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HIMSS18 – What, Where and How HealthIT can impact healthcare 

HIMSS18 – What, Where and How HealthIT can impact healthcare  | Healthcare and Technology news | Scoop.it

With the annual #HIMSS18 conference just a few weeks away, most of the industry’s attention is turning to matters relating to technology, cyber security and the regulations around HealthIT. We thought it would be fitting, therefore, to team up with the wonderful folks at @HIMSS for a tweetchat focused on technology and healthcare.

 

I am a fan of artificial intelligence, machine learning and virtual reality (even though I cannot physically use VR for more than 2 minutes at a time). However, the technology that I’m most intrigued by is 3D printing – specifically the 3D printing of organs and organic material.

 

First, there is the impact this technology could have on solving hunger and nutrition. Imagine if we could “print” healthy food in places where growing it is difficult or where shipping it is cost-prohibitive. Imagine also if we could print foods that are personalized to each person’s unique metabolism and dietary needs. The impact on public health would be significant and worldwide.

 

A long time ago I read a science fiction novel that talked about the advent of this type of technology: Gateway by Fredrick Pohl. The novel made frequent mention of something called CHON-food. Pohl imagined a world where CHON machines were able to replicate food by combining four key elements: carbon, hydrogen, oxygen and nitrogen. The advent of these machines helped to solve world hunger and ended many of the wars for water and food that that plagued the Earth. I hope we are at the start of CHON revolution.

 

Second, there is the impact of 3D printing on surgery and transplants. Researchers are very close to being able to print human skin using organic printers that can be used in reconstructive surgeries. The impact this technology could have on burn patients would be incredible. So too could the impact on patients that need a transplant. According to UNOS, every ten minutes someone is added to the national transplant waiting list and on average 20 people die each day while waiting for a transplant. With organ-printing technology these premature deaths might be prevented. Using tissue samples, organs can be printed to exactly match the patient’s physiology. Bonus: no more worries about organ rejection.

 

I’ve got my eye on 3D printing and over the next few years I expect it to have an impact beyond technologies like AI, machine learning and analytics. However, it’s going to take time for this technology to mature. In the meantime, there are certain areas of healthcare that can use a little boost TODAY.

 

Patient engagement and behavior change is an area of healthcare I hope #HealthIT will be able to help. Patients are the most untapped resource available to healthcare. Despite all the trackers, portals and video tutorials, health literacy remains extremely low. Some would argue that the widespread adoption of EHRs had even contributed to patient dis-engagement as doctors and nurses spend more time staring at screens rather than speaking to patients about their health. I see a golden opportunity in healthcare for patient engagement technology.

 

In the early 90s, the field of behavioral economics took shape. Richard Thaler, the University of Chicago professor who recently won the Nobel Memorial Prize in Economic Sciences, began publishing a series of papers that combined psychology and economics. His work led many to begin studying the ways that human behavior influences financial decisions. We need to apply those same theories to healthcare and design #HealthIT systems that nudge patients (and clinicians) into healthier behaviors.

I am incredibly excited about the future of healthcare. I am certain we are making progress towards a brighter day for patients, doctors, nurses, family caregivers and administrators. As I walk the #HIMSS18 exhibit hall I will be on the hunt for companies that share this outlook and whose products show clear signs of patient/provider design input.

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Can technology break the silos in the healthcare sector?

Can technology break the silos in the healthcare sector? | Healthcare and Technology news | Scoop.it

Digital health or the use of information and communication technology (ICT) to provide health services, has the potential to advance the goal of universal health coverage and improve the quality and efficiency of health services, according to a new report published by the Broadband Commission for Sustainable Development’s Working Group on Digital Health.

 

But can technology also break silos between the technology and healthcare sectors? 

 

The study group, co-chaired by the Novartis Foundation and Nokia, noted that key challenges remain in making digital health a reality, including fragmentation in digital health solutions, risks to funding continuity and capital expenditure, workforce capacity constraints, and collaboration problems across the health and ICT sectors. 

“Despite the promise and potential of global connectivity, we cannot lose sight of the fact that nearly four billion people have no access to the Internet. We need to look at innovative cross-sectoral strategies that can leverage the power of high-speed networks to improve education, healthcare and the delivery of basic social services to everyone, especially the poorest people, who need healthcare most urgently,” said ITU Secretary-General Houlin Zhao.

 

The report, “Digital Health: A call for Government Leadership and Cooperation between ICT and Health,” recommends that the industry look into at least three things: the importance of senior government leadership with committed financing, effective governance mechanisms with defined roles, and a national ICT framework to facilitate alignment between the ICT and healthcare sectors.

 

“We need continuous committed leadership from government with sustained financial resources to ensure a strong national digital health strategy,” Ann Aerts, Head of the Novartis Foundation, and Chair of the Broadband Commission Working Group on Digital Health.

 

She said many technology-based health initiatives have been introduced in the past but they never reached scale or achieved long-term sustainability because more government support and intergovernmental collaboration are needed to take these initiatives past the pilot stage.

 

“To help solve these challenges and to uncover how we can truly harness the power of information and communications technology (ICT) for health, we need a better understanding of the key elements involved,” she explained in the report.

Rajeev Suri, CEO of Nokia and Chair, Broadband Commission Working Group on Digital Health, added that many technology companies are pushing the frontiers of healthcare to reach the remotest of locations, harnessing the power of mobile devices to help health professionals bring the most efficient medical techniques.

