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INFRA-STRUCTURE PERSPECTIVES FOR THE DEVELOPMENT OF TELEHEALTH IN BRAZIL AND LATIN AMERICA

INFRA-STRUCTURE PERSPECTIVES FOR THE DEVELOPMENT OF TELEHEALTH IN BRAZIL AND LATIN AMERICA Telemedicine University Network. Luiz Ary Messina Dr.Ing.Dipl.Inf. Gerente RUTE messina@rute.rnp.br. www.rute.rnp.br. National Education and Research Network – RNP. Ministry of Science & Technology

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INFRA-STRUCTURE PERSPECTIVES FOR THE DEVELOPMENT OF TELEHEALTH IN BRAZIL AND LATIN AMERICA

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  1. INFRA-STRUCTURE PERSPECTIVES FOR THE DEVELOPMENT OF TELEHEALTH IN BRAZIL AND LATIN AMERICA Telemedicine University Network Luiz Ary Messina Dr.Ing.Dipl.Inf. Gerente RUTE messina@rute.rnp.br www.rute.rnp.br

  2. National Education and Research Network – RNP Ministry of Science & Technology Ministry of Education

  3. Education and Research Community Network National Education and Research Network – RNP promoting the use of advanced networks in Brazil www.rnp.br A 1Gbps R&E-Ring in each of the 27 state capitals! www.redecomep.rnp.br info@redecomep.rnp.br

  4. Which infra-estructure services are essential for a Telemedicine University Network? • Enable the communication infra-structure • Guarantee the service quality and integration • Stimulate collaborative research, medical assistance and interinstitutional courses • Involve the main actors: government, academy and enterprise • Provide indicators and evaluate tele-services • Enable demonstration projects • Organize specialties groups

  5. Federal Medical Council Resolução CFM nº 1.643/2002 Art. 1º - Defines Telemedicine as the Medicine practice through the use of interactive audio-visual communication methodologies, with the aim to assist, educate and research in Health. • Support to Telemedicine and Telehealth Workshops: • Manaus, Amazonas, March 2007 • Recife, Pernambuco, May 2007 • Brasília, Federal District, September 2007

  6. Telemedicine practice • Ethics • Riscs • Responsibilities • Payment • Licensing • Qualification • Standards • Legislation

  7. Applications in: dermathology, oncology radiology, surgery, cardiology, psychiatry, home care, rehabilitation, pediatry, obstetrics, ginecology and neurology. • Health professionals are becoming more creative in telehealth applications. • Most health professionals will be affected by telehealth applications. • Introducing Telehealth disciplines in the Health Faculties.

  8. Hospital São Paulo e Escola Paulista de Medicina - Unifesp, (São Paulo) • Hospital das Clínicas - FM USP, (São Paulo) • Hospital Universitário de São Paulo/LSITEC - USP (São Paulo) • Hospital das Clínicas da Unicamp (Campinas/SP) • Instituto Dante Pazzanese de Cardiologia (São Paulo) • Hospital Universitário Pedro Ernesto - UERJ (Rio de Janeiro) • Fundação Oswaldo Cruz, (Rio de Janeiro) • Hospital Universitário Prof. P. E. de São Thiago - UFSC (Florianópolis) • Hospital das Clínicas Prof. Arnóbio Marques - UFPE (Recife) • Hospital Universitário Walter Cantídio - UFC (Fortaleza) • Hospital da Irmandade da Santa Casa de Misericórdia, (P. Alegre) • Hospital Universitário Getúlio Vargas - UFAM (Manaus) • Hospital das Clínicas – UFMG, (Belo Horizonte) • Hospital Universitário - UFES (Vitória) • Hospital Universitário Prof. Alberto Antunes - UFAL (Maceió) • Hospital Universitário Prof. Edgar Santos - UFBA (Salvador) • Hospital das Clínicas - UFMA (São Luís) • Hospital Universitário Lauro Wanderley -UFPB (João Pessoa) • Hospital Universitário - UFPR (Curitiba) Institutions participating – January 2006

