C Current status of Telemedicine Network in t t t f T l di i N t k i India and Future perspective Prof. S K Mishra, MS, FACS Head Dept of Endocrine Surgery & Head, Dept. of Endocrine Surgery & Faculty I/C, SGPGI Telemedicine Programme Sanjay Gandhi Postgraduate Institute of Medical Sciences (SGPGIMS) Lucknow,India skmishra@sgpgi.ac.in
Content Content • Brief review of Application of Telemedicine Project around the country • Nation wide Telemedicine Network – IDSP – National Rural Telemedicine Project – ONCONET India – Proposed layout of National Medical College Network • International Telemedicine Network – SAARC Telemedicine Network – PAN AFRICA Network • m-Health in India – Mobile eHealth units for specific health conditions – General Purpose Mobile Telemedicine Units – Wi Wireless Mobile Health System l M bil H lth S t • Opportunities and Challenges Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011
Brief overview of telemedicine Brief overview of telemedicine project around the country Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011
Major Implementing Agencies Major Implementing Agencies 4 Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011
Indian Space Research Organization Since - 2001 • • Satellite Telemedicine Network Satellite-Telemedicine Network through Indian Satellite System (INSAT) (INSAT) • Collaboration with state governments t • 439 nodes across the country – 17 Mobile Vans • Free satellite bandwidth www isro org/scripts/ telemedicine aspx www isro org/scripts/ telemedicine aspx www. isro .org/scripts/ telemedicine .aspx www. isro .org/scripts/ telemedicine .aspx Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011
ONCONET Kerala C Cancer Care for Rural Masses C f R l M Free Satellite communication i i link & Bandwidth provided by ISRO Satellite : INSAT 3C Antenna : 3.8 m Carrier : Extended C Band Bandwidth : 384 kbps Backup Link 128 Kbps ISDN connection 128 Kbps ISDN connection Active Nodes • Kannur, , • Kochi, • Palakkad, • Kozhencherry • Kollam Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011
OncoNET Kerala- Year 2003 • Regional Cancer Centre, Trivandrum • 5 peripheral centers linked • No. of Follow-up pts -13566 (yr 2004 onwards) • CMEs- 53 & Panel Discussion – 33 • Nursing training prog. – 41 • Didactics talk – 13 • Didactics talk – 13 • Public Awareness campaigns - 14 www.rctvm.org Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011
Tele-onconet Regional Cancer Centre, Tata Memorial Hospital, Mumbai Thiruvananthapuram Thiruvananthapuram • • Total Nodes: 8 Total Nodes: 8 • Total nodes-5 • Connectivity: VSAT • Connectivity – VSAT • Activities: Tele-consultation / Follow up and CME / Follow up and CME • • Activities: Tele Follow up Activities: Tele-Follow up, • Platform- Data Sharing, VC, Tele-CME, Panel Discussions, Nurses Tele-pathology / Radiology Training programs, talks by doctors of RCC, Cancer Awareness , http://www.rcctvm.org/Telemedicine.htm http://tmc.gov.in/misc/aboutus.htm UP Tele-radiotherapy Network RCC, Adyar , Chennai • Total Nodes – 2 T l N d 2 • Total nodes: 7 (1 st Phase) • Connectivity: ISDN & VSAT • Connectivity: ISDN y • Activities: Tele-consultation • Activities: Tele-consultation & Tele-follow up • Activities:Tele-education & Tele-CME http://www.cancerinstitutewia.in/ Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011
Tripura Tele-ophthalmology Project p p gy j • Tripura Tele-ophthalmology (Vision) Centres set up in Blocks to p p gy ( ) p provide eye-care to patients at door-steps • Linked to IGM Hospital through Tele-medicine infrastructure. • Started in April 2007; 35 Centres set up so far Started in April 2007; 35 Centres set up so far • 5 Blocks (Korbook, Jampui Hills, Dasda, Chawmanu and Bishalgarh) yet to be covered. • Over 71,000 patients screened upto August 10, of which 5,092 patients referred to Referral Hospital (IGM Hospital) • Average number of patients per Centre per month: around 100 Average number of patients per Centre per month: around 100. • National e-Governance Gold Award for 2009. http://www.ilfsindia.com/projects1.asp?Category=2&Project=12&subLink=125 http://www.ilfsindia.com/projects1.asp?Category=2&Project=12&subLink=125 9 Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011
