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Telemedicine for Governments

Governments across the world is increasingly adopting e-Governance initiatives to increase transparency and boost productivity by simplifying resource allocation costs and managing the costs of deployment of various programs in the public sphere.
Increased proliferation of the Information & Communication technologies and ubiquitous internet for mass adoption of smart phones have paved the way for adoption of these newer technologies for telehealth in rural and urban populations alike . More so when the hurdles and inherent challenges in traditional healthcare delivery can be overcome adopting technology that eliminates the factors that stand in the way of quality healthcare deployment.
The alarming statistics of dearth of specialized and general medical practitioners alongwith logistical and infrastructural disabilities have flummoxed the public health agencies like a plague.The government bodies are constantly looking to bridge these gaps with more incentive driven and legislative norms but is failing rapidly due to lack of adoption by the medical community. Adopting new technologies at a federal or at a village level helps these agencies in overriding budgetary constraints which is a major factor of every government initiative.
Even so , setting up infrastructural capabilities sometimes fail as healthcare is a hands on and extremely personal discipline and in many parts of the world , the infrastructure is orphaned due to unavailability of qualified and willing medical practitioners. The need of the hour is an medical eco system that can utilize the infrastructure and couple it with a body of specialized medical knowledge with an inbuilt skilling program that can help the less skilled to be abreast with the latest in medical knowledge and delivery systems – a scalable low cost platform that can be easily adopted .
HOW TRS Telehealth Helps – THE TRS Advantage.
TRS Telehealth understands the Challenges facing Governments at a tactical level . WE have been called upon by various Government Agencies in India and para government agencies for Tibet and in Africa to consult and support their public health endeavours by creating customized healthcare delivery programs that benefits the good citizens at the grass root level.

1) Project management – Appraises the compliance / security issues and environmental factors and medico legal issues.
2) Simplified healthcare delivery programs that leverages our deep domain expertise in Healhtcare and IT systems with a global workforce.
3) Creating faster turn around time and measurable value propositions in the areas of public health initiatives.
Its our firm belief that a marriage of our technological prowess and our world class global point of care delivery systems that will revolutionize the way Governments administer public health .
The pace and dynamics of the public healthcare delivery is undergoing a shift with the changing societal environmental conditions. The migration of rural population to urban areas blurs the lines of demarcation between urban and rural areas. There exists a large number of underserviced low income groups in both urban and rural areas which only adds to the Care Burden of the Governments at different levels. Further encumbered by income disparity , government concessional demographics and an ineffective administrative body the very important aspect of timely high quality healthcare is a utopian dream. The governments across the world are struggling with equitable healthcare access.
Unlike education, medical and healthcare needs are time sensitive . Many a time a few seconds or minutes difference is a matter of life and death. As such when the less affluent struggle to make sure that healthcare delivery within their reach when the time comes and not dependent upon the whims and availaibility of the over worked physicians. TRS telehealth augments the existing infrastructure in terms of people , policy guidelines to innovate throught its deep analytics and domain expertise to remove administrative bottlenecks and identify new paradigms that will be refreshingly new and path breaking at the same time.
Adopting this brings in greater transparency and greater accountability of the fund allocated programs which will also result in
Maximize reach of the public healthcare programs
System that will deliver medical aid in time and in systematic manner
Upskill the practitioners with built in frameworks for knowledge upgrade and latest insights
A collaboration of Internet, Digital , Cloud and Mobility solutions that reduce the cost burden of healthcare delivery.
The rapid changes in healthcare delivery poses another significant challenges for Government Agencies. Large scale investment in healthcare technology are virtually made obsolete in a matter of months and the less fortunate citizens of the good country normally bear the brunt of this upgrade. To tide over this TRS Telehealth enables delivery systems that are low capital intensive and less IT infrastructural investment. Our IT investments have an inbuilt capability to adapt easily to the changes without affecting institutional and operational efficiencies.
An equally important challenge and an important aspect is the Question of Safeguarding the privacy and security of patient data . AT TRS quality compliance systems are in built into the system that conforms to global standards of HIPAA accreditation. To mitigate the risk of data breach at potential touch points we have covered possible leaks as securely as possible. Thus we enable the service provider and patient to interact in a secure and safe environment without compromising individual safety concerns .
We have been HIPAA compliant since 2002. < verify year >
Building large scale programs is bridled with a lot of other concerns . There are distinct differences in how healthcare systems are engineered for Government and other sectors
Security Issues
With the mass influx of personal data being transferred over the networks , security and load balancing can be a potential threat . so systems have to be in place that will mitigate risks
Obsolete Technology
The undercurrents of change affects literally every aspect of our life and the eco system has to be geared up to adapt the new upgrades without disrupting the existing Infrastructural set ups and the quality of care outcomes.
Appreciating advances in technology will help us prevent the upgrades from derailing the productivity and potentially life threatening situations in healthcare. This requires a specialized and systematic knowledge to abort silos of healthcare and technology, a convergence that will posture Intelligent systems within the geo political landscape.
Budgetary Constraints
With government agencies facing cynicism from all quarters for any public expenditure , accountability and transparency becomes sometimes an over riding factor in making decisions. And the second most important factor is the budgetary constraints. TRS Telehealth helps in creating a collaborative , easily trackable healthcare IT systems that can adjust itself to the Budgetary limits at each touch points . at the same time , reducing the over all cost burden by implementing cloud computing and mobility solutions and keeping the IT infrastructural investments to a minimum also helps. We thus contribute bu building a nimble architecture.
Lack of End User Support and Training

