August 2009

Orissa Telemedicine ProjectSolution Overview

The Project

• To enable 24/24 availability of a Doctor/Patient encounter;– In any remote area of Orissa (Initially) with two

type of services:• Mobile team (On scooters with medical Wellbeing

Stations);• Fixed location Team;

– Using local trained personnel;– Based on an Indian Wide availability of Medical

Professionals – Connections are made within minutes.

The means

• A sophisticated eHealth Management System to run;– Wellbeing station “Kiosks” able to perform

various “primary Care Medical Tests”;– Interconnect with voice and video capabilities

with a Medical Provider located in any location in India;

– Issuing of a medical report/consultation based on the data received, and video/voice consultation performed for further treatment locally;

– Billing system– Full centralized “support centre” by OTTET

eWave MD – Profile

• International software company • Healthcare oriented since 2000• Secure Web-based solutions and products specialists• ISO 9001:2000 compliant• Standards establishments:

– HEDIS– HL7– CCR

• Over 250 professionals• Active in US, Europe, Brazil• ~ 10, 000 physicians worldwide• ~ 3,000,000 patients

eWave Medical is committed to leading industry standards, both technical and

conceptual.

• HL7 – Clinical Messaging• HIPAA Compliant (Security)• ICD & CPT for coding• CCR / CCD – Continuity of Care Record (Clinical information

exchange)• CCHIT Compliant• DICOM modalities and devices• Generic SOA for interoperability

Telemedicine Process

• Diagnosis Workflow • Physical or Virtual

Diagnosis Center

• Store and publish result

• initiate medical interference

• Transfer files to diagnostic call center

• Collect Data from Medical devices

• Open API –connect any device

Collect

TransferDiagnos

e

Publish

The Medical Devices

• 12 Lead ECG;• Single Lead ECG;• NIBP (Non Invasive Blood Pressure);• Blood Saturation (SpO2);• Spirometry;• Body Temperature;• Breathing Rate;• Precision weight scale;• Blood glucose reading;• Miscellaneous

– Various symptoms;– Medication taken;– Etc.

The Approach

• To have robust devices;• Intuitive workflow• To be extremely simple to use (And still a reliable medical

device);– No calibration required;– Minimum cables– Practically no Maintenance required! (Battery operated)– No disposables - liquid gel, electrodes etc.(besides

temp.)• With International certifications and accreditations;• Web based software

The Future

• Tele-Radiology;• Blood tests (non – invasive and Invasive as well, depending

on the level of the HR available);• Country wide ePrescription;• Expansion of the project into other states of India (already

in motion)• More…

Thank You!