e-Health Archives - InnoHEALTH magazine

DISHA – Need of the hour

InnoHEALTH Magazine — Mon, 16 Apr 2018 04:18:00 +0000

Digital Information Security in Healthcare Act (DISHA) is proposed by the Indian government to secure e-Health data.

The act:

The Act mandates the clinical establishments to secure the digital health data and defines functions of the new regulatory bodies at the center and state level except the State of Jammu and Kashmir. Clinical establishments here means, any hospital, clinic, dispensary, etc., be it public or private.

Setup:

National Electronic Health Authority (NEHA) and State Electronic Health Authority (SEHA) will be setup as the governing bodies to formulate standards, operational guidelines and protocols for the generation, collection, storage and transmission of the digital health data for this Act. It will also ensure data protection and prevent breach or theft of digital health data. It will establish data security measures for all stages of generation, collection, storage and transmission of digital health data, which will at least include access controls, encrypting and audit trails.

Digital Health Data:

Digital health data comprises of one’s physical or mental health condition, sexual orientation, use of narcotic or psychotropic substances, consumption of alcohol, sexual practices, Human Immunodeficiency Virus (HIV) status, Sexually Transmitted Infections treatment, and abortion etc;

The required health data can be obtained by consent from the owner, thus informing them the purpose of collection, identity of the recipients to whom the health data may be transmitted or disclosed, identity of the recipients who may have access to the data on a “need to know” basis.

Major points:

As per the draft, the owners have the right to privacy, confidentiality, and security of their digital health data and the right to give or refuse consent for generation and collection of such data.

The Act also lists down factors affecting data transmission as to who can transmit, how they can transmit and monitoring data transmission. The Act further lists down the guidelines on accessing this data, with regards to who can access, how they can access and purpose of data access by various entities.

Penalties in contravention of serious breach of healthcare data shall be punishable with imprisonment, which shall extend from three to five years; or fine, which shall not be less than five lakh of rupees.

There are many debatable points that arise from this Act such as the technical measures a clinical establishment should take, standardization of data security, measures to be taken in times of breach, training and capacity building of the clinical establishment, best practices of data collection and storages.

The clinical establishments might be worried on implementing the Act, as they might lack the technical resources to bring the robust solutions. On the other hand the security industry in the country might be looking to engage clinical establishments and respond to this situation by providing cost effective solutions and safeguarding the privacy of the patient.

To implement the Act, clinical establishment might need hand holding. However, we appreciate the efforts of the government to propose this Act and safeguard the interest of patients and citizens.

Would you be interested in joining a workshop on discussing, opportunities and challenges in implementing DISHA, send us your interest on info@innovatiocuris.com

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Digital health: Giving birth to new delivery models and fostering innovations

InnoHEALTH Magazine — Mon, 26 Feb 2018 05:59:00 +0000

International panelists discuss at length the need for standardization and effective implementation of these standards in the country – if any

Keynote Address: Sandipan Gangopadhyay
Moderator: Dr. Oomen John
Panelists:
• Dheeraj Misra
• Kausik Bhattacharya
• Dr. Dayaprasad G Kulkarni
• MariliaCavaco
• Reggie George
• Srinivas Peri
• Dr. Rahil Qamar Siddiqui

Innovations will remain the spine of modern health and medical facilities, but regulations, standardization will be the need of the hour as India strides towards improving health standards with innovations and innovative approach.

Initiating discussion on this topical subject, Sandipan Gangopadhyay of GalaxE from the US said, “E-Health is the need of the time and you need quality data to implement it. Collating data in a country with 1.3 billion people should not be a concern, but it’s a challenge. Once you gather data, the challenge shifts towards protection of data, exploitation of data and mismanagement of data. These are common challenges all over the world and will be faced in India more so due its complex demographics.”

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Extending his keynote address on the subject, he added, “As we learn about solutions adopted in different countries, India should take advantage of that and adapt those solutions to avoid mistakes and complications associated with handling large data. Adhaar, the hottest thing in India, seems to be the most suitable solution for various things, including health and medical facilities.

“Simply identifying standardization isn’t the solution for enhancing the health and medical industry, but implementation of the same, with international partnership at the government and private/public sector will definitely induce transparency and invite every player to join hands and work together towards a healthy society.”

His inquisitive approach uncovered some very relevant and important notions on the subject. Kausik Bhattacharya from Johnson & Johnson highlighted the technological advantage at the corporate level as he spelled out the dependence on Cloud Technology. Explaining the term he said that “Cloud technology may not be new, but its disrupting the way things are happening or will happen in future in the field of health and medical facilities.”

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Elaborating on the subject, he added that Cloud is giving rise to a completely new set of delivery models, which are trying to make it more agile or faster in terms of converting ideas into a product of service that will ultimately help the doctors, nurses and also the patients. The biggest advantage of cloud technology is its potential to implement scalability. Cloud technology can also help in connecting different technologies and evolve into complete solutions.

Marilia Cavaco, also from John & Johnson, highlighted other aspects of J&J that makes them one of the global leaders in the health sector.