 

“The next step is to share the technology with every corner of the globe. To do that we need the leadership of national governments. Health and telecommunication should be united, working closely with regulators—to avoid potential roadblocks, change old practices and spread new knowledge on how to leverage technology for healthcare,” he said.

 

Case Study: Malaysia

With a population of 30 million, Malaysia is currently implementing the Health Information System Strategic Plan (11th MP). This plan builds on the first Health Information System Strategic Plan (10th MP) rolled out between 2010-2015. 

According to the report, the government is currently scaling of a hospital information system deployed in 25 percent of hospitals, in the process of integrating primary care and oral health clinical information system, rolling out a pharmacy information system and building the Malaysia Health Data Warehouse.

Because Malaysia began using digital health in the late 1990s when the Malaysian Ministry of Health (MoH) unveiled the first
telemedicine blueprint and created the first paperless hospital in the world, it has adopted a progressive approach.

“The MoH provides digital health leadership, strategy and program implementation in the form of three divisions: ICT, Planning and Telehealth,” the report noted. “MoH’s ICT strategic plan and ensures alignment with the national ICT strategic plan.”

However, even after years of digital health implementation, some challenges still remain. “Our biggest challenges are still the user, change management and training. And clinical leadership is so important! If you don’t get buy-in from the clinicians, the system won’t work. We learned from experience,” said Dr. Fazilah Shaik Allaudin, Director of Telehealth Division at MoH.  

 

Other challenges include monitoring, evaluation, and private sector engagement. “ “We’re still struggling with M&E and how to do it effectively. We haven’t really come up with a mechanism for this yet. We’ve seen hospitals give up on digital systems and go back to paper or situations where the core team involved in implementation leaves and the project dies or loses momentum. How do you keep this when the leader leaves? How to keep the fire burning?” he explained.

 

Case Study: Philippines

The Philippines launched the National eHealth Strategy in 2010. This was followed in 2014 with the release of the eHealth Strategic Framework and Plan for 2004-2020. The overall goal of the plans is to achieve universal health coverage, which means access to affordable health services for all citizens.

Some of the key performance indicators (KPIs) the 2014 eHealth framework set out to do include the increasing use of the DoH/PhilHealth eClaims, deployment of telehealth devices, the establishment of a government data warehouse and implementation of health data standards.

According to the report, a joint memorandum between the Department of Health (DoH) and the Department of Science and Technology (DoST) created the basis for a shared understanding of roles and responsibilities. Each agency has its own IT teams which make it hard to know which team is responsible for what. 

“In our country, the DoST was keen to start working on eHealth but realized that it needed to be led by the health sector as per the WHO-ITU Toolkit. Fortunately, our DoH also shared the same view. From this common ground, the seeds for the multisectoral approach emerged. The key is to get those two persons engaged, one from the DoH and one from the DoST, and involved in the development of the national eHealth strategy” Dr. Alvin Marcelo, Executive Director of AeHIN and former CIO of PhilHealth.

Meanwhile, the creation of advisory groups allowed universities and private-sector representatives to share their expertise and views. 

 

“Cross-sectoral collaboration is not easy. Players come from different backgrounds, with different approaches and priorities, and may understand different things on the basis of the same words or phrases,” affirmed Zhao in the report’s foreword. “Nowhere is this truer than in digital health, where the needs are great, the investments are significant and lives are at risk.”

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Are Wearables Dangerous for Health?

Are Wearables Dangerous for Health? | Healthcare and Technology news | Scoop.it

It’s been repeatedly stressed by healthcare practitioners how beyond a balanced diet and exercise, getting sufficient sleep is vital to our health and wellbeing.

 

There are wearables that can already track our daily activities such as heart rate when we exercise and even the number of steps we have walked that day and the distance. In addition to that, some wearables can monitor your sleep patterns.

 

But how accurate are they and are they good for you?

 

Sleep specialists at Rush University Lab in Chicago reported an increase in patients who were complaining about sleep disorders. However, it was observed that those who wore wearables that tracked their sleep started to develop an obsession over getting enough sleep.

 

As most people are aware, eight hours is what is commonly referred to as the “right amount of sleep.” And because of this, people who tracked that they were getting less than that started to develop anxiety over not getting enough sleep, and the strain resulted in disrupted sleep.

 

Furthermore, sleep trackers cannot differentiate between light and day and could be tracking the wearer as asleep when they are in fact just resting. Ultimately, it has been observed that sleep trackers aren’t always accurate.

 

Remember that sleep trackers like other activity trackers are wearable digital devices that measure, amongst other things, your arm movement with a detector called an accelerometer. So it is entirely possible that the sleep tracker is indicating you are asleep when you are in fact, not.

 

If you are struggling with a sleeping disorder such as insomnia, a sleep tracker will only tell you how much sleep you didn’t get and is not sensitive or sophisticated enough to diagnose the problem. Ultimately, it may keep people from seeking the medical attention they need to fully diagnose if they have a sleeping disorder that may be detrimental to their overall health.

 

Furthermore, those who are tracking that they are getting a full eight hours of sleep may be misled that they have no sleep disorder, when in fact, they do. Their tracker may indicate they slept for eight hours, but it will not always accurately track if they were restless or had brief moments of awakening.

 

The bottom line is that too many people may be relying too much on the numbers that their wearables are recording and not on the actual quality of their sleep. Are they waking up refreshed and feeling restored? Are they energised or did they wake up more tired than before they slept because their sleep was restless and disruptive?

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