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Healthcare Services by Telemedicine CDAC Mohali

Healthcare Services provided by CDAC Mohali: E-Health Information Services
E Health (also written e-health) is a relatively recent term for healthcare practice which is supported by electronic processes and communication. The term is inconsistently used: some would argue it is interchangeable with health care informatics, while others use it in the narrower sense of healthcare practice using the Internet. The term can encompass a range of services that are at the edge of medicine/healthcare and information technology:

Electronic Medical Records: enable easy communication of patient data between different healthcare professionals (GPs, specialists, care team, pharmacy)

Telemedicine: includes all types of physical and psychological measurements that do not require a patient to travel to a specialist. When this service works, patients need to travel less to a specialist or conversely the specialist has a large catchments area.

Evidence Based Medicine: entails a system that provides information on appropriate treatment under certain patient conditions. A healthcare professional can look up whether his/her diagnosis is in line with scientific research. The advantage is that the data can be kept up-to-date.[citation needed]

Consumer Health Informatics (or citizen-oriented information provision): both healthy individuals and patients want to be informed on medical topics.

Health knowledge management (or specialist-oriented information provision): e.g. in an overview of latest medical journals, best practice guidelines or epidemiological tracking.Virtual healthcare teams: consist of healthcare professionals who collaborate and share information on patients through digital equipment (for transmutable care).

Health informatics
Health informatics is an evolving scientific discipline that deals with the collection, storage, retrieval, communication and optimal use of health related data, information and knowledge.

C-DAC Mohali provides improvised Health informatics solutions the methods and technologies of the information sciences for the purposes of problem solving and decision-making thus assuring quality healthcare in all basic and applied areas of biomedical sciences. Our vision encapsulates the processing of data, information and knowledge in all aspects of healthcare. We aim to study the health informatics principles and provide solutions. The domains of Health informatics on which C-DAC Mohali focuses are research, academia, operations and commercial.

Healthcare Management/ Enterprise
Healthcare is one of today’s most dynamic and growing fields, with a wide range of opportunities and challenges. The enterprise healthcare management includes remotely hosting health care applications and providing enterprise users access to telemedicine applications via a public network such as the Internet. Solutions implemented by C-DAC Mohali are health care management solutions which can be quickly implemented with little risk to the enterprise. The applications are remotely hosted and the enterprise can use the applications with minimal capital investment. Thus, the enterprise can not only upgrade existing capabilities, but add functionality not available with their existing systems. Our Healthcare Management applications can utilize existing legacy applications, thereby preserving prior IT investments. Since enterprise users access the new system via a public network such as the Internet, only minimal networking capability is needed at the enterprise. In such a manner it is likely the enterprise can also utilize existing computer and network resources.

Healthcare Provider
We at C-DAC Mohali work closely with the biggest healthcare providers in India and abroad providing advanced health care solutions acting as health care providers for rural as well as urban India. C-DAC Mohali acts as a body of individuals whose work helps to maintain the health of their clients, identifying, preventing and treating illness through its advance Telemedicine solution. C-DAC Mohali as a health care provider envisages delivering proper health care in a systematic way and professionally to any individual in need of health care services.

Home Tele-health
Home tele-health is the remote care delivery or monitoring between a healthcare provider and a patient.

There are two types of tele-health:

Phone monitoring

Phone monitoring is the most basic form of telehealth. Phone monitoring is the scheduled remote care delivery or monitoring in which scheduled patient encounters via the telephone occur between a health care provider and a patient or care giver. Phone monitoring does not use electronic information processing technologies.

Tele-monitoring

Unlike phone monitoring which requires only phone communication between the health care provider and patient/care giver, tele-monitoring requires the use of technology and equipment. Tele-monitoring includes the collection of clinical data and the transmission of such data between a patient at a distant location and a health care provider through electronic information processing technologies.

Medical Electronics and Informatics
Medical Portal is a complete guide for health relating information for non-medical people and healthcare professionals. In particular it brings together, under one bookmark, the best medical websites that are often competing for your attention. Its aim is to provide quick, easy access to the best medical and health resources on the internet covering various areas like National Health Service organizations, Local NHS services, Patients leaflets, Health news, Medical advice, Complementary medicines, Diagnosis sites, and Alternative therapies etc. Feedback is welcome and recommended sites will be considered for inclusion.

