Creating large scale telehealth network : A story from the USA by Adam Darkins, Vice President, Medical Affairs & Enterprise Technology Development, Medtronics, USA
This document discusses electronic health record (EHR) standards in India. It provides an overview of the Ministry of Health and Family Welfare's EHR standards initiative, including the standards that were originally notified in 2013 for identifiers, codes, content formats, messaging, and security/access control. It outlines the EHR Review Committee's recent effort to update the standards to align with international standards and India's membership in SNOMED CT. The major revisions suggested by the committee are summarized, including recommendations to use SNOMED CT as the primary clinical terminology and clarify guidelines on various standards.
This document outlines the keynote address by Prof. S. Yunkap Kwankam on going digital and scaling digital health interventions. It discusses:
1. Digital health priority areas from 2006 that have not significantly changed, including telemedicine, electronic health records, and mobile health applications.
2. The benefits of digital health are well understood but limited by critical factors like scale. Examples are provided of scale limitations in information-intensive applications.
3. A framework is proposed to guide scaling digital health interventions through identifying obstacles, exchanging ideas, and structuring dialog around specific applications and themes.
4. Conclusions emphasize the need to focus on overall development with digital health, address grand challenges
Mark Frisse gave a keynote address covering four main topics: the turbulence in healthcare due to various forces driving change; the current confusion from uncertainties in the evolving healthcare system; some vital elements that could help forge solutions; and the need for an emergent, incremental approach to progress. He argued that meaningful change requires renewed focus on critical goals through a systematic, component-based approach with tangible early results.
1) The document describes Eventus, an integrated healthcare platform founded by Fardeen Siddiqui and Dr. Rahil Qamar Siddiqui that aims to build the largest healthcare ecosystem in India.
2) It outlines the current fragmented state of healthcare in India and Eventus' vision to create a standardized, integrated platform that connects patients, clinics, hospitals, pharmacies, and labs.
3) Eventus uses international healthcare standards to ensure interoperability and features like online appointment booking, clinical note taking, and analytics to make healthcare more efficient and patient-centric.
Accountable Care Workgroup: Draft RecommendationsBrian Ahier
The document outlines the recommendations from an Accountable Care Workgroup on advancing health IT capabilities to support accountable care models. It discusses the workgroup background and members, their charge to provide recommendations to ONC and HHS, and six draft recommendation areas: 1) HIT adoption and infrastructure, 2) access to administrative and encounter data, 3) exchanging data across healthcare organizations, 4) data portability, 5) clinician use of data to improve care, and 6) streamlining administration of value-based programs. Specific draft recommendations are provided under each area.
eHealth Practice in Europe: where do we stand?chronaki
eHealth as the use of Information and communication technologies in the practice of health care comprises Electronic health records, Healthcare information exchange cross-jurisdictions, Personal health records, Telehealth, telemedicine and remote monitoring.
There are several efforts to reflect and measure the practice of eHealth including efforts by the OECD and WHO, but in general there is little reported sharing of health data particularly with patients. Specific barriers frequently mentioned are supporting policies and coherent widely implemented standards.
The presentation discusses relevant efforts and programs supported by the European Commission such as the eHealth DSI, eStandards, ASSESS CT, and openMedicine aiming at large scale eHealth adoption It calls for engagement of European Society, its national societies, and its members.
Creating large scale telehealth network : A story from the USA by Adam Darkins, Vice President, Medical Affairs & Enterprise Technology Development, Medtronics, USA
This document discusses electronic health record (EHR) standards in India. It provides an overview of the Ministry of Health and Family Welfare's EHR standards initiative, including the standards that were originally notified in 2013 for identifiers, codes, content formats, messaging, and security/access control. It outlines the EHR Review Committee's recent effort to update the standards to align with international standards and India's membership in SNOMED CT. The major revisions suggested by the committee are summarized, including recommendations to use SNOMED CT as the primary clinical terminology and clarify guidelines on various standards.
This document outlines the keynote address by Prof. S. Yunkap Kwankam on going digital and scaling digital health interventions. It discusses:
1. Digital health priority areas from 2006 that have not significantly changed, including telemedicine, electronic health records, and mobile health applications.
2. The benefits of digital health are well understood but limited by critical factors like scale. Examples are provided of scale limitations in information-intensive applications.
3. A framework is proposed to guide scaling digital health interventions through identifying obstacles, exchanging ideas, and structuring dialog around specific applications and themes.
4. Conclusions emphasize the need to focus on overall development with digital health, address grand challenges
Mark Frisse gave a keynote address covering four main topics: the turbulence in healthcare due to various forces driving change; the current confusion from uncertainties in the evolving healthcare system; some vital elements that could help forge solutions; and the need for an emergent, incremental approach to progress. He argued that meaningful change requires renewed focus on critical goals through a systematic, component-based approach with tangible early results.
1) The document describes Eventus, an integrated healthcare platform founded by Fardeen Siddiqui and Dr. Rahil Qamar Siddiqui that aims to build the largest healthcare ecosystem in India.
2) It outlines the current fragmented state of healthcare in India and Eventus' vision to create a standardized, integrated platform that connects patients, clinics, hospitals, pharmacies, and labs.
3) Eventus uses international healthcare standards to ensure interoperability and features like online appointment booking, clinical note taking, and analytics to make healthcare more efficient and patient-centric.
Accountable Care Workgroup: Draft RecommendationsBrian Ahier
The document outlines the recommendations from an Accountable Care Workgroup on advancing health IT capabilities to support accountable care models. It discusses the workgroup background and members, their charge to provide recommendations to ONC and HHS, and six draft recommendation areas: 1) HIT adoption and infrastructure, 2) access to administrative and encounter data, 3) exchanging data across healthcare organizations, 4) data portability, 5) clinician use of data to improve care, and 6) streamlining administration of value-based programs. Specific draft recommendations are provided under each area.
eHealth Practice in Europe: where do we stand?chronaki
eHealth as the use of Information and communication technologies in the practice of health care comprises Electronic health records, Healthcare information exchange cross-jurisdictions, Personal health records, Telehealth, telemedicine and remote monitoring.
There are several efforts to reflect and measure the practice of eHealth including efforts by the OECD and WHO, but in general there is little reported sharing of health data particularly with patients. Specific barriers frequently mentioned are supporting policies and coherent widely implemented standards.
The presentation discusses relevant efforts and programs supported by the European Commission such as the eHealth DSI, eStandards, ASSESS CT, and openMedicine aiming at large scale eHealth adoption It calls for engagement of European Society, its national societies, and its members.
The document discusses Singapore's healthcare system and efforts to implement an electronic health record (EHR) system nationally by 2010. Key points include:
- Singapore has a relatively affordable yet high quality healthcare system serving a population of 4.59 million people.
- Efforts are underway to address challenges of an aging population and rising costs through healthcare IT initiatives like the EMR Exchange (EMRX) system.
- The Ministry of Health aims to implement a national integrated EHR system by 2010 to improve care quality, safety and efficiency through clinical data sharing across providers.
eStandards: eHealth Standards & Profiles in Action for Europe and beyondchronaki
The document discusses the eStandards project which aims to advance the use of eHealth standards in Europe and globally. The key goals are to:
1) Build consensus on eHealth standards among stakeholders and create a roadmap for aligning, consolidating, and adopting standards.
