telemedicine project of SPMC

1. t
SOUTHERN PHILIPPINES MEDICAL CENTER
INFORMATION TECHNOLOGY (IT)
RESEARCH AND TRAINING INSTITUTE
FOR TELEMEDICINE Presented by:
Greg Candelario, Jr., MPA

2. TELEMEDICINE
 Telemedicine is the use of telecommunication and information
technology to provide clinical health care from a distance.
 It has been used to overcome distance barriers and to improve
access to medical services that would often not be consistently
available in distant rural communities.
 It is also used to save lives in critical care and emergency situations.

3. Purpose
With the advent of technology, SPMC a
1,500 bed Hospital, Training and
Research Medical Center with highly
qualified technology and medical
experts is now expanding its wings in
the area of Telemedicine in Mindanao
and beyond.
The above aligns to SPMC’s vision as a world class service oriented medical
center along with the government’s Philippine Health Agenda (PHA) goals of
financial protection, better health outcomes and responsiveness.

4. • Sulu Provincial Hospital, Jolo, Sulu
• Pangutaran District Hospital, Sulu
• MHARS Medical Center, Ozamis
City
• Siargao Island, Surigao del Norte
(new client)
• LGU Hospitals, Samal Island
(potential client-presented to City Council)
TELERADIOLOGY
Telemedicine
Integrating Medicine, IT & Communication
• LGU - Borja Hospital ,
Cagayan de Oro
• LGU City Rehab, Mati,
Davao Oriental
TELEPSYCHIATRY
• Central 911 , Davao City
TELEEMERGENCY
• Davao Oriental Provincial
Hospital, Mati City
• BARMM – needs all of
the above (5 provinces)
TELEDERMATOLOGY
“DoctorOn Demand. Anytime, Anywhere.”

5. POC
TELERADIOLOGY
TELEPSYCHIATRY
TELEEMERGENCY-911
POC
Legend:
SPMC’S TELEMEDICINE IMPLEMENTATION IN MINDANAO TELECONSULTANCY
FOR COVID-19

6. Teleradiology offers almost instantaneous viewing of
medical imaging results. This enables physician practices
& hospitals to provide better patient care, allowing them
to diagnose and treat a patient quicker and more
efficiently.
Faster Diagnostics
Teleradiology eliminates the necessity of radiologists to
travel where the patient image was captured. This
enables the radiologists to work from any remote
location. Cost will be saved on not having to employ a
full time in-house radiologist. And patients save money
on travel, food cost.
Reduces Cost
TeleRADIOLOGY Benefits
Teleradiology services give radiologist/physicians the
ability to collaborate and derive the best treatment
method for the patient. Second opinions can easily be
reached from a sub-specialist radiologist without having
to transfer the patient.
Improve Consultation
Many hospitals are experiencing shortages in their
radiology staff, especially during holidays & night shifts.
Teleradiology helps practices do more with less staff
because radiologists don’t have to be on-site to view
images, and thereby saves time
No Shortage of Radiologists

7. Teleradiology enables rural medical practices & hospitals
to expand their networks with other medical facilities
without needing to over-staff. Rural hospitals can easily
send their patient images to teleradiology providers to
receive quick & expert interpretation.
Improves Rural Area Care
Teleradiology helps provide weekend, emergency,
holidays, vacation and after-office hours services.
Radiologists can telecommute, so medical facilities that
utilize this branch of telemedicine can provide services
around-the-clock.
Improves Staffing
TeleRADIOLOGY Benefits (continued)
Teleradiology gives physicians & radiologists to learn &
expand their ability within the field. The technology can
be helpful as an educational device thru presentations
from clinical radiologist or other knowledgeable health
care experts in the field.
Educational Opportunities
Teleradiology can provide 24x7x365 days/yearly
coverage. Unlimited access can be attained to ensure
continued health care services.
24/7/365 Coverage

8. • Sulu Provincial Hospital, Jolo, Sulu – started August 2017 (contract renewed)
• Pangutaran District Hospital, Sulu – started August 2017 (contract renewed)
• Amai Pakpak Medical Center, Marawi (for renewal due to war conflict)
Teleradiology
Integrating Medicine, IT & Communication
“Doctor On Demand. Anytime, Anywhere.”
Existing Clients
• MHARS Medical Center, Ozamis City
- 2 Radtechs from MHARS completed their one month training at SPMC
Newest Client
• Palawan LGU Hospitals (14)
• Caraga Provl Hospital, Surigao City
• Camp Bautista Hospital, Jolo, Sulu
Potential Clients
• District Hospital of General Santos City
• Cotabato Sanitarium Hospital, Sultan
Kudarat, Maguindanao
• LGU Hospital, Balot Island
• LGU Hospital, Boracay
• LGU Hospitals in IGACOS

