4. digitalization
process of converting information
into a digital (i.e. computer-
readable) format, in which the
information is organized into bits.
(called bit s) (usually in multiple-bit
groups called byte s) ...
The result is called digital
representation or more
specifically a digital image, for
the object, and digital form, for
the signal.
Digitizing information makes it
6. India has one allopathic Government doctor for every
10,200 people,
one government hospital bed for 2050 people and one
state-run medical centre for 90,343 persons.
67% of Indian population lives in rural areas yet they
are served only by 33% of the local doctors.
India has 81% deficit of medical specialists in rural
areas 63% of the hospital beds in India are from the
private sector.
Needfor Digitization ofIndianHealthcare?
7. India’s geriatric population is on the rise having
crossed 100 million in 2014 itself and is expected
to reach 168 million by 2024.
Non-communicable diseases account for most of
the health ailments in India, needing extra
intervention.
India spends the lowest- only 4.7% of its GDP on
healthcare.
Needfor Digitization ofIndianHealthcare?
8. Digitalization, as we call it today, is sweeping across
every aspect of our daily lives in all possible ways.
Right from gathering the news we find in the
newspapers every morning to the billing process at
our neighborhood grocery shop, it is digital
technology that is making tasks faster and more
accurate
9. Effect Of
Digitalization
Seen Today
You can book a travel ticket, do shopping,
chat with your loved ones across the
globe and even share your views to the
external world more freely and easily.
This is the result of digitalization
10. DNA of digitalization
06
Communication
Communicating via the exchange of information
online keeps patients connected to physicians
and ensure thorough comprehensive care
01
Device monitoring
Patients wear devices to track vitals, activity
and many other variables of doctors’ concerns.
02
Maintenancecycle prediction
implementing a system that monitors
device performance, maintenance issues
can be predicted and avoided ahead of
time
03
11. DNA of digitalization
reality
Augmented reality and patient portal
mobility contribute to genuine
conversations with physicians
04
Patient responsibility
Instant access to information has afforded
patients more responsibility for their own
health. Instead of waiting to see a
physician about a symptom, diagnosis or
treatment plan
05
Mobility
Integrating systems that permit check ins,
communication, data transfer and report shares from a
mobile device keeps patients happy as they can enjoy
their mobile lives ,
physicians can check in on their smart phone,
communicate with a patient or go over a result within
06
12. DIGITAL HEALTH
12
wireless LAN in
regards to remote
health
management
means digital
diagnoses can be
made. patients do
not have to visits to
doctors or
hospitals,particular
ly important and
beneficial to those
Remote health
management
enabling surgeons
to further improve
their capabilities
while also helping
medical students
to be better
prepared for
operations in real
life
Augmented reality
technology can make
high resolution 3D
images out of X-rays,
MRI scans and CT
scans, 3D VR
technology can be
useful in complicated
medical procedures
where meticulous
planning is vital,
separating conjoined
twins.
Virtual reality
13. DIGITAL HEALTH
13
health sensors,
trackers and
wearables are proving
crucial to help people
use technology to
better take care of
themselves.
Wearables can help
with weight
management, stress
levels and overall
Sensors, trackers
and wearable's
portable device
used by doctors
that could scan a
patient and
determine vital
signs as well as
other parameters
and even deliver a
diagnosis
smart phones
already capable of
The medical
tricorder
Medical 3D printing
printable living
cells even being
worked on by the
biotechnology
industry and 3D
printed drugs is
something that is
also being looked
at as a possibility
18. DIGITAL USE IN OBGYAT PRESENT
18
Fetal monitor fetal cardiac
monitor
Usg with 3d Infertility Wireless fetal
surviellence
Weuse this now withoutnoticing it’s atype of
digitalizationAndadvancesof technology
33. Conversion of data into a digital format with the adoption of technology to
asses the situation by nonhuman means
This provides convenience to customers and helps in saving time
37. This process captures clinical expertise in a
form which can be directly applied by one
agent (such as a computer) on behalf of
another (such as an expert clinician or an
authoritative organisation.
