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TeleEducation in North Africa: A U'S'Morocco Partnership for Childrens Health

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Over 200 subspecialists provide highest level of patient care, education, ... Project efforts have increased communications between multiple physician groups ... – PowerPoint PPT presentation

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Title: TeleEducation in North Africa: A U'S'Morocco Partnership for Childrens Health


1
Tele-Education in North Africa A U.S.-Morocco
Partnership for Childrens Health
  • May 14, 2007 ATA Annual Meeting
  • Molly Reyna, BA¹, Craig Sable, MD¹, Philip
    Hopkins¹,
  • Najia Hajjaj-Hasanni, MD², Nezha Mouane, MD³
  • ¹Childrens National Medical Center, Washington,
    DC ²Faculty of Pharmacy and Medicine, Rabat,
    Morocco ³Hopital DEnfants, Rabat, Morocco.

2
Childrens National Medical Center
  • Top 10 United States Childrens Hospital
  • Over 200 subspecialists provide highest level of
    patient care, education, advocacy, and research
  • International program facilitates collaboration
    and patient referrals from Middle East, Africa,
    Asia, and South America
  • Successful regional, national and international
    telemedicine and distance education programs

3
Background Morocco
  • Located on the Northwest coast of Africa
  • Estimated population of 29 million, approximately
    half of the population is under the age of 20
    (United Nations Population Division, 2003)
  • Although Arabic is the national language, the
    preferred language of business/education is
    French
  • Chronic diseases, such as asthma and bronchitis,
    rheumatic illnesses, malaria, typhoid, and viral
    hepatitis are prevalent

4
Marrakech
Fes
Rabat
Casablanca
5
Morocco Healthcare System
  • Selective, targeted training programs lack a
    comprehensive development for training healthcare
    workers
  • Variable technology infrastructure across the
    country makes it difficult to collaborate within
    the Moroccan medical community
  • Utilization of technology for training, education
    and patient care is the current focus of Ministry
    of Health

6
Foundation Support
The Mosaic Foundation is dedicated to improving
the lives of women and children, while fostering
cultural, educational, and professional dialogues
between the peoples of the Arab world and the
United States
An American Charitable Foundation Sponsored by
the Spouses of the Arab Ambassadors to the
United States
7
Project Description
  • Establish an international Tele-education network
    for pediatric medical specialties of concern to
    health care providers, their patients and
    families in Morocco.
  • Utilize distance learning to improve community
    and health care provider knowledge and practices
    related to significant children's health care
    issues.
  • Our partnership with the Hospital Teaching
    Faculty in Rabat will focus on improving
    education, technology and healthcare staffing,
    all of which are critical components to improve
    the level of pediatric care available in the
    region.

8
(No Transcript)
9
Project Design Year One
  • Objective 1 Activation
  • Establish a partnership between CNMC Rabat
    Childrens Hospital
  • Develop Educational Content Install Technical
    Components necessary for Distance Learning
    Training
  • Objective 2 Management
  • Implement Distance education and medical
    consultation
  • Live and computer based lectures (translation)
  • Live and computer based consultation

10
Project Development
  • Visits with the Moroccan Ambassador to the U.S.,
    and the U.S. Ambassador to Morocco
  • Met with Moroccan Ministry of Health in Rabat
  • Onsite visits at Medical University Centers and
    Childrens Hospitals in Rabat, Casablanca, Fes,
    Marrakech
  • Met with medical school deans and hospital
    leaders
  • Developed key physician and technical contacts
  • Assessed technical/telemedicine equipment at each
    site
  • Gave telemedicine lecture to students and faculty
  • Identified educational priorities nutrition,
    hematology, cardiology, infectious diseases

11
Telemedicine Applications
  • ViTel Net MedVizer IP and ISDN
  • Incorporates main camera and multiple medical
    device cameras
  • Supports live case presentation and
    store-and-forward consultation
  • Live consultation at 384 512kbps
  • Store-and-forward patient information is captured
    in an episodic record and transferred via IP
    connection to a server located at CNMC
  • Software functions allow the referring site to
    push the information to CNMC and pull the record
    back once the consultation is completed.

