1 Achievements, Successes, Lessons Learned Presentation to Total Oil & Gas Venezuela B.V. July, 2010 Project SOS Telemedicina for Venezuela
2 Start: Aug. 2007 Estimated Duration: 3 years Objetives: Design, development and implementation of a pilot system TLM in Nueva Esparta, Amazonas and Delta Amacuro Connecting remote centres for primary care with specialists at athe Univ. Central de Vzla. (UCV) Improve the ability of public health services to meet needs Budget: 8 MMBs End Date: July 2010 Achievements: Implementation of the pilot TLM in Nueva Esparta and start of extensions to Amazonas (Cacurí) and Anzoátegui (Mapire) Triage Centre in the UCV, implementation of web-based joint case consulting, and working connections with remote sites. Creation of a mullti-disciplinary team and a network of huiman resources forTLM Experience of implementation in the UCV, with providers and with relevant authorities, organisations and user communities. Principal Changes: Substitution of Delta Amacuro for Miranda y Anzoátegui > Completed 60% of the project Budget: Spent 5 MMBs (62,5%) Available 4,7 MMBs ( 3,0 not carried out + 1,7 interest) Extension: Julio 2012 Objetives: Extend the TLM network created toAnzoátegui, Amazonas, Vargas, Sucre, Guárico and other states to be defined Optimize and innovate the TLM platform, applications & connectivity Generate mechanisms for informing, educating & y helping a local communities as coparticipants in this effort Link the training of medical students and nurses in rural areas to the TLM effort Support the national TLM project network with a consolidated network of the official bodies, health providers, usrs, business, TLM-UCV and trained/committed Extend integration with national and international networks to support the optimisation and innovation of the national system. Promote agreements with and committments from public and private bodies to ensure the resourcing, maintenance, improvement and ongoing innovation of the PILOT TLM Network established by the project. Current achievements of the Project by July 2010, and planned objectives for the extension until 2012
3 The ten most important achievements of the SOS Telemedicine Project for Venezuela Proving the ConceptContractingAcquisition of the EquipmentDevelopment of the TeamIncorporation of Public and Private CompaniesSocial Network/ Human ResourcesInstallation of a Network of Mobile TLM UCV CentresA Resourcing Strategy Human Resource Development & TrainingDevelopment of International network Red Social Autoridades universitarias EmpresasEstudiantesEnfermeras Dirección de Salud MédicosAlcaldesGobierno localComunidad
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5 Logros: 24 centros de salud de TLM operativos en el país Pilot in Nueva Esparta Centros de asistencia y ambulatorios Ambulatorio Rural Tipo II Tacarigua Hospital de Salamanca Centro Ambulatorio Integral José Francisco Marva COCHE Clínica Popular El Espinal Ambulatorio Rural Tipo II Punta de Piedra Ambulatorio Dr. Luis Rosa Bravo Tipo II Los Robles Ambulatorio Rural Tipo II El Valle Ambulatorio Rural Tipo II Los Millanes Ambulatorio Rural Tipo III Pampatar Ambulatorio Urbano Tipo I La Asunción CPI Rosalía Mata de Velásquez. Pedregales Hospital Dr. Agustín Rafael Hernández Juan Griego Hospital Militar “CNEL (GN) Nelson Sayago Mora” Sede Corposalud Margarita Ambulatorio Rural Tipo II de Bella Vista Ambulatorio Rural Tipo II Guacuco Universidad Central de Venezuela Post grados en el Hospital Universitario CAIBCO en el Instituto de Medicina Tropical Otros centros Amazonas Cacurí Anzoátegui Mapire Centros de asistencia y ambulatorios (cont.) Ambulatorio Rural Tipo II Puerto Fermín Ambulatorio Tipo I El Guamache Ambulatorio Tipo II La Guardia CPI II Dr. Ángel Lares Boadas. San Juan Bautista CPI Rural Tipo II Santa Ana Hospital Dr. Armando Mata Sánchez Ambulatorio Tipo II Dr. Doménico del Grosso
6 Achievements: Coverage of TLM in the State of Nueva Esparta
7 Logros: Centre of operations in the Univ. Central de Venezuela (UCV), TLM software and links with remote centres Triage centre in the UCV in operation Web application for managing second opinions/joint case consulting designed, developed and implemented Connectivity with remote centres by ABA/EVDO: CANTV Satélite:Telecorp GPRS:Digitel
