Healthcare-IT Business Strategy

Tuesday, November 13, 2007

Telemedicine Solution

I can see that emerging markets like India now need a Telemedicine solution for e-Consultation; or second opinion between physician in primary health centers and specialists located in secondary/tertiary care hospital.

This Telemedicine solution could also be extended for Medical tourism across countries; because its required for patients e-Consultation from other countries also.

The typical challenges and some solutions are as follows-
  1. Interoperability/Integration of silos applications/solutions/products – HL7, DICOM and E-HR standards are helping in this area
  2. No standards for Integration of medical devices with EMR – Open area
  3. Mobile platforms not suitable/reliable for healthcare apps – Open area
  4. Lack of common vocabulary – until full adoption of SNOMED, ICD, CPT
  5. No standards for healthcare data storage – Still an open area, maybe CCR
  6. Bandwidth – 2mbps DSL falls short for transferring images; Needs a dedicated pipe to transfer images.
  7. Medical grade Network – CISCO has launched a medical grade network now
  8. Data Security – Symantec has launched Healthcare data security products recently
  9. Data backup – Symantec has launched Veritas version for Healthcare recently

3 Comments:

  • Telemedicine is currently not a successful idea in healthcare this is only a mode to market the system.
    Second opinion & bringing higher expertise to a distant place does not support it very well & it does not have a value creation effect overall.
    Specialised care (cancer ,Cardiac disease hospital who ever has initiated this effort have failed due to very very poor feedback)
    Money spended by goverment of India (through ISRO )was all waste full as most of the telemedicine centre are closed once they were started in year 2005.
    I hope such ideas only survives in city where people have somehow very heavy pockets for experiments.
    Curative part cannot be covered under Tele-medicine.(More than 100 practical reasons)
    Better to use it for tele-conference to give CME or networking hospitals & health-institutions to share information/Medical Channel/medical promotion.
    IT industry is still bringing infant level changes in health sector as the cost factor is repulsive for any small set up to adopt such system,Cost is not controlled only due to very high operational cost & Targetting foreign markets .

    For more comments :
    MBA (Hospital Administration)
    Jalandhar (Punjab)medics@indiatimes.com

    By Anonymous Anonymous, At November 15, 2007 at 3:11 PM  

  • IT doesnt come cheap. Yes its expensive, but state-of-the-art technology never comes cheap.

    Apollo Hospitals has had a reasonable success in Telemedicine systems. So it is not a lost cause and it will be used if done well.

    The failure related to Telemedicine has been because-
    1. Fly by night operators making software applications.
    2. Lack of Healthcare-IT knowledge, as it needs deep knowledge of Healthcare and IT. Unfortunately IT is not taught in our Healthcare Management curriculum.
    3. Lack of fundiing such projects. Govt cant be expected to fund these projects.

    But all this seems to be changing now. I can feel winds of change.

    By Anonymous Anonymous, At November 15, 2007 at 4:08 PM  

  • Telemedicine per se is exceptionally suited for image based applications like Teleradiology, which has alreasy become a viable industry into iself.

    By Anonymous Anonymous, At November 23, 2007 at 11:15 PM  

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