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MEDTING Second Opinion

Second Opinion to Emerging Communities The iSA project will establish a collaborative model where doctors can provide second opinion to improve quality of care This is an EU funded Project and an EU-funded international support action that seeks to provide Web-based diagnostic and therapeutic support in infectious diseases and children/adult oncology, to hospitals located in emerging communities of Africa and South America. The iSA cooperation network is led by health professionals from Son Dureta hospital (Malllorca, Spain) in collaboration with doctors of Vall d’Hebron, Sant Joan de Déu Barcelona and the Instituto Valenciano de Oncología (Spain). iSA has been designed to provide clinical support for infectious diseases and for children/adult oncology cases. One of the main goals of the 30-month project is to set up a second opinion platform that enables remote doctors to share medical content around a patient and improve the diagnostic quality. The iSA website uses MEDTING to communicate among doctors from different sites and as a platform to exchange medical images and clinical cases. Mobile access to information is also provided for remote areas where no internet connection is possible. Second Opinion to Emerging Communities Medical Pictures, Videos and Cases Exchange MEDTING is an internet website for collaboration on clinical cases, through a convenient way to upload and share medical images, videos, and associated case information. Cases can be designated public – shared with all MEDTING users, or private, invited viewers only. As MEDTING provides services only for the purposes noted above, patient identifying data is prohibited from MEDTING uploads and related discussions. Private content is useful for telemedicine and second opinion services. The translation capability facilitates the conversation among physicians who speak different languages. A group of hospitals can use MEDTING as a telemedicine tool. MEDTING helps healthcare organizations and hospitals share images easily and privately. PDF Download PDF


The Telemedicine The Telemedicine project for neurological care (telestroke) has been awarded with the Quality Award 2007 from the National Spanish Ministry of Health in category of “Awards for Best Clinical Practice.” Driven by the Departament de Salut de la Generalitat de Catalonia, with support from the TicSalut Foundation and I2CAT Foundation, the Telestroke project started in January 2007 between the Vall d’Hebron Hospitall and the Hospital of Vic. Telestroke aims at reducing side affects that cause 9.2% of overall mortality (7.5% in men, 11 1% in women) for stroke victims in Catalonia. The initiative makes possible to offer neurological service remotely to hospitals that do not have such a department. By connecting reference hospitals to remote and rural hospitals, it will allow the neurologist’s referral center to visualize in real time, the radiological image of the patient and to assess and identify appropriate therapies to patients during the early hours the acute phase of cerebral strokes. Telestroke project has been used for 91 cases thus far and the project has been developed and extended under the Plan for Cerebral Vascular Disease (PDMVC) of the Department of Health. The Telemedicine Easy and automated exchange of medical content can be done privately, globally and immediately. MEDTING facilitates telemedicine workflow through its integration with MIOTM tool MIOTM performs the automatic detection, conversion, and transfer of medical images directly from connected medical devices, video cameras, or other image capture tools. MIOTM builds the clinical case, captures any images (e.g., Dicom if necessary), and sends all the information to MEDTING there by creating a private and anonymous case. MEDTING then allows the user to complete, share, translate, invite colleagues, and discuss the newly posted case. Online discussion is also possible. Once solved, cases or teleconsultations remain at MEDTING for further discussion or educational purposes. Source format of the image can be also stored. Images can be reviewed with an appropriate diagnostician when required (Pathology, Radiology). PDF Download PDF


Medting Workgroup is an International initiative lead by the Director of Stroke Telemedicine for Arizona, Dr. Bart Demaerschalk, a member of the Divisions of Cerebrovascular Diseases and Critical Care Neurology, Department of Neurology, Mayo Clinic. The aim of this project is to create the First International Stroke Network which will provide:
  • access to a worldwide network of stroke specialists
  • second opinion diagnoses
  • knowledge-based platform with clinical cases for research and e-learning purposes
GlobalStroke has incorporated MEDTING Enterprise. MEDTING provides a powerful Web-based clinical multimedia management platform and second opinion collaboration network. Easy and accurate exchange of medical content can be done privately, globally and immediately Clinical or research groups can also use the MEDTING technology and connectors to create customized content focused on one particular disease process. MEDTING is the perfect platform for:
  • Creating a teaching and academic repository directly from clinical daily activity.
  • Connect doctors, residents and students into a social web platform accessible from an Intranet.
  • Telemedicine: Share cases to obtain second opinions and receive cases to review.
  • Create an educational repository for use in Accreditation and Training Certification.
  • Online Clinical Sessions: MEDTING facilitates online Virtual Meetings by using any integrated Video-Conferencing, Chat and Collaboration platforms.
Medting Workgroup

