El valor de la colaboración en la vertical de salud

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Cisco TelePresence:Video in Healthcare Story

Kerrie Hora

Business Development Manager

© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 2EDCS-1127909

• Market opportunity

• Use cases

• Healthcare TelePresence Endpoints


Aging populationAging population Physician shortagesPhysician shortages Rural populationRural population

Greater demand

for services

Increasingly strained

supply of services

Large % of population

lacks access to

qualified providersSources: Frost & Sullivan, Association of American Medical Colleges, WHO

© 2006 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 4EDCS-1127909

Cost

• Reduces barriers to patient access

• Extends provider’s

geographic reach

• Brings specialty care to rural areas

• Reduces delays to care

• Improves care coordination

• Designed to improve healthcare delivery

• Diffusion of knowledge / provider education

• Increases provider efficiency

• Reduces ‘brick and mortar’ cost of care

• Eliminates unnecessary travel and patient transfers

• Engineered to increase patient satisfaction

• Resource retention

Access Quality


To empower all healthcare

stakeholders (patients, providers, and

payors) to practice better medicine by

incorporating the use of video

technology to enhance access to care,

improve clinical collaboration, minimize

risks and reduce associated costs.

“Forget the terms telehealth and telemedicine. This is

simply medicine. We’re just using an enabling

technology to do what we normally do.”

Dr. Jay H. Sanders

Professor of Medicine

Johns Hopkins University


• Making specialist services more accessible to patients

• Monitoring patients’ health – enabling frequent and rapid intervention

• Avoiding or delaying admissions – hospitals, nursing homes and physician office visits

• Using clinicians’ time more efficiently

• Reducing travel costs and time for patients, clinicians & family members

• Involving & educating patients in their own healthcare

• Improving clinician collaboration – skills & expertise

• Reducing the social inequalities of health services between urban & rural areas

• Enabling hospitals to increase revenue by offering new medical services

• Enabling hospitals to eliminate medical services and outsource

Gartner - Industry Research 2010


• Legal liability, licensing and accreditation

• Reimbursement for telemedicine services

• Measurement of impact of telemedicine solutions

• Requirements for new models of staffing, scheduling and care coordination – i.e., remote monitoring

• Financial justification and incentives

• Integration of telemedicine data with EMRs and other information systems, as well as with jurisdictional interoperable electronic health records

• Last mile – lack of sufficient bandwidth or internet connectivity

Gartner - Industry Research 2010



• Use cases


© 2009 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 9

Doctors Executives

Scaling Healthcare Resources

First Responders Remote Experts Administrative

Patients

Cisco Collaboration Healthcare Customers


Facilitates support for

patients at home or in

remote areas

Provide clinical services across

distances using advanced

telecommunications technology

Potential for cost reduction in

managing a large area facility

and/or hospital

Language translation

services

Education on medical procedures,

policies, and other

Improve collaboration capabilities for

grand rounds, case reviews, tumor

boards, clinical application decisions

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• Executive Staff

• Bringing Multi-campus Healthcare Systems (Rural / Urban) closer together

• Board Meetings

• Connecting with “industry” partners, consultants or vendors

• Human Resources

** Enhanced decision making, speed to “yes or no”, culture change**

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• CMEs, CNEs, CEUs

• Oncology Tumor Boards / Grand Rounds / Noon Conference

• Acquire updated skills/certifications

• Patient education

• Career pathways

• Regulatory / compliance classes

• Recruiting/retaining healthcare workers

• Residency / Fellow programs


Patient + Medical professional

Enables less-qualified medical

professional to leverage the

expertise of colleagues and

specialists in an immediate

manner, having the potential to

provide more timely care at lower

cost and inconvenience to patients

Remote specialistCare-at-a-distance applicationsCare-at-a-distance applications

• Specialist referrals

- Dermatology

- Psychiatry

- Otolaryngology

- Endocrinology

- Pediatric care

• Virtual care teams

• Language interpretation

Medical scopes and

cameras connected to

codec (A/V only)


� Veteran’s Administration

� University of North Carolina

� Lineberger Cancer Center

� Telerehabilitation

� Pediatric heart surgical training

� GA Partnership for Telehealth



• Use cases


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© 2010 Cisco and/or its affiliates. All rights reserved. EDCS-1127909

Immersive

Personal

9900

EX90 / EX60

CTS-500

Integrator

Platforms

C90/C60/C40

C20/SX20

QuickSet

Mobile

VX Clinical

Assistant*

CPS*

VX

Tactical*

Multipurpose

Profile 65/52

MX 300/200

CTS 1300/1100

TX 9000

CTS 3010/3210

Video Endpoints in Healthcare

Healthcare collaboration S/W on dedicated appliances and supporting multiple TP endpoints with 3rd-party medical devices running out of band

*Enhanced connectivity capabilities for audio-

video medical devices running in-band

HealthPresence

Room-based TelePresence solution providing optimal environment for distributed team to collaborate on complex problems