9. STATISTICS
SULU PROVINCIAL HOSPITAL

10. August September October November December
# of Cases 80 267 995 1012 825
0
200
400
600
800
1000
1200
#
of
Cases
Sulu Provincial Hospital X-Ray Cases Read in 2017

11. January February March April May June July August September October
# of Cases 1392 783 1011 1254 1598 936 1319 1505 975 1007
0
200
400
600
800
1000
1200
1400
1600
1800
#
of
Cases
Sulu Provincial Hospital – Xray Cases 2018

12. Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
# of Cases 1196 860 1158 514 581 1426 773 1181 731 978 709 794
0
200
400
600
800
1000
1200
1400
1600
#
of
Cases
Sulu Provincial Hospital - Number of Cases 2019

13. Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
# of Cases 1103 954 356 0 0 94 719 568 738 1007 1416 1363
0
200
400
600
800
1000
1200
1400
1600
#
of
Cases
Sulu Provincial Hospital - Number of Cases 2020

14. STATISTICS
PANGUTARAN DISTRICT HOSPITAL

15. August September October November December
# of Cases 84 29 47 41 33
0
10
20
30
40
50
60
70
80
90
#
of
Cases
Pangutaran District Hospital, Sulu – Xray Cases 2017

16. January February March April May June July August September October
# of Cases 79 109 57 72 62 64 65 66 66 63
0
20
40
60
80
100
120
#
of
Cases
Pangutaran District Hospital, Sulu – Xray Cases 2018

17. Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
# of Cases 82 59 72 78 76 77 21 71 56 71 0 11
0
10
20
30
40
50
60
70
80
90
#
of
Cases Pangutaran District Hospital - Teleradiology 2019

18. Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
# of Cases 62 39 56 43 22 36 84 75 175 79 11 32
0
20
40
60
80
100
120
140
160
180
200
#
of
Cases
Pangutaran District Hospital - Teleradiology 2020

19. STATISTICS
MAYOR HILARION A. RAMIRO SR.,
MEDICAL CENTER (MHARSMC)

20. Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
# of Cases 124 145 133 169 201 179 237 77 181 237 202 199
0
50
100
150
200
250
#
of
Cases
MHARS Medical Center - Teleradiology 2019

21. Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
# of Cases 243 195 130 76 105 38 80 127 130 119 139 144
0
50
100
150
200
250
300
#
of
Cases
MHARS Medical Center - Teleradiology 2020

22. LOI
Letter of Intent from
the Chief of
Hospital
Radtech
(trained by SPMC &
PACS Service
Provider)
Internet Connection
(DSL, LTE, Fiber optic,
Satellite disc)
Modality
(X-ray digital,
Ultrasound, etc.)
• Workstation
IT Staff
To assist in system
troubleshooting, image
uploads, etc.
PACS / RIS
(Novarad, Carestream,
Life Sys)
MOA
(signed by SPMC
and Client)
TeleRADIOLOGY Requirements
Checklist requirements from Client/Hospital:

23. SULU MAP
900+ kilometers from
Davao City to Sulu
Provl Hospital
and Pangutaran
District Hospital
Challenges in
Pangutaran island:
- No electricity
- No Internet
- No Digital Xray

24. Greg in green shirt, Dra Emy Jalani in orange, Gen. Sobejana in uniform and Mayors in Sulu, Tawi-tawi during Teleradiology Launching

26. PANGUTARAN
DISTRICT
HOSPITAL
(VSat is needed to
have internet
access)

27. Solar panel installation on the rooftop for the electricity

28. CCTV
and
Computers

29. Video Wall
(People can watch DOH Programs,
News, Movies, NBA, Boxing, etc)
Radio System
for Emergency

30. SPMC’s State of the Art
Data Center costing
more than P 100m
Dr Vega’s Office on the
Right with Dr Emy and
daughter from Pangutaran
District Hospital below

31. RadTechs, IT and other Staffs working hand-in-hand

32. Teleradiology
Team
(Radiologists)

33. SULU
PROVINCIAL
HOSPITAL

34. Camp Bautista and its Hospital
A Visit by Greg Candelario of SPMC to Camp Bautista in Jolo, Sulu with
the initial discussion of having a Teleradiology in their new hospital.
Telepsychiatry, Teleconsultancy were just few of the telemedicine modules
that maybe included in the plan joint efforts of the two government
entities. General Cirilito
Sobejana expressed his desire
to partner with SPMC on the
above endeavor.

