Telemedicine & Electronic Health Record

1. LA Grid Technology Preview Telemedicine & Electronic Health Record January 2006

2. Telemedicine & Electronic Health Record Application • Need for healthcare providers to access patient information in a matter of minutes for life-saving decisions. • Challenge of sharing real-time information across disparate and geographically dislocated systems and personnel. • Administrative difficulty of organizing massive expanding volume of data over a patient’s lifetime. Challenge Solution • On-Demand and secure access to information by healthcare providers from anywhere at any time. • A prototype application of Telemedicine is now under development using the IBM multimodal voice platform, FIU Communication Virtual Machine, and Teges iRounds electronic medical record system. Benefit • Increases real-time access and retrieval of medical images and patient information for healthcare providers. • Enables collaboration, sharing of medical expertise, and best practices among healthcare providers, ultimately improving patient care • Prevents medical errors, which can save lives. • Improves efficiency of data administration, maintenance and conversion.

3. Problem of Today’s Healthcare ? ?

4. Electronic Healthcare Record

5. Enhancing Telemedicine/Electronic Health Record Application with Grid Grid abstracts applications infrastructure and enables new paradigms for management resulting in increased efficiency, responsiveness, variability and speed Before Grid After Grid • “Heterogeneous” infrastructure: • Heterogeneous medical systems and applications inhibit patient medical record to be easily shared among caregivers and experts. • Real-time communication and delivery of information is not possible without a reliable underlying infrastructure. • Massive expanding volume of patient life-time medical history cannot be readily accessible. • “Virtualized” infrastructure: • Creates a virtual application infrastructure for delivering real-time collaboration and healthcare information in a reliable and secure environment. • Leverages combination of unique technologies through a university-industry-hospital collaboration. • Enables expertise required to develop a functional solution for healthcare and patients. LA Grid project leverages electronic health record with some of the most advanced telemedicine applications provided by FIU and IBM

6. On-Demand Access to Information ? ? ? LA Grid

7. Disaster Management Telemedicine Application Phone Call Conference Call App. Video Conferencing Instant Messaging Distance Learning Disaster Mgmt. Services Telemedicine Services IP Telephony Services Conferencing Services Video Conf. Services Messaging Services Dist. Learning Services … … … … … … … … … … … … … … … … … … … … … … … … … … … … INAP H.323 SIP SPIRITS MGCP ISUP Q.031 Problem of Today’s Communication Solutions

8. Our Solution Disaster Management Telemedicine Application Phone Call Conference Call App. Video Conferencing Instant Messaging Distance Learning Communication Virtual Machine

9. Characteristics of Our Approach • User centric • On-demand and programmable • Run-time configurable • Application independent • Network independent • No need to reinvent technology solutions • Self-Manageable • End users can use existing communication templates or create new ones on-the-fly to satisfy their communication needs.

10. Applications of CVM • CVM can be used in areas such as • Healthcare • Disaster Management • Business Conferencing • Scientific Collaboration • Distance Learning • Battlefield Coordination • Key Capabilities of CVM • CVM can be adapted to the communication needs of different application domains. • New communication templates can be developed in seconds/minutes/hours rather than days/months/years.

11. How CVM is different from other approaches? • Modeling approach • Dynamic workflow • Code generation • Self-management • Dynamic reconfiguration

12. Current State of CVM • A Web-based prototype following the CVM architecture has been developed. • This prototype has been tested with three different realistic scenarios in Healthcare. • Many issues regarding advanced features of CVM are still under discussion and development.

13. Healthcare Communication Scenarios • Physician Consultation • Heart Surgery Post Procedure: Informing the Referring Doctor of the Status of his Patient. • Video Conferencing during Heart Surgery. • Hospital to Hospital Collaboration. • Doctor Meeting • Doctor on Call • Doctor Emergency • Surgery • Nurse on Action • Doctor Needs Approval

14.  Research Meeting On Site Test  University-Industry-Hospital Collaboration