Prof.R .

Raveendra
Chairman-IPA-Edu-div
R R College of Pharmacy

ICUs and
CCUs

Bedside and
Central
Monitoring

CT Scanner, Ultrasonic Scanner, MRI

Scanner

Use of Microprocessors and Microcontrollers

Role of ICT in Healthcare

"The
revolution
in
communication
technology
needs to be harnessed to deliver
healthcare services in rural India.
The need is to create an Healthcare system that is both
affordable and effective"
Former President Dr. A.P.J Abdul
Kalam.

ICT, specifically the internet enables

people to get access to huge pool of
information irrespective of caste, creed,
race, sex, physical ability, location and
social background.

Telemetry: means for monitoring and

studying human and animal physiological
functions from a remote site.

Telemedicine: use of electronic information

and communications technologies to provide
and support health care when distance
separates the patient and the doctor. In
telemedicine. The expertise is transferred
and not the patient.

Telehealth: use of electronic information

and telecommunication technologies to
support long-distance clinical health care,
patient and professional health-related
education, public health and health
administration.
Broadly includes: telemedicine, education
and informatics.

e-Health: refers to all forms of electronic

health care delivered over the internet

eHealth = Medicine +
Communication + Information +
Society

eHealth is an emerging field of medical

informatics.

Refers to the delivery of health services

and information using the Internet

Characterizes not only technical

development, but a new way of working,
an attitude and a commitment for
networked, global thinking.

Uses ICT to improve healthcare locally,

regionally and worldwide.

eHealth includes a range of services in

medicine/healthcare and information technology.

Electronic Health Records: enable easy

communication of patient data between different
healthcare professionals (GPs, specialists, care
team, pharmacy)

Telemedicine: includes all types of physical and

psychological measurements that do not require
a patient to travel to a specialist.

Consumer Health Informatics: both healthy

individuals and patients want to be informed on
medical topics.

Health Knowledge Management : overview of

latest medical journals, best practice guidelines or
epidemiological tracking. Examples include
physician resources such as Medscape and MDLinx.

Virtual Healthcare Teams: consist of healthcare

professionals who collaborate and share
information on patients through digital means

mHealth: includes the use of mobile devices in

collecting aggregate and patient level health
data, providing healthcare information to
practitioners and patients, real-time monitoring
of patient vitals, and direct provision of care via
mobile telemedicine.

Healthcare Information Systems: refer to

software solutions for appointment scheduling,
patient data management, work schedule
management and other administrative and
financial tasks.

Cybermedicine is the science of applying Internet

and global networking technologies to the area of
medicine and public health, of studying the impact
and implications of the Internet and of evaluating
opportunities and the challenges in healthcare.
Internet

Medical Informatics
Tele
me

dicin
e

Clinical Medicine

Cy

e
n
i
d ic
e
erm

Public Health
Preventive Health

Therapy
Diagnosis

Medical / Health Education

On-line
Consultation
On-line
Information
On-line Pharmacy

Sources used to Access Health Information

Healing yourself via YouTube: The

Amazing and Frightening future of Healthcare
Tele-Consultation: Doctors credential,
locating the cyber doctor in case of wrong
medical advise, responsibility and privacy
issues.
Tele-Information: Validity of information,
reliability and authenticity issues
Tele-Pharmacy: Responsibility in case of
side effects of drug, sale of unproved drugs,
no doctor-patient relationship

Immediate On-line reports from Hospitals

Tracking System for pregnant women and
children
Routine Immunization Monitoring System
RFID smart cards for capturing patient
and doctor data
Video Conferencing System including
tele-education
Employees Information System

 Delivery of healthcare or exchange of

medical information across distances
using Information Technology.

OBJECTIVE
Move the information
Instead of the patient.

International Telemedicine
Project
(for Myanmar & Tanzania)
MoU with Sehej for the eSanjeevani
hosting on the CSCs under the NeGP
Telemedicine project for Punjab
Tele Ophthalmology Project from MoHFW
Successfully implemented the pilot project
Project sanctioned (C-DAC Mohali and Pune)
Visualized
1998 1999

2002

2005

2007

2008

Telemedicine
Station

Uneven geographic distribution of health care

resources throughout the country facilities
and health manpower
Inadequate access to health care on the part
of certain segments of the population,
including underprivileged, isolated
Unabating rise in the cost of care, including
the cost on transport

Potential for improving the health status and

quality of life gets limited

Telemedicine proposed as a multifaceted

response to address all the three problems
simultaneously

TELEMEDICINE
Telemedicine includes digital conversion and
transmission of
Data
Still Images
Video
Audio
- All patient related medical data
Patient records / History
Images; X-ray; CT, Ultrasound, MRI etc.
Investigations
Prescriptions etc.

