How to Best Utilize Telemedicine to Manage Chronic Care

Visual Communication Technology for Healthcare

A couple of weeks ago at the ATA Fall Forum conference, I participated on an industry panel titled, “Telemedicine & Chronic Care – What Does the Evidence Show? A Review of Findings from Scientific Studies.” The distinguished panel commented on the findings of Dr. Rashid Bashshur’s thorough studies on telemedicine and chronic care.

This is an extremely hot topic for healthcare systems as the number of chronic patients is on the rise. Due to many demographic and lifestyle reasons, chronic care is topping 70 percent of the healthcare expenditure and is expected to increase.

As the vendor representative on the panel, I provided commentary specific to the operational aspects of setting up a telemedicine program designed to help manage chronic care. To do this successfully, here are my two main recommendations:

1.     Think BIG!

Many of the programs established for chronic care management only covered a few hundreds or thousands of patients, and many of them were experimental and short-lived. It’s hard to examine the real impact on the quality of care and associated costs without such programs being mass deployed. Moving forward, in order for such programs to succeed, they should be designed accordingly, with the ability to scale and cover thousands or even tens of thousands of patients. Here are some of the considerations:

  • Commercial sustainabilityAnalyze what the cost of adding a new patient to the program would be, and the expected return on investment. Be sure to confirm the commitment of the investment source.  I have seen quite a few programs die when the grant that was used to start it dried up.
  • Measure criteria of success It’s important to define the criteria of success and related measurements to assure that the program stays on track.
  • Training and adoptionPrepare a training program for your staff as well as for patients. Don’t rely solely on a few enthusiastic champions to provide ad hoc guidance to all users and patients. Last I checked, they generally don’t teach how to properly sit and engage in front of a webcam during medical school.
  • Network designScalability is one of the most crucial factors to a telemedicine deployment. Design a scalable network topology with multiple datacenters, and one that is easily upgradable. My recommendation? Bet big on software.
  • Technical support The user experience is ultimately the key to adoption. Go with an intuitive user interface that minimizes the support required to onboard new clinicians and patients. Think about how many people you would need to staff at your helpdesk if your solution is difficult to learn and use.

 2.     Think FLEXIBLE!

We have witnessed that telehealth leads to behavioral change. You should design your service to be flexible and accommodate such change, while having the capability to adapt to different workflows.

One example that I like to use is from a Vidyo customer in the Netherlands that provides online telepsychiatry services. When visiting them a couple of months ago, they told me that when they introduced their telemedicine solution, the whole pattern of interaction between their therapists and patents changed. Instead of having one hour, pre-scheduled sessions with the therapist, patients are now moving to much shorter, more frequent ad-hoc sessions of about ten minutes each. They contact their therapists when they are actually in need of immediate consultation, not when the sessions are scheduled. This makes the service much more effective while also saving time for the providers, who can see patients at a moment when care is critical resulting in significantly improved patient outcomes.

Lastly, when designing a patient-facing telemedicine service, the healthcare system needs to prepare to adopt workflows that will undoubtedly change over time. When choosing a platform to enable the telemedicine service, it should provide the flexibility to address a number of different scenarios, such as adjusting scheduled meetings to ad-hoc, changing capacities and patterns of usage, and adopting new medical and consumer devices that integrate with other essential peripheral medical processes like Electronic Health Records (EHRs).

Have you successfully deployed a telemedicine solution to manage chronic care? What other considerations would you recommend?

#VidyoToolbox: 4K is Now Just a Click Away with VidyoRoom v3.2.4

We just released updated VidyoRoom™ v3.2.4 software, providing users with high quality video conferencing and new scheduling capabilities. Now, VidyoRoom HD230 and VidyoPanorama™ customers have access to an enhanced feature set, including Ultra HD (4K) capabilities unlike any other video conferencing solutions on the market today. Additionally, joining a scheduled meeting from your room system has never been easier with an enhanced calendar integration feature.