35. TelePSYCHIATRY
Telepsychiatry is an effective means for
delivering psychiatry and behavioral
health care services to underserved, rural
areas and government military
Facilities/camps, addressing the national
shortage of psychiatrists.
Successful Implementation
Borja General Hospital,
Cagayan de Oro City
Potential Clients
• Camp General Teodulfo
Bautista Station Hospital, Jolo,
Sulu
• All government Military
Facilities/Camps nationwide
• All government Drug
Rehabilitation Centers (drug
surrenderees)
• OFW’s outside the country

36. TelePSYCHIATRY Benefits
Convenience
Telepsychiatry allows patients to receive specialized behavioral
health treatment from the comforts of their communities. This is
crucial especially in our military camps & drug rehabilitations
where psychiatrists are needed.
Quality of Care
Telepsychiatry offers greater continuity of care and an increased
range of mental health services for patients. Drug surrenderees
can access this service knowing that our country only have 500+
psychiatrists with our population of more than 100 million.
Increase Access
Telepsychiatry overcomes barriers to psychiatric care such as
distance, cost, and availability.
Simplicity of Use
All you need to get started is a computer or tablet with a browser
and webcam, and a few minutes.

37. LOI
Letter of Intent from
the Head of the
Agency
Project Staff
(trained by SPMC)
Internet Connection
(DSL, LTE, Fiber optic,
Satellite disc)
Hardware
Computer with
Camera & Microphone
IT Staff
To assist in system
troubleshooting, image
uploads, etc.
Software
(Customized
Telepsychiatry Program)
MOA
(signed by SPMC
and Client)
TelePSYCHIATRY Requirements
Checklist requirements from Client:

39. Gregorio R. Candelario, Jr.
Head – IT Research & Training Institute for Telemedicine
Head – Data Privacy Office
Southern Philippines Medical Center

40. Dr. Nery, the Executive Director of Borja Hospital

41. Mayor Moreno of CDO giving his message with the virtual presence of
SPMC’s Psychiatrist in the Smart TV background

42. City Council of Cagayan de Oro City. DSWD, DOH, LGUs & Media

43. Mental patient with our SPMC Psychiatrist Dr. Villanueva

44. Mental patient #2 with our SPMC Psychiatrist Dr. Villanueva

45. Borja Hospital OPD Physician with Dr. Villanueva for medical direction.

46. TELEPSYCHIATRY
MATI CITY HEALTH OFFICE

47. Actual Telepsychiatry

48. Triaging

49. SPMC Telemedicine Training
of Mati CHO and Staff

50. SPMC Secured Web-Based System
SPMC Hospital
Davao City
Implementing Agency
Psychiatrist
Attending Physician with
Psychiatric Patient
J.R. Borja Hospital
Cagayan de Oro City
Cooperating Agency
Video Conferencing
Fiber Optic Internet Connection
with Redundancy
Customized Telepsychiatry Program
Funded by DOST-PCHRD
SPMC Cloud-Based Technology

52. 2016 2017 2018
In-Patient 61
In/Out-Patient 115 365
0
50
100
150
200
250
300
350
400
Number
of
Patients
Borja General Hospital, Cagayan De Oro City – Telepsychiatry Encounters

54. SPMC TELEMEDICINE HUB
J.R Borja LGU Cagayan De Oro
Drug Rehab Mati City
Sanitarium Hospital Cotobato City
LGU Palawan Hospital
Drug Rehab Surigao City
Drug Rehab New Corella
LGU Hospital Island City of Samal
Drug Rehab Calinan Davao City
Camp Bautista Hospital Jolo Sulu
BJMP Davao City
OWWA Center Davao
LGU Facility War-Torn Marawi City
# LGU hospital : 4
# DRUG Rehab : 4
# Other Hospital : 4
Legend: Health Facility

55. SPMC-Davao TELEMEDICINE HUB
Singapore
Japan
Qatar
Kuwait
Oman
Saudi Arabia
Africa
America
Maritime
Hong Kong
HIGH
MEDIUM
LOW
Legend: Priority

56. “Enriching Lives in Davao
and beyond”

57. Ecclesiastes 9:10
Whatsover thy hand findeth to do,
do it with thy might;