Technology for Family Physicians- India
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Dr. Jaya Bajaj discusses the importance of family physicians adopting technology. She outlines three main categories of medical technology: information technology, diagnostic technology, and therapeutic technology. Within information technology, she highlights the use of technology for practice management, managing medical knowledge, communications, and social media. For diagnostic technology, she mentions medical devices, point-of-care tools, and health monitoring devices. Therapeutic technologies include nanotechnology, gene therapy, and personalized medicine. Overall, Dr. Bajaj argues that family physicians should be leaders in adopting evidence-based and cost-effective technologies to improve patient care and outcomes, while selectively choosing technologies that meet principles of a successful practice.
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An inspiring online event on 3 February 2021. We are discussing the future of data-driven health solutions that focus on fairness for all stakeholders: people, business and the public sector. We are asking questions such as: What is fairness in health? What role does trust play in data-driven health services? What needs to change and who needs to act? Most of all, we are launching “The Fair Health Data Challenge“.
Event speakers:
- Jaana Sinipuro, Project Director, IHAN – Human-driven data economy, Sitra
- Dipak Kalra, President, The European Institute for Innovation through Health Data (i~HD)
- Pekka Kahri, Technology Officer, HUS Helsinki University Hospital
- Markus Kalliola, Project Director, Health data 2030, Sitra
- Tiina Härkönen, Leading Specialist, Sitra
Medical informatics
Medical informatics is the application of computers, communications, and information technology to medicine. It aims to improve patient care, medical education, and research. Key areas of medical informatics include telemedicine, knowledge management through databases and guidelines, decision support, and electronic health records. Implementation faces challenges like changing clinician behavior and raising awareness, but factors like increased technology, specialization, and costs are driving more use of informatics in healthcare.
EuroBioForum 2013 - Day 2 | Mark Poznansky
EuroBioForum 2013 2nd Annual Conference
27-28 May 2013 - Hilton Munich City, Munich, Germany
http://www.eurobioforum.eu/2013
=======================================
# REGIONAL PERSPECTIVES #
Ontario Genomics Institute, Canada:
Innovative Research, Innovative Translation
Dr Mark Poznansky
President and CEO Ontario Genomics Institute
=======================================
http://www.eurobioforum.eu
Health Informatics Professionalism and Improving Patient Care
Health informatics professionals play an important role in improving patient care through the use of information technology. However, the field faces several challenges including a lack of clear career pathways, non-competitive pay and benefits, and limited opportunities for training and professional development. National organizations are working to address these issues by developing apprenticeships and degree programs, establishing occupational standards and job profiles, and providing resources to support continuing education and professional registration/accreditation. Overcoming these challenges is crucial to attracting talented professionals and fully realizing the benefits of health informatics.
Medical Informatics
Medical informatics is the application of computers, communications and information technology to medicine. It aims to improve patient care, medical education and research. Key areas include electronic medical records, clinical decision support, telemedicine, evidence-based medicine resources and standards for health data exchange. While technology offers benefits, barriers include costs, expertise and changing behaviors. The field continues to grow with the increased use of mobile devices and need to manage large healthcare datasets.
Health IT: The Big Picture (July 2, 2015)
Health information technology (HIT) aims to improve various dimensions of healthcare quality. HIT can help enhance safety through drug allergy checks, alerts, and prevention of medication errors. It allows for timeliness by providing timely access to patient information. Effectiveness may be increased through reminders for guidelines, order sets, and access to evidence. Efficiency could be gained through automation, lean processes, and reduction of redundant tests. Equity may be improved by reducing barriers to access. And patient-centeredness may be supported by engaging and empowering patients through access to their own information.
Overview of Health IT
This document provides an overview of health information technology (HIT). It discusses how HIT can help improve various dimensions of healthcare quality, including safety, timeliness, effectiveness, efficiency, equity, and patient-centeredness. While studies have shown benefits of HIT such as improved guideline adherence and medication safety, the document cautions that implementing HIT will not automatically solve all healthcare issues and that its impact may vary by context. The ultimate goals of HIT are improving individuals' and populations' health while supporting healthcare organizations.
Day 1: Real-World Data Panel
CORD Rare Drug Conference, June 8 - 9, 2022
Opportunities and Challenges for Data Management Real-World Data and Real-World Evidence
• Patient support programs: Sandra Anderson, Innomar Strategies
• AI for Data Management and Enhancement: Aaron Leibtag, Pentavere
• Patient Support and RWE: Laurie Lambert, CADTH
Hospital Decision Support
The document provides an introduction to clinical decision support systems (CDS) given by Nawanan Theera-Ampornpunt. It begins with an outline of the topics to be covered, including healthcare and information technology, clinical decision making, types of CDS, and issues related to CDS implementation. Examples of CDS include alerts and reminders, reference information, and expert systems. The goal of CDS is to enhance health-related decisions and care through organized clinical knowledge and patient information.
