#RPA in Healthcare: The Path Ahead for Health IT Leaders By Sreejith Madhavan



Historically, healthcare industry has shown a reluctance to invest in technologies that did not come under the purview of diagnostics and treatment, or demanded by insurance payors (such as electronic claims submission). Anything that required cognitive (human) intervention or intuition was kept aside from the technological takeover. The unprecedented growth of life expectancy, the discovery of new drugs and treatments, and the ability of modern medicine to combat chronic ailments and epidemics have spurred the need for technological inclusion in multiple areas of healthcare.

Read more »

#mHealth: A New Growth Engine in MedTech Industry by Ananya Bhandari


Source: Grand View Research
Mobile health highlights the risks and opportunities of pharmaceutical and Medtech industries. Surge in number of purely digital players transformed the mHealth app market


Read more »

What does it take to build real-world #AI enabled healthcare solution? By Vijayananda J, @vijayanandaj



Development of new technologies has undoubtedly enabled several breakthroughs in the healthcare industry. To put it simply, it has revolutionised the growth of healthcare from nascent patient-care to accomplishing treatment of life-threatening diseases. High-performance computing and the availability of digital data have extended these remarkable outcomes explaining why AI-based healthcare solutions are at top of the funding lists and are continuously gaining traction.

Read more »

NITI Aayog’s National Health Stack - a Healthy Stack?! by Divya Raj @divyaraj1




Extraordinary problems need extraordinary solutions. And creating a country level IT infrastructure addressing challenges in India's Healthcare management for its 1.3 billion population definitely falls very well into that category. 

Read more »

#Blockchain in Healthcare: Will it or won't it survive? By Tirupathi Karthik, @TirupathiKarthi




What is Blockchain

Blockchain offers a permanent record of online transactions. Transactions are deemed as a “Block” and a ledger binds them in a “chain” thus earning its moniker “Blockchain”. Each transaction is validated and stored by a network participant based on rules but sans a governing central authority. Information can neither be modified nor copied or deleted.

Every transaction has a time and date stamp, offering a trusted transaction history and allowing verification of such records. Since the information is encrypted, the only way to access the blockchain is with a passcode. This shared ledger system makes Blockchain rather secure. Given this, Blockchain is gaining new use cases for applications that require trusted and immutable data.

Read more »

Containing Health Care Cost, What is our role as a Physician? by Dr. Chandrika Kambam @Ckambam




Indian health care is at an inflection point. Today governments’ spending on healthcare needs is one of the lowest amongst the Developing countries [1]. India spends about 5% of the total expenditure on Health which is around 1.7% of the GDP. Public healthcare growth has slowed down over years. In 1998 about 43% of population was served by Public Hospitals and today only 30% use the Public health care system. [2] That means almost 70% of the health care needs are serviced by Private players, trust hospitals and non-profit institutions. This has led to the rapid growth of Private players who are growing at the rate of CAGR 16.5% year on year [3]. The costs of procedures or hospitalization has increased anywhere from 83% to 263% in 10 yrs. i.e. 2004 to 2014. There is also a wide variation of the cost for the same procedure in different hospitals [4]. It is also noted that 86% of rural Indian patients and 82% of urban Indian patients do not have access to any form of employer-provided or state-funded insurance.

Read more »

Software Product For Hospital Industry by Girish Koppar @KopparGirish



Before we talk about software product for hospital industry lets understand how the Hospitals are broadly classified

- Based on the legal entity ( Private , Trust or Corporate)
- Based on specialty ( Super specialty, Multi-specialty, Single specialty)
- Based on bed strength ( Larger hospitals and Nursing Homes)

Read more »

Electronic Health Record System from the Perspective of Data Privacy by Dr. SB Bhattacharyya @sbbhattacharyya

Electronic health record systems handle health-related ultra-sensitive data of a person throughout his life, along with all personal information that accurately identifies him. This makes it imperative to protect the data from cyber-threats and consequent untold damages. This article discusses the various issues involved and the different mitigation methods.

During the course of any clinical encounter a person discloses ultra-sensitive health related information to his provider to enable the latter to address his health-related problems better, faster, and hopefully, cheaper. Information that he would otherwise rather keep well under wraps. Ethics demands all providers treat all information that their patients disclose to them with the greatest of care and keep them secreted away from everyone, even the spouse, unless explicitly released from this obligation by the patient. The confidentiality of the private information needs to be maintained at the highest possible levels of security by medical professionals at all times—unless there are extenuating circumstances to disclose them, like for the public good, compliance to the law, etc.