2) Support large-scale eHealth deployments across regions, countries, and borders through quality management and testing of systems.
3) Advance global cooperation on eHealth standards through relationships like the EU-US Memorandum of Understanding.
Healing Hands Clinic : Success Story of India's Best Piles, Fissure and Fistu...HealingHands3
Healing Hands Clinic (HHC) is a certified center of excellence for Piles, Fissure, and Fistula treatment in India. Our branches are present at Pune, Mumbai, Nashik, Banglore, Hyderabad, Jaipur, and Dubai. Each of the clinics has Internationally recognized surgeons and state-of-the-art facilities to provide holistic treatment for all.
To date, more than 1.5 lakh patients have been satisfactorily treated for their diseases at Healing Hands Clinic. A maximum number of Stapler surgeries in Asia has been performed at all the centers of HHC. The country’s first Laser Haemorrhoidoplasty ( LHP ) was performed at HHC.
Physicians are interested in adopting digital clinical tools if they:
1) Improve practice efficiency, increase patient safety, and enhance diagnostic ability.
2) Fit within existing systems and workflows.
3) Address concerns around data privacy, liability coverage, and reimbursement.
Physicians want to be involved in adoption decisions but also look to IT experts and practice leaders for guidance. Younger physicians see potential for tools to reduce burnout and strengthen patient relationships.
The document discusses the physician voice in adopting new technologies like electronic medical records (EMRs). It notes that the physician voice has both an external role advocating for patients and an inner role considering personal impacts. Successful adoption requires addressing physician concerns about privacy, workload, and local needs through collaboration between physicians and other stakeholders. It outlines models used in Vancouver Coastal Health to engage physicians through user groups and champions to provide feedback and guide implementation.
Big Data and VistA Evolution, Theresa A. Cullen, MD, MSBrian Ahier
Presentation to Open Source Electronic Health Record Alliance (OSEHRA) Architecture Work Group by Theresa A. Cullen, MD, MS
Chief Medical Information Officer
Director, Health Informatics
Office of Informatics and Analytics
Veterans Health Administration
Department of Veterans Affairs
1) The document discusses a proposed regulatory framework for health information technology developed in response to a congressional mandate.
2) It outlines recommendations from an expert committee regarding a risk-based approach focusing on functionality rather than type of technology.
3) The proposed framework emphasizes standards, certification, learning and improvement to promote innovation while ensuring patient safety.
FTC Spring Privacy Series: Consumer Generated and Controlled Health DataBrian Ahier
Increasingly, consumers are taking a more active role in managing and generating their own health data. For example, consumers are researching their health conditions and diagnosing themselves online. Consumers are also uploading their information into personal health records and apps that allow them to manage and analyze their data, and utilizing connected health and fitness devices that regularly collect information about them and transmit this information to other entities.
The movement of health data outside the traditional medical provider context has many potential benefits; however, it also raises potential privacy concerns. The seminar will address questions such as:
What types of websites, products, and services are consumers using to generate and control their health data, and how are consumers using them?
Who are the companies behind these websites, products, and services, what are their business models, and what does the current marketplace look like?
How can consumers benefit from these companies’ websites, products, and services?
What actions are these companies taking to protect consumers’ privacy and security?
What do consumers expect from these companies regarding privacy and security protections?
Do consumers differentiate between these companies and those that offer traditional medical products and services that are covered by HIPAA?
What restrictions, if any, do advertising networks and others impose on tracking of health data?
Sri Lanka is well known for its better health indices when compared with other countries in South Asia. However, the burdens of Non Communicable Diseases (NCD) have increased rapidly during last two decades. NCDs such as neoplasms, cardiovascular diseases, diabetes and chronic respiratory pathologies recorded were 10.2, 41.7, 13.3 (related deaths per 100,000 population) respectively during the year 1990. However by 2009, the same NCDs recorded 18.5, 60.6, and 21.9 (related deaths per 100,000 populations) respectively according to the Annual Health Bullatin released by the Medical Statistics Unit - Ministry of Healthcare & Nutrition [1]. Most communicable diseases have been controlled successfully (e.g. Malaria, Polio) several infective diseases, such as, Tuberculosis and Leprosy has been re-emerged due to various reasons. Dengue is also still remains a major crisis in Sri Lankan health sector.
Health Information Systems have been shown an integral role in health systems in facing double burden of disease, specially quantifying the cost of care. Also, Health Information Systems are one of WHO's 6 building blocks for health system strengthening. This work investigates the Sri Lankan scenario empirically based on selected electronic health information systems to evaluate the effect of reducing uncertainty and promoting coordination in the clinical care pathway.
Musadiq Subar, IT Programme Manager and Clinical Technical ArchitectHIMSS UK
North Middlesex University Hospital serves over 350,000 people in London. They sought to improve patient care and staff experience by transitioning to digital services. This involved engaging clinicians to build applications for electronic referrals, discharge summaries, and test results. Scanning paper records improved access to patient information across systems. Challenges included changing workflows and gaining support, but benefits included better clinical decisions, coding, and outcomes for a sustainable digital healthcare model.
Computer Information Systems and the Electronic Health RecordRebotto89
Paper-based health records are being replaced by electronic health records (EHRs) to improve patient care. A clinical information system (CIS) is a collection of applications that provides centralized access to patient information across locations. Choosing a CIS requires input from all users and consideration of costs, which can range from $1-2 million for small hospitals to over $1 billion for large hospitals. Ensuring security of patient data and regular system updates are also important factors in selecting and implementing a CIS/EHR.
Health Care Data Sets and their purpose
UHDDS, UACDS, MDS, OASIS, DEEDS and EMDS.
Explain the standardization data collection efforts.
Explain the five type of standards that need to be in place to implement the Nationwide Health Information Network (NHIN).
Standard Development Organizations
Evolving and Emerging Health Information Standards
This document provides an agenda and background information for an Industry On-Boarding Roundtable meeting hosted by PEO DHMS. The agenda includes opening remarks, overviews of the DoD Health Information Exchange and onboarding process, a facilitated discussion on lessons learned, and information on initiatives underway. The document also provides context on the evolution of data sharing within the Military Health System, including the development of key exchange programs over time. Additionally, it outlines the onboarding process that DoD conducts to connect with new exchange partners, including the various steps, documentation required, and examples of timelines. Lastly, it discusses planning for a lessons learned discussion session at the roundtable meeting.
1) The document describes NIMHANS ECHO, an innovative tele-mentoring model developed by NIMHANS, Bangalore to build skilled capacity for addiction and mental health in the community.
2) Through weekly live video conferences and asynchronous e-learning modules, NIMHANS ECHO connects experts at NIMHANS with community health professionals to provide training, mentoring, and share best practices.
3) Over two years, NIMHANS ECHO has connected with nearly 1000 community partners, delivered over 170 hours of training, and seen positive impact including improved clinical practices and patient satisfaction with care.
