1. The Brazilian Virtual Hospital Health Information Resources and a Virtual Community on the World Wide Web

2. Renato M.E. Sabbatini, PhD Director for R&D, Center for Biomedical Informatics State University of Campinas President, the EduMed Institute

3. The State University of Campinas Campinas 850,000 inhabitants 60 miles north of São Paulo 12% of Brazil´s GIP Brazil´s Silicon Valley UNICAMP 19,000 students (42% grad) 2,000 faculty Research university Hi-tech R&D

4. Expands coverage to remote and underserved populations, particularly in the rural sector Increases the quality of health care by providing monitoring, consultation, screening and education Decreases the costs of hospitalization, error, transportation, excessive use of specialized resources, etc. The Benefits of Telehealth

5. Crucial Points Concerning Internet Usage in Health Care Increase high quality content Increase content which is useful at the point of care Improve the access mechanisms (keyword and concept search, semantics, content rating, authoritative sources, easy and quick navigation) Training the end user

6. What is the Brazilian Virtual Hospital An architectural metaphor for providing access to medical information on the Internet; A standardized platform for the electronic interchange of information and for interaction in a virtual community of users; A resource for the continued education of professionals and consumers; A testbed for the experimentation and evaluation of new communication technologies in medicine.

7. Virtual Hospitals in the World Virtual Hospital - University of Iowa - December 1994 Cyberhospital - National University of Singapore - February 1995 Brazilian Virtual Hospital - May 1996 Argentinian Virtual Hospital - May 1997

8. Types of Users General public: patients, lay persons Health care professionals and students Each type of user may access the Virtual Hospital using different entry points or interfaces, according to the adequacy of language and depth of information

9. http://www.hospvirt.org.br

10. Access Lobby Physician´s Room Medical Archives Library Virtual Medical School Conventions Center Students Union Hospital Management Clinical Engineering Publishing House Computing Center Virtual Pharmacy Basic Science Departments Clinical and surgical departments Research groups and labs Special projects Services and Departments of the Brazilian Virtual Hospital

12. Basic Organizational Principles Each department is coordinated by a respected specialist in the area, aided by a group of collaborators; Whenever possible, a learned society of noted university center supports the specialty; All information made available is selected according to quality, timeliness and accuracy and is peer-reviewed; There is a uniform user interface and hierarchy of information.

13. Basic Organizational Principles The Brazilian Virtual Hospital is built and maintained by a “knowledge cooperative”, i.e., a network of collaborators from many location; It is a national initiative, officially endorsed by the Brazilian Medical Association and the Interministerial Committee for Internet Coordination (Internet/BR) Health Working Group

14. Information Resources Electronic books, journals and newsletters (virtual library) Information for patients On-line courses and tutorials Image, video and sound databases Clinical algorithms for decision support Clinical case descriptions (“virtual patients”) Medical databases Information about conferences and courses Mailing lists, discussion forums (medical chat rooms), bulletin boards and newsgroups Dowloadable free software Links to Internet resources

15. Links to Internet Resources Home pages of medical schools, hospitals, clinics, physicians, university departments, research centers, etc. Specialized information sites Medical and health care societies and associations Patient support groups, mailing lists etc.

16. Health & Life On-Line “Ask the Doctor”

17. Case Description Reports and Tests Images and Tracings Internet-Based Teleconference Clinical Case

18. “Chatroom” in Java Servlet whiteboaard text images moderator participants Internet-Based Teleconference

19. The e*pub Project Group for Electronic Publications in Medicine and Biology http://www.epub.org.br

21. Development and deployment of periodical publications in Medicine and Health (digital library) on the Internet and other electronic media; Research of new technologies and methodologies of electronic publishing and the evaluation of its impact on scientific communication and education The e*pub Aims

22. E*pub Publications Intermedic: A Journal on Internet and Medicine Informedica/Informática Médica: A Magazine on Informatics for Physicians Health & Life On-Line Brain & Mind Magazine NutriWeb Magazine

23. Brazilian Archives of Cardiology Newsletter of the São Paulo Cardiological Society Journal of the São Paulo Cardiological Society Brazilian Journal of Medical and Biological Research Contemporary Gastroenterology Review of Psychological Studies OnLine Journal of Plastic and Reconstructive Surgery External Supported Publications

24. Other Virtual Communities The Brazilian Virtual Veterinary Hospital http://www.nib.unicamp.br/hvvb The Virtual Dental Center http://www.nib.unicamp.br/cov The Virtual Physical Education Center http://www.cev.org.br

25. Some Statistics Complex of Health Sites More than 6,000 pages of information 1.1 terabyte of data transfer per year 160,000 unique visitors per month 12 million file transfers per month Ca. 150 contributors throughout the country Ca. 100 email messages per day

26. Current Projects The Medical News On-Line Agency Collaboration with DoctorPress Ltd The Virtual Continued Medical Education Center: Collaboration with the EduMed Institute Center for Health Information Technology Brazilian Telemedicine Initiative and the Brazilian Association for Telehealth

27. School Hospital Rede Nacional de Educação a Distância em Medicina Digital Satellite Internet Videoconference Hospital Target: 90 medical schools and 500 hospitals Distance Education Network in Health

28. VSAT TCP/IP, HTTP, etc. Tele and videoconference On demand audio and video Digital satellite TV (DSTV) TV/Internet convergence (MP3, WebChoice TV, WebTV, PPV, Cablemodem) Data bases and virtual libraries Optical disks (CD-ROM, DVD) Technologies

29. Real Virtual Virtual Real EduMed The Integrative Role of EduMed

30. 94 medical schools 38.000 undergraduate students 8.000 new physicians per year 220.000 physicians 7.000 hospitals, 800 with residence 12.000 residents 9 to 10.000 medical professors 50/60.000 physicians doing CME Global expenditures of US$ 1,5 billion/year Medical Education Market

31. The EduMed Institute A not-for-profit educational association founded in March 2000, in Campinas, Brazil, with several regional offices Research and education in health information technologies and its applications in learning, education, care and social actions Management of the EduMed Consortium and the EduMed.Net Project Alliances with national and international organizations and the private sector

32. Contact Information Renato M.E. Sabbatini sabbatin@nib.unicamp.br http://www.nib.unicamp.br http://www.edumed.net