Social Media took over our lives in most different aspects. Even health care providers are becoming more aware of how the digital world and services, i.e. Apps, social Networks,... can be of benefit for them and for their visitors and patients.
With exponential innovation in digital medicine and mobile health, what is utterly lacking is evidence generation and implementation science to help transform health systems into learning healthcare systems. This talk was given at Connected Health Conference, Dec 2016 as part of NODE Health Initiative.
Healthcare in Digital Age
by Assit. Prof. Polawat Witoolkollachit,MD
Present for the 3rd Samitivej Sriracha Medical Symposium 2018 "CQI & Innovation in Healthcare 4.0"
The India Digital Health Report 2017 captures the online footprint of 160 organizations across 12 platforms in healthcare space providing a road map for digital evolvement in the sector. The India Digital Health Report 2017 incorporates regional healthcare industry snapshots as well as
the market’s current digital stature, combining it with research data, to provide a reliable diagnosis of
the digital health of healthcare companies operating across three key markets of India, Singapore, and Dubai.
Aguai Solutions brings deep expertise in Digital Healthcare leveraging technologies across Web, Cloud, Mobile and AI.
Patients are increasingly searching for good care givers, care centers. Need for Healthcare Ecosystem to go Digital is even greater today than ever before
AXA Europe- Unlocking value from digital healthLevi Shapiro
Unlocking value from digital health, presentation for mHealth Israel, May 19th, 2021, by Somesh Chandra – Chief Health Officer, European Markets, AXA Group. Health expenditure has outpaced economic growth, raising sustainability concerns. Barriers to access persist, particularly amongst the less well-off. Digital health services expected to grow at 21.8% CAGR from 2020-2030, adoption accelerated due to COVID-19 pandemic. 90% of the world's data has been created in the past 2 years. AXA-Microsoft Partnership – Launch of the Digital Healthcare Platform. AXA’s ambition is to be at the heart of the Health Ecosystem to meet customer demands in this new normal world. This Digital Health Orchestration requires close collaboration with all players (services providers, insurers,
companies, regulators etc.) of the health industry. AXA Italy Case Study – An integrated, outcome based and personalized journey focussed on solving customer’s health problems. Portal is already live! Solution is live & supporting customers to solve
their health needs in Italy & Germany.
An Data Center Solution Architecture Architecture For Advanced Healthcare Mon...ijceronline
Electronic Health Record (EHR) is a digital record shared across different healthcare settings, by network-connected enterprise-wide information systems called EHR systems. Cloud computing paradigm is one of the popular Health Information Technology infrastructures for facilitating Electronic Health Record (EHR) sharing and EHR integration. Healthcare clouds offer new possibilities, such as easy and ubiquitous access to medical data, and opportunities for new business models. However, they also bear new risks and raise challenges with respect to security and privacy aspects. The global economic crisis has affected the health sector. The costs of healthcare services rise and healthcare professionals are becoming scarce and hard to find, it is imminent that healthcare organizations consider adopting health information technology (HIT) systems. Healthcare professionals must have all the information they require to make prompt patient-care decisions. The growing of mobility connections, people can access all the resources hosted in the cloud any time using any device. The adoption of Cloud Computing in healthcare system for delivering health information and services, driven by the fact that healthcare services in Jordan are almost provided manually from tools to technologies, the growth of inhabitants and refugees crisis, healthcare stakeholders ICT consciousness, and the technical challenges and delays faces the implementation e-Healthcare system. The different problems concerning the managerial, administrative and management aspects, to the concern of physician or researcher, that necessities the infrastructure to process, store, manage patient data, analysis, diagnosis, and so on. Cloud computing is a significant alternative to solve many of these problems providing several advantages in terms of resource management and computational capabilities. In this paper we propose a national cloud computing data centers architecture solution to host healthcare system services computing resources components, proposing building a national e-health cloud environment to overcome many of the challenges confronting the success of Hakeem the core of the National e-Health System (NHS) for the provision of e-Health as a Service.
