Capa. Telemedicine and Telehealth Improving and Integrating Assistence, Education and Research. Ministy of Health

Transcrição

1 Capa Telemedicine and Telehealth Improving and Integrating Assistence, Education and Research Ministy of

2 BRAZILIAN TELEHEALTH INITIATIVE The Telemedicine University Network, RUTE, currently connecting 36 University Hospitals, will connect 57 across all federal states until 2010 and 158, including Indigenous Care until 2012 Luiz Ary Messina Brazilian National Education and Research Network Science and Technology The National Telehealth Primary Care Program, initially rolled out across 9 states and 900 municipalities Ana Estela Haddad Director of the Department t of Manegment of Education Secretariat of Manegment of Work and Education - Brazil Education Science and Technology

3 Basic Facts about Brazil Population:190,000, States: Federal District Municipalities: 5,563 40% of the population in metropolitan areas Education Science and Technology Ministy of

4 Brazilian National Education and Research Network RedCLARA Rede Nacional de Ensino e Pesquisa (RNP) is a not-for-profit corporation incorporated under the laws of Brazil that interconnects over 350 education and research institutions, helping an estimated public of over a million users, and linking all the Brazilian regional academic networks. Education Science and Technology

5 Education and Research Community Metropolitan Area Network A 1Gbps fiber optics R&E-Ring in each of the 27 state capitals! Brasília 16 have already launched! Belem, State of Para Manaus, State of Amazonas Vitória, State of Espirito Santo Education Science and Technology

6 University and Teaching Hospitals January 2006 Hospital São Paulo e Escola Paulista de Medicina - Unifesp, (São Paulo) Hospital das Clínicas - FM USP, (São Paulo) Hospital Universitário de São Paulo - USP (São Paulo) Hospital das Clínicas da Unicamp (Campinas/SP) Instituto Dante Pazzanese de Cardiologia (São Paulo) Hospital Universitário Pedro Ernesto - UERJ (Rio de Janeiro) Fundação Oswaldo Cruz - FioCruz, (Rio de Janeiro) Hospital Universitário Prof. P. E. de São Thiago - UFSC (Florianópolis) Hospital das Clínicas Prof. Arnóbio Marques - UFPE (Recife) Hospital Universitário itá i Walter Cantídio - UFC (Fortaleza) Hospital da Irmandade da Santa Casa de Misericórdia, (Porto Alegre) Hospital Universitário Getúlio Vargas - UFAM (Manaus) Hospital das Clínicas UFMG, (Belo Horizonte) Hospital Universitário - UFES (Vitória) Hospital Universitário Prof. Alberto Antunes - UFAL (Maceió) Hospital Universitário Prof. Edgar Santos - UFBA (Salvador) Hospital das Clínicas - UFMA (São Luís) Hospital Universitário Lauro Wanderley -UFPB (João Pessoa) Hospital Universitário - UFPR (Curitiba) Education Science and Technology

7 Telehealth - Federal University of Minas Gerais - UFMG Minas Tele Saúde Minas Gerais State Secretary of 12hours a day 900 ecg/day More than 600 (UFMG, UFU, UFTM, Municipalities UFJF, Montes Claros) Teleconsultations on line and off line also in some specialties Education Science and Technology

8 List of University Hospitals Telemedicine University Network RUTE 2009 HU da Universidade Federal do Maranhão da UFMA Faculdade de Enfermagem da UNIFAP Maternidade Escola Assis Chateaubriand da UFC HU João de Barros Barreto da UFPA Hospital Universitário Walter Cantídio da UFC HU Betina Ferro de Souza da UFPA Hospital Universitário da UFPI HU Ana Bezerra da UFRN Hospital de Pediatria da UFRN Faculdade de Medicina da UFRR Maternidade Escola Januário Cicco da UFRN HU Onofre Lopes da UFRN Hospital Getúlio Vargas da UFAM Faculdade de Medicina da UFAC Faculdade de Medicina Veterinária da UFT Faculdade de Medicina da UNIR HU Júlio Müller da UFMT Hospital das Clínicas da UFG HU Maria Aparecida Pedrossian da UFMS Hospital das Clínicas da Unicamp Hospital das Clínicas da FMUSP Hospital São Paulo da Unifesp Hospital Unimar HU de São Paulo / LSITEC da USP Instituto Dante Pazzanese Hospital de Clínicas da UFPR HU da UFSC Hospital Universitário da UFSM HU Dr. Muguel Riet Correa Júnior da FURG Hospital Escola da UFPEL Irmandade da Santa Casa de Misericórdia (ISCMPA) Hospital das Clínicas da URGS HU Alcides Carneiro da UFCG HU Lauro Wanderley da UFPB Hospital das Clínicas da UFPE HU Profº Alberto Antunes da UFAL Hospital Universitário da UFS Centro Pediátrico Hosannah de Oliveira da UFBA Maternidade Climério de Oliveira da UFBA HU Prof. Edgar Santos da UFBA Hospital Universitário na UnB HU Cassiano Antônio de Moraes da UFES Hospital de Clínicas da UFU Hospital Escola da UFTM Hospital Universitário da UFJF Hospital das Clínicas da UFMG Instituto de Psiquiatria da UFRJ Instituto t de Puer. e Ped. Martagão Gesteira da UFRJ Instituto de Neurologia Deolindo Couto da UFRJ Instituto de Doenças do Tórax da UFRJ Instituto de Ginecologia da UFRJ Hospital Escola São Francisco de Assis da UFRJ Maternidade Escola da UFRJ Clementino Fraga Filho da UFRJ Phase 1 HU Antônio Pedro da UFF Phase 2 Gaffrée e Guinle da UNIRIO Ministy of Faculties Canal Saúde (Fiocruz) Telehealth Program HU Pedro Ernesto da UERJ