Active Collaboration Room

Software-

based

Webex

Jabber Video for

TelePresence

(PC, Mac)

Jabber Video

for iPad


Cisco Offers a Portfolio of Video-Based TeleHealth Solutions with aChoice of Deployment Options

Immersive Conference-Style Collaboration

Desktop Video Consultations with Endpoint

Flexibility

Mobile TeleHealth Carts for Basic Consultations and Integration with A/V Peripheral Devices

Mobile CartsDesktopFixed

TelePresence

HealthPresence 2.0

Healthcare Collaboration Platform with Support for Range of Cisco TelePresence Endpoints, Integration with Telemetry Devices, and Telehealth Workflows

© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 18EDCS-962042 (7/11)

Personal Video Solutions: Cisco Jabber

Business

Value

• Faster response and consultation by visually connecting remote physicians and first responders to patients, specialists and administrators via TelePresence on any laptop, PC or Mac

• Better care at point-of-care with specialty consultation

Cisco Jabber keeps remote clinicians and first responders visually connected by enabling TelePresence on any laptop, PC or Mac

© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 19EDCS-962042 (7/11)

Personal Video Solutions:Cisco TelePresence EX Series

Business

Value

• All-in-one work and collaboration tool

• Amazing face-to-face communication

• Simple and intuitive user interface

• Unmatched natural content-sharing experience

Cisco TelePresenceEX60

Cisco TelePresenceEX90

With the Cisco TelePresence EX Series, healthcare professionals can work, connect and collaborate at their desksO all at the touch of a finger to meet with other physicians, collaborate on patient treatment, or attend training


Cisco’s next-generation TelePresenceendpoint for healthcare

• Purpose-built telemedicine cart

• Lightweight and highly mobile

• Fully integrated industrial design differentiated from competition

•High-definition Cisco TelePresence C-series endpoint with optimized

functionality for healthcare providers

• Ease-of-use and value price –for easy adoption or

broad deployment

•Medical use cases: remote patient consultations, virtual care

and education/collaboration

• Full medical certifications


•Remote specialist consultations

• Virtual care teams

•Medical education

• Language translation

•Rural healthcare

•Grand rounds


Key information:• Small footprint, with lightweight industrial design

to maximize mobility and ease of use

• Enhanced I/O capabilities for medical peripherals

• 5 HD inputs, 6 SD inputs, 2 audio inputs• HD: 2 HDMI, 3 DVI-I

• SD: 3 Composite, 3 S-Video

• Audio: 2 3.5 mm, line level

• Optional PrecisionHD 12X or 4X camera

• Switch between main camera and peripheral

sources with tactile panel or remote control

• Rechargeable battery power

• Optional wireless with mounted Cisco WAP

• Range of flexible, mix-and-match storage

modules and accessories

• Medical safety certifications

• Compliments CPS in healthcare portfolio

Availability

• North America, Europe, and select other

countries globally as medical approvals are

verified and completedPurpose-built mobile endpoint that brings

the power of TelePresence to healthcare

Product highlights


June 2012 product enhancements

Dual display functionality Allows a second external monitor to be

connected to the VXCA and dedicated to the

display of selfview or a presentation image,

while maintaining the full-screen self-view

feature in single-display mode.

PC Cabinet accessory

(ACC-CA-CM)

Optional lockable cabinet to accommodate

on-board PC, network switch, or other

equipment/supplies. Includes internal shelf for

convenient placement, cooling vents, and

cable management access to VXCA column.

Retractable network cord accessory

(ACC-CA-RM)

Optional retractable network cord caddy to

improve cable management and improve

mobility.

Improved WAP installation Added pre-installed CAT-5 cables from the

base of the VXCA to the upper display

support column to simplify installation of the

WAP option.

Other minor firmware updates Maintenance firmware enhancements to

improve overall system performance.

11

22

33

44

55

*External second display

not provided with VXCA

Feature highlights• Water-, sand-, impact-, chemical- and corrosion

resistant case providing portability, durability and

functionality.

• Cisco TelePresence SX20 codec featuring high

definition (HD) video and content sharing with

full duplex audio.

• Sunlight readable screen with brightness

controls. 17.5” HD screen, optically bonded

• Embedded 1080p HD camera and integrated

speakers and microphone

• Tactile control panel offering simplified system

control and a tethered infrared remote control for

full system operation

• AC and DC power options for system operation

• Security hasps (2x) for securing the unit

• IP67 (closed)


First Responder community

• Need: Quick access to experts to gauge severity of the disaster.

• Used in Haiti by Cisco Tactical Ops team, in San Diego by Fire First Responders .

Construction

• Need: Bring engineering/architectural help to the construction site, too expensive to constantly travel to construction sites for consultation.

• Higher end construction companies are using C-20s.

Oil and gas

• Need: Visual communication to track oil fields stats.

• Desire to reduce transportation and manpower to the fields.

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© 2010 Cisco and/or its affiliates. All rights reserved. EDCS-1127909

Technology

El valor de la colaboración en la vertical de salud