Internet as a platform for realization of healthcare projects Václava Smitková

Synopses l Introduction l Many faces of the Internet l Healthcare projects on the Internet l Examples l Virtual Scientific Congress l Virtual Benchmarking Project l Virtual Reading Room l Virtual Education l Unimaginable possibilities

Many Faces of the Internet l Communication tool l , news group, chat, videoconference,... l Information source l WWW l gate to “real” information resources l Information infrastructure l tele-projects l e-commerce l etc.

Healthcare Projects on Internet l Example no.1: Virtual Scientific Congress l Internet World Congress on Biomedical Sciences l Example no.2: Virtual Benchmarking Project l OZISAL on WWW l Example no.3: Virtual Reading Room l CDROM server of Charles University l Example no.4: Virtual Education l SuperCourse of University of Pittsburgh

Internet World Congress on Biomedical Sciences (IWC) organized by Internet Association for Biomedical Sciences (INABIS) via Internet Example no.1: Virtual Scientific Congress

History l 1 st IWC:December 7-17, 1994, Mie University School of Medicine, Tsu, Japan l 2 nd IWC:December 4-15, 1995, Mie University School of Medicine, Tsu, Japan l 3 rd IWC:December 9-20, 1996, Riken, Tsukuba, Japan l 4 th IWC:December 8-19, 1997, University of Occupational and Enviromental Health of Japan, Kitakyushu, Japan l 5 th IWC:December 7-16, 1998, McMaster University, Canada Example no.1: Virtual Scientific Congress

Programme l Opening Remarks l Welcome Party l Symposia l Sessions - Posters l Discussion l Proceedings Example no.1: Virtual Scientific Congress

Technical Background ¶information about Congress , WWW ·WWW server WWW ¸registration ¹abstract ºposter WWW, ftp l lectures WWW l posters WWW l discussion WWW l competition WWW l proceedings WWW (on CDROM) Example no.1: Virtual Scientific Congress

Virtual versus “Real” Congress : save money : save time : decrease organizational demands : (almost;-) no limitation for number of participants 6 low personal interaction 6 low discussion 6 influence of different time zones Example no.1: Virtual Scientific Congress

Example no.2: Virtual Benchmarking Project OZISAL on WWW organized by Charles University Hospital in Pilsen (Czech Republic) via Internet

Data l personal:average salary of doctors, nurses and other groupsof healthcare professionals, etc. l economical:costs (blood, services, measuring instruments, etc.), profit on assurance companies, profitability, etc. l medical:average per doctor or nurse: number of beds, number of engaged beds, utilization of beds, etc. Example no.2: Virtual Benchmarking Project

Graphs l graph type: l comparison l time series l data level: l hospital l department l time period: l current year l previous year (since 1994) l floating year l quarter (since 1/95) l maximum time period ( ) Example no.2: Virtual Benchmarking Project

Security Aspects l personal: l application + recommendations + agreement l organizational: l data location l relative indicies l technical: l private codes for hospitals l user account + private password l firewall l shttp Example no.2: Virtual Benchmarking Project

Advantages : graphical interface : user-friendliness : simple operating - only WWW browser : simple upgrade and update of data and information system : no need to distribute and to install program : no need to distribute new data Example no.2: Virtual Benchmarking Project

Project Home-page Example no.2: Virtual Benchmarking Project

Project Menu Example no.2: Virtual Benchmarking Project

Graph 1 Example no.2: Virtual Benchmarking Project

Graph 2 Example no.2: Virtual Benchmarking Project

Parameters Example no.2: Virtual Benchmarking Project

Help Example no.2: Virtual Benchmarking Project

Example no.3: Virtual Reading Room Multimedia Medical Library organized by Charles University Faculty of Medicine in Pilsen (Czech Republic) via Internet

Virtual Bookshelves Example no.3: Virtual Reading Room Electronic information sources on CDROM: l for scientific purposes: l databases l monographies l proceedings l for educational purposes: l text-books l training software l dictionaries l encyclopaedias

Example no.3: Virtual Reading Room Technical Background Electronic library = hardware + software + network l hardware - CDROM servers l software - Ultra*Net (CDROM titles in computer network) - Citrix MetaFrame (terminal connection to server) l network - ATM metropolitan networks - TEN34-CZ (Internet for academical institutions in the Czech Republic)

User Access Clients to electronic library: l Ultra*Net Client - menu of CD titles l ICA Client (= Citrix MetaFrame Client) - collection of shortcuts to CD titles l WWW (= Java applet) - direct access to the Ultra*Net menu of CD titles through Web browser (MSIE or Netscape v.4.0) Example no.3: Virtual Reading Room

User Screen

User Screen 2 Example no.3: Virtual Reading Room

Example no.4: Virtual Education SuperCourse “Epidemiology, the Internet and Global Health” organized by University of Pittsburgh Graduate School of Public Health via Internet

Technical Background l basic information e-conferences, WWW ¶lecture - development MS PowerPoint ·lecture - sending ¸lecture - exhibition WWW ¹lecture - basic review WWW, ºlecture - corrections MS PowerPoint+ +WWW »lecture - final version WWW l lecture - students WWW l dissemination to another servers WWW l translation to another languages MS PowerPoint + +WWW Example no.4: Virtual Education

Unimaginable Possibilities l Remote Conference System for Image Diagnosis on the World-Wide Web l Design and Implementation of WWW-based Tools for Image Management in Computer Tomography, Magnetic Resonance Imaging and Ultrasonography l Atlas of Blood Disease on the Internet l Using the World-Wide Web to Train and Certify Physicians in the Safe Use of Fluoroscopy l Using the Technology of the World-Wide Web to Manage Clinical Information