  9. Medical Videoconferences Collaborative Work Case Study Teleconsulting and Image Telediagnostic Experiences Distant Education Continuous Education ISCMPA FM-USP Unifesp Ufes

  10. IGARASSU RECIFE CAMARAGIBE CABO DE SANTO AGOSTINHO Health Family Program Video on demand VC Sessions Distant Courses University HospitalFederal University of Pernambuco - UFPE

  11. Telehealth - Federal University of Minas Gerais - UFMG  Health Family Program BH Telehealth – Belo Horizonte Municipal Secretary of Health Minas Telecardio – Minas Gerais State Secretary of Health Rural Internship  National and international VC-Sessions Supported Specialties : Angiology, Ocupational, Cardiology, Surgery, Infectious diseases, Dermathology, Endocrinology, Gastrology, Ginecology, Hemathology, Nefrology, Neurology, Oncology, Orthopedics, Ophtalmology, Pediatrics, Pneumology, Reumathologia, Urology, Nursing and Dentistry.

  12. Health Channel • 1995 • 6 hours/week transmission, 2 channels • 1 hour/week production • 2006 • 38 hours/week transmission,11 channels • 4 ½ hours/week production

  13. “Pediatrics Radiology” VC-Sessions monthly Oncology Geriatrics Teenagers

  14. Image acquisition Prepare to send Connect to the specialist Accept connection Send and receive images Send diagnosis Receive diagnosis Follow-up TELEDIAGNOSIS On and Off-line Ultrasound, X-Ray, Tomo

  15. Mexican Telemedicine Program http://www.centec.gob.mx • Ing. Nancy Gertrudiz Salvador • Dirección e-saludnancy.gertrudiz@salud.gob.mx Telecardiology Tele-education Telesurgery Parallel Session e-health , Lisbon, April 28th -29th 2006

  16. CEDIA (Consorcio Ecuatoriano para el Desarrollo de Internet Avanzado) , Launch event of the Ecuatorian Advanced Academic Networks – September 2006 Image Telediagnosis On-Line Demonstration, between Quito (EC) and Vitória (BR)

  17. National Telehealth Program and Institutional activities in Brazil • Integration of Federal Ministries iniciatives : Health, Science & Technology, Education, Communication and Defense • Portaria n° 561, March 16th 2006, Ministry of Health constitutes the Permanent Commission of Telehealth • Portaria n° 35, January 1st 2007, Ministry of Health constitutes the National Telehealth Program in the Primary Attendance, 9 States and 900 remote municipalities • RUTE – Telemedicine University Network, Ministry of Science and Technology, started January 2006

  18. Telehealth applied to Primary Care and the Family Health Program 9 Reference Centers Regions of implementation 9 x 100 remote sites 25.000 teams  100.000.000 people Ministry of Health www.saude.gov.br/sgtes

  19. List of University Hospitals – Telemedicine University Network RUTE – 01/2007 HU da Universidade Federal do Maranhão da UFMA Faculdade de Enfermagem da UNIFAP Maternidade Escola Assis Chateaubriand da UFC Hospital Universitário Walter Cantídio da UFC HU João de Barros Barreto da UFPAHU Betina Ferro de Souza da UFPA Hospital Universitário da UFPI HU Ana Bezerra da UFRNHospital de Pediatria da UFRN Maternidade Escola Januário Cicco da UFRNHU Onofre Lopes da UFRN Faculdade de Medicina da UFRR HU Alcides Carneiro da UFCG HU Lauro Wanderley da UFPB Hospital Getúlio Vargas da UFAM Hospital das Clínicas da UFPE Faculdade de Medicina da UFAC HU Profº Alberto Antunes da UFAL Faculdade de Medicina Veterinária da UFT Hospital Universitário da UFS Centro Pediátrico Hosannah de Oliveira da UFBAMaternidade Climério de Oliveira da UFBA HU Prof. Edgar Santos da UFBA Faculdade de Medicina da UNIR HU Júlio Müller da UFMT Hospital das Clínicas da UFG HU Cassiano Antônio de Moraes da UFES HU Maria Aparecida Pedrossian da UFMS Hospital de Clínicas da UFUHospital Escola da UFTMHospital Universitário da UFJF Hospital das Clínicas da UFMG Hospital das Clínicas da Unicamp Hospital das Clínicas da FMUSPHospital São Paulo da UnifespHospital Unimar HU de São Paulo / LSITEC da USP Instituto Dante Pazzanese Instituto de Psiquiatria da UFRJInstituto de Puer. e Ped. Martagão Gesteira da UFRJInstituto de Neurologia Deolindo Couto da UFRJInstituto de Doenças do Tórax da UFRJInstituto de Ginecologia da UFRJHospital Escola São Francisco de Assis da UFRJMaternidade Escola da UFRJClementino Fraga Filho da UFRJHU Antônio Pedro da UFF Gaffrée e Guinle da UNIRIOCanal Saúde (Fiocruz)HU Pedro Ernesto da UERJ Hospital de Clínicas da UFPR HU da UFSC Hospital Universitário da UFSMHU Dr. Muguel Riet Correa Júnior da FURGHospital Escola da UFPELIrmandade da Santa Casa de Misericórdia (ISCMPA)Hospital das Clínicas da URGS Phase 1 Phase 2 Faculties Telehealth Program