Improving Efficiency and Outcomes in Healthcare using Internet of ThingsCitiusTech
With the adoption of cloud and big data technologies, healthcare organizations are in a position to begin experimenting with IoT. Ranging from home care to smart facilities, there are many ways in which provider organizations can benefit by using IoT in their patient care workflows. E.g., a mobile app with patient geo-fencing capabilities can help optimize physician rounds by dynamically routing the physician to the nearest patient
Payers can leverage insights generated by IoT infrastructure to improve population health, increase patient awareness and reduce healthcare costs. Payers can also design more effective reward and retention programs using IoT generated data.
As IoT is evolving, adoption is slow but steady, and investments are being made by both startups and industry leaders. Healthcare is among the top 5 industries investing in IoT.
This document discusses how IoT can be leveraged to drive efficiency in healthcare workflows and enhance clinical outcomes.
Digitalisation Of Healthcare - Towards A Better Future - Free Download E bookkevin brown
Digital health has been around for quite some
time. Advancements in technology, rising
demand for better care, and governments' focus
on improved health economy have contributed
to the digital transformation in the healthcare
sector. Healthcare providers and professionals
are continuously challenged to come up with
innovative and cost-effective ways of providing
effective care and better patient outcomes.
In the past few years, digital technologies
have changed the healthcare landscape into
becoming more patient-centric, with care givers
focusing on engaging patients and improving
their experiences.
According a Deloitte report, global healthcare
spending is estimated to cross US$10 trillion by
2022. As the global healthcare market embraces
digitalisation, innovation has a major role to
play. Healthcare companies have been investing
heavily in digital technologies to drive innovation
and value-based care, while making care giving
more accessible and efficient. Digitalisation results
in better usage of patient data by care givers
enabling them to offer personalised healthcare
to the patients.
Healthcare Digital Transformation - A primer for healthcare executives and te...Damo Consulting Inc.
The future of healthcare is in digitally reimagined experiences for patients and caregivers alike. Digitalization offers increased choice and convenience for patients, and improved outcomes for caregivers while reducing costs and workloads.
Social Media took over our lives in most different aspects. Even health care providers are becoming more aware of how the digital world and services, i.e. Apps, social Networks,... can be of benefit for them and for their visitors and patients.
With exponential innovation in digital medicine and mobile health, what is utterly lacking is evidence generation and implementation science to help transform health systems into learning healthcare systems. This talk was given at Connected Health Conference, Dec 2016 as part of NODE Health Initiative.
Healthcare in Digital Age
by Assit. Prof. Polawat Witoolkollachit,MD
Present for the 3rd Samitivej Sriracha Medical Symposium 2018 "CQI & Innovation in Healthcare 4.0"
The India Digital Health Report 2017 captures the online footprint of 160 organizations across 12 platforms in healthcare space providing a road map for digital evolvement in the sector. The India Digital Health Report 2017 incorporates regional healthcare industry snapshots as well as
the market’s current digital stature, combining it with research data, to provide a reliable diagnosis of
the digital health of healthcare companies operating across three key markets of India, Singapore, and Dubai.
Aguai Solutions brings deep expertise in Digital Healthcare leveraging technologies across Web, Cloud, Mobile and AI.
Patients are increasingly searching for good care givers, care centers. Need for Healthcare Ecosystem to go Digital is even greater today than ever before
AXA Europe- Unlocking value from digital healthLevi Shapiro
Unlocking value from digital health, presentation for mHealth Israel, May 19th, 2021, by Somesh Chandra – Chief Health Officer, European Markets, AXA Group. Health expenditure has outpaced economic growth, raising sustainability concerns. Barriers to access persist, particularly amongst the less well-off. Digital health services expected to grow at 21.8% CAGR from 2020-2030, adoption accelerated due to COVID-19 pandemic. 90% of the world's data has been created in the past 2 years. AXA-Microsoft Partnership – Launch of the Digital Healthcare Platform. AXA’s ambition is to be at the heart of the Health Ecosystem to meet customer demands in this new normal world. This Digital Health Orchestration requires close collaboration with all players (services providers, insurers,
companies, regulators etc.) of the health industry. AXA Italy Case Study – An integrated, outcome based and personalized journey focussed on solving customer’s health problems. Portal is already live! Solution is live & supporting customers to solve
their health needs in Italy & Germany.