The document discusses the challenges facing primary care in England, including an aging population, more complex patient needs, and a shortage of healthcare professionals. It notes that digital technologies can help address these challenges by empowering patients to better manage their own care, allowing practices to work more efficiently, and giving providers tools to improve quality of care. Specifically, it outlines how technologies like online appointment booking, access to medical records, remote monitoring, and clinical apps can benefit both patients and practices. Finally, it proposes several strategies for NHS England to further digital transformation, such as increasing funding, training, online services, and interoperability between health systems.
Brendan Delany – Chair in Medical Informatics and Decision Making, Imperial...HIMSS UK
The document discusses the EU-funded TRANSFoRm project, which aimed to develop methods and validated architectures to support a learning health system. The project involved 21 partners from 10 EU member states. It sought to enable real-time clinical diagnosis and trials using data from electronic health records. It developed ontologies and standards to maintain meaning across the learning health system. A prototype clinical decision support system integrated into a primary care electronic health record was evaluated in a simulation and found to improve diagnostic accuracy and management without increasing consultation time or test ordering.
2015 Edition Proposed RuleModifications to the ONC Health IT Certification ...Brian Ahier
Presentation to April 7, 2015 Health IT Policy Committee:
2015 Edition Proposed RuleModifications to the ONC Health IT Certification Program and 2015 Edition Health IT Certification Criteria
WhatsApp Telemedicine For the Developing World: What Can We Learn From India by Maurice Mars Head Dept of TeleHealth, Nelson, R Mandela School of Medicine @ University of KwaZulu-Natal, South Africa
The document discusses Singapore's healthcare system and efforts to implement an electronic health record (EHR) system nationally by 2010. Key points include:
- Singapore has a relatively affordable yet high quality healthcare system serving a population of 4.59 million people.
- Efforts are underway to address challenges of an aging population and rising costs through healthcare IT initiatives like the EMR Exchange (EMRX) system.
- The Ministry of Health aims to implement a national integrated EHR system by 2010 to improve care quality, safety and efficiency through clinical data sharing across providers.
eStandards: eHealth Standards & Profiles in Action for Europe and beyondchronaki
The document discusses the eStandards project which aims to advance the use of eHealth standards in Europe and globally. The key goals are to:
1) Build consensus on eHealth standards among stakeholders and create a roadmap for aligning, consolidating, and adopting standards.
2) Support large-scale eHealth deployments across regions, countries, and borders through quality management and testing of systems.
3) Advance global cooperation on eHealth standards through relationships like the EU-US Memorandum of Understanding.
Healing Hands Clinic : Success Story of India's Best Piles, Fissure and Fistu...HealingHands3
Healing Hands Clinic (HHC) is a certified center of excellence for Piles, Fissure, and Fistula treatment in India. Our branches are present at Pune, Mumbai, Nashik, Banglore, Hyderabad, Jaipur, and Dubai. Each of the clinics has Internationally recognized surgeons and state-of-the-art facilities to provide holistic treatment for all.
To date, more than 1.5 lakh patients have been satisfactorily treated for their diseases at Healing Hands Clinic. A maximum number of Stapler surgeries in Asia has been performed at all the centers of HHC. The country’s first Laser Haemorrhoidoplasty ( LHP ) was performed at HHC.
Physicians are interested in adopting digital clinical tools if they:
1) Improve practice efficiency, increase patient safety, and enhance diagnostic ability.
2) Fit within existing systems and workflows.
3) Address concerns around data privacy, liability coverage, and reimbursement.
Physicians want to be involved in adoption decisions but also look to IT experts and practice leaders for guidance. Younger physicians see potential for tools to reduce burnout and strengthen patient relationships.
The document discusses the physician voice in adopting new technologies like electronic medical records (EMRs). It notes that the physician voice has both an external role advocating for patients and an inner role considering personal impacts. Successful adoption requires addressing physician concerns about privacy, workload, and local needs through collaboration between physicians and other stakeholders. It outlines models used in Vancouver Coastal Health to engage physicians through user groups and champions to provide feedback and guide implementation.
Big Data and VistA Evolution, Theresa A. Cullen, MD, MSBrian Ahier
Presentation to Open Source Electronic Health Record Alliance (OSEHRA) Architecture Work Group by Theresa A. Cullen, MD, MS
Chief Medical Information Officer
Director, Health Informatics
Office of Informatics and Analytics
Veterans Health Administration
Department of Veterans Affairs
1) The document discusses a proposed regulatory framework for health information technology developed in response to a congressional mandate.
2) It outlines recommendations from an expert committee regarding a risk-based approach focusing on functionality rather than type of technology.
3) The proposed framework emphasizes standards, certification, learning and improvement to promote innovation while ensuring patient safety.
FTC Spring Privacy Series: Consumer Generated and Controlled Health DataBrian Ahier
Increasingly, consumers are taking a more active role in managing and generating their own health data. For example, consumers are researching their health conditions and diagnosing themselves online. Consumers are also uploading their information into personal health records and apps that allow them to manage and analyze their data, and utilizing connected health and fitness devices that regularly collect information about them and transmit this information to other entities.
The movement of health data outside the traditional medical provider context has many potential benefits; however, it also raises potential privacy concerns. The seminar will address questions such as:
What types of websites, products, and services are consumers using to generate and control their health data, and how are consumers using them?
Who are the companies behind these websites, products, and services, what are their business models, and what does the current marketplace look like?
How can consumers benefit from these companies’ websites, products, and services?
What actions are these companies taking to protect consumers’ privacy and security?
What do consumers expect from these companies regarding privacy and security protections?
Do consumers differentiate between these companies and those that offer traditional medical products and services that are covered by HIPAA?
What restrictions, if any, do advertising networks and others impose on tracking of health data?
Sri Lanka is well known for its better health indices when compared with other countries in South Asia. However, the burdens of Non Communicable Diseases (NCD) have increased rapidly during last two decades. NCDs such as neoplasms, cardiovascular diseases, diabetes and chronic respiratory pathologies recorded were 10.2, 41.7, 13.3 (related deaths per 100,000 population) respectively during the year 1990. However by 2009, the same NCDs recorded 18.5, 60.6, and 21.9 (related deaths per 100,000 populations) respectively according to the Annual Health Bullatin released by the Medical Statistics Unit - Ministry of Healthcare & Nutrition [1]. Most communicable diseases have been controlled successfully (e.g. Malaria, Polio) several infective diseases, such as, Tuberculosis and Leprosy has been re-emerged due to various reasons. Dengue is also still remains a major crisis in Sri Lankan health sector.
Health Information Systems have been shown an integral role in health systems in facing double burden of disease, specially quantifying the cost of care. Also, Health Information Systems are one of WHO's 6 building blocks for health system strengthening. This work investigates the Sri Lankan scenario empirically based on selected electronic health information systems to evaluate the effect of reducing uncertainty and promoting coordination in the clinical care pathway.
Musadiq Subar, IT Programme Manager and Clinical Technical ArchitectHIMSS UK
North Middlesex University Hospital serves over 350,000 people in London. They sought to improve patient care and staff experience by transitioning to digital services. This involved engaging clinicians to build applications for electronic referrals, discharge summaries, and test results. Scanning paper records improved access to patient information across systems. Challenges included changing workflows and gaining support, but benefits included better clinical decisions, coding, and outcomes for a sustainable digital healthcare model.
