India faces challenges in effectively managing its large vaccination program, including improving coverage, expanding vaccines, and ensuring quality of vaccines and cold chain. The Electronic Vaccine Intelligence Network (eVIN) was implemented to address issues of poor record keeping, lack of real-time stock visibility and temperature monitoring. eVIN digitizes vaccine data, monitors temperature at storage points, and provides real-time visibility and analytics on vaccine availability. It has led to reduced stockouts, lower stockout durations, and cost savings. The system has expanded across multiple states in India and has the potential to be scaled globally to help other nations strengthen their vaccination programs.
ITSU has launched electronic Vaccine Intelligence Network (eVIN) in two districts of Uttar Pradesh I.e. Bareilly & Shahjahanpur districts in collaboration with Logistimo, which provides underlying technology.
via : http://itsu.org.in/
The Immunization Technical Support Unit and Ministry of Health and Family Welfare are working to improve vaccination programs in India. A study identified issues with vaccine logistics and management. This led to the development of an electronic Vaccine Intelligence Network (eVIN) system to provide real-time vaccine stock visibility and ensure vaccines are stored at recommended temperatures. A pilot of the eVIN system in two districts of Uttar Pradesh resulted in 90% reporting rates and a reduction in vaccine stockouts from 70-80% to less than 10%. The system has helped shorten the duration of stockouts from 4 days to 1 day.
Improved Worker’s Performance through Embedded Medical Intelligence in Digita...MEASURE Evaluation
This document discusses improving health worker performance in Bangladesh through embedding medical intelligence in digitalized management information systems (eMIS) at primary health care facilities. The eMIS guides health workers to adhere to clinical standards through decision support systems. It allows real-time individual patient tracking and remote supervision. Analysis of detailed service records helps identify gaps for quality improvement. The eMIS increased referrals of high-risk pregnancies and newborns, helping provide continuum of care. The system is being expanded to more facilities nationwide and additional decision support functionalities.
Presentation at the National Capitalization conference of the Swiss-Ukrainian Mother and Child Health Programme (Kyiv, Ukraine, April 23, 2015)
http://motherandchild.org.ua/eng/event/768
This document provides information about the Indian Health Service (IHS) and its electronic health record (EHR) system called the Resource and Patient Management System (RPMS). It discusses how the integrated care management module called iCare fits within RPMS. iCare allows users to track patient populations, monitor clinical quality measures, and support meaningful use and patient-centered medical home objectives. It provides automated reporting of metrics to support programs like Improving Patient Care. The document outlines the iCare interface and functionality for population health management, clinical decision support, care coordination and performance measurement.
HMIS, the flagship of the Tamil Nadu Health System Project was implemented in a phased manner, started as Pilot (during the year 2008), followed by Phase- I (during the year 2009), Phase-II (during the year 2010) and finally Phase III (2011).
Health Management Information System “HMIS” is a judicious combination of Information
Technology (IT) and Management Systems, to deliver improved evidence based health care to the public at large. Health Management Information System also provides information based support for the implementation of cutting-edge reforms by the Tami Nadu Health Systems Project. Apart from Primary Health Centers and Secondary Care Hospitals, this project is envisaged to include all the Tertiary Care Hospitals including the Medical Colleges.
India faces challenges in effectively managing its large vaccination program, including improving coverage, expanding vaccines, and ensuring quality of vaccines and cold chain. The Electronic Vaccine Intelligence Network (eVIN) was implemented to address issues of poor record keeping, lack of real-time stock visibility and temperature monitoring. eVIN digitizes vaccine data, monitors temperature at storage points, and provides real-time visibility and analytics on vaccine availability. It has led to reduced stockouts, lower stockout durations, and cost savings. The system has expanded across multiple states in India and has the potential to be scaled globally to help other nations strengthen their vaccination programs.
ITSU has launched electronic Vaccine Intelligence Network (eVIN) in two districts of Uttar Pradesh I.e. Bareilly & Shahjahanpur districts in collaboration with Logistimo, which provides underlying technology.
via : http://itsu.org.in/
The Immunization Technical Support Unit and Ministry of Health and Family Welfare are working to improve vaccination programs in India. A study identified issues with vaccine logistics and management. This led to the development of an electronic Vaccine Intelligence Network (eVIN) system to provide real-time vaccine stock visibility and ensure vaccines are stored at recommended temperatures. A pilot of the eVIN system in two districts of Uttar Pradesh resulted in 90% reporting rates and a reduction in vaccine stockouts from 70-80% to less than 10%. The system has helped shorten the duration of stockouts from 4 days to 1 day.
