Telemedicine in lac telemedicine experience in venezuela based on the maniapure program
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Telemedicine in LAC “Telemedicine Experience in Venezuela” based on the MANIAPURE program:. ATA/ATALACC Seattle,April 7th 2008. Eng.Morel Orta/Tomás Sanabria M.D. Who are we ? Where do we come from ? Our experience Our operating model What can we offer ? Where are we going?.

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Telemedicine in lac telemedicine experience in venezuela based on the maniapure program

Telemedicine in LAC“Telemedicine Experience in Venezuela”based on the MANIAPURE program:

ATA/ATALACC

Seattle,April 7th 2008

Eng.Morel Orta/Tomás Sanabria M.D.


Telemedicine in lac telemedicine experience in venezuela based on the maniapure program

  • Who are we ?

  • Where do we come from ?

  • Our experience

  • Our operating model

  • What can we offer ?

  • Where are we going?


Who are we

Who are we ?

Telesalud de Venezuela is a private company created by health and IT professionals whose experience originated in the Maniapure project.

The company is dedicated to provide telemedicine services to rural (and more recently urban) areas of Venezuela . Our program continues to be free of charge to the Maniapure project, but for other clients, services are being financed by private and public institutions, as part of their social responsibility.


Telemedicine in lac telemedicine experience in venezuela based on the maniapure program

  • Who are we ?

  • Where do we come from ?

  • Our experience

  • Our operating model

  • What can we offer ?

  • Where are we going?


Telemedicine in lac telemedicine experience in venezuela based on the maniapure program

Where do we come from?

Centro la Milagrosa

Maniapure region

Cedeño district

Bolívar State, Venezuela


Telemedicine in lac telemedicine experience in venezuela based on the maniapure program

Where do we come from?

We work in sparse and isolated communities


Telemedicine in lac telemedicine experience in venezuela based on the maniapure program

Where do we come from?

Primary care at Centro La Milagrosa ADS

Medicine : one MD on his Rural year

& clerckships with 6th year medical students UCV

Last year Dental Medicine students from UCV y USM universities and others

Clinical Lab & Bioanálisis

> 400 patients monthly at CLM

Dental primary care since 1998 Centro La Milagrosa ADS

students UCV since January 2001


Telemedicine in lac telemedicine experience in venezuela based on the maniapure program

after

Our Experience

before


Telemedicine in lac telemedicine experience in venezuela based on the maniapure program

Our Experience

Top Specialty doctors available for the most remote regions

  • Rural MD makes primary evaluation

  • second opinion request vía Internet.

  • Confirmatorio sub-specialty consultation

  • we have been able to solve complex cardiovascular and neurosurgical cases without delays.


Wonken municipio gran sabana

Our Experience

Wonken - Municipio Gran Sabana


Wonken gran sab na wifi

Our Experience

WONKEN - Gran Sabána - WiFi


Telemedicine in lac telemedicine experience in venezuela based on the maniapure program

Our Experience

Ability to solve problems fast

Our team follows the community wills

Multidisciplinary team

Dedication and love for our work

Independance in transportation


Some results at la milagrosa clinic

Our Experience

Some results at La Milagrosa clinic

  • 12 years of telemedicine (radio, phone, fax, Internet)

  • 13 MDs on their rural year (one year each)

  • > 350 clerckship students on health related sciences

  • > 50 volunteer clerkships (France, Spain,USA,GB , Japan,Egipt etc)

  • 1.500 patients/month seen ( regional centers).

  • Aproximately 5% requiere teleconsultation.

  • Aproximately 20% of teleconsults require referal.


Telemedicine in lac telemedicine experience in venezuela based on the maniapure program

Our Experience

Active centers


Telemedicine in lac telemedicine experience in venezuela based on the maniapure program

  • Who are we ?

  • Where do we come from ?

  • Our experience

  • Our operating model

  • What can we offer ?

  • Where are we going?


Telemedicine in lac telemedicine experience in venezuela based on the maniapure program

Technical Platform

Digital video camera

ECG PC

Microscope Digital Camera

Portable Lab

Laptop

Laptop or portable device

  • BroadBand Internet

  • ADSL

  • VSAT

  • WI-FI

  • BroadBand Internet

  • ADSL

  • EVDO

  • WI-FI

Specialty MD

Printer

VoIP phone

Firewall

Scaner

Rural clients

Application Server

Web Server

Virtual Triage Center

Operating Model


Telemedicine in lac telemedicine experience in venezuela based on the maniapure program

Operating Model

Internal

Medicine

Dermatology

Parasitology

Cardiology

E.N.T.

Trauma-

Orthopedics

Specialty MD’s

Broad Band Internet

Second opinion Web based application

Virtual Triage Center (VTC)

Internal Medicine specialist

Second opinion Web based application

Broad Band Internet

Rural health prof.

Rural Clinic

Rural Hospital

Other clients

Remote clients


Telemedicine in lac telemedicine experience in venezuela based on the maniapure program

Operating Model

Processes

Virtual Triage Center

(VTC)

Remote client

Specialty MD’s

  • Generates teleconsultation and sends it to VTC.

  • Receives answer from VTC and makes decision by his own criteria.

  • Consults medical literature online.

  • Demands second opinion at medical sub-specialty centers. (fourth level institutions).

  • Physician at VTC receives second opinion request and answers general specialty questions.

  • Forwards sub-specialty questions to sub-specialty related health care professionals.

  • forwards to clients answers received from sub-specialty physicians. .

  • Generates service statistical data and billing information for administrative purposes.

  • Afiliated sub-specialty physician receives and answers requests received from VTC.


Telesalud web page

Operating Model

Telesalud Web page


Telemedicine in lac telemedicine experience in venezuela based on the maniapure program

  • Who are we ?

  • Where do we come from ?

  • Our experience

  • Our operating model

  • What can we offer ?

  • Where are we going?


Telemedicine in lac telemedicine experience in venezuela based on the maniapure program

What can we offer ?

  • We can offer a wide range of services among which :

  • Second medical opinion services.

  • • Consultation and site assesment for the installation of rural telemedicine services.

  • • Telemedicine project management.

  • Telemedicine web based application design.

  • • Telemedicine equipment providers.

  • Telehealth personel education and training.


What can we offer

What can we offer?

technology

telesalud

People with needs

(patients &

communities)

$$

Financial resources

Human resources

(universities & local)


Telemedicine in lac telemedicine experience in venezuela based on the maniapure program

  • Who are we ?

  • Where do we come from ?

  • Our experience

  • Our operating model

  • What can we offer ?

  • Where are we going?


Telemedicine in lac telemedicine experience in venezuela based on the maniapure program

Where are we going ?

La Esperanza -Guyana border

50 kms in 3 hours.First Internet conexion on Sat.Jan 19 2008 at 11 pm…


Telemedicine in lac telemedicine experience in venezuela based on the maniapure program

Where are we going ?

January 2008 - Urimán

ATALACC President , Dr J.R. Arosemena ,visits Uriman at gives advice to “microscopist”


Where are we going

Where are we going ?

Assesment at Cotopaxi and Chimborazo provinces

Health promotors from Fundamyf


Telemedicine centers telesalud venezuela tsv

Where are we going ?

Telemedicine Centers / Telesalud Venezuela (TSV)

I n p r o g r e s s


Telemedicine in lac telemedicine experience in venezuela based on the maniapure program

There is much to do….!!

Synergy is the best way to go !!!!!

thank you !!

www.tele-salud.com

www.maniapure.org


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