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Project National Resource Center for Telemedicine _ Biomedical

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Project National Resource Center for Telemedicine _ Biomedical Powered By Docstoc
					          Project: National Resource Center for
         Telemedicine & Biomedical Informatics

Principal Investigator: Prof.S.K. Mishra, Head, Dept. of Endocrine
                        Surgery, & Faculty I/C SGPGI Telemedicine
                        Program
Co-Investigator:        Mr A.K. Sarkar, System Analyst, SGPGI
                        Hospital Computer Center
Project Duration:      February 2007- January 10
Grant Amount:           Rs. 515.58 Lacs

                                Funded by
                   Department of Information Technology
                Ministry of Communications & IT, Govt. of India

                    3rd PRSG Meeting on 13th October 2009
                                                                     1
            Outline of the Presentation
• Objectives of the Project
• Project outlay and Contributions
• Brief Summary of 1st year
• Brief Summary of 2nd year
• Progress Report - March’09-August’09
• Update of Regular Telemedicine Activities
• Mile Stone: Revised Pert Chart on Deliverables
• Technical Infrastructure developed with the support of
  U.P. Government
• Future Assignments
• Conclusion: Long Term impact of the Resource Facilities
                                                       2
                               Objectives
• Creation of various resource facilities in the field of Telemedicine &
   Medical Informatics under one roof

• Offer structured training program in all the above disciplines to meet the
   future requirement of skilled manpower in various areas of medical
   informatics for the country and abroad

• Research & Development in all the above fields towards application and
   product development

• Providing consultancy to Government and private health care
   organizations in incorporation of telemedicine & medical informatics in
   health system towards improving quality of healthcare

• Assisting nodal government departments on various policy matters in the
   field of Medical IT and carrying out standardization tests for products   3
             Project outlay and Contributions
     SN                Contributors            Amount

1.        UP Govt. Contribution         Rs. 2800.00 Lacs


2.        SGPGI Contribution:           Rs. 100.00   Lacs


3.        DIT Contribution              Rs. 515.58 Lacs


4.        Total outlay of the Project   Rs. 3415. 58 Lacs


5.        Amount Released by DIT        Rs. 488.10 Lacs



                                                            4
                           Brief Summary of 1st year
•   Administrative approval for sanction -27th February 2007

•   Recruitment & training of manpower - 13 manpower of different grades - April 2007

•   Procurement of equipments – expression of interest in national newspapers, constitution of

    internal committee, 4 vendors shortlisted for presentation, constitution of technical expert

    committee, bill of material revised & tender submitted
•   Initiation of Academic program – constitution of board of studies & its meeting, planning of
    National Brain Storming Workshop

•   Training program – first batch from Maldives, 01 credit course & workshop in Biomedical

    Informatics

•   Research Publications – Book chapter – 1, Original Peer Review Articles – 9

•   Conference presentation - National – 14         International – 10

•   Providing consultation - National – 3           International - 2                              5
                  Brief Summary of 1st year
• Participation in policy initiatives – National Telemedicine Task Force,
  National Telemedicine projects (n=5)
• Assignments of GoI – Member of Expert Group (DIT), Contribution
  of 11th plan budget for telemedicine & e- Health (MoH&FW)
• Assignments of International Organization – ITU WG Q.14/2
  Rapporteur meeting, Geneva; APT, Bangkok; UNESCAP, Bangkok
• Academic Collaboration (Technical)- IIT,Kgp & K
• Academic Collaboration (Medical)- AIIMS, PGIMER, AIMS, CMC,
  SRMC, TMH, RIMS, 3 medical colleges of Orissa
• International Collaboration – Ranguel University, France; Nakajima
  lab. Japan; Holy Family Hospital, Rawalpindi, Pakistan; OSHU, USA
• Industry Collaboration – OTRI, Ahmedabad; SRIT, Bangalore
• New Events & Network partners – Tele-CPC-CGR, RIMS, Imphal
                                                                     6
                    Brief Summary of 2nd year
• Installation of equipments – 60% completed
• Starting of Academic program – Constitution and 1st meeting of
   – National Advisory Council – Recommendation – Starting of basic courses of
      one year duration
   – Committee on development of Course and Curriculum Framework –
      Recommendation -Starting of courses, course fee, faculty
• Training program – Delegation from 4 states and AIIMS New Delhi, 4 courses in
  Bioinformatics and 1 workshop
• Research Publications – Book chapter – 3, Original Peer Review Articles – 7
• Conference presentation - National – 15, International – 4
• Invited Lectures - National – 9, International – 3
•   Consultancy – National – 4, International - 3