Improved Worker’s Performance through Embedded Medical Intelligence in Digita...MEASURE Evaluation
This document discusses improving health worker performance in Bangladesh through embedding medical intelligence in digitalized management information systems (eMIS) at primary health care facilities. The eMIS guides health workers to adhere to clinical standards through decision support systems. It allows real-time individual patient tracking and remote supervision. Analysis of detailed service records helps identify gaps for quality improvement. The eMIS increased referrals of high-risk pregnancies and newborns, helping provide continuum of care. The system is being expanded to more facilities nationwide and additional decision support functionalities.
Presentation at the National Capitalization conference of the Swiss-Ukrainian Mother and Child Health Programme (Kyiv, Ukraine, April 23, 2015)
http://motherandchild.org.ua/eng/event/768
This document provides information about the Indian Health Service (IHS) and its electronic health record (EHR) system called the Resource and Patient Management System (RPMS). It discusses how the integrated care management module called iCare fits within RPMS. iCare allows users to track patient populations, monitor clinical quality measures, and support meaningful use and patient-centered medical home objectives. It provides automated reporting of metrics to support programs like Improving Patient Care. The document outlines the iCare interface and functionality for population health management, clinical decision support, care coordination and performance measurement.
HMIS, the flagship of the Tamil Nadu Health System Project was implemented in a phased manner, started as Pilot (during the year 2008), followed by Phase- I (during the year 2009), Phase-II (during the year 2010) and finally Phase III (2011).
Health Management Information System “HMIS” is a judicious combination of Information
Technology (IT) and Management Systems, to deliver improved evidence based health care to the public at large. Health Management Information System also provides information based support for the implementation of cutting-edge reforms by the Tami Nadu Health Systems Project. Apart from Primary Health Centers and Secondary Care Hospitals, this project is envisaged to include all the Tertiary Care Hospitals including the Medical Colleges.
This document provides an overview of the Meaningful Use program and regulations. It discusses the stages of Meaningful Use which focus on data capture, sharing, and advanced clinical processes. It also outlines the financial incentives available through Medicare and Medicaid for eligible providers that successfully meet Meaningful Use objectives. The document reviews eligibility, objectives and measures for Stages 1 and 2 of Meaningful Use, and penalties for providers that do not successfully demonstrate Meaningful Use. It provides guidance on determining which version of Meaningful Use objectives a provider must attest to based on their EHR certification year.
This document describes a hospital management system project. The system aims to manage different aspects of hospital workflows such as admissions, patient care, surgery management, and ward management. It also handles waiting lists, appointments, billing, prescriptions, discharge summaries, the operation theatre, pharmacy, and lab management. The objectives of the system are to promote health care awareness, research, and high quality services. It also aims to provide training opportunities. The future scope may include home nursing care and consultations with foreign doctors. The system has modules for patient, doctor, drugs, administrative, appointment, invoice, medical services, doctor services reports, and lab management.
Management Information Systems in Apollo HospitalsDarshit Paun
The document outlines the implementation of an electronic health record system at Apollo Hospitals. It discusses setting up separate servers for each application and managing information across different operating systems as challenges. The system was designed to standardize processes across departments in a computerized environment. It includes modules for front office management, electronic patient records, diagnostics, inventory, finance, HR, and an MIS administration module. The system provides benefits like reduced wait times, centralized patient records, and online statistical data for management decision making.
This document discusses health information systems, including electronic medical records (EMRs), electronic health records (EHRs), and radiology information systems (RIS). It provides an overview of Bumrungrad Hospital's implementation of a new information system and discusses some of the challenges they faced. Key topics covered include the differences between EMRs and EHRs, challenges of implementing EMRs such as high costs and ensuring confidentiality, and how RIS is used to store and distribute radiological data and manage patient workflow in radiology departments.
This document discusses the history and applications of electronic health records (EHRs) and computer use in nursing. It addresses:
1) Early chapters covered computer hardware, software, and what constitutes a computer system. Informatics theory introduced clinical classifications and community health scales.
2) Administrative applications help address nurse shortages, patient safety, and today's healthcare environment.
3) Consumer use of informatics facilitates communication between patients and providers for consumer satisfaction.
4) Educational applications provide first-hand knowledge of innovative telehealth and data communication applications.
Intorduction to Health information system presentationAkumengwa
This document outlines the importance and components of a health information system (HIS). It defines an HIS as an information processing and storage subsystem of a healthcare organization. The importance of an HIS is that it produces information needed by various stakeholders to better manage health programs and services, detect health problems, and monitor progress towards health goals. The key components of an HIS include inputs like resources, processes like data collection and management, and outputs like information products and dissemination. The document also discusses assessing an HIS using the Health Metrics Network tool and provides an example assessment of Cameroon's HIS.
The document discusses key concepts related to health management information systems including definitions of data, information, records, and information systems. It describes the components and purpose of health information systems in supporting decision making, policymaking, and evaluating health programs. The document also covers data sources, attributes, collection tools, and the different information needs at various decision making levels.