Triggers : The clinical situation
Problem solving : Identify possible
solutions
Argumentation : Assess strengths &
weaknesses of alternative
solutions
Accept / adopt : Accept suggestions
Scheduling : Enact the plan
Data Acquisition : interpretation of clinical
data. For future use
38. History facts
Age Years
Existing health conditions weight
Blood pressure
HB RBC vol MCV
Past pregnancy previous LSCS
multiple gestation
Gestational diabetes
Preeclampsia/Eclampsia
preterm labor
birth defects
Medical conditions hypertension
cardiac disease
thyroid
autoimmune
kidney disease
Infertility conception yes / no
IVF
Morbid placental
adhesions
yes
Screen
for
41. Virtual
Intuitive
DYnamic
Assessment tool
CRL Date CRL in mm
12-Mar-19 40
11-13 Weeks CL CL in mm
4-Apr-19 50
20 Weeks CL CL in mm
30-May-19 42
Calculate
DCA tool : Dynamic Cervical Length Assessment tool
Possibility of delivery by 34
weeks ( in % )
60
0
10
20
30
40
50
60
70
80
90
100
42. Virtual
Intuitive
DYnamic
Assessment tool
Case 1: Primi , low risk,
CL at NT- 42 mm, CL at18th wk-31mm
CRL Date CRL in mm
12-Mar-19
11-13 Weeks CL CL in mm
4-Apr-19 42
20 Weeks CL CL in mm
30-May-19 31
Calculate
DCA tool : Dynamic Cervical Length Assessment tool
Possibility of delivery by 34
weeks ( in % )
84
75
80
85
90
95
100
43. History facts
Age Years
Existing health conditions weight
Blood pressure
HB RBC vol MCV
Past pregnancy previous LSCS
multiple gestation
Gestational diabetes
Preeclampsia/Eclampsia
preterm labor
birth defects
Medical conditions hypertension
cardiac disease
thyroid
autoimmune
kidney disease
Infertility conception yes / no
IVF
Screen for
Teenage /
elderly
Pre-eclampsia
Menzer index < 13
Screen for
Thalassemia
Morbid
placental
adhesions
GDM
Serial cervical
assessment
Medical
consultation
Special needs
44. History facts
Age Years
Existing health conditions weight
Blood pressure
HB RBC vol MCV
Past pregnancy previous LSCS
multiple gestation
Gestational diabetes
Preeclampsia/Eclampsia
preterm labor
birth defects
Medical conditions hypertension
cardiac disease
thyroid
autoimmune
kidney disease
Infertility conception yes / no
IVF
Screen for
Menzer index < 13
Screen for
Thalassemia
9 645.6
45. Virtual
Intuitive
DYnamic
Assessment tool
Screening
for
Thalassemi
a
• Obtain family history / consanguity
• Look at partner’s CBC
• Order HB electrophoresis for both
• If parents are carriers , they will need prenatal
diagnosis to rule out THAL MAJOR
• Refer to Fetal Medicine center for evaluation/ invasive
tests
I declare here
Having no intention of promoting any product company or person
Good afternoon
Its post lunch session
Hyperglycemic status
But I am sure
You all will awake with the video in next slide
Which I think
Till date Most discussed Announcement @ digitalization
Till date this is Most discussed Announcement @ digitalization
We all seeing the effect of this in our day to day activities
What is digitalization?
process of converting information into a digital (i.e. computer-readable) format, in which the information is organized into bits. (called bit s) (usually in multiple-bit groups called byte s) ...
The result is called digital representation or more specifically a digital image, for the object, and digital form, for the signal.
Digitizing information makes it easier to preserve, access, and share.
Digitization is the conversion of data into a digital format with the adoption of technology
This provides convenience to customers and helps in saving time.
Need for Digitization of Indian Healthcare?
India has one allopathic Government doctor for every 10,200 people,
one government hospital bed for 2050 people and one state-run medical centre for 90,343 persons.
67% of Indian population lives in rural areas yet they are served only by 33% of the local doctors.
India has 81% deficit of medical specialists in rural areas 63% of the hospital beds in India are from the private sector.
India’s geriatric population is on the rise having crossed 100 million in 2014 itself and is expected to reach 168 million by 2024.
Non-communicable diseases account for most of the health ailments in India, needing extra intervention.
India spends the lowest- only 4.7% of its GDP on healthcare.
Need for Digitization of Indian Healthcare?
India has one allopathic Government doctor for every 10,200 people,
one government hospital bed for 2050 people and one state-run medical centre for 90,343 persons.
67% of Indian population lives in rural areas yet they are served only by 33% of the local doctors.
India has 81% deficit of medical specialists in rural areas 63% of the hospital beds in India are from the private sector.
India’s geriatric population is on the rise having crossed 100 million in 2014 itself and is expected to reach 168 million by 2024.
Non-communicable diseases account for most of the health ailments in India, needing extra intervention.
India spends the lowest- only 4.7% of its GDP on healthcare.
