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mHealthBridging the Health Divide K.Ganapathy Apollo Hospitals Chennai, India
Gramjyoti…. Light of the Village How it all Started…. • In August 07, Ericsson’s Gramjyoti Project showcased benefits of Mobile Broadband for Rural India, using HSPA • Special license to utilize the 3G spectrum obtained • 110,000 in the Gramjyoti project area, covering 18 villages & 15 towns, had access to broadband applicationsApollo Hospitals provided Health care, others provided e-education, e-governance, voice & video call services & live TV& entertainment
And the Results• 97 women and 143 men evaluated over 3 months • After initial hiccups fine tuning resulted in satisfactory transmission of data. • 75 ‐ 12 Lead ECG’s transmitted and remotely evaluated • Remote Clinical Diagnosis was followed by distribution of drugs at the village.
VSAT Enabled Hospital on WheelsInterior of VSAT enabled Mobile Van Live Teleconsultation from Van
Advantages of the mHealth System• Better utilization of limited healthcare resources• Allows patients to remain in their communities• Physical & economic hardships associated with travel ↓• Earlier diagnosis, intervention & treatment • Burden on tertiary care facilities ↓
MOBILITY – A PEEP INTO THE FUTUREPeople always on the move virtually,↑ exposure↑ Technology → bottom up transformation↑ mobility in a global economy a business realityPresent hand helds > powerful than PC’s of 1990MCD will become primary means of accessing INFOwith sensing, processing and display fromembedded intelligent devices in the environmentResistance to new tech, due to inability for massdeployment
HEALTH CARE – A PEEP INTO THE FUTUREFundamental structure of health care, has so far resisted changeNew health needs & health management → delivery innovation Today’s mantra “Anytime, anyone, anywhere”Decentralized, not capital intensive huge hospitalsMove health out of hospital & doctor’s office to home, car, office, grocery, DIY
The Emerging Mobile World…• Teledensity in India is currently at 58% • Rural Teledensity in March 2010 – 100 Million (13 %) • Projected to be 200 Million at end of 2012 (25%) • 700 Million in suburban & rural India, have no direct access to specialist healthcare • Killer Applications ‐ mCommerce, mBanking, mEnt • mHealth is conspicuous ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ by its absence !!!
Catch a Wave: Mobile Technology Today one billion people have access to the internet; 4.6 billion have mobile subscriptions 50% Source: GSMA Chart: ITU80% of the world’s population has 64% of mobile phones are in mobile phone coverage (expected emerging economies ‐‐ and that to rise to 85% in 2010) continues to climb fast www.mhealthalliance.org
“The quickest way to get rid of poverty right now is to have a mobile telephone.”Source: Jose Luis Pelaez Inc/Blend Images/Getty Images -Muhammad -Yunus Source: Heath Korvola/Digital Vision/Getty Images The Alliance is the catalyst of the mHealth ecosystem, committed to extending health to the Source: DataDyne farthest reaches of wireless www.mhealthalliance.org
Healthcare Transformation Platform Tele- advice Tele-advisors Tele Advice Common Service Center Tele- PSTN advice Doctors CDMA, Telemedicin Tele Advice GSM, e 3G Telemedicine Doctors GramIT Mobile Telemedicine PHC Wi-fi Clinic Administrators Mobile CHCHealth Clinics Sub- VSAT, Bloodline Centers WiMAX Bloodline PPP Models Awareness, Hygiene, Education Public Education and Hygiene Contact Data Mobile Center Disease CenterTelemedicine Surveillance Disease Surveillance Telemedicine Center
Convergence‐driven Platform Touch Points Beneficiaries Patient Healthcare Transformation Engine Provider Tele Advice Telemedicine Tele Education EHR/EMR, Healthcare Research Analytics Pharma Command and Control Center Payor Govt.Internal Partners PPP Model External Partners
ICE mPHR In Case Of Emergency Details Holder’s Name : Venkateswar Reddy Melachervu Emergency Contact Name : Nanda Reddy Melachervu Emergency Contact Number : +91 98765 43210 Relationship : Wife Known Medical Conditions/Allergies : Penicillin Current Medication : None Insurance #: Apollo DKV # 110100/12001/2009/A000061-01 Blood Group : B+Ve
PalmGear.comComprehensiveselection of healthcare software forPDAs do not revealany software formulti speciality .
Radiology (Dicom) Images on PDA Live Video Streaming with Forward,Backward,Next &Features: Zoom In / Previous optionsZoom Out , • Clear Video & AudioPatient Information • Patient Information with Video Courtesy HGN
ECHO now being viewed in a Telemedicine Room will be seen in a 3G enabled Handheld Smart Phone
Published: January11, 2010COPENHAGENJens Danstrup, a 77-year-old retiredarchitect, used to bikeall around town. Butyears of smokinghave weakened hislungs, and these dayshe finds it difficult towalk down his frontsteps and hail a taxifor a doctor’sappointment.
“Boundless Opportunities in a Borderless World”Apollo Hospitals INDIAtouching lives
Emerging economies like India have the doyens of health care and the czars of IT. With exponential availability of MP INDIA can use mHealth to bridge the health divide leap frogging. Who knows one day the world may strive towards achieving India Class in mHealth !!!