 2012
Production Control Room & Master control Room
First NKN Annual Workshop "The e-Infrastructure of India" ; 31-1 November 2012
Surgical Telepresence Suite
First NKN Annual Workshop "The e-Infrastructure of India" ; 31-1 November 2012
Digital, Integrated Operation Theatre
First NKN Annual Workshop "The e-Infrastructure of India" ; 31-1 November 2012
Desktop Videoconference Enterprise
Participation in Asia Pacific Advanced Network (APAN) using Software based Video Conferencing
First NKN Annual Workshop "The e-Infrastructure of India" ; 31-1 November 2012
Mobile Telemedicine Kiosk (Operation using Hospital LAN)
Mobile kiosk @ Patient’s bedside Doctor’s Duty Room
Tele-Clinic in Out Patient Department Department’s Seminar Room
First NKN Annual Workshop "The e-Infrastructure of India" ; 31-1 November 2012
Telemedicine Network Operating Center
First NKN Annual Workshop "The e-Infrastructure of India" ; 31-1 November 2012
Studio & Production Control Room
First NKN Annual Workshop "The e-Infrastructure of India" ; 31-1 November 2012
PAN Africa eNetwork
First NKN Annual Workshop "The e-Infrastructure of India" ; 31-1 November 2012
SAARC Telemedicine Network
First NKN Annual Workshop "The e-Infrastructure of India" ; 31-1 November 2012
Knowledge Processing : Editing/Voice Over
Editing & Voice Over platform
First NKN Annual Workshop "The e-Infrastructure of India" ; 31-1 November 2012
Knowledge Processing Edit/Voice Over
Data Server
Network Monitoring Hub
Production Control Unit (PCR)
Hi-Tech Lecture Theatre
Integrated Operation Theatre
Video Conferencing Suite Edit Stations
Broadcast Quality Studio Camera
SGPGI Knowledge Engineering Architecture
First NKN Annual Workshop "The e-Infrastructure of India" ; 31-1 November 2012
Data Center (National Resource Center)
Hospital Backup Servers
Web Servers, Mail Servers
Proxy Servers
Application Servers
Data & Video Storage
Video Bridge RMX 2000
Streaming Server RSS 2000
Video Scheduler
Wide Area Application Server (WAAS)
First NKN Annual Workshop "The e-Infrastructure of India" ; 31-1 November 2012
Tele-Clinic
Mobile Kiosk @ WARD
Mobile Kiosk @ Doctor’s Duty Room
Nephrology
Neurology
Nuclear Medicine
OT Cafeteria
Endocrine Surgery
Pathology
Radiology
Immunology
SGPGIMS Telemedicine
HUB at School of Telemedicine &
Biomedical Informatics
(STBMI)
Radiotherapy
First NKN Annual Workshop "The e-Infrastructure of India" ; 31-1 November 2012
Human Resources
Designation Number of Posts under various projects
Telemedicine Network Manager 01
Telemedicine Program Manager 01
Telemedicine Program Coordinator 01
Web Designer & Developer 02
Medical Illustrator 01
Content Developer 02
Network Engineer 02
Human Resource Manager 01
Assistant Librarian 01
Telemedicine Technical Assistant 06
Tele-Communication Assistant 02
Driver 01
Office Assistant (Multi-tasking) 03
First NKN Annual Workshop "The e-Infrastructure of India" ; 31-1 November 2012
Knowledge Management Modules
• Knowledge Portal
• Presentations
• Skill Videos
• Conference/ Workshop/ Seminar Proceeding
• Departmental Knowledge Content
• Clinical Case Presentation, Seminars etc.
