GxAlert Monitors and Reduces High Testing Error Rates in Nigeria's GeneXpert ...SystemOne
Presentation on the use of SystemOne's GxAlert tool in Nigeria, for monitoring reducing diagnostic errors and accelerating positive outcomes in TB.
Published courtesy of Kehinde Jimoh Agbaiyero, Senior Technical Advisor - TB, Abt Associates
GxAlert Monitors and Reduces High Testing Error Rates in Nigeria's GeneXpert ...SystemOne
Presentation on the use of SystemOne's GxAlert tool in Nigeria, for monitoring reducing diagnostic errors and accelerating positive outcomes in TB.
Published courtesy of Kehinde Jimoh Agbaiyero, Senior Technical Advisor - TB, Abt Associates
The protocol-specific eClinical solution used to train investigators, initiate sites, and maintain study compliance. The demonstration is energetic, interactive, and brief. Please, contact me at osie.gaines@firecrestclinical.com to schedule a presentation for you and your Clinical Team!
Flaskdata.io automated monitoring for clinical trialsFlaskdata.io
In the race to deliver a COVID-19 vaccine, technology can be used to automate patient safety monitoring and assure that patients and physicians have valid data in order to make good decisions regarding risks and benefits.
Tips and Tricks on how to go about certifying yourself quickly for the Quality Payment Program in 2018. How does it impact workflow, security and means to accelerate certification.
Go deeper with athenahealth specialists to discover all that you need to know and some things you may not know about Meaningful Use Stage 2 and the newest government updates.
Reducing No-shows and Late Cancelations in Healthcare Enterprise" - Shervin M...Grid Dynamics
Dynamic Talks Seattle: Patient No-shows and Late Cancelations is estimated to cost around $150B across the nation. Providence St. Joseph Health, Healthcare Intelligence Group has been working on this pain point for the past couple of years and has developed a software solution leveraging a predictive engine to identify high risk patients at risk of No-show and Late Cancellation on a daily basis. More than 25 clinics have been using this solution for about 2 years now to optimize their reminder call strategy and to have a meaningful reduction of No-shows and Late Cancellations. In addition, a call center pilot was designed recently to standardize this process end-end. Pilot results will be evaluated to prove the impact at scale.
mHealth Israel_Growth Opportunities in Clinical Trial Execution_Craig LipsetLevi Shapiro
Craig Lipsent, former Worldwide Head of Clinical Innovation at Pfizer, presents to the mHealth Israel Community, Feb, 2020. Theme: Clinical trials are vital for developing new medicines but they are broken. Clinical trial trends include the increasing attention and investment in participant & investigator experience
Digitization and innovative data capture. Forecast for clinical trials will be decentralized, distributed, democratized and disruptive.
Tips and Tricks on how to go about certifying yourself quickly for the Quality Payment Program in 2018. How does it impact workflow, security and means to accelerate certification.
From Edge Case to Main Case, Michelle Longmire of Medable_mHealth IsraelLevi Shapiro
Presentation by Michelle Longmire, CEO of Medable, April 20, 2021, for mHealth Israel. During CoVID, as physical access to clinics was limited, Medable enabled patients to continue participating in critical research efforts. Medable Supporting over 100 Studies Across a Diverse Array of Therapeutic Areas. Medable provides a platform for seamless evidence
generation, across the entire patient journey. Connecting patients globally for community, care, and research. Improve patient experience and retention. Reduce site burden. Data Cloud & Platform should be flexible and modular to enable protocol-fit digital. Medable Digitome, for data driven decentralized trials and a new era of understanding patients, therapies, and conditions. Clinical research is a small component of the broader healthcare journey. Enable health data and evidence generation from clinical to commercial, from day one. Continuous health data & evidence from clinical to commercial and beyond. The Digitome can provide a
primary observational protocol that collects large scale baseline data in a framework that enables streamlined recruitment, enrollment, and participation into interventional clinical substudies.
