1. UNIVERSITY OF SOUTH ALABAMA http://www.usouthal.edu/emergingtech/

2. The Office of Emerging Health Technologies (OEHT) is committed to the principle of utilizing emerging information and communication technologies to reach the demands of our healthcare system and the surrounding communities. Our lead-user group approach in testing and deployment of caring edge solutions in the delivery of healthcare enables us to be a national leader in wired and wireless technologies. With this mission, OEHT provides services to rural and urban patients and physicians in Alabama and beyond. About Us:

3. Current OEHT Projects: Bio-monitoring - A home-based chronic disease monitoring program, using inexpensive technology that collects relevant real-time physiological data and transmits it through a phone modem to a nurse reviewed database. Bio-monitoring - A home-based chronic disease monitoring program, using inexpensive technology that collects relevant real-time physiological data and transmits it through a phone modem to a nurse reviewed database. Bio-terrorism - Planning and implementation of hardware, software, and networking infrastructure to address the dynamics associated with a sudden natural or terrorist event. Bio-terrorism - Planning and implementation of hardware, software, and networking infrastructure to address the dynamics associated with a sudden natural or terrorist event.

4. Traditional Telemedicine: Remote Doctor/ Patient video consulting Remote Doctor/ Patient video consulting Satellite Teleconferencing Satellite Teleconferencing Continuing Medical Education (CME) Continuing Medical Education (CME) ER TeleTrauma ER TeleTrauma Alabama Childrens Rehab Services Clinic Alabama Childrens Rehab Services Clinic Remote Sickle Cell Clinic Remote Sickle Cell Clinic Remote Neonatal Clinic Remote Neonatal Clinic Mobile County Department of Public Health Mobile County Department of Public Health HIV Clinic

5. New Technologies: Wireless Technologies Wireless Technologies Satellite Technologies Satellite Technologies 3D Diagnostic Imagery 3D Diagnostic Imagery Distributed Biomedical Data Collection Distributed Biomedical Data Collection Session TM by Wave 3 Software – An Economical PC Based Software Videoconferencing Solution Session TM by Wave 3 Software – An Economical PC Based Software Videoconferencing Solution

6. Session Features: Uses a software based Wavelet Codec that can run on a PC or Mac Uses a software based Wavelet Codec that can run on a PC or Mac Interoperates between both platforms Interoperates between both platforms Can be used anywhere a Broadband or Ethernet LAN connection is available Can be used anywhere a Broadband or Ethernet LAN connection is available Can be configured to emulate most of the same functions as the VTel, Polycom, and Tandberg codecs Can be configured to emulate most of the same functions as the VTel, Polycom, and Tandberg codecs

7. Session Components: IP Video Conferencing w/ Integrated Standards based Voice Over IP (VoIP) IP Video Conferencing w/ Integrated Standards based Voice Over IP (VoIP) ShareApp TM – Lets users dynamically view and work together in virtually any third party application. ShareApp TM – Lets users dynamically view and work together in virtually any third party application. MediaSpace TM – Utilizes peer to peer file transfers allowing distributed users to share a range of media in a common work space. MediaSpace TM – Utilizes peer to peer file transfers allowing distributed users to share a range of media in a common work space.

8. Video Snapshots: Session enables snapshot photos to be taken from the video stream during a call Session enables snapshot photos to be taken from the video stream during a call Snapshots can be made from either the Transmitter or Receiver video windows Snapshots can be made from either the Transmitter or Receiver video windows Snapshots are converted to JPEG images Snapshots are converted to JPEG images Can be accessed with MediaSpace or any other image viewing application. Can be accessed with MediaSpace or any other image viewing application.

9. Apple System Requirements: Macintosh G4 887 MHz processor Macintosh G4 887 MHz processor 256 MB RAM 256 MB RAM FireWire camera FireWire camera Apple OSX 10.1.5 Apple OSX 10.1.5 Apple QuickTime version 6 Apple QuickTime version 6

10. PC System Requirements: Pentium 4 processor based PC Pentium 4 processor based PC 256 MB RAM 256 MB RAM Microsoft Windows® XP Pro or 2000 Pro w/ Service Pack 2 or higher Microsoft Windows® XP Pro or 2000 Pro w/ Service Pack 2 or higher Apple QuickTime version 5 or higher Apple QuickTime version 5 or higher Microsoft® DirectX 8.1 Microsoft® DirectX 8.1 A USB port, FireWire card, or video capture card. A USB port, FireWire card, or video capture card.

