A Summary of the proceedings at 2019 HITLAB: The Health Innovators Summit, New Delhi by Manish Sharma @msharmas

(source: HITLAB)
Impact of Frugal Innovations, AI, Remote Health Services, Vertically Integrated Technology Platforms and Care Delivery Platforms supported by technology, Blockchain based HealthTech solutions, Personal Digital Avatars, Diffusion of Digital HealthTech

The Health Innovators Summit, New Delhi by HITLAB in partnership with Department of Management Studies is a once a year conference held in February in India. 

Prof. M.P. Gupta, Dhananjaya Chair Professor & Head - Department of Management Studies, IIT, Delhi who is known for his pioneering work in eGovernance,  spoke about 

and how AI and Remote Medicine are two areas he sees gaining traction in the field in the coming years.

Dr. Sachin Malhotra, in his keynote presented the work being done by Tech care for all, India by deploying their platform that integrates the patient journey with the use of various technology solutions across the patient journey. The solution comprised of a Medical Learning Hub, Telemedicine solution powered by Remidi, Bangalore, a frugal EMR/EHR solution that can be deployed in low resource setups and a medical learning hub. 

He highlighted the work being done by Tech4All with the Catholic Health Association of India, by building a future ready organisation that can delivery healthcare for a billion plus people in the rural settings as well as their urban locations. Dr. Vivek Sahi added to the conversation with his talk about the role of Technology for Social Impact. 

Prof. Stan Kachnowski, Chair, HITLAB talked about the need for Digital Health Innovation for India’s 1.3+ Billion lives. He talked about the importance of innovating for the bottom billion that needs to be driven by a more efficient information symmetry and diagnostic symmetry. 

Prof. Kachnowski, talked about the Diffusion curve and spoke about how a collaboration across the world led to an eradication of smallpox. He spoke about the need to build research centers like how Stanford Biodesign has a collaboration going with AIIMS, Delhi. During the Q&A one of the professors of IIT, Ropar mentioned about a similar collaboration between IIT, ropar and PGI. All such active efforts will allow for the diffusion of technology to happen at a great pace, Prof. Stan Kachknowski said. Prof. Kachknowski referred to the work of Eric Topol at UCSD on Medical Informatics, Digital Medicine and Digital Human. 

Prof. Stan talked about Diffusion of Digital Healthcare for the billions is the focus of HITLABs globally to help eradicate diseases expeditiously, economically and efficiently. 

In the experts speak of the talk, Dr. Thierry Marchal, Global Industry Director - Healthcare, ANSYS Europe and Mr. Shitalkumar Joshi in their talk about Why computer modelling is the next evolution of Healthcare Sector talked about the use of simulation technologies to impact various aspects of product development for Molecules, Devices, Health Tech. Dr. Thierry Marchal while giving the example of simulation technologies being developed at ANSYS talked about how simulation technologies are being used to help orthopedic surgeons design the hip joints for the patients by giving insights that doctors can understand. He opined that the same technology is now being extended (early days still) to create “Personal Digital Avatars”

In their talk they mentioned about how various government agencies are speeding up the process to accept simulation results to speed up the regulatory acceptance process. E.g., European Parliament, FDA. 

The Innovation Insights section of the day started with Dr. Deepak Agrawal, Professor, Neurosurgery & Gamma-Knife, AIIMS, New Delhi talking about From Big Data to Big Impact. 

Dr. Agrawal talked about the Big Data in AIIMS, N. Delhi. From the time of rollout of the Digital Health solution at AIIMS, they have captured the demographic data of more than 3 million patients. All Lab investigations 1 million data points coming into the system from about 10 millions records. He mentioned how they are enabling simple processes to enable to generation of big data. Capturing of information from patients from 3000 beds, by asking the nurses to capture the vitals of the patients once every shift, across 3 shifts. 

Dr. Agrawal spoke about some of the case studies, these are: the appointments system of how they enabled the system and how they improved the system using big data analytics in partnership with Dr. Mudit from Indian Statistical Institute to determine the amount of overbooking being done, social demographic maps were used to determine which are the areas that are weak in healthcare infrastructure based on the places from where the patients were coming to AIIMS, Delhi because hospital facilities might be available but super-specialist facilities might not be available in those areas. 

Another case study involved the HAI. What was the cause of HAI on specific beds in a particular location of the hospital and to find the sources to enable corrective action. Dr. Agrawal mentioned that we need to have collaborations in place between clinicians and data analytics experts so that we can have meaningful data analytics from the data recorded.