TRS telehealth recognizes the critical differences in medical knowledge can sometimes be the matter of life and death . Most initiatives to take off at the grass root level required deep indoctrination and continuous training. To overcome this vulnerability , doctors and medics are encouraged to use the elearning platform for continuous medical education conducted by faculty from internationally acclaimed institutions.
TRS Telehealth presents you the tools , techniques and global deployment expertise to architect large scale , secure , stable and easily replicable upgrades , nimble environments for a self sustainable and satisfactory point of care outcomes.
ABOUT TRS TELEHEALTH SERVICES
TRS TElehealth is the worlds leading Telehealth company that delivers telemedicine solutions and products to support its clients endeavor of making healthcare accessible to their stakeholders. TRS Telehealth through its multi disciplinary and global deployment expertise delivers a 360 degree comprehensive telehealth suite . A company globally recognized for its path breaking innovations and incubator of world class business models in healthcare delivery. We are committed to healthcare through and through.
For more info visit …….

TRS Telehealth has partnered with UNICEF , Govts of India, Tanzania , Ethiopia , Singapore, and the Ministry of Social Welfare, Tibetan Settlement etc . With Global delivery centers in Singapore, USA , India, Africa, Israel and Middle East , we service clients in 25 countries and is regarded as one of the best healthcare service delivery companies in the world.

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Assess the Usage of a Tele-Cardiology platform

Dr Sunita Maheswari.

Bangalore, India

Aim and Objective: To assess the usage of a Tele-Cardiology platform for Tele- Electrocardiograms (tele-ECG), tele-Echocardiography reporting and tele consultations.

Material and Methods: A new Tele-Cardiology web based technology (CARDIOSpa ) was tested locally within a clinic in Bangalore and long distance between Assam and Karnataka, two states in India.  At the Bangalore clinic a DICOM compatible echocardiography machine was integrated with CARDIOSpa in order to transmit echoes and provisional reports done by the sonographer were reported later by a cardiologist. Tele-ECGs uploaded from Assam through CARDIOSpa were viewed and reported by cardiologists in Karnataka. Video teleconsultations with a digital stethoscope were done in cases that needed it.