  • Complete Information Fast
  • Improved Diagnostic Accuracy
  • Universal Access to Information
  • Easy to Use
Online Healthcare Advice
C-DAC Mohali Telemedicine Solution provides help to expand upon any health knowledge you may already possess, or wish to possess, so you can be better prepared to take care of yourselves, and your families. Online Healthcare advice from C-DAC Mohali’ s Telemedicine Solution e-Sanjeevani’s healthcare expertise related to common health issues and problems is available on our website. Find out what healthcare advice and benefits are available for you or your family, and get advice, support and information on health problems and issues.

Remote/ Rural Healthcare Telemedicine Network
India with over one billion population has to face the challenge of providing healthcare to 75 percent of its people living in villages. The advent of communication technology, with Information Technology, has given us the means to take the benefit of medical sciences to large section of people spread out in the remote and inaccessible villages. C-DAC Mohali, in pursuing its objective of taking the benefit of Telemedicine Technology to the population in rural and remote areas, has established an integrated telemedicine network in Himachal Pradesh, Punjab. This support provides reduced rates to rural health care providers for telecommunications and Internet services so they pay no more than their urban counterparts for the same or similar telecommunications services.

National Rural Telemedicine Network
Telemedicine has proved to be a viable method which helps to decrease health care costs and is working in many countries. In India, there have been attempts which have worked in isolated pockets, mostly through the Government, more on the push of Department of IT as well as ISRO which is providing the funding.

As costs savings are enormous – Telemedicine Centre at C-DAC Mohali is one of the systems capable of providing the high quality health care to the far reaches of the country. With the help of telemedicine, we are planning a system which shall provide quality and cheap health care to the needy populace utilizing existing health care providers in the private sector.

As soon as there are any problems, the patient is asked to go to a higher centre which can be anywhere between 5 to 1500 kms away. A patient who is paying from his own pocket has to keep money aside for the following:-

  • Transport to the higher centre Patient and Relatives
  • Cost of hospitalization and procedure
  • Accommodation of relatives
  • Transportation back
If there is a reasonable chance that these costs can be saved, the patient would be willing to pay a small fee. Between 50 - 70% of patients being referred to major centers did not really need to travel all the way as no such procedure is performed which cannot be done in a smaller less costly setup close to the patients' residence.Thus, telemedicine can bring out real cost savings and can be made into an economically viable preposition just by saving unnecessary transportation of sick patients.

Network Infrastructure Design
C-DAC Mohali provides certified network engineers which are highly trained, with extensive experience in designing complex enterprise networks for implementing Telemedicine Solutions at various sites. They understand the business requirements that drive your network infrastructure design decisions. They will analyze your current network environment, architecture, and performance to determine any changes necessary to minimize your operating costs and risks and increase your communication efficiency. They will develop network infrastructure design options that balance the requirements of business drivers, industry practices, end users and applications needs, as well as traffic and performance requirements. Moreover, we will take into consideration the latest technology and standards, and transform your business needs into network functionality.

C-DAC Mohali’s Approach

  • Interviewing your key IT staff and business managers on site to determine your business and technology requirements.
  • Determining whether a site survey or network assessment is necessary.
  • Evaluating and providing a detailed road map, including your current network design, connectivity, and technology; server configuration, network applications, and security control procedures.
  • Addressing any shortcomings in the current design.
  • Creating network design alternatives.
  • Assisting your key IT staff and business managers in deciding on the final design.
  • Preparing and presenting the new network infrastructure.
International/ National/ Local Healthcare Entities
Any governmental organizations/institutions that provide health care services and coverage, set or decide on health care policy across a nation state or country, provide funding for health care services and coverage, or have a regulatory role in health care services and coverage. Health care entity is a health plan, a health care clearinghouse such as billing services and community health information systems, or a health care provider who transmits any health information in electronic form. These entities are owned and operated at the federal, state and local government levels. Entities generally receive varying level of subsidizing ranging from heavy subsidizing to no financial support depending upon the entity circumstances.

If any organizations/institutions that have a legislative role across many national governments then it is said to be International health care entity.

If any governmental organizations/institutions that are managed at the federal/national level, and have a remit for governing across a nation state or country then it is said to be National health care entity. This will include administrative, parliamentary bodies and judicial bodies with powers of enforcing, setting or deciding on the rule of law.

E-Clinics
The competitive Healthcare business environment requires effective planning, discipline in logistics and precise implementation. Small errors can have devastating effects on the return on investment in such a capital-intensive industry. The effectiveness of your chosen experts is therefore crucial.

E-clinics Solutions understands these requirements and directs all its efforts towards helping customers achieve their objectives. C-DAC Mohali provides a complete range of professional services to the Healthcare industry including Electronic Data Capture, Document Management, and Clinical Data Management, system integration, solution hosting, hardware supply, installation and training.