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Here are more details on some of new features available with VidyoRoom v3.2.4, available via a free software upgrade included with a customer’s annual maintenance subscription:

  • Phenomenal 4K Performance: Richer collaboration is possible with the ability to display highly detailed content that is greater than HD resolution on a 4K display in full native resolution. No information is lost in down scaling, allowing all participants to see content in full detail. Ultra HD quality is especially helpful when showing dense spreadsheets, fine detail CAD drawings, hi-res artwork for marketing campaigns, or any content where detail matters. Some additional benefits include:
    • In multipoint calls, each participant tile is higher resolution for better clarity. With a 4K (3840 x 2160) resolution display there are enough pixels to view 4 x 1080p participants in native resolution. At that size and quality, you’ll feel like the remote participant is standing on the other side of a glass panel instead of miles away in front of a camera.
    • Customers can save time and money on installations of new rooms by hanging a single larger 4K display rather than multiple 1080p displays.  The result is also aesthetically more pleasing.
  • Exchange Calendar Integration: When scheduling meetings in physical rooms, most organizations reserve the space by adding a Microsoft® Exchange entry for that room to their calendar invite. Now you can associate that active directory entry with the VidyoRoom system so that any meetings booked will appear on the VidyoRoom user interface. Even better, if the meeting is scheduled to have remote participants and includes a Vidyo click-to-connect link, that meeting becomes a single click card on screen so that participants can simply tap to join.  Additionally, the VidyoRoom control API has been extended to enable third party control systems, such as Crestron® and AMX®, to take advantage of the new calendaring functionality. It’s never been easier to join a Vidyo meeting.

VidyoRoom

There are many other features enhancements in this release. Please check the release notes for more details and software dependencies. Visit the Vidyo Support Portal for more details on what’s new and get upgraded today!

#VidyoToolbox posts highlight new product updates and features across the Vidyo portfolio. Stay tuned for continued updates!

* VIDYO®, Vidyo logos and icons and trademarks of the VIDYO™ family of products are trademarks or registered trademarks of Vidyo, Inc., registered with the United States Patent and Trademark Office and/or in other jurisdictions.  Microsoft® is either a registered trademark or a trademark of Microsoft Corporation in the United States and/or other countries. Other trademarks are the property of their respective owners.

#VidyoToolbox: Mobile minded – New VidyoSlate v2.1 Features

VidyoSlate™, our mobile video conferencing application that makes it easy to share documents directly from your tablet, has always been a handy second screen option for desktop and conference room environments. Many times, especially with frequent on-the-road employees, a tablet may be the only screen available to participate in a VidyoConference. We’re now making it even easier for tablet users to participate in interactive video meetings and collaborate on content with a new version of the VidyoSlate application. VidyoSlate v2.1 for iOS® operated devices gives users full two-way audio and video conferencing capabilities while viewing, sharing and annotating content, making it a feature-rich mobile alternative to web conferencing.

Tablet participants can collaborate in real time via enhanced sharing, whiteboarding and annotation features

Tablet participants can collaborate in real time via enhanced sharing, whiteboarding and annotation features

We’ve also extended the ability to share content from your tablet across different platforms. In addition to supporting Box and Dropbox applications, VidyoSlate now supports Google Drive™ allowing mobile users to share files directly from their Google Drive account into the conference.

A free app from the Apple® App StoreSM online store, VidyoSlate connects to your existing VidyoConferencing™ system or your account with an authorized Vidyo cloud service partner. Download the latest version of VidyoSlate to enjoy richer content collaboration today!

#VidyoToolbox posts highlight new product updates and features across the Vidyo portfolio. Stay tuned for continued updates!

VIDYO®, Vidyo logos and icons and trademarks of the VIDYO™ family of products are trademarks or registered trademarks of Vidyo, Inc., registered with the United States Patent and Trademark Office and/or in other jurisdictions.  iOS® is a registered trademark of Cisco Systems, Inc. and/or its affiliates in the United States and certain other countries. Google Drive™ is a trademark of Google, Inc.. Apple® and App StoreSM are trademarks or service marks of Apple, Inc., Registered in the United States and other countries. Other trademarks are the property of their respective owners.

VidyoDesktop VE Delivers Multi-Point Scalable Video Conferencing For Citrix XenDesktop and XenApp

Today we are pleased to announce VidyoDesktop™ Virtual Edition (VE), a video conferencing desktop client that supports Citrix XenDesktop® and XenApp® virtualized solutions. As large-scale adoption of virtual desktop solutions continue, users need access to consistent, high-quality video from any location without being tied to a single client. To read about Citrix’s view on today’s news, check out this blog post from Derek Thorslund, Director of Product Management, Citrix.

