Medting – Using Web 2.0 Tools for Medical Video / Image Sharing

Medting is a web plataform that allows physicians to share medical images and videos and build clinical cases.

Medting is useful for posting and searching cases, Knowledge database, managing private cases (telemedicine ) and linking professionals around specific health topics.

Medting uses SNOMED and is also integrated with PubMed. Automatic Translation.

The Power of Collective Wisdom

Create your organization relevant clinical cases and teaching repository for your medical community (clinicians, students, residents)

Improve medical education and quality of care

Clinical Transformation, Knowledge Management and Transfer Using Social Networking

Connect your doctors with reference academic centers

New ways for the medical community to build relationships within the organization

The collective intelligence of a broad community exceeds the capabilities on any individual member.

Next generation

Clinical Cases

Medting.com 4

Atlas

Medting.com 5

Multilanguage

• Keywords (tags) are based on SNOMED CT terminology• Automatic translation of the keywords

• SNOMED provides a battery of 1 million+ clinical terms in several languages. • The more SNOMED terms used as keywords, the better the content is indexed.

Medting.com 6

Repository and Tool

• Private and Public cases:– Public cases can be reviewed by any user since it is published on the platform. – Private content (cases, images or videos) can be also posted and uploaded to

Medting. Those cases will not be shown on the MEDTING website and only invited users will be permitted to review those cases. This functionality is useful for telemedicine and second opinion services.

• Any user can be invited by the author to review a private case:

Medting.com 7

Current Projects

Pilot projects– University of Geneva– Heilderberg University*– King Fahd Medical City– Temos– COTMES*

Enterprise contracts– Catalonia Health Ministry*– USP Hospitals Group– Rey Juan Carlos University (Madrid)– Universitat Oberta de Catalonia– Optomed, Ltd– International Medical Support Action*

DoctorsStudentsResidents

International Collaboration

Telemedicine Network, Second Opinion

EHRRHIO

Relevant Clinical Cases

Academic Teaching Repository

International Telestroke Network

One click telemedicine

Telestroke is being a priority for Health organizations worldwide

Some regional / national networks already exist

Base technology is a videoconferencing system

But we can see further, international collaboration and exchange can be relevant. Medting can help

• To create a private a exclusively network and knowledge repository of stroke sample cases• To connect worldwide institutions and reference centers for a second opinion / recommendation as a data collecting tool and asynchronous discussion• To link and integrate disparate EMR’s on a case exchange• To provide a huge repository of stroke images and cases for education, research• Connect your doctors with reference academic centers• Integrated with already exiting videoconferencing systems or robots

The collective wisdom of a broad community better than an individual member for stroke patient management

International Telestroke NetworkMedting Value Proposition

First International Telestroke Network

Pilot Research Project

Dr. Bart Demaerschalk, Vascular Neurology, Mayo Clinic, Principal Investigator

Dr. Gordon Vail, Emergency Medicine, Hotel Dieu Grace Hôpital, Co-Principal Investigator

Objective

Telestroke workflow validation Pilot

To validate Medting as a Telemedicine Platform for acute stroke

To establish the first international telestroke network between

Mayo Clinic, Phoenix, USA

Hôtel-Dieu Grace, Windsor, Canada

Medting as Global Health platform allowing to exchange clinical case referral between worldwide hospitals

Some extra functionalities will be later implemented under a global project scope

The pilot will implement the basic automation capabilities for a first evaluation.

The Challenge

Telestroke workflow validation (Pilot)

CT Scan Images and other complementary media should be captured, indexed and stored into Medting as a new clinical case.

Physicians should be capable to easily share them, privately, with their colleagues.

All images and videos stored into Medting should be accessible by registered physicians for reviewing and reporting using web browsers

Dicom source images could be also reviewed with a Dicom Viewer

Images should be automatically uploaded into Medting directly from CT Scan.

Pilot project workflow proposal

2. MIO Workstation (Listener)MIO gets patient ID and Images, uploads content and creates a private Case on Medting Website

3. MEDTINGClinical case web repository. MEDTING stores and indexes uploaded images, videos and data. MEDTING web interface allows the sender physician to invite the receiver specialist.

4. Review (Mayo Clinic) (Using any web browser receiver doctors can review, exchange and report all the information (images, videos and data) that has been uploaded to MEDTING. Images could be also reviewed with a Dicom Viewer.

1. Source Hospital (Windsor, Canada)Hospital CT Scan automatically sends Dicom Images to MIO .

< Pat

ient I

D & Im

ages

Images, Videos, Data > Images, Videos, Data >

Alerts: possibility to send an alert / notification to receiver physician (SMS, pager, phone call)Automatic Invitation: possibility to automatically invite receiver group of physicians to review the case.Online VideoConferencing: possibility to activate an online videoconference or collaborative session or integration with already existing videoconferencing system

OUT OF THE PILOT PROJECT SCOPE

Specialist recommendations

Features Research pilot conducted in Canada Proof of concept Validate clinical workflow IRB approval and oversight in Canada PI Dr. Vail at Hotel Dieu Grace Hospital 12 Patients at Hotel Dieu Grace Hospital Utilize existing hub & spoke workflow Duration of trial, 1 year Medting sponsorship Dr. Demaerschalk, Mayo Clinic consultant

− Canadian, licensed in Ontario, Canada Ontario neurologists, responsible post pilot Regional goal, pilot is stepping stone for

established regional network and an international network