The Orissa Telemedicine Project provides 24/7 access to doctors for remote areas of Orissa, India using mobile and fixed telemedicine kiosks staffed by local personnel. The kiosks are connected to doctors across India via an eHealth system for voice/video consultations and can perform basic medical tests. The system aims to expand access to healthcare while reducing costs through standardized billing and centralized technical support.

1. Orissa Telemedicine ProjectSolution Overview August 2009

2. The Project To enable 24/24 availability of a Doctor/Patient encounter; In any remote area of Orissa (Initially) with two type of services: Mobile team (On scooters with medical Wellbeing Stations); Fixed location Team; Using local trained personnel; Based on an Indian Wide availability of Medical Professionals Connections are made within minutes.

3. The means A sophisticated eHealth Management System to run; Wellbeing station “Kiosks” able to perform various “primary Care Medical Tests”; Interconnect with voice and video capabilities with a Medical Provider located in any location in India; Issuing of a medical report/consultation based on the data received, and video/voice consultation performed for further treatment locally; Billing system Full centralized “support centre” by OTTET

4. eWave MD – Profile International software company Healthcare oriented since 2000 Secure Web-based solutions and products specialists ISO 9001:2000 compliant Standards establishments: HEDIS HL7 CCR Over 250 professionals Active in US, Europe, Brazil ~ 10, 000 physicians worldwide ~ 3,000,000 patients

5. eWave Medical is committed to leading industry standards, both technical and conceptual. HL7 – Clinical Messaging HIPAA Compliant (Security) ICD & CPT for coding CCR / CCD – Continuity of Care Record (Clinical information exchange) CCHIT Compliant DICOM modalities and devices Generic SOA for interoperability

6. Telemedicine Process

7. The Medical Devices 12 Lead ECG; Single Lead ECG; NIBP (Non Invasive Blood Pressure); Blood Saturation (SpO2); Spirometry; Body Temperature; Breathing Rate; Precision weight scale; Blood glucose reading; Miscellaneous Various symptoms; Medication taken; Etc.

8. The Approach To have robust devices; Intuitive workflow To be extremely simple to use (And still a reliable medical device); No calibration required; Minimum cables Practically no Maintenance required! (Battery operated) No disposables - liquid gel, electrodes etc.(besides temp.) With International certifications and accreditations; Web based software

9. Support Center Marketing and Recruitment Establish new Kiosk Accounts Establish new Providers Training Accounting Management Product Catalog Management (CPT/ICD-9) Administrative Support Software/Hardware First Level Support Activate Software/Hardware Second Level Support (call center, on site)

11. Billing and Accounting - Basic

12. Billing and Accounting - Zero Balance

13. Billing and Accounting – Transactions Log

14. The Future Tele-Radiology; Blood tests (non – invasive and Invasive as well, depending on the level of the HR available); Country wide ePrescription; Expansion of the project into other states of India (already in motion) More…

15. Thank You!