Results: In six months from January 2015 to July 2015, 1047 echocardiograms and 316 ECG’s were uploaded to CARDIOSpa and successfully reported by specialist Cardiologists.  The Cardiologists were able to review the cases with adequate resolution from their laptops with downloads occurring within 2-4 minutes per echo with a bandwidth of 2mbps. Although the video consulting was successful, the quality of the heart sounds transmitted by the digital stethoscope varied according to bandwidth availability and background noise.

Conclusion: Trained sonographers and ECG technicians at centers that lack cardiologists can be supported by specialist Cardiologists located in other locations using currently available tele-cardiology platforms. Addition of video consultations with a digital stethoscope to tele ECG and tele echo reporting completes the cardiac assessment.

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What is Teleradiology and its Benefits

Keyword 1: Benefits of Teleradiology

Keyword 2 : What you need to know about Teleradiology

Keyword 3: The Basics of Teleradiology

Telemedicine is the application of information technology and telecommunications networks for the purpose of medical diagnosis and therapy from remote locations. A host of recent technology innovations have made it possible for telemedicine to expand its reach across every medical speciality– its usage in radiology is called “teleradiology.”

Radiology incorporates the diverse methods used in medical science to capture images of the internal body structure and function (eg. x-rays, MRIs, ultrasounds), to assist in the process of medical diagnosis or treatment.

Teleradiology is the capability to acquire these medical images in one location and facilitate their transmission over a range so that they can be viewed and interpreted for diagnostic or consultative purposes by a radiologist.

This practice is becoming widely adopted by hospitals, urgent care clinics, and diagnostic imaging centers. The factor responsible for its rapidly growing implementation is due to the fact that it addresses the inadequacy of appropriately skilled personnel to provide radiological analysis and the lack of practitioners of this specialty.

The process of teleradiology, in essence, is based on a fundamental triad; an image sending station, a transmission network, and a image retrieval station that should have a high-quality display screen. Additional more recent technology innovations include the incorporation of cloud for redundancy and cost reduction, mobile technologies for greater access and sophisticated teleradiology workflow that enhances radiologist productivity, provide performance metrics and track quality. .

Teleradiology improves client care by enabling radiologists to supply their expertise without necessarily being at the same location as the patient. This is especially essential when radiologist subspecialists (e.g. MRI radiologists, pediatric radiologists, neuro-radiologists) are required, because these specialists are few in number and typically located in metropolitan cities. Teleradiology therefore enhances the quality of radiology reporting by bringing the images of a patient in a small town to the most specialized radiologist who is best qualified to interpret the particular radiologic scan..

On the other hand, smaller sized healthcare facilities in rural areas might use only one radiologist or none at all. In such situations, it is virtually impossible for the radiologist to be available 24 x7 x 365. Having the support of a teleradiology reporting service can both improve the quality of life of the solo radiologist as well as improve the quality of care that might be potentially diminished by radiologist overwork..

Teleradiology can be a means through which physicians can collaborate when they are not in direct contact. For example an emergency doctor at a rural urgent care center can gain obtain a radiology consultation from a specialist urban radiologist and discuss the case telephonically while simultaneously viewing his or her patient’s images. (e.g. they are in remote places). This can be extremely valuable from the perspective of enhancing patient care and improving outcomes.

Using the services of outsourcing companies or radiology groups to supply and maintain the needed radiology coverage, smaller medical facilities are able to make better usage of their own on-site specialists and enable them to maintain their regular working hours.

This can likewise be economical for the medical facility as the outsourcing institution need only spend based on utilization, and is spared the significant fixed cost of having a radiologist on site at a small institution where they may not be fully utilized . The arrangement of these expert services to manage inpatients at small hospitals without experts on site has been revealed to be a reliable way of providing high quality care that would otherwise be unavailable.

In summary, the benefits of teleradiology are related to affording access to specialist radiologist expertise where or when none exists, to the appropriate utilization of radiologist time and energy, and to the overall enhancement of patient care, while at the same time reducing healthcare costs!

