extending e-health to rural areas tuxtla, 18-19 may, 2006 alcatel alenia space broadband...
TRANSCRIPT
Extending e-health to rural areasTuxtla, 18-19 May, 2006
Alcatel Alenia Space broadband telemedicine solutions
Broadband satellite telemedicine - 2 All rights reserved © 2006, Alcatel Alenia Space
Extending e-health to rural areas : geographical context
French initiative in South East of France, Department of les Alpes Maritimes4 valleys whose access is very difficultLandslides, snow in winter are blocking roadsAging populationLocal medical staff isolation
Broadband satellite telemedicine - 3 All rights reserved © 2006, Alcatel Alenia Space
Extending e-health to rural areas : objectives
Professionals Maintain general practitioners in mountainous/isolated areasMaintain qualified staffs in local hospitals Provide remote assistance / expertise to local staff to treat patients
PatientsAccelerate recovery at home or in usual environmentProvide locally new services avoiding travelling to urban hospitalsReduce hospitalization frequency, transfer and cost Increase population’s confidence into local teams Deal with medical but also social aspects Maintain quality of life
Broadband satellite telemedicine - 4 All rights reserved © 2006, Alcatel Alenia Space
Extending e-health to rural areas : set up of a specific program
To achieve the objectives, setting up of a specific program including medical training, teleconsultation & tele-expertise with relevant partnersStrong partnership :
General Council Alpes Maritimes telemedicine local development, contractual matters and funding, planning, communication
Nice Faculty of Medicine provides medical expertise, specialists coordination, referents in local hospitals, training program
Alcatel Alenia Space leader for satellite technology, telemedicine Workstation and e-health applications, network installation / configuration / optimisation, end-users support, technical training supervision, maintenance
Broadband satellite telemedicine - 5 All rights reserved © 2006, Alcatel Alenia Space
Extending e-health to rural areas : Satellite network architecture
A9780 DVB-RCS based satellite networkHub and applications platform hosted at Alcatel Alenia Space France premises and managed by AASF technical team12 sites : 8 local hospitals (isolated area) and 4 Hospitals in Nice (urban area)
Broadband satellite telemedicine - 6 All rights reserved © 2006, Alcatel Alenia Space
Extending e-health to rural areas : DVB-RCS technology
Two ways satellite broadband technology. Ground network independency (2W architecture) of the DVB-RCS satellite solution enables customers currently suffering of the lack of terrestrial broadband networks, to access value added servicesDVB-RCS standard compliant : mature and fully operational technology implementing DVB-S norm (DVS-S2 ready) on the forward link & offering powerful capabilities (up to 2 Mbps return) on the return link to access and transmit over satellite from anywhere.DVB-RCS system ensures interoperability with heterogeneous network like terrestrial, mobile, wireless and secures customer investments in infrastructure
It supports current and upcoming IP services , providing network functionality to support new generation of interactive and multimedia applications (high quality video based applications)
Broadband satellite telemedicine - 7 All rights reserved © 2006, Alcatel Alenia Space
Extending e-health to rural areas : SIT installation
Ease of installation of the DVB-RCS satellite terminal allows fast installation of a new site and its integration into the overall network.