• Participation in Policy Initiative meetings - National – 1, International – 2

• New Projects - Funded - 5, Unfunded (using internal resources) - 10
                                                                                  7
                 Brief Summary of 2nd year
• Conferences/ workshop Organized: Regional – 1, International - 1

• Assignments of GoI – Member of Expert Group (DIT), Contribution of
  11th plan budget for telemedicine & e- Health (MoH&FW)

• Academic Collaboration (Medical)- AIIMS, PGIMER, AIMS, CMC,
  SRMC, TMH, RIMS, 3 medical colleges of Orissa

• International Collaboration – Ranguel University, France; Nakajima
  lab. Japan; Holy Family Hospital, Rawalpindi, Pakistan; OSHU, USA

• Overseas Collaboration: Summer Study Tour - Seven students from
  Claremont Graduate University, Southern California, USA

                                                                   8
 Progress Report
March’09-August’09




                     9
               Creation of Laboratories

• Telemedicine, Hospital Management System, Clinical
  decision support system/ Artificial Intelligence,
  Distance Medical Education, Medical Image
  Management & Multimedia, Bio-informatics

• All equipments in the laboratories are installed and
  being used by the students, trainees and medical
  professionals

• All IT infrastructure in operation
                                                         10
11
     Steps taken towards completing the Physical
                    Infrastructure

• Construction of the School of Telemedicine and
  Biomedical Informatics ( Two Levels) - October 2003 -
  2006

• Next two levels – completed in 2009

• Total Built up area – 5978 sq m ( Four Levels )

• Final Sanction of Govt. of Uttar Pradesh: Rs. 28.00 Crore

                                                          12
  Steps taken towards starting of Academic Program
• Starting of Curriculum based diploma courses
   – Board of Studies - 1st May 2009 – propose course structure &
     curriculum for the one year Advance Diploma course in five
     disciplines – discussed & approved
   – Recommendation of the Board of Studies approved by the 42nd
     Academic Board meeting held on 2nd May 2009
   – Advertisement for the Diploma courses - 3rd of July
   – National Level Entrance Test - 25th July 2009
   – No. of candidates offered for admission - 11 ( Telemedicine – 6,
     HIMS – 2, Nursing Informatics – 1, Public Health Informatics – 1
     & Digital Medical Library – 1)
   – Candidates took admission - 10 (Telemedicine-7, HIMS-3,
     Sponsored candidates- One HIMS & One Telemedicine)
   – Classes started - 1st September 2009                         13
                          Short Term Training Program
 Sl.                Programme Title                    Duration             No. of      Sponsors
No.                                                                    Trainees

1.     Telemedicine Training for Delegation from   12-17 Jan’09        2             C&N center,
       AIIMS, New Delhi
                                                                                     AIIMS, New
                                                                                     Delhi
2.     Workshop on Computer Application            7 -8 Mar’09         35

3.     Summer Training Program , Integral          16 Jun- 15 Jul’09   4
       University, Lucknow
4.     Institute Rotary Cancer Hospital (IRCH),    14-15 Aug’09        1
       AIIMS, New Delhi
5.     01 Course in Bioinformatics                 26 -28 Aug’09       10


6.     Telemedicine Training for Delegation from   6Sept-16 Oct’09     2             WHO
       DPR Korea
                                                                                              14
Curriculum Based Courses & Training
            Snap Shots




                                      15
             Expected Trainees in 2009
              (Negotiation in Process)

• A 14 days Tele-radiology course for Bhutan
  government delegation

• UNOOSA Fellowship for e-health training for
  candidates from developing countries in the Asia
  Pacific region

• WHO sponsored fellowship from Maldives


                                                     16
                   Research & Development
               Telemedicine projects (sponsored)

 SL No                Name of the project                 Funding Agency          Funds
                                                                                  (INR)*

1.       SAARC Telemedicine Network Project Rs.           Ministry of         Rs. 28,58,323
         28,58,323 excluding bandwidth) –(1st Sept’09).   External Affairs,
                                                          Govt. of India




2.       Tele- ophthalmology Project)                     MOH&FW, Govt.       Rs. 28,00,000
                                                          of India under
                                                          NBCP