The technologies today are mature and evolved, and the outsourced model wherein images are routed to a teleradiology reporting service is an established and tested one which affords significant value, especially to small rural and community hospitals. Startup costs as well as running costs are reasonable and affordable and the process is smooth and streamlined.

 

Sounds like a pretty compelling value proposition? Try it and find out for yourself!!.

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Telemedicine for Foundations

Socially motivated foundations and CSR agencies are battling with the challenge of establishing low cost platforms that withstand the scrutiny regulatory conditions of the industry.

Foundations which regularly work together with governing powers, such as its Board of Directors and external Donor agencies. These foundations set high-emphasized pressure in the contribution procedures and following the region’s government guidelines.

Foundations have various avenues to optimize their service, however, they are usually constrained by investment levels in technology and functional support that can potentially accelerate their efforts in social change and intervention.

At TRS telehealth solutions, we help in the following ways:

Highly Adaptive Intelligent Systems

Our functionality is easily configurable for a variety of environments and the long run, improves the overall affinity of social healthcare programs to the target segments.

Real Time Data

We offer critical business data on a timely basis, which empowers foundations to make course corrections in transformation programs.

Comprehensive Suite

Our comprehensive suite of solutions and products help foundations gain access to execute their healthcare delivery programs across various governing disciplines for primary or secondary level care or tertiary level education.

Our innovative platform brings about extraordinary transformations to healthcare deliverables. Our unique insight in key variables of interaction can lead programs to successful positions.

Enhance Cost Management
Our global expertise ensures greater operational excellence and substantial improvement in valued investments; automatically lowering the cost of delivering the care.

Regulatory Mechanisms and Compliance

We are globally operational company; our processes are internationally benchmarked and accredited at the highest level of compliance for security and robust processes. Healthcare being a knowledge intensive sector, our professionals and practitioners have fundamental experience with internal regulatory controls and peer review mechanisms to ensure the highest SLAs (Service Level Agreement) in healthcare delivery.

Collaborative and Traceable Platforms

Our global friendly platform captures various data on the care continuum that gives deeper insights for adjustable management initiatives, enabling agent modification with measurable data.

The Teleradiology Foundation works together with Government Agencies, and other foundations who envision public private partnerships in public health initiatives. For more info please visit

www.teleradfoundation.org or download our brochure here.. [ hyper link to teleradfoundation site ]

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Telemedicine for Healthcare

The ever-changing dynamics of the business and economic world, has led the healthcare industry to adjust to the rising costs of medical treatment and professional protocol by transforming its fiscal models. The traditional healthcare system is no longer able to create sustainable models as ROI continues to lead time extending to 3- 5 years.

The equitable delivery of high quality healthcare to the stakeholders is a concern. No longer is the healthcare industry an isolated point of delivery but instead become an integral player in the socio – economic fabric of the nation with the factors of accessibility and foreign competition in effect.

The standardization of high quality and timely healthcare is blatantly skewed to benefit higher income groups which ultimately leads to the industries’ experts to look for newer, innovative ways to service the under reached demographics. In such a scenario, there will be a need for a highly efficient model that will position the hospitals and providers to take advantage of the new changes in the healthcare services and potentially create operational efficiencies to iron out the redundant system.

TRS Telehealth creates configurable and easily adaptive delivery models that will enable healthcare organisations to aggressively move from a doctor centric to patient driven delivery model.

In this modern digital age, vast information is available to the public’s finger tips and the options are endless.

So now the question arises – Can we create a viable, scalable model that will enable operational efficiency, while at the same time, deliver significant cost savings and a high satisfactory patient outcomes.

To tread this carefully, requires a highly responsive agile system that will address patient feedback accordingly. Importantly, depicting and improving complaints before it becomes a point of concern and broadcasting complements as a marketing tool to attract more potential patients.

TRS Telehealth Solutions reduces the burden of managing multiple partners and stakeholders through its unique built organizational features. In the end, TRS will help carry out the daily operations with great efficiency. As well as, helping you reduce the spend on IT infrastructure by adopting new technology while integrating the existing system. TRS aims to employ cloud and mobility solutions that will reduce dependency on legacy enterprise systems which has proven to be costly in terms of training, user adoption and arraying obsolete technology in the long run.

