The document discusses the challenges facing healthcare systems due to an aging population and rising costs. It argues that new models of care delivery enabled by connected technologies can help address these issues. Specifically, it envisions a future where remote patient monitoring, clinical decision support, and analytics help manage chronic conditions and shift care settings to be more efficient and preventative. Realizing this vision will require overcoming historical barriers through incremental innovation and the development of an interoperable technology-enabled care ecosystem.
By: Karsten Russell-Wood, Philips Hospital to Home
At Sherbrooke International Life Sciences Summit - 2nd edition | September 28/29/30 2015
www.sils-sherbrooke.com
SILS 2015 - Future Longevity and Population Health Improvements: An Economic ...Sherbrooke Innopole
By: Pierre-Carl Michaud, Industrial Alliance Research Chair on the Economics of Demographic Change
At Sherbrooke International Life Sciences Summit - 2nd edition | September 28/29/30 2015
www.sils-sherbrooke.com
By: Karsten Russell-Wood, Philips Hospital to Home
At Sherbrooke International Life Sciences Summit - 2nd edition | September 28/29/30 2015
www.sils-sherbrooke.com
SILS 2015 - Future Longevity and Population Health Improvements: An Economic ...Sherbrooke Innopole
By: Pierre-Carl Michaud, Industrial Alliance Research Chair on the Economics of Demographic Change
At Sherbrooke International Life Sciences Summit - 2nd edition | September 28/29/30 2015
www.sils-sherbrooke.com
Digital Transformation in Health: The New Patient ParadigmVSee
Telehealth Failures & Secrets to Success Conference 2017 by VSee
Speaker: Paul Smolke
Senior Director of Productivity, Worldwide Health of Microsoft
More info here: vsee.com/conference
In introduction to SILS 2015 panel of international specialists on “Aging of the Population: Opportunity or Threat?”
By : Carine Boonen, Flanders' Care (Belgium)
At Sherbrooke International Life Sciences Summit - 2nd edition | September 28/29/30 2015
www.sils-sherbrooke.com
Collaborative Leadership Insights - creating a digital health eco-systemAndrew M Saunders
Digital health is an essential enabler in achieving person centred health and wellbeing, A collaborative digital health strategy is required to manage the complexities of the complex hybrid health model in Australia, This presentation explores the approaches to leadership, transformation and culture that can be effective when working in a complex stakeholder environment.
Will the next generation of doctors be ready for telehealth?VSee
Telehealth Failures & Secrets to Success Conference 2017 by VSee
Speaker: Homero Rivas
Director of Innovative Surgery of Stanford University School of Medicine
More info here: vsee.com/conference
Telehealth Failures & Secrets to Success Conference 2017 by VSee
Speaker: Prof. Yuki N. Karakawa
Director of IVeH (International Virtual E-Hospital)
More info here: vsee.com/conference
Indian Healthcare - Transitional Shift Towards Sustainable & Mobile Care Bhavik Doshi
The Indian Healthcare sector constitutes mainly of hospitals, pharmaceuticals, Diagnostics, Insurance and Medical Equipment. The Indian Healthcare industry is growing by a rate of CAGR of 18% and is expected to grow to CAGR of 21% till 2020. This instills the signs of fulfillment of Vision 2020. The major factors influencing are increase in population, shift in demograpics, rise in disposable income, Increase in incedence of lifestyle related disease, rising literacy, tax benefits and rise in insurance coverage. Moeover the public health expenditure in India is very low which give the platform for the development. A holistic approach of "stakeholder relationship management" is required to bring about the trasntional shift in healthcare. New models are required to provide affordable and accessible solutions of healthcare. Public Private Partnership (PPP) model can be a boon to be provided as a solution. India has always been taking a leapfrog in welcoming new technological platforms. A classic example of such leapfrog of technology is transition of telecommunation from landlines to cell phones avoiding the transition to pagers. The introduction of mHealth have already created a revolution in changing the dimension of healthcare & cut-shorted the boundary between doctors and rural patients and have enhanced outreach and coverage.
