WebRTC in Healthcare

Presented by:

Dick Govatski, CEONet Medical Xpress Solutions, Inc.Albuquerque, NM 87110

Who We Are

• Started as New Mexico Software

• In 1995 – 19 years ago

• Nasdaq Company since 1999

• Renamed: Net Medical Xpress

Net Medical – Division StructureInfrastructure Group – Software

Development Networking

Technology DeploymentResearch & Development

Infrastructure Group – Software Development

NetworkingTechnology DeploymentResearch & Development

Diagnostics Division

Mobile CompaniesSpecialty Hospitals

Urgent Cares

TeleradiologyTelecardiology

Diagnostics Division

Mobile CompaniesSpecialty Hospitals

Urgent Cares

TeleradiologyTelecardiology

Home Healthcare

Video ConferencingPrimary Care

DoctorsE-Prescription

Home Telemedicine

Home Healthcare

Video ConferencingPrimary Care

DoctorsE-Prescription

Home Telemedicine

Consulting Group

AccenturePhysiciansBroadband

Project PlanningHIPAA AuditsTelemedicine

Consulting Group

AccenturePhysiciansBroadband

Project PlanningHIPAA AuditsTelemedicine

Specialist DivisionHospitals

NeurologistsCardiologistsPsychiatrists

PulmonologistsCritical CareIntensivists

Specialist DivisionHospitals

NeurologistsCardiologistsPsychiatrists

PulmonologistsCritical CareIntensivists

Call CenterCall Center

Tech SupportTech Support

CredentialingCredentialing

IT SupportIT Support

Investor RelationsInvestor Relations

InstallationGroup

InstallationGroup

Purchasing Purchasing

TrainingTraining

AccountingAccounting

SalesSales

Staff Recruiting

Insurance Companies

Primary Care Providers

Home HealthPlacements

Staff Recruiting

Insurance Companies

Primary Care Providers

Home HealthPlacements

Compliance – QSR – FDA Team – HIPAA Group – Medical StandardsCompliance – QSR – FDA Team – HIPAA Group – Medical Standards

Providing PACS & Teleradiology services for 10 years

• TeleRadiology - 16,000 facilities

• 50 states – 400,000 cases yearly• 400 Physicians • Specialists & Primary Care• Programs for all hospitals

Telemedicine Management SystemMultiple Modalities Included PACS and TMS combined

• Neurology• Cardiology• Neurosurgery• Radiology• Critical Care • Pulmonology • Intensivists

Report Generators• RN Nursing consults• Home Telemedicine• Behavior Health – Psychiatry• Infectious Disease Specialists• Ophthalmology – Retinal • Dermatology• Methadone Consults – Clinics• Out Patient Follow ups• Create Your Own

Example of a Cardio Workflow

Doctor’s Report Quickly Transferred within 5 minutes to Facility

Doctor’s Report Quickly Transferred within 5 minutes to Facility

Images & Reports Archived for 7 Years by

NMXS

Images & Reports Archived for 7 Years by

NMXS

Report Signed & Returned by Fax/PDF/HL7

Report Signed & Returned by Fax/PDF/HL7

Patient Data & Dicom Image Files ReviewedPatient Data & Dicom Image Files Reviewed

NMXS Specialist Initiates Telemedicine Conference To View &

Speak with Patient

NMXS Specialist Initiates Telemedicine Conference To View &

Speak with Patient

NMXS 24/7 Call Center Contacts Specialist

NMXS 24/7 Call Center Contacts Specialist

Patient Arrives, ER Personnel Calls NMXS

To Start Case

Patient Arrives, ER Personnel Calls NMXS

To Start Case

NMXS, Facility & Specialist Concur on

Patient Plan

NMXS, Facility & Specialist Concur on

Patient Plan

Net Medical’s Telemedicine Platforms

XR-EXpress – FDA 510(k) cleared TMSShift Scheduling Security Platform – Safety Pilot - HIPAAWebRTC Switch TechnologySmart HL7 InterfacesTablets – Smartphones“A Single Pane of Glass”All Hosted products

Emerging Markets – WebRTC in Healthcare

• International• U.S. – Hospitals• Home Healthcare – Nursing Homes• Bedside Updates• Wound care management• Specialists consulting• Video Calls – Doctor to Doctor• Internal meetings – training – CME• Administrator to Hospital Operations –

night time• List goes on – only limit is what we learn

ourselves

WhyWhy

HowHow

WhatWhat

Permanent Video System for ER

Second camera with microphones and speakers talks to ER personnel patient, and patient’s family – RTC Switch

PTZ Camera with built-in connectivity has 18x zoom to clearly see patient up close. Net Medical HD Viewer included

Encryption Solution with Safety Pilot. HIPAA -Provides security, permissions and audit trail for doctors to communicate

Portable Video System

WebRTC with our Safety Pilot. Provides security and permissions for doctors to communicate

PTZ Camera with built-in IP connectivity has 18x zoom to clearly see patient up close

Second camera with microphones, and speakers. Physicians talk to ER personnel, patient, and patient’s family

Wireless – 4G – Emergency Backup

Specialists Sign On Via Secure Network

WebRTC – Various Formats

WebRTC – Embedded in Websites

WebRTC – Scheduler

WebRTC – Widgets

WebRTC – One to One Calls

WebRTC – Multiparty

WebRTC – Easy to Dial Interface

WebRTC – Administrative

WebRTC – Groups, Subgroups, Users

WebRTC – User Management

WebRTC – HIPAA Audit Trails

“In hospitals, low cost communication Telemedicine programs and incoming technology are the new standard of care”

-Dick Govatski, CEONet Medical

Net Medical Xpress™ products and services are FDA cleared for specific clinical applications and are intended for research use for other applications. ©2014 Net Medical Xpress Solutions, Inc. All Rights Reserved.