The client is a large, reputable healthcare services company that wanted to create a mobile app to monitor patient health after discharge. The app would collect health metrics from patients and help ensure they followed recommended care plans, while also alerting hospitals to potential issues. It provided reminders, contact options with care teams, and access to records. Testing improved the app's performance.
The document discusses health management information systems (HMIS) which provide timely and reliable information to health managers to support decision making. It notes that HMIS collects data through routine reports from various levels of the health system from village to national. The data is used to monitor operations, evaluate programs, and assess community needs. In India, HMIS collects data through standardized registers at subcenters which are compiled into monthly reports sent to higher levels. Computerized HMIS projects now allow for online tracking of health services provided to beneficiaries. Regular supervision and community involvement help ensure accurate and useful information.
The document discusses e-hospital systems in India under the Digital India initiative. Key points include:
- Digital India aims to improve online infrastructure and internet connectivity to provide electronic government services. This includes connecting rural areas.
- E-hospital systems allow hospitals to manage operations digitally, including online appointments, electronic records, billing and more.
- India's Online Registration System (ORS) portal allows citizens to book appointments at government hospitals across states using Aadhaar identification.
With patient responsibility becoming an increasing part of clinics AR, you need to make sure you have an effective strategy in place. Learn how to maximize your collections without negatively impacting your relationships with your patients.
This document discusses electronic hospitals and their components and benefits. An electronic hospital utilizes electronic health records, wireless networks, mobile devices, and systems integration to provide patient care and enable services beyond local areas. Key benefits include easy access to patient data, improved decision making, more efficient administration, enhanced monitoring, reduced errors, and saved time. While electronic systems have been partially applied in areas like email and linking equipment, the future direction is moving more towards virtualized healthcare and a fully digital transition.
The Transition from Paper to Electronic RecordsMatthew Kim
A presentation depicting the history, selection criteria, implementation process and market share among various electronic health record (EHR) vendors.
This document summarizes mobile apps and services from Clinical Trials Innovative Solutions for remote data collection in clinical trials. It describes apps like Vax E-Diary and Vigilant-e that automate data collection and allow real-time monitoring. A case study showed the Vax E-Diary app achieved a 89% compliance rate and users preferred it over paper diaries. Other services discussed include the Patient Follow Up System and partnerships with organizations like FEBA. The company aims to bring reliable, real-time information to clinical trials using innovative technologies and state-of-the-art mobile apps.
- Lawrence Weed first described the concept of electronic medical records in the 1960s as a way to automate and organize patient records to improve care. Early systems like POMR were developed in the 1970s and refined in later decades.
- Today, most medical practices use electronic systems to record patient information like medical history, medications, test results, and billing data. Adoption has increased but fewer than half of physicians fully utilize digital records.
- Benefits include increased efficiency, reduced errors, better access to information, and potential financial incentives. Challenges include costs of implementation and use, user resistance, and privacy concerns over confidential patient data.
#MWC15Health Yan jie gau ministry of health of china3GDR
This document outlines China's plan to develop its health information system over the next several years. It discusses establishing regional cooperative medical treatment demonstration projects to improve healthcare quality, cost, and satisfaction. It also details plans to build information sharing platforms for drug and food safety supervision. Hospitals will focus on strengthening clinical information systems and rural healthcare network expansion. Mobile medical technologies will be developed to better manage patients and provide remote diagnosis. The overall goal is to establish an integrated health service system using information technologies to improve medical services nationwide by 2020.
Patient Engagement is more that an patient portal
Connected Health tools are available to enhance engagement
Personalization is needed to engage
How patient engagement technologies fit with population health
Helping those lacking health and digital literacy and access
The future is bright for Personal Connected Health
This document provides an overview of the Meaningful Use program and regulations. It discusses the stages of Meaningful Use which focus on data capture, sharing, and advanced clinical processes. It also outlines the financial incentives available through Medicare and Medicaid for eligible providers that successfully meet Meaningful Use objectives. The document reviews eligibility, objectives and measures for Stages 1 and 2 of Meaningful Use, and penalties for providers that do not successfully demonstrate Meaningful Use. It provides guidance on determining which version of Meaningful Use objectives a provider must attest to based on their EHR certification year.
This document describes a hospital management system project. The system aims to manage different aspects of hospital workflows such as admissions, patient care, surgery management, and ward management. It also handles waiting lists, appointments, billing, prescriptions, discharge summaries, the operation theatre, pharmacy, and lab management. The objectives of the system are to promote health care awareness, research, and high quality services. It also aims to provide training opportunities. The future scope may include home nursing care and consultations with foreign doctors. The system has modules for patient, doctor, drugs, administrative, appointment, invoice, medical services, doctor services reports, and lab management.
