1. Integrated Mobile Medical & Telemedicine/Telehealth Research Centers Copyright © 2005 CGI Communications Services, Inc.

2. 2 Integrated Mobile Medical & Telemedicine/Telehealth Research Centers IMPROVING HEALTH CARE ACCESS IN THE RURAL COMMUNITIES WITH MODERN TECHNOLOGY “TELEMEDICINE/TELEHEALTH AND MOIBLE MEDICAL CENTER PARADIGM”

3. CGI Communications Services, Inc. 3 Executive Summary Technological innovations lead to applications development for enhancement of human life and its value, which largely remained limited to certain areas of the world creating Digital Divide. Rapid development of telecommunication technology has given the opportunity for access to development system, irrespective of geographic distance, again such remained confined to urban population of many nations, creating Digital Access Divide (DãD). The Rural Organ for Access to Development (The ROAD Project) is an initiative, to allow access to development tools for rural population in less developed areas of developing nations.

4. CGI Communications Services, Inc. 4 Integrated Mobile Medical & Telemedicine/Telehealth Research Centers MRI Unit

5. CGI Communications Services, Inc. 5 Integrated Mobile Medical & Telemedicine/Telehealth Research Centers Gynecological Suite

6. CGI Communications Services, Inc. 6 Integrated Mobile Medical & Telemedicine/Telehealth Research Centers InterCare Vascular Diagnostic Center

7. CGI Communications Services, Inc. 7 Integrated Mobile Medical & Telemedicine/Telehealth Research Centers Special Procedure Unit

8. CGI Communications Services, Inc. 8 Integrated Mobile Medical & Telemedicine/Telehealth Research Centers Radiology/Nuclear Medicine Unit

9. CGI Communications Services, Inc. 9 Integrated Mobile Medical & Telemedicine/Telehealth Research Centers Mini-Dental Unit

10. CGI Communications Services, Inc. 10 Integrated Mobile Medical & Telemedicine/Telehealth Research Centers Consulting Room

11. CGI Communications Services, Inc. 11 Integrated Mobile Medical & Telemedicine/Telehealth Research Centers Microbiology Unit

12. CGI Communications Services, Inc. 12 Integrated Mobile Medical & Telemedicine/Telehealth Research Centers Clinical Laboratory Unit

13. CGI Communications Services, Inc. 13 Integrated Mobile Medical & Telemedicine/Telehealth Research Centers Digital Mammography Unit

14. CGI Communications Services, Inc. 14 Integrated Mobile Medical & Telemedicine/Telehealth Research Centers Two Bed ICU

15. CGI Communications Services, Inc. 15 Integrated Mobile Medical & Telemedicine/Telehealth Research Centers Three Bed Medical Ward

16. CGI Communications Services, Inc. 16 Integrated Mobile Medical & Telemedicine/Telehealth Research Centers OB-Delivery Room

17. CGI Communications Services, Inc. 17 Integrated Mobile Medical & Telemedicine/Telehealth Research Centers Neonatal ICU

18. CGI Communications Services, Inc. 18 Integrated Mobile Medical & Telemedicine/Telehealth Research Centers Mini-Gym

19. CGI Communications Services, Inc. 19 Integrated Mobile Medical & Telemedicine/Telehealth Research Centers Special Hospital Layout

20. CGI Communications Services, Inc. 20 Integrated Mobile Medical & Telemedicine/Telehealth Research Centers Ambulatory Care Center Layout

21. CGI Communications Services, Inc. 21 Executive Summary - Continued The first program under the ROAD project is an Integrated Mobile Medical & Telemedicine/Telehealth Research Centers, a healthcare delivery and management vehicle for the developing countries. The Mobile Medical Center which is built on a large van or trailer, epitomizes the Millennium initiative to bring healthcare technology closer to the beneficiaries in the rural population. The aim has been to bring advancements in modern medical sciences at the doorstep of the common man, who otherwise would have been neglected of its benefits.

