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Category Archives: videoconferencing

Time to introduce Videoconferencing into Community Health ?

One of the most effective ways for healthcare providers to improve service delivery is by enhancing the level of collaboration between different stakeholders using videoconferencing, according to a recent report by independent analyst firm Ovum.

Putting dedicated telehealth and telemonitoring solutions to one side for the moment, both home grade and enterprise videoconferencing solutions can be used to improve service delivery outcomes, enhance collaboration and communication between patients and practitioners, and provide more equitable healthcare – particularly to those in rural and remote areas.

Clinicians’ and care workers who provide care for patients in their homes can use videoconferencing tools on tablet or laptop devices:

  • for Occupational Therapy reviews, particularly to review and monitor client equipment usage or risks in the home
  • to link with a physiotherapist to review a patients home exercise program
  • to link with wound assessment or diabetes management experts
  • to liaise with the palliative care team for communication and triage
  • for patient social isolation prevention

Whilst there are many more usage senarios, the main point is that we have the technology available today (eg laptop/tablet & skype) to deliver improved outcomes by using this readily available technology. Unfortunately many (dare I say “most”) community healthcare providers are not using it in this manner.

So, why are some/many community healthcare organisations not using videoconferencing ?

  • Culture and process change – using videoconferencing in the clients home requires change in process, documentation and culture. It needs to be driven proactively by organisational leaders, and requires consultation and buy-in from field staff (and patients).
  • Perceived cost – the purchase of laptops/tablets, monthly data plans and systems (corporate systems give the best experience but come at a price). There is also the cost of change and training. A business case is essential in justifying the return on investment and benefits to patients/staff.
  • Lack of connectivity in remote areas – unfortunately many rural pockets of Australia do not have broadband connectivity, and many areas struggle with cellular 3G connectivity.

To have the best chance of success, the above issues need to be addressed, or mitigated as much as possible. Also, video-conferencing solutions must be tailored to various usage scenarios, so having a clear picture of how the technology will be used is very important. Health related video conferencing initiatives must align with, and be included within an over arching e-health strategy.

With the continual improvements in fixed and mobile broadband connectivity, improvements in equipment interoperability, and relatively low cost entry, video-conferencing in healthcare has a lot of potential now and in the future.

 
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Posted by on September 12, 2012 in e-health, videoconferencing

 

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Google Invents 3D Video Conferencing for Notebooks & Beyond

Google appear to have 3D video conferencing in their sights, according to an article recently published on Patent Bolt (http://www.patentbolt.com/2012/08/google-invents-3d-video-conferencing-for-notebooks-beyond.html). According to the article, the US Patent & Trademark Office has published a patent application from Google that reveals that they’re working on a computing device which could either be a laptop or some form of hybrid notebook tablet that will incorporate dual cameras. The dual cameras which could be used in different configurations, appear to have been designed with video conferencing in mind: In fact, 3D video conferencing.

To enable 3D video conferencing, the device (notebook, tablet, smartphone, PDA, etc) would be fitted with dual cameras to produce a stereoscopic image. The dual cameras could also be used by two participants on the one device to display both image separately in the same video conferencing session. The party on the other end of the conference would simply see two side-by-side video boxes on their screen as if the individuals were actually sitting side by side.

Whilst the concept of having two cameras in a device is not new (ie, iPad, iPhone), no consumer available tablet or laptop device is able to render 3D images to the masses. For industry, 3D video conferencing may produce opportunities and applications where depth perception is important. One such example in the health arena may be with remote monitoring and assessments of wounds. Accurately identifying colour, depth, and measurement of wounds and ulcers is an important factor in their diagnosis and treatment.

No doubt time will tell if this technology his the mainstream, however the potential of this technology for industry and consumers is exciting.

 
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Posted by on August 27, 2012 in e-health, videoconferencing

 

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Videoconferencing in health – the need for skype

Videoconferencing and telepresence have significantly matured over the last few years. Consumers love the video/chat experience and ease-of-use that Skype brings to the table, and in the enterprise space we have familiar solutions from Microsoft and Cisco, and a plethora of other players such as Lifesize, vidyo and ooVoo steadily gaining market share.

Videoconferencing is increasingly common on smartphones and tablets with Skype, Apple Facetime, and Google Hangouts available for consumers, and  Microsoft Lync, Cisco Jabber, Citrix GoToMeeting and a handful of others available on smartphones and tablets for the enterprise. Use of video communication for consumers and business is only going to increase with the introduction of the NBN, improved cellular networks (4G), more choice and improved affordability (many are free). Our appetite for video collaboration is showing no signs of slowing.

For healthcare organisations, there are many opportunities to leverage videoconferencing to improve client outcomes, particularly now that videoconferencing solutions are well and truly mobile. A few examples…

  • Social isolation prevention –  eg, clients keeping in contact with family via skype
  • Field workers attending clients in their home – videoconferencing with colleagues or specialists to provide holistic care or get a second opinion about a particular issue
  • Remote doctor-client communications, where clients in areas with scarce medical resources receive treatment and consultations through videoconferencing.

For organisations undertaking videoconferencing initiatives, consideration must also be given to other uses of videoconferencing within the organisation, to ensure any investment is well leveraged.  A common example is videoconferencing between various branches/offices and staff, either through desktop conferencing or room-based conferencing. Delivering education or presentations to remote staff using videoconferencing tools is a common requirement. Increasingly there are requirements for videoconferencing consultations between staff and clients or colleagues, who are external to the organisation.

Whilst there are an array of choice to satisfy consumer videoconferencing requirements, and a range of good options to satisfy the enterprise, the challenge comes when emphasis is placed on the requirement for videoconferencing with those external to your organisation. This could be clients, contractors, consultants, universities, government agencies, competitors, etc.  Whether we like it or not, the best chance of videoconferencing with these entities is likely to be via Skype.  Microsoft acquired Skype in May 2011, and as of September 2011 had 663 million registered users.

Organisations wishing to satisfy all videoconferencing requirements listed above may need to consider a hybrid approach – an enterprise tool and a consumer tool(s).  The choice of enterprise solution would depend on many factors including user/business requirements, and existing investments in telephony, infrastructure and systems.  However, to accommodate the requirement to videoconference with say, a client in their home, or a colleague who is out of the office, there is no getting away from a consumer solution such as Skype, unless you are willing to talk them in to installing product x on their device, which is not always an option.

I.T. and business leaders need to consider the challenges of not only introducing consumer videoconferencing into the organisation (think security, management, support, etc), but also the challenges that a hybrid approach would bring in terms of support, licensing and maintenance. Something has to give – either the suite/scope of requirements needs to be refined, or budgets increased to accommodate the scope.

 
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Posted by on August 13, 2012 in e-health, videoconferencing

 

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