ehealth : Tools & Methods Dr. Asif Zafar

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1 ehealth : Tools & Methods Dr. Asif Zafar MBBS, MCPS, M.D. FRCS, FCPS Professor of Surgery, Rawalpindi Medical College Director, Telemedicine & E- Health Training Center, MIS Virtual Training Lab, Holy Family Hospital, Rawalpindi President Society of Surgeons Pakistan Rawalpindi Islamabad Founder Member & Past President e Health Association of Pakistan

2 Outline of today s presentation ehealth : Clinical Applications Trauma / Emergency Tele Surgery Tele Pathology Tele Radiology Tele Cardiology Education: e Learning : CME Simulation / Training ehealth : Major Disaster Response

3 Clinical Applications Meeting patient needs Streamlining care Enabling better outcomes Telemedicine / E-Health Training Center

4 Clinical Applications Trauma / Emergency Radiology Pathology Dermatology Psychiatry Cardiology Surgery Primary Care Telemedicine / E-Health Training Center

5 TELEMEDICINE METHODOLOGY Asynchronous (Store & Forward) Synchronous ((Video Conferencing)

6 Asynchronous (Store & Forward) Radiology Picture Archiving System PACS Digital Image Communications in Medicine (DICOM) Standards Image Acquisition Telemedicine / E-Health Training Center

7 Asynchronous (Store & Forward) Pathology Imaging systems Standards Image Acquisition Compression Storage Transmission Interpretation Telemedicine / E-Health Training Center

8 Asynchronous (Store & Forward) Dermatology Non Invasive methods New age Digital Cameras Image can be interpreted by a dermatologist Can be compared to a digital atlas Good for dermatological manifestations of Metabolic Toxicological Oncological Inflammatory Telemedicine / E-Health Training Center

9 Asynchronous (Store & Forward) Psychiatry Earliest application of telemedicine Advances in Videoconferencing equipment Same psychiatrist even when traveling Telemedicine / E-Health Training Center

10 Telemedicine Medical Applications Examples Case Studies

11 National Rural Support Program Pakistan ( MOIT Health Net )

12 Holy Family Hospital (HUB) Specialty Consultations

13 Trauma / Early Intervention!

14 Surgical Emergencies!

15 Emergency Consultation Trauma

16 Emergency Consultation Trauma

17 Radiology

18 Primary Care: Otolaryngology

19 Primary Care: Dermatology

20 Tele Pathology : Holy Family Harvard

21 Telemedicine in DPRK

22 Telemedicine in DPRK

23 Tele Education Telemedicine in DPRK

24 Tele Surgery Tele surgery involves a surgical procedure with the surgeon being situated remotely from the patient. For tele- surgery robotic platforms (Da Vinci) were designed using connections that permitted surgery to be performed with the surgeon at a console at a distance from bedside robot and patient in operation theatre. This permits the surgeon to perform surgery in another room, another building or another continent..

25 Robotic Platforms Robotic platforms (Da Vinci) were designed using connections that permitted surgery to be performed with the surgeon at a console at a distance from bedside robot and patient in operation theatre

26 e Learning!

27 Tele Education DPRK

28 Telementoring Telementoring involves procedural guidance of one professional by another from a distance using telecommunications. This involves audio dialogue, video demonstrations, and in some cases surgical robots. It is feasible and relatively inexpensive, and widespread adoption would require an evolution in surgical thinking.

29 AMIR NISAR AZ DESK

30

31 Telementoring in Surgery DPRK Tele Surgery

32 Tele Education : Minimal Access Surgery Training Program

33 Education Simulation in Surgery Instrument Navigation

34 Clip Application

35 ITU & Emergency Telemedicine Response Earthquake 2005 Floods 2010

36 ITU & Emergency Telemedicine Response

37 ITU & Emergency Telemedicine Response Northern Areas Pakistan

38 Role of Telemedicine/E-health Center in Disaster Mobile Telemedicine centers in Disaster regions Centers in AJK Muzaffarabad Hattian Bala, Balakot Step Down Hospitals

39 GLOBAL FORUM ON EFFECTIVE USE OF TELECOMMUNICATIONS/ICT FOR DISASTER MANAGEMENT: SAVING LIVES GENEVA, SWITZERLAND, DECEMBER, 2007 MOU - ITU & Telemedicine & E- Health Center Cooperation for disaster preparedness and response through Telemedicine & e- health

40 Asia Pacific Summit Joint WHO and ITU session

41 Thank you!

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