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Mohali - ICMCC

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C-DAC- <strong>Mohali</strong><br />

Centre for Development of Advanced Computing<br />

(A scientific society of Ministry of Communication & Information Technology, Govt. of India)<br />

A-34, Phase-VIII, Industrial Area, <strong>Mohali</strong>- 160071<br />

Phone : 91 –172-2237052 to 56, Fax 0172-2237050<br />

www.cdacmohali.in<br />

www.esanjeevani.in


Agenda<br />

About C-DAC, C<br />

<strong>Mohali</strong><br />

Aim and Objectives<br />

Telemedicine Softwares<br />

Telemedicine Milestone achieved<br />

Streamlining of ‘Medical Referral System’<br />

Concerns<br />

Q & A<br />

www.cdacmohali.in


Telemedicine<br />

Tele-Ophthalmology<br />

Who we are?<br />

www.cdacmohali.in


About C-DAC<br />

• First scientific society under the Ministry of<br />

Information Technology with<br />

ISO 9001– 2000 certification.<br />

• Leading provider of Referral/Consultation<br />

Telemedicine and Health Care Management<br />

solutions<br />

www.cdacmohali.in


CDAC & Telemedicine<br />

• Year of establishment 1989<br />

• Offers broad range of standard and<br />

customizable Tele-health solutions for use<br />

in remote diagnostics, connecting primary<br />

hospitals with specialist located at tertiary<br />

level institutions.<br />

www.cdacmohali.in


About C-DAC, C<br />

<strong>Mohali</strong><br />

Agenda<br />

<br />

Aim and Objectives<br />

Telemedicine Softwares<br />

Telemedicine Milestone achieved<br />

Streamlining of ‘Medical Referral System’<br />

Concerns<br />

Q & A<br />

www.cdacmohali.in


Aim & Objectives<br />

• Provide Super-specialty Timely Health<br />

Care to the common man at an affordable<br />

cost.<br />

• Lessen the health care burden from the<br />

surrounding states at Medical colleges and<br />

other super specialty Hospital using ICT<br />

• Optimize and multiply the limited health<br />

care resources<br />

www.cdacmohali.in


Aim & Objectives<br />

• Education of nursing and Para-medical staff<br />

and providing technician training and Telemedicine<br />

for the rural population can<br />

strengthen trained manpower resources in the<br />

rural areas<br />

• Develop Healthcare Management Information<br />

System<br />

www.cdacmohali.in


About C-DAC, C<br />

<strong>Mohali</strong><br />

Aim and Objectives<br />

Agenda<br />

<br />

Telemedicine Softwares<br />

Telemedicine Milestone achieved<br />

Streamlining of ‘Medical Referral System’<br />

Concerns<br />

Q & A<br />

www.cdacmohali.in


C-DAC’s Telemedicine<br />

Software Packages<br />

Medical Electronics and Informatics<br />

TELEMEDICINE<br />

Sanjeevani<br />

(An integrated Desktop<br />

Telemedicine Solution)<br />

e-Sanjeevani<br />

(Web based<br />

Telemedicine Solution)<br />

www.cdacmohali.in


Telemedicine Standards<br />

DICOM<br />

HL-7<br />

TWAIN<br />

www.cdacmohali.in


Sanjeevani<br />

• Client server model, Centralized database server.<br />

• Comprehensive EMR, Unique patient ID.<br />

• Support all the major communication media.<br />

• Interoperability with medical instruments<br />

• Supports the DICOM standard for images.<br />

• Inbuilt image enhancement tools, Case summary<br />

• ITU standard compatible videoconferencing.<br />

• Hybrid model- Easy installation and configuration<br />

www.cdacmohali.in


Sanjeevani snapshot


Feature of e Sanjeevani<br />

• No installation<br />

• No configuration needed.<br />

• Online diagnostic test reports.<br />

• Secured environment<br />

• HL7 standard support<br />

• Case summary and Report generation<br />

• Central repository<br />

• User event log service<br />

• Scalable<br />

www.cdacmohali.in


Snapshots of e-Sanjeevani<br />

www.cdacmohali.in


Snapshots of e-Sanjeevani<br />

www.cdacmohali.in


About C-DAC, C<br />

<strong>Mohali</strong><br />

Aim and Objectives<br />

Agenda<br />

Telemedicine Softwares<br />

<br />

Telemedicine Milestone achieved<br />

Streamlining of ‘Medical Referral System’<br />

Concerns<br />

Q & A<br />

www.cdacmohali.in


Completed Projects<br />

Pilot project on ‘Development of Telemedicine<br />

Technology and its Implementation’<br />

• Started in 1999 under the aegis of MIT GOI with the<br />

