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Telemedicine Experience in Latin America MANIAPURE program in Venezuela ATA/ATALACC Panama,Aug.17 2008 Eng.Morel Orta/Tomás Sanabria M.D.

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Presentation on theme: "Telemedicine Experience in Latin America MANIAPURE program in Venezuela ATA/ATALACC Panama,Aug.17 2008 Eng.Morel Orta/Tomás Sanabria M.D."— Presentation transcript:

1 Telemedicine Experience in Latin America MANIAPURE program in Venezuela ATA/ATALACC Panama,Aug Eng.Morel Orta/Tomás Sanabria M.D.

2 Pintor Walter Arp,< 1965 buscando el gallito de las Rocas llegó a Maniapure

3 Maniapure Naturaleza y ciencia

4

5 We work in very isolated communities Where do we come from?

6 Centro la Milagrosa Maniapure region Cedeño district Bolívar State, Venezuela

7 Centro La Milagrosa - Maniapure

8 Primary care at Centro La Milagrosa ADS Medicine : one MD on his Rural year & clerckships with 6th year medical students UCV > 400 patients monthly at CLM Last year Dental Medicine students from UCV y USM universities and others Dental primary care since 1998 Centro La Milagrosa ADS Clinical Lab & Bioanálisis students UCV since January 2001 A Physician and comunication made the difference !

9 before after Our Experience

10 Rural MD makes primary evaluation second opinion request vía Internet. Confirmatorio sub-specialty consultation we have been able to solve complex cardiovascular and neurosurgical cases without delays. Top Specialty doctors available for the most remote regions Our Experience

11 Wonken - Municipio Gran Sabana Our 13 yearExperience Reproduced in 3 months

12 WONKEN - Gran Sabána - WiFi Our Experience

13 Who are we ? Telesalud de Venezuela is a private company created by health and IT professionals whose experience originated in the Maniapure project. The company is dedicated to provide telemedicine services to rural (and more recently urban) areas of Venezuela. Our program continues to be free of charge to the Maniapure project, but for other clients, services are being financed by private and public institutions, as part of their social responsibility.

14 Ability to solve problems fast Our team follows the community wills Independance in transportation Multidisciplinary team Dedication and love for our work Our Experience

15 Some results from La Milagrosa clinic 13 years of telemedicine (radio, phone, fax, Internet) 14 MDs on their rural year (one year each) > 450 clerckship students on health related sciences > 100 volunteer clerkships (France, Spain,USA,GB, Japan,Egipt,New Zealand etc) patients/month seen ( regional centers). Aproximately 5% requiere teleconsultation. Aproximately 20% of teleconsults require referal. Our Experience

16 Active centers

17 BroadBand Internet ADSL EVDO WI-FI Laptop or portable device Application Server Firewall Web Server Virtual Triage Center Specialty MD BroadBand Internet ADSL VSAT WI-FI Rural clients ECG PC Scaner Printer Microscope Digital Camera Digital video camera Laptop VoIP phone Portable Lab Technical Platform Our Operating Model

18 Operating Model Virtual Triage Center (VTC) Rural health prof. Remote clients Rural ClinicRural HospitalOther clients Internal Medicine DermatologyParasitologyCardiologyE.N.T. Trauma- Orthopedics Specialty MDs Second opinion Web based application Broad Band Internet Internal Medicine specialist Second opinion Web based application Broad Band Internet

19 Virtual Triage Center (VTC) Remote client Generates teleconsultation and sends it to VTC. Receives answer from VTC and makes decision by his own criteria. Consults medical literature online. Demands second opinion at medical sub-specialty centers. (fourth level institutions). Generates teleconsultation and sends it to VTC. Receives answer from VTC and makes decision by his own criteria. Consults medical literature online. Demands second opinion at medical sub-specialty centers. (fourth level institutions). Specialty MDs Physician at VTC receives second opinion request and answers general specialty questions. Forwards sub-specialty questions to sub-specialty related health care professionals. forwards to clients answers received from sub-specialty physicians.. Generates service statistical data and billing information for administrative purposes. Physician at VTC receives second opinion request and answers general specialty questions. Forwards sub-specialty questions to sub-specialty related health care professionals. forwards to clients answers received from sub-specialty physicians.. Generates service statistical data and billing information for administrative purposes. Afiliated sub-specialty physician receives and answers requests received from VTC. Processes Operating Model

20 Telesalud Web page Operating Model

21 We can offer a wide range of services among which : Second medical opinion services. Consultation and site assesment for the installation of rural telemedicine services. Telemedicine project management. Telemedicine web based application design. Telemedicine equipment providers. Telehealth personel education and training. What can we offer ?

22 People with needs (patients & communities) technology Human resources (universities & local) $$ Financial resources telesalud

23 Telemedicine components Technology Human Resources Knowledge & Experience Software and applications Telecomunication Hardware & software (TI) Medical equipment Students and clerckships General Practitioners Subspecialties (Health & Technology) Training What can we offer?

24 Dr.J.R.Arosemenas visit to Maniapure-LaUrbana- Tumeremo-La Esperanza- Uriman and Kamarata 12 Flying hours

25 La Esperanza -Guyana border 50 kms in 3 hours.First Internet conexion on Sat.Jan at 11 pm… Where are we going ?

26

27 January Urimán ATALACC President, Dr J.R. Arosemena,visits Uriman at gives advice to microscopist Where are we going ?

28 PC-ECG con USB y sala Telemedicina Urimán

29 Flagstaff ( 3ra ciudad de Arizona) Tuba City Learning from Others…

30 Ecocardiografía = vía Internet

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32 Colorado valley / near Maniapure May 2008

33 telecardiology

34 Tele-ophtalmology ?

35 Colorado 2008 evaluation results: -470 patients screening for tropical diseases. ->200 patient ophtalmol. Evaluat. -25 echocardiograms (2 surgical congenital cases detected / ASD and VSD).

36 PortableLight project portableLight can be charged in 3 hours of sunlight and provide 8 hours of working light (100 lumens) and connected provide energy for small medical equipment.

37

38 Curiapo – Orinoco Delta

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40 First Excelence Price for 2008 From: "Proyectos" Subject: DATOS REUNIÓN CASOS GANADORES PREMIO A LA EXCELENCIA 2008 Date: August 11, :21:38 PM GMT-04:30 To:, 2 Attachments, 6.6 KB Save Slideshow Estimado Dr. Sanabria, Tal como conversáramos hace un momento, el día viernes 15 de agosto estaremos realizando la presentación de los casos ganadores La reunión se realizará en la sede de nuestras oficinas: Dirección: Campo de la Universidad Metropolitana, Centro de Artes Integrales (Colina Creativa), Módulo 3, Planta Alta, Terrazas del Ávila. La hora de la reunión: 9:00 am Punto de referencia para llegar: Como quien viene a Supermercados Éxito, en el portal de la Universidad Metropolitana encuentras dos puertas: Entra por la izquierda que dice Universidad Metropolitana, y en la primera sigues a mano izquierda (como quien va al Colegio Ávila). Allí está el estacionamiento y la Colina Creativa. El modulo 3 está justo encima del Gimnasio. Para nosotros será un honor contar con su presencia. FELICITACIONES! Cualquier otra información adicional, puede comunicarse con nosotros. Cordiales saludos, Andreina

41 thank you !!

42


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