The Brazilian Telemedicine University Network RUTE And its eHealth relations with Regional Academic Networks How to construct a highway to Health Knowledge ?
How to construct a new capital: Brasília ? x a new health approach: Telemedicine ? H Salvador Brasília Rio de Janeiro
When there is Political comprehension ! Let health procedures reach everyone faster and cheaper ! • Our National Research and Education Network RNP has 4 Ministries in its Advisory Board and it is funded by these 4 Ministries • The S, T & I Ministry decided in 2006 to fund RUTE • The Health Ministry decided also in 2006 to fund the National Telehealth Program for assisting the Health Family Program Teams ( > 33000 ) • Some health state secretaries have understood the opportunities and are also funding • The National and some State Studies and Projects Financing Agency are launching Telehealth Calls
• We started our Telemedicine University Network RUTE with 19 University Hospitals in January 2006 The main goal was the deployment of infrastructure for interconnecting the University and Teaching Hospitals from all regions of the country, enabling communication and collaboration between national research groups based on advanced applications throughout our NREN, RNP.
RUTE Operational Procedure Aiming at: the national integration on higher education teaching, research and the improvement of health care services for the population • Establish the national coordination and operational teams, national and local; • The NREN connects the public University and Teaching Hospitals; • The Advisory Board recommends the procedures for innovative use; • Each member institution presents a project and establishes the Telehealth Center with a physical area and a dedicated team; • Member institutions create SIGs to promote and develop collaboration activities on specialties and subspecialties; • Articulation for new projects and resources for RUTE and for the member institutions. The World Health Organization has adopted the following description: “Telemedicine is the delivery of health care services, where distance is a critical factor, by all health care professionals using information and communication technologies for the exchange of valid information for diagnosis, treatment and prevention of disease and injuries, research and evaluation, and for the continuing education of health care providers, all in the interests of advancing the health of individuals and their communities” Telemedicine - opportunities and developments in Member States: report on the second global survey on eHealth 2009. (Global Observatory for eHealth Series, 2) CFM: Defines Telemedicine as the Medical practice through the use of interactive audio-visual communication methodologies, with the aim to assist, educate and research in Health. CFM – Medical Federal Council, Resolution nº 1.643/2002 Brazil
Experimentar redes do futuro Networ k exper imental ser vices ar quitectur es: mobility, computation and secur ity New ways to r un joint applications: univer sities and enter pr ises RNP Global and Regional Integration RedClara Ring Members Clara to be connected Connection to Geant2 a 2.5 Gbps Connection to Internet2
Cyberinfrastructure – RNP Today • Operating since 1991 Since Oct 5 th : 1Gbps • 280% increase in aggregate capacity • 24 states connected up to 10Gbps • Amazonia included • 320 institutions connected minimal1Gbps • 27.500 research groups connected • 3,5 million users National Research and Education Network 24 ´ s Research and Education Metropolitan Comunity Network in 23 Capitals + São Carlos + 1 Rede Petrolina, Pernambuco e Juazeiro, Bahia 1 Rede Ouro Preto e Mariana, MG Petropolis, Niteroi, RJ Campinas, SP Pelotas, RS Uberlandia, Uberaba, Itajuba, MG João Pessoa, PB Castanhal, Marabá, Santarém, Altamira, PA Manaus Belém Vitória Brasília