Read more »

A Data Scientist’s Experience in Decoding Chest Imaging by Vidya MS



The Chest Imaging Update 2018 held by the Narayana Health group, brought together over 150 radiologists, pulmonologists and doctors gathered to update and improve their knowledge in the reporting of Chest Imaging, both X-ray and CT. As a data scientist with keen interest in medical imaging, my aim was to get an inside look into the daily practice of medical professionals in detection and diagnosis of pulmonary diseases.
Read more »

PregBuddy’s year with Google Launchpad by Sivareena S. L. @SarikaSivareena




We’re all aware about the Google Launchpad accelerator which selects pre-series A startups across the globe every year to assist them scale their business. Along with this, Google Launchpad has few more offerings where they have extremely well structured programs for various stages of startups. Pregbuddy has benefited from couple of these programs as we grew our product.

Read more »

Almighty Data or Hype? By INDERJITH DAVALUR @INDERDAVALUR

DIGITAL TRANSFORMATION AND THE PLACE FOR DATA

Mea Culpa, I am one of those who is guilty of getting on and staying on the Big Data wagon for the wrong reasons. “Data is the new oil” is an oft-repeated phrase. I am about to commit a “virtual” suicide by proclaiming that it is not so. Data has its place and it is not at the top of the digital food chain. I feel that we have crowned the half-naked prince, Emperor in haste.

For the sake of clarity, when I say data, I will be referring to digital data throughout this piece. Data is a by-product of any activity. Therefore, creating data is as natural as breathing. So we have data. A lot of data. So what? Accumulating data, structuring it, storing it, analyzing it are a natural progression from that point onwards. How and what we do with the data is more important. Software. 

The magic that is software, to me, is more transfixing. Consider the prospect of a language written in a semantic that is alien to our natural human language. A cryptic command, logic, condition, trigger – anything at all – that is magically read, understood and acted upon by silicon. Hardware that contains baked-in code that can parse and carry out complex instructions at blazing speeds. Pieces of such chips soldered on a board and communicating through ‘roadways’ of circuits laid out on a board. The miracle of hardware coupled with the magic that is software is what gets my adrenalin pumping. How can such a marvel not be exciting?

Even the awesomeness of hardware pales in comparison to software. Hardware is more or less static. It is confined to physical and functional dimensions. Software, however, is supreme. It can use the same hardware (with some limitations of course) and carry out simple tasks, entertain with games, or perform wildly complex calculations at very very high rates of speed, accurately all the time. And it can do this million million times with alacrity. This is just the beginning of what software can do. But wait, there’s more!

Consider intelligence in software. It suddenly becomes a living, breathing, dynamic being. Almost. Software can learn and teach itself. Crunching data and spitting out patterns and actionable analysis suddenly becomes mundane, banal almost pedestrian. No. I am not against data or big data. By itself, big data is just that. A monstrosity. Sometimes, big data actually gets in the way. Misleads us in making decisions quickly. Software breathes life into data. 

Take any software language or tool. Examine it. Study its flow, the eloquence, the nuance and its brilliance. Brevity in software coding is revered by programming perfectionists. There is elegance in a well-written piece of code that executes beautifully, perfectly, every time. Anyone that can find literary melody in Shakespeare or Milton can certainly begin to enjoy the harmony in a beautifully crafted software application code. So, my appeal goes out to all those who are worshipping big data to take a moment to reflect upon the joy that software brings to our daily lives. After all, the future is software!

Author
Inder Davalur
Inderjith Davalur is a healthcare technology specialist, speaker, writer and utopian dreamer.
Inder works with hospitals committed to transforming the healthcare paradigm with the aid of new innovative technologies. His primary area of interest lies in using data analytics and technologies such as Deep Learning to shift the current physician-driven healthcare model to a patient-driven market dynamic.
Inder focuses on the manifold ways in which data crunching and machine learning can lead to better diagnoses that can not only be made at the time of illness, but predicted way before any symptoms surface. The path ahead in the sector, he believes, lies in the deployment of evolving technologies that immensely influence both diagnostic and therapeutic aspects of healthcare, delivering real patient-driven, data-enabled, informed healthcare.
Inder currently works as the Group CIO at KIMS Hospitals Private Limited, Hyderabad and has previously assumed leadership roles at leading hospitals and companies, in India and the United States of America.
Read more »

Simplifying Health Economics by Dr. Karan Sharma

After hearing about India's New Health Insurance Program, I thought it is good idea to share about Health Economics, so here I am

Health economics is a branch of economics concerned with issues related to efficiency, effectiveness, value and behavior in the production and consumption of health and healthcare. 