Current Status • 40-50 ophthalmalic centers are connected to tertiary center • Mobile vans with satellite connectivity providing ophthalmic y p g p care at doorsteps . Sankara Nethralaya, Chennai 2 Aravind Eye Hospital Madurai 1 Agarwal Eye Hospital Agarwal Eye Hospital, 1 1 Chennai www.drmohandiabetes.com Chaitanya Hospital, Cochin 1 Prabha Eye Clinic, Bangalore 1 Blindness Prevention Initiative Blindness Prevention Initiative Diabetic Retinopathy Screening Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011
Mobile Tele ophthalmology Programs Mobile Tele-ophthalmology Programs Shankara Nethralaya, Chennai Aravind Tele-Ophthalmology Network • Total Mobile Unit: 4 (Karnataka, Andhra • Mobile Unit: 1 Pradesh, Tamil Nadu & Maharashtra) • Connectivity :VSAT y • Connectivity: VSAT • Connectivity: VSAT • Activities: Diabetic Retinopathy Assessment • Activities: Eye check up, tele-consultation, & Grading Over Network educating about eye care, Teaching & Training for local Ophthalmologist / g p g General Physicians / Optometrists / Opticians / Nurses & teachers • Tele-education & Tele-CMEs – nodes -3 http://www.sankaranethralaya.org/tele_mobile.htm www.aravind.org/Telemedicine/mobilevan.htm Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011
Tele-cardiology gy Asia Heart Foundation Kolkata & Asia Heart Foundation Kolkata & Fortis healthcare Network & F ti h lth N t k & Narayana Hrudayalaya, Bangalore Escort Heart Institute, New Delhi • Total Nodes: 20 • Total Nodes: 12 satellite/heart • Pan African e-Network command centers • Connectivity : VSAT/ ISDN/ PSTN • Activities: Tele-consultation & VC, Activities: Tele consultation & VC, Tele-CME www.narayanahospitals.com/tele_medicine_centers.html Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011
Nation Wide Telemedicine Networks Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011
Disease Surveillance Integrated Disease Surveillance Project (IDSP)- Year 2004 • EDUSAT Satellite Current status Current status • Data Centre - 750 locations • Decentralized state based surveillance • Connectivity - 559 locations system for communicable & non • Training Centre communicable diseases communicable diseases – NIC 218 / 400 sites • Improve the efficiency of surveillance – ISRO – ISRO 297 / 400 sites 297 / 400 sites activities, detect disease trends, • 38 Hi-End VC Equipments (Multi conference 5 nodes) - between f ) evaluate control strategies of the CSU and States/UTs HQ disease control programmes disease control programmes http://idsp.nic.in/ Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011
National Rural Telemedicine Project National Rural Health Mission ( Framework developed) • Design, development and implementation of – Low cost rural telemedicine infrastructure – Village Tele-ambulance System and rural emergency healthcare services / Trauma care module – Rural Health Knowledge Resource through web portal and e-CME module – Technology platform f f for harvest, compilation, storage (Data Base) at Regional District Hub and Central Data Center at MOH & FW Center at MOH & FW, archive and distribution across archive and distribution across network www.mohfw.nic.in www.mohfw.nic.in Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011
ONCONET-India Ministry of Health & Family Welfare (Govt. of India) ONCONET ONCONET KERALA INDIA INDIA 27 RCCs & 108 Peripheral 27 RCCs & 108 Peripheral Cancer Centers (PCC) in India (Under implementation) Dept. of Information Technology p gy Ministry of Health & FW Ministry of Health & FW Govt. of India Govt. of India Update on 32nd APAN Meeting in New Delhi, India; 22-27 August 2011
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