DOCSLIB.ORG

Teleradiology 2020 and Beyond

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Teleradiology 2020 and Beyond WEBSITE CONTACT DCMSYS.COM [email protected] | 415-684-8790 TELERADIOLOGY 2020 AND BEYOND Keep pace with current and future demand with technology enablers that support unprecedented growth, automation, scalability and performance. DICOM SYSTEMS E-BOOK PAGE 1 TELERADIOLOGY 2020 VIRTUALLY INDISPENSABLE Teleradiology has become a driver of value and an opportunity for growth. From necessity, to a possible threat, to partners – the perception of teleradiology has evolved considerably. In its early days, teleradiology was a requisite solution for Teleradiology has become a hospitals that needed ‘nighthawk’ coverage – it solved resource to institutions striving overnight coverage challenges, ensuring a radiologist for a balance of operational, was always available to provide preliminary reads for the financial, and clinical excellence emergency department. When adoption began to grow • Supports high quality care: beyond after-hours coverage, the imaging community Diagnosis and care plans are debated the potential “predatory threat” teleradiology always informed by expert posed to radiology groups, with many warning that it interpretations, regardless of the would lead to commoditization, lower fees, and disruption patient’s location to hospital contracts. • Improves the patient journey: More recently, teleradiology has been embraced in the Patients benefit from reduced wait pursuit of quality care, both by resource-constrained times and access to specialists hospitals and sophisticated delivery networks. As regardless of their location radiology groups across the board focus on becoming • Offers cost efficiency: a more visible partner in the care pathway, teleradiology Providers can outsource cases solutions can fill gaps, accelerate diagnosis, and provide to reading groups that have the unparalleled access to expertise. The cost efficiencies volume, staff, and resources to that were once viewed as a threat to the practice of keep professional fees competitive radiology are now part of a strategy to control imaging- relative to output related costs without compromising quality. For these reasons, and more, the demand for $11.5 BILLION teleradiology services is on the upswing. Estimates suggest the teleradiology market will reach $11.5 FORECASTED billion by 2026. There is opportunity for imaging service TELERADIOLOGY providers of all sizes and forms to capture a portion of the market or leverage teleradiology services to meet MARKET their goals. But, only if they are ready. Teleradiology Market Size, Share & Trends Analysis Report By Product (Ultrasound, MRI, CT, X-ray), By Region (North America, Asia Pacific, Europe, Middle East & Africa, Latin America), And Segment Forecasts, 2019 - 2026 https://www.researchandmarkets.com/research/m5kx7k/global?w=5 DICOM SYSTEMS E-BOOK PAGE 2 TELERADIOLOGY 2020 TELERADIOLOGY HAS CHANGED HEALTHCARE Evolving use cases for teleradiology have raised the stakes on performance and optimization. Use cases for teleradiology have expanded beyond traditional nighthawk coverage. Modern enterprise imaging strategies have embraced and embedded teleradiology within a variety of clinical workflows, in COMPETITIVE ADVANTAGE How are healthcare organizations addition to preliminary reads for overnight leveraging teleradiology? emergency cases. Many of these workflows give remote radiologists higher visibility on the care team. As an extension of the providers • Sub 10-minute preliminary reads from they serve, they must be supported by a remote to neuroradiologists for emergent technology infrastructure that gives them stroke protocols the same, if not better, data access as a staff radiologist. • Interpretations by pediatric, MSK, oncology, and other sub-specialists who are typically only in large metro areas • “Super stat” consultations on imaging protocols to ensure referring physicians provide appropriate and individualized care • Second opinions and quality assurance overreads to support departmental training and quality measures • Routine interpretations, where some portion of, or even all, exams are read by a remote radiologist DICOM SYSTEMS E-BOOK PAGE 3 TELERADIOLOGY 2020 INVEST IN AN IT INFRASTRUCTURE THAT ENABLES DISTRIBUTED RADIOLOGY As teleradiology has become a more ingrained practice, its customers have come to expect more: faster turnaround times, high availability, and seamless integration. For organizations that want to launch or accelerate technology initiatives, the right technology approach is essential to meeting the needs, expectations, service level agreements, and preferences of their customers. The importance of a teleradiology network’s environment cannot be understated. An organization’s checklist for adequate provisioning must include virtualization, network resources, load balancing, and storage. It is advantageous to partner with a resource that can check all of these boxes. ACCESS FUNDAMENTALS OF CONTEXT Cost effective, easy to ENTERPRISE Rich reports with relevant implement data transfer IMAGING IT information