                                                                                              17
                          Research & Development
                  Telemedicine projects – self supported
 SL                 Name of the project                                       Status
 No
1.    Creation and Maintenance of Web portal           Ongoing
      www.telemedindia.org, www.nrct.in,
      www.stbmi.ac.in, www.sgpgi-telemedicine.org,
      http://biomedinfo.sgpgi.ac.in, www.tsi.org.in,

2.    New Portals - SAARC Telemedicine                 Ongoing
      Forum(www.saarctf.org), Telemedicine Society
      of India (www.tsi.org.in)
4.    Satcom Based Low cost Mobile Tele-               To learn this technology PI attended OOSA
      epidemiology Unit (UNOOSA/ ISRO)                 Workshop on Space Technology Contribution to
                                                       Infection Surveillance ,6-10th Sept’09, Verona, Italy
                                                       and to the Health-related MDG Goals & one staff
                                                       attended 3rd International Conference on Health
                                                       GIS ,July ’09, Hyderabad
5.    Capacity Building in the field of telemedicine   Workshop on Applications of Tele-health to Service
      and e-Health (UNOOSA/ ISRO)                      Delivery in Public Health and Environment

                                                                                                    18
                        Research & Development
                Telemedicine projects – self supported
SL                          Name of the project                                    Status
No
6.    Development of low cost portable Telemedicine Unit                 Prototype Completed

7.    UP State Wide Telemedicine Grid                                    Under implementation

8.    Intra-hospital Telemedicine Grid                                   Implementation phase

9.    Design & development of Mobile Telemedicine for rural emergency    Proposal awaits funding
      transportation system
10.   Design & development of Tele-oncology Unit                         Equipments are procured
                                                                         and vehicle awaited

11.   Design and development of Portable Low Cost mHealth Units ( Back   Prototype completed & in
      pack & Suitcase)                                                   process to trade mark
                                                                         registration
12.   Telemedicine enabled Specialty Healthcare access for health        A proof of Concept Study
      emergencies during Lord Jagannath Rath Yatra at Puri               Project- Completed
                                                                                               19
                      Research & Development
       Telemedicine projects – with support of School’s
                    Technical Assistance
SL                       Name of the project                             Status
No
1.   Govt. of U.P to implement UP State wide Telemedicine Grid   Under implementation

2.   Govt. of Orissa for expansion of Orissa Telemedicine        Under implementation
     Network to connect remaining 23 District Hospitals of the
     State
3.   OTTET Institute, Bhubaneswar with collaboration of Govt. of Under implementation
     Orissa
4.   Govt. of Uttarakhand for the expansion of Uttarankand       Under implementation
     Telemedicine Network
5.   LRS Institute, New Delhi                                    Under implementation



                                                                                  20
                 Research & Development
                 Biomedical Informatics Group

• In silico studies of Hepatitis E virus using bioinformatics tools
  and techniques.

• In silico identification of novel drug and vaccine targets for
  Neisseria meningitides serogroup B.

• In silico identification of novel drug and vaccine targets for
  Haemophilus ducryi.




                                                                      21
               Research & Development
          Participation in International Projects
         Ministry of External Affairs, Govt of India
• SAARC Telemedicine Network Project
   – Jigme Dorji Wangchuck National Referral Hospital
     (JDWNRH), Thimphu - inaugurated – 16 Apr’09
   – Indira Gandhi Child Hospital, Kabul, Afghanistan –
     inaugurated – 17 Aug’09
• Pan-African e Network Project – partnership requested




                                                          22
                 SAARC Telemedicine Network
                           Academic Activities




Transmission of CGR to JDWNR Hospital, Thimphu, Bhutan (n=20ssessions)




                                                                         23
          Tele-education session with IGC Hospital, Kabul, Afghanistan
      Research & Development
Creation and Maintenance of Web portal




                                         24
       Research & Development
        Creation of New Portals




www.saarctf.org          www.tsi.org.in



                                          25
         Technical Support to Royal Government Bhutan in the
      Organization of SAARC Telemedicine Workshop supported by
                               UNOOSA




                                                                                       July
Applications of Tele-health to Service Delivery in Public Health & Environment - 27-3026
                                  2009, Thimphu, Bhutan
               Workshop attended
Satcom Based Low cost Mobile Tele-epidemiology Unit




 OOSA Workshop on Space Technology Contribution to Infection Surveillance and to the
                           Health-related MDG Goals
                                                                                27
                       - 9 September 2009, Verona, Italy
                      Research & Development
                                       Snap shot




                                                   Low cost portable Telemedicine Unit
                                                         (Prototype Completed)