Integrating the Health Ministry to the NREN RNP • Networks and Resources in Brazil Program Telehealth Brazil Networks Assistance Primary Care Remote 2011: 12 states and 1200 atendance points 225.685 Telediagnosis 67.969 Teleeducated 16.100 Teleconsulting www.telessaudebrasil.org.br Continuous Education The Open Health University – Training on-the-job for thousands health professionals www.universidadeabertadosus.org.br Collaaborative The Telemedicine University Network, RUTE, connects University and Teaching Hospitals Research in all states www.rute.rnp.br Today: 68 Telehealth Centers Hospital Universitário da UFPI Maternidade Escola Assis Chateaubriand da UFC • Create Telehealth Centers Hospital Universitário Walter Cantídio da UFC HU da UFMA Hospital Geral de Fortaleza HGF • Connected to 1Gbps in 27 state capital + 12 cities Faculdade de Medicina da UFT • Videoconference rooms, Teleconsulting, Hospital das Clínicas da UFPE PROCAPE UPE Telediagnosis Faculdade de Enfermagem da UNIFAP HUOC UPE • VC rooms certification IMIP-Instituto de Medicina Integral HU João de Barros Barreto da UFPA • Video- and webconference training HU Betina Ferro de Souza da UFPA HU Lauro Wanderley da UFPB HU Alcides Carneiro da UFCG • Creation and Participation in Special Interest Groups Faculdade de Medicina da UFRR HU Ana Bezerra da UFRN Hospital de Pediatria da UFRN Hospital Getúlio Vargas da UFAM Maternidade Escola Januário Cicco da UFRN Fundação Medicina Tropical do Amazonas HU Onofre Lopes da UFRN HU Júlio Müller da UFMT HU Prof. Alberto Antunes da UFAL Faculdade de Medicina da UNIR Hospital Universitário da UFS Faculdade de Medicina da UFAC HU Prof. Edgar Santos da UFBA Centro Pediátrico Hosannah de Oliveira da UFBA Hospital das Clínicas da UFG Maternidade Climério de Oliveira da UFBA Hospital Geral Roberto Santos HU Maria Aparecida Pedrossian da UFMS Hospital Universitário da UnB Hospital das Clínicas da Unicamp Hospital das Clínicas da FMUSP Hospital das Clínicas da UFMG Hospital São Paulo da Unifesp Hospital de Clínicas da UFU HU da USP Hospital Escola da UFTM Instituto Dante Pazzanese Hospital Universitário da UFJF HC-FMRP/USP Hospital Universitário da Unimontes HU-UNESP Botucatu HU Cassiano Antônio de Moraes da UFES Hospital de Clínicas da UFPR Instituto Nacional do Câncer INCA HU da UEL Canal Saúde (Fiocruz) Instituto Fernandes Figueira (Fiocruz) HU Polydoro Ernani de São Thiago da UFSC HU Pedro Ernesto e FCM da UERJ HU Antônio Pedro da UFF Irmandade da Santa Casa de Porto Alegre HU Gaffrée e Guinle da UNIRIO Hospital de Clínicas da UFRGS Inst. de Psiquiatria da UFRJ Hospital Universitário da UFSM Inst. de Puer. e Ped. Martagão Gesteira da UFRJ HU Dr. Miguel Riet Correa Júnior da FURG Inst. de Neurologia Deolindo Couto da UFRJ Hospital Escola da UFPEL Inst. de Doenças do Tórax da UFRJ Inst. de Ginecologia da UFRJ 68 Operationai centers Hospital Escola São Francisco de Assis da UFRJ in 2012 Maternidade Escola da UFRJ HU Clementino Fraga Filho da UFRJ
Timetable and Implementation costs under RUTE 2006 phase I 19 institutions US$ 3 Mio 2008 phase II 38 institutions US$ 4,5 Mio 2011 phase III 28 institutions US$ 2 Mio MCU, VC equipment, webconference SW, desktops and notebooks, switches, projectors, cameras, scanners, monitors, printers, no-breaks, sound equipment, others VC room reform Last mile and member institution network infrastructure National coordination, administration, marketing, maintenance, trips Workshops Scholarhips Besides, costs for National Backbone maintenance ! Mainly, from the Ministry of Education RUTE – Special Interest Groups – a community whose interest is to advance knowledge and learning in a specific area, where members work together to produce solutions on a question or a series of questions. – Health professionals, researchers, managers and professors – Today: 48 SIGs; circa 50-60 sessions/month ; 310 participating institutions SIGs statistics– N ° of participant institutions Dez Dez Dez Dez SIG's RUTE Coord 2008 2009 2010 2011 UERJ Child and Adolescent Health 9 24 29 36 UFBA UERJ Pediatrics Radiology 13 24 28 31 Unifesp Teaching Hospitals Management - 9 16 26 UFU Cardiology - 15 22 24 IFF Fiocruz Human Milk Bank - 28 33 33 Unifesp Indigenous Health - - 3 6 Unirio RUTE Unifesp SIG Technical Operations - 7 23 26 UFSC Standards in Telemedicine and eHealth 5 11 14 14 UERJ TelePsiquiatry 3 9 15 19 UFRN Collaborative Medical Education - 6 8 13 Unifesp Oftalmology 7 12 15 16 UERJ Intensive Nursing and High Complexity 3 52 80 125 * Expansion to ALC and Palops UFMG ICT's in Health 6 25 26 26
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