In discussion with Dr. Sandeep Reddy, @docsunny50, he talks about status of #AI In Healthcare - The Healthcare IT Experts #Podcast: S1 E3



In this episode of the podcast, I interview Dr. Sandeep Reddy who is a certified health informatician and Artificial Intelligence in Healthcare researcher based at the Deakin School of Medicine, Geelong, Victoria, Australia as an Associate Professor.



He has a medical and healthcare management background in addition to having completed AI and machine learning training through several sources. He is currently engaged in research about application of AI in healthcare delivery in addition to developing AI models to treat and manage type 2 diabetes. Also, he has authored several publications about the use of artificial intelligence in Medicine.

Disclaimer :- the views, thoughts, and opinions expressed in the text belong solely to the author, and not necessarily to the author's employer, organization, committee or other group or individual.

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And there you go, its fairly simple and we look forward to you sharing your experiences with our community of readers. We appreciate you considering sharing your knowledge via The HCITExpert Blog
Author
Team HCITExperts
Your partner in Digital Health Transformation using innovative and insightful ideas
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In discussion with Dr. Pramod David Jacob and Dr. Thanga Prabhu, @thangas discuss the impact of the National Digital Health - The Healthcare IT Experts #Podcast: S1 E2






In this episode of the podcast, we have Dr. Pramod David Jacob, Director and Chief Medical Officer of dWise Healthcare IT solutions

And Dr. Thanga Prabhu, Vice President, Clinical Informatics, Coheremed Solutions. In our podcast today, I ask our two eminent experts about their experiences of enabling DigitalHealth in India and more recently about the National Digital Health Blueprint and what it means for the ecosystem in India.

Disclaimer :- the views, thoughts, and opinions expressed in the podcast belong solely to the author, and not necessarily to the author's employer, organization, committee or other group or individual.




And there you go, its fairly simple and we look forward to you sharing your experiences with our community of readers. We appreciate you considering sharing your knowledge via The HCITExpert Blog

Team HCITExperts
Your partner in Digital Health Transformation using innovative and insightful ideas
Read more »

In discussion with Kumar Satyam on the Stakeholder Consultations on the National Digital Health Blueprint, @kr_satyam - The Healthcare IT Experts #Podcast: S1 E1






In this episode of the podcast, I have a discussion with Kumar Satyam of the Philips Innovation Campus in Bangalore. Satyam was there on the 6th of August 2019, in New Delhi for the Stakeholder consultation on the National DigitalHealth Blueprint document, with the Team from Ministry of Health and Family Welfare, Government of India

Disclaimer :- the views, thoughts, and opinions expressed in the podcast belong solely to the author, and not necessarily to the author's employer, organization, committee or other group or individual.

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A Conundrum called “Business requirement Document” alias “BRD” by Dr. Chandrika Kambam. @ckambam

#Healthcare IT, #Gap in Healthcare IT, #failed IT projects, #Cost of failed IT projects

Over the last couple of years, I had an opportunity to work closely with information technology (IT) team on various initiatives that we undertook to improve and support our business processes. I was the bridge between the team that executed the services on the ground and the technology team that put these systems in place. What I have observed is that very few systems meet 100% customer expectations in one go. There are always reiterations, innumerable versions of the systems that are released, before it meets even 90% of the end user needs.
  
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About the program, Research methods in innovation processes for #digitalhealth technology by Bipinkumar G Rathod, @bipin4uk



The Trans Atlantic telehealth research Network and Centre for Innovative Medical Technology at Odense University Hospital have organised a 5 days PhD Course, the subject is research methods in innovation processes for Digital health Technology. Other participating organisations are Aalborg University Denmark, CITRIS and the BANATAO Institute, the University of California and University of Southern Denmark.