Prof. Supten Sarbhadhikari, Former Director, Center for Health Informatics, National Health Portal in his talk on Active Assisted Living in Healthcare talked about the relate to the concepts, products, services, systems, Access to information by various stakeholders, social environments and type of users and how the interactions between these are important to deliver care are these helping the improvement in healthcare delivery. He talked about how Active Assisted living can help in Health and wellness. With the increasing life expectancy, but is the quality of life improving? Prof. Supten talked about various dimensions that are important to be considered for Active Assisted Living in Healthcare. Replace I to We so that Illness becomes Wellness, Prof. Supten said. Having knowledge is good, but application of the same with context and keeping the above dimensions in mind are important.

In her talk about Shaping care delivery for the next-gen patient experiences, Ms. Sylvana Sinha, Founder Managing Director and CEO, Praava Health shared her insights from setting up Praava Health in Dhaka Bangladesh and what aspects from social, location, systems led her to designing a collaborative care experience for the patients visiting the Praava Health facilities. She mentioned how they rolled out a service that for a fixed amount of subscription, they patient could avail an unlimited access to the Praava Health services throughout the year. 

Ms. Sinha, mentioned how at Praava Health Technology is seen as an enabler, technology she said will not replace the family doctor (a concept on which Praava Health is built-on: family doctors + diagnostics) rather technology will help the doctors do what they are best at. If they are in a room, they should observe the patient, listen to the patient, help patient to get better in how to manage their health. And this is done at Praava Health by the use of technology by making the patient and doctor a collaborator in the care process by providing relevant technology tools to each of the collaborators in the patient journey with the goal of enabling continuity of care across various doctors that see the patient. Ms. Sinha said the Praava Health model is the “brick and click” model of healthcare service delivery. Its brick and mortar enabled by technology. She believes that healthcare in Asia will move from being brick to click in the years to come, but it's never going to replace the family doctor. 

In his talk on New-age clinical trials for improved patient care, Dr. Rajesh Jain, Co-Founder & Chief Solution Architect of ConsilX Digital, ConsilX talked about the use of Blockchain in Clinical Trials industry and how their company is deploying blockchain based solutions. Dr. Jain talked about empowering the patient and keeping the patients at the center of every kind of innovation. And how they are moving these concepts to actual practice via their solutions. Dr. Jain talked about innovation being a collaboration and technology will always being an enabler. 

Dr. Jain spoke about how patients want to be participative in their healthcare than ever before and even in clinical trials. Patients want to get their healthcare administered to them much more effectively than having to go to the doctor’s clinic or multiple doctors clinics enabling a virtual and remote care delivery process. This is now true for the clinical trials patients too. Dr. Jain talked about how blockchain can be used for better data access management by maintaining security and privacy of the patients. Dr. Jain talked about how various stakeholders are collaborating to delivering technology from ConsilX. He mentioned that their solution covers, Patient Enrollment, eConsent, Engagement, Direct Data Collection, Supply chain management, collaborative research and analytics. 

Dr. Jain spoke about the feedback the solution has received from being a HITLAB collaborator and from the feedback received from the field that has helped them in their product development from the past two years.

There were two panel discussions: 


I was honored to attend the HITLAB Innovators Summit: India, 2019 on the 16th February 2019. I was going back to my timeline on twitter and saw that I had been following the conference from 2014 by sharing the insights being shared by the experts during all these years. And to get to listen to the experts sharing their insights in person is something that made me take the trip from Bengaluru to Delhi and back the same day. I made sure I would not miss the opportunity and the trip was all the effort. And should be a must attend conference series for those interested in Health Tech innovations and learn what has moved and what has remained the same or not moved at all.

I would like to Thank Devmalya Sarkar and Ms. Vandana from the HITLAB,  Delhi team. And a big thanks to the speakers and panelists whose thoughts I have been able to share above. I am sure more folks would like to reach out to them to learn about their work and continued innovations to push the boundaries. 

Presented below are some moments from the HITLAB, 2019, New Delhi

Source: Conference Brochure

Source: Conference Brochure

Please note the references of embedded twitter and linkedin posts are attributed to the author.

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

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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

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

A Clinical Care Pathways Workflow & Activity Orchestration


Clinical pathways are structured multidisciplinary care plans which address specific clinical scenarios and help to standardize and coordination of care.
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#Telehealth In India: Slope of Enlightenment or Plateau of Productivity by Manish Sharma, @msharmas

Clayton Christensen coined the phrase disruptive innovation two decades ago as a way of embracing the deconstruction that is necessary when a new technology displaces an old one.

