1 / 0

e-Health Hybrid Networking Solutions for Unimedi Adjara Hospitals System in Georgia

e-Health Hybrid Networking Solutions for Unimedi Adjara Hospitals System in Georgia . Zviad Kirtava , David Jorjoliani , Kakha Kashmadze & David Khubua zkirtava@nilc.org.ge Partners for Health NGO, Tbilisi, GEORGIA.

ady
Download Presentation

e-Health Hybrid Networking Solutions for Unimedi Adjara Hospitals System in Georgia

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. e-Health Hybrid Networking Solutions for Unimedi Adjara Hospitals System in Georgia

    Zviad Kirtava, David Jorjoliani, Kakha Kashmadze & David Khubua zkirtava@nilc.org.ge Partners for Health NGO, Tbilisi, GEORGIA 8th QPS Congress, Antalya, April 24-27, 2014
  2. eHealth- a range of services or systems that are at the edge of medicine/healthcare and information & communication technology (ICT), including (but not limited to): 8th QPS Congress, Antalya, April 24-27, 2014
  3. Regional eHealth Networks Västerbotten county (Sweden) eHealth Network – 55,000 sq. km, 3 hospitals, 8,000 healthcare professionals, serving 260,000 population Lombardia (Italy) eHealth Network– 24,000 sq.km, system is used by 22,000 physicians in hospitals or community centers, 7,700 physicians in their own practice, 26,800 nurses for attending, treating and administrating 9,5 mln. citizens. Diraya – Andalusia (Spain) eHealth Network – 87,000 sq.km, used by 20,000 healthcare professionals, serves 8 mln citizens. Alaska eHealth Network – 1,718,000 sq. km, over 1,000 healthcare professionals, serving 710,000 population. 8th QPS Congress, Antalya, April 24-27, 2014
  4. Why eHealth/mHealth for Adjara? Adjara – with total area around 3000 sq. km, and population – 380,000 – represents probably the best testbed for eHealth/mHealth network development due to several key factors: distance from capital (>350 km), geographical barriers (mountains and Black Sea) and hardships (extremely snowy winters), nearby border (with Turkey), developed tourism (in summer – population influx over 1 mln.), high rate of rural population (>55%), weak Primary Health Care (PHC) facilities and human resources, limited qualified medical personnel, and need of teleconsultations & personnel tele-training. good mobile penetration (countrywide – 100% , in rural areas – app.60%) + reasonable packet-rates for m-Internet . 8th QPS Congress, Antalya, April 24-27, 2014
  5. REHN Solution for Unimedi Adjara To develop model for Regional eHealth Network (REHN), to be used as hybrid (fiber+wireless) platform for: management improvement, innovation adherence, competitiveness advancement and integrated care provision. Specific Values: Customer-tailored – eHealth network model + eHealth solutions/applications MultiTask integration for eHealth platform and infrastructure GIS implementation with advanced mapping option GeoMajas Flexible Hybrid network: Fiber-optic and Wireless technologies Modern web-technologies and Open-Source based 8th QPS Congress, Antalya, April 24-27, 2014
  6. eHealth Products and Delivery for REHN Project Products: Network Solutions REHN eHealth/mHealth Apps Electronic Medical Records (EMR) / e-Registries Telemedicine Services eLearning / mLearning Financial / Accounting systems Quality Control Service / Product Stages (mo/y) eHealth Multitask clarification (04/12) extensive site/infrastructure research (08/12) wireless/mHealth solutions (06/12) Fiber options solutions (08/12) Option analysis for fiber, wireless (CDMA or 802.11) or hybrid REHN (10/12) REHN GIS map (01/13) Cost-efficiency and risk analysis (02/13) 8th QPS Congress, Antalya, April 24-27, 2014
  7. Unimedi Adjara REHN network 7 Hospitals and 1 diagnostic /day-care clinic of Unimedi Adjara Total 400 beds (20 -110 beds at each site) Over 300 physicians and around 350 nurses Support to 130 PHC centers in villages Serving 380,000 locals and ca.1 mln. tourists. 8th QPS Congress, Antalya, April 24-27, 2014
  8. Unimedi Adjara hospital network: data & eHealth solutions 8th QPS Congress, Antalya, April 24-27, 2014
