1.A Mobile eHealth Solution for Patients in Emerging Countries
PRESENTED BY:
Dinusha Vatsalan, Saatviga Sudhahar, Yvonne Wickramsinghe, Dulindra Wijethilake
SUPERVISED BY:
Dr. S.M.K.D. Arunathilake
ADVISED BY:
Mr. G.P. Seneviratne, Dr. DilhariAatigala, Dr. PrathibaMahanamahewa, Dr. Keith Chapman, Mr. Kenneth Thilakaratne
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2. Contents
Background
Research Problem
Research Methodology
Solution
Post Analysis
Future Work
Conclusion
2
3. Background
Resource Anomalies
35%of a Medical Consultant in Colombo
Issues In Rural Communities
Travel Distance
Travel Time
Travel Cost
Frustration
Issues In Urban Communities
Waiting Time
Frustration
Delayed Attendance
Ineffective Medical Data Storage
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4. Background
There are
2.2 billion mobile phones in the developing world,
305 million computers
but only 11 million hospital beds
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Terry Kramer, the strategy director at British operator Vodafone has mentioned at the Mobile World Congress held in Barcelona
5. Research Problem
Developing an Optimal eHealth Solution to Sri Lanka
Health Care for patients with
Less Time
Less Cost
Less Distance
Improved Comfort
Ubiquitous Patient Medical Data
Consultant Time Management
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6. Research Methodology
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7. Solution
7
Business Model
Change ManagementMethodology
Web-based EMR System
mCommunication System
ePatient
eConsultant
8. Considerations
Existing Technology and Infrastructure
Simplicity
User Centric Design
Gradual ICT Exposure
Suitability to Developing-world conditions
A conducive environment for the society
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9. The Project Scope
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10. Technical Solution
A Web based EMR system
Backend - EJB 3.0
Frontend- Struts Framework
Application Server - Jboss 4.2.3
Database MySQL Community Edition
Mobile Communication System
Technology Java
Connectivity GSM Modem RS232 Serial Connection
Server Software SMSLib
Consultation System
Connectivity 3G Connection/ ADSL
Software Skype/Ekiga/ VLC Player
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11. Web-based EMR System
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12. Web-based EMR Architecture
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Client Machine
Web Server Machine
Internet
HTTP
HTTP
Web Browser
Application Server JBoss
Patient Management
Scheduling
Database Server Machine
User Mgmt
eConsultation
Database mySQL
Reporting
13. Application Architecture
System
eConsultation
User Management
Patient Management
Scheduling
Reporting
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14. mCommunication System
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15. mCommunication Model
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Health Workers
Patient
Mobile Service Provider
M-Communication System
Patient
Patient
Health Systems
EMRs, Other Databases
Patient
Internet
16. mCommunication System Architecture
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SMS Server
SMS Reminding Software
Phone to PC DataCable
SMS Gateway
GSM Backbone Network
Database Server Machine
SMSC
Database mySQL
17. Post Analysis
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18. eClinic Effectiveness
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19. Clinical Efficiency
Time-to-waite in the manual system = Tw
Time-to-consult in the manual system = Tc
Time-to-travel in the manual system = Tt
Time-to-waite in the eHealth system = Tw
Time-to-consult in the eHealth system = Tc
Time-to-travel in the eHealth system = Tt
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(Tw >> Tw)AND(Tc < Tc)AND(Tt >>> Tt)

(Tw + Tc + Tt ) 20%
Wireless devices
24 hour Wireless Ambulatory
Mobile & Remote Patient Monitoring
Diagnosis
Web-based Health Information Systems (Pubmed, Websurg,)
35. eHealth in Developing Countries
Telemedicine in rural India
Personal computer
Customized medical software
Medical diagnostic instruments
Commercial VSAT at every location
Video-conferencing
Telemedicine InitiativesatSGPGIMS, Lucknow
Tele-education
Tele-consultation
Tele-follow up sessions
Tsilitwa , Africa Rural Tele-consultations
Wireless network link
Uni-directional Video link
Sister-Doctor communication via a simple webcam
36. mHealth in Developing Countries
Uganda
Mobile Devices for Health workers
Update from the field
South Africa - the SIMpill
A sensor-equipped pill bottle with a SIM
Informs doctors of patients
Tuberculosis medication for patients
The Amazonas state of Brazil
Surveyson Mobile phones
Marking incidents of dengue fever
Mexico
