SLIDE 1
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
SLIDE 2
- The Problem
- The Solution: What is SANA?
- Components
- Philippine Pilot Implementation
- Conclusion
Outline
SLIDE 3 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
SLIDE 4 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
Manila
SLIDE 5
What is SANA?
In Italian the word Sana means "Healthy" In Filipino the word Sana means " Hope"
SLIDE 6
What is SANA? SANA is a joint project of Massachusetts Institute of Technology and the Harvard School of Public Health
SLIDE 7 What is SANA?
- Text based Telemedicine systems 160 characters
- Other systems: bulky, expensive, not portable
Previous Mobile Telemedicine Systems:
SLIDE 8
What is SANA?
SANA is a universal, mobile, clinical information platform
SLIDE 9
Android Phone Client – Sana App Mobile Dispatch Server OpenMRS – Electronic Medical Record System
Components of SANA
SLIDE 10
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
SLIDE 11
Shortness of Breath Evaluation
Android Phone Client – Sana App
SLIDE 12
Shortness of Breath Evaluation
Android Phone Client – Sana App
SLIDE 13
What is the Mobile Dispatch Server?
SMS Server Packetization Synchronization Bridge
SLIDE 14
What is OpenMRS?
Open Standards HL7, LOINC, IXF Central Concept Dictionary Open Source started 2006 (South Africa) Complex Data: Binary data
SLIDE 15
OpenMRS
SLIDE 16
OpenMRS
SLIDE 17
OpenMRS
SLIDE 18
OpenMRS
SLIDE 19 Components of SANA
Phone Clients (Android) Mobile Dispatch Server (Django, Python) Medical Record System (OpenMRS, Java)
SLIDE 20
Philippine Pilot Implementation
SLIDE 21
Philippine Pilot Implementation Implementation Partner Academic Partner Funding Partner
SLIDE 22
Philippine Pilot Implementation Social Partner and Medical Partner
Visayas Region – Social and Medical Partner Metro Manila and environs – Social and Medical Partner
SLIDE 23
Philippine Pilot Implementation
Results Pilot Procedure (Hypertension) Customization
SLIDE 24
Philippine Pilot Implementation
Issues Iterative Process Adaptation Full Implementation
SLIDE 25
Philippine Pilot Implementation
Cost for implementation: 10 Phones, 1 year
SLIDE 26 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.
SLIDE 27
Conclusion:
The Sana Telemedicine system drastically lessens the cost of making expert medical care available in remote, rural areas.
SLIDE 28 Conclusion:
“The whole is greater than the sum of its parts.”
SLIDE 29
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