Management Information Systems in Apollo HospitalsDarshit Paun
The document outlines the implementation of an electronic health record system at Apollo Hospitals. It discusses setting up separate servers for each application and managing information across different operating systems as challenges. The system was designed to standardize processes across departments in a computerized environment. It includes modules for front office management, electronic patient records, diagnostics, inventory, finance, HR, and an MIS administration module. The system provides benefits like reduced wait times, centralized patient records, and online statistical data for management decision making.
This document discusses health information systems, including electronic medical records (EMRs), electronic health records (EHRs), and radiology information systems (RIS). It provides an overview of Bumrungrad Hospital's implementation of a new information system and discusses some of the challenges they faced. Key topics covered include the differences between EMRs and EHRs, challenges of implementing EMRs such as high costs and ensuring confidentiality, and how RIS is used to store and distribute radiological data and manage patient workflow in radiology departments.
This document discusses the history and applications of electronic health records (EHRs) and computer use in nursing. It addresses:
1) Early chapters covered computer hardware, software, and what constitutes a computer system. Informatics theory introduced clinical classifications and community health scales.
2) Administrative applications help address nurse shortages, patient safety, and today's healthcare environment.
3) Consumer use of informatics facilitates communication between patients and providers for consumer satisfaction.
4) Educational applications provide first-hand knowledge of innovative telehealth and data communication applications.
Intorduction to Health information system presentationAkumengwa
This document outlines the importance and components of a health information system (HIS). It defines an HIS as an information processing and storage subsystem of a healthcare organization. The importance of an HIS is that it produces information needed by various stakeholders to better manage health programs and services, detect health problems, and monitor progress towards health goals. The key components of an HIS include inputs like resources, processes like data collection and management, and outputs like information products and dissemination. The document also discusses assessing an HIS using the Health Metrics Network tool and provides an example assessment of Cameroon's HIS.
The document discusses key concepts related to health management information systems including definitions of data, information, records, and information systems. It describes the components and purpose of health information systems in supporting decision making, policymaking, and evaluating health programs. The document also covers data sources, attributes, collection tools, and the different information needs at various decision making levels.
The client is a large, reputable healthcare services company that wanted to create a mobile app to monitor patient health after discharge. The app would collect health metrics from patients and help ensure they followed recommended care plans, while also alerting hospitals to potential issues. It provided reminders, contact options with care teams, and access to records. Testing improved the app's performance.
The document discusses health management information systems (HMIS) which provide timely and reliable information to health managers to support decision making. It notes that HMIS collects data through routine reports from various levels of the health system from village to national. The data is used to monitor operations, evaluate programs, and assess community needs. In India, HMIS collects data through standardized registers at subcenters which are compiled into monthly reports sent to higher levels. Computerized HMIS projects now allow for online tracking of health services provided to beneficiaries. Regular supervision and community involvement help ensure accurate and useful information.
The document discusses e-hospital systems in India under the Digital India initiative. Key points include:
- Digital India aims to improve online infrastructure and internet connectivity to provide electronic government services. This includes connecting rural areas.
- E-hospital systems allow hospitals to manage operations digitally, including online appointments, electronic records, billing and more.
- India's Online Registration System (ORS) portal allows citizens to book appointments at government hospitals across states using Aadhaar identification.
With patient responsibility becoming an increasing part of clinics AR, you need to make sure you have an effective strategy in place. Learn how to maximize your collections without negatively impacting your relationships with your patients.
This document discusses electronic hospitals and their components and benefits. An electronic hospital utilizes electronic health records, wireless networks, mobile devices, and systems integration to provide patient care and enable services beyond local areas. Key benefits include easy access to patient data, improved decision making, more efficient administration, enhanced monitoring, reduced errors, and saved time. While electronic systems have been partially applied in areas like email and linking equipment, the future direction is moving more towards virtualized healthcare and a fully digital transition.
The Transition from Paper to Electronic RecordsMatthew Kim
A presentation depicting the history, selection criteria, implementation process and market share among various electronic health record (EHR) vendors.
This document summarizes mobile apps and services from Clinical Trials Innovative Solutions for remote data collection in clinical trials. It describes apps like Vax E-Diary and Vigilant-e that automate data collection and allow real-time monitoring. A case study showed the Vax E-Diary app achieved a 89% compliance rate and users preferred it over paper diaries. Other services discussed include the Patient Follow Up System and partnerships with organizations like FEBA. The company aims to bring reliable, real-time information to clinical trials using innovative technologies and state-of-the-art mobile apps.
- Lawrence Weed first described the concept of electronic medical records in the 1960s as a way to automate and organize patient records to improve care. Early systems like POMR were developed in the 1970s and refined in later decades.
- Today, most medical practices use electronic systems to record patient information like medical history, medications, test results, and billing data. Adoption has increased but fewer than half of physicians fully utilize digital records.