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10 Logros: Uso del sistema Health Personnel registered Rural Doctors: 49 Specialists: 48 Triage Doctors: 1 Nurses: 17 Paramedics: 5 ________________ Total120 57 registered consultations Most frequent consultations: Infectious diseases Dermatology Cardiovascular
11 Network of TLM relationships TLM: Telemedicine NS: Health Node HUC: Hospital Universitario de Caracas Componente de ssitema Nacional de Salud Ambulatorios rurales UCV ADM IMT FAC´s Nodo CAIBCO UCV Problema (T,P,F,S) : Marked inequalitites in the avaialbility and quality ofr Medical care for rural, remote and marginal urban communities Hospitales Barrio adentro Ambulatorios urbanos Amazonas Anzoátegui Nueva Esparta HUC-UCV ORG´s-UCV PC apacidades HP CISCO Digitel Telecorp PT ecnológico TOTAL CDCH PF inanciero Gobernación Corposalud Alcaldias PP olítico PS ocial AUT OTR Necesidades para la gestión del proyecto Achievement: National TLM Network FONACIT MCT CNTI PP olítico
12 Necesidades para la gestión del proyecto Results obtained: participants in the network Tecnology HP: Commercial partner for proof of concept o (2008 – 2009) & supplier of equipment (2009 – 2010) Cisco: connectivity Digitel: telecommunicacions Telecorp: telecommunicacions Microsoft: commercial & licensed applications Centresof Medical Care Hospitals Mobile Centres CIP´s Government Corposalud Government (national and regional) Town Hall Financial Total CDCH-UCV Fondo Nacional de Ciencia, Tecnología e Innovación Ministerio de Ciencia y Tecnología
13 University Centres Involved Organización de Bienestar Estudiantil (OBE) Dirección de Tecnología de Información y Comunicaciones Vicerrectorado Académico Consejo de Desarrollo Científico y Humanístico (CDCH) Dirección de Servicios Generales Biblioteca Central Escuela de Computación y Laboratorio de Fotografía de la Facultad de Ciencias Instituto de Medicina Tropical “Dr. Féliz Pifano” Facultad de Medicina - UCV Consejo de Preservación y Desarrollo
14 Multidisciplinary Team Trainees, Postgraduate students and Profesionales in: Computing Social Science Languages Medicine
15 “Developing a Web-Based, Object-Oriented, Multimedia Medical System” Aluen M., Arrechedera H., Mateo A., Metzner C. Information Technology in Developing Countries Minitrack Thirty Second Hawaii International Conference on System Sciences “Modeling a Multimedia Medical System” Aluen M., Arrechedera H., Fariña M., Rivero M., Valero A. 2nd World Multiconference on Systemics, Cybernetics and Informatics SCI 1998 4th International Conference on Information Systems Analysis And Synthesis "Redesigning with Design Patterns" Arrechedera H., Correa E., Matteo A., Metzner C., Romero M., World Multiconference on Systemics, Cybernetics and Informatics SCI 1999 and ISAS´99 5 th International Conference on Information Systems Analysis And Synthesis Tesis de pregrado "Zeus : An authoring tool for expert medical knowledge" Aluen M., Arrechedera H., Matteo A., Metzner C., Niño N., Valero A. World Multiconference on Systemics, Cybernetics and Informatics SCI 1999 and ISAS´99 5 th International Conference on Information Systems Analysis And Synthesis “How to get started with Design Patterns” Metzner C., Arrechedera H., Matteo A. World Multiconference on Systemics, Cybernetics and Informatics 2000 “Using O-O Metrics and Design Patterns” Metzner C., Arrechedera H., Matteo A. BITWorld 2001 Business Information Technology Management 10 Publicaciones Productos – Publicaciones Determinar si se requiere una lámina como esta y actualizarla
16 I Congreso de las TIC: Desarrollo e Innovación Héctor Arrechedera Dirección de Tecnología de Información y Comunicaciones Ciudad Universitaria – 10-12 Marzo 2008 American Telemedicine Association Thirteenth Annual Meeting of the American Telemedicine Association Seattle, Washington – april 6-8, 2008 XIII Jornadas de Ingeniería Industrial Gestión innovadora de procesos: la clave para el futuro Héctor Arrechedera Universidad Católica Andrés Bello 12-14 Junio 2008 Telemedicina y desarrollo Sustentable Héctor Arrechedera Alianza Francesa Facultad de Medicina, UCV – 28 de Octubre 2008 Avances de la telemedicina en Venezuela: una aplicación de Segunda Opinión Médica Rivas Suárez, Robinson Samuel, H. Arrechedera, R. Cattafi, M. Fariña, J. Sierra, M. Fajardo LVII Convención anual de AsoVAC San Felipe, Estado Yaracuy – 5 Diciembre 2008 III Jornadas Nacionales de los Tribunales Disciplinarios “Dr. Jack Castro” Héctor Arrechedera Federación Médica Venezolana – Tribunal Disciplinario Margarita, Estado Nueva Esparta – 17 al 20 de Marzo 2009 II CONGRESO INTERNACIONAL DE EDUCACIÓN MÉDICA Héctor Arrechedera, Jesús Velásquez Cancún Q. Roo, 31 de Mayo, 1 al 4 de Junio 2010 Latin American Faculty Summit 2010 – Brasil Héctor Arrechedera Guarujá – Brasil, 12 al 14 Mayo TIC y Salud Héctor Arrechedera Sao Pablo – Brasil, 7 al 9 de Junio Productos – Congresos