9 University Hospital Connection to a 1Gbps Metropolitan R&E Ring Create a Telehealth Unit with Videoconference Room, Teleconsult, Telediagnosis Participate in Special Interest Groups Demonstrate teleassistance, teleeducation and teleresearch 36 University i and Teaching Hospitals on-line and operational + 10 August December ca. 100 until December 2012 Education Science and Technology

10 33 SIGs with agenda in 2010 Nursing Dentistry Otorrinolaringology Telehealth Standards Toxicology Trauma and Ortopedics Dermathology Pediatrics Radiology Technical Operations Children and Adolescent & Medicine Cardiology Oncology Education Science and Technology Ministy of

11 Intensive Care Nursing Ministy of

12 Research, Development and Education Ministy of

13 32 Evolution Evolução dos of SIG's SIGs em Operação in operation дек.08 ян.09 февр.09 март.09 апр.09 май.09 юни.09 юли.09 авг.09 септ.09 окт.09 ноември.09 дек.09 Ministy of

14 Evolução das Instituições Participantes em SIG's Number of participating institutions 89 дек.08 март.09 юни.09 септ.09 дек Ministy of 408

15 Children and Adolescent & Medicine Starting in 2009, expanded from 5 to 21 institutions, including the Ministry Extended in 2010 from one a month VC session to 2 a month Laureate for the 2010 Computerworld Honors Program governed by the Computerworld Information Technology Awards Foundation Education Science and Technology Ministy of

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18 Criteria Rute phase III : All public Certified Teaching Hospitals (60), National Institutions (MEC e MS, 15) Rute Phase III + 75 institutions Ministério da Educação Ministério da Ciência e Tecnologia Ministério da Saude

19 Eliminating Physical Distance after 40 Years Slide courtesy Ed Johanssen, UCLA Source: Barbarella 1968 Star Trek ; Ministy of

20 Changing Teaching and Learning in the 21st Century Classroom Why? but also how? Slide courtesy Parvati Dev, Stanford The student who will enter medical school in 5 10 years can absorb multiple channels of information Dynamic charts Second screen lecture Communal note taking messaging Slide courtesy Parvati Dev, Stanford Ministy of

21 Ministy of Slide courtesy Shuji Shimizu, MD, PhD Kyushu University Hospital

22 Arriving at a RedClara Meeting in Assunción, Paraguay Ministy of

23 Ministries of signed the commitment: Brasil, Colombia, Ecuador, México, Uruguay RedCLARA Project components 1. Regional Standards for transmission and infraestructure 2. Strategy for the promotion, prevention and assistance through telehealth 3. Regional guide for telehealth managing 4. Strategy for a LA Telehealth University Network 5. Telehealth training and certification Project RG-T1509 : e Public Policies in Latin America Education Science and Technology Ministy of

24 Lessons applied in Brazil Support the Family Program Provide connectivity and e Centers in university and educational hospitals Implement Telehealth procedures (continuous education, formative second opinion and Teleconsult) into rural and underserved regions International collaboration National coordination Education Science and Technology

25 Achieved Results Comprehension of the technological opportunity e Infr@-structure in 36 University and Teaching Hospitals 20 e Centers will still launch in e Center projects starting Acceptance of e norms Stimulate academy, government and enterprises Broaden discussion on health prevention Enable international collaboration Education Science and Technology

26 The future has already arrived. It is just not equaly distributed Integrate and motivate professionals in underserved areas Stimulate R&D State Agencies Develop operational partnership in específic exams e.g. ECG Technological opportunity to integrate National, State and Municipal responsibilities Integrate local, national and international projests Ministy of

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