12
Telemedicine Consultation - Rabat
13
Distance Learning Applications
  • Live Distance Learning Tandberg Cisco IPTV
  • Connects to CNMC and other sites via ISDN 512kpbs
  • Cisco IPTV Streaming Product in implementation
    phase
  • Video-On-Demand Cisco Digital Media System
  • Content edited with Mac FinalCut Pro
  • Utilizes Cisco Portal for Content Access
  • Currently connected to three sites in Rabat and
    Casablanca
  • Launch three additional sites in 2007 Faculty
    Buildings in Fes and Marrakech, MOH Rabat

14
Live Lecture - Rabat
15
Live Lecture - Rabat
16
Video-On-Demand Portal
  • CNMC Portal Link

17
Video-On-Demand Content
18
Lessons Learned
  • There is a greater need for French translation
    than initially anticipated
  • Technical support is lacking and inconsistent by
    location
  • Telecommunications technologies are not easily
    accessed and are not 100 reliable
  • More time on the ground was needed than
    originally anticipated.

19
Project Successes
  • Installation of telemedicine and distance
    learning workstations in Rabat and training of
    approx. 40 physicians and technical staff.
  • A telemedicine workstation, patient data server,
    streaming media system and content storage system
    was installed at CNMC 50 lectures available
  • 15 live lectures and case presentations progress
    towards connecting Rabat physicians with their
    colleagues in Marrakech, Fes, and Casablanca.
  • MOH staff are developing community health modules
    and physician administrator training.
  • Project efforts have increased communications
    between multiple physician groups within Morocco.

20
Year-Two and Beyond
  • Objective 3 Outcomes Evaluation
  • Evaluate Tele-education Services to continually
    improve project performance
  • Project partnership should improve treatment
    outcomes for Children with targeted health needs
  • Objective 4 Sustainability
  • Strengthen local partnerships to benefit Moroccan
    children and their health care providers
  • Develop partnerships with other international
    groups who have tele-education initiatives in the
    region.

21
Foundation and Vendor Support
  • Mosaic Foundation Government Support
  • Board of Trustees, Mosaic Foundation
  • Mrs. Felicia Mekouar, Trustee from Morocco
  • HH Mekouar, Moroccan Ambassador to U.S.
  • Mr. Thomas Riley, U.S. Ambassador to Morocco
  • Ms. Mona Hamdy, Executive Director Mosaic
    Foundation
  • Project Vendors
  • ViTel Net
  • Cisco Systems
  • Tandberg
  • Visionality
  • Intelsat
  • Dimension Data
  • Logicalis
  • iDirect

22
Acknowledgements
  • CNMC Telemedicine Team
  • Craig Sable, MD, Telemedicine Medical Director
  • Philip Hopkins, International Technical
    Coordinator
  • Ron Dixon, Technical Support
  • Sam Sabouni, Cardiology Technical Support
  • Oussama El Baba, Director International Programs
  • Peter Holbrook, MD, Chief Medical Officer
  • Kate Paulsen, Director of Development
  • Morocco Telemedicine Team
  • Pr. Najia Hajjaj-Hassani, Dean Rabat School
    of Medicine
  • Pr. Nezha Mouane, Chief of G.I. Rabat Childrens
    Hospital
  • Dr. Kouhrassani, Director Rabat Childrens
    Hospital
  • Mohammad Karra, Tech. Dir., Rabat School of
    Medicine
  • Ms. Souad Jawhari, Ministers Conseillere Morocco
    Ministry of Health
  • Mr. Zouhir, Technical Support

23
Questions
  • Molly Reyna
  • CNMC Pediatric Telemedicine Program
  • Washington, DC
  • 202.884.3412
  • mreyna_at_cnmc.org
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