TRS’ system will safeguard you from the pitfalls of heavy capital expenditure as newer technologies make the existing ones outdated.

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TeleMedicine for Corporates

Corporates

In this fast changing economy, corporations have increasingly matured from the traditional organizational set up to a fast pace, credible service that deliver to the high demand of the consumer market. Globalization has opened up vast global market in the healthcare spectrums to deem services and products to.

Customers now have access to a global market where borders are gradually thinning out in view of the advances in IT and communication and digital revolutions. Companies have taken advantage to open global offices and deploy their man power globally . A highly distributed and collaborative nature of today’s workforce enabled by remote access technologies raised the stakes in this fast evolving and increasingly dynamic and virtualized work environs.

Corporates are reconsidering their stance on handing over the employee’s healthcare systems to third party providers that don’t fully grasp the complexities and changing dynamics. They are looking for specialized knowledge that can fill in this gap and still meet the compliance and regulatory issues.

TRS understands this changing scenarios in the new corporate businesses and we have leveraged telemedicine to reduce the huge healthcare cost burden in view of the distributed workforce and adapting to the changing reimbursement models in different geographies and the also the dissimilarities in the Quality of healthcare when they deploy workforce in disease prone geographies like interior Asia and Africa.

With a large number of solutions that have sprung up in the name of telehealth – their relative immaturity in handling large scale enterprise wide requirements discourages their adoption by enterprises from deploying them globally. TRS Telehealth has its built in security mechanisms over cloud that can be automated and its flexibility causes the enlistment of corporates with our services and solutions.

In some situations , due to high propensity for the occurrence of occupational hazards for eg in offshore oil rigs and factories , regulatory body mandates setting up of healthcare facilities that will address any emergency for the employees at risk.

To effectively tackle all these situations that may arise in the course of business growth involves a lot of costs in terms of setting up dedicated healthcare system that might take your focus away from your core business . At TRS telemedicine is not a separate specialty but an essential part of the larger eco system where delivery of clinical dare is made the top priority. As such in sync with the different needs of the customer , we aim to bring high quality point of care delivery through a combination of deep domain expertise , operational excellence and innovative care paradigms.

Our founders and patrons are graduates of Ivy league institutions and are the virtual who is who in their respective fields and thought leaders in their areas of specialization ; coupled with strategic educational and organizational partnerships across the globe in different domains.their industry experience is unparalleled when it comes to healthcare delivery. When great teams team up ; they create truly world class products and world class solutions to age old global problems ensues.

Our products incorporate the latest advances in Mobile and Cloud Computing to delight the end user by providing a truly global experience in healthcare delivery.

Having serviced clients in over 25 countries world wide , with global delivery centres in Singapore , India, Israel and USA we have exhibited and mastered the operational efficiency that it takes to achieve excellence.

We have pioneered telehealth concepts being a world leader in innovation in healthcare delivery arena be it teleradiology , telemedicine consults, telepathology, telecarediology, teleneurology , etc. We have incubated and launched widely successful initiatives like clinical imaging and tele –counselling to tele-education .

 

Providing telehealth and corporate healthcare solutions and services to over 60 global clients through our subsidiaries have taught us a thing or two about telehealth in corporate arena. We are the healthcare service provider of choice to 65 corporates in a short span of 10 years.

 

Key Services

TRS Telehealth helps you address your major corporate healthcare challenges and also supports you in your flexible work environments with fast low cost implementations and reduced burden to the clients. Our solutions and services across the entire care continuum includes

Corporate HealthCare packages

Pre and Post Employment Checks

Employee health Risk Assessments

In House Medical Services

In House Doctors and Nursing Staff

In house clinics on a BOT model

Emergency and Ambulatory Services.

Offshore Health care for the Distributed workforce.