Ground, wall, roofVehicleContainer
Broadband satellite telemedicine - 8 All rights reserved © 2006, Alcatel Alenia Space
Extending e-health to rural areas : DVB-RCS technology & telemedicine requirements2W design & High Rate on return link (medical training, teleconsultation, tele-expertise/telediagnosis)
High quality video transmission from teacher/specialist side (H264) Asymmetric/Symmetric traffic Applications interactivity (videoconference, questions/answers) Very high image quality transmission
QoS mechanisms (medical training, teleconsultation, tele-expertise /telediagnosis)
Robust audio communication Guaranteed BW
Multicast (medical training) Satellite is the best solution (coverage, terrestrial multicast nodes) Point to multipoint architecture Videostreaming Push of contents
Broadband satellite telemedicine - 9 All rights reserved © 2006, Alcatel Alenia Space
Extending e-health to rural areas : Medical training
Doctors, nurses, auxiliary nurses, pharmacists3 hours sessions (1-2 per months)
Management of end-of-life care : physical, psychological, social, spiritual, and practical needs of patients and caregiversEmergency : introduction to the use of a Semi-automatic
defibrillatorGeriatrics : disorders of sphincter / swallowing risks and eliminationGastroenterology : repercussion of non-steroidian anti-inflammatory
(NSAI) drugs usageProctology : acute pain identification and treatmentPsychiatry, Gynaecology, Endocrinology, Dermatology
Broadband satellite telemedicine - 10 All rights reserved © 2006, Alcatel Alenia Space
DVB-RCS HUB Management toolsSecurityApplications & services
DVB-RCSRemote
SITEnd user WS
Extending e-health to rural areas : Medical training
Each participant connects to the Alcatel Alenia Space broadband medical training application
ContentsPresentation
Return : 256kbps remote participants/512kbps teacher
Broadband satellite telemedicine - 11 All rights reserved © 2006, Alcatel Alenia Space
Extending e-health to rural areas : examples
Unlimited number of participants
Meeting room with several participantsand video-projector and wall screen
Remote pointer
session recording for further use
Broadband satellite telemedicine - 12 All rights reserved © 2006, Alcatel Alenia Space
Extending e-health to rural areas : teleconsultation
Nurses, doctors, specialistsRegular ½ hour point to point sessions
Psychiatry : patient with personality or mental disorders, mortality / morbidity related disorders (suicide, injuries from accidents, substance abuse)Elderly
Nutritional disorders Kinesytherapy: evaluation, diagnosis, rehabilitation in
locomotion Cognitive disturbances Orthoepy: speech and swallowing troubles Dermatological or rheumatologic disorders
Gerontology : Care of scabs, podology and chiropody
Broadband satellite telemedicine - 13 All rights reserved © 2006, Alcatel Alenia Space
Extending e-health to rural areas : teleconsultation
Telemedicine WS
Each participant connects to the same core application
DVB-RCS HUB Management toolsSecurityApplications & services
Patient transfer, local hospital recovery ?
Return : 256-512kbps
Broadband satellite telemedicine - 14 All rights reserved © 2006, Alcatel Alenia Space
Extending e-health to rural areas : tele-expertise / telediagnosis
Specialists½ hour point to point sessionsSpecific tele-expertise application with advanced image processing capabilitiesInterconnecting with DICOM compliant modality
Radiology (fractures, angiogram, mammography, ..)Dermatology (melanoma or dermatitis or pictures/MRI examination, tissue microscopic examination)Cardiology (prevention, investigation and treatment of diseases involving the cardiovascular system)Anatomo-pathology
Broadband satellite telemedicine - 15 All rights reserved © 2006, Alcatel Alenia Space
Extending e-health to rural areas : tele-expertise / telediagnosis
DVB-RCS HUB Management toolsSecurityApplications & services
SIP
Broadband satellite telemedicine - 16 All rights reserved © 2006, Alcatel Alenia Space
Extending e-health to rural areas : tele-expertise / telediagnosis
DICOM compliantAcquisition from DICOM modalitiesImage manipulation (any manipulation is remotely reproduced)
zoom contrast, brightness black & white magnifying glass measurements, annotation window levelling scrolling
Tele-cursor
Return : 1024 kbps
Echography
Return : 512 kbps
Diabetic eye disease examination
Broadband satellite telemedicine - 17 All rights reserved © 2006, Alcatel Alenia Space
Conclusion
Leading position in telemedicine using satcoms System and solutions integrator, not only a supplier Take advantage of Alcatel Group competencies for network
architecture definition (terrestrial, mobile, satellite, wireless) and integration of end users applications for medical uses
Build robust partnerships for industrial solutions (cost sharing, roadmap) and commercial deployments success (user acceptance)
Design and provide end-to-end solutions for e-Health vertical market (unique interlocutor)
Have got a unique experience in Europe of deploying and exploiting an operational medical training and teleconsultation network
Is the coordinator of the Healthware European project (Aeronautics & Space program – European Commission 2005-08), which is the reference in Europe regarding telemedicine by satellite and the driver for the development and the deployment of DVB-RCS based telemedicine applications : http://healthware.alcasat.net
Broadband satellite telemedicine - 18 All rights reserved © 2006, Alcatel Alenia Space
Contacts
Pascal LOCHELONGUE (technical manager)[email protected]
Olivier AUTRAN (marketing manager)[email protected]
Pierre LEON (local marketing manager)[email protected]