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VidyoDesktop VE allows users working in a Citrix XenDesktop or XenApp environment to collaborate real-time through secure, multi-point HD video

Because of applications like VidyoDesktop VE, enterprises – and their increasingly mobile workforce – can now easily broaden their video communications solutions and extend the value of desktop virtualization, with HD quality video, audio and content collaboration. Through universal meeting invitations that are automatically generated as emails or calendar invites at the click of a button, users simply click-to-connect like a web conference. This can all be done in blended mobile, thin and full client environments, which means increased business agility and productivity for users.

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VidyoDesktop VE connects with a number of endpoint form factors via the Vidyo infrastructure

Vidyo’s software-based architecture is well known for its consistent video quality that can work on any device and varying networks. That’s why it’s a great fit for Citrix mobile users who are looking to centralize control and security for their business while reducing costs. Vidyo’s optimized architecture separates video and VDI traffic, which in turn optimizes bandwidth management. By ensuring secure, multi-point video communications, VidyoDesktop VE is the perfect solution for XenDesktop and XenApp users.

To learn more about VidyoDesktop VE for XenDesktop or XenApp, click here!

Vidyo Introduces Industry’s First Ultra HD Soft Room System

 

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 First Ultra HD Soft Room System perfect for customers that require remote participants to see fine details of shared content, like spreadsheets, CAD drawings or medical images.

If yours is like most companies, there are a significant number of collaboration spaces in your organization that are not yet videoconferencing enabled. Given the global nature of our economy today and the well documented productivity benefits of visual collaboration, it begs the question “why haven’t group video conferencing solutions become more pervasive?” The answer boils down to cost and user experience.

Vidyo’s uniquely adaptive software-based architecture has always leveraged the performance benefits of the ever-evolving PC market. It’s no exception that we are able to take advantage of new device enhancements, like 4K displays, to deliver an ever-improving user experience through software only upgrades. Ultra HD as a software only upgrade to our infrastructure, the VidyoRoom™ HD-230 and VidyoPanorama™ 600 are the latest examples of how software solutions protect customer investments where competitive hardware approaches end up obsolete within months of purchase. To make video more pervasive throughout collaboration spaces, the enterprise needs to think differently about the makeup of a group solution for huddle rooms or conference spaces…and now they can.

Today, Vidyo introduced the VidyoRoom SE (Software Edition), the world’s first Ultra HD capable software room system that supports the equivalent screen real estate of 4 x 1080p displays on a single seamless 4K elastic canvas that can be used to render greater than HD shared content in full native resolution. As an installable soft-client, VidyoRoom SE turns off-the-shelf computing platforms into fully functioning group systems with important features like:

  • Far End Camera Control (FECC)
  • Simple single button press calendar integration
  • Shared content automatically rendered on second screen when present
  • Remote controllability from room automation systems, tablets using the free VidyoRemote application or the hand-held remote control

Pair, for example, the VidyoRoom SE with the newest, most cutting edge USB PTZ camera, audio device and display – like off-the-shelf 4K or 1080p monitors, and you have a solution that sets a higher bar for room system performance while making it economically desirable to Vidyo-enable every collaboration space, in the enterprise, including huddle rooms.

 

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VidyoRoom SE turns a convenient meeting place into a Vidyo-enabled workspace or “huddle room”.

With game-shifting innovations from Vidyo, the economics and logistics of video collaboration are radically changing for the better. Businesses are free to choose “best-of-breed” solutions and build integrated, multivendor systems using off-the-shelf, commodity hardware that make prices much more affordable, and configured to their particular need.

To get more information on today’s announcement, click here!

Many of the products and features described herein remain in varying stages of development and will be offered on a when-and-if available basis. The product plans, pricing, specifications, and descriptions are provided for information only and are subject to change without notice, and are provided without warranty of any kind, express or implied.  Vidyo reserves the right to modify future product plans at any time.