gleaned from solutions INFRASTRUCTURE prior studies. SCALABILITY SPEED WORKFLOW RELIABILITY Bring on more Lightning fast Rules-based Protect essential telerad transmitting sites transmission intelligence communications during and data on-demand of studies, that eliminates a power outage or without disrupting regardless of manual software failure performance data size intervention Investment in teleradiology infrastructure was previously Technology supports the modeled against a total cost of ownership (TCO), but business of teleradiology with the growing requirements for clinical and operational • Adhere to contracted SLAs outcomes, the investment is now seen as tied to the overall • Add new customers with ease ROI. Adopting technology that enables countless technical • Keep operating costs low workflows can help teleradiology providers simultaneously provide excellent service to current customers and position their operations for rapid growth. DICOM SYSTEMS E-BOOK PAGE 4 TELERADIOLOGY 2020 MUST-HAVE TECHNOLOGY WORKFLOWS Tools for a future-proof and viable teleradiology network. Make it easy to establish connections source exams from disparate archives without Enable medical facilities to share images impacting turnaround times. quickly and securely with a network device that Develop, customize, and innovate with has built-in functionality and requires minimal configuration. Work with a technology partner professional tools that can provide new transmitting sites as Open source and freeware developer tools may much technical support as needed. Solve their create risky knowledge silos. Encourage your interoperability challenges, versus introducing developers and informatics team to devise solutions with centralized tools so that all current new ones. and future staff members are empowered to Champion intelligent data routing understand, troubleshoot, and update your custom Whether to/from a teleradiology service provider, workflows. or among sites in a geographically distributed Consolidate to a single enterprise-grade health care system, an imaging network must have optimized, finely-tuned routing workflows modality worklist that are based on DICOM, HL7 and/or FHIR Consolidating to a centralized, easy to manage across all its image acquisition sources and and support, single DICOM MWL that is enterprise- destinations. Focus expensive modalities on grade allows you to support all of your locations their intended purpose, and eliminate manual and imaging devices. Streamlining disparate intervention that is not scalable for a growing solutions removes complexity and ensures that you have a common source for patient teleradiology enterprise. demographics allowing for faster integrations Provide more patient context in results across new modalities or new locations. Radiologists can provide more comprehensive interpretations when they have quick and efficient access to the patient’s relevant imaging history. A PRIORITIZE IT teleradiology network should support prefetching Patient care ultimately benefits from relevant priors exams with an approach that efficiency and fast throughout leverages custom, rules-driven logic per site to DICOM SYSTEMS E-BOOK PAGE 5 TELERADIOLOGY 2020 CASE STUDY: VISION RADIOLOGY National emergency teleradiology Strategy group finds the speed and workflow • Deployed Dicom Systems Enterprise Imaging efficiency they need to deliver quality Unifier platform patient care. • Intelligent data routing across multiple " The guiding principle behind Vision Radiology sites and systems is driven by a simple, singular question, ‘Is this how you want your family member treated?’ • Parallel threading accelerates data ingestion From that perspective, we make clinical, • Compression on the fly supports spikes in bandwidth business and technology decisions to support usage the best patient care. In the emergency • Dicom Systems 24/7/365 availability of technical setting, speed is essential and Dicom Systems support to partner with in-house team for successful helps us deliver results at much higher speeds deployment with near-zero downtimes.” Results – Dr. Gautam Agrawal, co-founder and CIO, Vision Radiology Performance Benchmarking Before Unifier: 0.3 imgs/second, ~18 imgs/ minute = 401 imgs in 17.46 minutes After Unifier: 3 imgs/second, ~180 imgs/ minute = 538 imgs in 2.57 minutes Founded in 2003, Vision Radiology is based on a ‘vision’ for what radiology could be. The group has 53 FTE radiologists serving over 140 hospitals. Vision’s core practice focuses on Emergency
Load more

Recommended publications
  • Towards Standards for Management and Transmission of Medical Data in Web Technology