Computer Information Systems and the Electronic Health RecordRebotto89
Paper-based health records are being replaced by electronic health records (EHRs) to improve patient care. A clinical information system (CIS) is a collection of applications that provides centralized access to patient information across locations. Choosing a CIS requires input from all users and consideration of costs, which can range from $1-2 million for small hospitals to over $1 billion for large hospitals. Ensuring security of patient data and regular system updates are also important factors in selecting and implementing a CIS/EHR.
Health Care Data Sets and their purpose
UHDDS, UACDS, MDS, OASIS, DEEDS and EMDS.
Explain the standardization data collection efforts.
Explain the five type of standards that need to be in place to implement the Nationwide Health Information Network (NHIN).
Standard Development Organizations
Evolving and Emerging Health Information Standards
This document provides an agenda and background information for an Industry On-Boarding Roundtable meeting hosted by PEO DHMS. The agenda includes opening remarks, overviews of the DoD Health Information Exchange and onboarding process, a facilitated discussion on lessons learned, and information on initiatives underway. The document also provides context on the evolution of data sharing within the Military Health System, including the development of key exchange programs over time. Additionally, it outlines the onboarding process that DoD conducts to connect with new exchange partners, including the various steps, documentation required, and examples of timelines. Lastly, it discusses planning for a lessons learned discussion session at the roundtable meeting.
1) The document describes NIMHANS ECHO, an innovative tele-mentoring model developed by NIMHANS, Bangalore to build skilled capacity for addiction and mental health in the community.
2) Through weekly live video conferences and asynchronous e-learning modules, NIMHANS ECHO connects experts at NIMHANS with community health professionals to provide training, mentoring, and share best practices.
3) Over two years, NIMHANS ECHO has connected with nearly 1000 community partners, delivered over 170 hours of training, and seen positive impact including improved clinical practices and patient satisfaction with care.
The document discusses the challenges facing primary care in England, including an aging population, more complex patient needs, and a shortage of healthcare professionals. It notes that digital technologies can help address these challenges by empowering patients to better manage their own care, allowing practices to work more efficiently, and giving providers tools to improve quality of care. Specifically, it outlines how technologies like online appointment booking, access to medical records, remote monitoring, and clinical apps can benefit both patients and practices. Finally, it proposes several strategies for NHS England to further digital transformation, such as increasing funding, training, online services, and interoperability between health systems.
Brendan Delany – Chair in Medical Informatics and Decision Making, Imperial...HIMSS UK
The document discusses the EU-funded TRANSFoRm project, which aimed to develop methods and validated architectures to support a learning health system. The project involved 21 partners from 10 EU member states. It sought to enable real-time clinical diagnosis and trials using data from electronic health records. It developed ontologies and standards to maintain meaning across the learning health system. A prototype clinical decision support system integrated into a primary care electronic health record was evaluated in a simulation and found to improve diagnostic accuracy and management without increasing consultation time or test ordering.
2015 Edition Proposed RuleModifications to the ONC Health IT Certification ...Brian Ahier
Presentation to April 7, 2015 Health IT Policy Committee:
2015 Edition Proposed RuleModifications to the ONC Health IT Certification Program and 2015 Edition Health IT Certification Criteria
WhatsApp Telemedicine For the Developing World: What Can We Learn From India by Maurice Mars Head Dept of TeleHealth, Nelson, R Mandela School of Medicine @ University of KwaZulu-Natal, South Africa
Current regulations regarding eHealth in Europe by Frank Lievens, Executive Secretariat ISfTeH Director, Managing Director Lievens-Lanckman bvba, Belgium
This document discusses transforming decentralized healthcare through an integrated care and insight system. It highlights that 95% of patient encounters occur in decentralized facilities but 95% of health data comes from centralized facilities, creating a major disconnect. The system aims to enable health workers to deliver care on par with experts, provide stakeholders with real-time tracking and analytics insights, and use care data to drive improved insights which then improve care. It provides examples of how the system has reduced errors, increased compliance with protocols, and lowered costs while dramatically increasing oversight, epidemiological accuracy, and the reach of healthcare.
This document discusses future visions for digital health and eHealth. It describes how healthcare models have evolved from decentralized local care to more centralized remote care, and are predicted to move to decentralized automated care for many patients. Key digital transformations mentioned include electronic health records, online health apps, telemedicine, wearable devices, digital diagnostics, automated clinics, robotic surgery, big data and artificial intelligence. However, challenges that could hamper this digital transition are also noted, such as social acceptance, cost effectiveness, reimbursement issues, legal frameworks and data protection. The document concludes by predicting several ways healthcare may change by the year 2020 through increased use of health apps, artificial intelligence for diagnoses, nanotechnology for home testing, smartphone-based diagn
The document discusses the growth of the Indian healthcare industry and opportunities for disruption through new technologies and models of care. It notes that the healthcare market in India is projected to reach $307 billion by 2025 but faces challenges around access, affordability, and quality. To meet future demand and improve health outcomes, traditional approaches would require building vast new infrastructure. However, the document advocates for a new "predict, monitor, and prevent" model of healthcare enabled by technologies like telemedicine, remote monitoring, and mobile health apps to improve access, costs and quality in a more scalable way.
Environmental eHealth : A critical compenent of eHealth readiness assessment by Richard Scott, CEO & Principal
Consultant for NT Consulting, Editor - Journal ISfTeH, Canada
While technology can help solve problems, it does not necessarily mean the problems existed in the first place. Fortune 100 CEOs rely as much on gut feeling as complex data analytics. Meditation encourages divergent thinking which is key to creativity. Emotional intelligence is essential for leadership. Clinical judgement and wisdom are important in medical decision making. Technology should serve to achieve healthcare ends, not be pursued for its own sake. The future of healthcare requires balancing various factors while emphasizing the role of empathizing clinicians over reliance on technology alone.
Telemedicine in Otolaryngology Past, Present & Future by Piotr Henryk Skarzyñski, Director of Science & Development, Institute of Sensory Organs, Medical University of Warsaw, Poland
An Opportunity for delegates to know how much they really know / need to know . The first person who answers a question correctly will get a prize. 30 Minutes of action
packed intellectual treat to find out the smartest !
Evidence Based Clinical Decision Support – An Enabler for Clinicians in 21st Century by Dr. Lalit Singh, Director for Content & Product Strategy, Elsevier, India
Large Scale Disaster Management in Healthcare Deploying ICT by Olav Veum Eielsen Anesthesiologist, Director Regional Centre for Medical Emergency Research and Development,
Norway
The document provides an introduction to SNOMED CT, which is described as the most comprehensive, multilingual clinical healthcare terminology in the world. It allows for very granular data capture and powerful analytics and decision support. The document traces the history and development of SNOMED CT and compares it to other clinical coding systems such as ICD-10, noting advantages such as having no limit on the number of codes and concepts with multiple relationships that enable more flexible querying.