Digital Transformation in Health: The New Patient ParadigmVSee
Telehealth Failures & Secrets to Success Conference 2017 by VSee
Speaker: Paul Smolke
Senior Director of Productivity, Worldwide Health of Microsoft
More info here: vsee.com/conference
In introduction to SILS 2015 panel of international specialists on “Aging of the Population: Opportunity or Threat?”
By : Carine Boonen, Flanders' Care (Belgium)
At Sherbrooke International Life Sciences Summit - 2nd edition | September 28/29/30 2015
www.sils-sherbrooke.com
Collaborative Leadership Insights - creating a digital health eco-systemAndrew M Saunders
Digital health is an essential enabler in achieving person centred health and wellbeing, A collaborative digital health strategy is required to manage the complexities of the complex hybrid health model in Australia, This presentation explores the approaches to leadership, transformation and culture that can be effective when working in a complex stakeholder environment.
Will the next generation of doctors be ready for telehealth?VSee
Telehealth Failures & Secrets to Success Conference 2017 by VSee
Speaker: Homero Rivas
Director of Innovative Surgery of Stanford University School of Medicine
More info here: vsee.com/conference
Telehealth Failures & Secrets to Success Conference 2017 by VSee
Speaker: Prof. Yuki N. Karakawa
Director of IVeH (International Virtual E-Hospital)
More info here: vsee.com/conference
Indian Healthcare - Transitional Shift Towards Sustainable & Mobile Care Bhavik Doshi
The Indian Healthcare sector constitutes mainly of hospitals, pharmaceuticals, Diagnostics, Insurance and Medical Equipment. The Indian Healthcare industry is growing by a rate of CAGR of 18% and is expected to grow to CAGR of 21% till 2020. This instills the signs of fulfillment of Vision 2020. The major factors influencing are increase in population, shift in demograpics, rise in disposable income, Increase in incedence of lifestyle related disease, rising literacy, tax benefits and rise in insurance coverage. Moeover the public health expenditure in India is very low which give the platform for the development. A holistic approach of "stakeholder relationship management" is required to bring about the trasntional shift in healthcare. New models are required to provide affordable and accessible solutions of healthcare. Public Private Partnership (PPP) model can be a boon to be provided as a solution. India has always been taking a leapfrog in welcoming new technological platforms. A classic example of such leapfrog of technology is transition of telecommunation from landlines to cell phones avoiding the transition to pagers. The introduction of mHealth have already created a revolution in changing the dimension of healthcare & cut-shorted the boundary between doctors and rural patients and have enhanced outreach and coverage.
In its January 2014 Issue Brief, the ONC announced its vision that, by 2020: The power of each individual is developed and unleashed to be active in managing their health and partnering in their health care, enabled by information and technology. And it began seeking feedback on new goals and strategies for health IT-enabled, patient centered care. With this vision in mind, this session will explore current and emerging technologies supporting person centered care in the ambulatory care setting.
mHealth Israel_Mony Weschler_Montefiore_How Data Exchange Is Essential In Sup...Levi Shapiro
Presentation for mHealth Israel by Mony Weschler, Senior Director Applications Strategy and Innovation, Albert Einstein College of Medicine, Montefiore Medical Center. Theme: How Data Exchange Is Essential In Support of New Technologies & Healthcare Innovation. This presentation has three objectives:
1) Discuss IT governance components that positioned Montefiore to achieve extensive community outreach efforts
2) Review strategies for incorporating innovation and new technologies into existing processes.
3) Identify the data exchange challenges
Creating large scale telehealth network : A story from the USA by Adam Darkins, Vice President, Medical Affairs & Enterprise Technology Development, Medtronics, USA
Jacquie White, Deputy Director of NHS England Long Term Conditions, Older People & End of Life Care and Claire Cordeaux SIMUL8 Executive Director for Health & Social Care were invited by Centers for Medicare & Medicaid Services to discuss how NHS England work in chronic disease.
