1. LINDA FISCHER, MCSA Network Communications and Telehealth

2. Telehealth & Network Communications Network communications Videoconferencing Telehealth equipment

3. Objectives: Importance of standards Connection-oriented and Connectionless Communication Open Systems Interconnection (OSI) model Security considerations Telehealth equipment Benefits of telehealth

4. Question for discussion: What are standards? Why are they important?

5. Standards Operational Clinical Equipment Telecommunications

6. Network Communications Networks are devices that are connected together using special hardware and software, to allow them to exchange information. Circuit switching Packet switching

7. Transmission Protocols Connection oriented  Transmission Control Protocol (TCP) Connectionless  User Datagram Protocol (UDP)

8. Open Systems Interconnection

9. LayerFunctionFormat/Protocol 7ApplicationUser interface - BrowserTelnet, HTTP, FTP 6PresentationEncryption/compression/ syntax changes ASCII, JPEG, MP3 5SessionMaintains synchronization connection establishment Operating System, scheduling 4TransportReliable or best effort delivery, error correction and flow control TCP, UDP 3NetworkLogical end to end addressing used by routers and hosts for packet delivery IP 3Data linkMAC addressing to access endpoints, error detection, no correction, creates frames from data bits 802.3, 802.2, HDLC, Frame Relay 1PhysicalSpecifies voltage, wire speed and cable pin-outs. Binary level 0’s & 1’s EIA/TIA, V.35

10. Network Communications

11. Discussion question: Name some ways that you can secure/protect a computer?

12. Security Basic network security  Antivirus software  Firewall  Authentication  Access controls  Back-ups

13. Enhanced Security Health Insurance Portability and Accountability Act of 1996 (HIPAA)  Privacy rule  Security rule Health Information Technology for Economic and Clinical Health (HITECH) Act  Encryption

14. Telehealth / mHealth Technologies Videoconferencing Remote patient monitoring mHealth technologies Equipment

15. Videoconferencing Javeed Siddiqui, MD Helping Rural Communities

16. Videoconferencing/Mobile Video Stations Many devices, many manufacturers  They don’t always communicate with each other  Different software, different protocols Standards based technology  Makes sure that your device can communicate with other devices.

17. Medical Peripherals

18. Remote Patient Monitoring

19. mHealth What is mHealth?

20. Network Communications and Telehealth With interoperable standards,Telemedicine can: Improve access Improve care Reduce costs

21. Questions for Review What is the OSI model? Name the 7 layers of the OSI Model: What is the difference between connection oriented and connectionless protocols? Give an example of how telehealth can decrease costs. Give an example of how telehealth can increase access to health services.