 

MarkNoble4aMark Noble is the VP of Strategic Marketing at Vidyo where he brings over 19 years of experience in the telecommunications and visual collaboration spaces. Mark works closely with customers and partners to develop new opportunities to lower their business and operations costs, while improving productivity and results, via Vidyo solutions. In addition, Mark works closely with the Sales and Marketing teams on positioning, messaging and product marketing programs. Mark’s experience ranges from engineering to business management. Before joining Vidyo, Mark worked at Bell Labs and on the AT&T Wireless account for Lucent. He also managed the development programs at UTStarcom for all wireless and IP softswitch products. Mark is adept at understanding new technologies and identifying new market opportunities that translate into profitable businesses.

 

Vidyo “Inside” the future of telehealth & telemedicine solutions

The traditional healthcare delivery model is undergoing a major transition, shaped by the increasing integration of technology we use daily within our personal and professional lives. From mobile applications to medical consultations via video, new telehealth practices and technologies are allowing patients healthcare access anytime, anywhere and on any device.

Because of our feature-rich APIs, Vidyo is leading the charge in the way telemedicine is being delivered around the world. Our technology allows video to be integrated into various telehealth platforms, networks and devices, at an easy-to-use, low price point unmatched by other video conferencing providers without sacrificing key features. A shining example of this is Mercy’s SafeWatch system, powered by Vidyo.

Mercy’s SafeWatch is the largest single-hub TeleICU in the country. Spanning across four states, 15 hospitals and monitoring close to 500 Philips TelelCU beds, this new telehealth service enables specialists to continually monitor critical patients and data, and interact via Vidyo with bedside medical teams, ICU patients and their families from one central command center. Deployed across a geographical region traditionally known to be difficult for patients to receive quick, acute healthcare and medical consultations due to its rural nature, Vidyo’s integration into Mercy’s SafeWatch system helps to provide timely, personalized care regardless of physical distance.

Check out more pictures below of Vidyo’s telemedicine solutions powering Mercy’s SafeWatch. We believe this state-of-the-art integrated system is central to the future of medicine, the expansion and delivery of patient care in the U.S., and one that will serve as a new model for healthcare systems across the world.

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Vidyo’s visual communications technology for telehealth is integrated into Mercy’s central TeleICU command center in Chesterfield. Healthcare practitioners are now able to rely on secure, encrypted remote doctor-patient and doctor-doctor interactions that are as close to face-to-face consultations as you can get.

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According to Wendy Deibert (pictured), vice president of Telehealth Services at Mercy, the health system expects to expand the use of Vidyo to even more beds and applications. “With Vidyo we are able to do many things a bedside physician can do, except physically touch a patient. We can see the entire room, from the drips to the ventilator panel, to how the patient looks. We can talk to the family, patient or nurses in the room.”

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As critical patient information and data must be communicated with medical practitioners quickly wherever they may be, Vidyo’s complete end-to-end solution allows for HD video communications and images to be accessed from virtually any device.

Please read our press release on how Mercy is using Vidyo, and our analyst report on Vidyo in Healthcare.

forbes_logo_main-180x45  Vidyo Gets The Jump on Next Generation Telemedicine

WSJ-Logo-170x601  Where Does It Hurt? Log On. The Doctor Is In (Vidyo Customer – American Well)

 

Video Collaboration on iPads and Android Tablets

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At Vidyo, we believe collaboration is king. While some vendors are playing catch-up – trying to perfect their own video collaboration solutions– Vidyo has already made available VidyoSlate™, a FREE app that allows your tablet to become the ideal second screen content share for any video conference. No more eye-strain, even if you are in the back of a conference room – VidyoSlate gives you the advantage of viewing every piece of information on your own tablet. VidyoSlate is available now on iOS and in Beta for Android.

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VidyoSlate, introduced Fall 2013, enables participants to easily share, view and annotate documents from your iOS or Android tablet. Participants can mark-up and highlight relevant content, simply by using the pen, highlighter and laser pointer tools within the app, creating a dynamic, real-time collaboration environment – right in the palm of their hands!And there’s more! Your work need never be lost – because you can save edits and retrieve documents from your tablet, Dropbox and Box or simply email attachments from the VidyoSlate app to your fellow meeting members.

The integrated calendar lets you view invitations in the app making it simple to directly join a conference. And two-way audio support for VidyoSlate makes it even easier to participate in a collaborative call.

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Telemedicine: Increasing Access to Healthcare

DrSiddiqui2a[1]When we think about telemedicine, we generally think about equipment, space for hardware, and connectivity. Rarely, do we think about the fact that telemedicine is truly about connecting people. Telemedicine enables patients and physicians to make a connection, a human connection, and make significant decisions regarding one’s immediate or long-term health goals.