How Medting can help your organization?:

Healthcare organizations including hospitals, medical schools, medical services companies, clinical workgroups and medical societies can obtain their own private and exclusively MEDTING Enterprise platform to have:
  • Complete control over your own, private MEDTING
  • Content published only for your physicians
  • Images uploaded from your PACS
  • Creation of a private teaching repository
  • Connect your doctors, students, even patients privately andexclusively
MEDTING software can be licensed to any interested organization and installed in their data center (behind the firewall). MEDTING also provides hosting services on a Software as a Service base (SaaS). PDF Download PDF


MEDTING Academy Heidelberg has created an internal repository for relevant clinical case discussion and medical education. Doctors, researchers, students, educators and residents use MEDTING within their institution to perform clinical reviews, conduct research, obtain second opinions and provide clinical decision support. The platform automatically allows sending relevant clinical cases and images from the PACS to their private installation of MEDTING. This means that Heidelberg University can use MEDTING as a private platform to share, publish, and review its exclusive content that will only be available within Heidelberg University. MEDTING will be used for creating a teaching and academic repository directly from clinical daily activity, connecting clinician community into a social web platform accessible from an Intranet, creating an educational repository for use in accreditation and training certifications. The platform can also be used for telemedicine and online clinical session discussion. With a 600-year history, the University of Heidelberg is one of the highest-ranking locations in the world for international science and scholarship. The University Hospital is proud of this tradition and strives to be on top of medical research and implement state-of-the-art innovations in therapy and diagnostics. As one of the world’s top teaching hospitals, it is committed to staying on the leading edge of innovation. Most academic, research, university medical centers have commonalities: clinical innovators, worldwide leaders, reference hospitals with a big and diverse user community of physicians, residents, students and researchers. Access to social networking can bring new ways for the medical community to build relationships within the organization. By creating a medical community that shares cases, allows comments and promotes collaboration, MEDTING facilitates the exchange of medical knowledge among all medical professionals. The collective intelligence of such a broad community exceeds the capabilities on any individual member. MEDTING seeks to positively impact health knowledge management and quality of care by offering the benefits of its software and services. MEDTING Academy Create your teaching repository from your own clinical daily activity MEDTING is a perfect platform to create a teaching repository automatically from a PACS system or departmental solution. Any PACS system can be integrated with any relevant case detected and sent to MEDTING. The medical content can be sent directly from the medical device (CT, MRI, Hemodynamic, EKG, Microscope, Endoscope, Photo Camera, etc.). PDF Download PDF

Scientific Social Network Madrid Health Region

Scientific Social Network Some of the main features of the Scientific Social Network MEDTING are:
  • The Contents stored are managed by the user community, publicly or privately.
  • It is a platform based on the Web 2.0 philosophy that enables sharing of clinical cases (share, generate, comment … information).
  • Allows sharing of private clinical cases (restricted access) or public clinical cases.
  • Enables the creation of both public and private work groups.
  • It allows the definition and management of user profiles, as well as language preferences.
  • Allows indexing and categorization of content information through SNOMED-CT.
  • Allows automatic integration with an external repository or PACS.
  • Carries out the identification of each clinical case and interaction with the Medical Record.
Scientific Social Network

One of the most valued features of MEDTING is its rapid viewer and capability of displaying any type of multimedia information (image, video, documents, DICOM, ECG’s, Pathology, etc.) in a single viewer in integrated form and through the web.