Digital Operation Theatre ( U.P. Govt. Support)                                          28
                   Research & Development
                                   Snap shot




Intra-hospital Telemedicine GRID           UP State Wide Telemedicine Grid
     (Implementation phase)                     (Under implementation)



                                                                         29
     Research & Development
      Technology, Process & Product




Prototype completed & registration in process




                                                 30
        Internet based Mobile Telemedicine Van
Lord Jagannath Rath Yatra at Puri
  A proof of Concept Study Project




                                     31
Lord Jagannath Rath Yatra at Puri
  A proof of Concept Study Project




                                     32
                      Research Publications
                    Original Peer Review Articles
• Mahapatra Ashok Kumar, Mishra Saroj Kanta, Kapoor Lily, Singh Indra
  Pratap, “Critical Issues in Medical Education and the Implications for
  Telemedicine Techology”. Journal of Telemedicine & eHealth, VOL. 15, No. 6,
  P 592-596, August 2009
• Mishra Saroj Kanta, Kapoor Lily, Singh Indra Pratap, “Telemedicine in India:
  Current Scenario and the Future” Journal of Telemedicine & eHealth, VOL.
  15, No. 6, P 568-575, August 2009
• Anjali Mishra , Lily Kapoor, Saroj Kanta Mishra, “Post-operative care through
  tele-follow up visits in patients undergoing thyroidectomy and
  parathyroidectomy in a resource-constrained environment”, J Telemed
  Telecare;15:73-76, 2009
• Rathi B, Naik S, Sarangi AN, Aggarwal R, “Prediction of 3-dimensional
  structure of ORF3 protien of genotype 1 hepatitis E virus” Online Journal of
  Bioinformatics VOL.10(1):60-66,2009
• Aditya Narayan Sarangi, Rakesh Aggarwal, Qamar Rahman, Nidhi Trivedi,
  “Substractive Genomics Approach of Noval Drug targets in Neisseria
  Meningitides Serogroup B”, Journal of Computer Science and Systems
  Biology,2:255-259 dol:10.4172/jcsb.1000038 (under press)
                                                                            33
                Research Publications
                     Book Chapters

• Tele-mentoring in India: Experience with Endocrine
  Surgery; Saroj K Mishra, Puthen V Pradeep, Anjali
  Mishra, Chapter 11, Telehealth in the Developing World,
  ISBN 978-1-85315-784-4, P109-118, 2008

• Teleneurology: Past, Present and Future; Usha K Misra,
  Jayantee Kalita, Chapter 24, Telehealth in the
  Developing World, ISBN 978-1-85315-784-4, P252-261,
  2008

                                                            34
      Scientific Papers Presented in the Conference and
                          Abstracted

• Repu Daman Chand, S K Mishra, Critical Evaluation of Software
  Based Videoconference Solution for Telemedicine, Health GIS
  Enabling Health Geospatially, 3rd International Conference on
  healthGIS 2009, 24-26 July, 2009, Hyderabad, India




                                                                  35
                   Invited lectures
                   National (n=4)
• Meet on Cancer Informatics Biomedical Informatics
  Grid: Cooperation for Cancer Research – C-DAC, Pune,
  11-12 February 2009

• 2nd International Conference on Medical Electronics,
  FICCI – 2009, New Delhi, 19-20 February 2009 – 2
  Lectures

• Summer School on e-Healthcare, IIIT, Allahabad, 08-12
  July 2009                                           36
                              Invited Lectures
                             International (n=7)
• Asia Pacific Advanced Network – Taiwan (APAN-TW), through Videoconferencing
   from Lucknow, 4 March 2009

• Workshop on ASEAN e-Network project for CLMV Countries , New Delhi, 25-26
   March 2009

• Workshop on Applications of Tele-health to Service Delivery in Public Health and
   Environment, Thimphu, Bhutan, 27-30 July 2009 – 4 Lectures

• OOSA Workshop on Space Technology Contribution to Infection Surveillance and
   to the Health-related MDG Goals, Verona, Italy, 9 September 2009 –

• Invitation to attend Meeting of eHealth Regional Focal Points and WHO
   Collaborating Centers, Geneva,7-9 October 2009 – unable to attend due to visa
   problem
                                                                               37
                          Invited Lectures
                               Snap Shots
           caBIG Annual Meeting 2009, 22 July 2009, Pune