In healthcare most of the technology disruption has been driven by the adoption in the medtech space as also in the use of innovative techniques in surgery such as minimally invasive surgery and robotic surgery. 

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Artificial Intelligence #AI Could Add $957 Billion to Indian Economy, According to New Research by @AccentureIndia

In a recently published report by Accenture, they have highlighted the need for india to invest in AI, we bring you the excerpts of the report. (The following content is sourced from the Accenture report).

Artificial intelligence (AI) has reached a tipping point. The combination of the technology, data and talent that make intelligent systems possible has reached critical mass, driving extraordinary growth in AI investment. Across the world, G20 countries have been building up their AI capabilities. The power of AI starts with people and intelligent technologies working together within and across company boundaries to create better outcomes for customers and society. But India is not fully prepared to seize the enormous opportunities that AI presents. Even with a tech-savvy talent pool, renowned universities, healthy levels of entrepreneurship and strong corporations, the country lags on key indicators of AI development. Much work remains. 

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A collection of Potential Usecases for #Blockchain in Healthcare

Every once in a while a new technology finds its way in the Gartner Hype Cycle for Technologies (in Healthcare) and its effectiveness and usability is applied to the management and interoperability of Healthcare Records. For instance, access to the Healthcare records by various stakeholders in the care continuum: care providers and patients. 

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Cybersecurity Trends in 2017

Cybersecurity is in the news almost daily and Investment in cybersecurity, by established corporations or venture capital is rising. The stature and business significance of cybersecurity operations within organisations continues its rise to a strategic management issue in every organisation. A dearth of skills shortage continues to impede the progress of a successful cyber defense strategy that can be put in place, this is driving most organizations to increasingly look for outside help be entering into consulting and managed security services contracts.

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The Return of the Wearables, in a New Avatar by @msharmas

IDC: Smartwatches accelerate in the second quarter, Device shipments grew 10.3% year over year to hit 26.3 million units during the second quarter of 2017; smartwatches grew 60.9%.

We are seeing the transformation of the wearables market with the total shipment volumes expected to maintain their forward momentum. According to the International Data Corporation's (IDC) Worldwide Quarterly Wearable Device Tracker, vendors will ship a total of 125.5 million wearable devices this year, marking a 20.4% increase from the 104.3 million units shipped in 2016From there, the wearables market will nearly double before reaching a total of 240.1 million units shipped in 2021, resulting in a five-year CAGR of 18.2%. [1]

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#IoHT is already delivering tangible cost savings, but continuous investment is essential - Accenture

Image Source: https://www.accenture.com/us-en/insight-accenture-2017-internet-health-things-survey
The Internet of Health Things (IoHT) is already delivering tangible cost savings, but continuous investment is essential

In a recently published report by Accenture [2], based on a survey of 77 Healthcare payers and 77 Healthcare providers in the US, the reports findings indicate that healthcare leaders are at risk of missing out on substantial cost savings, if they don't take the full advantage of Internet of Health Things (IoHT).

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What is #ConnectedCare? Is the Healthcare Industry ready to embrace it in India?

During the recently held #PhilipsChat the from Philips Healthcare set the agenda to discuss various aspects of what is Connected Care? 
Whenever a TweetChat is held, the moderator puts out an agenda for the discussion. Once its time, the participants share their point of view by Tweeting out their responses to the questions, tweeted by the moderator. 

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#DigitalHealth at an Inflection point by Mary Meeker, @kpcb reviewed by Manish Sharma @msharmas

Please note the above slides have been extracted from the Mary Meeker, Internet report 2017 purely for the purposes of this article. The statistics mentioned in this Blog have been taken from the Mary Meeker Internet Report 2017, relevant for DigitalHealth. For more details please view the complete report here  

While reviewing the Mary Meeker, Internet Report 2017 I found came across the statement "DigitalHealth at an Inflection point". So in this article (as also the slide deck above) I have tried to review the Digital Health specific updates and provide a correlation to them by linking it up with the India Internet section that has also been highlighted in the report.

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#DigitalHealth Startup? How to evaluate your #Startup like a VC or Angel by Manish Sharma @msharmas

#Startup, is a favourite word we hear these days from AiM to PM. At times it has connotations of a journey to fulfil, a dream to Startup is to Just go for it, and at times it brings about the memories of your struggles and wins, from that journey. But to startup is to also understand the basics of the entire process of establishing a business and running it.