    Towards standards for management and transmission of medical data in web technology Dr. Francesco Sicurello President @ITIM – Italian Association of Telemedicine and Medical Informatics (Italy) Medical Informatics Unit, CNR-Institute of Biomedical Technology, Milan Health Directorate, Lombardia Region – Research and Innovation Office Medical record consists in a set of patient health information, related to therapeutical and diagnostic processes of care. It is a clinical history of patient, useful to improve quality of life, to exchange knowledge among physicians and for epidemiological and health surveillance of population risk groups. The medical record is made up of medical information concerning the process of diagnosis and care of a patient; these data are collected during hospitalization or ambulatory visits. It sets up the medical history of each patient and is useful for the physician as a support and as a communication-documentation instrument, for statistical and epidemiological research. In other words, as M.S. Blois stated, “A medical record is what a physician (either in his private office or in the hospital) needs in order to take care of patients. During a patient’s visit, it is common for the doctor to need or want the entire medical record. A clinical database, by contrast, is usually designed for purposes other than patient care (although it can help with this). Thus there are important distinctions that can be drawn between the two. For a better management of patient care, the Electronic Patient Record (EPR) or Electronic Medical Record (EMR) must be complete as possible, containing also biomedical signals and images, video, etc. This constitutes the Multimedia Medical Record (MMR).
    [Show full text]
  • Telerehabilitation Services
    May 2021 Toolkit Series Telerehabilitation Services This toolkit addresses the use of telehealth across the professions of Occupational Therapy (OT), Physical Therapy (PT) and Speech Language Pathology (SLP). Included are aspects of practice as it relates to Occupational Therapists, Certified Occupational Therapy Assistants, Physical Therapists, Physical Therapy Assistants, and Speech Language Pathologists. Each profession uses their professional organizations to establish telehealth guidelines and all are heavily involved in advocating for clinical integration and reimbursement of rehab services. The three professional organizations that cover these professions are: American Physical Therapy Association (APTA), American Occupational Therapy Association (AOTA), and American Speech-Language-Hearing Association (ASHA). All three organizations also participate in and guide the work of the American Telemedicine Association (ATA). The terms telehealth, telerehabilitation, telepractice, virtual, and digital are used throughout this document to represent services delivered remotely using technology. The term “telerehab/telerehabilitation” will be used going forward. While OT, PT and SLP each offer distinct rehabilitation expertise, they are typically addressed together as “rehabilitation services” in the areas of policy and reimbursement. More terms and This toolkit will address telehealth as it applies to common themes of practice for these definitions found in professions while calling out specific uses for each profession and client group served. For in-depth guidance, we direct the reader to resources from each professional Appendix A. organization, state and local licensing entity, and reimbursement sources, as payers’ reimbursement policy impacts each practice area differently. Five Foundational Concepts in Telerehabilitation These five concepts give each therapist a good foundation to begin building services delivered through telehealth.
    [Show full text]
  • TSR Guidelines for the Practice of Teleradiology: 2021 Update*
    Diagn Interv Radiol 2021; 27:504-510 GENERAL RADIOLOGY © Turkish Society of Radiology 2021 COMMENTARY TSR guidelines for the practice of teleradiology: 2021 update* Mustafa N. Ozmen ABSTRACT Oğuz Dicle This update of Turkish Society of Radiology’s (TSR) guidelines for the practice of teleradiology Utku Şenol is intended to provide a reference framework for all parties involved in delivering imaging services away from the immediate vicinity of the patient. It includes relevant definitions and Üstün Aydıngöz general principles, features organizational modes and qualifications of the practicing parties, lists technical issues, and addresses such management and legal aspects as archiving and documentation, security and privacy, reliability, responsibilities, quality inspection and im- provement, reimbursement and accountability. uidelines in the form of standards for the practice of teleradiology in Turkey were first published in 2010 (1). This decennial update was prepared in consideration of G the evolving nature of imaging technologies and medical informatics as well as the changing character of the patients’ and public’s demands. These guidelines have been prepared with the aim of providing advice on the appropri- ate use of teleradiology applications, thereby increasing the impact of their contribution to public health. They comprise recommendations and are not intended to fill legal gaps. They are prepared—and expected to be implemented—with a view to highlighting a pa- tient-oriented and good clinical practice approach. The application of other requirements and prerogatives not defined in these guidelines, specific to any clinical situation, is at the discretion of the responsible physician who performs or oversees the radiological service or renders its interpretation.