We provide, clinical reviews of timely subjects, including diagnosis and therapy, new materials, and new equipment. Around the world, the Clinics are read and respected for their authoritative, unbiased coverage of the topics that matter to practicing health care professionals.

Tele-education
Use of information technology to provide education by linking educators with geographically separated students. Healthcare professionals can also access specialty training designed to update knowledge and skills.

Tele-education technologies have an important role to play in addressing the professional isolation which is experienced by rural and remote health-care professionals.

Tele-education has been used for many years to deliver continuing education programmes to rural health-care professionals. The main modes are audio, video and computer. Audio technologies involve the transmission of the spoken word (voice) between learners and instructors, either synchronously or asynchronously. Examples of the former include audio conferencing and short-wave radio; examples of the latter include audiotape or audiocassette. Video for distance learning, like audio, can be used in either synchronous or asynchronous fashion. Videoconferencing, or interactive television, is considered synchronous because there is the opportunity for live visual and verbal interaction between instructors and learners. Asynchronous instructional video tools include slow-scan video, interactive videodiscs and videotapes. Computer-assisted learning or instruction can be defined as any learning that is mediated by a computer and which requires no direct interaction between the user and a human instructor in order to run. It is becoming increasingly common. Examples include: the Internet and World Wide Web, email, synchronous and asynchronous computer-mediated communication applications and interactive multimedia applications on CD-ROM.

Tele-Health/ Digital Tele-health
The term 'tele-health' was originally used to describe administrative or educational functions related to telemedicine. Now that physicians use email to communicate with patients, and drug prescriptions and other health services are being offered on the Web, 'tele-health' is generally used as an umbrella term to describe all the possible variations of healthcare services using telecommunications. The term 'telemedicine' more appropriately describes the direct provision of clinical care via tele communications-- diagnosing, treating or following up with a patient at a distance. However, stay tuned. The terminology used to describe healthcare services at a distance will likely change as fast as the technology used to perform it.

Telemedicine Equipment Specification
Telemedicine equipment - essentially a PC along with telemedicine compatible Diagnostic Machines will be required at all locations where it needs to be installed. Communication link has to be tailored according to availability. The current systems allow flexibility and can adjust to any or all.

Telemedicine Stations
Telemedicine stations are self-contained units. Telemedicine at C-DAC Mohali is one of the Telemedicine portals. Our aim is to make good quality medical facility available to all using telemedicine facility. Tele-consultation, second opinion, review of reports like ECG, CT scan, cardiology, and pathology will be amongst the available facilities at C-DAC Mohali. Several hospitals and hundreds of doctors connect daily to patients in remote corners of the world through this Telemedicine Station enabling better health care delivery.

Tele-Nursing
Tele-nursing is the use of telecommunications technology to provide nursing practice at a distance. This can be something as simple as faxing medical records to the more complex delivery of nursing care to patients' home through the use of cameras and computer technologies.

Tele-nursing has also been used as a tool in home nursing. It is especially useful in cases of elderly and chronically ill patients who need to be nursed at home and are remotely located.

Tele-nursing can also provide opportunities for patient education, professional consultations, examination of test results and assisting physicians in implementation of medical treatment protocols.

Today nurses can offer consultation and comfort to patients whether they are in the same city or thousands of kilometers away. Over the telephone, nurses can calm an anxious parent, evaluate an injury or advise whether a person should go to an emergency unit. Communications technology now also enables nurses to deliver health care in rural and remote locations, and areas without health care services. The above examples of nurses taking action via the telephone are part of what is referred to as tele-nursing. Through tele-nursing, nurses manage the demand for health services, educate consumers, counsel high risk populations, provide after hours triage, and maintain communication with patients who have chronic conditions and debilitating illnesses. Telephones also allow nurses to take their services out into the community through mobile health teams. For countries with widely dispersed or rural populations, tele-nursing is a cost-effective strategy for making health care accessible to the whole nation. More over with the enhancements of “Tele-health” technology it becomes easier to provide healthcare services. For example test results, x-rays and other diagnostic data can be transmitted to experts at university hospitals for consultation. Nurses also use state-of-the-art video conferencing equipment as a tool for the assessment and treatment of patients. These “video clinic” consultations may be much like any other outpatient clinic visit, except that the patient and the nurse are sometimes hundreds or thousands of kilometers apart. Tele-Nursing removes the barriers to health care for people living in remote villages or where adequate health services are not available.
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