1. Next Generation Telemedicine Service Provision in the Home Healthcare Sector A joint project between KTH and Huddinge University Hospital André Alander, Andreas Larsson, Dan Kopparhed, Pascal Laue, Pawel Merdi, Shahidur Rahman Communication Systems Design 2g1712 (16 credits) 2g1713 (20 credits)

2. 2003-05-22 TeleMed ng Communication System Design 2003 Presentation Overview Background Goals Video Work Flow Project Tasks Benefits Prototype Model Prototype Capabilities Future Work Summary & Conclusions Questions

3. 2003-05-22 TeleMed ng Communication System Design 2003 Background Large increase in number of biomedical equipment at patients’ homes Department of Biomedical Engineering (MTA) at Huddinge University Hospital Sweden is well positioned in telemedicine technology Telemedicine is expected to grow rapidly in the nearest future

4. 2003-05-22 TeleMed ng Communication System Design 2003 Goals Main goals Analyze potential benefits involved when deploying the platform Design and implement a platform for transfer of data from patients to the hospital Optional goals Implement applications on the platform Implement teleconferencing between patients and hospital

5. 2003-05-22 TeleMed ng Communication System Design 2003 Video

6. 2003-05-22 TeleMed ng Communication System Design 2003 Other Biomedical Products AutoCPAP Pulsoximeter

7. 2003-05-22 TeleMed ng Communication System Design 2003 Today’s System Patients discover problems Difficult to get/give exact information from/to patient Solution often requires biomedical engineer to visit patient Work Flow Future System Problems and solutions are identified remotely at the hospital Patients may solve the problems through instructions Visits to patients may not be necessary

8. 2003-05-22 TeleMed ng Communication System Design 2003 Project Tasks Project plan Cost and Benefit Analysis (CBA) Business Analysis (BA) System Architecture Design (SAD) Building prototype Testing Final report System Design

9. 2003-05-22 TeleMed ng Communication System Design 2003 Benefits Non Commercial Benefits High quality support for Patients Improved efficiency of the work of the staff Knowledge of new telemedicine technology Commercial Benefits Marginal benefit if the number of patients is small Large benefit if the number of patients is big

10. 2003-05-22 TeleMed ng Communication System Design 2003 Prototype Model

11. 2003-05-22 TeleMed ng Communication System Design 2003 Prototype Capabilities Transformation of messages - Device specific into standard message Message encryption - Conforming to privacy requirements Secure message transmission - Between patient’s equipment and server at hospital Server-side security - Based on security operations and architecture requirements of Huddinge University Hospital

12. 2003-05-22 TeleMed ng Communication System Design 2003 Future Work 1.Investigate the use of other Message Queue systems 2.Extend with full user interfaces on both client and server side 3.Implement the platform on a residential gateway or other suitable hardware 4.Implement teleconferencing between patients and the hospital 5.Investigate technology for redundancy in communication and data storage 6.Test the platform with real patients 7.Evaluate the test and the patients ’ perception of it

13. 2003-05-22 TeleMed ng Communication System Design 2003 Summary & Conclusions The telemedicine expansion has only just begun Concept of the designed platform proved Telemedicine can give benefits and save money? Large cost savings when system used in large scale Interesting future opportunities to extend the system

14. 2003-05-22 TeleMed ng Communication System Design 2003 Questions

15. 2003-05-22 TeleMed ng Communication System Design 2003 The End