Read more »

Some perceived shortfalls in the proposed Indian National Health Stack by Dr. Pramod Jacob

There is ongoing work in India for a Nationwide Information Technology platform, that will support and facilitate the deployment of the Ayushman Bharat program, which is called the “National Health Stack”, the objective of which is to help achieve Continuum of Care across Primary, Secondary and Tertiary care for each of its citizens and facilitate payment for the care.


A draft of the National Health Stack (NHS) strategy and approach was put out in July 2018 for feedback and comments till July 31, following which no final draft has been published in the public domain. Hence the shortfalls brought out in this write up are based on the July 2018 draft and so these are perceived shortfalls, because the final version may have addressed these concerns. If so, request that the final document be published in the public domain. http://niti.gov.in/writereaddata/files/document_publication/NHS-Strategy-and-Approach-Document-for-consultation.pdf  

Read more »

Universal Healthcare: How do we get there? by Ritesh Dogra @ritesh_medium

There is undoubtedly a clear argument for Universal healthcare. The question still looming large is “How do we get there”


Angus Deaton, a well renowned economist, explains that while there is a correlation between higher income and better life expectancy, this is not the only factor. There are means to ensure great health at less cost and equally spending large sum with no purpose, America being one case in point. While earlier any spending on healthcare was dubbed as social overhead, it is no longer so – there is enough evidence to prove that spending on healthcare speeds growth of the nation.

Read more »

Timeline: The History of the EMR/EHR by David Rice @bigdatadavid13



Much of the conversation around healthcare technology is centered on where new developments are taking us. But as the age old adage goes, you can’t know where you’re going until you know where you’ve been.
Read more »

A PhD Researcher's QnA on #BigDataAnalytics (BDA) with a Healthcare CIO by Inder Davalur, @INDERDAVALUR & Nishita Mehta



Q1. Nishita Mehta: What is data’s role in healthcare & how do you see it influencing future health sector growth in India?

A. Inder Davalur: 

Big Data Analytics (BDA) will have a huge role in healthcare. Healthcare has been a latecomer to using IT as a tool but the future looks good. AI and its children – ML, IoT, and M2M are excellent candidates for advancing technology in healthcare. There is a real potential for technology to advance what I have termed “Connected Continuum of Care” in one of my blogs. This means that with wearables and other Internet of Healthcare Things (IoHT), creating a biome where the patient and doctor/hospital are always connected would become a reality. Always-on Internet is the future and extending that to healthcare is a natural progression. With the price of Internet in India being one of the lowest in the world, we will be in an excellent position to incorporate technology in advancing healthcare delivery.   

Read more »

Glossary of terms and acronyms for #Blockchain and #Cryptocurrency




Blockchain: The foundational technology behind the blockchain and cryptocurrency sector. It is a virtual, immutable (unchangeable), distributed store of data stored on servers around the world. This is a new way of distributing both trust and data. It is an alternative to traditional systems where a central organization holds all the data.
Read more »

How Mobile Will Transform Primary Healthcare Access in India by Prasad Kompalli, @pkompalli ( mfine @mfinecare )



A few days ago, we came across a very interesting albeit a rare case where a mother wanted to consult a paediatrician. Under a few minutes, she was able to have an online consultation with one of the top paediatricians in Bangalore, who immediately prescribed the required treatment for her child as the  symptoms were severe. At this point the patient informed the doctor that she was on a moving train and travelling towards Bangalore but needed the assistance urgently and was glad to have spoken to him. The doctor meanwhile was totally taken aback. Quickly recovering, he felt a deep appreciation for technology and its ability to empower people and help them access essential services at the hour of need.

Read more »

I & L to #AI & #ML in Healthcare by Jyoti Sahai, @jyotisahai

Have you ever wondered why if confronted with any illness symptoms that appear even a bit abnormal, we prefer to consult with a doctor in a large hospital only, even though a more competent doctor may have a clinic next door itself.

