el valor de la colaboración en la vertical de salud
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Cisco Confidential 1© 2010 Cisco and/or its affiliates. All rights reserved. EDCS-1127909
Cisco TelePresence:Video in Healthcare Story
Kerrie Hora
Business Development Manager
© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 2EDCS-1127909
• Market opportunity
• Use cases
• Healthcare TelePresence Endpoints
© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 3EDCS-1127909
Aging populationAging population Physician shortagesPhysician shortages Rural populationRural population
Greater demand
for services
Increasingly strained
supply of services
Large % of population
lacks access to
qualified providersSources: Frost & Sullivan, Association of American Medical Colleges, WHO
© 2006 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 4EDCS-1127909
Cost
• Reduces barriers to patient access
• Extends provider’s
geographic reach
• Brings specialty care to rural areas
• Reduces delays to care
• Improves care coordination
• Designed to improve healthcare delivery
• Diffusion of knowledge / provider education
• Increases provider efficiency
• Reduces ‘brick and mortar’ cost of care
• Eliminates unnecessary travel and patient transfers
• Engineered to increase patient satisfaction
• Resource retention
Access Quality
© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 5EDCS-1127909
To empower all healthcare
stakeholders (patients, providers, and
payors) to practice better medicine by
incorporating the use of video
technology to enhance access to care,
improve clinical collaboration, minimize
risks and reduce associated costs.
“Forget the terms telehealth and telemedicine. This is
simply medicine. We’re just using an enabling
technology to do what we normally do.”
Dr. Jay H. Sanders
Professor of Medicine
Johns Hopkins University
© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 6EDCS-1127909
• Making specialist services more accessible to patients
• Monitoring patients’ health – enabling frequent and rapid intervention
• Avoiding or delaying admissions – hospitals, nursing homes and physician office visits
• Using clinicians’ time more efficiently
• Reducing travel costs and time for patients, clinicians & family members
• Involving & educating patients in their own healthcare
• Improving clinician collaboration – skills & expertise
• Reducing the social inequalities of health services between urban & rural areas
• Enabling hospitals to increase revenue by offering new medical services
• Enabling hospitals to eliminate medical services and outsource
Gartner - Industry Research 2010
© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 7EDCS-1127909
• Legal liability, licensing and accreditation
• Reimbursement for telemedicine services
• Measurement of impact of telemedicine solutions
• Requirements for new models of staffing, scheduling and care coordination – i.e., remote monitoring
• Financial justification and incentives
• Integration of telemedicine data with EMRs and other information systems, as well as with jurisdictional interoperable electronic health records
• Last mile – lack of sufficient bandwidth or internet connectivity
Gartner - Industry Research 2010
© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 8EDCS-1127909
• Market opportunity
• Use cases
• Healthcare TelePresence Endpoints
© 2009 Cisco Systems, Inc. All rights reserved. Cisco ConfidentialPresentation_ID 9
Doctors Executives
Scaling Healthcare Resources
First Responders Remote Experts Administrative
Patients
Cisco Collaboration Healthcare Customers
© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 10EDCS-1127909
Facilitates support for
patients at home or in
remote areas
Provide clinical services across
distances using advanced
telecommunications technology
Potential for cost reduction in
managing a large area facility
and/or hospital
Language translation
services
Education on medical procedures,
policies, and other
Improve collaboration capabilities for
grand rounds, case reviews, tumor
boards, clinical application decisions
Cisco Confidential 11© 2010 Cisco and/or its affiliates. All rights reserved.
• Executive Staff
• Bringing Multi-campus Healthcare Systems (Rural / Urban) closer together
• Board Meetings
• Connecting with “industry” partners, consultants or vendors
• Human Resources
** Enhanced decision making, speed to “yes or no”, culture change**
Cisco Confidential 12© 2010 Cisco and/or its affiliates. All rights reserved.
• CMEs, CNEs, CEUs
• Oncology Tumor Boards / Grand Rounds / Noon Conference
• Acquire updated skills/certifications
• Patient education
• Career pathways
• Regulatory / compliance classes
• Recruiting/retaining healthcare workers
• Residency / Fellow programs
© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 13EDCS-1127909
Patient + Medical professional
Enables less-qualified medical
professional to leverage the
expertise of colleagues and
specialists in an immediate
manner, having the potential to
provide more timely care at lower
cost and inconvenience to patients
Remote specialistCare-at-a-distance applicationsCare-at-a-distance applications
• Specialist referrals
- Dermatology
- Psychiatry
- Otolaryngology
- Endocrinology
- Pediatric care
• Virtual care teams
• Language interpretation
Medical scopes and
cameras connected to
codec (A/V only)
© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 14EDCS-1127909
� Veteran’s Administration
� University of North Carolina
� Lineberger Cancer Center
� Telerehabilitation
� Pediatric heart surgical training
� GA Partnership for Telehealth
© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 15EDCS-1127909
• Market opportunity
• Use cases
• Healthcare TelePresence Endpoints
Cisco Confidential16
© 2010 Cisco and/or its affiliates. All rights reserved. EDCS-1127909
Immersive
Personal
9900
EX90 / EX60
CTS-500
Integrator
Platforms
C90/C60/C40
C20/SX20
QuickSet
Mobile
VX Clinical
Assistant*
CPS*
VX
Tactical*
Multipurpose
Profile 65/52
MX 300/200
CTS 1300/1100
TX 9000
CTS 3010/3210
Video Endpoints in Healthcare