    [Show full text]
  • Telepathology: Guidance from the Royal College of Pathologists
    Telepathology: Guidance from The Royal College of Pathologists October 2013 Author Professor James Lowe, Chair of the Specialty Advisory Committee on Cellular Pathology Unique document number G026 Document name Telepathology: Guidance from The Royal College of Pathologists Version number 2 Produced by Professor James Lowe, Chair of the Specialty Advisory Committee on Cellular Pathology Date active October 2013 Date for review October 2014 Comments This document supersedes the 2005 publication of the same name, written by Dr Jem Rashbass and Professor Peter Furness on behalf of the Specialty Advisory Committee on Histopathology. In accordance with the College’s pre-publications policy, it was on The Royal College of Pathologists’ website for consultation from 13 February to 13 March 2013. Forty items of feedback were received and the author considered them and amended the document as appropriate. Please email [email protected] if you wish to see the responses and comments. Dr Suzy Lishman Vice-President for Advocacy and Communications The Royal College of Pathologists 2 Carlton House Terrace, London, SW1Y 5AF Tel: 020 7451 6700 Fax: 020 7451 6701 Web: www.rcpath.org Registered charity in England and Wales, no. 261035 © 2013, The Royal College of Pathologists This work is copyright. You may download, display, print and reproduce this document for your personal, non-commercial use. Apart from any use as permitted under the Copyright Act 1968 or as set out above, all other rights are reserved. Requests and inquiries concerning reproduction and rights should be addressed to The Royal College of Pathologists at the above address. First published: 2013 PUB 281013 1 V5 Final Contents 1 Introduction .........................................................................................................................
    [Show full text]
  • Telemedicine Primer
    Telemedicine Primer CONTENT Telehealth in Emergency Medicine: A Primer History of Telehealth 2 BY NEAL SIKKA, M.D., FACEP; SARA PARADISE, M.S.I.V.; AND MICHAEL Technology 2 SHU, M.S.I.I., GEORGE WASHINGTON UNIVERSITY SCHOOL OF Modern Applications in Emergency 3 MEDICINE Medicine Telestroke 3 Originally founded in 1998, the telehealth interest section of ACEP Teleradiology 4 brings together emergency medicine practitioners interested in expand- Teletrauma 5 ing patient care into the digital world. While not much has changed Mobile Health & Medical Apps 5 in the ideology behind telehealth since the group’s initial conception, Integration with Quality Drivers 6 improved access to high-speed technology and a greater cultural accep- Security & Risk 7 tance of digital communication is revitalizing the field. The purpose of this paper, therefore, is to re-introduce the concepts of telehealth, e-care, Cost of Telehealth 8 and mobile health in light of recent advances, and give a modern take Reimbursement 8 on its applications within emergency medicine. Challenges & Opportunities 9 This paper will give an overview of the definition of telehealth, its Future Innovation 10 history, current technology, practical uses, cost and reimbursement, quality improvement measures integrated with telehealth, as well as potential risks and opportunities to its use. Definition What exactly is telehealth? Telehealth is a conglomerate of Health I.T. methods used in current medical practice to improve a patient’s health via a two-way communication between a patient and practi- tioner at a distant site.1 This includes practices already prevalent in many emergency med- icine settings, including trauma or stroke neurology consultations via real-time video connections, remote monitoring of patient vitals for ICU patients, and online decision-making aids.