IT & Decision Support Systems in Hospital Supply Chains
The document discusses IT and decision support systems in hospital supply chains. It provides an overview of clinical decision making and clinical decision support systems (CDS), including definitions, types of CDS like alerts and reminders, expert systems, and references. It also discusses the roles of information technology in clinical decision making processes and how CDS can help reduce human errors.
Overview of Health IT (October 2, 2016)
This document provides an overview of health information technology (HIT). It discusses how HIT can help improve various dimensions of healthcare quality, including safety, timeliness, effectiveness, efficiency, equity, and patient-centeredness. While studies have shown benefits of HIT such as improved guideline adherence and medication safety, the document cautions that implementing HIT will not automatically solve all healthcare issues and that its impact may vary by context. The ultimate goals of HIT are improving individuals' and populations' health while supporting healthcare organizations.
Information+Integration ? Innovation an HL7/EFMI/HIMSS @eHealthweek2015 in Riga
Join us to explore “Interoperability in action: information + integration = innovation?” and engage in lively debate on how rethinking interoperability standards and continuing education can bridge divides, change cultures, and open markets!
Perspectives from health management, industry, government, health education, and standardization exemplify challenges and opportunities for liberation of data that can drive desired social and technological innovation.
This is a call for action to explore how the partnership of HL7, EFMI and HIMSS can catalyze the equation “information + integration = innovation” to bridge divides, change culture and open markets.
Person-generated health data: How can it help us to feel better?
Invited presentation to IEEE International Conference on Orange Technologies (ICOT), Melbourne, 20 December 2016
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How to effectively start market research in the health tech industry by defining objectives, crafting problem statements, selecting methods, identifying data collection sources, and setting clear timelines. This guide covers all the preliminary steps needed to lay a strong foundation for your research.
"Market Research it too text-booky, I am in the market for a decade, I am living research book" this is what the founder I met on the event claimed, few of my colleagues rolled their eyes. Its true that one cannot over look the real life experience, but one cannot out beat structured gold mine of market research.
Many 0 to 1 startup founders often overlook market research, but this critical step can make or break a venture, especially in health tech.
But Why do they skip it?
Limited resources—time, money, and manpower—are common culprits.
"In fact, a survey by CB Insights found that 42% of startups fail due to no market need, which is like building a spaceship to Mars only to realise you forgot the fuel."
Sudharsan Srinivasan
Operational Partner Pitchworks VC Studio
Overconfidence in their product’s success leads founders to assume it will naturally find its market, especially in health tech where patient needs, entire system issues and regulatory requirements are as complex as trying to perform brain surgery with a butter knife. Additionally, the pressure to launch quickly and the belief in their own intuition further contribute to this oversight. Yet, thorough market research in health tech could be the key to transforming a startup's vision into a life-saving reality, instead of a medical mishap waiting to happen.
Example of Market Research working
Innovaccer, founded by Abhinav Shashank in 2014, focuses on improving healthcare delivery through data-driven insights and interoperability solutions. Before launching their platform, Innovaccer conducted extensive market research to understand the challenges faced by healthcare organizations and the potential for innovation in healthcare IT.
Identifying Pain Points: Innovaccer surveyed healthcare providers to understand their difficulties with data integration, care coordination, and patient engagement. They found widespread frustration with siloed systems and inefficient workflows.
Competitive Analysis: Analyzed competitors offering similar solutions in healthcare analytics and interoperability. Identified gaps in comprehensive data aggregation, real-time analytics, and actionable insights.
Regulatory Compliance: Ensured their platform complied with HIPAA and other healthcare data privacy regulations. This compliance was crucial to gaining trust from healthcare providers wary of data security issues.
Customer Validation: Conducted pilot programs with several healthcare organizations to validate the platform's effectiveness in improving care outcomes and operational efficiency. Gathered feedback to refine features and user interface.
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Electrocardiogram_20240614_173859_0000.pdf
Basics of Electrocardiogram
CONTENTS
●Conduction System of the Heart
●What is ECG or EKG?
●ECG Leads
●Normal waves of ECG.
●Dimensions of ECG.
● Abnormalities of ECG
CONDUCTION SYSTEM OF THE HEART
ECG:
●ECG is a graphic record of the electrical activity of the heart.
●Electrical activity precedes the mechanical activity of the heart.
●Electrical activity has two phases:
Depolarization- contraction of muscle
Repolarization- relaxation of muscle
ECG Leads:
●6 Chest leads
●6 Limb leads
1. Bipolar Limb Leads:
Lead 1- Between right arm(-ve) and left arm(+ve)
Lead 2- Between right arm(-ve) and left leg(+ve)
Lead 3- Between left arm(-ve)
and left leg(+ve)
2. Augmented unipolar Limb Leads:
AvR- Right arm
AvL- Left arm
AvF- Left leg
3.Chest Leads:
V1 : Over 4th intercostal
space near right sternal margin
V2: Over 4th intercostal space near left sternal margin
V3:In between V2 and V4
V4:Over left 5th intercostal space on the mid
clavicular line
V5:Over left 5th intercostal space on the anterior
axillary line
V6:Over left 5th intercostal space on the mid
axillary line.