- Benefits include increased efficiency, reduced errors, better access to information, and potential financial incentives. Challenges include costs of implementation and use, user resistance, and privacy concerns over confidential patient data.
#MWC15Health Yan jie gau ministry of health of china3GDR
This document outlines China's plan to develop its health information system over the next several years. It discusses establishing regional cooperative medical treatment demonstration projects to improve healthcare quality, cost, and satisfaction. It also details plans to build information sharing platforms for drug and food safety supervision. Hospitals will focus on strengthening clinical information systems and rural healthcare network expansion. Mobile medical technologies will be developed to better manage patients and provide remote diagnosis. The overall goal is to establish an integrated health service system using information technologies to improve medical services nationwide by 2020.
Patient Engagement is more that an patient portal
Connected Health tools are available to enhance engagement
Personalization is needed to engage
How patient engagement technologies fit with population health
Helping those lacking health and digital literacy and access
The future is bright for Personal Connected Health
Partners in Technology - eHealth Queensland ICT Investment PrioritiesDigital Queensland
The document discusses Queensland's digital landscape and strategies. It outlines initiatives to improve digital readiness, infrastructure, population health tools, precision medicine, consumer health tools, and more. Key priorities include expanding digital hospitals, improving rural telehealth, and the patient portal. Strategies also focus on genomics, innovation, and using data/AI to modernize healthcare delivery across Queensland.
The document discusses the potential for a telemedicine pilot program to serve patients with rare diseases. It summarizes surveys that found over 50% of patients would be receptive to telemedicine and over 90% are willing to learn video call applications. The document estimates a 3-year pilot program could save £6.8 million in healthcare costs while costing approximately £975,000 to implement. Key operational requirements for the pilot include videoconferencing capabilities and secure data protection.
eHealth as a tool to support health practitioners November 2013Rajeev Rao Eashwari
“Telemedicine begins with a vision of connecting people to people, connecting resources to needs, and connecting healthcare problems to health care solutions”
The status of the HIV Case Based Surveillance project in Uganda presented at the WHO Workshop to release and disseminate guidelines for Strengthening HIV Patient Monitoring Case Surveillance and Reporting
The healthcare industry has quietly shed the laggards tag and has quickly emerged as frontrunners in digitization. Hospitals are driving technology advancements by creating a digital framework for seamless integration of all aspects of patient care and administration. There are 5 major themes that are seen as critical in the hospital IT ecosystem – Smart Care, Patient Information Management, Remote Care, Medical Devices, and Intelligent Enterprise Systems.
Large enterprises such as Microsoft and Accenture are collaborating with healthcare providers to address a variety of use cases such as chronic disease management, virtual care solutions, risk scoring, patient tracking and monitoring, precision medicine, and patient on/off-boarding. Accenture and Microsoft helped Spain’s Basque Country Health Centre build a remote elderly patient monitoring system. Athenahealth’s cloud-based network system helps Minnie Hamilton Health System identify bottlenecks and streamline the revenue cycle.
Download the report as we provide an overview of the hospital IT landscape, understand digital transformation trends across these 5 major themes and the opportunities available for vendors and service providers.
The Mother and Child Tracking System (MCTS) is an initiative of the Ministry of Health & Family Welfare to leverage technology to ensure healthcare services are delivered to pregnant women and children up to age 5. It is a web-based, name-based tracking system that facilitates and monitors service delivery and establishes two-way communication between providers and beneficiaries. The objectives are to ensure pregnant women receive antenatal and postnatal care and children receive full immunizations. A call center acts as a mother and child tracking and facilitation center to get beneficiary feedback, create health awareness, and validate data entered in MCTS.
Nick Selby's AKI San Diego presentation on patient safety alertsRenal Association
The NHS England Patient Safety Alert aims to standardize early identification of acute kidney injury (AKI) across all healthcare settings. It establishes an algorithm based on international guidelines to systematically detect changes in serum creatinine consistent with AKI. This will generate an AKI stage and rapidly alert clinicians. The goals are to improve AKI detection, management, and outcomes through a consistent detection method, education programs, and prospective data collection to measure impact and drive further improvement. A multi-site study will test the effectiveness of detection/alerting combined with education and clinical bundles.
Medical assistance of remote patients through telemedicine benefits and probl...Shazia Iqbal
Remote patient monitoring uses digital technologies to collect health data from patients and transmit it to healthcare providers, allowing continued monitoring after patients leave facilities. This reduces readmission rates. Telemedicine provides benefits like increased access, convenience, and cost reductions. However, it also faces challenges like technical issues, delays in emergency care, and concerns over data security and privacy. As technologies advance, telemedicine can help manage chronic diseases and improve healthcare delivery through remote visits and disease prevention programs. An ongoing focus on patients' needs amid rapid technology changes is important.