Getting healthcare is inconvenient, providing it is inefficient, and there is too much unorganized data from devices. However, technology can provide solutions like easy access to health information through symptom searches and condition cards, online apps for users to chat with doctors and get prescriptions or schedule appointments, more convenient care through walk-in clinics, home visits or telehealth, and lifestyle management apps to help with personal health or conditions like diabetes. These applications aim to use technology to make healthcare more accessible and efficient as well as enable healthier lives.
1) The document describes a telemedicine consultation project called HEALTH Alpha that allows French physicians to conduct remote consultations with patients located in Houston, Texas.
2) The HEALTH Alpha system uses specialized medical equipment to allow French doctors to remotely examine, diagnose, and treat French expat patients in Houston as if they were in the same room.
3) A pilot program was launched between France and Houston to serve the large French expatriate population in Texas, allowing remote access to care in their native language at a lower cost than the U.S. healthcare system.
Non-communicable diseases such as cardiovascular disease account for 38 million deaths annually and place a large burden on healthcare systems with limited resources in rural areas and increasing out-of-pocket expenses. The Cardiotrack solution addresses this issue by providing an integrated system of medical devices, apps, and cloud services that allows for 12-lead ECGs, blood pressure, and other vital signs to be recorded and examined on apps accessible to physicians and specialists, enabling remote consultation and referrals to partner hospitals for further diagnostics and intervention. The Cardiotrack system has evolved from its initial 3-lead ECG prototype in 2013 to the current commercialized version that incorporates 12-lead ECGs and plans to integrate new IoT
Michael J. Dowling, President & CEO, North ShoreInvestnet
Michael J. Dowling gave a presentation on lessons learned from building North Shore-LIJ Health System into an integrated health system. He discussed 10 key lessons: 1) having clarity of purpose as an integrated system rather than a collection of entities, 2) creating a customer-focused organization, 3) thinking about health rather than just medical care, 4) avoiding being just hospital-centric, 5) avoiding constituency governance, 6) creating single system leadership, 7) standardizing system-wide metrics, 8) choosing leadership carefully, 9) avoiding self-inflicted wounds like bureaucracy, and 10) investing in talent management.
Advancing Team-Based Care: Complex Care Management in Primary CareCHC Connecticut
This webinar investigated the ways that team members can contribute to the care of patients with complex medical and/or social needs. The focus was on developing the expanded care team and ensuring ready communication between the core and expanded care teams. Models for effective care management were presented.
This webinar was presented May 5, 2016 3:00 p.m. Eastern Time
Cfo Magazine Nura Life Sciences Webinar Presentation On Integrative Medicine ...Leland Lehrman
This document summarizes a presentation on reducing corporate health care costs. It discusses how the current US healthcare payment system lacks efficacy data and incentives are misaligned, focusing on costs rather than value. It advocates capturing real-time treatment data to identify effective treatments. Integrating conventional and alternative approaches could drive value by reducing costs for chronic conditions, which account for 75% of expenditures. Next steps proposed include collecting health data, creating a business model to analyze the data and reduce costs of self-insured plans.
This lecture discusses the delivery of primary and specialty care in outpatient settings in the United States. It describes where primary care is typically delivered, the main primary care specialties of family practice, internal medicine, pediatrics, and OB/GYN. It outlines the organization of specialty care and different types of specialty clinics. The lecture also discusses the primary care crisis in the US due to fewer primary care physicians and increased costs, and potential solutions like shifting training focus and increased funding.
The document provides an overview of healthcare delivery and operations in clinical settings. It discusses ambulatory care including primary care delivered in outpatient settings like clinics and physicians' offices. It also covers emergency care settings. The document contrasts ambulatory and emergency care with hospital inpatient care and describes the management of hospital operations.
This lecture describes the various facilities involved in delivering health care in the United States, ranging from individual physician practices to large hospital systems. It outlines the structure and functions of outpatient clinics, urgent care centers, community health centers, and different types of hospitals. The lecture also describes the clinical and administrative organization of hospitals, including units like the emergency department, operating rooms, and intensive care units. It details the various medical professionals and their roles in providing care across facilities.
The Thumbay Group UAE is an international business conglomerate with its head quarters in Ajman, United Arab Emirates.
Venturing into new avenues of service with missionary zeal, the Thumbay Group has over the past decade spread its wings of excellence in various fields of social and business endeavours. What started in 1998 with the establishment of the Thumbay Group at Ajman, UAE by its founder, a visionary and third generation entrepreneur from India, Mr. Thumbay Moideen, blossomed into a diversified group with operations in Education, Healthcare, Medical Research, Diagnostics, Retail Pharmacy, Health Communication, Retail Opticals, Wellness, Nutrition Stores, Hospitality, Real Estate, Publishing,Trading, Marketing& Distribution.
The GMC Chain of Hospitals, the constituent teaching hospitals of Gulf Medical University, is one of the largest healthcare services provider in U.A.E serving patients from more than 175 countries. Similarly, Gulf Medical University attracts a student cohort of over 67 nationalities and faculty and staff from over 22 countries.
Apart from being an acknowledged leader in the health sector, Thumbay Group operates a reputed pharmacy chain, diagnostic centres, multi-brand retail outlets, world-class wellness centres, a prestigious chain of coffee shoppes, popular health & lifestyle publication, to name a few. An academic and entrepreneurial powerhouse, the Thumbay Group takes its strength from an empowered and loyal employee group exceeding two thousand and two-hundred people.
Today, the Thumbay Group is a symbol for superior service, quality and innovation.
Digital African health library by Bruce Dahlman, INFAMEDachapkenya
The document discusses the motivation and goals for developing the Digital African Health Library. It aims to provide relevant medical information resources to healthcare workers in Africa through smartphones and tablets. This addresses challenges of limited internet access in rural areas and the lack of current, locally relevant medical information available to support clinical decision making. The Digital African Health Library will contain various medical textbooks, clinical guidelines, and other resources. It is being piloted in several African countries in 2015-2016 to support primary care physicians, nurses, and clinical officers in their clinical practice and training.
Evidence-based healthcare uses the best available clinical evidence from valid research combined with a health professional's expertise and experience to make decisions about patient care. It was introduced in 1991 to help clinicians incorporate research findings into their daily practice. Evidence-based healthcare aims to provide the highest quality of care using current best evidence from medical research on treatments, diagnostic tests, and other interventions. It involves forming clinical questions, searching literature, critically appraising evidence, and applying results to improve patient outcomes.
An institution providing medical and surgical treatment and nursing care for sick or injured people.
By WHO "Directory of Hospitals in India, 1988" is to some extent simple and short.
According to this,
definition. "A hospital is an institution which is operated for the medical surgical and/or obstetrical care of in-patients and which is treated as a hospital by the Centrally State Government/Local bodies or licensed by the appropriate authority.
1. Patient care:- patient care involves diagnosis, treatment ofllness or injury preventive medicine, rehabilitation, convalescent care, dental care, personalized services
2. Education services :- The education services are two form:-
a. Medical & allied health profession education: - Teaching of physician nurses, pharmacist, medical technologist, medical social service worker, hospital administration & training, dietician etc.
b. Patient education: - children, general education, social education for rehabilitation health care & also patient counseling.
3.Research: - Research is important to advanced medical knowledge against disease & to improve hospital service. This is important for better health care of patient.