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Learn to say "No"​ by Sanjay Dandekar, @santhedan



I have found that many people find it difficult to say "No". They end up saying "Yes" when their heart / mind / body is shouting "Noooooo.....!". This could happen due to many reasons:

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How Healthcare is becoming B2C with the help of Interoperability by Ritika Jain @ritikajain192 and Vakku Chethalan



I joined the interoperability team at Philips Healthcare in my senior year of college. At that point of time, with a novice approach to software engineering and a look at real world problems with my rose-tinted glasses, interoperability seemed a bit dull. Until, one day I fell off the stairs and had to go through X-rays and six weeks of physiotherapy on my way to recovery. This is when I had a first-hand glance at hospital operations.


Source: Instagram @newyorkercartoons

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What does the Health Stack mean for you? Part 3 by Anukriti Chaudhari, @anukritichaudh2



The National Health Stack is a set of foundational building blocks which will be built as shared digital infrastructure, usable by both public sector and private sector players. In our third post on the Health Stack (the first two can be found here and here), we explain how it can be leveraged to build solutions that benefit different stakeholders in the ecosystem.
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Re-Imagining #EMR for India by Kumar Satyam, @kr_satyam



I was out of doctor’s room in couple of minutes with a scribbled prescription in hand, not very sure if the physician had actually understood my problem. Clinic’s pharmacist words gave me confidence “Doctor is very experienced, he can diagnose problems within a minute. You will get better in couple of days”.  

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How #telemedicine technology can reduce healthcare costs by Dr. Arjun Kalyanpur, @arjunkalyanpur

Studies have highlighted the multiple benefits that telemedicine lends to screening, including TB detection, PAP smear for cervical cancer and mammogram analysis for breast cancer.


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The case of #AI medical software regulation in developing countries by Dr. Sandeep Reddy, @docsunny50




Has the cart been placed in front of the horse? The case of AI medical software regulation in developing countries.

Medical software is defined as the use of software for medical purposes. The uptake of medical software in healthcare has increased in line with increased application computation in healthcare delivery. Examples of medical software include software used in bedside monitors, MRIs, PACs, radiation therapy software, infusion pump rate devices, smartphone-based health applications. Etc. 

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Data as an identity, diagnosis, health coach, drug and treatment by Prof. Rajendra Pratap Gupta, @rajendragupta

Electronic Health Records make data the identity for the patient. It can be in form of UHID or ADHAAR (in India). The data reveals the identity of the patient

Recently, I was in Bangladesh on the call of the Prime Minister’s office to speak on Big Data, Artificial Intelligence (AI) and to help draft the AI strategy for Bangladesh. I shared, that Big data is going to change the way we deliver healthcare, and how “big data combined with AI is not just data, but an identity, diagnosis, health coach, a drug and treatment when it comes to healthcare delivery”. It was based on the enormous possibility of what data & AI can do to healthcare delivery. 

Data as Identity: Electronic Health Records make data the identity for the patient. It can be in form of UHID or ADHAAR (in India). The data reveals the identity of the patient 

Data as diagnosis: According to Intel, AI in a single heartbeat can look at 10,000 attributes with 90 % accuracy and traditional methods look at 7 attributes with 56 % accuracy. Google’s AI algorithms help in diagnosing diabetic retinopathy. AI has been proven to be accurate in radiology for reading images and diagnosis. During the recent floods in Kerala, AI backed system, UptoDate was used by about 320 doctors in diagnosis and treatment. This solution has millions of cases in its repository and is used by clinicians worldwide, and the list goes on, on how Big Data and AI are helping in diagnosis. Big data and AI are increasingly being used as a diagnostic tool and its accuracy is of ‘clinical grade’ in specialties it has been used. 

Data as a health coach, a drug & Treatment: More than four years ago, I wrote an article on Software as a drug (SaaD) https://bit.ly/2TfWWDG 

Blue Star by Welldoc is a great example of how insulin dose can be calibrated by AI and does not need doctors. This mobile app for diabetes management is cleared by the US FDA, and it guides the patient to adjust the dosage of insulin with options of activity and diet (healthy choices with restaurant helpers), and provides with over 20,000 coaching messages and has been proven to reduce HBA1C by an average of 2 points between 3-6 months. This is considered a great achievement in the field of endocrinology. 