    [Show full text]
  • Roshan's Telemedicine
    Case Report Page 1 of 4 Roshan’s telemedicine: expanding the frontier of quality healthcare through mobile technology Shainoor Khoja Roshan, Afghanistan Correspondence to: Shainoor Khoja. Roshan, Afghanistan. Email: [email protected]. Abstract: The article highlights the power of mobile technology in expanding access to quality healthcare by telling the story of the first successful operation by Afghan doctors to separate conjoined twins at The French Medical Institute for Mothers and Children (FMIC) in Kabul, Afghanistan’s capital. Roshan, Afghanistan’s leading telecommunications provider, set up the telemedicine link in 2007, connecting three hospitals in Kandahar, Bamiyan and Badakhshan provinces to FMIC in Kabul, and all three to one of the best and most modern hospitals in the region: The Aga Khan University Hospital in Karachi, Pakistan. Keywords: Technology; telemedicine; healthcare; mobile; Roshan; Afghanistan; telecommunications Received: 18 December 2016; Accepted: 27 February 2017; Published: 23 March 2017. doi: 10.21037/mhealth.2017.02.05 View this article at: http://dx.doi.org/10.21037/mhealth.2017.02.05 Haidar Mohammad is an Afghan farmer who lives with But even if they survived, the conjoined twins would 11 members of his family in a remote village tucked away need specialized care, something that is neither available behind the towering mountains of Shahri Buzurug district in Haidar’s home village nor in most of Afghanistan. The of Badakhshan Province in north eastern Afghanistan. nearest health facility to Haidar is about 40 km away in The province is blessed with pristine natural beauty where Faizabad, the capital of Badakhshan Province. villages are surrounded by mountains that rise as high as Haidar and his wife could go for another option to save 25,000 ft.
    [Show full text]
  • The Need for a Telemedicine Strategy for Botswana? a Scoping Review and Situational Assessment B
    Ncube et al. BMC Health Services Research (2020) 20:794 https://doi.org/10.1186/s12913-020-05653-0 RESEARCH ARTICLE Open Access The need for a telemedicine strategy for Botswana? A scoping review and situational assessment B. Ncube1,2* , M. Mars1 and R. E. Scott1,3 Abstract Background: Health, healthcare, and healthcare system problems within the developing world are well recognised. eHealth, the use of Information and Communications Technologies (ICT) for health, is frequently suggested as one means by which to ameliorate such problems. However, to identify and implement the most appropriate ehealth solutions requires development of a thoughtful and broadly evidence-informed strategy. Most published strategies focus on health informatics solutions, neglecting the potential for other aspects of ehealth (telehealth, telemedicine, elearning, and ecommerce). This study examined the setting in Botswana to determine the need for a telemedicine-specific strategy. Methods: A situational assessment of ehealth activities in Botswana was performed through a scoping review of the scientific and grey literature using specified search terms to July 2018; an interview with an official from the major mhealth stakeholder; and benchtop review of policies and other relevant Government documents including the country’s current draft eHealth Strategy. Results: Thirty-nine papers were reviewed. Various ehealth technologies have been applied within Botswana. These include Skype for educational activities, instant messaging (WhatsApp for telepathology; SMS for transmission of laboratory test results, patient appointment reminders, and invoicing and bill payment), and robotics for dermatopathology. In addition health informatics technologies have been used for surveillance, monitoring, and access to information by healthcare workers.