  20. University Hospital Infra-structure • Connection to a 1Gbps Ring • Telemedicine Unit • Videoconference Room • Telehealth Laboratory • Teleconsult, Telediagnosis • Health informatics and Telemedicine courses • Participate on SIGs 12 University Hospitals on-line

  21. III CONGRESSO BRASILEIRO DE TELEMEDICINA I WORKSHOP EM TELESSAÚDE Rio de Janeiro, November 8th – 10th, 2007 Hotel Pestana, Copacabana

  22. Health Sciences Partnerships so far identified between Universities and Health Institutions in Brazil and USA • Special Interest Groups - SIGs: Oncology,  Orthopaedic Surgery, Pathology, Pediatrics, Autopsy,  Virtual Man, Rural Internship, Sportmedicine, Radiology, Orthopedia and Trauma, Cardiology, Gastroenterolgy, Hepatology, Liver transplantation, Immunology, Infectious Diseases,  Tropical Diseases, Adolescent Medicine & Health, Contraception/Human Reproduction, Telepsychiatry, Dermatology, Bio-Informatics, Nursing, Otorrinolaringology, Anesthesiology, Pediatric Surgery, Endocrinology, Pneumology, Rheumatology, Alzheimer, Mastology, Nefrology, Urology, Violence Prevention, Health Rights, Ethical and Legal Issues.

  23. Health Sciences Partnerships so far identified between Universities and Health Institutions in Brazil and USA • Brazilian Universities and Health Institutions: Universidade Federal Paulista UNIFESP, Universidade Estadual de São Paulo USP, Universidade Federal de Minas Gerais UFMG, Universidade Estadual do Rio de Janeiro UERJ, Universidade Federal do Rio de Janeiro UFRJ, Universidade Federal do Espírito Santo UFES, Universidade Federal de Santa Catarina UFSC, Universidade Federal do Ceará UFC, Universidade Federal da Bahia UFBA, Universidade Federal de Brasília UnB

  24. Health Sciences Partnerships so far identified between Universities and Health Institutions in Brazil and USA • American Universities and Health Institutions: University of Florida , St. Jude Children's Research Hospital , Colorado University, University of Pittsburgh, University Medical School Chicago, Medical Missions for Children, Georgetown University, University of California , Stanford University, Cornell University Medical College, University of Iowa, University of Pennsylvania, University of Cincinnati, University of Maryland, Children Hospital in Pittsburgh, Cleveland Clinic Children’s Hospital, Virginia Commonwealth University, The Population Council, University of Kentucky, University of Arizona, University of Miami Miller School of Medicine, University of New York

  25. Internet2 and RNP sign on October 11th an MoU in Telemedicine and Telehealth, RUTE and US Health Sciences, to jointly collaborate on the development of next-generation telemedicine and telehealth technologies and applications

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