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What is #BlockChain? Implications for Healthcare by @msharmas

In my previous article I discussed about the benefits and barriers to the use of an Integrated Health Information Platform. In healthcare the need for presenting the Information to the Right Person at the Right Time has been proven to improve outcomes in patient treatment.

Will HIE 2.0 benefit from the use of Blockchain in presenting the information to the Right Person at the Right Time? 

What is Blockchain?
Various definitions of Blockchain have been put across based on the context of the use. Some of these definitions are: 

A digital ledger in which transactions made in bitcoin or another cryptocurrency are recorded chronologically and publicly.

“The blockchain is an incorruptible digital ledger of economic transactions that can be programmed to record not just financial transactions but virtually everything of value.” Don & Alex Tapscott, authors Blockchain Revolution (2016)

The Blockchain is a decentralized ledger of all transactions across a peer-to-peer network. Using this technology, participants can confirm transactions without the need for a central certifying authority. Potential applications include, fund transfers, settling trades, voting etc.

Blockchain is a distributed system for recording and storing transaction records. More specifically, blockchain is a shared, immutable record of peer-to-peer transactions built from linked transaction blocks and stored in a digital ledger. [1]

A Blockchain is a data structure that can be timed-stamped and signed using a private key to prevent tampering. There are generally three types of Blockchain: public, private and consortium. [6] 

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Benefits of an Integrated Health Information Platform #IHIP by @msharmas

We have seen the benefits of Aadhar and how a public data repository can be used for public good. Population Health based clinical data repositories too can play a similar pivotal role in providing potentially great benefits

The use of Healthcare IT in the Indian context is picking up with most of the corporate hospitals going for the #EHRs and HIMS solutions. And these are present mostly in the Tier I cities and urban areas. There is a move now to get these solutions to the Tier 2 and Tier 3 centers as well. I would be looking to review reports that highlight percentage of IT enablement in Healthcare facilities, as part of follow up articles to this one.
The Center for Healthcare Informatics has rolled out an RFI detailing the requirements of an Integrated Healthcare Information Platform (IHIP). You can also visit the dedicated website to review the details of the IHIP RFI:
In this article I would like to highlight the benefits that will accrue from implementing such a solution in India. With no historic data of past implementations of such a system in India, I have reviewed the information available in journals and public domain regarding similar implementations across the world and what are the benefits and barriers in implementing an Healthcare Information Highway of patient healthcare data.

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Understanding the Medical Diagnosis processes, to build an AI based solution by @msharmas

Human Intelligence

is The ability to adapt one's behavior to fit new circumstances.

In Psychology, human intelligence is not regarded as a single ability or cognitive process but rather as an “array” of separate components. Research in building AI systems has focused on the following components of intelligence: [1]
  • learning,
  • reasoning,
  • problem-solving,
  • perception, and
  • Language-understanding
These components of human intelligence are also utilized during diagnosing a patient and defining the treatment plan and protocol for the patient.

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The Current Status of 8 Future Technologies on Healthcare by @msharmas

It's mid-2016, and here is a look at the current status of 8 Future Technologies that might be having a significant impact on Healthcare

Most if not all these technologies will make an impact on Healthcare, and hence it is important to understand the various scenarios and the stories detailing how the experts from across the world are incorporating these technologies in healthcare

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@IFTTT you could in Healthcare by @msharmas

Was reading this article published in a leading newspaper sometime back,

Naturally, I tried thinking of usecases to apply the technology in a Healthcare setting. 

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Social Media Technographics - A way to engage your audience by @msharmas

"Taken together, the Social Technographic groups make up the ecosystem that forms the groundswell. By examing how they are represented in any subgroup, strategists can determine which sorts of strategies make sense to reach their customers." - Forrester

As part of a successful social media campaign, its important to know the audience with whom we are sharing the content and creating the content for. 

I came across this insightful categorization from Forrester, that provides a categorisation of your Social Media users, using the Social Technographics ladder on the basis of their level of activity on your Social Media Channels

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#Interoperability the Missing Link for #DigitalHealth Apps by @msharmas

In India we have 204.1 million smartphone users in 2016 [ http://www.statista.com/statistics/467163/forecast-of-smartphone-users-in-india/ ], it's only natural to find startups using the mobile as the way to acquire customers by providing mobile Health based products and services.

While it is a great way to provide accessibility and affordability of healthcare services via mobile health solutions, it is also important to understand the need to ensure interoperability of the healthcare data being captured in these apps.

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