    [Show full text]
  • Scope of Telemedicine
    COVID-19 Webinars The Efficacy & Expansion of Telemedicine in Confronting the COVID-19 Pandemic March 31, 2020 Angela W. Russell Gillian A. Fisher Partner Of Counsel Baltimore | Washington, DC New Jersey 410.962.5287 914.872.7145 [email protected] [email protected] . WELCOME The presentation will begin at 1:05 p.m. Submit questions to the platform during the presentation. Time permitting, questions will be answered at the end of the presentation or in a follow up email. CLE and CE credits are pending. Email [email protected] if you wish to be contacted regarding CLE or CE credits for this webinar. © 2020 Wilson Elser. All rights reserved. The Efficacy and Expansion of Telemedicine in Confronting the COVID 19 Pandemic Angela Russell Gillian Fisher Partner - Baltimore, MD Of Counsel – Florham Park, NJ angela.russell@wilsonels er.com [email protected] 410.962.5287 914.872.7145 © 2020 Wilson Elser. All rights reserved. 3/27/2020 Scope of Telemedicine © 2020 Wilson Elser. All rights reserved. 1 . TELEMEDICINE: DEFINED – ATA “The use of medical information exchanged from one site to another via electronic communications for the health and education of the patient or health care provider and for the purposes of improving patient care, treatment and services.” © 2020 Wilson Elser. All rights reserved. TYPES OF TELEMEDICINE • Physician to physician--often PCP to specialist • Image transmission--tele-radiology, pathology, cardiology • Physician (or other health care provider) to patient-- prescheduled postop or other follow-up visits • Patient to physician----simple acute care visits, simple follow-up visits © 2020 Wilson Elser.
    [Show full text]
  • Trends in Telehealth
    Telehealth in Utah: Past, Present, Future National Conference of State Legislatures Utah State Capitol, May 28, 2015 It began with visionary leadership! • Governor Mike Leavitt introduced telehealth to Utah in 1995 with a $2 million line item in his budget • The Utah Legislature approved a more reasonable $225K • UDOH contracted with the University of Utah to begin a program • 1st sites: Milford Valley Memorial Hospital & Allen Memorial Hospital • About $100,000 each! 2 1990s in Utah • Establishment of the Utah Telehealth Network • Early telehealth adopters • University of Utah Health Sciences Center • Utah Department of Corrections • Shriners Hospital • UDOH Children with Special Health Care Needs • Funded through state funds and federal grants • Relied on individual champions • Mostly pilots with lots of lessons learned 3 Early 2000s • Development of infrastructure • T1 lines & videoconferencing equipment deployed to rural hospitals, health departments, and clinics • Teleradiology – ubiquitous • Clinical services established and built • Prison Telemedicine - Utah Department of Corrections and University of Utah • Teleburn and Telestroke – University of Utah • Diabetic Retinopathy screening – Association for Utah Community Health • Educational programs • UDOH/LHDs Bioterrorism training and planning • UU College of Nursing PhD programs 4 Today • Connects 58+ member sites; 500+ endpoints & user accounts • Administratively managed by the University of Utah • Guided by the UTN Advisory Council with state-wide representation • Governed by
    [Show full text]
  • Real-Time Teleophthalmology Versus Face-To-Face Consultation
    J Telemed Telecare OnlineFirst, published on July 20, 2016 as doi:10.1177/1357633X16660640 RESEARCH/Original Article Journal of Telemedicine and Telecare 0(0) 1–10 Real-time teleophthalmology ! The Author(s) 2016 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav versus face-to-face consultation: DOI: 10.1177/1357633X16660640 A systematic review jtt.sagepub.com Irene J Tan1, Lucy P Dobson1, Stephen Bartnik1,2, Josephine Muir1,3 and Angus W Turner1,3 Abstract Introduction: Advances in imaging capabilities and the evolution of real-time teleophthalmology have the potential to provide increased coverage to areas with limited ophthalmology services. However, there is limited research assessing the diagnostic accuracy of face-to-face teleophthalmology consultation. This systematic review aims to determine if real-time teleophthalmol- ogy provides comparable accuracy to face-to-face consultation for the diagnosis of common eye health conditions. Methods: A search of PubMed, Embase, Medline and Cochrane databases and manual citation review was conducted on 6 February and 7 April 2016. Included studies involved real-time telemedicine in the field of ophthalmology or optometry, and assessed diagnostic accuracy against gold-standard face-to-face consultation. The revised quality assessment of diagnostic accuracy studies (QUADAS-2) tool assessed risk of bias. Results: Twelve studies were included, with participants ranging from four to 89 years old. A broad number of conditions were assessed and include corneal and retinal pathologies, strabismus, oculoplastics and post-operative review. Quality assessment identified a high or unclear risk of bias in patient selection (75%) due to an undisclosed recruitment processes. The index test showed high risk of bias in the included studies, due to the varied interpretation and conduct of real-time teleophthalmology methods.