22. CGI Communications Services, Inc. 22 Executive Summary (continued) These private sector programs will empower development schemes of government and non- government machineries, to create a viable, visible and sustainable access mechanism, for continued development of rural population, as newer technologies evolve. This health care model will make it possible to provide state of the art comprehensive health care to the needy and poor people at their doorstep in remote areas of Latin American Countries practically at no cost to the recipients, since relatives abroad will underwrite the cost of services for the relatives at home.

23. CGI Communications Services, Inc. 23 Mission To harness the advanced efficiencies and capabilities of current medical, information, and communications technologies to improve the delivery of primary and specialized health care to rural populations.

24. CGI Communications Services, Inc. 24 Objectives Meet basic and primary health care needs of rural communities. Deliver expert medical services to rural doctors, nurses, healthcare aids. Provide network-based tele-diagnostic services and sample collection for testing at advanced laboratories. Assure timely intervention into disease processes. Provide an intervention resource for disease. Increase awareness for safe motherhood and childhood. Improve patient compliance; reduce drug abuse. Improve delivery and administration of prescription drugs. Deploy each MMTTRC at a cost <US $500,000. Provide support resources to rural medical professionals to improve care delivery to their patients. Elevate the rural economy by –reducing morbidity rate and healthcare costs –reducing frequency and costs of travel for medical purposes –improving productivity

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27. CGI Communications Services, Inc. 27 Components of MMTTRC - Physical MMTTRC Doctor’s Office Computer Library Monitoring System Mobile Doctor Telemedicine Computer ICE Software D-Camera D-Stethoscope D-Spirometry Microscope ECG, BP, Weight Pharmacy Bar Code Reader Electronic Record Drug Advise Printer Laboratory Sample Collection Labeling Centrifuging Rapid Tests Vasogram Packaging and Courier TelephoneGenerator

28. CGI Communications Services, Inc. 28 Benefits For Rural Patients:  Patient’s access to expert medical advice through Telemedicine  Improved care at lower cost (patient will spend ~40% of the cost compared to district level medical care)  Improved diagnoses: Advanced pathological services from rural health centers  Timely and accurate intervention and referral systems  Expanded formulary of quality prescription medications and services, used accurately.  Diagnostic needs met faster, and greatly reduced error, at half current cost.  Disease monitoring services for Diabetes, Hypertension, etc.  Customized and appropriate attention to family medical needs

29. CGI Communications Services, Inc. 29 Benefits For Rural Doctors:  Continuity of present practice  Improved diagnostics through Telemedicine technologies  Potential earnings increased by 3x  Access to no-cost, continuous CME  Improved Confidence through professional support  Clinically acceptable practice guidelines  Evidence-based medical practice  Care providers form focal point for rural development  Connected to advanced medical facilities 24H/7D  Elimination of professional isolation

30. CGI Communications Services, Inc. 30 EXAMPLE: ICE ELECTRONIC HEALTH RECORD SYSTEM

31. CGI Communications Services, Inc. 31 EXAMPLE: ELECTRONIC MMTTRC DIAGNOSTIC SYSTEM

32. CGI Communications Services, Inc. 32 Software Integrated in Web Portal ICE Electronic Health Record with Telemedicine & Telehealth Component; Messaging System; E-Commerce System; Laboratory Information System; Pharmacy Retail - Chain Management System; Management Information & Training System; Data Storage, Archiving and Retrieving System; Communication and Networking System;

33. CGI Communications Services, Inc. 33 Healthcare Service Programs 1.Diagnostic Healthcare System; 2.Primary Healthcare & Teleconsultation System for expert opinion (includes all medical specialties); 3.Women’s Healthcare System; 4.Children’s Healthcare System; 5.Pharmacy Retail Chain System; 6.Professional and field force training Mechanism; 7.Education, research and monitoring System; 8.Rural (Community) Health Insurance Programs;

34. CGI Communications Services, Inc. 34 Foundation of Rural Health System Clinical Medicine Pharmacy Telemedicine Telecommunication Clinical Laboratory & Hospital