An Data Center Solution Architecture Architecture For Advanced Healthcare Mon...ijceronline
Electronic Health Record (EHR) is a digital record shared across different healthcare settings, by network-connected enterprise-wide information systems called EHR systems. Cloud computing paradigm is one of the popular Health Information Technology infrastructures for facilitating Electronic Health Record (EHR) sharing and EHR integration. Healthcare clouds offer new possibilities, such as easy and ubiquitous access to medical data, and opportunities for new business models. However, they also bear new risks and raise challenges with respect to security and privacy aspects. The global economic crisis has affected the health sector. The costs of healthcare services rise and healthcare professionals are becoming scarce and hard to find, it is imminent that healthcare organizations consider adopting health information technology (HIT) systems. Healthcare professionals must have all the information they require to make prompt patient-care decisions. The growing of mobility connections, people can access all the resources hosted in the cloud any time using any device. The adoption of Cloud Computing in healthcare system for delivering health information and services, driven by the fact that healthcare services in Jordan are almost provided manually from tools to technologies, the growth of inhabitants and refugees crisis, healthcare stakeholders ICT consciousness, and the technical challenges and delays faces the implementation e-Healthcare system. The different problems concerning the managerial, administrative and management aspects, to the concern of physician or researcher, that necessities the infrastructure to process, store, manage patient data, analysis, diagnosis, and so on. Cloud computing is a significant alternative to solve many of these problems providing several advantages in terms of resource management and computational capabilities. In this paper we propose a national cloud computing data centers architecture solution to host healthcare system services computing resources components, proposing building a national e-health cloud environment to overcome many of the challenges confronting the success of Hakeem the core of the National e-Health System (NHS) for the provision of e-Health as a Service.
Improving Efficiency and Outcomes in Healthcare using Internet of ThingsCitiusTech
With the adoption of cloud and big data technologies, healthcare organizations are in a position to begin experimenting with IoT. Ranging from home care to smart facilities, there are many ways in which provider organizations can benefit by using IoT in their patient care workflows. E.g., a mobile app with patient geo-fencing capabilities can help optimize physician rounds by dynamically routing the physician to the nearest patient
Payers can leverage insights generated by IoT infrastructure to improve population health, increase patient awareness and reduce healthcare costs. Payers can also design more effective reward and retention programs using IoT generated data.
As IoT is evolving, adoption is slow but steady, and investments are being made by both startups and industry leaders. Healthcare is among the top 5 industries investing in IoT.
This document discusses how IoT can be leveraged to drive efficiency in healthcare workflows and enhance clinical outcomes.
Digitalisation Of Healthcare - Towards A Better Future - Free Download E bookkevin brown
Digital health has been around for quite some
time. Advancements in technology, rising
demand for better care, and governments' focus
on improved health economy have contributed
to the digital transformation in the healthcare
sector. Healthcare providers and professionals
are continuously challenged to come up with
innovative and cost-effective ways of providing
effective care and better patient outcomes.
In the past few years, digital technologies
have changed the healthcare landscape into
becoming more patient-centric, with care givers
focusing on engaging patients and improving
their experiences.
According a Deloitte report, global healthcare
spending is estimated to cross US$10 trillion by
2022. As the global healthcare market embraces
digitalisation, innovation has a major role to
play. Healthcare companies have been investing
heavily in digital technologies to drive innovation
and value-based care, while making care giving
more accessible and efficient. Digitalisation results
in better usage of patient data by care givers
enabling them to offer personalised healthcare
to the patients.
Healthcare Digital Transformation - A primer for healthcare executives and te...Damo Consulting Inc.
The future of healthcare is in digitally reimagined experiences for patients and caregivers alike. Digitalization offers increased choice and convenience for patients, and improved outcomes for caregivers while reducing costs and workloads.
The National Digital Health Mission is a government initiative in India aimed at transforming the country's healthcare system through the use of digital technology. It seeks to establish a secure and interoperable health data ecosystem, provide individuals with digital health IDs, and improve access to quality healthcare services for all citizens. Given is the detailed presentation on the topic as the awareness related to this is required for the better outcome.
Health IT actions in japansese public sector 2013-2017Yasuji Suda
summary of 5 years healthcare it related programs in Japanese public sector using text analysis to visualize relation among reports describing healthcare IT.
The National Health Policy 2017 envisages creation of a digital health technology eco-system aiming at developing an integrated health information system that serves the needs of all stakeholders and improves efficiency, transparency and citizens’ experience with linkage across public and private healthcare.