Healthcare collaboration S/W on dedicated appliances and supporting multiple TP endpoints with 3rd-party medical devices running out of band
*Enhanced connectivity capabilities for audio-
video medical devices running in-band
HealthPresence
Room-based TelePresence solution providing optimal environment for distributed team to collaborate on complex problems
Active Collaboration Room
Software-
based
Webex
Jabber Video for
TelePresence
(PC, Mac)
Jabber Video
for iPad
© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 17EDCS-1127909
Cisco Offers a Portfolio of Video-Based TeleHealth Solutions with aChoice of Deployment Options
Immersive Conference-Style Collaboration
Desktop Video Consultations with Endpoint
Flexibility
Mobile TeleHealth Carts for Basic Consultations and Integration with A/V Peripheral Devices
Mobile CartsDesktopFixed
TelePresence
HealthPresence 2.0
Healthcare Collaboration Platform with Support for Range of Cisco TelePresence Endpoints, Integration with Telemetry Devices, and Telehealth Workflows
© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 18EDCS-962042 (7/11)
Personal Video Solutions: Cisco Jabber
Business
Value
• Faster response and consultation by visually connecting remote physicians and first responders to patients, specialists and administrators via TelePresence on any laptop, PC or Mac
• Better care at point-of-care with specialty consultation
Cisco Jabber keeps remote clinicians and first responders visually connected by enabling TelePresence on any laptop, PC or Mac
© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 19EDCS-962042 (7/11)
Personal Video Solutions:Cisco TelePresence EX Series
Business
Value
• All-in-one work and collaboration tool
• Amazing face-to-face communication
• Simple and intuitive user interface
• Unmatched natural content-sharing experience
Cisco TelePresenceEX60
Cisco TelePresenceEX90
With the Cisco TelePresence EX Series, healthcare professionals can work, connect and collaborate at their desksO all at the touch of a finger to meet with other physicians, collaborate on patient treatment, or attend training
© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 20EDCS-1127909
Cisco’s next-generation TelePresenceendpoint for healthcare
• Purpose-built telemedicine cart
• Lightweight and highly mobile
• Fully integrated industrial design differentiated from competition
•High-definition Cisco TelePresence C-series endpoint with optimized
functionality for healthcare providers
• Ease-of-use and value price –for easy adoption or
broad deployment
•Medical use cases: remote patient consultations, virtual care
and education/collaboration
• Full medical certifications
© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 21EDCS-1127909
•Remote specialist consultations
• Virtual care teams
•Medical education
• Language translation
•Rural healthcare
•Grand rounds
© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 22EDCS-1127909
Key information:• Small footprint, with lightweight industrial design
to maximize mobility and ease of use
• Enhanced I/O capabilities for medical peripherals
• 5 HD inputs, 6 SD inputs, 2 audio inputs• HD: 2 HDMI, 3 DVI-I
• SD: 3 Composite, 3 S-Video
• Audio: 2 3.5 mm, line level
• Optional PrecisionHD 12X or 4X camera
• Switch between main camera and peripheral
sources with tactile panel or remote control
• Rechargeable battery power
• Optional wireless with mounted Cisco WAP
• Range of flexible, mix-and-match storage
modules and accessories
• Medical safety certifications
• Compliments CPS in healthcare portfolio
Availability
• North America, Europe, and select other
countries globally as medical approvals are
verified and completedPurpose-built mobile endpoint that brings
the power of TelePresence to healthcare
Product highlights
© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 23EDCS-1127909
June 2012 product enhancements
Dual display functionality Allows a second external monitor to be
connected to the VXCA and dedicated to the
display of selfview or a presentation image,
while maintaining the full-screen self-view
feature in single-display mode.
PC Cabinet accessory
(ACC-CA-CM)
Optional lockable cabinet to accommodate
on-board PC, network switch, or other
equipment/supplies. Includes internal shelf for
convenient placement, cooling vents, and
cable management access to VXCA column.
Retractable network cord accessory
(ACC-CA-RM)
Optional retractable network cord caddy to
improve cable management and improve
mobility.
Improved WAP installation Added pre-installed CAT-5 cables from the
base of the VXCA to the upper display
support column to simplify installation of the
WAP option.
Other minor firmware updates Maintenance firmware enhancements to
improve overall system performance.
11
22
33
44
55
*External second display
not provided with VXCA
Feature highlights• Water-, sand-, impact-, chemical- and corrosion
resistant case providing portability, durability and
functionality.
• Cisco TelePresence SX20 codec featuring high
definition (HD) video and content sharing with
full duplex audio.
• Sunlight readable screen with brightness
controls. 17.5” HD screen, optically bonded
• Embedded 1080p HD camera and integrated
speakers and microphone
• Tactile control panel offering simplified system
control and a tethered infrared remote control for
full system operation
• AC and DC power options for system operation
• Security hasps (2x) for securing the unit
• IP67 (closed)
© 2010 Cisco and/or its affiliates. All rights reserved. Cisco Confidential 25EDCS-1127909
First Responder community
• Need: Quick access to experts to gauge severity of the disaster.
• Used in Haiti by Cisco Tactical Ops team, in San Diego by Fire First Responders .
Construction
• Need: Bring engineering/architectural help to the construction site, too expensive to constantly travel to construction sites for consultation.
• Higher end construction companies are using C-20s.
Oil and gas
• Need: Visual communication to track oil fields stats.
• Desire to reduce transportation and manpower to the fields.
Cisco Confidential26
© 2010 Cisco and/or its affiliates. All rights reserved. EDCS-1127909
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