total cost of 70 Million INR (1.7 Million USD<br />

approx.).<br />

• Successfully completed in 2003 connectivity AIIMS<br />

New Delhi, PGI Chandigarh, PGI Lucknow and<br />

providing latest medical and IT equipment and 384<br />

kbps ISDN connectivity.<br />

www.cdacmohali.in


www.cdacmohali.in


Projects under implementation<br />

1. Development and Implementation of Telemedicine application<br />

in rural areas of Himachal Pradesh<br />

2. Development and Implementation of Telemedicine application<br />

in rural areas of Punjab<br />

3. Develop and Implement Tele-Ophthalmology Application for<br />

delivering Multi Specialty Eye Care in Remote Areas of Punjab<br />

4. Upgradation of the existing telemedicine software by including<br />

additional clinical modules of dermatology and nephrology and<br />

maintenance of the existing telemedicine network<br />

5. Development of Health Care Management Software Package.<br />

www.cdacmohali.in


Life Cycle of Project<br />

Phase 3 –<br />

Implementation,<br />

Training and Site Trials<br />

o Implementation of<br />

Telemedicine Application<br />

o Training<br />

o Site Trials<br />

o Handing Over to HP<br />

C-DAC<br />

MOHALI<br />

Phase 1 – Planning,<br />

Budgeting and<br />

Approval<br />

o Potential Investments<br />

Approved by MCIT<br />

o Potential Investments<br />

Certified by C-DAC,<br />

<strong>Mohali</strong>.<br />

o Financial Contribution<br />

made by Public Health<br />

Department Of state.<br />

Phase 2 – Preparation of<br />

Sites<br />

o Site Inspection<br />

o Establishment of Communication Media<br />

o Procurement of Equipments<br />

o Installation of Equipments<br />

www.cdacmohali.in


Network Diagram<br />

www.cdacmohali.in


www.cdacmohali.in


Network Connectivity<br />

www.cdacmohali.in


Difficulties faced during Installation<br />

of TMC site<br />

• Inhospitable Terrain<br />

• Hazardous Roads<br />

• Cold Weather Conditions<br />

• Physician reluctance to change traditional<br />

practice methods<br />

• Turnover of personnel<br />

• Infrastructure limitations<br />

• Workload credit<br />

• Legal, licensing, confidentiality issues<br />

www.cdacmohali.in


Path leading to the TMC site<br />

www.cdacmohali.in


Punjab Telemedicine Network Diagram<br />

www.cdacmohali.in


Rajindra Hospital,<br />

Patiala<br />

Faridkot Medical College<br />

Amritsar Medical college<br />

Medical Colleges<br />

www.cdacmohali.in


Bathinda<br />

Fatehgarh Sahib<br />

Faridkot<br />

Gurdaspur<br />

C.H.Hoshiarpur<br />

C.H.Jalandhar<br />

C.H.Kapurthala<br />

C.H.Ludhiana<br />

Muktsar<br />

Nawan Shahar<br />

C.H.Rupnagar<br />

C.H.Mansa<br />

C.H.Sangrur<br />

Moga<br />

C.H.Mansa<br />

District Hospitals<br />

www.cdacmohali.in


Snapshots of Punjab Telemedicine<br />

Centre<br />

www.cdacmohali.in


Medical Education<br />

www.cdacmohali.in


ele-Ophthalmology-Refraction Prescription<br />

www.cdacmohali.in


Cataract Diagnosis<br />

www.cdacmohali.in


Investigation Reports<br />

www.cdacmohali.in


Reports<br />

www.cdacmohali.in


About C-DAC, C<br />

<strong>Mohali</strong><br />

Aim and Objectives<br />

Agenda<br />

Telemedicine Softwares<br />

Telemedicine Milestone achieved<br />

<br />

Streamlining of ‘Medical Referral System’<br />

Concerns<br />

Q & A<br />

www.cdacmohali.in


Medical Referral System<br />

Diagram of Medical Referral System<br />

www.cdacmohali.in


About C-DAC, C<br />

<strong>Mohali</strong><br />

Aim and Objectives<br />

Telemedicine Softwares<br />

Streamlining of ‘Medical Referral System’<br />

Q & A<br />

Agenda<br />

Telemedicine Milestone achieved<br />

Concerns<br />

www.cdacmohali.in


Concerns!!!<br />

• Software development hurdles<br />

• Doctor’s reluctance<br />

• Networking problems<br />

• Project implementation hurdles<br />

• Government agency reluctance<br />

• Budgetary issues<br />

www.cdacmohali.in


About C-DAC, C<br />

<strong>Mohali</strong><br />

Aim and Objectives<br />

Agenda<br />

Telemedicine Softwares<br />

Telemedicine Milestone achieved<br />

Streamlining of ‘Medical Referral System’<br />

Concerns<br />

<br />

Q & A<br />

www.cdacmohali.in


www.cdacmohali.in

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