corporate communications april 2007 satellite based telemedicine : accessibility, quality and safety...

April 2007

Corporate Communications

Satellite based telemedicine :

accessibility, quality and safety

TTeC 2007, TROMSOE – 12 June, 2007

April 2007 All rights reserved © 2007, Thales Alenia Space


E-Health expertise 1997-2007

Pascal LOCHELONGUETHALES ALENIA SPACE e-Health projects & solutions ManagerHEALTHWARE and Medicin@pais project coordinator

2007

GALENOS : Interconnection of European and Mediterranean hospitals via a high speed and mesh telecommunication satellite network for second opinion

MEDEXIS : Large scale dissemination of invasive surgery methods using DVB-S satellite system, Remote Video-assistance in invasive surgery using DVB-RCS satellite system

DELTASS : Design and implementation of a telemedicine system using satellite telecommunication for emergency situations (earthquake, conflict, …)

URSAFE : Design and validation of a prototype for telemonitoring of patients at home using terrestrial, mobile and satellite telecommunication networks

MEDICINAPAIS: Satellite based network for medical training and teleconsultation between local hospitals in mountain area and littoral main hospitals (DVB-RCS)

HEALTHWARE : Development and deployment of European satellite (DVB-RCS) based telemedicine solutions and services in the fields of medical training, second opinion, teleconsultation and homecare.

1997-2007



DVB-RCS satellite technology

DVB-RCS satellite broadband technology. Star topology and two way architecture Ground network independency : answer to the lack of suitable terrestrial broadband networks DVB-RCS standard compliant : mature and operational technology with powerful capabilities (up to 2 Mbps) on the return link Interoperability with existing networks and technology (terrestrial, mobile, wireless) Quality of Service : guaranteed bandwidth, optimised protocols, end to end performances

High Rate IP based services Compliant with any IP based applications Guaranteed bandwidth & high rate transmission capabilities allow for interactive and multimedia applications, use and display of high resolution images and live video

Usages Connecting remote and isolated sites (clinics, local hospitals, nursing homes) to high-speed and interactive e-Health service. Teleconsultation, tele-expertise/second opinion, remote training, telemonitoring



Solutions : Remote training of medical staffs

Cardiology : Semi automatic defibrillator

Red Cross : Nursery nurses training

Orthophony : Swallowing troubles



Solutions : Primary Teleconsultation

Dermatology

Radiology

Anatomic-pathology



Solutions : Tele-expertise / Second opinion

Tele-radiology

DICOM compliant

Video module

Tele-echography

Surgery tele-assistance



Standard & Interoperable Satellite Solution to deploy health care services over wide area

Focus on the development of end to end telemedicine solutions/services over the DVB-RCS satellite technology

Achieve large scale pilot deployment and validation over networks managed by medical leaders

Apply to three conditions : Chronic respiratory diseases, Heart problems, Oncology

In four preferred application domains

Services at home: monitoring and remote assistance to patient located in isolated areas (islands, campaigns, mountains)

Medical training: medical knowledge dissemination towards medical staff, nurses, auxiliary nursing staff

Second opinion: interactive video-communication between specialists and document sharing

Teleconsultation: interactive video-communication between patient and doctor



(3)

(4)

(2)(5)(5)

(2)

(14)

(3)

(1)

(1)

Healthware = 40 DVB-RCS sites network over 8 European countries

HEALTHWARE



Title of unit 1: CARDIOLOGY, Faculty: ICU Venizelion Gen. Hospital Heraklion

1. Acute coronary syndromes. Emergency diagnostic and therapeutic management

2. Automatic external defibrillation in cardiopulmonary Resuscitation

3. Supraventricular tachyarrhytmias 4. Tahyarrhytmias with wide QRS

complexes5. Bradyarrhytmias6. Legal and Ethical considerations in

Resuscitation

Title of unit 2: TRAUMA, Faculty: D. Vourvahakis, director EKAB Crete

1. Ventilator positioning in trauma patient2. Triage of multicasualty accident, A, B, C,

D, E.3. Thoracic and cranial injuries4. Immobilization and transfer of trauma

patients, Rescue of trauma patients from vehicle

5. Triage and management of multicasualty accidents

6. Shock- coma

Start tele-education courses Module 1 Cardiology – May 11-23 Module 2 Trauma – June 4-27

Lesson duration 1 – 1,5 hoursSite participation

3-6 health organizations (avg 2 health centers, 2 community offices)

EKAB

HEALTHWARE



Second opinion scenario : main objectives Common work-up of diagnostic and therapeutic options in complex respiratory cases Selection of the patients to diagnostic procedures unavailable in peripheral centre

Examples of medical problems for the telemedical interactions

Lung/pleural neoplasms requiring pathological confirmation Asbestos-related disorders – differentiation between benign and malignant processesConfirmation of suspected pulmonary embolism

HEALTHWARE

Impact of telemedical session on patient management Continuation of care in peripheral/local medical centre Additional diagnostics in peripheral/local medical centre



Medicin@pais programme

Puget-Theniers

St Etienne de TineeSt Martin Vésubie

Roquebillière Breil sur RoyaTende

Training to medicalpractice methods

Tele-consultation

ECG signal analysis

Second opinionNICE

Elderly peoplecare Support to local

care practitioners

Medical trainingof local staff

4 Reference hospitals in Nice Faculty of Medicine => Medical training Ste Marie Institute => Mental diseases care Nice University Hospital => Elderly people, palliative care in end stage Pasteur Hospital

MEDICIN@PAIS



Medical training Faculty of Medicine : Post Academic Education sessions, 7/years Remote tele-education sessions : 2-3 h

Paediatrics, geriatrics Cardiology Psychiatry Dermatology Pharmaceutics Emergency (defibrillator)

French Red Cross : nursing nurses training, 300 h

Teleconsultation Mental diseases management Elderly management, End of life preparation Gerontology : swallowing diseases Orthophony : speech disorders

Impact for the Region Rural employment creation (CG06) : nursing nursery Maintain of skills in rural areas Improved Quality of Life for elderly/ageing population Reduction of unnecessary transfer to urban hospitals

Medicin@pais programme



Medico-socialMedico-social CultureCultureEducationEducationE-LearningE-Learning

MedicalMedical

Added value



Thanks

corporate communications april 2007 satellite based telemedicine : accessibility, quality and safety...

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