Read more »

Natural Language Processing #NLP - Giving doctors the freedom to write what they want by Dr. Anuradha Monga

Healthcare produces the highest quantity of data records as compared to any other industry. There has been a substantive shift in the provider workflows from capturing data in paper based records to electronic modes and storage in the past few decades.


Read more »

Application of Design Thinking in the Healthcare- Survey results by Vishnu Saxena, @vishnu_saxena


Design thinking is gaining it’s rightful prominence in the Healthcare as a valuable approach to solve range of healthcare issues and redesign care delivery. However, application of Design thinking principles are still not mainstream. NEJM surveyed 625 of their council experts from executives, clinical leaders to clinicians and come-up with their finding on the state of Design thinking in the healthcare.

Read more »

Human Factors in Healthcare by Dr. Ruchi Dass, @drruchibhatt



Stare in the middle of the image below..as you move your eyes around you will see black dots flashing. now you know that there is no flashing possible here but it tricks your brain.

Read more »

New Data Protection Law Proposed in India! Flavors of GDPR by TMT Practice Team at Nishith Desai Associates




NEW DATA PROTECTION LAW PROPOSED IN INDIA! FLAVORS OF GDPR 
The much-awaited Personal Data Protection Bill, 2018 (“Draft Bill”) was released by the Committee of Experts entrusted with creating a Data Protection Framework for India (“Committee”) on Friday evening.

Read more »

#Blockchain for HealthCare Equity by Arnab Paul, @iArnabPaul

In a digital Age when cars drive themselves and CEOs hold meetings across continents in virtual reality conference rooms, engagement of the disenfranchised is a less attractive endeavor than the sleek apps, making it an outlier in the realm of tech solutions.

In our endeavour to promote digital india it should be our collective effort to bring healthcare to the disenfranchised and to the people who slip out of the cracks.

Most of us just don't bother to take care of the elephant in the room, its time all the stakeholders joined hands and come up with a solution. For me personally Equity is of paramount importance in healthcare.The lack of focus on vulnerable populations in patient safety discounts the significance of the many lives lost, all precious to those who love them. we have yet to place strategic emphasis on the need to protect all. A man’s life lost to medical error then disguised as a heart attack, either intentionally or because of unconscious prejudice about the depth of his pocket, is more than a patient safety event. 
For the millions of people who have been exposed to discrimination based on their spending capacity and limited access to resources and denial of equality in humanity, such an event adds insult to tragic injury.We must connect in ridding our health system of all forms of inequality and ensuring that all people are protected from harm equally.
As hospitals and care systems work to improve quality of care and prepare for coming changes in the health care field, the ability to fully understand their patient populations and communities is critical. Collecting and using ethnicity, language, spending capacity data will help hospitals and care systems understand their patient populations and address health care disparities. While many hospitals are successfully collecting REAL data, fewer are effectively stratifying the data to shed light on health care disparities,
We need to systematically collect REAL preference data on all patients. We need to use REAL data to look for variations in clinical outcomes, resource utilization, length of stay and frequency of readmissions within our hospital. We need to compare patient satisfaction ratings among diverse groups and act on the information. Above all we need to actively use REAL data for strategic and outreach planning for the underprivileged.
Patient satisfaction is not a clearly defined concept, although it is identified as an important quality outcome indicator to measure success of the services delivery system
There is no clear consensus between the literatures on how to define the concept of patient satisfaction in healthcare.
In Donabedian's quality measurement model
patient satisfaction is defined as patient-reported outcome measure while the structures and processes of care can be measured by patient-reported experiences
For everything in life we need some kind of metrics, some tools to measure the clinical outcome and the patient satisfaction. So to make up for it may I suggest we incorporate Tech enabled, Blockchain optimized patient feedback mechanism.
So what is the solution, how do we propose to go about it, well unlike Press Ganey & HCAHPS (the Hospital Consumer Assessment of Healthcare Providers and Systems), Press Ganey has stated that a minimum of 30 survey responses is necessary to draw meaningful conclusions from the data it receives and that it will not stand behind statistical analysis when less than 30 responses are received. 
If we all incorporate a blockchain Ecosystem & go truly real time in the patient feedback mechanism it would greatly enhance the whole patient experience and maybe help to manage solve some of the issues in real time. Wouldn’t it be just great if we incorporate Blockchain in the patient feedback loop, we wouldn’t have to wait for 30 odd surveys to be analyzed we could just go ahead and fix the situation right away if it warrants an action.
Another major issue is NO show and Missed Appointments
One study estimates, in US alone missed appointments cost US healthcare providers up to $150 billion a year.There have been instances that a Clinic loses money because of No Showand missed appointments.Patients not showing up can be costly to the health-care system. Offices lose out on revenue, and delaying care can lead to more expensive treatments later on.
"We very much believe it's going to take a collaborative effort, and we think that this kind of technology integration is going to be a critical path for being successful in terms of breaking down those barriers for access to transportation for the patient community."  David Baga, CBO, Lyft
Allscripts, Lyft and few other companies have joined hands to address this problem. The companies said they hope working together will reduce the number of people who miss medical appointments because of transportation issues.
But interesting it was found in another study giving poor people free use of ridesharing services like Uber and Lyft for doctor appointments doesn’t make them any less likely to become no-shows than patients who have to find their own way there, a U.S. study suggests.
So what are we missing here, I believe incentivising ( tokens ) is the key and Blockchain could play a major role. Blockchain in itself is not a panacea for all things healthcare but it certainly holds the key to transform the current healthcare service delivery mechanism and make it more transparent and efficient.
Ehealth or no ehealth, if its not able to solve the issues of equity & empathy than its no value prop only noise, maybe it would help become a excellent facilitator in healthcare delivery but it sadly would not be able to solve the core issue of equity and empathy.
The concluding part follows:
How Blockchain could be a gamechanger for healthcare