Here is the slideset I presented at the 2nd International Conference on Business Analytic and Intelligence (ICBAI). The intent behind the paper/presentation was to bring out awareness on AE analysis and present status of AE data in india. Certainly there are huge potential benefit/insights out of this data if the base is set well. Private health care institutions can reap the benefit (Both financial and patient care) if they invest to define the system for their use.
10 Ways in which Technology is Driving Better Efficiency in Clinical TrialsInsights10
New technological innovations are improving the efficiency and productivity of clinical trials using novel outcomes, increasing patient engagement, and reducing patient burden. To get a report in detail, contact us at - info@insights10.com
The protocol-specific eClinical solution used to train investigators, initiate sites, and maintain study compliance. The demonstration is energetic, interactive, and brief. Please, contact me at osie.gaines@firecrestclinical.com to schedule a presentation for you and your Clinical Team!
Flaskdata.io automated monitoring for clinical trialsFlaskdata.io
In the race to deliver a COVID-19 vaccine, technology can be used to automate patient safety monitoring and assure that patients and physicians have valid data in order to make good decisions regarding risks and benefits.
Tips and Tricks on how to go about certifying yourself quickly for the Quality Payment Program in 2018. How does it impact workflow, security and means to accelerate certification.
Go deeper with athenahealth specialists to discover all that you need to know and some things you may not know about Meaningful Use Stage 2 and the newest government updates.
Reducing No-shows and Late Cancelations in Healthcare Enterprise" - Shervin M...Grid Dynamics
Dynamic Talks Seattle: Patient No-shows and Late Cancelations is estimated to cost around $150B across the nation. Providence St. Joseph Health, Healthcare Intelligence Group has been working on this pain point for the past couple of years and has developed a software solution leveraging a predictive engine to identify high risk patients at risk of No-show and Late Cancellation on a daily basis. More than 25 clinics have been using this solution for about 2 years now to optimize their reminder call strategy and to have a meaningful reduction of No-shows and Late Cancellations. In addition, a call center pilot was designed recently to standardize this process end-end. Pilot results will be evaluated to prove the impact at scale.
mHealth Israel_Growth Opportunities in Clinical Trial Execution_Craig LipsetLevi Shapiro
Craig Lipsent, former Worldwide Head of Clinical Innovation at Pfizer, presents to the mHealth Israel Community, Feb, 2020. Theme: Clinical trials are vital for developing new medicines but they are broken. Clinical trial trends include the increasing attention and investment in participant & investigator experience
Digitization and innovative data capture. Forecast for clinical trials will be decentralized, distributed, democratized and disruptive.
Tips and Tricks on how to go about certifying yourself quickly for the Quality Payment Program in 2018. How does it impact workflow, security and means to accelerate certification.
From Edge Case to Main Case, Michelle Longmire of Medable_mHealth IsraelLevi Shapiro
Presentation by Michelle Longmire, CEO of Medable, April 20, 2021, for mHealth Israel. During CoVID, as physical access to clinics was limited, Medable enabled patients to continue participating in critical research efforts. Medable Supporting over 100 Studies Across a Diverse Array of Therapeutic Areas. Medable provides a platform for seamless evidence
generation, across the entire patient journey. Connecting patients globally for community, care, and research. Improve patient experience and retention. Reduce site burden. Data Cloud & Platform should be flexible and modular to enable protocol-fit digital. Medable Digitome, for data driven decentralized trials and a new era of understanding patients, therapies, and conditions. Clinical research is a small component of the broader healthcare journey. Enable health data and evidence generation from clinical to commercial, from day one. Continuous health data & evidence from clinical to commercial and beyond. The Digitome can provide a
primary observational protocol that collects large scale baseline data in a framework that enables streamlined recruitment, enrollment, and participation into interventional clinical substudies.
Here is the slideset I presented at the 2nd International Conference on Business Analytic and Intelligence (ICBAI). The intent behind the paper/presentation was to bring out awareness on AE analysis and present status of AE data in india. Certainly there are huge potential benefit/insights out of this data if the base is set well. Private health care institutions can reap the benefit (Both financial and patient care) if they invest to define the system for their use.