Need for an AI strategy: It is time that countries shape up their AI roadmap / strategy for every sector. Imagine if public hospitals in India like AIIMS, PGI Chandigarh, JIPMER, SGPGI & Tata Memorial feed in the daily OPD / IPD data and create an AI tool? How much the tool can help the ‘young medical graduates’ in accurate diagnostics and treatment? Today, timely diagnosis and treatment remains the biggest challenge in healthcare and it leads to over diagnosis and wrong treatment! With Ayushman Bharat covering over 500 million population, the data from this scheme can be used to create an AI tool in healthcare which can be shared with LMIC countries, and can serve as an important tool in form of healthcare diplomacy. Moreover, young medical graduate with such an AI tool with millions of cases in its repository will have the experience of a senior doctor with decades of experience when he or she uses an AI tool to diagnose and treat patients. Also, such a tool can prove to be a boon in rural areas as well, where people suffer the most.

In 2015, when I was writing a book on healthcare reforms (Healthcare Reforms in India – Making up for the lost decades), I did a survey with patients of RML & AIIMS and it was revealed that, patients visit an average of 6 doctors before visiting AIIMS, and add to this, the fact, that the reason for their AIIMS visit is, ‘treatment failure or not diagnosed’ from the earlier facilities or doctors visited! Moreover, it is not possible for everyone in India to reach AIIMS, Delhi or Tata Memorial in Mumbai. In such a serious situation, it makes sense for India to invest in developing an AI tool based on patient’s data in public healthcare facilities, and the patients covered under Ayushman Bharat. Also, this data can be used for fraud detection. 

AI is likely to create jobs and add to the economy. If India builds a proper AI strategy, it needs to look at the following components; Data storage, data security, data transfer, certifications and compliance, and each has the potential to add billion dollars to the economy 

Components of AI strategy: India needs a detailed roadmap for data storage, networking infrastructure, data governance, Sensors & IOT, training and human resources & research and development 

Big Data & AI hold a lot of promise for outcome driven healthcare which is accountable and affordable and India must aim to be a global leader in Big Data & AI.

(Prof. Rajendra Pratap Gupta is a leading public policy expert and is a former advisor to the Union Health Minister, Government of India ) 

The article was first published here, its republished on the HCITExperts Blog, with the author's permission

Author
Rajendra Pratap Gupta
Rajendra Pratap Gupta (Rajendra) is an original thinker and an innovator and one of the most influential and sought after public policy expert in the country. He has worked with some of the largest organizations across the world and was nominated to the Global Agenda Council of the World Economic Forum for 2012-2014 in recognition of his work.

He was conferred; 'Global Healthcare Leader of the Year' award in 2012 by the sheriff of Los Angeles; named the 'Thought Leader of the Year' three years in a row by ICT Post; Featured amongst the ’25 living Legends of Healthcare in India’ and is listed amongst the “100 Most Impactful Healthcare Leaders”.
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Data Analytics for cell and gene therapy by Dr. Ruchi Dass, @drruchibhatt



Cell and gene therapies are becoming more and more popular because of encouraging clinical results worldwide. Major pharma manufacturing companies have invested in the concept's commercialization worldwide. Recently, we read about Takeda’s license for commercialization of Aloficel (developed by TiGenix), Celgene’s acquisition of Juno Therapeutics or Gilead’s acquisition of Kite Pharma.

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Helping healing via the HORIZONS, The Tata Trusts Magazine

An ongoing transformation of Nagpur’s urban primary health centres has made affordable medical care more accessible to people

The patients sitting in the freshly painted waiting room have Amitabh Bachchan for company, even if it’s only a video of the movie star — with a message on measles vaccination — playing out on a television screen behind the reception desk. Red signboards provide an attractive pop of colour amidst the off-white walls. The well-appointed space could be part of a private hospital … except that it is not. It is the new look of a government-run urban primary health centre (UPHC) in Nagpur that has undergone a radical upgrade.