Telemedicine increases access to healthcare whether in an urban or rural setting. And nothing better demonstrates this seamless integration of people and technology than a service introduced by the California Telehealth Network, CTN Connect, based on Vidyo’s platform. With use of this service, no longer are telemedicine providers or patients thinking about boxes, equipment and locations. Instead the solution enables healthcare providers to focus more on patients and healthcare delivery.

As simple as this seems, the healthcare community and decision makers need to realize that technology fundamentally changes how we think about and how we deliver healthcare.

As a telemedicine provider for over a decade, I have been tied to my desk because of legacy video conferencing hardware. I often had to run back to my office to see patients or interact with physician colleagues due to the boundaries of older technology. Thankfully this is no longer an issue. Instead, I can now connect with hospitals, clinics and patients anytime, anywhere and on any device. With CTN Connect, I can be in my clinic using my laptop to connect with a patient, walk around the hospital and utilize my tablet to urgently see a patient in the ICU, or be at my desk and deliver a lecture to colleagues hundreds of miles away in multiple locations.

This was the vision of telemedicine that many of us have had for years and now it is a reality.

A situation that clearly demonstrates this ubiquitous access was a young patient I saw a few months ago.

Watch the video above to view this patient’s story - Alexa’s Story 1/30/14 from Vidyo Inc. on Vimeo.

On late Sunday afternoon, I received a call from the emergency department asking for anti-bacterial recommendations for a young woman with calf pain and a high fever.

After briefly speaking with the physician, I questioned the “simple” nature of the case and asked to see the patient. I utilized my tablet to connect to the emergency department and was speaking with the patient and the healthcare team instantly. Within a minute of seeing the patient, I realized that she was critically ill and, in consultation with the on site healthcare team, determined immediate surgical intervention was required.

The patient was fighting for her life as she went into surgery and continued to struggle post-operatively., But because of CTN Connect and the Vidyo platform, I was able to be at the patient’s bedside. speak with her family and work with the healthcare hospital team to deliver state-of-the art healthcare to this young women, regardless of the fact that her hospital was in a rural location.

The ease and simplicity of this telemedicine connection was due to our utilization of the CTN Connect service powered by Arkadin/Vidyo. During the days that followed and throughout this young woman’s care, we never dealt with technology or equipment hurdles. We were able to focus  on what was really important – delivering quality healthcare and focus on the patient’s wellbeing.

This is what telemedicine was meant to be.

These days we use technology in every aspect of our life: we communicate with our loved ones through texting, email and real time video conferencing, we buy clothes and groceries online, we pay bills and manage our money online. These activities represent an integration of technology in the very fabric of our daily activities.

There is no reason why technology cannot have the same impact on our healthcare delivery.

JaveedSiddiqui Javeed Siddiqui MD, MPH is the co-founder and Chief Medical Officer for TeleMed2U. In addition to being an Infectious Diseases physician, Dr. Siddiqui is a recognized medical technologist who has previously held an appointment at the School of Engineering, University of California, Berkeley. Dr. Siddiqui has been actively involved in telemedicine and telehealth since 2002 and has been recognized as a national thought leader in these fields. Dr. Siddiqui served as the Medical Director of one the nation’s top telemedicine programs at the University of California, Davis. In addition, Dr. Siddiqui was the first Medical Director of California’s Institute for Science and Innovation, The Center for Information Technology Research in the Interest of Society [CITRIS]. Dr. Siddiqui co-founded TeleMed2U in 2010.

 

 

MPEG LA Shares License Terms for HEVC (H.265)

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Vidyo is proud to have played a role in establishing the license terms for the High Efficiency Video Coding Standard (HEVC, also known as H.265), as announced by MPEG LA last week.  According to MPEG LA’s January 16 press release, the cooperation of patent owners to reach common ground was key in making a joint patent license available for the convenience of HEVC adopters.  As work continues on evaluating patents for essentiality and concluding terms in final agreements, the license is currently supported by 25 prospective HEVC essential patent holders including top companies such as Apple, Cisco, LG Electronics, Siemens and others.