The need for a future-ready digital health system has become even more urgent with the announcement of Ayushman Bharat, Hon’ble Prime Minister’s flagship program, that would herald a system level transformation of nation’s health system. This historic initiative is designed with a powerful yet simple objective in mind: to scale up a wellness-oriented rather than illness-focused approach and to ensure cost-effective healthcare without financial hardship for all.
Ayushman Bharat comprises twin missions:
i. Operationalizing 1.5 lac health and wellness centers offering
preventive and primary care, on the supply side;
ii. Financial protection of up to 5 lacs per year per family for the
deprived 10 crores plus households towards secondary and
tertiary care, on the demand side.
The National Health Stack will facilitate collection of comprehensive healthcare data across the country. Designed to leverage India Stack, subsequent data analysis on NHS will not only allow policy makers to experiment with policies, detect fraud in health insurance, measure outcomes and move towards smart policy making, it will also engage market players (NGOs, researchers, watchdog organizations) to innovate and build relevant services on top of the platform and fill the gaps.
The design is geared to generate vast amounts of data resulting in some of the largest health databases with secured aggregated data that will put India at the forefront of medical research in the world.
Improving Care Coordination with Big Data, Analytics and Technology - Paul Co...Paul Brian Contino
Medical Informatics Update: Analytics and Tools for Care Coordination
IBM Thomas J Watson Research Center
October 16th, 2013
The 2013 edition of the Medical Informatics Update is a joint effort between IBM Research and the Columbia University Center for Advanced Information Management. The general chairs for this workshop are Dr. Shahram Ebadollahi and Dr. Georges Hripcsak.
KEY Points of Leicester travel clinic In London doc.docxNX Healthcare
In order to protect visitors' safety and wellbeing, Travel Clinic Leicester offers a wide range of travel-related health treatments, including individualized counseling and vaccines. Our team of medical experts specializes in getting people ready for international travel, with a particular emphasis on vaccines and health consultations to prevent travel-related illnesses. We provide a range of travel-related services, such as health concerns unique to a trip, prevention of malaria, and travel-related medical supplies. Our clinic is dedicated to providing top-notch care, keeping abreast of the most recent recommendations for vaccinations and travel health precautions. The goal of Travel Clinic Leicester is to keep you safe and well-rested no matter what kind of travel you choose—business, pleasure, or adventure.
INFECTION OF THE BRAIN -ENCEPHALITIS ( PPT)blessyjannu21
Neurological system includes brain and spinal cord. It plays an important role in functioning of our body. Encephalitis is the inflammation of the brain. Causes include viral infections, infections from insect bites or an autoimmune reaction that affects the brain. It can be life-threatening or cause long-term complications. Treatment varies, but most people require hospitalization so they can receive intensive treatment, including life support.
Rate Controlled Drug Delivery Systems, Activation Modulated Drug Delivery Systems, Mechanically activated, pH activated, Enzyme activated, Osmotic activated Drug Delivery Systems, Feedback regulated Drug Delivery Systems systems are discussed here.
About this webinar: This talk will introduce what cancer rehabilitation is, where it fits into the cancer trajectory, and who can benefit from it. In addition, the current landscape of cancer rehabilitation in Canada will be discussed and the need for advocacy to increase access to this essential component of cancer care.
Dr. David Greene R3 stem cell Breakthroughs: Stem Cell Therapy in CardiologyR3 Stem Cell
Dr. David Greene, founder and CEO of R3 Stem Cell, is at the forefront of groundbreaking research in the field of cardiology, focusing on the transformative potential of stem cell therapy. His latest work emphasizes innovative approaches to treating heart disease, aiming to repair damaged heart tissue and improve heart function through the use of advanced stem cell techniques. This research promises not only to enhance the quality of life for patients with chronic heart conditions but also to pave the way for new, more effective treatments. Dr. Greene's work is notable for its focus on safety, efficacy, and the potential to significantly reduce the need for invasive surgeries and long-term medication, positioning stem cell therapy as a key player in the future of cardiac care.
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
PET CT beginners Guide covers some of the underrepresented topics in PET CTMiadAlsulami
This lecture briefly covers some of the underrepresented topics in Molecular imaging with cases , such as:
- Primary pleural tumors and pleural metastases.
