Medical Knowledge Management over NKN Infrastructure ...workshop.nkn.in/2012/Document/slides/Knowledge... · Medical Knowledge Management over NKN Infrastructure & Process SGPGI,

© SGPGI, Lucknow First NKN Annual Workshop "The e-Infrastructure of India" ; 31-1 November 2012

Medical Knowledge Management over NKN Infrastructure & Process

SGPGI, Lucknow Case Study

Prof. S K Mishra, MS, FACS Head, Dept. of Endocrine Surgery &

Faculty I/C, SGPGI Telemedicine Programme Sanjay Gandhi Postgraduate Institute of Medical Sciences (SGPGIMS)

Lucknow, India Email: [email protected] or [email protected]

www.sgpgi-telemedicine.org | www.stbmi.ac.in | www.nrct.in


Agenda

• Infrastructure & Operation – Physical (Collaborative Knowledge Exchange Environment)

– Technical (ICT, A/V, Content Development)

– Human Resources

• Knowledge Management Modules

• SGPGI Knowledge Management SOP

• Usage Statistics (1999 ~ 2012) – NKN Component (2010 ~ 2012)

• Conclusion


SGPGIMS – National Knowledge Network Partners


International Partners


SAARC Telemedicine Network


PAN Africa e-Network


Technical Infrastructure

• Video Conference Suites (Point to Point & Point to Multi-point)

• Integrated Networked Lecture Theatre/ Auditorium • Surgical Telepresence Suite • Digital, Integrated Operation Theatre • Desktop Videoconference Enterprise • Mobile Telemedicine Kiosk • Telemedicine Network Operating Center • Studio • Knowledge Processing Edit/Voice Over • Medical Data Center • Advance Multimedia & Animation Lab


Point to point Video Conferencing Suite


Point to Multipoint Video conferencing Suite

Dept. of Medical Genetics in Multi party session Ongoing conference using TEIN Network with

Nepal & Thailand


Integrated Networked Lecture Theatre/ Auditorium


Production Control Room & Master control Room


Surgical Telepresence Suite


Digital, Integrated Operation Theatre


Desktop Videoconference Enterprise

Participation in Asia Pacific Advanced Network (APAN) using Software based Video Conferencing


Mobile Telemedicine Kiosk (Operation using Hospital LAN)

Mobile kiosk @ Patient’s bedside Doctor’s Duty Room

Tele-Clinic in Out Patient Department Department’s Seminar Room


Telemedicine Network Operating Center


Studio & Production Control Room


PAN Africa eNetwork


SAARC Telemedicine Network


Knowledge Processing : Editing/Voice Over


Knowledge Processing Edit/Voice Over

Data Server

Network Monitoring Hub

Production Control Unit (PCR)

Hi-Tech Lecture Theatre

Integrated Operation Theatre

Video Conferencing Suite Edit Stations

Broadcast Quality Studio Camera

SGPGI Knowledge Engineering Architecture


Data Center (National Resource Center)

Hospital Backup Servers

Web Servers, Mail Servers

Proxy Servers

Application Servers

Data & Video Storage

Video Bridge RMX 2000

Streaming Server RSS 2000

Video Scheduler

Wide Area Application Server (WAAS)


Intra-Hospital Telemedicine Network

• Riding over Hospital Information System Network


Tele-Clinic

Mobile Kiosk @ WARD

Mobile Kiosk @ Doctor’s Duty Room

Nephrology

Neurology

Nuclear Medicine

OT Cafeteria

Endocrine Surgery

Pathology

Radiology

Immunology

SGPGIMS Telemedicine

HUB at School of Telemedicine &

Biomedical Informatics

(STBMI)

Radiotherapy


Human Resources

Designation Current Positions at STBMI

Telemedicine Network Manager 01

Telemedicine Program Manager 01

Telemedicine Program Coordinator 01

Web Designer & Developer 02

Digital Medical Illustrator 01

Content Developer 02

Network Engineer 02

Human Resource Manager 01

Assistant Librarian 01

Telemedicine Technical Assistant 06

Tele-Communication Assistant 02

Driver 01

Office Assistant (Multi-tasking) 03


Knowledge Management Modules

• Knowledge Portal

• Tele CME

• Tele-Surgery, Tele-Pathology, Tele-Radiology etc

• Tele-Conference/ Workshop/ Seminar

• Departmental Knowledge Content Storage & Archive

• Clinical Decision Support System (CDSS)