Digitalization, as we call it today, is sweeping across every aspect of our daily lives in all possible ways. Right from gathering the news we find in the newspapers every morning to the billing process at our neighborhood grocery shop, it is digital technology that is making tasks faster and more accurate
Effect Of
Digitalization
Seen Today
You can book a travel ticket, do shopping, chat with your loved ones across the globe and even share your views to the external world more freely and easily. This is the result of digitalization
DNA of digitalization Communication Device monitoring Maintance cycle prediction
Reality Patient responsibility mobility
DNA of digitalization Communication Device monitoring Maintance cycle prediction
Reality Patient responsibility mobility
These are various things or factors which are now imporatnt in digital health propagation
Remote health management
Augmented realityVirtual reality
Sensors, trackers and wearable's
The medical tricorder
Medical 3D printing
These are various things or factors which are now imporatnt in digital health propagation
Remote health management
Augmented realityVirtual reality
Sensors, trackers and wearable's
The medical tricorder
Medical 3D printing
We already digitalized obgy practice without noticing it
Computers camera internet
changed
Medical practice
This pic taken 2 days back
Patient not educated from banjara family
Came with proof of upt
This is digitalization
These are few examples
Where digital use started
And we accepted it
And now it’s a day to day factor in our practice
Fetal doppler poratble device
Fetal cardiac monitoring nst
3d usg
Infertility management by app
Wireless fetal surviellence
We use this now without noticing it’s a type of digitalization And advances of technology
We saw the era of books all over the place in room
But now all obgy books are in pocket
Obgy resident can do ppt thesis read
Anywhere
This is effect of digitalization on obgy education
Partogram in labour room give you proper guidance about action to be taken
Can this possible remotely without seeing patient
Yes
Here is an app
Where you can register pt.
Findings enterd by sister or housmen
Will be on the app
You can see this digital partogram
Offcousre this is good for high load labour rooms
As technology is changing
Newer advances are emerging
Evolution of Endoscopic surgery is tremandous
Keeping records of laproscopic surgery cahnded with digital technology
Writing notes digram on ipd paer
Then came video cassetes
Now various softwares grabber cards available
Off course very costly
Here I give a tip
You can use good hd dvr with 1 tb hard disc in less than 10k rs
We all know imporatnce of notes on the paper
You can digitalize all your notes immediately at the time of writing on paper
You need this digital pen
Which transmits via blue tooth in your mobile or computer in jpg format
But the best way of preserving and digitalizing notes
Is
Use a good scanner
Make a pdf file by name of patient
Stor eir on hard disc and google drive
You might be having all gazettes in labor room
Postoperative area
But a simple ip camera can keep watch on patient
You can monitor patient from your mobile from anywhere
In screening of cervical malignancy colposopy plays imp.role
But there are some products they can do it without colposcope with equal sensitivity
Ultrasound most important tool in obgy
How many of you know about ghost image of machine ?
Now people are asking
Do you have swipe machine ?
In small hospital
You can keep Qr code of your hospial account in many app
But the best and secure is
Unified payments interface
Now people are asking
Do you have swipe machine ?
In small hospital
You can keep Qr code of your hospial account in many app
But the best and secure is
Unified payments interface
There are many softwares available in form of
HMS
Again comes cost factor and entry of data
But once you accostmed with it , your billing ipd data discharge willb be on one click from your bedroom
With lan ports and printer at reception area
I suggest only two programe
Word and excel
If you keep discharge format in word format
Withou sotware you can give dischrge card
Bill to patient
In EXCEL ipd data can be saved in single file
Now a days apps are available for patient education
Digital conferences are allready there
In form of webinars
Now something about artificial intelligence and its use in obgy
Digitization is the conversion of data into a digital format with the adoption of technology to asses the situation by nonhuman means
This provides convenience to customers and helps in saving time
In cervical cancer screening
AI is used to remove normal pap smears by compters
In israel use of mobile camera light and ai on app is used to detect cx cancer
Here is another use in ivf area
For predicting the chance of a viable preganacy
Human brain can register event
Can retain in memmory for some time and recall
But this is different for each person
But not with computers
It canregister retain recall after many years with same presicion
This process captures clinical expertise in a form which can be directly applied by one agent (such as a computer) on behalf of another (such as an expert clinician or an authoritative organisation.
This is a prototype. The tiles can be added depending upon what the clinicians need. This will evolve as people start contributing to it.
This is a prototype. The tiles can be added depending upon what the clinicians need. This will evolve as people start contributing to it.