10 Ways in which Technology is Driving Better Efficiency in Clinical TrialsInsights10
New technological innovations are improving the efficiency and productivity of clinical trials using novel outcomes, increasing patient engagement, and reducing patient burden. To get a report in detail, contact us at - info@insights10.com
Computer Software Assurance (CSA): Understanding the FDA’s New Draft GuidanceGreenlight Guru
Understand the FDA's new draft guidance on Computer Software Assurance (CSA).
This presentation originally aired during the 2022 Future of QMS Requirements Virtual Summit.
IRIDA: A Federated Bioinformatics Platform Enabling Richer Genomic Epidemiolo...William Hsiao
Introducing BCCDC and Public Health Microbiology (PHM)
Current State of PHM
Sequence Technology Advancement -> revolution of PHM
Genomic Epidemiology
Amount of Sequence Data Produced
Need to Process the data – Introduction to IRIDA
Need of Metadata and Ontology
Software to improve data sharing
How research microbiology and PHM can joint effort
Racing for results: lessons learnt in improving the efficiency of HIV VL and ...SystemOne
In pursuit of the 90–90–90 goals, emphasis has been placed on accelerating centralized laboratory HIV viral load testing of a population that is largely rural and decentralized. Successful
outcome requires effective specimen transport, laboratory testing, and results delivery. This paper focuses on the methods currently employed for results delivery. New innovations in this area are
yielding mixed results; we analyze different approaches and estimate the impact of each on achieving the third ‘90.’
Here is our corporate profile, you will find information about all our solutions for vaccines clinical trials and also patient's programs. We have a variety of mobile and web apps that have been developed to enhance and improve your results in any clinical trial or patient care system.
Risk Based Monitoring in Clinical Trials.ClinosolIndia
Risk-based monitoring (RBM) is a monitoring strategy in clinical trials that aims to improve the quality and efficiency of data collection while reducing costs and burden on study participants. Rather than conducting monitoring activities at fixed intervals, RBM utilizes a risk assessment approach to identify areas of the study that are at higher risk of errors or deviations from the protocol and focuses monitoring efforts on those areas.
The RBM process begins with a risk assessment, which involves identifying potential risks to the study's data integrity, participant safety, and study conduct. This may include risks related to patient enrollment, data collection, adverse event reporting, or protocol compliance. Based on the risk assessment, the study team creates a risk management plan that outlines the monitoring strategy to be employed throughout the trial.
In RBM, monitoring activities are targeted to focus on the areas of the study that present the highest risk. For example, if a study has a high risk of data entry errors, the monitoring plan may include a more intensive review of data entry activities or require that data be entered in real-time, so errors can be identified and corrected more quickly.
RBM can be facilitated through several tools, such as centralized monitoring, key risk indicator (KRI) dashboards, or data analytics. Centralized monitoring allows for remote review of study data by a team of experts who can identify trends and issues more efficiently. KRIs are pre-defined metrics used to track performance and detect areas of concern, allowing for proactive management of risks. Data analytics can identify unusual patterns or outliers in the data, enabling the study team to focus on those areas of concern.
RBM is a dynamic process that involves ongoing evaluation of the study's risk profile and adjusting the monitoring strategy accordingly. By focusing monitoring efforts on the areas of the study that pose the highest risk, RBM can improve data quality and participant safety, while reducing monitoring costs and burden.
Real-Time Biosurveillance Program Pilot - India & Sri LankaNuwan Waidyanatha
The Biosurv program was tailored for a range of functions. Its main objective program was the rapid detection and
notification of any possible health outbreak using cutting edge information processing technology. The
mHealthSurvey application takes a few seconds to enter each patient's disease information. This rich dataset is sent over the existing commercial GPRS channels to
a centralized database. With such techniques, the
incoming health data can be automatically monitored for unusual changes in the numbers of reported disease
cases. The same data is also used to characterize statistical relationships between all available combinations of reported genders, locations, ages, symptoms and signs, etc., even if the number of such combinations is
prohibitively large for humans to process. That enables epidemiologists to pin down a potential outbreak of, for
instance, a gastrointestinal disease among children living in the Southwestern suburbs of the city, before it
spreads to other areas or to other demographic groups. T-Cube Web Interface (TCWI) and its underlying disease
outbreak detection algorithms are capable of reducing time-intensive calculations involved in such analyses from
hours or days down to as quick as turning on a light switch.