Author

[tab]
[content title="About Arnab Paul"]
Arnab Paul, CEO, Patient Planet
Globally-minded systems thinker, action-oriented and inspired toward optimizing health outcomes through innovation, creativity, cooperation. Passionate about facilitating the alignment among technology, people and processes to ultimately improve patient experience and the functioning of healthcare.
[/content]
[content title="Latest Articles"]
[/content] [/tab]

Read more »

Zen Clinicals: An Activity & Workflow based solution (2 of 4)



Part 2 of 4

Now that we have defined the various actors and the activities that they could be performing. It becomes to important to define the guidance as to how these activities will be delivered to their respective audiences. 

In the Zen Clinical System 











Read more »

Zen Clinicals: An Activity & Workflow based solution (3 of 4)



Part 3 of 4

Sharing some of the UI screens that I had envisaged for the Zen Clinicals system. The core premise of the system is to be data driven and workflow driven and NOT BE a transactional system wherein a sequential set of activities or tasks are carried out.

Zen Clinicals ensures there are actionable insights that are presented to the right care providers at the right time. 

Welcome you to review the first two parts of this blog: 

Part 1: https://blog.hcitexpert.com/2015/12/zen-clinicals-1of3.html

Part 2: https://blog.hcitexpert.com/2018/07/zen-clinicals-patient-care-pathways-by-manish-sharma.html

Read more »

Zen Clinicals: A Patient Care Pathways Solution (4 of 4)


A Clinical Care Pathways Workflow & Activity Orchestration

Overview

Clinical pathways are structured multidisciplinary care plans which address specific clinical scenarios and help to standardize and coordination of care.
Read more »

Artificial Intelligence #AI can help address current healthcare challenges in India, Dr Sandeep Reddy @docsunny50

Earlier this year, while making a keynote speech at an Artificial Intelligence (AI) in Health conference in Dubai, I mentioned that AI techniques can be used to address some of the intractable health issues in developing countries. 


Read more »

The Integrated Disease Surveillance Program (IDSP ) of India story by Dr. Pramod Jacob

Considering the Nipah virus containment story recently, I thought it would be appropriate to write about the IDSP program in India, as it had a major role in this containment.

The Integrated Disease Surveillance Project (IDSP) was launched in November 2004 with the assistance of the World Bank, to identify and respond to disease outbreaks and epidemics at an early stage, preferably before an event becomes an epidemic. 

Read more »

4 hints to get started with #AI in your company by Devesh Rajadhyax @deveshrajadhyax

Most companies are working on Digital Transformation today, and Artificial Intelligence is a critical part of that transformation.

Two questions immediately present themselves-
1.    What is Digital Transformation and how it is different from the IT/ICT transformation that is happening since for than four decades?
2.    Why is AI a critical part of this transformation?

Read more »



POPULAR POSTS

Popular Posts