Proof of Concept in the Community of Madrid The proof of concept involves a large number of clinical departments and units of our hospital: Surgery and Surgical Specialties, Internal Medicine, Medical specialties of Gastroenterology and Pneumology, Oncology (medical, radiation, palliative care), Obstetrics and Gynecology and Central Services (Pathology, hematology and Nuclear Medicine and radiology). With the use of this platform, an organization of cases and a clinical repository, for teaching and research purposes for the medical community (doctors, students, residents, etc) has been created. This has brought about an improvement in medical education and quality of care focused on clinical cases. The Proof of Concept at the University General Hospital Gregorio Marañón was planned for 6 months, fulfilling the targets set at 4 months since its initiation. The Hospital has managed to establish MEDTING as the basic tool for the Tumor Committee, creating and dynamizing a medical social network that covers diagnostic and treatment units that work with clinical cases / images / multimedia elements. In turn, a reference library and customized opinion with great value for clinical decisions has been created. Work Groups based on functional units of oncology (breast, gastrointestinal, lung, genitourinary, etc.) have been formed. The project has integrated image capture devices from medical devices by using the Medical Images Organizer (MIO) tool. This tool enables the integration of cameras, endoscopes, retinography, microscopes, ultrasound, CT and any other medical devices in an automated fashion. In preliminary plans, an addition of 50 clinical cases was expected. After the Proof of Concept, the Scientific Social Network exceeded its goals by accommoding 90 clinical cases that have been treated in the various tumors Committees. It is expected that by the end of 2010, the platform will include 80% of patients going through the Tumor Committee. Scientific Social Network The use of the cientific Social Network has favored the transformation of care, Management and Transfer of Knowledge through the use of social networking and has been a tool of innovation in the medical community that has optimized professional relationships within the organization. Project Objectives The objectives that have been posed in the Scientific Social Network project of the Tumor Committee of the University General Hospital Gregorio Marañón , are:
  • Improved communication and exchange of clinical knowledge.
  • Sharing of clinical cases, opinions and comments via the Internet.
  • Facilitation of research and education by providing the medical community a tool that can store a large volume of images and video.
  • Motivation and empowerment of clinicians.
  • Helping patients and their families to have a better understanding of the diseases affecting them.
Results at the University General Hospital Gregorio Marañón Within our hospital, we have analyzed the results and the impact that the implementation of the Scientific Social Network platform as a tool for the Tumor Committee has had:
  • Innovative project in the sector.
  • Improving multidisciplinary communication among professionals.
  • Capacity to collect any type of multimedia information associated with the case of any department or specialty.
  • Full adoption by diagnostic and treatment units, creating an early diagnosis through an interdisciplinary assessment.
  • We have created a registry of tumors that can be used for statistical analysis: evaluation of cancer epidemiology, evolutionary oncology development and measurement of social and health impact of all phases of a tumor.
  • The platform is valuable to the education and health teaching.
  • Good use as a second opinion (online collaboration) in any specialty.
  • Basis of motivation for professional clinicians (Empowerment)
The project has involved a change in the traditional manner of executing the Tumor Committee. Furthermore, in parallel to the clinical discussion, a repository of clinical knowledge relevant to the clinical community (residents) and continuing education is being created. Currently, an internal assessment process has been launched to objectively measure the following results and impact of the project:
  • The organization of Tumor Committees with Medting, described in the Comprehensive Cancer Plan of the Community of Madrid, helps manage 100% of patients.
  • Avoids repetition of laboratory tests on patients referred from other departments or other hospitals.
  • Helps to reduce waiting times. More focused on early treatment by sharing information on the same patient in real time.
  • Facilitates the selection of patients for inclusion in clinical trials, saving costs for the hospital.
  • Improves and encourages collaboration with industry (clinical research): it is the most powerful tool to promote clinical research in the hospital.
  • Improvement in management of workflows. Helps the Tumor Committee manage itself.
  • Publications. Comprehensive knowledge. Epidemiology: Health planning.
Expansion of the Social Scientific Network The project initially defined constitutes the Scientific Social Network of the whole of the Community of Madrid, which consists of 32 hospitals and 500 centers. The Proof of Concept and validation performed at the Hospital Gregorio Marañón not only reached the set goals and confirmed expectations, but the success among professionals has accelerated the expansion and implementation of the initiative in the other centers. In addition to extending to other centers, we will explore the use of the social network to other clinical settings in the Hospital Gregorio Marañón, as a center of innovation and implementation of new network functionalities. Some short term goals:
  • Extension of the platform to all tumor committees of the oncology referral hospitals on HGUGM.
  • Study and implementation of proposals for other services, outside of the field of oncology, who have detected opportunities for teaching, document repository, improved patient care, etc.
  • Automation of the transfer of information: Automatic transmission of studies and images generated in the repository of hospital medical images (PACS) to MEDTING.
  • Development of application for mobile settings.
  • Integration in areas of clinical decision support.
  • Assessment of the platform as a second opinion setting in personal health records of the citizens.
  • Integration with EHR settings through Semantic Web.
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