HOSPITAL INTRODUCTION: CLINICS &TECHNOLOGY
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1 HOSPITAL INTRODUCTION: CLINICS &TECHNOLOGY University of Sumatera Utara, Haji Adam Malik Central General Hospital Medan dr. Imelda Rey, Sp.PD, dr. Leonardo Basa Dairy, Sp.PD-KGEH, dr. OK Yulizal, Sp.PD, dr. Taufik Sungkar, Sp.PD
2 Outline Hospital profiles and its existing telemedicine set-up, activities and plans introduction of clinics/surgery/endoscopy profiles, medical needs for telemedicine Hospital Telemedicine resource: staff, internet, equipment set-up, experience, current problems
3 Introduction of University of Sumatera Utara, Adam Malik General Hospital Place Adam Malik Hospital was built in 21 Juli 1993 Address in Jalan Bunga Lau No. 17, Medan This hospital is a teaching hospital Grade A
4 Introduction of University of Sumatera Utara, Adam Malik Central General Hospital Human Resource (clinician in gastroentero hepatology) Prof. Dr. Lukman Hakim Zain, SpPD-KGEH Prof. Dr. Gontar Alamsyah Siregar, Sp.PD-KGEH Dr. Mabel Sihombing,Sp.PD-KGEH Dr. Juwita Sembiring, Sp.PD-KGEH Dr. Leonardo Basa Dairy, Sp.PD-KGEH Dr, Masrul Lubis, SpPD-KGEH Dr. Ilhamd, SpPD-KGEH Dr. Taufik sungkar, Sp.PD Dr. Imelda Rey, Sp.PD Dr. OK.Yulizal Sp.PD (fellowship) Dr. Dumawan Harris Parhusip, Sp.PD (fellowship)
5 Introduction of University of Sumatera Utara, Adam Malik General Hospital Main or Flagship service planned as a hospital for care for referal center in North Sumatera Province, with main service Cardiology intervention, Hemodyalisis care, and in digestive tract, especially Gastrointestinal bleeding cases, by providing quality services such as abdominal ultrasound, endoscopy, ERCP, and colonoscopy Bed Occupacy Bed Occupacy rate in our hospital almost 100 % 600 beds
6 Medical Needs for Telemedicine Existing telemedicine set-up and activities At this time, telemedicine tools available in H.Adam Malik Hospital is still standard equipment such as wifi, laptop with camera. In Gastroenterohepatology division, telemedicine activity ever undertaken directly 1 times with sources from Japan Future plans Improving Telemedicine equipment and connection quality across all region of H.Adam Malik Hospital Expecting fields other than endoscopy/surgery, such as infection, dermatology, etc. Liver transplantation Radio frequency ablation Therapeutic endosopy such as stenting, dilation, ESD, EMR, EUS
7 USG ROOM
8 ERCP ROOM OLYMPUS EVIS EXERA III
9 FIBROSCAN ROOM Echosens SN/N/30188
10 GASTROSCOPY ROOM
11 COLONOSCOPY ROOM FUJINON EPX HD OLYMPUS EVIS EXERA III
12 USG ABDOMEN Medison Accuviy XG
13 ERCP Tools
14 Kolonoskopi Tools Fujinon CDL 1909 A PV 490A 178
15 Hospital Telemedicine Resource Key Persons Doctors (Division of Gastroenterology-Hepatology, Department of Internal Medicine, Faculty of Medicine, H Adam Malik Central General Hospital, University of Sumatera Utara) 1. Dr. Leonardo B Dairy, SpPD-KGEH 2. Dr. Imelda Rey, M.Ked (PD), SpPD photo photo
16 Hospital Telemedicine Resource Key Persons Engineer (Division of Gastroenterology-Hepatology, Department of Internal Medicine, Faculty of Medicine, H Adam Malik Central General Hospital, University of Sumatera Utara) 1. Dr. OK. Yulizal, SpPD photo
17 Hospital Telemedicine Resource Key Persons Coordinator (Division of Gastroenterology-Hepatology, Department of Internal Medicine, Faculty of Medicine, H Adam Malik Central General Hospital, University of Sumatera Utara) 1. Dr. Taufik Sungkar, M.Ked (PD), SpPD photo
18 Hospital Telemedicine Resource Internet - Broadband Wireless Access (15 Mhz) : BOLT! Super 4G LTE - ADSL ; mbps : Speedy ADSL (Telkom Indonesia) Equipment -Teleconference room -Teleconference devices (hardware i.e. POLYCOM or software i.e. VIDYO or SKYPE ) Experience - First teleconference with Division of Gastroenterology University of Indonesia, University of Kyushu and others on 12 Aug 2015
19 TELECONFERENCE ROOM
20 TELECONFERENCE DEVICES BOLT! SUPER 4G LTE TELKOM SPEEDY ADSL WITH ROUTER SOFTWARE :
21 Hospital Telemedicine Resource CURRENT PROBLEM Persons Lack of expert IT persons Network and Telecommunication Infrastructure Low bandwith Longer time for data transfer Poor video quality Unstable data transfer Still no minimum standard of telemedicine hardware : processor/memory, interfaces, peripheral, clinical devices, video conferencing units, communication network, satellite Still no fix and standardization of software
22 Hospital Telemedicine Resource EXPECTATION Persons and Events Education and training in telemedicine regularly Events of telemedicine regularly Network and Telecommunication Infrastructure Standard of bandwith, ISP and Satellite Standardization of telemedicine hardware : processor/memory, interfaces, peripheral, clinical devices, video conferencing units Fix and standardization of software
23 Thank you
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