• Remote Assistance in Pre-intervention Plan & Intra-intervention Mentoring


Process

• Scheduled Basis

– National , SAARC, Pan-Africa

• Real Time & Interactive

• Webcasting, Video on Demand

• Web-Streaming

• Webinar


Live streaming of surgical video

Live streaming of surgical video at doctor’s workplace


Mobile Learning


Evolution of telecom infrastructure at SGPGI Telemedicine programme

Communication Bandwidth Year Network / Source

ISDN Lines 384 Kbps 1999 Institute Resource

ISRO VSAT 256 Kbps 2003 Orissa Telemedicine

Reliance 1 Mbps 2006 Raibareli District Hospital under

GAIL CSR

BSNL 512 Kbps 2008 SAARC Telemedicine

Railtel 1 Gbps 2010 National Knowledge Network

BSNL- Fiber to

Home (FTTH)

100 Mbps 2010 Institute Resource

AirTel 2 Mbps 2011 Pan-African eNetwork


SGPGI Knowledge Management SOP

• Agreement with partner on schedule and content

• Daily Testing of the network & Platform with partners

• Reminder to both remote partners and the SGPGI Faculty a day before

• Archival of the content

• User feedback session wise both in technical and content quality and benefit thereof

• Maintenance of the Log Book & Weekly review


Usage Statistics (1999 ~ 2012)

572

205

27

349

8 51

0

50

100

150

200

250

300

350

400

450

500

550

600

Tele-Education Teleconsultation & Followup

CME Transmission

from 1999-2012 (without NKN) using NKN (2010-2012)


Statistics in Detail (1999- Aug. 2012)

Description Number of Hours

VC hrs for Trial Testing 1500 Hrs

Session hrs 1824 Hrs

Total Hrs 3324 Hrs

Activities Number of Sessions

Tele-Education 572

Tele-Followup & Consultation 205

CME Transmission 27

Total Sessions 804


Usage Statistics with NKN (2010-2012)

Activities Number of Sessions

Tele-Education 349

Tele-Consultation & Tele-followup 6

CME Transmission 51

Total Sessions 406

Description Number of Hours

VC hrs for Trial Testing 740 Hrs

Session hrs 865 Hrs

Total Hrs 1605 Hrs


E-governance (UP CPMT Counseling)

Year First Phase Second Phase Third Phase Days Hours of Video conferencing in

Multi Point Conferencing

2011 12 -28 July

(16)

05- 13 Sept

(08)

17 to 18 Nov

(02)

26 Days 260 Hrs

2012 16 -24 July

(08)

5 – 18 Sept

(13)

21 Days 210 Hrs

470 Hrs.


CPMT 2012 Counseling


Conclusion

• Knowledge engineering and technology infrastructure constitute one of the major component of Knowledge creation and it’s usage in an institutional set up

• Content development starting from capture to final product involves complex interplay of actors and network

• Managing the content in an enterprise involves issues beyond technology e.g. social, ethical, ownership etc.

• SGPGI case study aims at sharing the journey over a decade in developing knowledge management infrastructure which is still in progress

• Provision of high internet bandwidth from NKN is facilitating the institution vision in knowledge sharing

• As the infrastructure is getting ready in managing big data (medical image, skill videos, 3D animated contents for VR & simulation based learning, Avatar and games for health technology adoption for e-learning) high performance computing and network would be needed

• Though cloud based e-learning technology is coming up in health domain, GRID is still needed for managing big data of medical educational content over an enterprise such as national medical college network


Thank You www.sgpgi-telemedicine.org | www.stbmi.ac.in | www.nrct.in

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Medical Knowledge Management over NKN Infrastructure ...workshop.nkn.in/2012/Document/slides/Knowledge... · Medical Knowledge Management over NKN Infrastructure & Process SGPGI,