2nd International Conference on Medical Electronics, FICCI – 2009, New Delhi




                                                                         38
        National & International Consultancy
• National – 5
   – Govt. of U.P to implement UP State wide Telemedicine Grid
   – Govt. of Orissa for expansion of Orissa Telemedicine Network to
      connect remaining 23 District Hospitals of the State
   – OTTET Institute, Bhubaneswar with collaboration of Govt. of Orissa
   – Govt. of Uttarakhand for the expansion of Uttarankand Telemedicine
      Network
   – LRS Institute, New Delhi
• International – 3 (completed)
   – WHO Consultant for e-Health in Maldives
   – WHO e-Health expert for DPR Korea
   – Ministry of Health, Govt. of Bhutan
• International – 2 (proposed)
   – DPR Korea – 17th Nov to 3rd Dec 09
   – Maldives – early 2010                                                39
                       Revenue Generated

SN   Revenue Generated                 Amount

1.   From Infrastructure of NRC

     Lecture Theatre Booking           Rs 22,500


     Video Conference & Web casting    Rs 21,000

2.   Summer Training Fee               Rs 20, 000


3.   Diploma Courses Fee               Rs 2, 00,000

     Total                             Rs. 2, 63,500



                                                       40
Update of Regular Telemedicine Activities




                                            41
          Tele-education & tele-health care services
                      Telemedicine Session in Mar‘09-Aug'09
                                      n= 92




New partners - IG Medical College, Shimla; Railway Hospital, Izzat Nagar, Bareli; Indira Gandhi Child
Hospital, Kabul, Afghanistan
New Paramedics – Tele-education sessions in Lab technology, Physiotherapy, Dietetics & Nutrition
Summer vacation at SGPGIMS - 15 May-15 July’09                                                      42
Breakdown of Raibareli Network – Apr’09 – Sept’09
Telemedicine Sessions
      Snap Shot




                        43
        Transmission of CME program


• No of Continuing Medical Education programs
  and workshops transmitted or received – 6




                                            44
                Overseas Collaboration
• Visit of Mr Kochi Sampei, member of Japan Telemedicine &
  Telecare Association - 3-9 August 2009
• Research theme - Telemedicine adoption in developing
  country
• WHO Collaborating Center ( Under Consideration)
• Nominated Co-Chair to AT6 ( UNOOSA)




                                                             45
              Services provided to other
             Departments of the Institute

• Digital Medical Illustration Service
   – Radiological images – 2163
   – Book pictures & Photographs - 520
   – Other images – 59
• Video recording of Transplant patients’ consent
  statement - 55
• Video recording Surgical Procedures-
   – Dept Endocrine Surgery – 5
• Video recording of important events - 3
                                                    46
Year wise break-up of physical achievements with specific
Intermediate milestones (in terms of aims and objective)




             PERT CHART
Project Implementation Schedule & Delivery Time line




                                                       48
49
           Additional Technical Infrastructure
    (developed with the support of U.P. Government)

• Integrated Digital Lecture Theater

• e-CME Content Development Center

• Integrated Operation theater

• Up-gradation of HIS / PACS Network integrated with
  Telemedicine ( First 10 G Network in any Hospital in India)

• Integrated IP/ VC Network

• Health Data Center ( Health Knowledge Park)

                                                                50
Technical Infrastructure develop with the support of UP Government
                             Snap-Shots




                            Integrated Digital Lecture Theater




                                                                                  51
     Integrated Operation theater                     Integrated IP/ VC Network
                    Future Assignments

• Visit to WHO Collaborating Center, Tromso, Norway – Date
  to be finalised

• Abstract submitted to ATA 2010, 15th Annual International
  Meeting & Exposition, San Antonio, Texas, USA - 16-18th
  May 2010

• Five abstracts submitted to Telemedicon’09, 5th National
  Congress of Telemedicine Society of India, Pune – 6-8th
  November 2009
                                                            52
 Resource Facilities/ Competence in Health Infrastructure
                                                         Academic Organization in the
                                  Data Center                field of healthcare &
      Laboratories                                          information in medical
                                                                university setup




Human Resource            National Resource Center
                                                                   Domain Expertise
 Development                 for Telemedicine &                       & Content
                           Biomedical Informatics                    Development




   National center for                                            Research &
  development of Policy             Knowledge                    Development
                                  Management &
                              registered office of TSI

                                                                                53
                             Thank You
                              www.telemedindia.org
                                                     www.stbmi.ac.in54
www.sgpgi-telemedicine.org

				
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