The NHS England Patient Safety Alert aims to standardize the early identification of acute kidney injury (AKI) across all healthcare settings. It details the NHS England "Think Kidneys" AKI Programme, which seeks to develop tools to prevent, detect, treat and enhance AKI recovery. A key objective is promoting the effective management of AKI through evidence-based education and highlighting its importance. The alert also specifies an algorithm for systematically detecting changes in serum creatinine consistent with AKI and rapidly reporting cases to clinicians. Expected outcomes include improved AKI detection in secondary care and a mechanism for ongoing innovation in alerting systems.
Recent advances in nursing research.pdfSmriti Arora
This document discusses recent advances in nursing research and its application to clinical practice. It covers various topics like the importance of research in evidence-based nursing, different types of research studies, systematic reviews and meta-analyses, use of artificial intelligence and digital tools in research and clinical practice, qualitative research methods, and overcoming barriers to research. It emphasizes the role of nursing research in improving patient care and highlights areas where new technologies can help enhance research and remote monitoring of patients.
An initiative of Ministry of Health & Family Welfare to leverage information technology for ensuring delivery of full spectrum of healthcare and immunization services to pregnant women and children up to 5 years of age.
Cadth symposium 2015 d3 pro presentation apr 2015 - for debCADTH Symposium
This document summarizes a presentation on implementing patient reported outcomes (PROs) to improve patient-centered care. It discusses collecting PRO data through distress screening tools and patient satisfaction surveys, analyzing the data, and using it to select and evaluate quality improvement initiatives. PROs are outcomes that patients report on issues like symptoms, experience of care, and quality of life. The presentation outlines the benefits of PROs, Saskatchewan Cancer Agency's implementation including two PRO tools and progress to date, and lessons learned around using a phased approach and technology to gather and apply PRO evidence to enhance care.
This document summarizes the partnership between the National Institute for Health Research (NIHR) and industry to support clinical research and innovation in the UK. Key points:
- NIHR invests over £1 billion annually in research infrastructure including clinical trials facilities to support industry partnerships and clinical research.
- In 2015/16 this infrastructure supported over 11,000 studies, recruited over 320,000 patients, and resulted in over 1,300 collaborations and 576 partnerships with industry worth £149.7 million.
- Examples are provided of NIHR funding programs that support translational research and adoption of novel technologies, helping to bridge the "valley of death" between research and commercialization.
CMS offers various telehealth solutions including remote patient monitoring devices, software, and clinical support to improve patient outcomes, reduce costs, and prevent hospital readmissions by allowing patients to be monitored at home and addressing health issues before they require a hospital visit. The solutions help hospitals avoid penalties for excessive readmissions and support post-discharge care. CMS also provides programs and services to support telehealth program development and operations.
1) The document discusses several medical organizations that have implemented mobile and cloud-based nursing informatics solutions.
2) It highlights implementations at JiangSu Province Hospital in China, where a mobile nursing information system helped standardize nursing processes and assessments.
3) It also describes how a medical center in Taiwan implemented mobile devices to reduce nurses' time spent on documentation from over 20 minutes to under 5 minutes.
4) Overall the document promotes mobile and cloud-based solutions for improving nursing documentation, communication, and workflows.
Process Automation in Telemedicine - The Italian PerspectiveDenis Gagné
Presented by Baxter, with the participation of Telemedicine Observatory by ALTEMS (Università Cattolica del Sacro Cuore, Rome).
Stefano Collatina, Country Head Baxter Italy
Prof. Fabrizio Ferrara, Universita Cattolica del Sacro Cuore
Simone Naso, Digital Health Specialist, Baxter Italy
Health care delivery in Italy represents a number of challenges, including the regulatory requirements and the regional differences. Telemedicine has the potential to provide more cost-effective care, especially for vulnerable populations such as the elderly. In this webinar the unique needs of Italy will be discussed and how they can be addressed by standards-based process automation.
Integration of NCDs and Mental into HIV Care 10th June 2023 [Autosaved].pptAdrikoSunday
This document provides guidance on integrating management of non-communicable diseases (NCDs), specifically hypertension, into HIV care in Uganda. It outlines the background and rationale for integration given the aging HIV population and increased risk of NCDs. Key strategies for integration include developing guidelines, strengthening health worker capacity and supply chains. It also presents results from a readiness assessment showing low compliance with quality standards. Models for integration ranging from parallel to fully integrated services are described. The document recommends improving data quality, screening and treatment rates. Finally, it provides detailed clinical guidelines and algorithms for screening, diagnosing and managing hypertension among people living with HIV.
Similar to PIH Chronic Care (IC3) EMR in Malawi (20)
Global Health Digital Forum (GHDF) in December 2017. Real world case studies of approaches and challenges in Kenya, Mozambique, and Haiti. Panel discussion with Jan Flowers, Valério João, Jonathan Dick, and Ellen Ball.