4. Public health care: - public health is important to assist the community to reduce chance of illness & to improve general health population.
Pediatric Medical Association of Fudan University Was FoundedYutai Zhang
The document discusses the formation of the Pediatric Medical Federation of Shanghai Fudan University. The federation helps member hospitals provide standardized, high-quality pediatric services across 9 districts of Shanghai. It provides 1,500 beds and over 500 pediatricians to treat 3 million emergency cases and admit 50,000 patients annually. The federation aims to make pediatric care more convenient and ensure continuous treatment for children, especially those with chronic conditions.
Health Care Settings – The Places Where Care is Delivered_lecture 1_slidesCMDLearning
The document discusses different health care settings and organizations where care is delivered. It defines primary care, secondary care, and tertiary care organizations and describes their roles in the continuum of care from initial entry into the health system through end of life care. The document also describes various types of facilities that provide inpatient, outpatient, long-term, home-based, and specialty care. These include hospitals, clinics, long-term care facilities, VA and military health systems, and Indian Health Service.
Ophthalmic Nursing future and challenges.pptxRehmat18
This document discusses the role and importance of specialized ophthalmic nursing. It notes that nurses now play active roles in both hospital-based healthcare and community health initiatives, with a focus on specialization. An ophthalmic nurse is trained to make clinical decisions, assess and treat patients with eye diseases and injuries, provide education to patients and the public, and assist with eye surgeries and managing emergencies. Their role helps prevent vision impairment and blindness by enabling early diagnosis and treatment. The future of ophthalmic nursing depends on continued education and research to improve standards of care.
Elena Reyes, PhD, Associate Professor & Director of Behavioral Medicine, Florida State University College of Medicine, Regional Director Southwest Florida
Latino Health Forum 2014
Elena Reyes, PhD, Associate Professor & Director of Behavioral Medicine, Florida State University College of Medicine, Regional Director Southwest Florida
Singapore has a combination of public and private healthcare providers. The public system is divided into three Regional Health Systems which are responsible for primary, acute, and community care. Primary care is provided through polyclinics and general practitioner clinics. The healthcare system faces challenges from an aging population and increasing healthcare costs.
Krish Sankaranarayanan has over 24 years of experience in healthcare and holds multiple degrees including an MS in Patient Safety Leadership. He discussed the historical context of patient safety including figures like Florence Nightingale and Dr. Codman who helped establish standards. High reliability organizations have zero tolerance for errors, unlike healthcare which has error rates comparable to less safe industries. Common causes of medical errors include miscommunication and lack of standardized processes. The presentation provided tools and techniques to improve safety including accreditation, checklists, and focusing on system design rather than individual blame.
A experiência do Reino Unido sobre as Práticas Avançadas em Enfermagem foi tema da última reunião virtual, que aconteceu nesta quarta (24/11), do ciclo de intercâmbio promovido pela Organização Pan-Americana da Saúde no Brasil, pelo Conselho Federal de Enfermagem (Cofen) e pelo Centro Colaborador da OPAS/OMS para o Desenvolvimento da Pesquisa em Enfermagem da Universidade de São Paulo/Ribeirão. As palestrantes foram a diretora e a presidente do International Council of Nurses (ICN) do Reino Unido, Melaine Roger e Daniela Lehwaldt, respectivamente. Elas abordaram os avanços globais nas práticas em enfermagem, trouxeram casos do que acontece no Reino Unido e o porquê da importância dos enfermeiros e enfermeiras em práticas avançadas para os sistemas universais de saúde.
The document discusses evidence based healthcare and the process of evidence based medicine. It describes the 5 step process as asking questions, acquiring information, appraising the quality of evidence, applying the results, and assessing performance. Simple skills can help focus questions and basic rules can improve ability to critique literature. Simple math, not complex statistics, can help clearly describe study results.
This document provides an overview of public health and the structure of Pakistan's healthcare system. It begins with definitions of key terms like health, public health, and healthcare systems. It then describes the main functions and objectives of public health, including health promotion, disease prevention, and treatment. The document outlines Pakistan's three-tiered public and private healthcare system consisting of primary, secondary and tertiary levels of care. It also discusses issues like inadequate funding, reliance on out-of-pocket payments, and an understaffed and underequipped public system. In conclusion, it presents statistics on Pakistan's health infrastructure and workforce.
Similar to Session 2.1: United Family’s Journey in Healthcare IT a China Experience (20)
TCN merged with Global Connect, combining their technology, services, sales and support teams to serve over 1,600 active clients. TCN's security utilizes three layers of protection at the contractual, physical, and software levels, and their compliance suite features tools like manually approved calling and state-specific dialing rules to help clients stay compliant with TCPA and CFPB regulations.
The document discusses using big data and remote patient monitoring to create a more personalized electronic health record (EHR) system. It proposes integrating data from sources like wearables, social media, medical devices and patient lifestyle directly into the EHR to improve health outcomes. This would allow healthcare providers to remotely monitor patients in a more convenient and cost-effective manner. The market for remote patient monitoring solutions is expected to grow significantly in coming years as its adoption increases.
ProEmTech is an ISO 9001:2008 certified company that started in 2011 with 3 engineers and now has 35 engineers. They provide complete hospital management solutions for hospitals and clinics, following HL7 standards, NABH and NABL guidelines. Their solutions include modules for registrations, appointments, prescriptions, labs, pharmacy, billing, records, and more. They aim to deliver interoperable, collaborative, and simple hospital management systems.
The Health Proffers' Mobile app was released on September 3rd and can be found at a provided link. The document discusses market analysis, problems and solutions for diagnostic centers in Hyderabad, Visakhapatnam, Vijayawada, and other tier 1 and tier 2 cities in India. It also covers sales targets, revenue models, manpower needs, costs, and future plans.
This document provides an overview of VitreosHealth, an advanced analytics company for population health management. It describes VitreosHealth's predictive models for disease cohorts and risk factors that predict patient risks and costs with over 60% accuracy. It also outlines VitreosHealth's suite of care management tools including a State of Health Analysis and strategic process for population health management. VitreosHealth works with providers, payers, and IDNs to improve outcomes and reduce costs through predictive analytics.
MyHospitalAdvisor is a web portal and mobile app that allows users to search for and read reviews of healthcare providers in India. It aims to empower consumers to make more informed choices and enable providers to market themselves and build their online reputation. The founders have healthcare and technology experience. The business model includes premium subscriptions, advertising, and transaction fees. The platform collects reviews and provider listings to help consumers while giving providers marketing tools. It has launched minimum viable products and is pursuing organic growth and paid clients to build out the marketplace concept further.
