TELE OPHTHALMOLOGY

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TELE - OPHTHALMOLOGY

• THE BOURKE - PRINCE OF WALES LINK

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TELE - OPHTHALMOLOGY

• The interpretation of images plays an essential
  role in many medical disciplines, above all in
  pathology, radiology, various kinds of endoscopy,
  dermatology and ophthalmology.

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AIM

• The project plans to use Telemedicine as a way
  of ensuring the availability of experts to small,
  regional hospitals and remote areas

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OBJECTIVES

• To improve Ophthalmic services in Bourke by
  providing a continuous telemedicine link
• To develop a model which may be applicable to
  other specialities such as dermatology and ENT
• To facilitate diagnostic skills transfer and
  enhance basic Ophthalmic knowledge

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OBJECTIVES (cont..)

• To expose senior ophthalmology trainees to rural
  practice
• By involving GPs and training Ophthalmic
  assistants, educational and professional issues
  which act as disincentives to rural practice will
  be addressed

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OBJECTIVES (cont..)

• To establish a quality assurance process to
  compare quality of the current service with that
  which will be provided

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JUSTIFICATION

• Ophthalmology is a problem area in the provision
  of rural medical services.
• " a minimum critical mass required by rural
  specialists to maintain their skills and clinical
  experience
• Most rural areas of Australia are served mainly
  by visiting Ophthalmologists.

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STRATEGIES

• Telemedicine will be used for the transfer of
  clinical details, teaching and research.
• train ophthalmic assistants

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TELE - OPHTHALMOLOGYUPDATE

• PROPOSED UTILISATION

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TELE - OPHTHALMOLOGYUPDATE

• PROPOSED UTILISATION
• CURRENT PROJECT STATUS

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TELE - OPHTHALMOLOGYUPDATE

• PROPOSED UTILISATION
• CURRENT PROJECT STATUS
• WHERE TO FROM HERE?

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PROPOSED UTILISATION

• EMERGENCY CONSULTATIONS

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PROPOSED UTILISATION

• EMERGENCY CONSULTATIONS
• SEMI - URGENT FOLLOW-UP

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PROPOSED UTILISATION

• EMERGENCY CONSULTATIONS
• SEMI - URGENT FOLLOW-UP
• NON URGENT ROUTINE REVIEW

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PROPOSED UTILISATION

• EMERGENCY CONSULTATIONS
• SEMI - URGENT FOLLOW-UP
• NON URGENT ROUTINE REVIEW
• SCREENING

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EMERGENCY CONSULTATIONS

• ANY PATIENT THAT IS FIT ENOUGH TO BE TRANSPORTED
  TO THE TELE-CONFERENCE FACILITY IS APPROPRIATE
  FOR A TELE-OPHTHALMIC REFERRAL

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(No Transcript)
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PROPOSED UTILISATION

• EMERGENCY CONSULTATIONS
• SEMI - URGENT FOLLOW-UP
• NON URGENT ROUTINE REVIEW
• SCREENING

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SEMI - URGENT FOLLOW-UP

• PATIENT REQUIRING REVIEW PRIOR TO NEXT PLANNED
  TELE-OPHTHALMOLOGY CLINIC OR ITINERANT
  OPHTHALMOLOGISTS VISIT

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PROPOSED UTILISATION

• EMERGENCY CONSULTATIONS
• SEMI - URGENT FOLLOW-UP
• NON URGENT ROUTINE REVIEW
• SCREENING

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NON URGENT ROUTINE REVIEW

• PLANNED TELE-OPHTHALMOLOGY CLINICS

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PROPOSED UTILISATION

• EMERGENCY CONSULTATIONS
• SEMI - URGENT FOLLOW-UP
• NON URGENT ROUTINE REVIEW
• SCREENING

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SCREENING

• ASSESS TELE-OPHTHALMOLOGY AGAINST OTHER MEANS OF
  SCREENING FOR DIABETIC RETINOPATHY

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SCREENING

• ASSESS TELE-OPHTHALMOLOGY AGAINST OTHER MEANS OF
  SCREENING FOR DIABETIC RETINOPATHY
• REVIEW BY GENERAL PRACTITIONER

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SCREENING

• ASSESS TELE-OPHTHALMOLOGY AGAINST OTHER MEANS OF
  SCREENING FOR DIABETIC RETINOPATHY
• REVIEW BY GENERAL PRACTITIONER
• OPHTHALMOLOGIST / REGISTRAR

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SCREENING

• ASSESS TELE-OPHTHALMOLOGY AGAINST OTHER MEANS OF
  SCREENING FOR DIABETIC RETINOPATHY
• REVIEW BY GENERAL PRACTITIONER
• OPHTHALMOLOGIST / REGISTRAR
• NON MYDRIATIC FUNDUS CAMERA

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SCREENING

• ASSESS TELE-OPHTHALMOLOGY AGAINST OTHER MEANS OF
  SCREENING FOR DIABETIC RETINOPATHY
• REVIEW BY GENERAL PRACTITIONER
• OPHTHALMOLOGIST / REGISTRAR
• NON MYDRIATIC FUNDUS CAMERA
• 7 FIELD BINOCULAR FUNDUS PHOTOGRAPHS

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TELE - OPHTHALMOLOGYUPDATE

• PROPOSED UTILISATION
• CURRENT PROJECT STATUS
• WHERE TO FROM HERE?

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CURRENT PROJECT STATUS

• EQUIPMENT

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CURRENT PROJECT STATUS

• EQUIPMENT

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CURRENT PROJECT STATUS

• EQUIPMENT
• POLICIES AND PROCEDURES

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CURRENT PROJECT STATUS

• EQUIPMENT
• POLICIES AND PROCEDURES

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CURRENT PROJECT STATUS

• EQUIPMENT
• POLICIES AND PROCEDURES
• TRAINING

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CURRENT PROJECT STATUS

• EQUIPMENT
• POLICIES AND PROCEDURES
• TRAINING

/ -
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CURRENT PROJECT STATUS

• EQUIPMENT
• POLICIES AND PROCEDURES
• TRAINING
• SUPPORT FROM REFERRING PRACTITIONERS

/ -
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CURRENT PROJECT STATUS

• EQUIPMENT
• POLICIES AND PROCEDURES
• TRAINING
• SUPPORT FROM REFERRING PRACTITIONERS
  / -

/ -
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CURRENT PROJECT STATUS

• EQUIPMENT
• POLICIES AND PROCEDURES
• TRAINING
• SUPPORT FROM REFERRING PRACTITIONERS
  / -
• CONSULTATIONS

/ -
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CURRENT PROJECT STATUS

• EQUIPMENT
• POLICIES AND PROCEDURES
• TRAINING
• SUPPORT FROM REFERRING PRACTITIONERS
  / -
• CONSULTATIONS -

/ -
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TELE - OPHTHALMOLOGYUPDATE

• PROPOSED UTILISATION
• CURRENT PROJECT STATUS
• WHERE TO FROM HERE?

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WHERE TO FROM HERE?

• WEEKLY / BIWEEKLY TRAINING VISITS

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WHERE TO FROM HERE?

• WEEKLY / BIWEEKLY TRAINING VISITS
• TRAINING VIA VIDEO CONFERENCE FACILITIES

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WHERE TO FROM HERE?

• WEEKLY / BIWEEKLY TRAINING VISITS
• TRAINING VIA VIDEO CONFERENCE FACILITIES
• OFFICIAL LAUNCH !!

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WHERE TO FROM HERE?

• SEE PATIENTS