News

Aberdeen trials telemedicine booth for remote and community care

6 February 2008

The Scottish Centre for Telehealth (SCT), Cisco, and the National Health Service in Scotland have launched the world's first trial of Cisco's HealthPresence, an innovative patient care delivery concept using Cisco TelePresence technology.

The trial is taking place at the Aberdeen Royal Infirmary in Scotland to assess the efficacy of the technology, as well as patient and caregiver satisfaction, when the system is used in a safe, highly secure environment. Upon a successful outcome of this program, further trials may be planned in Scotland and around the world.

The Cisco HealthPresence booth
The Cisco HealthPresence booth

Cisco HealthPresence combines state-of-the-art video, audio and call centre technology with medical information over a secure network to create a virtual face-to-face experience for patients and caregivers who may be miles apart.

The platform interfaces with medical diagnostic equipment, such as stethoscopes and otoscopes, as well as a vital signs monitor that can measure blood pressure, temperature, pulse rate and pulse oximetry to capture the physiological condition of the patient. An attendant is available to operate the medical devices on behalf of the remotely located caregiver as well as to maintain the technology in good operating condition.

Clinicians Dr Karyn Webster and Dr Fiona Mair from the Royal Aberdeen Infirmary, said, "HealthPresence is an asset to improve the quality of telephone advice and triage. Being able to visualise and have physiological parameters on a patient will improve patient care. It is a straightforward setup … as easy as switching on a PC. As health professionals we are increasingly using technology and so are becoming very used to using this type of equipment".

Communicating with a health professional by videoconference
Communicating with a doctor by videoconference

Using a video camera to transmit images of a patient's face to a doctor
Transmitting images of a patient's eye
condition to a doctor by videoconference

"In our efforts to provide better patient care and utilise our medical staff to the full, we have been collaborating with the Cisco Internet Business Solutions Group Healthcare team to find new solutions through innovative technology", says Gordon Peterkin, director of the Scottish Centre for Telehealth.

"Solutions such as Cisco HealthPresence enable us to offer convenience for patients and service delivery efficiency for our doctors. We look forward to drawing upon the results from this pilot to optimise our regional and national healthcare delivery resources".

The main benefit to the NHS will be in having these booths in rural and remote areas which are difficult to staff with doctors. Booths could also be sited in hotels or police stations in small towns or villages and there is the possibility of developing them as walk-in centres in supermarkets in other areas. It is an opportunity to take the expertise of doctors to where patients are rather than have the patient come to the doctor.

The system will enable patients to benefit from:

  • an improved health experience at convenient locations, such as retail outlets, work, on-the-go, at schools, and at home;
  • access to high-quality or specialty health services, regardless of location;
  • follow-up and impromptu visits — episodic care, occupational health, and mental health services will become more available without long lead times. it will also allow access to local, regional, national, or even global expertise; and
  • convenience of receiving care outside normal hours.

In addition, HealthPresence could assist in reducing waiting times in A&E departments. Currently, around 40% of patients seen by A&E departments can be treated by other means. By offering patients with minor conditions the opportunity to speak to a consultant via HealthPresence rather than having to wait for hours to be seen, the strain placed on the A&E department can be eased and the patient can be diagnosed just as effectively.

"Shortages of healthcare practitioners and increasing costs, combined with aging populations, have put significant strains on health systems throughout the world. By using the network as a platform, Cisco has a key role to play in the delivery of safe, affordable and accessible healthcare", says Nick Augustinos, Global Healthcare Solutions director for the Cisco Internet Business Solutions Group.

"Joining forces with NHS and SCT has enabled us, together, to consider bringing healthcare services to remote and rural areas where recruitment and retention of doctors and nurses is proving increasingly difficult".

HealthPresence was developed by Cisco's Internet Business Solutions Group and prototyped at Cisco's Technology Centre; it is based on the Cisco TelePresence system, which was launched in October 2006. The lifelike experience of interacting using Cisco TelePresence resulted its deployment by 100 customers in more than 40 countries worldwide within its first year.

 
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