The 98.6 Fever Watch (FW) is a wireless device that continuously monitors and records a patient's temperature. It has an enhanced Bluetooth range and compact size. The FW provides accurate temperature readings and integrates with hospital management systems. It has features like pre-settable alarms, offline data storage, multi-user connectivity, and remote alerts. The benefits of the FW in hospitals include continuous temperature monitoring, reduced human error, and increased productivity. In homes, the FW allows for remote alerts to parents or doctors, rest for caretakers, and is reusable and shareable. The 98.6 FW Pro has applications in monitoring high-risk patients like in NICUs, isolation wards, and post-discharge
Implementation of Online Safety Incident Reporting System in a Tertiary Care Teaching Hospital by Dr. Bijoy Johnson, Dept. of Hospital Administration, KMC Manipal, India
This document discusses the potential use of drones for medical applications like organ transport in India and globally. It describes how drones have been used abroad to transport organs for transplant between hospitals. The document then proposes designs for Indian multicopter and helicopter drones capable of carrying 25-40kg payloads for 100-150km ranges and endurances of 2.5-4 hours. It outlines technological requirements like obstacle avoidance, navigation without GPS, emergency landing, and supporting organ preservation during transport. Challenges discussed include developing the necessary logistics networks between hospitals, complying with DGCA regulations, and obtaining funding to develop the technology and operations.
Cloud computing has the potential to be a game changer for the Indian healthcare system. The adoption of cloud services can help address issues like the high cost of infrastructure for hospitals while improving scalability, access, and efficiency. One example is Rainbow Hospitals, a large pediatric hospital network, which overhauled its legacy IT systems by implementing a new electronic medical records and other software systems on the cloud. This allowed the hospitals to scale resources as needed, gave clinicians ubiquitous access to patient information, and led to improvements in turnaround times, documentation accuracy, and other operational metrics. Cloud computing can reduce costs for healthcare organizations while improving care delivery if implemented successfully.
The Importance of Black Women Understanding the Chemicals in Their Personal C...bkling
Certain chemicals, such as phthalates and parabens, can disrupt the body's hormones and have significant effects on health. According to data, hormone-related health issues such as uterine fibroids, infertility, early puberty and more aggressive forms of breast and endometrial cancers disproportionately affect Black women. Our guest speaker, Jasmine A. McDonald, PhD, an Assistant Professor in the Department of Epidemiology at Columbia University in New York City, discusses the scientific reasons why Black women should pay attention to specific chemicals in their personal care products, like hair care, and ways to minimize their exposure.
Fit to Fly PCR Covid Testing at our Clinic Near YouNX Healthcare
A Fit-to-Fly PCR Test is a crucial service for travelers needing to meet the entry requirements of various countries or airlines. This test involves a polymerase chain reaction (PCR) test for COVID-19, which is considered the gold standard for detecting active infections. At our travel clinic in Leeds, we offer fast and reliable Fit to Fly PCR testing, providing you with an official certificate verifying your negative COVID-19 status. Our process is designed for convenience and accuracy, with quick turnaround times to ensure you receive your results and certificate in time for your departure. Trust our professional and experienced medical team to help you travel safely and compliantly, giving you peace of mind for your journey.www.nxhealthcare.co.uk
Emotional and Behavioural Problems in Children - Counselling and Family Thera...PsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
Hypertension and it's role of physiotherapy in it.Vishal kr Thakur
This particular slides consist of- what is hypertension,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is summary of hypertension -
Hypertension, also known as high blood pressure, is a serious medical condition that occurs when blood pressure in the body's arteries is consistently too high. Blood pressure is the force of blood pushing against the walls of blood vessels as the heart pumps it. Hypertension can increase the risk of heart disease, brain disease, kidney disease, and premature death.
This particular slides consist of- what is hypotension,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is the summary of hypotension:
Hypotension, or low blood pressure, is when the pressure of blood circulating in the body is lower than normal or expected. It's only a problem if it negatively impacts the body and causes symptoms. Normal blood pressure is usually between 90/60 mmHg and 120/80 mmHg, but pressures below 90/60 are generally considered hypotensive.
As Mumbai's premier kidney transplant and donation center, L H Hiranandani Hospital Powai is not just a medical facility; it's a beacon of hope where cutting-edge science meets compassionate care, transforming lives and redefining the standards of kidney health in India.
English Drug and Alcohol Commissioners June 2024.pptxMatSouthwell1
Presentation made by Mat Southwell to the Harm Reduction Working Group of the English Drug and Alcohol Commissioners. Discuss stimulants, OAMT, NSP coverage and community-led approach to DCRs. Focussing on active drug user perspectives and interests
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.
At Malayali Kerala Spa Ajman, Full Service includes individualized care for every client. We specifically design each massage session for the individual needs of the client. Our therapists are always willing to adjust the treatments based on the client's instruction and feedback. This guarantees that every client receives the treatment they expect.
By offering a variety of massage services, our Ajman Spa Massage Center can tackle physical, mental, and emotional illnesses. In addition, efficient identification of specific health conditions and designing treatment plans accordingly can significantly enhance the quality of massaging.
At Malayali Kerala Spa Ajman, we firmly believe that everyone should have the option to experience top-quality massage services regularly. To achieve that goal we offer cheap massage services in Ajman.
If you are interested in experiencing transformative massage treatment at Malayali Kerala Spa Ajman, you can use our Ajman Massage Center WhatsApp Number to schedule your next massage session.
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2. 2
About United Family Healthcare
United Family Healthcare – Asia’s
premium healthcare industry pioneer.
• United Family Healthcare (UFH) was founded in 1997.
• UFH is China’s first and largest foreign-invested
healthcare provider. A pioneer in China’s and Asia’s
healthcare development, we are leading the way in
international standards of service and providing a high-
end, private medical treatment model for the rest of the
industry to follow. UFH meets the complex and diverse
medical needs from patients from across China and the
rest of the world.
• With 6 hospitals as well as 14 satellite clinics and medical
centers throughout Asia, UFH is recognized as a premium
healthcare system in the region.
4. UFH Hospitals
Beijing United Family
Hospital and Clinics
Opened in 1997
Beijing United Family
Rehabilitation Hospital
Opened in 2013
Shanghai United Family
Hospital and Clinics
Opened in 2005
Tianjin United Family
Hospital
Opened in 2011
United Family Intermed
Hospital
Opened in 2014
Qingdao United Family
Hospital
Opened in 2015
5. 5
International Team of Physicians
• Full Medical Staff: 500
• Associate Medical Staff: 560
• Visiting Medical Staff: 350
• Nursing team: Over 800
6. 6
Medical Services for all Stages of Life
Preventative
Healthcare
Prenatal Care
Obstetrics
Pediatrics
General and
Specialty
Medical
Services
Rehabilitation
Medicine
Home Health
Care
Hospice Care
Permanent
Electronic Medical
Records (EMR)
7. 7
Pioneering Medical Innovation
The first to
implement a
Family
Medicine
(Primary Care)
model
Pioneered an
integrated,
comprehensive
birthing model
(LDRP)
United Family
New Hope
Oncology Center,
Cardiovascular
Center, and
comprehensive
neurosurgery
Home
Health
Service
Pioneering high-
end medical
rehabilitation
IVF
Reproductiv
e Medicine
da Vinci ®
Si Surgical
System
8. 8
International Accreditation
• 2005: Beijing United Family Hospital facilities are
accredited for the first time by Joint Commission
International (JCI).
• 2008: Shanghai United Family Hospital facilities receive
JCI accreditation for the first time. Beijing United Family
Hospital is re-accredited.
• 2011: United Family Guangzhou Clinic, as well as Beijing
and Shanghai satellite clinics, are all accredited by JCI.