- Distinguishing between MPM and Talc Pleurodesis.
- Urological tumors.
- The role of FDG PET in NET.
ALKAMAGIC PLAN 1350.pdf plan based of door to door delivery of alkaline water...rowala30
Alka magic plan 1350 -we deliver alkaline water at your door step and you can make handsome money by referral programme
we also help and provide systematic guideline to setup 1000 lph alkaline water plant
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...The Lifesciences Magazine
Deep Leg Vein Thrombosis occurs when a blood clot forms in one or more of the deep veins in the legs. These clots can impede blood flow, leading to severe complications.
We are one of the top Massage Spa Ajman Our highly skilled, experienced, and certified massage therapists from different corners of the world are committed to serving you with a soothing and relaxing experience. Luxuriate yourself at our spas in Sharjah and Ajman, which are indeed enriched with an ambiance of relaxation and tranquility. We could confidently claim that we are one of the most affordable Spa Ajman and Sharjah as well, where you can book the massage session of your choice for just 99 AED at any time as we are open 24 hours a day, 7 days a week.
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Stem Cell Solutions: Dr. David Greene's Path to Non-Surgical Cardiac CareDr. David Greene Arizona
Explore the groundbreaking work of Dr. David Greene, a pioneer in regenerative medicine, who is revolutionizing the field of cardiology through stem cell therapy in Arizona. This ppt delves into how Dr. Greene's innovative approach is providing non-surgical, effective treatments for heart disease, using the body's own cells to repair heart damage and improve patient outcomes. Learn about the science behind stem cell therapy, its benefits over traditional cardiac surgeries, and the promising future it holds for modern medicine. Join us as we uncover how Dr. Greene's commitment to stem cell research and therapy is setting new standards in healthcare and offering new hope to cardiac patients.
This document is designed as an introductory to medical students,nursing students,midwives or other healthcare trainees to improve their understanding about how health system in Sri Lanka cares children health.
2. About ACCESS Health International
2
We have 8 Country offices across the
globe.
ACCESS Health International is
a think tank and advisory
group. We believe all people
have right to access high
quality, affordable healthcare
Healthcare
Delivery,
Performan
ce, Quality
Health
Finance,
Health
Policy,
Research
ACCESS
Health
Digital for
Universal
Health
Coverage Health
Insurance,
States,
Capacity
Building
Research
Advocacy
Advisory
3. About ACCESS Health Digital
3
DEPARTMENT
OF DIGITAL
HEALTH
SOCIAL ENTRE
PREURSHIP
ACCELERATO
R
DIGITAL
HEALTH
CENTRE OF
EXCELLENCE
Research
Advocacy
Advisory
ACCESS Health Digital works as a
strategist for all digital health initiatives of
Access Health in India.
The key focus is to support and build a
harmonized digital health ecosystem to
achieve Universal Health Coverage in India by
highlighting new ways for healthcare systems
to leverage technological advancements to
transform into digitally driven systems.
4. Access Health Digital-Helping Indian Healthcare leapfrog
Dr. Pankaj Gupta
Head – ACCESS Health Digital
digital.health@accessh.org
5. 6 PILLARS OF DIGITAL HEALTH
Setting
Interoperability
standards and
Health Data
Dictionary (HDD)
Building a
Strategy for
‘Healthcare
Delivery’
Information
Systems
(HDIS)
Designing a
‘Health Insurance
Information
Platform’
(HIIP)
for India
Moving toward
’Electronic Health
Record’ (EHR)and
‘Health
Information
Exchange’ (HIE)
Choosing a
GOVERN-ANCE
entity to oversee
the
‘Big Picture’
Facilitating the
creation of the
Health Information
Infrastructure
DIGITAL HEALTH
CAPACITY BUILDING
ACCESS Health [Prof Dennis Straveler and Dr Pankaj Gupta] first wrote the concept of 6 Pillars in NITI Aayog Theme papers,
Health System for a NEW India: Building Blocks, Delhi, India, 2019.
7. Modi Govt puts
eHealth in
Manifesto
NIN, Facility
registry
Over the past few years, in addition to analyzing global best practices, conducting landscape assessments,
considerable consultations were conducted with relevant stakeholders at the center / state, academia, private sector.