• Ubiquitous Learning
First NKN Annual Workshop "The e-Infrastructure of India" ; 31-1 November 2012
Process
• Scheduled Basis
– National , SAARC, Pan-Africa
• Real Time & Interactive
• Webcasting, Video on Demand
• Web-Streaming
• Webinar
First NKN Annual Workshop "The e-Infrastructure of India" ; 31-1 November 2012
Live streaming of surgical video
Live streaming of surgical video at doctor’s workplace
First NKN Annual Workshop "The e-Infrastructure of India" ; 31-1 November 2012
Mobile learning
Surgical Video streaming on Tablet & Mobile phone over Wireless Internet: model for mobile e-learning
First NKN Annual Workshop "The e-Infrastructure of India" ; 31-1 November 2012
Evolution of telecom infrastructure at SGPGI Telemedicine programme
Communication Bandwidth Year Network / Source
ISDN Lines 384 Kbps 1999 Institute Resource
ISRO VSAT 256 Kbps 2003 Orissa Telemedicine
Reliance 1 Mbps 2006 Raibareli District Hospital under
GAIL CSR
BSNL 512 Kbps 2008 SAARC Telemedicine
Railtel 1 Gbps 2010 National Knowledge Network
BSNL- Fiber to
Home (FTTH)
100 Mbps 2010 Institute Resource
AirTel 2 Mbps 2011 Pan-African eNetwork
First NKN Annual Workshop "The e-Infrastructure of India" ; 31-1 November 2012
SGPGI Knowledge Management SOP
• Agreement with partner on schedule and content
• Daily Testing of the network & Platform with partners
• Reminder to both remote partners and the SGPGI Faculty a day before
• Archival of the content
• Feedback record session wise both on technical and content quality
• Maintenance of the Log Book & Weekly review
First NKN Annual Workshop "The e-Infrastructure of India" ; 31-1 November 2012
Usage Statistics (1999 ~ 2012)
0
50
100
150
200
250
300
350
400
450
500
550
600
Tele-Education Teleconsultation & Followup
CME Transmission
from 1999-2012 (without NKN) using NKN (2010-2012)
First NKN Annual Workshop "The e-Infrastructure of India" ; 31-1 November 2012
Statistics in Detail (1999- Aug. 2012)
Description Number of Hours
VC hrs for Trial Testing 1500 Hrs
Session hrs 1824 Hrs
Total Hrs 3324 Hrs
Activities Number of Sessions
Tele-Education 572
Tele-Followup & Consultation 205
CME Transmission 27
Total Sessions 804
First NKN Annual Workshop "The e-Infrastructure of India" ; 31-1 November 2012
Usage Statistics with NKN (2010-2012)
Activities Number of Sessions
Tele-Education 349
Tele-Consultation & Tele-followup 6
CME Transmission 51
Total Sessions 406
Description Number of Hours
VC hrs for Trial Testing 740 Hrs
Session hrs 865 Hrs
Total Hrs 1605 Hrs
First NKN Annual Workshop "The e-Infrastructure of India" ; 31-1 November 2012
E-governance (UP CPMT Counseling)
Year First Phase Second Phase Third Phase Days Hours of Video
conferencing in
Multi Point Conferencing
2011 12 -28 July
(16)
05- 13 Sept
(08)
17 to 18 Nov
(02)
26 Days 260 Hrs
2012 16 -24 July
(08)
5 – 18 Sept
(13)
21 Days 210 Hrs
470 Hrs.
First NKN Annual Workshop "The e-Infrastructure of India" ; 31-1 November 2012
CPMT 2012 Counseling
First NKN Annual Workshop "The e-Infrastructure of India" ; 31-1 November 2012
Conclusion
• Knowledge engineering and technology infrastructure constitute one of the major component of Knowledge creation and it’s usage in an institutional set up
• Content development starting from capture to final product involves complex interplay of actors and network
• Managing the content in an enterprise involves issues beyond technology e.g. social,ethical, ownership etc.
• SGPGI case study aims at sharing the journey over a decade in developing knowledge management infrastructure which is still in progress
• Provision of high internet bandwidth from NKN is facilitating the institution vision in knowledge sharing
• As the infrastructure is getting ready in managing big data (medical image, skill videos, 3D animated contents for VR & simulation based learning, Avatar and games for health technology adoption for e-learning) high performance computing and network would be needed
• Though cloud based e-learning technology is coming up in health domain, GRID is still needed for managing big data of medical educational content over an enterprise such as national medical college network
First NKN Annual Workshop "The e-Infrastructure of India" ; 31-1 November 2012
Thank You