TELEMEDICINE : HOW?

Transferring the information over the

communication channels like :
POTS, ISDN, ATM, VSAT, Internet etc.

Getting back the views/opinion of the

Specialist over the same channel.

APPLICATIONS OF TELEMEDICINE
Tele-diagnosis
PATIENT

DOCTOR
Tele-consultation
Patient

DOCTOR

SPECIALIST

Tele-education
Interns
Interns in
inCity
CityB
B
DOCTOR in
in City
City A
A
DOCTOR

Interns
Internsin
inCity
CityC
C
Interns
Internsin
inCity
CityD
D

(Store & Forward Concept)

Static Mode
Pathology slides, physiological signals like ECG, EMG,
Respiratory Rate etc. acquired/collected at patients
end and transferred to the experts end.
Still images and pictures scanned or directly acquired
and communicated.

(Real Time Concept)

Dynamic Mode

Regularly varying / condition dependant parameters

like ECG, heart sounds & video clips transferred to the
experts end online.

Video Conferencing

Desktop Video-conferencing.

Patient Registration

Symptoms

Hematology

Urine

Stool

Bio-Chemistry

Images

X-Ray

Ultrasound

CT- Scan

Case Information

TELEMEDICINE GLOBAL MARKET

Market of telemedicine increased from $ 4.8

billion in 2006 to an expected level of $
13.9 billion by 2012.

India with 70% population in rural areas has

tremendous potential for telemedicine.

TELEMEDICINE GLOBAL MARKET

Tele-home market currently

accounts for 22% of the
market and is expected to
capture 37% of the telemedicine
market by 2012

Telemedicine service market is expected to

grow from $ 3.6 billion in 2007 to $ 8.3 billion
in 2012, mainly driven by tele-hospital service
market.

 Need

for better clinical outcome (preference)

Increasing acceptance by patients
Centralized EHR / EMR
Improved technology infrastructure
Increased
focus
of
Companies
on
telemedicine as a key to market differentiator
Rising e-Health Care Market
Growing investments in Tele-medicine
(particularly by developing world, developed
world in exotic telemedicine)

Major components in Tele - Home Care

Health Care Services using tele-cardiology for
early detection of abnormalities

Hospitals outsourcing cardiology

image management to specialists

Cardiac patients experience higher comfort

level with tele-cardiology

Larger number of cardiac patients being

monitored remotely

Mobile Emergency services opting for telecardiology

Development of super-specialty centres

Use of film less imaging

Helps laboratories to increase revenues by

leveraging mutual global partnerships

Hospitals reducing pathological cost and increasing

promptness

m-Health Mobile health Information

Technology refers to use of portable
devices to create, store, retrieve and
transmit data in real time between the
end users (patients and doctors)

3.5 billion mobile phones in use across

the globe number growing, more in
developing countries offer great potential
in tele-medicine.

Mobile Penetration

1998

2008

2018 (Est.)

Global
China
India

5%
2%
<1%

55%
48%
28%

96%
100%
82%

Mobile Data Service

Revenue

4%

19%

40%

Main Data
Application

SMS

SMS, Browsing,
Video, Music,
Navigation etc.

Networks

1G&2G

2.5 G & 3G

5G & 6G

3G + Penetration

0%

18%

90%

Network speeds

<50 Kbps

Upto 2 Mbps Upto 1 Gbps

Mobile Phone allows

patients to
Register
Submit their case
history
Chat online with
doctors
Request or
reschedule of
appointments

Mobile Phone allows

patients to
Commence or renew
treatment plans
Order medicines to
be delivered at their
homes
Make secure
payments
Free consultation

* Common standards for sharing data i.e.

DICOM
(Digital
Imaging
and
Communication in Medicine) developed
by American College of Radiology.
*
Licensing
telemedicine.

consultation

via

*Reimbursement
of
expenses
consultation on telemedicine.

for

* Security of
confidentiality.

for

data

privacy

* Legal and regulatory issues.

and

Complex networks demanding standardization across

integrated Telemedicine Systems

Bench-marking global telemedicine

particularly Tele-Home Care Units

Reliability issues (Equipment & availability of Experts)

Increasing speed and reliability of data transfer

Increased use of wireless technologies in Telemedicine

Using more computer based diagnosis

Launching more user friendly technology

programmes,

Need for a new breed of Healthcare

Professionals, Healthcare Administrators
and Healthcare Technologists
Healthcare Industry is the last adopter of
technology.
In Healthcare Education even today the
medical, dental, nursing, pharmacology
do not have courses on IT.
Requires immediate action to include in
all courses related to Healthcare delivery.

eHealth is the single most

important revolution in
Healthcare since the advent
of modern medicine.
Its growth is inevitable

www.pgsciencecity.org