    [Show full text]
  • Teleradiology Ebook Part 1
    Telehealth Solutions Welcome to RAD365 RAD365 is a trusted global provider of best-in-class HealthCare Technology Services and Solutions comprising Teleradiology, Medical KPOs, Medical Transcription and Digital HealthCare products. Recognizing the unlimited potential of Artificial Intelligence (AI) in healthcare, we have recently started to develop and incorporate its applications to processes across our varied services that would benefit our clients. While technology drives what we create and deliver, it’s our purpose that defines who we are. It is to make a difference in the lives of patients, securing for them longer and healthier lives based on measurable value and outcomes and in compliance with regulatory obligations. And to succeed in our purpose, we ensure seamless coordination among our own team members across verticals, and between us and our clients. 1 www.rad365.com Our Journey 2007 – Present Major upgradation in Launched independent The team of Launched Artificial Intelligence technical and IT Teleradiology operations radiologists grew to (AI) division as part of the technical support brought in with a strong 50-member 150, team strength support for all its operations and to First Touch, Print to team of radiologists. Also, reached 95 to cater facilitate its venture of Connected PACS and Proofing. put together a team of to 18 clients. Health – a prime digital The team strength software developers for Healthcare Solution. Team grew to 30 and client healthcare solutions. members grew over 100 by base to 4. The team strength grew to mid-year providing services and 48 and client base to 11. solutions to 20 clients. 2010 2014 2017 2019 2007 2012 2015 2018 ...and we move ahead.
    [Show full text]
  • Telerehabilitation and Recovery of Motor Function: a Systematic Review and Meta-Analysis
    TITLE Telerehabilitation and recovery of motor function: a systematic review and meta-analysis. AUTHORS Michela Agostini1, Lorenzo Moja2, Rita Banzi3, Vanna Pistotti3, Paolo Tonin1, Annalena Venneri4,5, Andrea Turolla1,4, Michela Agostini1, 2* * Corresponding author Email: [email protected] Lorenzo Moja3 Email: [email protected] Rita Banzi4 Email: [email protected] Vanna Pistotti4 Email: [email protected] Paolo Tonin1 Email: [email protected] Annalena Venneri4, 5 Email: [email protected] Andrea Turolla1, 4 Email: [email protected] AFFILIATIONS 1 Foundation IRCCS San Camillo Hospital, Laboratory of Kinematics and Robotics, Neurorehabilitation Department, via Alberoni 70, 30126, Venice, Italy. 2 Department of Biomedical Sciences for Health, University of Milan, Milan, Italy; Clinical Epidemiology Unit, IRCCS Orthopedic Institute Galeazzi, Milan, Italy. 3 IRCCS-Istituto di Ricerche Farmacologiche "Mario Negri", Via La Masa 19, 20156 Milan, Italy 4 Department of Neuroscience, The University of Sheffield. Sheffield, UK 5 Foundation IRCCS San Camillo Hospital, Laboratory of Neuroimaging, via Alberoni 70, 30126, Venice, Italy. CORRESPONDING AUTHOR: Michela Agostini Via Alberoni, 70 - 30126 - Venezia Lido, VE. Italy e-mail: [email protected] Key words Systematic Review, Telerehabilitation, Disclosure Policy The authors declare that there is no conflict of interests regarding the publication of this article. The authors, Agostini Michela and Andrea Turolla, declare that they are the co-authors in the two studies included in this Systematic Review (i.e. Piron 2008 e 2009) [4-9] Abstract Recent advances in telecommunication technologies have boosted the possibility to deliver rehabilitation via the internet (i.e. telerehabilitation). Several studies have shown that telerehabilitation is effective to improve clinical outcomes in disabling conditions.
    [Show full text]