Normal ECG:
Waves of ECG:
P Wave
•P Wave is a positive wave and the first wave in ECG.
•It is also called as atrial complex.
Cause: Atrial depolarisation
Duration: 0.1 sec
QRS Complex:
•QRS’ complex is also called the initial ventricular complex.
•‘Q’ wave is a small negative wave. It is continued as the tall ‘R’ wave, which is a positive wave.
‘R’ wave is followed by a small negative wave, the ‘S’ wave.
Cause:Ventricular depolarization and atrial repolarization
Duration: 0.08- 0.10 sec
T Wave:
•‘T’ wave is the final ventricular complex and is a positive wave.
Cause:Ventricular repolarization Duration: 0.2 sec
Intervals and Segments of ECG:
P-R Interval:
•‘P-R’ interval is the interval
between the onset of ‘P’wave and onset of ‘Q’ wave.
•‘P-R’ interval cause atrial depolarization and conduction of impulses through AV node.
Duration:0.18 (0.12 to 0.2) sec
Q-T Interval:
•‘Q-T’ interval is the interval between the onset of ‘Q’
wave and the end of ‘T’ wave.
•‘Q-T’ interval indicates the ventricular depolarization
and ventricular repolarization,
i.e. it signifies the
electrical activity in ventricles.
Duration:0.4-0.42sec
S-T Segment:
•‘S-T’ segment is the time interval between the end of ‘S’ wave and the onset of ‘T’ wave.
Duration: 0.08 sec
R-R Interval:
•‘R-R’ interval is the time interval between two consecutive ‘R’ waves.
•It signifies the duration of one cardiac cycle.
Duration: 0.8 sec
Dimension of ECG:
How to find heart rhytm of the heart?
Regular rhytm:
Irregular rhytm:
More than or less than 4
How to find heart rate using ECG?
If heart Rhytm is Regular :
Heart rate =
300/No.of large b/w 2 QRS complex
= 300/4
=75 beats/mins
How to find heart rate using ECG?
If heart Rhytm is irregular:
Heart rate = 10×No.of QRS complex in 6 sec 5large box = 1sec
5×6=30
10×7 = 70 Beats/min
Abnormalities of ECG:
Cardiac Arrythmias:
1.Tachycardia
Heart Rate more than 100 beats/min
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Technology for Family Physicians- India
- 1. "Family Medicine: To Educate, To Inspire, To Heal" Technology for family physicians: “The art of becoming a tech savvy family physician” Dr. Jaya Bajaj MD (Fam Med), MPH Vera Health
- 3. Mindful Use Of Technology 3 “Technology...... is a queer thing; It can bring you gifts in one hand and stab you in the back with other..... --C.P.Snow
- 4. So why adopt technology? 4
- 5. Does it Pass the Litmus Test Principles of A Successful Family Practice • Availability • Affordability • Affability • Ability • …....in that order 5
- 6. Technology is Reshaping our World Advances in Technology has not only reshaped how we diagnose and treat diseases But has fundamentally reshaped … 6
- 7. Pace of Discovery in Medicine & Science Keeping up-to-date with breadth of information Need technology to help us work smart Hence, family physicians must be early adopters of technology 7
- 8. Accessibility to Information Information is abundant, insights are scarce 8
- 9. Communication and Interactions • Availability and accessibility • Patient empowerment • Push targeted / timely information 9
- 10. Classifying Medical Technology • Information Technology • Diagnostic Technology • Therapeutic Technology 10 Reference: “What can technology do to, and for, family medicine” Ebell et. al.
- 11. IT: Practice Management • Appointment scheduling and online listing services • Effective management of medical information e.g. EMRs, Decision Support Systems (PC/Android) • Jugaad solutions based on various needs 11
- 12. IT: Managing Medical Knowledge Base 12 and many more …
- 13. IT: Communications • Telemedicine / mHealth platforms 13
- 14. IT: Social Media • Filter information – Platform to share reliable health information and guide patients • Connecting with colleagues and follow thought leaders – 20 mil articles on medline – Med lit increases by 10% every year • Platform to make your voice heard 14 Reference: KevinMD.com, “3 Ways doctors can use social media”
- 15. IT: Communications And Social Media 15
- 16. Diagnostic Technology • Medical devices – Visual Stethoscope – 3nethra • Point of care diagnostic tools – Touchb, uchek, Oscan, ECG apps, Bilicam • Health monitoring devices – Wearables 16
- 17. Therapeutic Technology • Nanotechnology • Gene Therapy • Personalized Medicine 17
- 18. Summary • Family Medicine practitioners should be leaders in evidence based cost efficient use of technology • But be selective about which technologies to use – For ourselves – Our patients (patient oriented outcomes) • Golden Rule: Does it pass the litmus test of 4As 18
- 19. THANK YOU! 19