1. Wireless Applications in Mobile Telemedicine Kent Tonkin, Assistant Director for IT, CERMUSA

2. CERMUSA Defined Research Center Saint Francis University, Loretto, PA Identify Sustainable Technology Solutions for improved ACCESS to quality healthcare and education in rural, isolated and/or under-served areas. The Center of Excellence for Remote and Medically Under-Served Areas

3. Medical Communications Needs Continuous audio communication Vital signs (EKG, SPO2) “Offline” data storage The Center of Excellence for Remote and Medically Under-Served Areas

4. Technology Overview Technology Goals Vital signs Images/motion video Multiple pipelines Use of public infrastructure vs. establishing infrastructure The Center of Excellence for Remote and Medically Under-Served Areas

5. Technology Overview Technology Difficulties Sporadic mobile coverage Questionable bandwidth Combined pipelines Relevant equipment availability The Center of Excellence for Remote and Medically Under-Served Areas

6. Technology Overview Currently using AMPS, Spread Spectrum (2.4 GHz) and UHF (licensing in process) Attempted transmission: Audio, patient data/vitals, video The Center of Excellence for Remote and Medically Under-Served Areas

7. The Plan UHF VHF Cellular Other Hospital Receive Site Spread Spectrum Intelligent Router

8. Difficulties so far…. Bandwidth, bandwidth, bandwidth IP routing over low bandwidth Handling other forms of data The Center of Excellence for Remote and Medically Under-Served Areas

9. Video from an Ambulance? H.323 VTC 2.4 GHz Spread Spectrum Dual mobile and fixed antennae Variable coverage/line of sight The Center of Excellence for Remote and Medically Under-Served Areas

10. Mobile H.323 Gateway Gateway Public Network Wireless TCP/IP Network Connection Stand-alone IP VTC

11. Will it work? Best possible outcomes will continue to improve More bandwidth=more possibilities All communications converge on single standard The Center of Excellence for Remote and Medically Under-Served Areas

12. Next Steps New “diversity” switch Satellite data Experimentation on “real world” bandwidth (4800-19.2kbps) Digital radios The Center of Excellence for Remote and Medically Under-Served Areas

13. New Technology Challenges Cost/Investment How “standard” are standards? Quality Path of progression (3G) Security Technology conflicts The Center of Excellence for Remote and Medically Under-Served Areas

14. Questions? www.cermusa.francis.edu