University Of Malaya Telemedicine Experience & Challenges - - PDF document

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University Of Malaya Telemedicine Experience & Challenges - - PDF document

ATS 2012 University Of Malaya Telemedicine Experience & Challenges MOHAMAD ZAHIR AHMAD UNIVERSITY OF MALAYA (UM) 15 DECEMBER 2012 Introduction to UMMC Why Video Conferencing Problem & Challenges Solution &


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ATS 2012

University Of Malaya

Telemedicine Experience & Challenges

MOHAMAD ZAHIR AHMAD UNIVERSITY OF MALAYA (UM) 15 DECEMBER 2012

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‐Introduction to UMMC ‐Why Video Conferencing ‐Problem & Challenges ‐Solution & Application ‐List of Telemedicine Activity 2012 ‐To move forward ‐Q&A

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University Of Malaya Medical Center ‐Teaching hospital for Faculty Of Medicine University Malaya ‐Established in 5th Aug 1968 for; ‐Healthcare services ‐Health education ‐Research ‐1st teaching hospital in Malaysia ‐1st reference hospital in Malaysia ‐5000 staff ‐1000 beds ‐3000 outpatient & 200 inpatient daily

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Why? ‐Live interaction ‐Visual ‐Space ‐Save time ‐Save cost For UMMC ‐ Start in 2006 ‐Teaching ‐Clinical Workshop/Seminar ‐Tele‐consultation ‐Collaboration with other Univ/Institution ‐Research & Innovation ‐Meeting

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Short of Equipment ‐2 unit of H323 Codec, one HD mixer, one set wired mic and one set wireless handheld mic ‐1 X DVTS James Bond Set (canopus DAC, audio mixer, SD camera, etc) ‐Financial limitation No dedicated room for video conferencing ‐There is no dedicated room in UMMC for video conferencing ‐But too many rooms need the FACILITY (Too many OT and Auditorium) ‐24 OT and 4 Auditorium/6 conference room ‐All setup are mobile and ad hoc basis. Extensive Requirement By Clinician ‐HD is preferred by the clinicians ‐Most video conferencing equipment shall need to be upgraded to HD ‐picture in picture, multi view requirement ‐ Need up‐scaler and down‐scaler

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Ad Hoc Conference ‐few activities is ad hoc and no time for preparation/setup Network Requirement ‐Conference has to be held anywhere within the campus ‐No dedicated venue for conference ‐Use normal internet lines High Quality Video/smooth transmission ‐Video performance is the mandatory requirement ‐HD quality. Recording Transmission ‐High quality recording

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Castor w heel Camera mounting lock rack Handle UPS TV mounting Pow er extension

USD USD 500 500

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Auditorium OT Auditorium OT

USD USD 25,000 25,000 USD USD 10,000 10,000

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No Equipment Company Product Qty 1 H323 Encorder Life Size Room 220 1 2 LCD Display SONY KLV-BX320 1 3 HD Converter Datavideo DAC-9 1 4 HDMI to VGA converter MSI

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5 Mobile Cart Custom Custom 1 6 HDMI Cable Datavideo With connector 2 7 SDI Cable Datavideo With connector 4

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No Equipment Company Product Qty 1 H323 Encorder Life Size Express EX220 2 2 LCD Display SONY KLV-BX420 1 3 HD Recorder Datavideo DN-400 1 4 HD Video Mixer SONY MCS-8M 1 5 Wireless Mic AKG WMS-45 1 6 HD Converter Datavideo DAC-9 2 7 HD Camera SONY NEX-VG20H 1 9 Mobile Cart Custom Custom 1 9 HDMI Cable Datavideo With connector 2 10 SDI Cable Datavideo With connector 4

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Nov 2012 - Craniomaxillofaciology Workshop

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Oct 2012 – Silent Mentor Workshop : Liver Transplant

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Oct 2012 – Gastric Bypass Workshop w ith National Univ Of Singapore (NUS)

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Oct 2012 – Cleft & Lips Transplat Workshop

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April 2012 – Endoscopy Conference 2012 (Bach Mai Hospital, Vietnam, Sriraj Hospital, Thailand & Konkurk University, Korea)

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Preparation

  • Fast & Easy to setup (plug network & power, and it’s READY!)
  • Safe 50% of setup time

Internet Speed

  • Use very low bandwidth required (max 4MB for 1080p transmission)
  • Can be use anywhere within Hospital

Picture/Sound quality

  • Very high quality transmission with

better image and smoother video (FULL HD)

  • Clean and echoless audio
  • communication
  • Very minimal echo & humming

People

  • Easy to use (call the IP and DONE!)
  • Anyone can use even surgeon!
  • Number of Engineer Reduce to half
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Month Month/Year Year Activity Activity Transmission Transmission Techno Technology gy Feb/2012 APAN 33rd Thailand MYREN DVTS/H323 Feb/2012 Laparoscopic Live Surgery Local H323 Mac/2012 Dental Live Surgery Local H323 April/2012 2012 Endoscopy Conference MYREN H323 April/2012 Medical WG Meeting MYREN H323 May/2012 Nursing Seminar MYREN H323 June/2012 Daycare Live Surgery Local H323 June/2012 APAN Meeting MYREN H323 June 2012 Hernia Workshop Surgery Local H323 July/2012 Silent Mentor Workshop Local H323 July/2012 Telemedice 2012 Through Academic Network Video Conferencing MYREN H323

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Month Month/Year Year Activity Activity Transmission Transmission Techno Technology gy July/2012 APAN Meeting MYREN H323 July/2012 Laparoscopic Workshop Local H323 Aug/2012 APAN Meeting MYREN H323 Aug/2012 APAN Sri Lanka MYREN H323 Aug/2012 Medical Meeting (Taiping Hosp) MYREN H323 Sep/2012 34th Meeting Hawaii MYREN Vidyo Oct/2012 Gastric Bypass Live Telecast (NUS, Singapore) MYREN H323 Oct/2012 Brain Surgery Local H323 Nov/2012 Silent Mentor Program Local H323 Nov/2012 Craniomaxillofacial Workshop Local H323 Nov/2012 Cleft Lips & Palate Transmission Local H323

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Month Month/Year Year Activity Activity Transmission Transmission Techno Technology gy Nov/2012 Craniomaxillofacial Transmission Local H323 Dis/2012 MYREN Medical Talk MYREN H323

Technology 2011 2012 H323 7 22 DVTS 11 1 Vidyo 1 DVTS Plus 2 TOTAL 20 24

Financial ‐ UMMC require USD50,000.00 to buy HD projector set dedicated to be used for large auditorium at least with 10,000 lumens (for 24’X16’ screen) Prepare permanent video cabling for most used venue ‐To have dedicated room for video conferencing session ‐Dedicated OT fully equipped with AV equipment for workshop, teaching and conference ‐save time and for ad hoc conference ‐ Look tidy and neat Collaboration with Local Universities ‐Collaborate and sharing knowledge, idea with other Local Universities ‐Promoting and technical assistant to Local Universities ‐Encourage clinician to have more local Remote workshop

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R&D ‐ UMMC Telemedicine

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Collaboration with MIMOS ‐ Video confencing solution How safe the Trolley to the OT? ‐Trolley with castor roller (collect dust) ‐Equipment might be dusty ‐Bacteria contamination Current Action ‐Wipe the roller ‐Wipe entire equipment before and after OT ‐Study by Infection Unit Team

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Email: zahir@ummc.edu.my Tel : +603‐79493824 Zahir Ahmad