11. Question… =? Can

12. Session Image Quality: Session has been tested computers connected via IP from both the USA internal LAN and to remote locations over the internet Session has been tested computers connected via IP from both the USA internal LAN and to remote locations over the internet Picture and sound quality is comparable to hardware based videoconferencing codecs Picture and sound quality is comparable to hardware based videoconferencing codecs Costs much less than the hardware based videoconferencing codecs Costs much less than the hardware based videoconferencing codecs

13. Session Screen During Video Conference

14. OEHT Demo Lab Testing: The following medical devices were connected to the USA OEHT demonstration lab computer using a video switcher connected to a USB video capture device:

15. Sony EVI-D30 Camera

16. Receiving end video using the Sony EVI-D30 Camera

17. SonoSite Portable Ultrasound

18. Receiving end video from the SonoSite Portable Ultrasound

19. Elmo EV-400 Doc Camera

20. Receiving end video using the Elmo Document Camera

21. AMD-2500 General Exam Cam

22. Receiving end video using the Sony EVI-D30 Camera

23. Welch Allyn Colposcope

24. Receiving end video using the Welch Allyn Colposcope

25. Other Useful Peripherals: Welch Allyn Otoscope Welch Allyn Otoscope Any other medical peripheral with a composite or S-Video connection Any other medical peripheral with a composite or S-Video connection Video tape for recording and/or playback Video tape for recording and/or playback Other remote or wireless devices that can share data (i.e. the TeleMedic Systems VitalLink 1200) Other remote or wireless devices that can share data (i.e. the TeleMedic Systems VitalLink 1200)

26. Suggested Improvements: Sony VISCA camera controls for zoom, pan, and tilt added Sony VISCA camera controls for zoom, pan, and tilt added Control of remote camera (planned) Control of remote camera (planned) True 640 x 480 resolution (planned) True 640 x 480 resolution (planned) More efficient use of IP bandwidth on cable and DSL More efficient use of IP bandwidth on cable and DSL

27. Current Session Projects: Doctor to Patient consults with USA Department of Obstetrics and Gynecology involving the monitoring of high-risk pregnancies in rural communities Doctor to Patient consults with USA Department of Obstetrics and Gynecology involving the monitoring of high-risk pregnancies in rural communities Remote Doctor/ Patient monitoring within USA and other local area hospitals Remote Doctor/ Patient monitoring within USA and other local area hospitals The Shadow Bowl Exercise of 2003 The Shadow Bowl Exercise of 2003

28. Shadow Bowl 2003: USA was one of seven medical schools nationwide to participate USA was one of seven medical schools nationwide to participate Coordinated through San Diego State University Coordinated through San Diego State University Shadowed Super Bowl XXXVII near Qualcomm Stadium Shadowed Super Bowl XXXVII near Qualcomm Stadium

29. Shadow Bowl Command Center at SDSU

30. Purpose of Shadow Bowl: Build a sensor grid to detect bio-chemical agents Build a sensor grid to detect bio-chemical agents Collaborate with local and national resources to provide medical reachback Collaborate with local and national resources to provide medical reachback USA used Session as part of the medical reachback USA used Session as part of the medical reachback

31. Session During Shadow Bowl Dr. Richard P. Gonzalez

32. Patient Triage simulation between San Diego and University of South Alabama in Mobile

33. Results of Shadow Bowl 2003: Occurred same weekend Slammer Internet worm struck Occurred same weekend Slammer Internet worm struck Session worked well in spite of Slammer worm Session worked well in spite of Slammer worm All goals were met and exceeded All goals were met and exceeded Further information on the Shadow Bowl 2003 exercise can be found at http://www.shadowbowl.sdsu.edu/ Further information on the Shadow Bowl 2003 exercise can be found at http://www.shadowbowl.sdsu.edu/

34. USA OEHT Opportunities: Emerging Health Technologies is located within the University of South Alabama College of Medicine. OEHT staff are always looking for new approaches and would enjoy discussing partnership opportunities in medicine's expanding global connections with you.

35. Contact Information: University of South Alabama Office of Emerging Health Technologies Carl Taylor – Director 307 N. University Blvd., CSAB 269 Mobile, AL 36688 Voice: (251) 461-1810 Fax: (251) 461-1809 http://www.usouthal.edu/emergingtech/