1. TELEMEDICINE SERVICES Dimitrios Sotiriou Associate Professor of Medical Physics School of Medicine University of Athens

2. 2/10/98CATAI VI SS / Dimitrios Sotiriou, School of Medicine, University of Athens2 TELEMEDICINE SERVICES u What is Telemedicine? *is to provide medical services even in cases where distance separates patient, doctor and/or data or information *it is an enabling technology *it is not new (Zervos 1936! even earlier)

3. 2/10/98CATAI VI SS / Dimitrios Sotiriou, School of Medicine, University of Athens3 TELEMEDICINE SERVICES u How a Telemedicine Service can be designed? * categorise medical events to extract user requirements * use a tool like the HERMES Question Set * describe Telemedicine events

4. 2/10/98CATAI VI SS / Dimitrios Sotiriou, School of Medicine, University of Athens4 TELEMEDICINE SERVICES u What is the required infrastructure? * electronic healthcare records (multimedia) * a communications network and software * medical workstations * medical equipment (e.g. PVSMs) Is that all?

5. 2/10/98CATAI VI SS / Dimitrios Sotiriou, School of Medicine, University of Athens5 TELEMEDICINE SERVICES u What are the roles of the medical personnel? * design and implement * describe clinical protocols and guidelines * operate * verify and evaluate * assure quality

6. 2/10/98CATAI VI SS / Dimitrios Sotiriou, School of Medicine, University of Athens6 TELEMEDICINE SERVICES u What is the path to a quality system? * form User Groups * use external auditors and evaluators * train on quality * produce a Quality Manual (the ISO 900x path)

7. 2/10/98CATAI VI SS / Dimitrios Sotiriou, School of Medicine, University of Athens7 TELEMEDICINE SERVICES u Is Education and Training necessary? * the telematics culture is not yet everywhere * all personnel must be qualified users * training can be quick and efficient even from distance (using telematics) * a large number of trainers and multimedia technologies are necessary

8. 2/10/98CATAI VI SS / Dimitrios Sotiriou, School of Medicine, University of Athens8 TELEMEDICINE SERVICES u The HERMES Question Set  A. Clinical Context  B. Service context / Relationship to Environment  C. Acceptability of the TMS (trust / consistency aspects)

9. 2/10/98CATAI VI SS / Dimitrios Sotiriou, School of Medicine, University of Athens9 TELEMEDICINE SERVICES u The HERMES Question Set (cont.)  D. Setting-up and running the service (construction and persistency aspects)  E. Policies of the organisation  F. Information considerations

10. 2/10/98CATAI VI SS / Dimitrios Sotiriou, School of Medicine, University of Athens10 TELEMEDICINE SERVICES u The HERMES Question Set (cont.)  G. Processing  H. Technology considerations  J. Quality Issues

11. 2/10/98CATAI VI SS / Dimitrios Sotiriou, School of Medicine, University of Athens11 TELEMEDICINE SERVICES Telematic Service Attributes Credible Distributed Scalable / Modular Interoperable Secure Reliable High - Performance

12. 2/10/98CATAI VI SS / Dimitrios Sotiriou, School of Medicine, University of Athens12 TELEMEDICINE SERVICES Telematic Service Attributes (cont.) Available Maintainable Timely Affordable Accountable Informative about the services

13. 2/10/98CATAI VI SS / Dimitrios Sotiriou, School of Medicine, University of Athens13 TELEMEDICINE SERVICES u What the future will be? * slow uptake * improved primary and home healthcare services * new role for secondary and tertiary healthcare services * WHO: TeleMedicine Medicine

14. 2/10/98CATAI VI SS / Dimitrios Sotiriou, School of Medicine, University of Athens14 TELEMEDICINE SERVICES http://alpha.mpl.uoa.gr Thank You