  9. Telecommunication component of e-Health Telecom infrastructure might be main challenge for e-Health in developing economies: 8th QPS Congress, Antalya, April 24-27, 2014
  10. Fiber-Optic Cables in Georgia 8th QPS Congress, Antalya, April 24-27, 2014
  11. Mobile and Fixed Networks development in Georgia (in ,000) 8th QPS Congress, Antalya, April 24-27, 2014 11
  12. Average Revenue per User (ARPU/mo) for mobile subscriber in Georgia 8th QPS Congress, Antalya, April 24-27, 2014
  13. Fiber backbone for Adjara REHN Wireless (CDMA) coverage for Adjara REHN 8th QPS Congress, Antalya, April 24-27, 2014
  14. Internet provision options for Adjara REHN Ubiquitous solutions for hospitals and PHC centers as well for individual users/patients - CDMA/EV-DO and WCDMA/HSPA+ USB-modems. Bandwidth up to 3.1 Mb/s for EV-DO and up to 14 Mb/s for HSPA+ Stable, more reliable solutions for hospitals - Wi-Fi (802.11 g/n connectivity by 5Ghz network, using special dual-polarized directional antennas (DPDA) - up to 15 km range up to 50 Mb/s connectivity Fiber To The Premise (FTTP) technology - unlimited bandwidth, but available so far only in Batumi and Kobuleti, later in Chakvi. DSL - (not available in highland districts) – up to 15 Mb/s. 8th QPS Congress, Antalya, April 24-27, 2014
  15. Cost of Fiber vs. Wi-Fi (IEEE 802.11) start-up solutions (1-5 Mb/s) 8th QPS Congress, Antalya, April 24-27, 2014
  16. Relative cost and savings of REHN alternative solutions 8th QPS Congress, Antalya, April 24-27, 2014
  17. Hybrid Solutions optimal options adjusted to eHealth ICT requirements IEEE 802.11
  18. Hybrid (Fiber + Wireless) solution 8th QPS Congress, Antalya, April 24-27, 2014
  19. GIS mapping for REHN model (Google based) 8th QPS Congress, Antalya, April 24-27, 2014
  20. Hospitals system progress 2012-2013
  21. The Benefits Specific benefits for Unimedi Adjara hospital network: Cutting edge IT innovation increased competitiveness Better management opportunities for HR and Quality Management Integrated network chance of future extension model for replication in other regions Financial benefits for Aldagi BCI Insurance Co.(owner of the network): 30-60% savings on management (3-5 year prospective) 40-90% savings due to quality improvement (5-year term) option of bandwidth’s extra capacity realization for nearby businesses Financial benefits for cable and wireless companies (e.g. Silknet, MagtiCom): Development of new niche – eHealth/mHealth Substantial growth expected since 2015 8th QPS Congress, Antalya, April 24-27, 2014
  22. The Pitfalls Due to High cost, hospitals management have refrained to install OFC until 2014. That has significantly limited videoconferencing option. Average bandwidth for 2013 was 0.5-2 Mb/sec. QoS research has shown that minimum bandwidth is not sufficient due to lower than suggested Wi-Fi bandwidth (1-2 Mb/s vs. 3 Mb/s) and CDMA cell jam (because of more than planned number of PCs/tablets and smartphones). Besides, both wireless modes (especially long-range Wi-Fi) is influenced by strong rainfall. That confirms an importance of OFC at least in larger hospitals. 8th QPS Congress, Antalya, April 24-27, 2014
  23. Future plans for e-Health Hybrid networks development 8th QPS Congress, Antalya, April 24-27, 2014
  24. Conclusions: Optical Fiber infrastructure and its substantial last mile provisioning costs for healthcare facilities, modern wireless/mobile and hybrid telecom networks provide cost-effecient solution for healtcare system harmonization and e-Health provision. From the other side, e-Health in Georgia represents yet weak, but rapidly growing and promissing niche both for telecom business and appropriate field for telecom researchers. e-Health networking would be decisive factor for Health Information System development, Integrated care provision, m-telemonitoring of chronic patients and emergency management, especially for - regional healthcare systems. 8th QPS Congress, Antalya, April 24-27, 2014
  25. International Presentations -Sydney, Global TeleHealth 2nd Conference, Nov 2012,- Las Palmas, 6th IWEEE Workshop, Jan 2013,
  26. UnimediChakvi Thank you! Unimedi Batumi UnimediShuakhevi
More Related