A medical hotline - MedicallHome
Patients medical questions via SMS
Diseases updates via SMS
37. Patient Management
New Patient
Search for Patients
Patient Profile
Audio/Video
Medical Images
Medical History
Demographics
Medical Clinic
Surgical Clinic
38. Scheduling
New appointment
Search for appointment
Appointment
Rescheduling
Cancellation
Scheduling
Operation Dates
eClinic Appointments
39. Mobile Communication
SMS to email
Sending SMS
Receiving SMS
Mobile Reminding
Medication for Patients
Vaccination Dates
Operation Dates
eClinic Appointments
Postponement/ Cancellation
Appointment/ Operation Reminder
40. User Interface Design
41. EMR Software Evaluation
42. Mobile Communication Technologies Evaluation
43. eConsultation Technologies Evaluation
44. Background Analysis- Institution
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45. Background Analysis - Stakeholders
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46. Sustainability Check - Economics
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47. Sustainability Check - Technology
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48. Sustainability Check - Anthropology
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49. Sustainability Check - Legal
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50. Hardware Configurations
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51. Expenditure Incurred
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52. Pilot Surveys
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53. Comprehensive Survey
Stratified Sampling
4 Weeks
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54. Training & Awareness Schedule
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55. Training Schedule
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56. Training & Awareness Programs
57. eClinic & eConsultation Sessions
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58. Benefits for Consultants
For Consultants
Virtual Presence of the Consultant and the Patient
24x7 Patient Information Access
Clarity of data
Compensation of lost Diagnostic cards due to
Patients Negligence
Natural Disasters
Easy decision making
Potential for Research
Less congestion of in-ward patients
59. Benefits for Patients
Better Consultation
Less time
Less Cost
Less Distance
Less Frustration
Mobile Reminding
Prevents data loss
Misplaced Diagnostic cards
Staff errors
Patient Negligence
Natural Disasters
60. Benefits for Rural Health Institutes
Access to Consultants
Knowledge Transfer to General Medical Practitioners
Reduced Cost
Patient transfer
Electronic Patient Health Records
Pro-active decisions on Resource Allocations
Pro-active decisions on Patient Care
Potential for Research
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61. Work Carried Out
62. Terms & Conditions
We offer help problems regarding Non Critical Patients only in ViduSuwa. Patients referred by a respective consultant are allowed to register.
No record will be Deleted or Disclosed which are related to Medical History of a particular patient.
The service provided by this site is no substitute for a critical patient visiting a consultant a qualified, licensed health care professional.
This site would enable Officers in the medical field to share medical knowledge for research and academic purposes.
Prescribing medications online may contradict with to medical ethics. Thus our Consultant would be accompanied with another Government Qualified Medical Practitioner to assist the patient.
You may consult the Doctors through ViduSuwa:
If you are advised to do so by your Consultant
If you have any medical question or problem and want to consult the medical doctor
If you want to know the routine screening tests or immunizations to keep you healthy
If you want to know the second opinion of your medical condition or treatment
If you want to know the medical condition causing your symptoms
If you are not recovering with your current treatment
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63. Business Model
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64. Business Model
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Background Analysis
Stakeholder(s)
Healthcare Provider
eClinic
eConsultation Center
Sustainability Check
Technology
Economy
Legislations
Anthropology
65. Change Management Methodology
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66. Change Management
It is not the strongest of the species that survive,
nor the most intelligent,
but the most responsive to change
Charles Darwin R
Aspects of Change
McKinseys 7S model
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67. Change Management Strategy
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68. Acknowledgment
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