Telemedicine Plug N Play – Completely or Partially Client Operated.

Telemedicine Hubs in SEZs and Corporate Parks.

We serve the top brands in each category as their preferred healthcare partner, because we help them breathe a sigh of relief when it comes to the health of their employees as they navigate the rough waters of new market acquisition and entering new geographies for scalability and nimble delivery.

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7 Signs that Diagnostic Centers should invest in Tele-Radiology

 

In today’s competitive healthcare environment, running a diagnostic imaging center is not easy. Apart from the high equipment cost at startup, operational and ongoing financial challenges abound. A technology innovation that can assist owners of diagnostic centers in optimizing their center’s performance is teleradiology. This article lists the typical scenarios in which owners of diagnostic centers can benefit from this pathbreaking healthcare innovation.

1. A chain of new diagnostic imaging centers is being opened.
The best time to invest in teleradiology is at the time of expansion from a single center facility (either a diagnostic center or a nursing home or hospital) to a multicenter practice setup. This is when teleradiology will bring you maximum benefits, as it will allow you to utilize your existing radiologist staffing more efficiently. One radiologist at one of the sites can potentially report Xray and CT/MRI scans for all the centers. An onsite radiologist will be required at each site for performing ultrasounds and procedures.

2. Scans are not getting reported on time and the patients and referring doctors are complaining.
Implementing teleradiology is a highly effective way to improve your report turnaround time. It brings the images to your radiologist and allows him/her to report them instantly, instead of your having to wait for the radiologist to show up at work. Furthermore, using an efficient teleradiology workflow platform (Radspa developed by TeleradTech is one such example) can significantly improve your radiologists’ reporting efficiency and thereby further shorten the reporting times.

3. The diagnostic imaging center has started receiving injury cases at night that need immediate reporting.
Emergency/urgent care is where teleradiology makes its greatest impact. If your hospital or diagnostic center is open 24 hours and scans are being performed through the night then you can greatly benefit from teleradiology, either by allowing your own radiologist to report from his or her own home at night or if that is too taxing for them, by outsourcing your reporting to a teleradiology reporting center that provides 24 x 7 services. Remember though to check reporting quality standards and accreditations!

4. The center is unable to find a radiologist to report the scans.

In the current scenario of radiologist shortages, this is not an uncommon situation and the radiologist staffing at any site can suddenly become a problem. Teleradiology can help by either allowing your radiologist to report the scans from wherever he or she may be, or by allowing you to outsource your radiology reporting to a teleradiology reporting center.

5. The reporting radiologist is getting frustrated and burnt out with the increasing workload.
As your diagnostic center volumes increase it may become more difficult for your radiologist to cope with the workload. In such situations, teleradiology can be a helpful backup to direct your excess case workload to a teleradiology reporting service.

6. The radiologist is excellent with reporting xrays and ultrasounds but not comfortable with CT and MRI.
As advanced imaging techniques such as CT and MRI are rapidly evolving and becoming more and more complex, not all radiologists may be comfortable reporting all types of exams especially pediatric, musculoskeletal or cardiovascular. In such cases, referring such complex examinations to a teleradiology reporting center can improve the quality of reporting by gaining access to a subspecialist radiologist with expertise in the specific type of examination.

7. The center requires a backup of all the scans done without the hassle of maintaining it on site.
Using teleradiology allows one to maintain a remote archive of all of one’s scans and reports, on the cloud, with complete security. This can be a valuable backup archive for an imaging center, so that there is never any loss of patient information or images.

The above points are a brief synopsis of the many benefits that teleradiology can afford to the promoters of a diagnostic imaging center. To help unleash the full potential of an imaging center, teleradiology holds the key today.

Dr Arjun Kalyanpur
Chief Pusher, Teleradiology Solutions

The author is Frost and Sullivan’s Healthcare Entrepreneur of the Year 2015 and Father of Tele-radiology in India . You can reach out to him at info@telradsol.com .

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