Digital Health | India’s Policy Journey So Far..
2008 2011 2013
2017
2018
2019
Government
of India’s
National
Knowledge
Commission
Mission Mode
Project on Health,
National e-
Governance Plan and
‘Public Health IT
Study Report’ by
NHSRC
EHR and
MDDS draft
standards
India’s National
Health Policy
Release of
National Health
Stack (NHS) by
NITI Aayog
(Also, MoHFW initiated
process to setup NDHM
as a statutory body)
Launch of the NDHB by
Health Minister
(post incorporation of feedback
received from the public)
Based on IndEA Architecture of
Digital India
2015
Concept Note on National
eHealth Authority
Multiple consultations on Digital Health architecture by development partners along with Ministry
of Health and Family Welfare (MoHFW)
Ayushman Bharat
(PM Mission Mode
Project)
MDDS
Notification
7
National Rural
Health Mission and
Vertical Programs
write their own IT
Systems in Silos
9. Book by NITI Aayog | Health Systems For New India: Building
Blocks
E-OBJECTS BASED ON FHIR RESOURCES FOR DATA POINT LEVEL
INTEROPERABILITY: PROVIDER TO PAYER AND PROVIDER TO PROVIDER
OPD
eObjects
E-Prescription
E-Referral
IPD
eObjects
E-Preauth
Request
E-Claim
E-Discharge
Summary
Provider
Payment
E-Provider
payment
E-Payment
Remittance
Advice
ACCESS Health [Prof Dennis Streveler and Dr Pankaj Gupta] first wrote the concept of eObjects in NITI Aayog Theme papers, Health System for a NEW India: Building Blocks, Delhi, India, 2019.
CHAPTER 5 - Reimagining India’s Digital Health
Landscape: “Wiring” the Indian Health Sector
*Released Nov 2019
10. What are e-objects
Address
To and From
Patient Demographics
Encounter Details
Diagnosis Details
Clinical Orders
NDHB and
MDDS
Compliant
E-object is like an
Envelope with machine
readable letter inside it
Standard Format
standard value sets
machine-readable
Interoperable
Header
Segments –
Standard and Custom
MDDS based metadata
Header will contain Unique
identification of all the
parties involved in the
transaction or episode
Segments will be specific
to the e-object type and
will group various
informative data elements
together. Eg: Facility
Details or Patient
Demographics etc
All the data elements and
code directories or value
sets used in e-objects will
be taken from MDDS
standard.
JSON
based
Object
FHIR R4 –
messaging
standard
What are e-objects?
11. Provider E-Objects
Header (Information about facility,
provider and beneficiary/patient
Clinical Brief(Active Allergies,
Active complaints, comorbidities,
Active Diagnosis),
Prescriptions (Ordered Rx, Labs
with result, Procedures)
Doctor’s Advice for
admission/follow up
• E-ENCOUNTER NOTE
• E-PRESCRIPTION
• E-REFERRAL
• E-DISCHARGE
14. How does the proposed EHR work?
Registry,
Health ID and
Consent from
user
PHR
(real-time data aggregation)
Hospital
Diagnost
ic lab
Clinic
Health
Data
Access
Fiduciaries
(HDAF)
Health Data stays with providers (or TSPs) and is
pulled together on demand with consent into a
longitudinal record
• Providers integrate with
HDAFs using std Open APIs
• Documents use embedded
schemas - Initially we expect
items already digitized and
currently given to patients
• Diagnostic reports, Discharge
summaries. Over time -
prescriptions, primary care
encounters will come in
15. Key Challenge | Inability to drive data backed Governance to
improve health outcomes centrally or at the state level
Block
Facility
MCTS –
Reprod.
& Child
Health
System at
National
Level
NACO
National
Disease
Program
Hospital
Informatio
n
Systems,
EMR
State
Health
Programs
e.g. EMRI,
eMamta,
HMIS,
DHIS
Directorates
Center Ministry
District Admin
State HQ
IDSP
National
Disease
Program
Malaria
National
Disease
Program
RNTCP
National
Disease
Program
Web portal
–
Reprod.