Feasibility of an SMS intervention to deliver tuberculosis testing results in...SystemOne
Pre-treatment loss to follow-up is common for patients diagnosed with tuberculosis (TB) in high-burden countries. Delivering test results by SMS is increasingly being considered as a solution, but there is limited information about its feasibility as a public health tool in low resourced settings. It was found that reporting Xpert results via automated SMS is technically feasible and results in approximately half of patients receiving their test results immediately. Additional research should be done to address process inefficiencies in order to maximize impact of this technology and link its successful utilization to improved patient outcomes.
The Role of Connected Diagnostics in Strengthening Regional, National and Con...SystemOne
Although numerous disease intelligence and surveillance systems exist, they are plagued with inaccurate or untimely data. We contend, furthermore, that it was this lack of data quality – and not
the lack of surveillance systems or networks – that prevented the global community from acting earlier in response to the Ebola outbreak in 2014–2016. The new field of ‘connected diagnostics’ is one solution to this concern, as it automates data collection directly from the diagnostic instruments to multiple levels of stakeholders for real-time decision-making and policy response.
This article details how the intervention of ‘connected diagnostics’ could solve the primary underlying failure in existing surveillance systems – the lack of accurate and timely data – to enable
difficult political decisions earlier. The use of connectivity solutions can enable critical health and operational data to empower the Africa CDC, regional hubs, and each country with a consistent
and automated data feed while still maintaining country privacy and controls.
GxAlert for Real-time Management and Strengthening of Remote GeneXpert Networ...SystemOne
Real-time monitoring of GeneXpert machines can contribute to reduced error rates and shorter turnaround
times for module replacement and can improve the overall
maintenance of the machines. Emails and SMS alerts can speed
up treatment initiation. The NTP now gets SMS alerts and emails for DR-TB patient enrollment; stockout and error (>5%) rates; critical module errors; and monthly MDR reports to ensure better
connections among diagnosis, enrollment, and treatment.
GxAlert Papua New Guinea Case Study 072518SystemOne
GxAlert's use in Papua New Guinea for disease surveillance and response. Initially used for Tuberculosis response, device management and second-line drug forecasting and stockage.
Bangladesh case study on how we implemented a connected diagnostics solution using GxAlert for infectious disease surveillance, TB program optimization and leveraging diagnostic data.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
Struggling with intense fears that disrupt your life? At Renew Life Hypnosis, we offer specialized hypnosis to overcome fear. Phobias are exaggerated fears, often stemming from past traumas or learned behaviors. Hypnotherapy addresses these deep-seated fears by accessing the subconscious mind, helping you change your reactions to phobic triggers. Our expert therapists guide you into a state of deep relaxation, allowing you to transform your responses and reduce anxiety. Experience increased confidence and freedom from phobias with our personalized approach. Ready to live a fear-free life? Visit us at Renew Life Hypnosis..
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
Navigating the Health Insurance Market_ Understanding Trends and Options.pdfEnterprise Wired
From navigating policy options to staying informed about industry trends, this comprehensive guide explores everything you need to know about the health insurance market.
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
1. Disease Intelligence and Response
Information Technology Tools to Support the Scale Up of Viral
Load Testing and Early Infant Diagnosis
Brad Cunningham
VP, Implementation
SystemOne LLC
www.systemone.id
bcunningham@systemone.id
2. WHAT DO WE DO?
Connected Diagnostics and Disease Intelligence for
Global Health
• Provide a real-time data reporting system
• Active data network to ensure collection of quality data
directly from diagnostic instrument
– Diagnostic data
– Operational data
• Data can be transmitted to multiple levels of
stakeholders for real-time decision-making and policy
response.
