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Towards Home Healthcare Informatics Towards Home Healthcare Informatics Presentation Transcript

  • IEEE 2nd International Conference on Human System Interaction University of Catania, Catania, Italy, May 21-23, 2009 Towards Home Healthcare Informatics Stefano BONACINA, Sara MARCEGLIA, Luca MAZZOLA and Francesco PINCIROLI e-Health Lab - www.sanitadigitale.polimi.it Dipartimento di Bioingegneria
  • Agenda 1. Authors and the Context 2. Healthcare Informatics as enabling factor 3. Focus of our research 4. The three tools  The FAMILY MEDICAL LEXICON  HMFD (Hystoria Medica Familia Digitalis)  Monitor System for Helping the Personal Management of Drugs 5. Conclusions S. BONACINA, S. MARCEGLIA, L. MAZZOLA and F. PINCIROLI
  • Authors ... • Stefano Bonacina (corresponding author)  deputy director at Laboratorio di Informatica BioMedica e Sanità Digitale - Dip. di Bioingegneria, Politecnico di Milano, Milan - Italy  lecturer of Medical Informatics • Sara Marceglia  researcher at Clinical Center for Neuronanotechnology and Neurostimulation - Fondazione IRCCS Ospedale Maggiore, Policlinico, Mangiagalli e Regina Elena, Milan - Italy  lecturer of Elements of Medical Informatics • Luca Mazzola (presenter)  researcher at USI-Com ITC & NewMinE – New Media in Education Lab, Università della Svizzera italiana, Lugano - Switzerland  lecturer of Elements of Medical Informatics • Francesco Pinciroli  director of the Laboratorio di Informatica BioMedica e Sanità Digitale - Dip. di Bioingegneria, Politecnico di Milano, Milan - Italy  full professor at Dip. di Bioingegneria, Politecnico di Milano, Italy S. BONACINA, S. MARCEGLIA, L. MAZZOLA and F. PINCIROLI
  • ...and the Context • The 'Laboratorio di Informatica BioMedica e Sanità Digitale - Dip. di Bioingegneria, Politecnico di Milano, Milan – Italy' is  Research laboratory to explore new approaches in biomedical and e-health fields  Didactic laboratory for students to develop: • Thesis • Activities inside curricular course • Projects and practical experiences • Our interest is devoted to support health related process with the help of ICT  At the central and peripheral healthcare point  In hospital  In the home environment → “Serving Patients by serving Doctors and Institutions” S. BONACINA, S. MARCEGLIA, L. MAZZOLA and F. PINCIROLI
  • Healthcare Informatics as enabling factor • ICT as supporting tool for healthcare:  From professional side  From patient side  From administrative side • Paradigms:  From technology-driven  To patient-oriented  To consumer-oriented  To family based  To vertical family based (multi-generational family) • Usability issues:  Search for a common language (as communication aspect)  Easy management of family medical history  Support during active home healthcare S. BONACINA, S. MARCEGLIA, L. MAZZOLA and F. PINCIROLI
  • Focus of our research by exploring the family health-related lexicon UNDERSTAND by monitoring some active phases of health care at home (drug ENABLE SUPPORT administration) by helping in tracking the family health status S. BONACINA, S. MARCEGLIA, L. MAZZOLA and F. PINCIROLI
  • The three tools • The three tools  The FAMILY MEDICAL LEXICON • UNDERSTAND • The common vocabulary as tool to enable the effective communication between actors in the health field  HFMD (Hystoria Medica Familiae Digitalis) • ENABLE • The history of the multi-generational family as one of the fundamental information to enable maintaining, enhancing and restoring the individual's health  A Monitor System for Helping the Personal Management of Drugs • SUPPORT • The scheduling, tracking and security verification for home medicaments assumption as one of the key factor to enhance the recovery of patient's healthy state S. BONACINA, S. MARCEGLIA, L. MAZZOLA and F. PINCIROLI
  • The FAMILY MEDICAL LEXICON (1/3) • The FAMILY MEDICAL LEXICON – Tool for screenshot the common dictionary: LEXICON CAMERA • Source • Real availability • Diffusion • Reliability • Possible sources (mayor issue) – TV serials (no textual transcript available) – Family medical encyclopaedias (no real feedback on learning) – General websites (reliability of information) • Use of medical supplement of some important newspapers • → Italian YAHOO!health web sites – Directed to common citizen – Responsibly signed → content quality guaranteed – Open-access modality → available S. BONACINA, S. MARCEGLIA, L. MAZZOLA and F. PINCIROLI