Partners In Health and Medical Informatics overview (brief)lnball
15 minute presentation to High School Seniors in Communication for Entrepreneur class at Brookline High School (Brookline, MA). Covers the need of using EMR (OpenMRS) in rural settings like Pleebo (Liberia) and Mirebalais (Haiti).
This document discusses using concept sets in OpenMRS for clinical decision support and coding non-coded diagnoses. It addresses grouping concepts into sets to help clinicians during the decision making process and standardizing how to enter undiagnosed patient conditions into the medical record for improved tracking and analysis.
OpenMRS Concept Management Tutorial presented on 9 Dec 2015 at the OpenMRS Worldwide Summit in Singapore. Presented by Andy Kanter and Ellen Ball. 4 hour presentation.
Implementing Electronic Medical Record Systems in Rural Haitilnball
Partners In Health has implemented electronic medical record systems using OpenMRS in rural Haiti and other resource-poor settings to improve patient care, disease surveillance, quality improvement, and more. Some challenges to technology implementation are unreliable infrastructure, limited human resources, and low budgets. OpenMRS is an open source platform chosen because it is free, modular, configurable, and has an active global community to support scaling and replicating the model of care.
The document discusses htmlforms in OpenMRS, which allow complete control over form layouts using HTML. It provides examples of basic htmlform tags like <htmlform>, <encounterDate>, and <obs> to create forms. It also covers more advanced features like repeating sections, translations, dates, lookups, and validation. References are included for the full htmlform reference guide, form bank, and training materials.
Partners In Health Rwanda (IMB) @ OpenMRS Maputo2015lnball
This document summarizes the management and use of an electronic medical record (EMR) system across multiple health districts in Rwanda. It describes the teams responsible for system management, implementation, and maintenance. It also provides an overview of how clinical data from the EMR is currently used for direct patient care, program monitoring, and influencing health policy. Finally, it outlines ongoing efforts between the Ministry of Health and partners to harmonize EMR implementations and terminology to improve data sharing and sustainability.
NURSING MANAGEMENT OF PATIENT WITH EMPHYSEMA .PPTblessyjannu21
Prepared by Prof. BLESSY THOMAS, VICE PRINCIPAL, FNCON, SPN.
Emphysema is a disease condition of respiratory system.
Emphysema is an abnormal permanent enlargement of the air spaces distal to terminal bronchioles, accompanied by destruction of their walls and without obvious fibrosis.
Emphysema of lung is defined as hyper inflation of the lung ais spaces due to obstruction of non respiratory bronchioles as due to loss of elasticity of alveoli.
It is a type of chronic obstructive
pulmonary disease.
It is a progressive disease of lungs.
The Ultimate Guide in Setting Up Market Research System in Health-TechGokul Rangarajan
How to effectively start market research in the health tech industry by defining objectives, crafting problem statements, selecting methods, identifying data collection sources, and setting clear timelines. This guide covers all the preliminary steps needed to lay a strong foundation for your research.
"Market Research it too text-booky, I am in the market for a decade, I am living research book" this is what the founder I met on the event claimed, few of my colleagues rolled their eyes. Its true that one cannot over look the real life experience, but one cannot out beat structured gold mine of market research.
Many 0 to 1 startup founders often overlook market research, but this critical step can make or break a venture, especially in health tech.
But Why do they skip it?
Limited resources—time, money, and manpower—are common culprits.
"In fact, a survey by CB Insights found that 42% of startups fail due to no market need, which is like building a spaceship to Mars only to realise you forgot the fuel."
Sudharsan Srinivasan
Operational Partner Pitchworks VC Studio
Overconfidence in their product’s success leads founders to assume it will naturally find its market, especially in health tech where patient needs, entire system issues and regulatory requirements are as complex as trying to perform brain surgery with a butter knife. Additionally, the pressure to launch quickly and the belief in their own intuition further contribute to this oversight. Yet, thorough market research in health tech could be the key to transforming a startup's vision into a life-saving reality, instead of a medical mishap waiting to happen.
Example of Market Research working
Innovaccer, founded by Abhinav Shashank in 2014, focuses on improving healthcare delivery through data-driven insights and interoperability solutions. Before launching their platform, Innovaccer conducted extensive market research to understand the challenges faced by healthcare organizations and the potential for innovation in healthcare IT.
Identifying Pain Points: Innovaccer surveyed healthcare providers to understand their difficulties with data integration, care coordination, and patient engagement. They found widespread frustration with siloed systems and inefficient workflows.
Competitive Analysis: Analyzed competitors offering similar solutions in healthcare analytics and interoperability. Identified gaps in comprehensive data aggregation, real-time analytics, and actionable insights.
