Deploying Innovative Mobile-based Telemedicine Systems using Open - - PowerPoint PPT Presentation

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Deploying Innovative Mobile-based Telemedicine Systems using Open - - PowerPoint PPT Presentation

Deploying Innovative Mobile-based Telemedicine Systems using Open Source tools in Resource-poor Areas of the Philippines Jose Eugenio Quesada Leo Anthony Celi Christopher Moses Outline The Problem The Solution: What is SANA?


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Deploying Innovative Mobile-based Telemedicine Systems using Open Source tools in Resource-poor Areas of the Philippines

Jose Eugenio Quesada Leo Anthony Celi Christopher Moses

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  • The Problem
  • The Solution: What is SANA?
  • Components
  • Philippine Pilot Implementation
  • Conclusion

Outline

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The Problem The Philippine Situation

  • 100 Million Filipinos
  • 51% live in the countryside
  • 1 Doctor per 10,000 population
  • 5 out of ten Filipinos die without getting

any medical attention

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The Problem Case:

  • School Teacher in Batanes
  • Has 75 year old father with incessant cough
  • Flown to Manila for diagnosis
  • Had to sell farm animals and farmland to pay

for transport and medical costs

  • Pushed into poverty

Manila

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What is SANA?

In Italian the word Sana means "Healthy" In Filipino the word Sana means " Hope"

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What is SANA? SANA is a joint project of Massachusetts Institute of Technology and the Harvard School of Public Health

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What is SANA?

  • Text based Telemedicine systems 160 characters
  • Other systems: bulky, expensive, not portable

Previous Mobile Telemedicine Systems:

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What is SANA?

SANA is a universal, mobile, clinical information platform

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Android Phone Client – Sana App Mobile Dispatch Server OpenMRS – Electronic Medical Record System

Components of SANA

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Android Phone Client – Sana App

Multiple methods of transmission Off-line data collection Binary Data Capture (images, audio, others) Portable medical devices

Create customized procedures

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Shortness of Breath Evaluation

Android Phone Client – Sana App

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Shortness of Breath Evaluation

Android Phone Client – Sana App

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What is the Mobile Dispatch Server?

SMS Server Packetization Synchronization Bridge

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What is OpenMRS?

Open Standards HL7, LOINC, IXF Central Concept Dictionary Open Source started 2006 (South Africa) Complex Data: Binary data

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OpenMRS

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OpenMRS

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OpenMRS

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OpenMRS

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Components of SANA

Phone Clients (Android) Mobile Dispatch Server (Django, Python) Medical Record System (OpenMRS, Java)

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Philippine Pilot Implementation

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Philippine Pilot Implementation Implementation Partner Academic Partner Funding Partner

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Philippine Pilot Implementation Social Partner and Medical Partner

Visayas Region – Social and Medical Partner Metro Manila and environs – Social and Medical Partner

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Philippine Pilot Implementation

Results Pilot Procedure (Hypertension) Customization

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Philippine Pilot Implementation

Issues Iterative Process Adaptation Full Implementation

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Philippine Pilot Implementation

Cost for implementation: 10 Phones, 1 year

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Conclusion: Sana enables cost effective healthcare in remote areas, answering the need for 50%

  • f the Philippine population that die without

ever receiving expert medical attention.

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Conclusion:

The Sana Telemedicine system drastically lessens the cost of making expert medical care available in remote, rural areas.

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Conclusion:

“The whole is greater than the sum of its parts.”

  • Aristotle
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Thank You for Listening!

Questions?

JLQUESADA@ioss.com.ph http://ioss.com.ph/ http://sana.mit.edu/

Jose Eugenio Quesada

Massachusetts Institute of Technology Harvard School of Public Health Asia Pacific College , CS Foundation Integrated Open Source Solutions