• Enables: rapid detection + response to healthcare
challenges worldwide
3. As of July 2017
MORE THAN HALF OF ALL GENEXPERTS IN AFRICA
ARE CONNECTED TO
Countries
Devices
Results
IMPACT
• Governance models changed
• More instruments purchased
• Faster result reporting
• Time to treatment slashed
60 days 2 days
• Stock-outs and expirations down
• Trust factor: rapid, quality data decision-makers
trust and take action on
4. Diagnostic instrument placed at testing facility.
Integrated via 3G with Aspect™ Connector
MoH Dashboard
Inventory Management
QA/QC
Utilization
Supply Chain
Real Time Notifications
MoH Operational Management
MoH Data Stream
Cloud or In-country Server
External API’s and data integration
… + many others
Migration to Aspect in 2017
Multi-disease/multi-device platform
TB, CD4, Zika, Ebola, HCV, HIV Viral Load,
HIV EID….
WHAT DOES THIS LOOK LIKE?
5. Operational management of devices
nationally and regionally. Measure quality,
utilization, unsuccessful testing
rates and customized programmatic reporting.
DISEASE INTELLIGENCE
Identify and Respond
6. Plan future procurement
Does instrument capacity meet
burden?
Targeted retraining
Customized Data Collection:
Collect additional information for
reporting, monitoring and
surveillance purposes:
- Patient Age
- Gender
- Contact Information
- Sample Type
- Referring Clinician / Facility
Provides a much richer data set
for analysis.
DISEASE INTELLIGENCE
Identify and Respond
7. Significant investment in VL testing
Endemic problem of slow, poor quality reporting
Need for accurate and timely disease intelligence for decision-making
- 6 countries (2% of the
global HIV burden),
have high quality data
reporting on the HIV
care continuum and
progress towards the
UNAIDS 90-90-90
target
- 9 countries in sub-
Saharan Africa have
surveillance data for
viral suppression.
Ref: Granich R et al. PLOS
Medicine 14(4): e1002253. (2017).
8. CONNECTED DIAGNOSTICS TO MEET THE FIRST AND LAST 90
• 1st 90: HIV Screening, reporting, QC and the role of connected
diagnostics
• 2nd 90: VL - Monitoring viral suppression; EID - Monitoring of
positives, negatives, indeterminates, rejected
• Collection of custom data fields
–Disaggregation of data by age and sex to monitor breadth and depth of response
• Monitor data on a national, district, site level to better understand
geographical distribution and response
9. Aspect ReporterTM
Delivers test results immediately from lab to clinic, extending the reach of
centralised diagnostic testing to the POC
Aspect Reporter has two components located at the clinic:
• A small server receives test results from the lab over cellular networks.
• A solar powered tablet displays the results. Clinic staff use its simple interface
to review and acknowledge test results as they arrive from the lab.
FACILITATING RAPID HIV VL RESULT DELIVERY
Cloud or In-country Server
Returning results from the diagnostic instrument back to
the facility treating the patient
10. Aspect Core
Aspect
Reporter™
Clinical Receipt of Results
• Digital lab results to clinic
• Clinician transcribes into existing
paper ledgers and enrolls patients
• Reduces TAT of result reporting
• Hardware appliance w/2g/3g & solar
installed at each clinic
Aspect
Supply Chain™
Clinical Lab Requests
• Software add-on to Aspect Reporter
• Initiates specimen transport pickup
• Logs lab orders
• Forecasts testing demand
• Calculates full-spectrum TAT
In development
Labs
Clinics
HOW ARE WE ADDRESSING 90-90-90?
Connecting Lab and Clinical Activities
11. Boston
- Product Development
- Market Development
- Operations
- Financial
- Executive
Johannesburg
- Implementation
- Support
- Service
- Training
Contact us:
+ additional Support & Operational staff in Malawi & Nigeria
info@systemone.id
@SystemOneCo
www.systemone.id