Rich communication in the hospital* Some first ideas

1. Rich communication in the hospital*Some first ideas Lill Kristiansen Senior Research Scientist Norsk Regnesentral www.nr.no/~lill lill.kristiansen@nr.no Mob. 97 72 72 27 * Illustrations from the web: Aker, Ullevaal, Rikshospitalet, Nokia, Ericsson and other sources

2. Related ideas • Rich communication between patient and nurse • Rich communication between doctors • 1 doc with patient and 1 mobile expert • e.g. from operation to mobile expert • Rich communication for patients (children etc.) • between patient and his friends and relatives (voice, email,..) • between several patients (chat, email,voice?…) • and/or between patient and school (video, e-learning,..) • Rich health information from hospital to patients • enhancing todays web-pages and TV-infomulti-channelling/multi-modal interfaces

3. Patient is in bed Patient pushes ‘ring button’ for help Patient may have pain Nurse give medicine to patient Nurse walks to his bed to find out the problem Nurse walks back to check journal and get medicine Nurse walks away to next... Todays situationpatient and nurse:

4. Need for unplanned assistance by 2nd doctor Doctors are mobile (not in office) somewhere on the hospital use: pager + phone + PC (not integrated) or even at home (‘bakvakt’ / ’backup doctor’) Doctors may not have time to phonecalls calls requires the 2 docs to talk simultanously message based systems sometimes better (ref. Current radiology multimedia messaging system Multimedia IP-telephony may offer the best from both worlds, See: Internet telephony offers new opportunities for telemedicine, Y. Zhao, I Nakajima and H Juzoji, J.Telemed.&Telecare pp.307-309 Vol.7, No.5, 2001 Video from surgery (streamed and realtime) Todays situation cont’ddoctors

5. Some ideas for wearable devices for nurse/doctor(must be adopted to suitable radio interface)Existing products and futuristic concepts Existing Palm (Futuristic Ericsson)1) Wrist-terminal 2) PDA in pocket Existing Cybiko Existing Nokia 7650(GSM+GPRS) (Modem)

6. ’Virtual terminals’: devices in several pieces • or ad hoc combinations • Illustration of ‘session handover’ to a bigger screen. • (Pictures from: • Knowmobile report, Intermedia, UiO • RiT IT strategy 1999) • either planned in several pieces • Futuristic concept –phone • from Ericsson webpages

7. Phone has slot for smartcardISDN accessLan accessIP-telephony Some devices for patients(in bed or on table) Concept phone Freepad Cybiko ‘toy’ • Such devices can also be used for: • intranet information pages (FAQ etc) • email friends (with pictures of newborn child...) • chat between patients or between patient and school/friends • phonecalls (in/out to friends/family)

8. WC Patient give more information about their context to the system or nurse • Icons for frequent occuring events: • @føden • Breast feeding • breast/milk, other (pump) • pain, uterus related • General • WC help • pain • food • May add voice for further informationbetween patient and nurse • May communicate not only with nurse:midwife, assistant (‘barnepleier’),others, (doctor?),….

9. Rich communication and context • Patient contexts: • health monitoring info • med-info from journal • info from patient(icons, text, voice,..) • Nurse context • nurse busy with patient • in meeting,... • Location ¤ patient + nurse WC + + + + ¤ + ¤

10. Rich communication for long term patients (children etc.) • Tele-education(e.g. full conference-system) • Education via internet, email etc • Communication with friends and family(email, voice,..) • Communication between patients(chat, voice, games,..)www.starbright.org: virtual patient community

11. Rich interactive health information from hospital to patients • Video /interactive info • TV • Screenpad, info-kiosk, Screenphone, interactive TV • WAP • On SMS

12. Icons, text and video as information source (web++) • Video /interactive info • On TV • On screenpad • On Screenphone • Interactive FAQ (ofte stilte spørsmål)

13. Pasienten først!? Midwife??? Doc??? Florence Nurse?? Prosjektet bør inneholde: både teknologiog systemarbeidsakspekter Jeg har hvit frakk!!

14. For 2002 er det spesielt interessant å støtte prosjekter rettet mot anvendelser av bredbåndsteknologi i grunn- og videregående skoler, sykehus og helseinstitusjoner, samt kommunale virksomheter. • Eksempler på anvendelsesområder er: • helse- og omsorgstjenester, særlig rettet mot effektivisering og kvalitetsforbedringer i primær-helsetjenesten • innholdsrike (f.eks. multimedia, video, GIS) og brukerorienterte digitale tjenester - så vel innen offentlig sektor som i samspill med næringsliv og publikum, herunder kulturtilbud og informasjonstjenester • interaktiv, nettbasert læring med bruk av fullkvalitets videokonferanseløsninger og digitale læremidler • kommunale eller regionale nettverk for felles drift og håndtering av krevende IKT-behov eller kommunal-tekniske oppgaver • tiltak for spredning av og veiledning om anvendelser og muligheter

15. About myself • Dr.Scient,1993 • Researcher Telenor R&D ‘93-’98 • middleware • multimedia • System Architect at Ericsson ‘98-’01 • Architecture for IP-telephony (Voice over IP / VoIP) • Architecture for multimedia-telephony (MuMe over IP, • standardisation co-ordinator handling ETSI Tiphon, 3GPP UMTS Rel.5, IMS (UMTS All-IP) • Today • senior researcher at NR • 2x2 days as patient in hospital + 2x5 days birth of child