Definition
Telemedicine is defined as the use of electronic Information and Communication Technologies (ICTs) to provide and support health care when distance separates the participants.

The delivery of healthcare from a distance uses exchange of electronic patient information and medical data using computers, medical equipment, videoconferencing, the Internet, satellite, and wireless communications.

For telemedicine to be successful there must be an ability to clearly transmit a clinical situation, including clinical information of diagnostic quality, to a clinician located far from the point of need, and the ability for that clinician to effectively communicate concerns, additional requirements needed for diagnosis, or the provision of a diagnosis back to the point of need.

Aims

• Improved and increased access to speciality medical care for geographically isolated patients
• Move the information rather than the patient
• Enhance the quality and continuity of medical care
• Expanded utilisation of specialty expertise
• Faster access to patient records and reduced intervention time
• Reduced cost of patient care
• Eliminate unnecessary travel
• Continuing Medical Education for isolated health care providers

Objectives

• Capture and upload patient information, waveforms & images from remote location to centralised server and get expert opinion / review instantly.
• Real time transmitting of ECG and other vital sign data for expert opinion during cardiac and other emergencies.
• Providing instantaneous expert advice within the network (intranet) as well as after hour Consultation, review and reporting outside (internet)
• Share resources optimally and increase efficiency and throughput

Market Definition – Telemedicine

• Consultation services between the consultant in the Department and resident at a distant location
• Improvements in quality of care in rural and underserved communities
• Faster delivery of required information and services
  Easy access to their specialists from any locations
• New business and marketing opportunity
• Single referral hospital can handle multiple nodal centers simultaneously through telemedicine
• Telemedicine services envisaged in the country should be available for the benefit of all people located in rural, remote and inaccessible places

Telemedicine in India
Telemedicine has been recognised as one of the potential application area of Information Communication Technology to address the issue of inadequate quality health service for the rural and remote population of India. A number of initiatives have been taken to set up pilots scheme to uate the impact and benefit of this application for patients in these remote areas.

Telemedicine in India provides insight into the growing telemedicine market in India. With a rural population nearing 700 million, India will benefit enormously from digital data transmission related to healthcare. Both public and private entities are aggressively pursuing the use of telemedicine to hasten diagnostics and treatment of a variety of diseases.

The Ministry of Communications and Information Technology, Government of India, has classified “Telemedicine” as one of the thrust areas for development in the country. In sync with the policy, the Government initiated a project called “Development of Telemedicine Technology”.

Availability of necessary telecommunication infrastructure, crucial for success of telemedicine programme, is drawing special attention in India. Department of Space is mooting the idea of launching a satellite dedicated to Tele- health in the near future. Initiatives of both public and private sector telecommunication players to lay a huge backbone of fiber optical network covering large part of country in addition to the existing infrastructure like POTS, ISDN, etc. to provide further impetus to application of telemedicine in India in its vision to have a countrywide hierarchical telemedicine network.

Some facts:

In India, 80% of the population live in the rural areas whereas 80% of the medical experts live in the big cities. Thus, about 11% of the world’s population, which reside in the rural areas of India, remain devoid of quality healthcare.

• Exponential growth in Information and Communication Technology and plummeting telecom cost making India highly competitive
• ISRO has been instrumental in providing telemedicine solution in over 200 locations using VSAT communication protocol to linkup Dist Hospital, Community centers and PHC’s to Tertiary care hospitals.
• The Ministry of Communications and Information Technology, Government of India, has classified telemedicine as one of the thrust areas for development in the country.
• NRHM and various State Government has taken telemedicine initiative to linkup remote rural health centers with District and Medical college Hospitals.
• Indian Railways who have one of the best communication platforms is planning to linkup all zonal, regional hospitals in all their zones.

• About Prognosys
  
  Prognosys Medical Systems, based in Bangalore, specialises in developing and integrating high quality solutions in Healthcare. Our combined experience and domain knowledge helps us to design solutions that use cutting edge information technology and telecommunication engineering in the areas of Telemedicine and Tele-health to connect people, processes, systems and technology in a modern medical enterprise.

  Our ability to adopt technology, understand customer needs and a willingness to work with the medical fraternity to customise products and continuously improve solutions, makes us unique. It has helped us reach technological leadership in a very short period of time.

  Prognosys’ constant endeavor to deliver the finest and the latest solutions in Healthcare Technology has been the driving spirit behind innovative products like the Remote Patient Monitoring Systems (Real-time) for Ambulances and ICUs. In addition, Prognosys has further enhanced its solution offerings through strategic business partnerships. Prognosys has recently tied up with Canon, Japan a world leader in Digital Radiography to bring the best in class DR solutions to India. Coupled with Prognosys’ Tele-radiology/Mini PACS solution, DICOM images can be viewed and reported from anywhere, anytime.