17 Achievements: Important lessons and experiences from the implementation of TLM Time lapses for contracting, legal consultation etc. Management and adaptation of administrative processes to meet project requirements. Working relationships across Faculties Working relationships with University Authorities UCV University-Industry partnerships HP: commercial partner, proof of concept without cost for the project, provider of equipment Digitel: connectivity where CANTV (Telecoms) has no coverage, or satellite connection is not viable (Nueva Esparta) Telecorp: satellite connectivity in remote areas (Cacurí) Suppliers Agreements and support for the implementation of local TLM centres. Stake-holding Bodies In Cacurí (Amazon) we learned to create a TLM centre from scratch, building up to a working telemedicine centre, including community infrastrcuture and the provision of electricity through solar energy. Remote Centres
18 Complete the proposed national TLM envisaged by the project Complete the installation and operation in practice of 6 additional centres in Nueva Esparta Install 12 TLM centres in Miranda and 6 in Anzoátegui Complete the national TLM network with 30 additional centres (regions under consideration are Vargas, Sucre, Guárico and others to be defined) Extend the network from Nueva Esparta to a National TLM System Association / alliance with Microsoft for the implementation of applications to enhance productivity Take advantage of international relationships established to support innovations in the applications and the equipment for patient monitoring. Extend connectivity through agreements with the Bolivarian Space Agency, through the networks used by amateur radio enthusiasts, novel mobile comupting applciations usch as mobile phones and corresponding applications. Optimisation and innovation of the TLM platform created
19 Completar la conformación de la red nacional piloto de TLM Educar en el uso de los portales generados y optimizarlos para información y formación de usuarios y personal del salud de las localidades Hacer que la educación y formación tanto a distancia como en sitio refleje de manera muy sencilla y práctica las realidades locales Promothe the training and development of nursing personnel, and local health care assistants using the TLM as a vehicle for facilitating this. Make local communiities co- participants in this effort / initiative Take advantage of the connectivity with remote sites, and the facilities for communication through the TLM applications to increase the number of UCV students involved in rural development in these sites, and study the viability of a similar programme for the training of nurses Make use of the medical and nursing students on their rural training programme to train and integrate local healthcare personnel into the system. Link the rural training programme for medical students and nursing with the TLM effort Definition of areas of common interestt with companies such as HP, Microsoft, and Digitel. Define the possibilities for use of social networks such as Facebook, Twitter and others Partnership and collaborative working with businesses
20 Project Lifecycle Definition of regional requirements and incorporation of health strategies of public and private bodies lcorresponda Development of metrics for Measuring the progress and the social impact of the TLM programme Ongoing training for health care personnel and the commmunity of users Agreement and committment from public and private bodies to support the resourcing, maintenance and ongoing improvement of the TLM Pilot as defined Online programme of extension of the established TLM network Ongoing programme of extension of the established TLM network
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22 Gracias “Las universidades deben realizar una función rectora en la educación, la cultura y la ciencia. Para cumplir esta misión sus actividades se dirigirán a CREAR, ASIMILAR y DIFUNDIR el saber mediante la investigación y la enseñanza.”