  • The FAMILY MEDICAL LEXICON (2/3) • Some numbers – Articles between September 2003 to March 2008 (batch) – More than 19,000 articles – More than 6.7 millions words taken into account • We developed some predefined stored procedures to – Extract single frequency – Restrict the time slice – Calculate the correlation of word with the yearly period – Retrieve the correlation between two different words Todo → Real testing phase with some experimental protocol S. BONACINA, S. MARCEGLIA, L. MAZZOLA and F. PINCIROLI
  • The FAMILY MEDICAL LEXICON (3/3) • Some conclusion: – A correlation between recent findings or events and words used to describe them (like chicken flue) – A switch from more general term to more specific one (like headache to cephalgia) – A seasonal trend for terms related to periodical illness (like flue) WORD # Occ #Art #Art | #Occ>4 Max_Occ Patient(s) 26,618 8397 2939 37 illness 9321 4089 720 41 therapy 6983 3374 496 15 care 4689 3388 109 14 cancer 3610 1543 317 13 tumor 5457 1934 560 18 pregnancy 2490 999 243 23 vaccine 1706 518 185 22 S. BONACINA, S. MARCEGLIA, L. MAZZOLA and F. PINCIROLI
  • HFMD (Hystoria Medica Familiae Digitalis) (1/2) A software tool to manage all the multi-generational family health- related clinical documents • Vertical Family as people: – Living together – Sharing the most part of the health history – With the same risk factors • One of the parent is the responsible for all the family medical data (→ has motivations and skills) – Need a good acknowledgement between members – Could provide a solution to digital-divide and low health-literacy • Flow: – Manager inserts all the family members, then inserts the actual health-related documents and associates it with labels – A validator remotely accept or reject the document with the labels attached – On request, print (screen or paper) and research are available S. BONACINA, S. MARCEGLIA, L. MAZZOLA and F. PINCIROLI
  • HFMD (Hystoria Medica Familiae Digitalis) (2/2) • Issues to take into account: – Validation of medical data → medical verification – Privacy and security issues – Central storing facilities and web access – User-friendly interface → usability – Interoperability/Independence of client part • Key points: – Low cost tool, but rarely implemented (poor quality, accuracy, consistency,... ) – Query could be done at family level → data mining about genetic susceptibility, environmental, cultural and behavioural impact See the presentation → http://www.youtube.com/user/EHealthLab S. BONACINA, S. MARCEGLIA, L. MAZZOLA and F. PINCIROLI
  • Monitor System for Helping the Personal Management of Drugs (1/3) General aim : a web-based software system for monitoring the entire process of drug therapy (from the acquisition to the administration) – Acquisition of drug information in the most automatic way possible, also by using barcode reader if available; – Connection to the central server of Healthcare Service provider (assessed available) to inquiry drugs databases and drug- drug interactions databases; – Connection to the central server of Healthcare Service provider (assessed available) to inquiry electronic medical dictionary also regarding pathological and physiological condition; – Automatic generation of a plan for drug administration; – Validating the plan avoiding probable Adverse Drug Events (ADEs) → securing the plan – Graphical representation of the generated plan for low- literacy patients → avoid misunderstanding – Checking drug administration “events” → diary, logs S. BONACINA, S. MARCEGLIA, L. MAZZOLA and F. PINCIROLI
  • Monitor System for Helping the Personal Management of Drugs (2/3) Drug Prescriber Prescription Carrier Knowledge Bus Patient Administrator Pharmacist Objects Actors Knowledge Drug Report of HMFD Report S. BONACINA, S. MARCEGLIA, L. MAZZOLA and F. PINCIROLI
  • Monitor System for Helping the Personal Management of Drugs (3/3) S. BONACINA, S. MARCEGLIA, L. MAZZOLA and F. PINCIROLI
  • Conclusions “Serving Patients by serving Doctors and Institutions” but also enabling patients to be active part in the healthcare process → home as the future environment/background for healthcare → ICT as supporting tool Providing tools to actors in healthcare process: Easily available (avoid digital-divide) User-friendly interfaces (→ understandable to common citizens) Remotely accessible Able to ensure the expected level of privacy and security Integrated in a meaningful and seamless way With a final objective: offer a better level of healthcare Both at family/individual than at global level S. BONACINA, S. MARCEGLIA, L. MAZZOLA and F. PINCIROLI
  • Questions Thanks for your attention luca.mazzola@lu.unisi.ch luca.mazzola@polimi.it Questions?