INFRA-STRUCTURE PERSPECTIVES FOR THE DEVELOPMENT
OF TELEHEALTH IN BRAZIL AND LATIN AMERICA
Telemedicine University Network
Luiz Ary Messina
Dr.Ing.Dipl.Inf.
Gerente RUTE
[email protected]
www.rute.rnp.br
Ministry of Science & Technology
Ministry of Education
National Education and Research Network – RNP
Education and Research Community
Network
www.redecomep.rnp.br
[email protected]
National Education and Research Network – RNP promoting
the use of advanced networks in Brazil www.rnp.br
A 1Gbps R&E-Ring in each of the 27 state capitals!
 Which infra-estructure services are essential
for a Telemedicine University Network?
 Enable the communication infra-structure
 Guarantee the service quality and integration
 Stimulate collaborative research, medical
assistance and interinstitutional courses
 Involve the main actors: government, academy
and enterprise
 Provide indicators and evaluate tele-services
 Enable demonstration projects
 Organize specialties groups
Federal Medical Council
Resolução CFM nº 1.643/2002
Art. 1º - Defines Telemedicine as the Medicine practice
through the use of interactive audio-visual
communication methodologies, with the aim to assist,
educate and research in Health.
Support to Telemedicine and Telehealth Workshops:
• Manaus, Amazonas, March 2007
• Recife, Pernambuco, May 2007
• Brasília, Federal District, September 2007
Telemedicine practice
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Ethics
Riscs
Responsibilities
Payment
Licensing
Qualification
Standards
Legislation
 Applications in: dermathology, oncology
radiology, surgery, cardiology, psychiatry, home
care, rehabilitation, pediatry, obstetrics,
ginecology and neurology.
 Health professionals are becoming more creative
in telehealth applications.
 Most health professionals will be affected by
telehealth applications.
 Introducing Telehealth disciplines in the Health
Faculties.
• Hospital São Paulo e Escola Paulista de Medicina - Unifesp, (São Paulo)
• Hospital das Clínicas - FM USP, (São Paulo)
• Hospital Universitário de São Paulo/LSITEC - USP (São Paulo)
• Hospital das Clínicas da Unicamp (Campinas/SP)
• Instituto Dante Pazzanese de Cardiologia (São Paulo)
• Hospital Universitário Pedro Ernesto - UERJ (Rio de Janeiro)
• Fundação Oswaldo Cruz, (Rio de Janeiro)
• Hospital Universitário Prof. P. E. de São Thiago - UFSC (Florianópolis)
• Hospital das Clínicas Prof. Arnóbio Marques - UFPE (Recife)
• Hospital Universitário Walter Cantídio - UFC (Fortaleza)
• Hospital da Irmandade da Santa Casa de Misericórdia, (P. Alegre)
• Hospital Universitário Getúlio Vargas - UFAM (Manaus)
• Hospital das Clínicas – UFMG, (Belo Horizonte)
• Hospital Universitário - UFES (Vitória)
• Hospital Universitário Prof. Alberto Antunes - UFAL (Maceió)
• Hospital Universitário Prof. Edgar Santos - UFBA (Salvador)
• Hospital das Clínicas - UFMA (São Luís)
• Hospital Universitário Lauro Wanderley -UFPB (João Pessoa)
• Hospital Universitário - UFPR (Curitiba)
Institutions participating – January 2006
Experiences
Medical
Videoconferences
Collaborative Work
Case Study
Teleconsulting
and Image
Telediagnostic
Distant Education
Continuous Education
ISCMPA
FM-USP
Unifesp
Ufes
IGARASSU
CAMARAGIBE
RECIFE
CABO DE SANTO
AGOSTINHO
Health Family Program
Video on demand
VC Sessions
Distant Courses
University Hospital
Federal University of Pernambuco - UFPE
Telehealth - Federal University of Minas Gerais - UFMG
 Health Family Program
BH Telehealth – Belo Horizonte Municipal Secretary of Health
Minas Telecardio – Minas Gerais State Secretary of Health
Rural Internship
 National and international VC-Sessions
Supported Specialties : Angiology, Ocupational, Cardiology, Surgery, Infectious diseases, Dermathology,
Endocrinology, Gastrology, Ginecology, Hemathology, Nefrology, Neurology, Oncology, Orthopedics,
Ophtalmology, Pediatrics, Pneumology, Reumathologia, Urology, Nursing and Dentistry.
