VIRTUAL CONSULTATION PLATFORM

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First Primary Care\ Remote Consultation in Rural Areas: The New Health First Primary Care\ Remote Consultation in Rural Areas: The New Health

Delivery Channel - From Theory to Practice

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• About eWaveMD

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• eWave MD eHealth platform • Market overview

• Remote Virtual ConsultationRemote Virtual Consultation • Workflow example

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An international company developing web-based medical applications since 1999.

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Part of the eWave Group, an integrator and provider of software solutions, employing 400 software professionals.

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2001 2 000 000 ti t PHR 2001 - 2,000,000 patients PHR

2003 – Large Scale Healthcare SOA implementation (IHE) 2003 – Patient Information Kiosk

2003 Patient Information Kiosk

2004 – Centralized Web-Based EHR (1,500 physicians) 2005 – Remote Cardiac Diagnostics

2006 – eWave MD spinoff

2006 – PQRI & EHR for the USA Market (eHealth Made Easy)

2007 H B d CHF Di M t

2007 – Home Based CHF Disease Management 2009 – Remote Consultation (India)

2010 – Full ONC Certification (Meaningful Use) 2010 Full ONC Certification (Meaningful Use)

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• Fully browser-based platform to enable accelerated implementation y p p of electronic medical record solutions

Off th h lf ft d l d l t

• Off-the-shelf software modules and accelerators

• Rule-Based Engine at the user level for maximum customizationRule Based Engine at the user level for maximum customization • Multiple segment solutions

ONE PLATFORM: FROM DEVELOPING TO DEVELOPED WORLD SOLUTIONS

The platform supports a wide range of solutions, from basic

needs in India to more complex demands in the US

needs in India to more complex demands in the US.

eHealth platform “Progress Note” - US vs. INDIA

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3.4 billion people live in rural environments with minimal or no Healthcare infrastructure

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deliver basic health services • Lack of infrastructures

• Shortage of qualified medical personnel

• Wide target area with limited accessibility

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- UN MDG

• Child health

– Reduce by two thirds – between 1990 and 2015 – the under-five mortality rate and 2015 – the under-five mortality rate • Maternal Health

– Reduce by three quarters the maternal mortality rate

mortality rate

– Achieve universal access to reproductive health

Achieve by 2010 universal access to

– Achieve – by 2010 – universal access to treatment for HIV/AIDS

• HIV \ Infectious diseases

R d t h lf b 2015 d b i t – Reduce to half by 2015 and begin to

reverse the incidence of malaria and other major diseases

– Reduce to half by 2015 and begin toReduce to half by 2015 and begin to reverse the spread of HIV/AIDS

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• Provide a new “Health Delivery Channel” for rural populations by

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enabling virtual medical services

• Improve availability and quality of medical care for ruralImprove availability and quality of medical care for rural populationspopulations • Establish an environment for virtual medical services, which is easy

and simple to implement and maintain

• Provide an IT infrastructure for additional medical services • Provide an IT infrastructure for additional medical services • Create the infrastructure for a National Centralized EHR

“The Goal of the Mission (NRHM) is to improve the availability of and access to li h l h b l i ll f h idi i l h

quality health care by people, especially for those residing in rural areas, the poor, women and children.”

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“In India in 2009-10 the Federal government has increased the support for NRHM, which aims to improve the availability and access to quality healthcare for people living in remote areas from Budget estimate of Rs.12,070 crore (US $2.7B) by Rs 2 057 crore (US $462M)”

Rs.2,057 crore (US $462M)

• China, New Rural Cooperative Medical Scheme (NRCMS)

“F di f NRCMS i id d b t l d l l t it

“Funding for NRCMS is provided by central and local governments on a per capita basis (CNY20 in 2003, CNY80 in 2009) and rural residents contribute a fixed

amount on a voluntary basis (CNY10 in 2003, CNY20 in 2009).”

• UN Millennium Development Goals

The UN and WHO are implementing variety of projects for strengthening rural healthcare project around the globe in order to mean the UN MDG.

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Provide primary health care based on eWaveMD Electronic Health Record (EHR) and Medical Video Conferencing at the village level

Communications (Cellular, VSAT) Urban ( , ) healthcare Medical clinic in

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Provide primary care services in rural areas using • eWaveMD eHealth platform

• Centralized control

• Comprehensive Electronic Health Record (EHR) • Single data source

• ARTEC – Advance Remote Telemedicine Clinic

(at the point of care)

• Medical Video Consultations • Integrated Medical devicesg

• Consultation & Treatment workflows • e-Learning

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ARTEC ?

A proprietary hardware platform designed to provide remote consultation capabilities in a simple cost effective manner.

• Embedded Computer • Embedded Computer • Video Conferencing

• Integrated Medical Devicesg • Integrates Communications • Simple to maintain

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Medical measurements Optional peripherals (Project

12 Lead ECG Single Lead ECG

Dependent)

Electronic Stethoscope NIBP (Non Invasive Blood Pressure)

Blood Saturation (SpO2)

X- Ray Digitizer

Pathology Microscope Body Temperature

Breathing Rate

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Others* (Flexible platform) Glucose meter

Precision weight scale Pick flow (Spirometer)

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COUNTRY PATIENT • Strengthen rural services

• Controlled and centralized data

• Immediate access to medical consultation

source

• Nationwide statistics D t t t d

• Affordable medical services • Immediate response

Ti d i • Detects trends

• Detects disease outbreaks • Fraud detection and prevention

• Time and money saving Fraud detection and prevention

• Basic infrastructure for a national EHR

“In 2009, the Indian government spent more money on transportation of rural population to the hospitals than on the medical treatment itself” Telemedicon 2010 population to the hospitals than on the medical treatment itself – Telemedicon, 2010

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National level

C t li d EHR Centralized EHR

Province \ District level

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Thank you!

Thank you!