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India and Switzerland talk digital health by Aparna Kumaraswamy

A look back at the innovators and experts who showcased their technological solutions for enhanced healthcare delivery at the Digital Health Conclave 2019, curated by swissnex India

On 8th April, a group of healthcare enthusiasts got together to discuss the future of healthcare delivery, and the technologies that will assist in improving its quality. This motley group consisted of innovators, researchers, heads of large corporations, mid to senior level managers, and students from Switzerland and India. The one thing they had in common was their strong belief in the potential of technology to elevate the quality of healthcare and their openness to look across borders to find incredible innovations to this end. 

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Federated Personal Health Records – The Quest For #UseCases by Anukriti Chaudhary, @anukritichaudh2

In this blog post, we talk about one component of the National Health Stack – Federated Personal Health Records: its design, the role of policy and potential use cases


Overview

A federated personal health record refers to an individual’s ability to access and share her longitudinal health history without centralized storage of data. This means that if she has visited different healthcare providers in the past (which is often the case in a real life scenario), she should be able to fetch her records from all these sources, view them and present them when and where needed. Today, this objective is achieved by a paper-based ‘patient file’ which is used when seeking healthcare. However, with increasing adoption of digital infrastructure in the healthcare ecosystem, it should now be possible to do the same electronically. This has many benefits – patients need not remember to carry their files, hospitals can better manage patient data using IT systems, patients can seek remote consultations with complete information, insurance claims can be settled faster, and so on. This post is an attempt to look at the factors that would help make this a reality. 

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The obsession with tech in healthcare by Dr. Ravi Chandran Nayar

The logic that e-health can address the lack of medical professionals in India appears to be persuasive. But it is actually flawed

Medicine is an applied science and benefits from advances in basic and other applied sciences. In today’s world, technology itself is an applied science benefitting from basic scientific advances, defining our world and determining our world view of the present and future.

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Telemedicine and neurosciences by Dr Ganapathy Krishnan, @ApolloTeleMed

It is well documented that there is an acute shortage of neurologists and neurosurgeons in India and globally. Despite all efforts, it will be impossible to make available neurospecialists in all suburban and rural areas.

Simultaneously, there has been an exponential increase in the growth and development of Information and Communication Technology (ICT). Plummeting costs and unbelievable sophistication in the availability of user-friendly mobile video conferencing devices is making distance meaningless. Geography has become History! Worldwide, the ultraconservative health care industry, in particular, the medical community, has been uniformly slow to adopt and embrace the use of ICT to extend their clinical reach. In the last decade, however, specialists in all branches of neurosciences are slowly accepting the inevitable that telemedicine must and will have to be incorporated into the core of the healthcare delivery system. This literature review summarizes the current use of telemedicine in different subspecialties of neurosciences. The author defines the growth and development of clinical telemedicine in India with special reference to Neurosciences and attempts to show the stellar role telemedicine has to play in enhancing the services provided by doctors. As clinicians regularly using technology, it should not be difficult for us to convince our patients that today a virtual remote consult and management can indeed effectively substitute for a physical face-to-face encounter.

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A roadmap for Academia and Industry Collaboration in Digital Health by Bipinkumar G Rathod, @bipin4uk




Digital health Technology adoption in India is gaining momentum. Many digital health entrepreneurs are providing solutions for hospitals and patients. With India becoming more connected, by becoming one of the largest markets in terms of the mobile phone and broadband densities in the world, many Innovative solutions and Technology ecosystems are being developed for Digital Health interventions.

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India’s Health Leapfrog – Towards A Holistic Healthcare Ecosystem Part 1 by Anukriti Chaudhari @AnukritiChaudh2 - @Product_Nation

The leapfrog we envision is that of public, precision healthcare. This means that not only would every citizen have access to affordable healthcare, but the care delivered would be holistic (as opposed to symptomatic) and preventive (and not just curative) in nature.


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