When it comes to innovation and passionate advocacy, Dr. Rafael J. Grossmann Zamora is a head above the rest. As a specialist in Trauma and a Trauma Surgeon, he is on the front lines caring for and saving people who have been seriously injured.
Unfortunately Trauma Specialists are few and far between. And this fact is truly a matter of life and death for, according to Dr. Grossmann, “trauma is a disease of time. The quicker you’re treated the better your survival.” Care by a Trauma Specialist increases a trauma victim’s chance of survival by as much as 25%.
So what happens if you live in an extremely remote area of the country and you are injured. Enter tele-trauma…And this is another part of Dr. Grossmann’s passion and advocacy. He is dedicated to treating and saving people at a distance through telemedicine. And he’s figured out a new, cheaper way to do telemedicine, through IpodTouch over Wifi.
The hospital where he works, Eastern Maine Medical Center [hence, EMMC], in Bangor, Maine is the Trauma Center for a significant amount of rural Maine. With only three trauma centers in the state, EMMC serves an area larger than Massachusetts, Vermont and New Hampshire combined. With such great distances, it can take as much as 3 to 4 hours in travel time to reach EMMC. That lost time can lead to severe disability or death.
Although LifeFlight, Maine’s air ambulance service is excellent, “weather sometimes does not cooperate…remember, it is Maine!” Dr. Grossmann says.
Dr. Grossmann also points out that helicopter rides can cost upwards of $10,000 to $14,000. “Our Telemed program covers 15 hospitals over 29K sq miles. We get a call from small hospital looking for advice, pick inside pocket , tap and connect.” It’s that easy.
“We are using a gadget designed for play, to potentially save lives, saving money along the way. IPod Touch…transports us to where the patient is to provide advice on treatment right away..via 2-way camera. It is a ‘virtual presence.’ We can’t be there physically, so telemedicine brings us to the patient and patient to us, instantaneously.”
Of course, it wasn’t always this simple. The program is about 6 or 7 years old. Getting buy-in from the smaller hospitals took time, “Lots of lobbying and convincing, with great results. Small hospitals love it because it gives them better access to us specialists. Bringing us to where provider and patient are, virtual presence.”
Physicians have been wary of telemedicine because they believe the time they spend will not be reimbursed. This is not a problem says Dr. Grossman who states that they are billing the “same as regular face-to-face consults according to new regulations.”
And there is no need for concern about privacy because the apps that are used are encrypted and HIPAA compliant.
Dr. Grossman and his team have been honored by the American College of Surgeons, receiving “Best Scientific Award” at the 2009 Annual Congress of the American College of Surgeons in Chicago.
“This could be a game changer, a paradigm breaker!” Dr. Grossmann enthused. ” Tele-trauma needs to become common use.” Dr. Grossmann does not make money on spreading the word about this approach, he just gets the satisfaction of knowing that if more hospitals use iPodTouch Tele-trauma, more lives will be saved and injured people will experience less disability. He is so excited that he believes IpodTouch for Tele-trauma can be effectively used in other specialized situations where reducing the time to care saves lives.
Watch Dr. Grossmann Zamora in this TEDx talk to see how it works.