& Child
Health
System at
National
Level
Private
Sector
o Local Identifiers: Lack of Global Unique identifiers for person,
provider, facility and health workers
o Standards lacking:
o Architecture, I/O
o Data and interoperability standards
o Semantic mismatch of concepts: Lack common meaning of
data across systems
Inability to drive data
backed health resource
planning
Silo’ed set of health systems and applications
Reduce disease burden
and provide coverage
15
16. Overview of Registries| State Govts. – May either retain placeholders
in your applications or start using relevant local IDs
Registry
• Definition in simple words
• A digital Register which stores information of
an entity to identify it uniquely.
• The information/parameters stored in a registry
remains constant throughout and serve as
“Single source of Truth”.
Unique Identifier
Facility
Provider
Personal Health
Identifier (PHI)
Health
Worker
• As per NDHB, every healthcare
stakeholder/ entity will be identified
uniquely
• Govt. will develop and implement these
registries and every stakeholder should
connect to these for an integrated and
interoperable healthcare ecosystems
Minimum National Identifiers
Objective of UHC and continuity of care based on HIE model ,the focus of any national digital strategy has
been to setup unique healthcare identification services with below minimum national identifiers
17. Proposed Health Information Network
Facility1 Facility2 Facility3 Facility1 Facility2 Facility3
Block
1
Block 2
Nutrition
National
Reproductive
& Child
Health Portal
National
Disease
Programs
e.g. Malaria,
IDSP, NACO
Hospital
Information
Systems,
EMR
State Health
Programs
e.g. EMRI,
eMamta,
HMIS, DHIS
Birth,
Deaths
Private
Sector
HDD (Co-Directory
lookups)
Registry
Lookup
MDDS ~ concept
translation layer
Terminology
lookups
eObject
Modellers
FHIR
APIs
State Health Information Exchange
Data Lake
Disease
Registry
State
Registry
Indicator
Registry
Payment
Registry
Patient
Registry-UID
Service
Registry
Patient
Private and Govt. e.g.
NHPS, ESI, PM-JAY, JSY
Payers
Providers
Private
Sector
MOHFW
District
Admin
State
HQ
Reprod.& Child
Health
Directorates e.g.
Malaria, IDSP, NACO
Claim
portal
Block 1
Final Vision- National level Interoperability
19. SEA Community | Key Objectives
Minimal Viable
Product Definitions
(MVP), for various
care delivery settings
across primary,
secondary, tertiary
and health insurance
segments.
Mentorship, to provide
technical and functional
mentorship for
implementation of the
Minimal Viable
Products (MVPs) into
the partner products and help
build the micro services and
Application Programming Interface
(APIs) together with the product teams of
the (SEA) community.
Market Access, AHD, SEA
will act as a catalyst for
providing market access in
terms of positioning the
products for relevant request
for proposals (RFPs), Tenders,
new projects and business
partnerships.
Stamp of
Confidence, ACCESS Health
Digital (AHD), SEA will put its
stamp on the products that adopt
the MVPs.
SEA will strongly position the early
adopters in its network as
National Digital Health Blueprint
(NDHB) Standards
compliantproducts.
Access Health
Digital intends to
facilitate the
Social
Entrepreneurship
Accelerator (SEA)
community
through:
Partnership underway with the
NHA Market Access Program
(NHA Innovation Unit)
20. Primary Care- Public Health Delivery
Primary Care- Private Health Delivery
Secondary care-Hospital Information System/CRM /EMR
Cohort #1 | SEA Members
Data Analytics/Health Insurance
Diagnostic Solutions
Electronic Health Record Platform
Disease Mgmt.
21.
22.
23. 2
3
Add - on Modules
Registration
EMR
ADT
Billing
Outreach
LIS
RIS
Pharmacy
Modules for Health Delivery Information System (HDIS)
The grey blocks above are representation of functionality sets (also known as Modules) within HDIS universe. All these modules are required
functions that any healthcare ecosystem will need. There can be more modules but these are the minimum that must exist in healthcare sphere.
These modules caters not only the hospitals but also public health delivery centres like PHCs, SCs, HWCs, Dispensaries, Pharmacies of private etc.
But a PHC might not need full set of modules rather a subset of these modules.
Core Modules for MVP
Appointment
Telemedicine
CSSD
Emergency
Diet
Inventory
eObject
Surgery Mgmt.