Health Channel
1995
2006
•
• 38 hours/week
transmission,11
channels
• 4 ½ hours/week
production
•
6 hours/week
transmission, 2
channels
1 hour/week
production
“Pediatrics Radiology”
VC-Sessions monthly
Oncology
Geriatrics
Teenagers
T@lemed
Image acquisition
Prepare to send
Connect to the specialist
Accept connection
Send and receive images
Send diagnosis
Receive diagnosis
Follow-up
Ultrasound, X-Ray, Tomo
TELEDIAGNOSIS
On and Off-line
Mexican Telemedicine Program
http://www.centec.gob.mx
Ing. Nancy Gertrudiz Salvador
Dirección e-salud
[email protected]
Telecardiology
Tele-education
Telesurgery
ONG’S
UNIVERSIDADES
TELEMEDICINA
AUTORIDADES
FEDERALES
AUTORIDADES
MUNICIPALES
AUTORIDADES
ESTATALES
Parallel Session e-health , Lisbon, April 28th -29th 2006
CEDIA (Consorcio Ecuatoriano para el Desarrollo de Internet
Avanzado) , Launch event of the Ecuatorian Advanced
Academic Networks – September 2006
Image Telediagnosis On-Line Demonstration, between Quito (EC) and Vitória (BR)
National Telehealth Program and Institutional activities in Brazil
 Integration of Federal Ministries iniciatives : Health,
Science & Technology, Education, Communication and
Defense
 Portaria n° 561, March 16th 2006, Ministry of Health
constitutes the Permanent Commission of Telehealth
 Portaria n° 35, January 1st 2007, Ministry of Health
constitutes the National Telehealth Program in the
Primary Attendance, 9 States and 900 remote
municipalities
 RUTE – Telemedicine University Network, Ministry of
Science and Technology, started January 2006
Telehealth applied to Primary Care and the
Family Health Program
9 Reference Centers
Regions of
implementation
25.000 teams  100.000.000 people
www.saude.gov.br/sgtes
9 x 100 remote sites
Ministry of Health
List of University Hospitals – Telemedicine University Network RUTE – 01/2007
HU da Universidade Federal do Maranhão da UFMA
Faculdade de Enfermagem da UNIFAP
Maternidade Escola Assis Chateaubriand da UFC
Hospital Universitário Walter Cantídio da UFC
HU João de Barros Barreto da UFPA
Hospital Universitário da UFPI
HU Betina Ferro de Souza da UFPA
HU Ana Bezerra da UFRN
Hospital de Pediatria da UFRN
Faculdade de Medicina da UFRR
Maternidade Escola Januário Cicco da UFRN
HU Onofre Lopes da UFRN
Hospital Getúlio Vargas da UFAM
Faculdade de Medicina da UFAC
HU Alcides Carneiro da UFCG
HU Lauro Wanderley da UFPB
Hospital das Clínicas da UFPE
HU Profº Alberto Antunes da UFAL
Faculdade de Medicina Veterinária da UFT
Faculdade de Medicina da UNIR
HU Júlio Müller da UFMT
Hospital das Clínicas da UFG
HU Maria Aparecida Pedrossian da UFMS
Hospital das Clínicas da Unicamp
Hospital das Clínicas da FMUSP
Hospital São Paulo da Unifesp
Hospital Unimar
HU de São Paulo / LSITEC da USP
Instituto Dante Pazzanese
Hospital de Clínicas da UFPR
HU da UFSC
Hospital Universitário da UFSM
HU Dr. Muguel Riet Correa Júnior da FURG
Hospital Escola da UFPEL
Irmandade da Santa Casa de Misericórdia (ISCMPA)
Hospital das Clínicas da URGS
Hospital Universitário da UFS
Centro Pediátrico Hosannah de Oliveira da UFBA
Maternidade Climério de Oliveira da UFBA
HU Prof. Edgar Santos da UFBA
Hospital Universitário na
UnB
HU Cassiano Antônio de Moraes da UFES
Hospital de Clínicas da UFU
Hospital Escola da UFTM
Hospital Universitário da UFJF
Hospital das Clínicas da UFMG
Instituto de Psiquiatria da UFRJ
Instituto de Puer. e Ped. Martagão Gesteira da UFRJ