Regulatory Compliance: Ensured their platform complied with HIPAA and other healthcare data privacy regulations. This compliance was crucial to gaining trust from healthcare providers wary of data security issues.
Customer Validation: Conducted pilot programs with several healthcare organizations to validate the platform's effectiveness in improving care outcomes and operational efficiency. Gathered feedback to refine features and user interface.
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2. 2
Overview
Integrated Chronic Care Clinic (IC3) is an innovative method of
providing treatment in Neno District (Malawi) health facilities.
The EMR is now used at point-of-care at the clinic for capturing
data and assisting with the workflow of patients as they are
screened and treated for HIV, TB, malnutrition, hypertension,
diabetes, pregnancy, cervical cancer, etc.
Dr Emily Wroe and the Boston Medical Informatics team present
the latest from Neno.
3. 3
Integrated Chronic Care Cascade
COMMUNITY
PRIMARY CARE
SECONDARY CARE
ADVANCED CHRONIC DISEASE CARE
INTEGRATED CHRONIC DISEASE CARE
COMMUNITY SCREENING AND
EDUCATION
Communit
y
Screening
IC3
Advanced
NCD &
MH clinics
HOME
COMMUNITY HEALTH WORKERS
CHW
Househol
d Model
4. 4
Integrated Chronic Care Cascade
COMMUNITY
PRIMARY CARE
SECONDARY CARE
ADVANCED CHRONIC DISEASE CARE
Integrated primary healthcare: one
model for HIV and NCDs
Community education and integrated
screening for common conditions
Communit
y
Screening
IC3
Advanced
NCD &
MH clinics
HOME
Home based support, longitudinal follow
up, missed visit tracking, and linkage to
care
CHW
Househol
d Model
6. 6
Integrated Chronic Care Clinic
Client Check-
in and triage
Screening &
direct referral
Client sees
clinician
Collect
medicine and
check out
Education
• All HIV and NCD clients seen in one clinic
• Patient-centric care model
• One appointment for all conditions
• Added efficiencies for staff and space
IC
3
Integrated
Chronic
Care
Clinic
IC3
7. 7
IC3 Clinic Screening Workflow
Record
s
Station
Vitals
(Height/
Weight)
Vitals
(BP/
Glucos
e)
TB/HIV
Registration
Clinical
Encounter
Nurse
Station
(Meds, FP,
Check-out)
HTS Viral Load
(DBS)
Informatics
enters data from
MC into child
servers
10. 10
EMR use in Neno
●EMR
Intervention
●Addressing the problem ●Results
●Appointment
Report
• Bottlenecks in wait time
• Task sharing for VL &
laboratory testing
●• Reduced wait time by
26% (58 min to 43 min)
●• Increased VL testing
from 65% to 88%
●In Ward Report ●• Link outpatient care reports
to inpatient system
●• Insert one page summary
into inpatient charts
●• >40% of admissions
11. 11
EMR use in Neno
●EMR
Intervention
●Addressing the problem ●Results
●Defaulted patients ●• Patients missing
appointments or defaulting
from care
●• Two tiered process to
find patients
●• >90% of all HIV and NCD
patients are consistently seen
every 3 months
●Monthly and quarterly
monitoring reports
●• Data fluency
●• Quality improvement
●• Mentorship
●• Biweekly team meetings
●• Quarterly data review
meetings
●• System improvement
projects ongoing
12. 12
IC3 EMR App – Project goals
The implementation of this new IC3 application solves the
following issues:
• Screening and alert criteria are complicated and difficult for the
screeners and clinicians to track
• No electronic screening data
• Duplicate entry of monitoring data for enrolled patients
•
• Strategic objectives:
•
• Next-generation user interface for PIH EMR systems
• Framework for point-of-care entry of mastercard data
13. 13
IC3 EMR App – Unique features
Unique features
• Layout optimized for touchscreen tablet
• Automated screening station queues
• Alert action banner
• Patient alerts displayed for nurse and
clinician
• Integration with existing Mastercard data
entry
15. 15
POC EMR implementation: lessons learned
•
• Staff currently report that they anticipate POC EMR will improve
• data quality
• efficiency for clerks
• quality of screening with decision support built in
• the ability to monitor screening data
•
• Challenges:
• network interruptions
• mixed system of POC and retrospective data entry
• getting all staff comfortable with tablets, mobile data entry, and the interface
16. 16
Screening app – Future direction
• POC EMR evaluation including an ongoing time motion study
• Dispensing integration
• Expanded clinical decision support at point of care
• Support fully paperless mastercard entry across all programs
•
IC3
Registration
and
Screening
IC3
Dispensing
integration
AdvancedNCD
Clinic
Expand
Clinical
Decision
Support
PHASE 1 PHASE 3PHASE 2