Blood Bank
Nursing
Alert & Reminder
Primary, Secondary, Tertiary
25. Disruptive Innovations: Netflix and Amazon
25
Netflix's goal is clear: to become the go-to place for new releases
Three reasons Netflix is a leader when it comes to online streaming:
• Challenged the status quo e.g. began as a DVD-delivery service but now is
widely credited for putting video rental stores like Blockbuster Video out of
business and is eyeing to disrupt the film industry now
• Leveraged the right technology (e.g. microservice architecture) at the right time
• Content is king (e.g. Quarter 3 report last year, in 2019 Netflix spent about $15
billion dollars on content alone)
Netflix will certainly have competition with Disney, who owns the rights to seven of the top ten highest-grossing
films of 2019. But just as we wouldn't see so many automakers starting to build electric vehicles if it wasn't for
Tesla paving the way, we wouldn't see so many streaming services if it wasn't for what Netflix taught them
Source: https://www.inc.com/justin-bariso/netflix-killed-blockbuster-video-movie-theater-is-next.html
https://www.mobihealthnews.com/news/amazon-care-goes-live-its-seattle-based-employees
Amazon enters Healthcare! Amazon Care goes live for its Seattle-based
employees
Patients will be able to access care through multiple channels including texting,
video chat and a mobile care clinic, where a nurse will come to the patient’s home or
office. The service will also allow patients to get their medications deliver via a “Care
Courier” at their home or office.
27. What is Microservices Architecture?
Loosely
Coupled
Fine
Grained
Lightweig
ht
SOA
variant
Highly scalable,
resilient and
Configurable Design
Web/mobile/IOT Devices
Type
Format
Size
Registration
service
Visit Mgmt Service
Ordering Service
Rest API
(Req/Response)
API
Gateway
Microservice Architectural style is an approach
to developing a single application as a suite of
small services, each running in its own
process and communicating with lightweight
mechanisms, often an HTTP resource API.
Rest
API
Rest
API
Rest
API
Decomposition of
Business Concerns
based on DDD Principle
28. DATA ELEMENT XXX
DATA ELEMENT XXX
DATA ELEMENT XXX
DATA ELEMENT XXX
DATA ELEMENT XXX
MICROSERVICES
DATA ELEMENT XXX
DATA ELEMENT XXX
DATA ELEMENT XXX
DATA ELEMENT XXX
MICROSERVICES
MODULES
DATA ELEMENT XXX
DATA ELEMENT XXX
DATA ELEMENT XXX
DATA ELEMENT XXX
MODULES
HDIS MVP
DATA ELEMENTS >> MICROSERVICES >> HDIS MVP
29. Interoperability built into design through standardized master data
for the nation (MDDS)
DATA
ELEMENT
XXX
DATA TYPE,
DATA SIZE,
VALUE SETS,
CODE DIRECTORIES
META DATA AND DATA STANDARDS FOR HEALTH
1. Library of 1000+ Data Elements,
2. 140+ Code Directories
3. Registry Design
*Notified standard since Aug 2018
MDDS- Common Master Data set for India for semantic interoperability.
Common meaning conveyed by different code sets
Gender பாலினம்
HDD
System 1 System 2
ल िंग
30. 30
PAYERS –
PRIVATE AND PUBLIC
PROVIDERS
MARKET
SAND BOX
FOR
STANDARD e-
Claims
OBJECTS
PAYERS –
PRIVATE AND PUBLIC
PROVIDERS
SYSTEM
HDIS
BOLT-ON
SOLUTION FOR
STANDARDS
PAYERS –
PRIVATE AND PUBLIC
PROVIDERS
SYSTEM
HDIS WITH
STANDARDS BUILT-
IN
Sand Box will
produce the
specifications
and the test
environment
Bolt-On is the
best solution for
Existing HDIS
vendors
New HDIS Products
will build the
Standards in the
Information model
eCLAIMS AUTO
ADJUDICATION
eCLAIMS AUTO
ADJUDICATION
HDIS = Healthcare Delivery Information Systems
Potential Role of SEA Members
31. THANKS!
Dr Pankaj Gupta
Head – ACCESS Health Digital
digital.health@accessh.org
Twitter: @pankajguptadr, @accesshdigital
LinkedIn: drpankajgupta, accesshdigital