Project in Indonesia

May 07 th, 2021

 Case Study: Telemedicine Platform [Join]
• Join is A Communication app for the Telemedicine among Medical professionals.
• Join is certified as a software medical device by PMDA (JP), FDA (US), CE (EU), and ANVISA (BZ) .
• Join is used for Intra-hospital Communication, and for Inter-hospitals Communication.

◆Function
Notification Texrt Message Video Call DICOM Viwer Real Time Video Streaming

◆Medical Device Registration ◆Inter Clinic/ Hospital-Clinic Communication

Hospital-Clinic
communication
Hospital

Inter-Clinic
◆Japan Network
227AOBZX00007Z00
◆USA (FDA) Reg. no. D245938
◆EU (CE) Certified
◆Brazil(ANVISA) 80102512022
２. Discussion Point

Case Study (Image)

Disease
A
B

C
D
E

Japan Indonesia
Group Chat

• Make Chat Group with Symptom.

• Doctor in Indonesia can ask any question through Join Chat Group anytime.
• Any Consultation or Answer the questions by Doctor in Japan

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Join System installation by Grant
Plan to install the system: 4 Hospitals

Setup
Cloud

Setup
Server
Join System installation by Grant

The doctor belongs under 4 Hospitals

Chat, Call, Camera ◎

Security ◎

Viewing medical images in Hospital ◎

Send in-hospital medical images ◎

Check the images of other hospitals ◎

which send it by Chat. (permission
required)

• Can IMERI suggest us to install 4 hospitals which allm can provide “Join” system.
Join System installation by Grant

Indonesia

Doctor with
4 Hospital
Japan

Doctor with
Other Hospitals
4. Appendix

Join

⚫ Actually, “Join” is food for acute disease, like stroke. Heart

Disease to share the medical images from CT, MRI. Etc.

⚫ We will install the “Join” system in this project. But the project
itself, I am sure we will not use frequently medical images
from MRI due to General Practice.

⚫ But We can support how to use it in Stroke disease if you need

to support separately from this project.

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Clinical/Economical Impact
A University Hospital in Tokyo Japan
Stroke Service Improvements since using “Join”
Stroke & Cerebral Hemorrhage Cases
CT/MRI to operation In bed Expense
Operation Date n
(Average time) (Average days) (Average)

2013/09/01-2014/08/31 22 4：00 40.6 5,008,020 Yen

2014/09/01-2015/08/31 20 3:19 34.3 4,598,770 Yen

⚫ Time to Diagnosis : 40 min. reduced

⚫ medical expenditure : 8% reduced（Excluding
expenditure after hospital discharge such as rehabilitation）
⚫ number of hospitalizing days : 15% reduced
⚫ Mortality rate 18% reduced
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Clinical/Economical Impact
【A Medical University Hospital in Hokkaido Japan】
Improvements since using Join （Target：Cardiovascular）
Sending Median of
No. Disease Name Time Memo
Hospital past cases
Acute Lower Extremity
1 A Hospital 63min 182min Diagnosed from images
Artery Occlusion

2 B Hospital Aortic dissection 31min 94min Diagnosed from images

3 A Hospital Thoracic aortic aneurysm 25min 85min Diagnosed from images

4 B Hospital Aortic dissection 35min 94min Diagnosed from images

Aortic Dissection, Cardiac
5 B Hospital 8min 94min Diagnosed from images
Tamponade

After triage, decided

Impending Rupture of
6 B Hospital 150min not emergency
Thoracic Aortic Aneurysm
operation

✓ Enabled to determine treatment policy and prepare for

treatment before patient arrival.
✓ Door-to-Puncture Time has been reduced by 1/3.
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Publication
◼ AHA, “Stroke” Publication about ◼ New England journal of Medicine
Porto Alegre Experience using Join 382;24 nejm.org June 11, 2020
(Dec. 2019)

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