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1 Copyright © 2008 Cisco Systems, Inc. All rights reserved. Cisco Confidential Cisco Confidential Internet Business Solutions Group Video : responding to medical needs regardless of time and place Dr Petra Wilson Senior Director Internet Business Solutions Group (IBSG) Dr George Crooks OBE Medical Director and COO NHS 24 Scotland UK

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Page 1: 1 Copyright © 2008 Cisco Systems, Inc. All rights reserved. Cisco Confidential Internet Business Solutions Group Video : responding to medical needs regardless

1Copyright © 2008 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialCisco Confidential Internet Business Solutions Group

Video : responding to medical needs regardless of time and place

Dr Petra WilsonSenior Director Internet Business Solutions Group (IBSG)

Dr George Crooks OBEMedical Director and COONHS 24 Scotland UK

Page 2: 1 Copyright © 2008 Cisco Systems, Inc. All rights reserved. Cisco Confidential Internet Business Solutions Group Video : responding to medical needs regardless

2Copyright © 2008 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialCisco Confidential Internet Business Solutions Group

Challenges

Worldwide increased demand for services

Aging populations

Chronic disease management

Access to services

Personnel shortages

Access and geographic distribution of specialty resources

Page 3: 1 Copyright © 2008 Cisco Systems, Inc. All rights reserved. Cisco Confidential Internet Business Solutions Group Video : responding to medical needs regardless

3Copyright © 2008 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialCisco Confidential Internet Business Solutions Group

Using Video to meet the challenges

HealthPresence combines state-of-the-art video, audio, and medical information from devices to create an environment similar to what most people experience when they visit their doctor or specialist

Page 4: 1 Copyright © 2008 Cisco Systems, Inc. All rights reserved. Cisco Confidential Internet Business Solutions Group Video : responding to medical needs regardless

4Copyright © 2008 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialCisco Confidential Internet Business Solutions Group

Design and Development

Form Factors

Technology

Regulation

Page 5: 1 Copyright © 2008 Cisco Systems, Inc. All rights reserved. Cisco Confidential Internet Business Solutions Group Video : responding to medical needs regardless

5Copyright © 2008 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialCisco Confidential Internet Business Solutions Group

Clinical safety and acceptability:NHS Scotland Pilot

Page 6: 1 Copyright © 2008 Cisco Systems, Inc. All rights reserved. Cisco Confidential Internet Business Solutions Group Video : responding to medical needs regardless

6Copyright © 2008 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialCisco Confidential Internet Business Solutions Group

eHealth actions in the Digital Agenda

Key Action 13

Undertake pilot actions to equip Europeans with secure online access to their medical health data by 2015 and to achieve widespread deployment of telemedicine services by 2020

“The overall aim of the Digital Agenda is to deliver sustainable economic and social benefits from a digital single market based on fast and ultra fast internet and interoperable applications.”

Page 7: 1 Copyright © 2008 Cisco Systems, Inc. All rights reserved. Cisco Confidential Internet Business Solutions Group Video : responding to medical needs regardless

7Copyright © 2008 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialCisco Confidential Internet Business Solutions Group

The HealthPresence Experience

High definition visual contact for rich patient doctor interaction

Ease of use; Scalability - many pods to many doctors

interoperabilityEmpowerment

Integration with medical devices and information systems

Sustainability. accessibility

Page 8: 1 Copyright © 2008 Cisco Systems, Inc. All rights reserved. Cisco Confidential Internet Business Solutions Group Video : responding to medical needs regardless

8Copyright © 2008 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialCisco Confidential Internet Business Solutions Group

Evaluation of results

First phase of study tested safety and acceptability

105 patients seen (51% male, age range 17-75)

>90% had positive experience

100% thought Cisco HealthPresence useful in remote & rural areas

Second phase: developingthe concept for tele- stroke care

Preventing a life of Dependency

Page 9: 1 Copyright © 2008 Cisco Systems, Inc. All rights reserved. Cisco Confidential Internet Business Solutions Group Video : responding to medical needs regardless

9Copyright © 2008 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialCisco Confidential Internet Business Solutions Group

Dr George Crooks OBE

Medical Director and COO

NHS 24 Scotland UK

TELESTROKE NATIONAL DEPLOYMENTPreventing a life of Dependency

Page 10: 1 Copyright © 2008 Cisco Systems, Inc. All rights reserved. Cisco Confidential Internet Business Solutions Group Video : responding to medical needs regardless

10Copyright © 2008 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialCisco Confidential Internet Business Solutions Group

Page 11: 1 Copyright © 2008 Cisco Systems, Inc. All rights reserved. Cisco Confidential Internet Business Solutions Group Video : responding to medical needs regardless

11Copyright © 2008 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialCisco Confidential Internet Business Solutions Group

Page 12: 1 Copyright © 2008 Cisco Systems, Inc. All rights reserved. Cisco Confidential Internet Business Solutions Group Video : responding to medical needs regardless

12Copyright © 2008 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialCisco Confidential Internet Business Solutions Group

internet

TV

telecare

Face2

FaceSMS

video

mobile

phone

Page 13: 1 Copyright © 2008 Cisco Systems, Inc. All rights reserved. Cisco Confidential Internet Business Solutions Group Video : responding to medical needs regardless

13Copyright © 2008 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialCisco Confidential Internet Business Solutions Group

Page 14: 1 Copyright © 2008 Cisco Systems, Inc. All rights reserved. Cisco Confidential Internet Business Solutions Group Video : responding to medical needs regardless

14Copyright © 2008 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialCisco Confidential Internet Business Solutions Group

Grampian

Lanarkshire

Lothian

Highland

Dumfries & Galloway

Forth Valley Fife

Tayside

Ayrshire & Arran

ShetlandWestern Isles

Borders

Greater Glasgow & Clyde

Orkney

What is in place now..

Page 15: 1 Copyright © 2008 Cisco Systems, Inc. All rights reserved. Cisco Confidential Internet Business Solutions Group Video : responding to medical needs regardless

15Copyright © 2008 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialCisco Confidential Internet Business Solutions Group

Stroke Thrombolysis

Acute to Acute

Home/Office to acute

On the move 3G

Page 16: 1 Copyright © 2008 Cisco Systems, Inc. All rights reserved. Cisco Confidential Internet Business Solutions Group Video : responding to medical needs regardless

16Copyright © 2008 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialCisco Confidential Internet Business Solutions Group

Stroke Thrombolysis

12 March 2011 (*Prior to telestroke this patient would not have been thrombolysed)

 

“I just wanted to pass on sincerest thanks on behalf of my Mum, my brother and myself for the treatment you were able to provide my Dad on Saturday. The progress Dad has made in the space of a few days is incredible and we know that has a lot to do with the clot busting drug you were able to prescribe…. Thank you so much”

Page 17: 1 Copyright © 2008 Cisco Systems, Inc. All rights reserved. Cisco Confidential Internet Business Solutions Group Video : responding to medical needs regardless

17Copyright © 2008 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialCisco Confidential Internet Business Solutions Group

European Innovation Partnership

Taking our learning forward, extending the partnership

Focusing on innovation for care and cure.

Exploring potential for awareness raising, prevention and early diagnosis.

Making change happen!