Bob Bollinger MD MPH

Professor of Infectious Diseases and International Health

Johns Hopkins University

rcb@jhmi.edu

The Hopkins CCGHE Mission

• To provide clinical care and research training for health care providers in resource-limited settings

• To use cost-effective, telehealth and telemedicine tools for clinical education

• To demonstrate improved health outcomes among patients, of trained providers

Johns Hopkins University

Global Health Research Partnerships

Why Telehealth and Telemedicine?

• Greater access to more providers

• More rapid and timely information

• More consistent content quality

• Optimal for continuing medical education

• Limits “Brain Drain”

• More cost-effective than other training initiatives

Role of IT Support of Indo-US Collaborative Clinical Research

• 1992: “What is email?”

• 1996: “What is a local data management network?”

• 1999: “What is ftp?”

• 2002: “What is on-line data entry?”

• 2005: “What is video conferencing?”

• 2006: “What is Internet2?”

http://www.ccghe.jhmi.edu/ccg/index.asp

Use of InternetFor Support of Indo-US Research

• Research Training– E-learning – Telemedicine Training

• Research Conduct– Weekly Project Meetings– Portal

High resolution digital microscopy

Live ophthalmology demonstration

First Indo-US Internet2 Program: 3 October 2006

Internet2 ChallengesHealth Research and Education in India

• Other priorities for HB network support

• Reliable bandwidth

• Set-up cost

• Usage cost

• Local technical support

• Dependence on outside technical support

• Cost of content development