University Of Malaya Telemedicine Experience & Challenges - PDF document

ATS 2012 University Of Malaya Telemedicine Experience & Challenges MOHAMAD ZAHIR AHMAD UNIVERSITY OF MALAYA (UM) 15 DECEMBER 2012 ‐ Introduction to UMMC ‐ Why Video Conferencing ‐ Problem & Challenges ‐ Solution & Application ‐ List of Telemedicine Activity 2012 ‐ To move forward ‐ Q&A 1

2 University Of Malaya Medical Center ‐ Teaching hospital for Faculty Of Medicine University Malaya ‐ Established in 5 th Aug 1968 for; ‐ Healthcare services ‐ Health education ‐ Research ‐ 1 st teaching hospital in Malaysia ‐ 1st reference hospital in Malaysia ‐ 5000 staff ‐ 1000 beds ‐ 3000 outpatient & 200 inpatient daily 3

Why? ‐ Live interaction ‐ Visual ‐ Space ‐ Save time ‐ Save cost For UMMC ‐ Start in 2006 ‐ Teaching ‐ Clinical Workshop/Seminar ‐ Tele ‐ consultation ‐ Collaboration with other Univ/Institution ‐ Research & Innovation ‐ Meeting 4 Short of Equipment ‐ 2 unit of H323 Codec, one HD mixer, one set wired mic and one set wireless handheld mic ‐ 1 X DVTS James Bond Set (canopus DAC, audio mixer, SD camera, etc) ‐ Financial limitation No dedicated room for video conferencing ‐ There is no dedicated room in UMMC for video conferencing ‐ But too many rooms need the FACILITY (Too many OT and Auditorium) ‐ 24 OT and 4 Auditorium/6 conference room ‐ All setup are mobile and ad hoc basis. Extensive Requirement By Clinician ‐ HD is preferred by the clinicians ‐ Most video conferencing equipment shall need to be upgraded to HD ‐ picture in picture, multi view requirement 5 ‐ Need up ‐ scaler and down ‐ scaler

Ad Hoc Conference ‐ few activities is ad hoc and no time for preparation/setup Network Requirement ‐ Conference has to be held anywhere within the campus ‐ No dedicated venue for conference ‐ Use normal internet lines High Quality Video/smooth transmission ‐ Video performance is the mandatory requirement ‐ HD quality. Recording Transmission ‐ High quality recording 6 Camera mounting TV mounting lock Handle USD USD 500 500 Pow er extension rack Castor w heel UPS 7

OT Auditorium Auditorium OT USD USD 25,000 25,000 USD USD 10,000 10,000 8 No Equipment Company Product Qty 1 H323 Encorder Life Size Room 220 1 2 LCD Display SONY KLV-BX320 1 3 HD Converter Datavideo DAC-9 1 4 HDMI to VGA converter MSI - 1 5 Mobile Cart Custom Custom 1 6 HDMI Cable Datavideo With connector 2 7 SDI Cable Datavideo With connector 4 9

No Equipment Company Product Qty 1 H323 Encorder Life Size Express EX220 2 2 LCD Display SONY KLV-BX420 1 3 HD Recorder Datavideo DN-400 1 4 HD Video Mixer SONY MCS-8M 1 5 Wireless Mic AKG WMS-45 1 6 HD Converter Datavideo DAC-9 2 7 HD Camera SONY NEX-VG20H 1 9 Mobile Cart Custom Custom 1 9 HDMI Cable Datavideo With connector 2 10 SDI Cable Datavideo With connector 4 10 11

Nov 2012 - Craniomaxillofaciology Workshop 12 Oct 2012 – Silent Mentor Workshop : Liver Transplant 13

Oct 2012 – Gastric Bypass Workshop w ith National Univ Of Singapore (NUS) 14 Oct 2012 – Cleft & Lips Transplat Workshop 15

April 2012 – Endoscopy Conference 2012 (Bach Mai Hospital, Vietnam, Sriraj Hospital, Thailand & Konkurk University, Korea) 16 Preparation -Fast & Easy to setup (plug network & power, and it’s READY!) -Safe 50% of setup time Internet Speed - Use very low bandwidth required (max 4MB for 1080p transmission) - Can be use anywhere within Hospital Picture/Sound quality -Very high quality transmission with better image and smoother video (FULL HD) -Clean and echoless audio -communication -Very minimal echo & humming People -Easy to use (call the IP and DONE!) -Anyone can use even surgeon! 17 -Number of Engineer Reduce to half

Month Month/Year Year Activity Activity Transmission Transmission Techno Technology gy APAN 33 rd Thailand Feb/2012 MYREN DVTS/H323 Feb/2012 Laparoscopic Live Surgery Local H323 Mac/2012 Dental Live Surgery Local H323 April/2012 2012 Endoscopy Conference MYREN H323 April/2012 Medical WG Meeting MYREN H323 May/2012 Nursing Seminar MYREN H323 June/2012 Daycare Live Surgery Local H323 June/2012 APAN Meeting MYREN H323 June 2012 Hernia Workshop Surgery Local H323 July/2012 Silent Mentor Workshop Local H323 July/2012 Telemedice 2012 Through MYREN H323 Academic Network Video Conferencing 18 Month Month/Year Year Activity Activity Transmission Transmission Techno Technology gy July/2012 APAN Meeting MYREN H323 July/2012 Laparoscopic Workshop Local H323 Aug/2012 APAN Meeting MYREN H323 Aug/2012 APAN Sri Lanka MYREN H323 Aug/2012 Medical Meeting (Taiping MYREN H323 Hosp) 34 th Meeting Hawaii Sep/2012 MYREN Vidyo Oct/2012 Gastric Bypass Live Telecast MYREN H323 (NUS, Singapore) Oct/2012 Brain Surgery Local H323 Nov/2012 Silent Mentor Program Local H323 Nov/2012 Craniomaxillofacial Workshop Local H323 Nov/2012 Cleft Lips & Palate Local H323 Transmission 19

Month/Year Month Year Activity Activity Transmission Transmission Techno Technology gy Nov/2012 Craniomaxillofacial Local H323 Transmission Dis/2012 MYREN Medical Talk MYREN H323 Technology 2011 2012 H323 7 22 DVTS 11 1 Vidyo 0 1 DVTS Plus 2 0 TOTAL 20 24 20 Financial ‐ UMMC require USD50,000.00 to buy HD projector set dedicated to be used for large auditorium at least with 10,000 lumens (for 24’X16’ screen) Prepare permanent video cabling for most used venue ‐ To have dedicated room for video conferencing session ‐ Dedicated OT fully equipped with AV equipment for workshop, teaching and conference ‐ save time and for ad hoc conference ‐ Look tidy and neat Collaboration with Local Universities ‐ Collaborate and sharing knowledge, idea with other Local Universities ‐ Promoting and technical assistant to Local Universities ‐ Encourage clinician to have more local Remote workshop 21

R&D ‐ UMMC Telemedicine Collaboration with MIMOS ‐ Video confencing solution 22 How safe the Trolley to the OT? ‐ Trolley with castor roller (collect dust) ‐ Equipment might be dusty ‐ Bacteria contamination Current Action ‐ Wipe the roller ‐ Wipe entire equipment before and after OT ‐ Study by Infection Unit Team 23

Email: zahir@ummc.edu.my Tel : +603 ‐ 79493824 Zahir Ahmad 24