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Telemedicine Experience in Latin America “MANIAPURE program in Venezuela”. ATA/ATALACC Panama,Aug.17 2008. Eng.Morel Orta/Tomás Sanabria M.D. Pintor Walter Arp ,< 1965 buscando el gallito de las Rocas llegó a Maniapure. Maniapure. Naturaleza y ciencia. W here do we come from?.

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Telemedicine Experience in Latin America“MANIAPURE program in Venezuela”


Panama,Aug.17 2008

Eng.Morel Orta/Tomás Sanabria M.D.

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Maniapure llegó a Maniapure

Naturaleza y ciencia

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W llegó a Maniapurehere do we come from?

We work in very isolated communities

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W llegó a Maniapurehere do we come from?

Centro la Milagrosa

Maniapure region

Cedeño district

Bolívar State, Venezuela

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A Physician and comunication made the difference ! llegó a Maniapure

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

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after llegó a Maniapure

Our Experience


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Our Experience llegó a Maniapure

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.

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Our 13 yearExperience llegó a Maniapure

Reproduced in 3 months

Wonken - Municipio Gran Sabana

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Our Experience llegó a Maniapure

WONKEN - Gran Sabána - WiFi

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Who are we ? llegó a Maniapure

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.

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Our Experience llegó a Maniapure

Ability to solve problems fast

Our team follows the community wills

Multidisciplinary team

Dedication and love for our work

Independance in transportation

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Our Experience llegó a Maniapure

Some results from La Milagrosa clinic

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

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

  • > 450 clerckship students on health related sciences

  • > 100 volunteer clerkships (France, Spain,USA,GB , Japan,Egipt,New Zealand etc)

  • 1.500 patients/month seen ( regional centers).

  • Aproximately 5% requiere teleconsultation.

  • Aproximately 20% of teleconsults require referal.

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Our Experience llegó a Maniapure

Active centers

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Technical Platform llegó a Maniapure

Digital video camera


Microscope Digital Camera

Portable Lab


Laptop or portable device

  • BroadBand Internet

  • ADSL

  • VSAT

  • WI-FI

  • BroadBand Internet

  • ADSL

  • EVDO

  • WI-FI

Specialty MD


VoIP phone



Rural clients

Application Server

Web Server

Virtual Triage Center

Our Operating Model

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Operating Model llegó a Maniapure









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

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Operating Model llegó a Maniapure


Virtual Triage Center


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.

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Operating Model llegó a Maniapure

Telesalud Web page

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What can we offer ? llegó a Maniapure

  • 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.

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What can we offer? llegó a Maniapure



People with needs

(patients &



Financial resources

Human resources

(universities & local)

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What can we offer? llegó a Maniapure

Telemedicine components

Knowledge & Experience


Human Resources

  • Students and clerckships

  • General Practitioners

  • Subspecialties (Health & Technology)


  • Software and applications

  • Telecomunication

  • Hardware & software (TI)

  • Medical equipment

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Dr.J.R.Arosemena’s visit to Maniapure-LaUrbana-Tumeremo-La Esperanza-Uriman and Kamarata

12 Flying hours

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Where are we going ? Esperanza-Uriman and Kamarata

La Esperanza -Guyana border

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

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Where are we going ? Esperanza-Uriman and Kamarata

January 2008 - Urimán

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

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PC-ECG con USB y sala Telemedicina Urim Esperanza-Uriman and Kamarataán

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Learning from Others… Esperanza-Uriman and Kamarata

Tuba City

Flagstaff ( 3ra ciudad de Arizona)

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Ecocardiograf Esperanza-Uriman and Kamarataía = vía Internet

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Colorado valley / near Maniapure Esperanza-Uriman and Kamarata

May 2008

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telecardiology Esperanza-Uriman and Kamarata

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Tele-ophtalmology ? Esperanza-Uriman and Kamarata

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Colorado 2008 evaluation results: Esperanza-Uriman and Kamarata

-470 patients screening for tropical diseases.

->200 patient ophtalmol. Evaluat.

-25 echocardiograms (2

surgical congenital cases detected / ASD and VSD).

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PortableLight™ project Esperanza-Uriman and Kamarata

portableLight can be charged in 3 hours of sunlight and provide 8 hours of working light (100 lumens) and connected provide energy for small medical equipment.

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Curiapo – Orinoco Delta Esperanza-Uriman and Kamarata

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First “Excelence Price” for 2008 Esperanza-Uriman and Kamarata

From: "Proyectos" <>


Date: August 11, 2008 5:21:38 PM GMT-04:30

To: <>, <>

2 Attachments, 6.6 KB Save Slideshow

Estimado Dr. Sanabria,

Tal como conversáramos hace un momento, el día viernes 15 de agosto estaremos realizando la

presentación de los casos ganadores 2008. La reunión se realizará en la sede de nuestras oficinas:


Campo de la Universidad Metropolitana, Centro de Artes Integrales (Colina Creativa), Módulo 3, Planta

Alta, Terrazas del Ávila.

La hora de la reunión: 9:00 am

Punto de referencia para llegar: Como quien viene a Supermercados Éxito, en el portal de la Universidad

Metropolitana encuentras dos puertas: Entra por la izquierda que dice Universidad Metropolitana, y en la

primera sigues a mano izquierda (como quien va al Colegio Ávila). Allí está el estacionamiento y la Colina

Creativa. El modulo 3 está justo encima del Gimnasio.

Para nosotros será un honor contar con su presencia. FELICITACIONES!

Cualquier otra información adicional, puede comunicarse con nosotros.

Cordiales saludos,


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thank you !! Esperanza-Uriman and Kamarata