Aami hitech mu impact on the future on HC ITAmy Stowers
Relate the components of The HITECH Act and Meaningful Use to health management technology
Identify whether existing systems meet requirements
Communicate technology needs and request feedback from end users for a smooth transition
Implement best practices to move people and systems forward under these new requirements
March 2001I N S T I T U T E O F M E D I C I N E Shap.docxwkyra78
March 2001
I N S T I T U T E O F M E D I C I N E
Shaping the Future for Health
CROSSING THE QUALITY CHASM:
A NEW HEALTH SYSTEM FOR THE 21ST CENTURY
The U.S. health care delivery system does not provide consistent, high-quality medical care to all people. Americans should be able to count on receiving care that meets their needs and is based on the best scien
tific knowledge--yet there is strong evidence that this frequently is not the
case. Health care harms patients too frequently and routinely fails to deliver
its potential benefits. Indeed, between the health care that we now have and
the health care that we could have lies not just a gap, but a chasm.
A number of factors have combined to create this chasm. Medical sci
ence and technology have advanced at an unprecedented rate during the past
half-century. In tandem has come growing complexity of health care, which
today is characterized by more to know, more to do, more to manage, more to
watch, and more people involved than ever before. Faced with such rapid
changes, the nation’s health care delivery system has fallen far short in its
ability to translate knowledge into practice and to apply new technology
safely and appropriately. And if the system cannot consistently deliver to-
day’s science and technology, it is even less prepared to respond to the ex
traordinary advances that surely will emerge during the coming decades.
The public’s health care needs have changed as well. Americans are
living longer, due at least in part to advances in medical science and techno l
ogy, and with this aging population comes an increase in the incidence and
prevalence of chronic conditions. Such conditions, including heart disease,
diabetes, and asthma, are now the leading cause of illness, disability, and
death. But today’s health system remains overly devoted to dealing with
acute, episodic care needs. There is a dearth of clinical programs with the
multidisciplinary infrastructure required to provide the full complement of
services needed by people with common chronic conditions.
The health care delivery system also is poorly organized to meet the
challenges at hand. The delivery of care often is overly complex and uncoor
dinated, requiring steps and patient “handoffs” that slow down care and de-
crease rather than improve safety. These cumbersome processes waste re-
sources; leave unaccountable voids in coverage; lead to loss of information;
Faced with such
rapid changes, the
nation’s health care
delivery system has
fallen far short in its
ability to translate
knowledge into
practice and to ap
ply new technology
safely and appro
priately.
CARE SYSTEM
Supportive
payment and
regulatory en
vironment
Organizations
that facilitate
the work of
patient-
centered teams
High perform
ing patient-
centered teams
Outcomes:
• Safe
• Effective
• Efficient
• Personalized
• Timely
• Equitable
REDESIGN IMPERATIVES: SIX CHALLENGES
• Reeng.
A preliminary proposal for an application to the Health Care Innovation Challenge sponsored by CMS. Focus of this proposal include gestational diabetes, maternal obesity, postpartum weight loss, and as well as patient engagement / health literacy
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
Welcome to Secret Tantric, London’s finest VIP Massage agency. Since we first opened our doors, we have provided the ultimate erotic massage experience to innumerable clients, each one searching for the very best sensual massage in London. We come by this reputation honestly with a dynamic team of the city’s most beautiful masseuses.
