ONE MONTH TRAINING REPORT. TEMDEC 07 Sep 2017

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1 ONE MONTH TRAINING REPORT TEMDEC 07 Sep 2017

2 General information Name: Pham Ngoc Dao (Mr.) Ho Chi Minh City University Medical Center Hospital Duration: One month, from14-aug-2017 to 08-Sep-2017 Location: Telemedicine Development Center of Asia, Kyushu University Hospital, Fukuoka, Japan. Contents of training : How the telemedicine event is realized (Flow of all staff: doctors, engineers, coordinators and all Required quality level for telemedicine Teleconferencing systems Technical preparations How to work on technical problems

3 Our Hospital BRANCH #1 THE MAIN BRANCH General Hospital 910 beds 19 operating rooms Branch #2 Polyclinic Otorhinolaryngology Obstetrics - gynecology 60 beds 4 operating rooms BRANCH #3 TRADITIONAL MEDICINE HOSPITAL 30 beds UMC HOANG ANH GIA LAI HOSPITAL General Hospital 200 beds 6 operating rooms 03 04

4 Our Hospital OUR TEAM TOTAL STAFF: 2,917 PROF. & A/PROF. PHD. SPECIALIST II MASTER SPECIALIST I MD. OTHER ,509

5 Our Hospital Operating room

6 Our Hospital Umc in numbers OUT- PATIENTS 2M V isits per year SOME OF OUR ACHIEVEMENTS SO FAR 5,932 Out- Patients per day 1,5M Diagnostic Imaging Sessions per year DIAGNOSTIC IMAGING 4,100 Sessions per day 25K Surgeries per year 55K In- patients per year IN-PATIENTS 193 Admitted p er day 34% are endoscopic / laparoscopic surgeries (MIS) SURGERIES 109 Cases per day

7 Our Hospital In-patient department BRILLIANT CONCEPT

8 Our Hospital Tons of training activities

9 Our Hospital Umc data center

10 Umc-Conference Equipment Camera Sony SRG-120DH Meeting hall Encoder PCS XG100S Tivi Projector Encoder Sony Operating room NETWORK 1G Encoder Sony

11 Umc-Conference system

12 Temdec teleconferences system Vidyo System Vidyo Router Vidyo Gateway 2 pcs Vidyo Room Vidyo Portal Vidyo Router Vidyo Gateway Recording server Vidyo Portal

13 Temdec Teleconferences System Topology Vidyo System

14 Temdec Teleconferences System VIDYO CLIENT SYSTEM USB 3.0 DVI Translate signal camera Micro HDMI HDMI IN HDMI OUT R L CV RJ45 USB Receive Signal Remote Switch LAN segment Description: If you want sharing content from laptop, on switch click to HDMI If you wan sharing camera from your site, on Switch click CV You can change quality content sharing to 720 and >on the remote Switch click to 720 and 1080, if low bandwidth -> change quality to 480p HDMI

15 Some pictures Vidyo Conference sytem

16 Temdec teleconferences system TEMDEC POLYCOM SYSTEM Recording server Encoder HDX 9006 Mixer POLYCOM SYSTEM MCU MRX 1500 Public IP Microphone and sound system Internet H323 / Vidyo Desktop

17 Temdec teleconferences system Some picture conference H323 system

18 How the telemedicine event is realized Planning for event, technical method, etc. Invite participant via Survey venue before the event Division of tasks for the team Technical check before takes place the conference with participant. Mounting, setup all equipment for teleconferences in Venue. Received slide and movie from Participant. Follow, monitor and troubleshooting in the conference Report after finished the event. Closing remarks and finish event

19 Technical preparations Send schedules to the participating countries Decide venue, date and time, presenters Network policy check in venue countries Teleconferencing system available? Coordinate with local engineer to test Connection check Image sharing check Sound Check

20 Technical preparations

21 Required quality level for telemedicine Minimum bandwidth internet 4 Mbps Recommends using the wire network. Computer with high resource will give nice the picture and not lag Camera can support HD Microphone have function noise filtering Make sure mute the microphone when not speak QoS for conference

22 Technical Troubleshooting Sound problem : Echo / Howling Noise Sound breaking up Image Problem Poor image quality Image does not display Presentations are not show on screen Network problem Packet loss

23 Future plan Share the knowledge learned with my department and other staff interested about telemedicine system Upgrade bandwidth internet line to 500 mbps local and 20 mbps international. (Finish this month Sep- 2017) Forwarding event information for faculties, departments related when received

24 Future plan camera in surgical luminaire Consultation Room Endoscope camera Operating Room Codec Support 4K MCU Control Center System Codec Support 4K Meeting Hall Mobility server All network 1G, and 10G for Server (can teaming port for upgrade bandwidth) Codec Support 4K Satellite hospital and m obile user Recording/Streaming Director Room

25 Future plan Operating room Metting hall Satellite hospital 1 Leadership Room Doctor in home Operating room Metting hall Satellite hospital 2 Metting Hall Consultation Room Doctor in business trip foreign TEMDEC Operating Room Outside Doctor Control Center APAN VENUE REN NETWORK UMC Conferences System

26 Visit the operating room

27 Visit to the server room for telemedicine

28 Team work (we are one)

29 Food in Fukuoka

30 After work

31 THANKS FOR YOUR ATTENTION

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