• 2014: United Family Healthcare facilities in Beijing,
Shanghai, Tianjin, and Guangzhou are all accredited or
re-accredited.
• Beijing United Family Hospital is China’s only medical institution to
be both accredited by the College of American Pathologists (CAP)
and JCI.
9. 9
Healthcare in China
Achievements
- Lower Poverty and Better Living Standards
- Universal Health Insurance Coverage
- National Essential Medicine System
- More Equal Access to Public Health Service
- Life Expectancy Improvement
Challenges
- Aging
- Burden of NCDs
- High Health Risk Behaviors
- Environmental Factors
- Traffic Safety
21. 21
‘Quality problems occur typically
not because of failure of goodwill
knowledge efforts or resources
devoted to healthcare, but
because of fundamental
shortcomings in the way care is
organized.’
‘Trying hard will not work,
changing care systems will.’
Institute of Medicine (IOM), 2001
Quality Chasm
22. 22
Evidence-Based Practice (EBP)
Evidence-based medicine is the conscientious,
explicit and judicious use of current of best
evidence in making decision about the care of
individual patients (it) means integrating
individual clinical expertise with the best
available external clinical evidence from
systematic research.
-David Sackett, EBM seminar 1997
Best
Research
Evidence
Clinical Expertise
Patient
Values &
Preferen
ces
24. 24
PCIC (people-centered integrated care)
China Joint Study Partnership, 2016
World Bank Group, World Health Organization,
Ministry of Finance, National Health and Family Planning Commission,
Ministry of Human Resources and Social Security,
Good morning, It is my true honor to be here to share our experience with you.
United Family Healthcare (UFH) was founded in 1997.
- UFH is China’s first and largest foreign-invested healthcare provider. A pioneer in China’s and Asia’s healthcare development, we are leading the way in international standards of service and providing a high-end, private medical treatment model for the rest of the industry to follow. UFH meets the complex and diverse medical needs from patients from across China and the rest of the world.
Our organization United Family Healthcare is located in China,
Have 5 Full-service hospitals, 1 specialty hospital, 15 satellite clinics and medical centers,
Cites covered include Beijing, shanghai, Tianjin, Guangzhou, Qingdao.
- Patient volume snapshot (2015) :
Annual inpatient visits: over 11,000
Annual outpatient visits: over 390,000
Beijing Hospital was established in 1997
Shanghai hospital opened in 2005
Followed by Tianjing, Rehab, Intermed, Qingdao
- Our 500 full time medical staff come from 25 different countries and regions
Asian pacific, we have physicians from India,
Europe
Untied States
Australia, Belgium, Brasil, Canada, China, Denmark, Colombia
France, Germany, Hong Kong, India, Italy, Japan, Jordanian
South Korea, Malaysia, Nepal, New Zealand, Philippine, Singapore, Spain,
Sweden, UK, US, Mongolian
WE provide medical services for all stages of life test
Cycle from preventative, prenatal, obstetrics, pediatrics, general and specialty medical services, rehabilitation, home healthcare care, ending at hospice
Our hospitals are accredited by Joint Commission International
Our BJ hospital is also accredited by college of American Pathologists
China was a pioneer in primary care and the prevention and control of infectious diseases, and more recently in universal insurance coverage. The introduction of barefoot doctors, urban and rural social health insurance schemes and ambitious public health campaigns combined with higher incomes, lower poverty and better living standards
for both urban and rural areas (sanitation and water quality, education, nutrition and housing) resulted in a huge decline in mortality and an unprecedented increase in life
expectancy.
根据当时的报道,中国有102万乡村医生,其中近70%的人员为初、高中毕业,近10%的人员为小学毕业。 赤脚医生是中国卫生史上的一个特殊产物,即乡村中没有纳入国家编制的非正式医生。他们掌握有一些卫生知识,可以治疗常见病,能为产妇接生,主要任务是降低婴儿死亡率和根除传染疾病
During the last three decades, there has been a momentous social transformation in China, with 600 million people pulled out of poverty. At the same time, China has made impressive strides in health. Since the launch of a new round of reforms in 2009, China has invested substantially in expanding health infrastructure, achieved nearly universal health insurance coverage, promoted more equal access to public health services, and established a national essential medicine system.
The 2009 reforms have achieved a number of intended milestones, The reform, including subsequent regulations, has encouraged greater private sector participation in part to reduce overcrowding in public facilities. China is progressing quickly to achieving universal health coverage and some of the reform achievements have attracted
worldwide attention. Significantly, a child born in China today can expect to live more than 30 years longer than her forebears half a century ago; it took rich countries twice that span of time to achieve these gains.
China now faces emerging challenges to meet the health care needs of her citizens, associated with a rapidly aging society and increasing burden of non-communicable diseases (NCDs). There are already over 140 million persons above the age of 65 in China, a number that is projected to grow to 230 million in 2030. NCDs are already China’s number one health threat, accounting for over 80 percent of the 10.3 million deaths annually. More so than the aging population, high health risk behaviors such as smoking, poor diets, sedentary lifestyles, and alcohol consumption, as well as environmental factors such as air pollution, are powerful forces behind the emergence of chronic illnesses in China. Traffic safety is another emerging challenge.
In 2004, We started building our HIS infrastructure and platform. We learned lessons.
In 2008 we did marketing research looking for an intergreated system support bilingual languages
Then we spend 5 years time implemented an integrated paperless EMR in 5 hospitals and all clinics
From 2015, we start focusing on clinical adoption that including refining workflows, enforce standarisation …
Patient care focused
Integrated systems covering all clinical and business workflows
Single Database, one instance
Multi-lingual (English, Chinese)
Access EMR at anytime from anywhere
CA key – every care provider use a key for authentication
Confidentiality and Privacy
Impacts:
Eliminate redundancy and manual errors
Overcome legacy systems and increase agility
Improved efficiency and enhanced coordinated care
Support solutions that impact all department
Value
At BEST EBP is the conscientious and judicious use of current best evidence in conjunction with clinical expertise and patient values to guide health care decisions
Deepening Health Reform In China
Building High-Quality And Value-Based
Service Delivery
Seventh, private sector engagement should be aligned with the new shape of the delivery
system.
Finally, the report recommends modernization in ways that capital investment decisions are made in the health sector in China, and suggests moving away from the traditional input-based planning towards capital investments based upon region-specific epidemiological and demographic profiles.
Elegant Simplicity
Interoperable, Reliable, Intuitive, Scalable (I.R.I.S)
Empathy - an intimate connection with the feelings of the customer, make sure every little thing we do serves
Partnership -
Focus, Work Hard, Work Smart
Evidence-based medicine
Data-driven Quality
Patient Engagement
Patient Self Management
Population Health
Outcome and value measure
Core actions:
Disease / Condition based management
Chronic Disease Registry
Improvement in awareness, diagnosis, treatment and control of chronic conditions associated with the principal causes of loss of healthy life
Engage patient/community/citizen to change behavior and manage risk and change
MDT
Self Management
Personalized Care Plan
Integrated Clinical Pathways
Referral
Integration and decision support for providers
Measure process, measure outcome