Microsoft Office Communications Server 2007 R2
aids in diagnosing patients remotely
www.cardio-penza.ru
Overview
Customer: Penza Federal Center for Cardiovascular Surgery (FGUP
"FCSSH Roszdrava")
Country: Russian Federation
Industry: Health Care
About the Company
Federal Center for Cardiovascular Surgery (FGUP "FCSSH Roszdrava")
in Penza is a medical institution providing consultations and
high-tech surgical services to patients with cardiovascular diseases. It
is one of the largest cardiovascular centers in Russia with capacity for
167 patients (including 17 children).
About the Project
The Federal Center for Cardiovascular Surgery (FGUP "FCSSH
Roszdrava") in Penza deployed Microsoft Office Communications
Server 2007 R2 platform for remote online patient consultations and
services.
Case
The previously accepted mode of interaction between medical staff of
the Cardio Center and the N. N. Burdenko Penza Regional Clinical
Hospital made the patient treatment process complicated and did not
serve the needs of both clinics. There was a need for technology that
would allow remote cooperation between physicians from different
clinics.
Solution
The Microsoft Office Communications Server 2007 R2 solution
allowed for the creation of a convenient, easy-to-use and low cost
conferencing system providing remote online consultation
capabilities to doctors at the Cardio Center and N. N. Burdenko Penza
Regional Clinical Hospital.
Benefits
 The creation of a structure for making cooperative decisions
regarding cardiovascular patients
 Time saving and higher efficiency in making decisions on methods
of treatment
 Remote conferencing capabilities for specialists regardless of their
location
 Improvement in diagnostic accuracy and making unbiased medical
decisions
 Access to consultations with specialists at the Cardio Center for
patients at other hospitals in the region
 The ability of physicians to share experiences
Program Resources
 Microsoft Windows Server 2008
 Microsoft Active Directory
 Microsoft Office Communications Server 2007 R2
 Microsoft Office Communicator 2007 R2
 Microsoft Office Live Meeting
Partner
Lotsman LLC (OOO "Lotsman") has been active in
the IT service industry since 2003 and is a
leading IT company in the Penza Region.
Lotsman is a Microsoft partner specializing in
infrastructure and small business solutions.
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In Penza, the Federal Cardio Center is the first in
Russia to deploy the Microsoft Office
Communications Server in order to provide
permanent remote consultations within the
region
"Microsoft Office Communications Server 2007 R2 allowed us to
achieve a new quality level of medical services. This solution allows
for more efficient and accurate diagnostics and decreases presurgical
patient death rate."
Vladlen Vladlenovich Bazylev, Chief of Surgery, Federal Center for
Cardiovascular Surgery
The Penza Federal Center for Cardiovascular Surgery opened in
2008 as part of the national project "Health" and is one of the
medical institutions providing high-tech medical services to
cardiovascular patients in Russia. Some of the best Russian
specialists from Moscow, St. Petersburg, Kazan and Krasnodar
were involved in the work of the Cardio Center, as well as
physicians from Penza, who received advanced training at leading
Russian clinics in Moscow. About 2,800 surgeries are performed at
the center for residents from 13 constituencies of the Russian
Federation serving a population of 10 million people.
The clinic is facing the challenge of using innovative technologies
and methods of treatment. One of the steps to overcome this
challenge was a regional initiative to provide the center with
conferencing technologies for remote online patient consultation
and services. This technology solution was implemented across the
entire region.
About the Project
"This project provides doctors
real-time capability to view
films recorded by the medical
devices, mark critical areas,
and discuss the diagnosis and
approach to treatment, thus
lowering operational costs. In
the past patients had to handdeliver their test results on
recordable media from the
Regional Hospital to our
Cardio Center. Now there is
no need for that."
Vladlen Vladlenovich Bazylev,
Chief Doctor, Federal Center for
Cardiovascular Surgery
The nature of the Cardio Center’s services requires remote cooperation
with physicians at other medical institutions, specifically with specialists
at the N. N. Burdenko Regional Clinical Hospital. However, the
established structure of cooperation and speed of making joint
decisions did not meet the needs of either clinic and undermined the
efficiency of treatment.
The purpose of the regional initiative was to provide the Cardio Center
with technology for online consultations in order to improve the quality
of medical services. Permanent telecommunication on the Microsoft
Office Communications Server 2007 R2 platform was established
between the two largest clinics in the Penza Region, the Penza Federal
Center for Cardiovascular Surgery and the N. N. Burdenko Regional
Clinical Hospital.
Physicians of both clinics received a tool for remote cooperation with
capabilities for real-time audio and video conferencing and data
sharing.
Case
There was a number of challenges to overcome in the process of
cooperation between specialists from the Cardio Center and the
Regional Hospital. Among those challenges were:
1) Lack of coordination in making cooperative decisions on
cardiovascular patients examined at the Regional Hospital
2) Increase in death rate at the presurgical stage due to the fact
that patients had to hand-deliver cardiovascular test results
(angiography) from the Regional Hospital to the Cardio Center
3) Lack of technology allowing remote decision making based on
the angiography results
Remote cooperation between the physicians of the two clinics using
audio, video and web conferencing capabilities was the solution to
these problems. Requirements of this undertaking included unified
storage of data from patient tests, online communication between
specialists (audio, video, and instant messaging), and tests result
sharing.
The goals were set based on the fact that specialists were unable to
meet on a regular basis and losses in efficiency due to the fact that
patients had to deliver test results on recordable media.
The Microsoft Office Communications Server 2007 R2 platform was
chosen as a foundation for the solution. The main factors for making
this choice were the functional flexibility, simplicity of operation, high
quality and low total cost. The audio and video conferencing hardware
evaluation proved itself unsuitable due to either complex deployment or
high initial costs. The analysis of Microsoft Office Communications
Server 2007 R2 platform, on the other hand, proved that all
requirements were met.
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Solution
"Development of high-tech
medical service is a foundation
for a high quality public health
system. However,
implementation of new
technologies often requires
large investment, which is so
difficult to come during times
of recession. One of Microsoft's
priorities is to provide the
Russian health care system
inexpensive solutions that
allow for the increase of quality
and availability of medical
services in Russian regions."
Roman Sabirov, Health Care
Group Manager, Microsoft
Russia
Office Communications Server 2007 R2 is one of the key elements of
Microsoft Unified Communications. It is a platform for instant
messaging, user status notifications, conferencing and corporate
telephone service. It provides live communication capabilities between
colleagues regardless of their location. Employees get access to a
simple and reliable set of tools for instant messaging, file transfer, voice
and video. The user status next to the contact name in any Microsoft
Office application shows whether a particular user is at his or her desk
and the best way to get in touch with them. In addition, users can
create a message about their status that can also help their colleagues
choose the best method of communication and avoid wasting time by
waiting or redialing.
Engineers from Microsoft and a partner
implemented the solution in two steps.
company,
Lotsman,
The first step was the deployment of a pilot project in order to test the
system in a real environment. The pilot project was deployed at the
Lotsman premises. Specialists from the Cardio Center and the Regional
Hospital were involved in the tests. Existing communication channels
were tested for quality of voice and video stream with
recommendations for optimization. The system was deployed on
servers for a pilot run, hooked up to conferencing systems at both the
Cardio Center and the Regional Hospital, and later adjusted to the
needs of the organizations.
The second step consisted of upgrading the Cardio Center's IT
infrastructure, installing Microsoft server components required for
running Microsoft Office Communications Server and Internet security
measures (unified directory service Microsoft Active Directory® and
secure and quick access server to corporate applications Microsoft ISA
Server 2006).
The system has capabilities to hold video conferences in rooms
equipped with microphones, video cameras and a large screen for
projecting images and patient test results from all participants. Every
individual workspace is equipped with everything necessary to
participate in the video conferences. Access connections to the Office
Communications Server by means of the Microsoft ISA Server 2006
ensure confidentiality of communication via the Internet and security of
data transfer.
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Benefits
"Microsoft Office
Communications Server 2007
R2 allowed us to achieve new
quality level of medical
services. This solution allows
for more efficient and
accurate diagnostics and
decreases presurgical patient
death rate."
Vladlen Vladlenovich Bazylev,
Chief of Surgery, Federal
Center for Cardiovascular
Surgery
Physicians at the Federal Center for Cardiovascular Surgery and
N. N. Burdenko Regional Clinical Hospital are now capable of
conducting online and offline consultations and sharing test results
without having patients physically carry them or using couriers.
The administrations of both clinics as well as the regional office of the
Health Ministry have already approved this technology solution.
Simplicity and convenience in operation are the main benefits of this
technology. Unlike similar industry specific solutions that require
special equipment, Microsoft Office Communications Server 2007 R2
works on a regular computer and is less expensive.
Implementing Microsoft Office Communications Server 2007 R2
allows:

Development of a structure for making cooperative decisions
about cardiovascular patients

Time saving with regard to the sharing of test results and the
improvement of decision making efficiency regarding methods
of treatment

Providing of remote conferencing capabilities for specialists
regardless of their location (whether at their workspace, in a
conference room, or if away on business)

Improvement diagnostic accuracy and making
decisions less biased by involving more specialists

Consultation with specialists at the Federal Cardio Center
available to patients at other hospitals in the region

Providing physicians a channel to share knowledge and develop
professional skills
medical
Aside from the Penza Region, the Federal Cardio Center also serves
residents of the Orenburg, Saratov, Samara, Ryazan, Ulyanovsk,
Nizhniy Novgorod, Tambov, and Tula Regions, as well as the Mari-El,
Chuvash, Komi and Mordva Republics. This technology solution
currently covers two hospitals in the Penza Region but there are
plans for future expansion to medical institutions of other regions.
There are long-term plans to use the Unified Communications
technology in ophthalmology, children's surgery and neurosurgery.
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More
Information about other projects implemented using
Microsoft technology is available at:
http://www.Microsoft.com/rus/business/casestudies (in
Russian)
or http://www.microsoft.com/resources/casestudies (in
English).
For additional information on products and services
please contact Microsoft Information Center at (495)
916–71–71 (Moscow), or (800) 200–80–01 (all other
cities in Russia).
Microsoft website: http://www.microsoft.com/ (English),
http://www.microsoft.com/rus/ (Russian).
For additional information about the project (solution)
please visit: http://www.microsoft.com/rus/uc/.
For additional information about the client, please visit:
http://www.xxx.ru/.
Microsoft Products
2009 © Microsoft Corporation. All rights reserved.
This document is intended for illustrative purposes only. MICROSOFT CORPORATION MAKES
NO EXPRESS OR IMPLIED WARRANTIES AS TO THE CONTENT OF THIS DOCUMENT.
Microsoft Windows Server 2008; Microsoft Active Directory; Microsoft Office
Communications Server 2007 R2; Microsoft Office Communicator 2007 R2; Microsoft
Office Live Meeting are registered trademarks of Microsoft Corporation in USA and
other countries. Names of other companies and products are trademarks of their
appropriate owners.
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Microsoft Windows Server 2008
Microsoft Active Directory
Microsoft Office Communications Server 2007 R2
Microsoft Office Communicator 2007 R2
Microsoft Office Live Meeting