As our inclusion in this notable group of “prospective essential patent holders” reflects, Vidyo has contributed to the HEVC standard from the very beginning. Vidyo made multiple contributions to the standard, with a lead role in the development of the HEVC scalable extension, called SHVC, scheduled for technical completion July 2014. To date, Vidyo has made 58 contributions towards the development of HEVC and its SHVC extension.

The SHVC extension is the HEVC parallel of H.264’s Annex G (SVC), and with it, our VidyoRouter™ technology will be able to achieve the same kind of high performance with HEVC that our customers previously experienced with H.264.   Vidyo has been actively involved in MPEG standards for a number of years.  Our involvement with MPEG LA was first announced when we licensed our H.264 Annex G (SVC) Essential Patent to the MPEG-LA patent pool in November of 2012.

We are proud to have a team of innovators who are world-class technologists driving disruption to benefit customers. Vidyo currently holds 47 patents with 68 patent families pending with 10 patents and 15 patent families that may read on the HEVC specification and its forthcoming scalable extension.  With such technological talent, we have enabled the industry’s best video communication applications on the Internet and on mobile.

Since we launched the company in 2008, our unique architecture has eliminated the need for transcoding and enabled ‘technology transparency,’ providing an experience uninterrupted by performance flaws arising from issues like network reliability, MCU driven latency, or end-point capabilities. Most importantly, our VidyoRouter technology implementation will not require a hardware upgrade when the time comes to roll out new standards such as HEVC or the upcoming WebRTC with scalable VP9, which we announced with Google last year. We enthusiastically welcome new standards that create opportunities for interoperability and wide adoption, and that support industry innovation.

This is an affirmation of our proven technological expertise and our commitment to open standards and we are excited at the prospects.

 

Ofer Shapiro, Vidyo co-founder and CEO, has been an innovative force at the heart of major architectural transformations in the videoconferencing industry since 1996. He was integrally involved in the development of the H.323 specification and the first IP based multi-point control unit architecture and gatekeepers, developed the use of H.264 Scalable Video Coding (SVC) for video conferencing, and led the development of a new media relay based architecture- the VidyoRouter. Ofer is a named inventor on 40 issued and 28 pending patent families. He was named a World Economic Forum Technology Pioneer, and received the Wall Street Journal Innovation Award for Disruption in the category of Internet, Networking and Broadband. 

 

 

 

Vidyo: Making a Difference in the World

As those of us in the U.S. take a pause to give thanks this week, we thought it would be a good time to share a series of stories that show how connecting people through Vidyo is making a difference.

It’s always gratifying to know that your work, in some way, contributes to supporting and aiding humankind. And at Vidyo, we can’t help but feel good, knowing that our products and Vidyo-based applications and services are genuinely helping people all over the world. It’s not an overstatement to say that Vidyo is making a huge difference in people’s lives. It’s a fact.

Because Vidyo communications can reach people located almost anywhere — even those in some of the most remote areas on earth — without the need for any kind of special networks or equipment … and because Vidyo’s software-based technology can be easily integrated into so many critical, even potentially life-saving applications, we’re seeing an amazing number of organizations and institutions altering outcomes by leveraging Vidyo communications. From remote locations above the Arctic Circle in Alaska, to earthquake-ravaged villages in Haiti, to disaster-torn regions of third-world countries, to a small schoolhouse in India, Vidyo is assisting medical practitioners, educators, disaster relief personnel, and so many more, the world over in locations where other video conferencing solutions are not able to reach.

Vidyo for Humanitarian Aid: Concern Worldwide leverages Vidyo to link aid workers in 24 countries

The Thinking Schools Academy at the Auxilium Nava Jyothi School in India uses Vidyo as a way of enabling its teachers to receive face-to-face support and training by educators in the United States, over 10,000 miles away.

Supporting healthcare by connecting doctors and patients in rural Alaska: Vidyo connects over 250 sites and 700,000 people spread out over 660,000 square miles of rugged terrain.

Vidyo provides virtual classrooms for medical students in the aftermath of the Haiti earthquake.

We are so proud of the great work being done by people who are using Vidyo to heal and save lives, educate those who would not otherwise be able to access education, and ensure rapid, efficient humanitarian assistance to those in desperate need. Follow our hashtag #bestofvidyo to hear about the stories that make us feel good about Vidyo.