  Experience
  
  Prognosys is a subsidiary of Chayagraphics (India) Pvt. Ltd, which has over 20 years of experience in the diagnostic imaging business. Chayagraphics works with many leading international businesses. Chayagraphics is an ISO 9001-2000 manufacturing company and exports its products to 17 countries and offers its services to over 5000 customers
  across India.

  Significant Achievements

  Over 350 installations in 4 years.

• Leading solution provider for the telemedicine business in India.
• Identified as a technology partner of choice by organizations like ISRO, Konkan Railways and many OEM partners
• Recognized as a leader in innovation in telemedicine
• Most Renowned hospitals in the country use Prognosys solution
• Implementation of the largest telemedicine network in the state of Rajasthan in association with ISRO.
• Strategic partnershwip with Larsen & Toubro Ltd for promoting emergency medicine and REM-ICU solution.
• Installation of DR systems in two most renowned institution of the country.

• PRODUCT PROFILE
  PRODUCT	APPLICATION	BRIEF DESCRIPTION
  EHR EX-04— —————— TELEMEDICINE SUITE CX-04 IX-04 HX-04 ———— PATIENT MONITORING FROM  AMBULANCE EMX-04 ———— REMOTE ICU MONITORING REM-ICU ———— PACS & TELE-RADIOLOGYPROPACS Digital Radiography Prorad CXR  Range Prorad URS Range           Prorad MDR Range	Electronic Health record—————————— Cardiology Radiology, Ophthalmology, Dermatology, ENT, Pathology Home Healthcare   ——————————- Emergency Medicine ——————————- Remote ICU Monitoring ——————————- PACS & Tele-Radiology CXDI 40 EG CXDI 40 EC CXDI 50 G CXDI 50 C Full Room DR System Choice of 32, 50, 65 & 80 KW Generators Universal DR System Choice of 32, 50, 65 and 80KW HF Generators with a single FPD of Choice. Option of battery powered generators also available

Battery Mobile DR System

Battery Mobile with a choice of 20, 32, 40 and 50KW High Frequency Generators coupled with the CXDI 50G or CXDI 50C.

EX-04 web based electronic health record solution allows the clinicians / specialists to work and access patient information from anywhere, anytime

——————————————————–The CX-04 provides a simple, effective and efficient recording, monitoring and simultaneous transmission of 12-leads of  ECG data, in real time and allows the cardiologists to view and report

This solution allows  transmission of diagnostic-quality X-ray / CT/ MRI films into digital format using Scanners / Digitizers or Digital cameras or using any video outputs from medical devices like Ophthalmoscope, Slit lamp, Fundus camera, CCD camera, Otoscope or from microscope

Solution provide disease monitoring and management, patient support using Glucometer, blood pressure device
—————————————-
Records, monitors, stores and transmits vital signs like 12 Lead ECG, SpO2 and NIBP in real time.

——————————————————–Solution offers 24 /7 Vital Sign Monitoring to remote ICU patients across a single or multiple hospitals in real-time.

————————————-
A cost effective PACS & Tele-Radiology system that’s designed to meet the needs of a modern day diagnostic and Radiology practice that lets you work anywhere!

Prorad � Finest and the most versatile range Flat Panel DR Solutions from Canon.

Complete DR Solution with Ceiling Suspended Tube, High Frequency Generator of choice,
Digital Radiography Flat Panel Detector � Both Single and Dual Detector Systems in any combination, Vertical Bucky, Horizontal Table(s), Remote Control, Auto Positioning, Tracking, Tomography and Workstation.
Complete DR Solution with Universal Radiography System, Flat Panel Detector, High Frequency Generator, Mobile X-ray Table, Remote Control and Workstation. Ideal for Emergency / Trauma rooms and smaller General Radiography Rooms.
Fully integrated battery mobile solution with motorized movement and a choice of HF generators and Portable FPD. Can store over 3000 images on board, instant preview and over a 100 exposures with one full charge. The most versatile solution for all round use � ICU, Bedside, Emergency, OT and Rad Room.

K. Srikanth
Co-founder and COO
Prognosys Medical Systems Pvt. Ltd.
e-mail: k.srikanth@prognosysmedical.com
V. Krishna Prasad
Co-founder and President
Prognosis Medical Systems
e-mail: krishna.prasad@prognosysmedical.com

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