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Telemedicine activities were initiated in Orissa in the year 2001 with support from Department of Information Technology, Govt. of India and Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow. Subsequently in the same year ISRO/Dept. of Space, Govt. of India came forward with an offer to establish telemedicine Network in the state of Orissa. Govt. of Orissa accepted the offer of ISRO and provided necessary infrastructure and manpower support. Establishment of the Orissa Telemedicine network was decided to be completed in a phased manner.
a. Implementation. Phase I Orissa Telemedicine Network was established in 2003 that connected all the three Govt. Medical colleges of Orissa ( Located in three districts of Ganjam, Sambalpur and Cuttack) to Sanjay Gandhi Post Graduate Institute of Medical Sciences (SGPGIMS), Lucknow through Satellite-based VSAT connectivity. The hardware and software were provided by ISRO along with bandwidth free of charge. The network was formally inaugurated by Hon’ble Chief Minister of Orissa on 13th October 2003 at Cuttack.
Department of Information and Technology, Min. of Communications & Information Technology, Govt. of India in the year 2004 on suggestions of SGPGIMS, Lucknow agreed to include SCB Medical College, Cuttack in another Telemedicine Project that linked all the three premier medical institutes i.e. AIIMS, New Delhi; PGIMER, Chandigarh and SGPGIMS, Lucknow. SCB Medical College under this project received a set of very good quality Telemedicine equipments in 2005. The network worked on ISDN connectivity with Sanjeevani and Mercury telemedicine softwares developed and installed by C-DAC (Center for Development of Advanced Computing) Mohali(Chandigarh) and Pune respectively. For project maintenance and for up-gradation of the sanjeevani software by adding additional modules of Nephrology and Dermatology the project period was extended in the year 2007 for another 3 years. During this period the implementing agency i.e;C-DAC, Mohali provided VPN(Virtual Private Network) connectivity for better data and picture transfer.
In the third phase which is being implemented at present, all the rest 21 district Hqrs. Hospitals viz; Balasore, Bhadrak, Jajpur, Kendrapara, Jagatsinghpur, Puri, Dhenkanal, keonjhar, Deogarh, Jharsuguda, Baragarh, Sonepur, Bolangir, Boudh, Angul, Nayagarh, Kandhamal, Nuapada, Gajapati, Nabarangpur, Malkangiri and one more city hospital i.e; Rourkela Govt. Hospital, Rourkela will be provided the telemedicine facility and will be connected to all the three Govt. Medical College Hospitals of the state zone-wise(Total 25 Telemedicine Nodes). The primary communication infrastructure used will be MPLS-VPN connectivity to be provided by BSNL,Orissa. Each Remote Telemedicine Center(RTC) will have stable/reliable connectivity with upload & download speed up to 512kbps and each Telemedicine Referral Center(TRC) will have stable/reliable connectivity with upload & download speed up to 2Mbps with unlimited data volume. Center for Development of Advanced Computing (CDAC), Pune is the implementing agency and the project is being implemented on a BOT(Build, Operate and Transfer) model. The third phase is likely to be rendered operational during the current month (November 2011).
A State-Level Telemedicine Resource Center is coming-up within the premises of SCB Medical College & Hospital, Cuttack to promote telemedicine application in the state, to monitor the activities of the state-wide Telemedicine network, to look after maintenance of the network, to house the main server for storage of teaching material & clinical data in digital format, to provide a platform for undertaking studies in fields of Tele-Surgery / Cardiology / Pathology / Rheumatology / Oncology / Psychiatry etc., Telemedicine application in Rehabilitation, Tele-health practice for Public Health / Chronic Disease Management , Distance Education for all groups of healthcare Professionals using Telemedicine & Advanced educational technology like Virtual Reality / Simulation etc. b. Funding by Orissa Govt. An amount of approx one crore was provided by Govt. of Orissa each year from the financial year 2005-2006 for subsequent 4 years towards establishment of the Telemedicine Network in the state. Establishment of Phase I and Phase II Network was completed in 2008. From the year 2009-2010 an amount of 10 lakh is being sanctioned each year for maintenance of the network
The Phase III implementation of the Orissa Telemedicine Network is being undertaken by NRHM(Orissa) with funding from OHSP. Ministry of Health & Family Welfare, Govt. of India has also provided Orissa Rs.50 lac under the scheme Establishment of National Rural Telemedicine Network The telemedicine funds are being utilized towards establishment of the Phase III Orissa Telemedicine Network that would connect 22 district-level telemedicine nodes to 3 Medical College Nodes through MPLS-VPN communication platform. c.Utilization: a.Benefit to Patients: The new medical technology has benefited 2541 patients suffering from major illnesses through Tele-Consultation and Tele-Follow Up services offered by SGPGIMS Lucknow and AIIMS, New Delhi to Medical College Hospitals of Orissa. Similarly 489 patients with complicated health problems of above mentioned six districts have been benefited by availing super-specialist Tele-heath care from SCB Medical College Hospital,.Cuttack during last two years. The type of service availed by the medical professionals of these districts were in the form of seeking opinion in planning treatment protocol for diseases like complicated malaria , coronary artery disease and head Injury , modifying drug schedule for various chronic skin diseases , discussion regarding the steps for planning a difficult operation and seeking comments on X-ray, Ultrasound and CT (Computed Tomography) films.
b. Benefit to Post-Graduate Medical Students : . Tele-medical education has played a significant role in improving the quality of Post Graduate Medical Education in the medical colleges of Orissa in newer fields of medicine viz. Rheumatology, Radiation oncology, Neonatology, Genetics, Nuclear Medicine and Endocrine Surgery etc. However almost all departments i.e. Anatomy, Physiology, Biochemistry, Pharmacology, F.M&T, Pathology, Microbiology, Community Medicine, Ophthalmology, ENT, Paediatrics, Obstetrics and Gynaecology, Medicine, Neurology, Endocrinology, Pulmonary Medicine, Dermatology, Radiation Oncology, Rheumatology,Cardiology, Medical Gastroenterology, Nephrology, Surgery, Neurosurgery, Surgical Gastroenterology, Experimental Surgery, Plastic andReconstructive Surgery, Genito-Urinary Surgery, Anaesthesiology, ClinicalHaematology, Hepatology, Radiology, Psychiatry, Paediatric Surgery, CTV&S and Orthopaedics have participated in telemedicine activities.
During the period from August 2001 to April 2011 nine batches of postgraduate trainees have been benefited in the three Govt. medical colleges of Orissa through online teaching on 1694 topics.
It is hoped that the new medical technology would provide a platform to upgrade the Prepared on 1.11.11
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