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.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
2. An Opportunity for Transformation
The intelligent application of technology
can bridge the gap between practical
challenges of population health and the
intent of healthcare reform
3. Tectonic Forces of Demography
• The cost of providing care for the aging is
creating unsustainable economic
pressures
• Demographic forces are creating financial
stress on healthcare systems in other
advanced countries around the world
• National Institute of Aging: “For the first
time in human history, people over 65 will
soon outnumber children under age 5"
6. Within 25 Years, In Japan...
• Seniors will outnumber children age 15
and under by more than 4 to 1
• 40% of Japanese will be 65 or older
• Younger generations of Japanese face
significant decline in standard of living
due to the "Parent Care Tsunami"
7. A Unsustainable Financial Trend...
• Healthcare consumes nearly 17% of
America’s gross domestic product
• 75% of U.S. healthcare dollars spent on
chronic care
• 80% of Americans over age 65 suffer chronic
conditions
• 10, 000 U.S. baby boomers to retire each day
for the next 20 years
• High incidence of chronic conditions in low-
income groups
8. The Inevitability of Change
• An unsustainable system must either
change, or break down
• Need innovative new models of care
delivery, value-based reimbursement,
and patient self-management
• Central policy challenge of our time
• Information technology offers a path
forward
9. Historic Impediments to Innovation
Healthcare has been resistant to the
adoption of information technology
• Fee-for-service reimbursement
• Fragmentation of stakeholder interests
• Clinical rather than business orientation
of medical providers
• Initial physician resistance to the EMR
10. Emerging Era Accountable Care
• To incentivize quality outcomes while
simultaneously fostering cost efficiency
• Promote provider / payer alliances in
which financial savings for care delivery
to defined populations are shared on the
basis of objective outcome metrics
• A slow and laborious process driven by
both the carrot of financial incentive and
the stick of financial penalty
11. New Era of “Connected Care”
• Shift the care into the setting of lowest
possible acuity & to facilitate prevention
rather than intervention
• Provide tools to enable patient self-
management
• Being described with new terms such as
Telehealth and “Connected Care”
12. The Emerging Role of Technology
What these concepts have in common are
use of networked technologies to provide
clinical decision support & proactive care
management
Technology overlays to proven clinical
pathways: data capture, aggregation,
normalization, analysis, & response
13. Power of the Clinical Call Center
• Telehealth networks will generate vast
quantities of objective & subjective data
• Mediated by data analytics & triage at
the intersection of the clinical decision-
support network and human
intelligence: the Clinical Call Center
• Key to physician engagement
14. The Paradox of HIT Innovation
• Silicon Valley notion of “creative
destruction” does not apply to healthcare
• Required: a technology-enabled care
ecosystem that supports the standards &
workflow that facilitate true interoperability
• Innovators free to create the edge devices
and sensors that enable “Care in Place”
15. Healthcare Platform Capabilities
• Remotely monitor patients in many settings
• Support Chronic Care & telemedicine
• Dynamic clinical decision support
• Support Transitions of Care
• Optimize outcome-based reimbursement
• Help manage and mitigate risk
16. A Technology-Enabled Care Ecosystem
Enables innovative modes of
healthcare delivery supported by
secure, networked technologies, a
flexible legal framework, user
experience optimization, and technical
/ workflow interoperability across the
Continuum-of-Care
17. Sub-Acute Eldercare
Integrated, multi-setting, sub-acute
eldercare represents a microcosm in
which a device-agnostic, coordinated-
care platform can both serve as a
model for system-wide population
health management and catalyze the
ongoing evolution of value-based
reimbursement modalities.
18. Key Assumptions
• Healthcare innovation must occur in an
incremental, adaptive fashion
• Each stage building on the prior in a
manner that maps to the appetite for
uptake by human, regulatory, & technical
systems
• Remote Patient Monitoring (RPM) is a first
step toward integrated care management
19. The Power of Analytics
As such a system matures, data analytics
can help identify "at risk" cohorts,
rationalize technology deployments on a
cost / benefit basis, link clinical outcomes
to quality-based reimbursement metrics,
monitor service utilization, and support
efficient transitions of care.
20. Thank You
Jerry Kolosky
Senior Healthcare Advisor
Office of the CTO
Panasonic
914.260.2001
jkolosky@igctel.com
http://www.linkedin.com/in/jerrykolosky
Twitter: @jkolosky
