Guatemala City UNICAR Hospitals Assessments
Date: 07/28/11
11:30am
- Arrived at Guatemala City
11:45am
- Arrived at UNICAR
Worked with Chris Carson, Fernando to install network and server system, we were able migrate network switches and cables from old UNICAR patch panel to new cables and new Cisco 2950 switches. We were able test the new dedicated 2Mbps circuit which is for the videoconferencing equipment. We tested calling out to a internet test site and calling back into UNICAR.
Network data speed is extremely fast, videoconferencing is extremely clear.
We will try to call out tomorrow to Carolinas Healthcare System. Tomorrow we also will move the UNICAR Internet circuits to the new routers, talk with Dr. Arrango inquired and requested a few items that are desperately needed for UNICAR. Backed up SQL server data base on flash drive. Finalized Fernando Cardona request list as well. We stopped working at 5:45pm.
UNICAR - Request
Dr Arrango - Request
EKG machine, Digital computer workstation and reporting for chest pain patient - need protocol Cath Lab procedure for IGSS and UNICAR
iPad wireless to move between exam rooms and patients
EMR system - using the CardioComplete EMR application "Dr Arrango said UNICAR can not expand their medical records anymore"
Coumadin Management system
Pacemaker monitoring system
Fernando Cardona - Request
"High Priority" Need DLT external drive and order DLT drives for the KinetDx server so UNICAR can archive images and reports again on KinetDx server.
Currently all images are being saved on the ultrasound machine disk drive which will eventually fill to capacity. Once this happens the ultrasound machine will no longer function.
Need new DIMM 512 memory chips for the HP NetServer LH 3000r U3 KinetDx server echo imaging server
Need a new patch panel 568 A/B to extend their network to other offices inside UNICAR hospital
Need the LAN desk work stations for the video conferencing equipment to keep it stationary in the UNICAR conference room for future videoconferencing.
7:00pm
- leaving Guatemala City
11:00pm
- arrived at Bonifaz hotel in xela
Date: 07/29/11
8:00am
- called Carolinas Healthcare System CHS IS - Jason - Video Conferencing setup test time at 12:00pm Est time Ip 208.69.133.90 - testing ip address for UNICAR
8:30am - arrived at
San Juan Dios Hospital in xela. The nurse that takes the echo images does not key any data in the application - in the reporting fields of the echo template. The nurse uses the imaging and uses the database for tracking his patients. Cardiologist have a special echo report that they use, i have a copy of their report the Physician would like to have their template created in the CardioComplete application for other physicians to view. Backed up SQL server database on the flash drive. Bill Kent is connected via the Internet he will look at the current template design and see what will take to make those changes in the application.
10:00am
- leaving for San Juan hospital leaving for Coatepeque
10:15am
- called Chris Carson and Fernando at UNICAR to validate connection to Carolinas Healthcare System CHS video conferencing system. Test was very
successful for inbound and outbound Videoconferencing, network speed was
extremely fast and extremely clear.
10:30am
- Fernando notified Chris that UNICAR is bring fiber optics directly into UNICAR for Internet access.
11:00am
- Digby Denton is working on CardioComplete application via internet and Carson Economon is working on the DHCP/DNS new server that will drive future data integration for the other hospitals at UNICAR in Guatemala. This server will be the catalyst to help bring EMR functionality to UNICAR.
12:15pm
- Arrive at Hospital J J Ortega of Coatepeque - Internet speed is 2Mpbs their network seems to be stable enough to transmit, swith and router upgrade is necessary!
Future Echo Room
Need to send assessment survey to Hospital j j Ortega of Coatepeque from UNICAR - Linda from UNICAR needs to request emails address from the information department at Hospital j j Ortega of Coatepeque send to Theresa Johnson and Bill Aikens
1:30pm
- leaving for Escuintla
4:45pm
- arrived in Escuintla Regional Hospital of Escuintla - Has a 5Mbps Internet circuit they have an ultrasound machine we were unable to see because it was locked up. We need check for specifications. Their network seems to be stable enough to transmit, swith and router upgrade is necessary!
Future Echo Room
Need to send assessment survey to Regional Hospital of Escuintla from UNICAR
- Linda from UNICAR needs to request emails addresses from the information department of Regional Hospital of Escuintla send to Theresa Johnson and Bill Aikens
6:30pm
- leaving Escuintla headed back to Guatemala City
7:30pm
- arrived in Guatemala at the Princess Hotel
Date: 07/30/11
10:00am
- Fernando Cardona said the internet arrive provider will have the new circuit install on Monday
Date: 08/01/11
9:00am
- Guatemala internet service provider (ISP) will finish installing 3Mbps then connect it to the new router at UNICAR.
Network/ Server Implementation and Videoconferencing the "Bridge "
Stage 1
- Finished stage 1 implement new network and server infrastructure at UNICAR
Videoconferencing is networked, connected and tested back to Carolinas Healthcare System videoconferencing room. Please coordinate work effort for Thursday morning multidisciplinary Videoconferencing between Carolinas Healthcare System and UNICAR 5:00am Guatemala time and 7:00am Charlotte, NC in Carolinas Healthcare System videoconferencing room 2nd floor CMC.
Stage 2
- Videoconferencing Continue Medical Education for the Multidisciplinary Sessions
Stage 3
- Connect ultrasound machine to videoconferencing equipment at UNICAR to allow cardiologists view images and report at Carolinas Healthcare System to continue Medical Education and cardiovascular imaging training this includes:
- Echo and Vascular protocol/process and Ultrasound Machine training via videoconferencing
- EKG - 12 lead protocol/process EKG Machine training for chest pain patients coming into either the emergency room or UNICAR via videoconferencing
- Nuclear/CT Scan - protocol/process training via videoconferencing
Stage 4
- Connect to IGSS and UNICAR approved Hospital list for Echo Cardiovascular imaging in Guatemala
Guatemala Cardiovascular hospitals check point visits:
Visits are necessary to ensure protocols and processes are in compliant, we want to make sure each hospital in Guatemala is following the same imaging/reporting protocols and processes for all Guatemala hospitals that are part of this project. (Oscar Flores) would make a great candidate to oversee the Echo imaging for those other hospitals coming online for echo imaging. Data entry, reporting and data collection is very important part of the patient outcome.
Special note:
I have combined everything on the USB drive
SQL Database from the KinteDx Server at UNICAR Guatemala, Guatemala City
SQL Database from the CardioComplete Database San Juan Dios Hospital in xela Guatemala
I have included the Echo Reports currently used at San Juan Dios Hospital
Including all Pictures of the Hospitals and Trip