Instituto de Neurologia Deolindo Couto da UFRJ
Instituto de Doenças do Tórax da UFRJ
Instituto de Ginecologia da UFRJ
Hospital Escola São Francisco de Assis da UFRJ
Maternidade Escola da UFRJ
Clementino Fraga Filho da UFRJ
Phase 1
HU Antônio Pedro da UFF
Phase 2
Gaffrée e Guinle da UNIRIO
Faculties
Canal Saúde (Fiocruz)
Telehealth Program
HU Pedro Ernesto da UERJ
University Hospital Infra-structure
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Connection to a 1Gbps Ring
Telemedicine Unit
Videoconference Room
Telehealth Laboratory
Teleconsult, Telediagnosis
Health informatics and Telemedicine courses
Participate on SIGs
12 University Hospitals on-line
Faculdade de Ciências Médicas-UERJ
Departamento de Tecnologias da Informação e Educação em Saúde[DTIES]
Disciplina de Telemediicna
Av. Prof. Manoel de Abreu 444 , 2o andar
Vila Isabel, Rio de Janeiro, RJ
CEP- 20550-170
Tel: (5521) 2587-6149
FAX: (5521) 2587-8744
e-mail: [email protected]
III CONGRESSO BRASILEIRO DE TELEMEDICINA
I WORKSHOP EM TELESSAÚDE
Rio de Janeiro, November 8th – 10th, 2007
Hotel Pestana, Copacabana
Health Sciences Partnerships so far identified between
Universities and Health Institutions in Brazil and USA
 Special Interest Groups - SIGs:
Oncology, Orthopaedic Surgery, Pathology, Pediatrics,
Autopsy, Virtual Man, Rural Internship,
Sportmedicine, Radiology, Orthopedia and Trauma,
Cardiology, Gastroenterolgy, Hepatology, Liver
transplantation, Immunology, Infectious
Diseases, Tropical Diseases, Adolescent Medicine &
Health, Contraception/Human Reproduction,
Telepsychiatry, Dermatology, Bio-Informatics, Nursing,
Otorrinolaringology, Anesthesiology, Pediatric Surgery,
Endocrinology, Pneumology, Rheumatology, Alzheimer,
Mastology, Nefrology, Urology, Violence Prevention,
Health Rights, Ethical and Legal Issues.
Health Sciences Partnerships so far identified between
Universities and Health Institutions in Brazil and USA
 Brazilian Universities and Health Institutions:
Universidade Federal Paulista UNIFESP, Universidade
Estadual de São Paulo USP, Universidade Federal de
Minas Gerais UFMG, Universidade Estadual do Rio de
Janeiro UERJ, Universidade Federal do Rio de Janeiro
UFRJ, Universidade Federal do Espírito Santo UFES,
Universidade Federal de Santa Catarina UFSC,
Universidade Federal do Ceará UFC, Universidade
Federal da Bahia UFBA, Universidade Federal de
Brasília UnB
Health Sciences Partnerships so far identified between
Universities and Health Institutions in Brazil and USA
 American Universities and Health Institutions:
University of Florida , St. Jude Children's Research
Hospital , Colorado University, University of
Pittsburgh, University Medical School Chicago, Medical
Missions for Children, Georgetown University,
University of California , Stanford University, Cornell
University Medical College, University of Iowa,
University of Pennsylvania, University of Cincinnati,
University of Maryland, Children Hospital in
Pittsburgh, Cleveland Clinic Children’s Hospital,
Virginia Commonwealth University, The Population
Council, University of Kentucky, University of Arizona,
University of Miami Miller School of Medicine,
University of New York
 Internet2 and RNP sign on October 11th an MoU in
Telemedicine and Telehealth, RUTE and US Health
Sciences, to jointly collaborate on the development
of next-generation telemedicine and telehealth
technologies and applications