“At Johnson & Johnson we touch over a billion lives on a daily basis with our products, medications and services. Since we touch so many lives it’s imperative for us to maintain safety and hygiene as the top concern in our operations. That being our ground standard, we have made investments into artificial intelligence and machine learning and have been getting very encouraging support from our partners at FDA in the US,“ said Ms. Cavaco.

Mr. Misra, asked some penetrating questions of Dr. Dayaprasad G Kulkarni regarding the ever-important subject of transparency. In response, Dr. Kulkarni said, “The current efforts of the government to digitalize India and services in India are contributing to inducing transparency and also democraticize and cut down on the seepage of sources, which is a huge problem in both private and public sectors. Next step is for us to engage in these facilities and platforms and take advantage of this transparency.”

“WHO’s Global Digital Health Index is another good tool to bring transparency at international level and will provide a standard platform of digitization. This is an index that looks at tracking, monitoring, evaluating and scoring the use of digital technology that will help bring all the players at one unified level.”

On the home front, Dr. Rahil Qamar Siddiqui, Founder of Eventus, brought to everyone’s attention that standardization is available in the country and how it’s helping to spell out the health policy and also keep the industry under control.

“There are EHR standards in India; it’s unfortunate though that not many in the industry know about it. In addition to the Bureau of Indian Standards the ministry is also involved in setting a lot of standards in India. Ministry of Health Holding (MOHH) has in fact published a document spelling out HER standards for India,” clarified Dr. Siddiqui.

“So there’s a standard for vendors to apply for even though there’s no accreditation body – yet. In fact, there are standards in various fields and segments of health sector that Government of India has compiled, to be used within India and opportunities like this (InnoHEALTH) help us to educate the public at large,” concluded Dr. Siddiqui.

[vc_cta h2=”Dr Sandeep Bhalla”]

“Health care is focusing only on hospitals, hospitals and only hospitals. However we do not have to limit our innovations to hospitals only. The corporate culture of hospitals today leaves lot more to be innovated in the hospital management and processes and I believe that innovations in this field will contribute to better health and much better health facilities for all.”

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[vc_cta h2=”Dr Mukesh Taneja”]

“According to World Health Organization’s 2010 data 285 million people are visually impaired; 90 percent of these are in the developing world; and 80 percent of these are preventable; And speaking of India, 70 percent of the population lives in rural areas, however 90 percent of the medical facilities are located in urban areas. So there’s a huge gap between the care providers and the population who they should be reaching.”

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[vc_cta h2=”Dr Santanu Biswas”]

“If you are to work on remote distance technology, you can not work in isolation, You choose partners in technology, data procurement and delivery system. This means your dependence on your partners is even more critical as you depend on their credibility, technical compatibility and similar intentions. This is the reason that even though we have been talking about the digital health and e-health; but other than the fact that its been a buzzword for the last 15 years, it has not become a well charted module.”

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Want to write for InnoHEALTH? send us your article at magazine@innovatiocuris.com

Read all the issues of InnoHEALTH magazine:
InnoHEALTH Volume 1 Issue 1 (July to September 2016) – https://goo.gl/iWAwN2
InnoHEALTH Volume 1 Issue 2 (October to December 2016) – https://goo.gl/4GGMJz
InnoHEALTH Volume 2 Issue 1 (January to March 2017) – https://goo.gl/DEyKnw
InnoHEALTH Volume 2 Issue 2 (April to June 2017) – https://goo.gl/Nv3eev
InnoHEALTH Volume 2 Issue 3 (July to September 2017) – https://goo.gl/MCVjd6
InnoHEALTH Volume 2 Issue 4 (October to December 2017) – http://amzn.to/2B2UMLw
InnoHEALTH Volume 3 Issue 1 (January to March 2018) – https://goo.gl/fksdQx

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Keeping hospitals in the best of health

InnoHEALTH Magazine — Wed, 21 Feb 2018 06:08:23 +0000

Hospitals will remain at the core of healthcare and with good quality medical facilities limited to corporate hospitals or a few of the government run large hospitals, altering the health map of the country has to start from the hospital premises.

Keynote Address: Dr. S. Venkataramanaiah
Moderator: Dr. Sandeep Bhalla
Panelists
• Dr. Santana Biswas
• Dr. Tarun Marole
• Dr. Mukesh Taneja
• M V Amaresh Kumar

Hospitals in India play a vital role in healthcare with most of the high-end medical facilities available only at the hospitals. But these large institutes are very far away from the masses as more than 70 percent of the Indian population lives in rural areas. That leads to a reality that medical facilities must go beyond hospitals, with an innovative approach, to serve the masses and make India a healthy place.

Addressing the issue as keynote speaker, Professor Krishnan from IIM, shed light on the management aspect of innovations and spelled out the needs of the industry for the sake of ensuring that all innovations become a reality and benefit the masses.

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In his words, he said, “Innovations in healthcare must consider three aspects: Begin with identifying core functionalities of equipment without having to sacrifice on the safety aspect. Secondly, start from scratch. Build upwards and incorporate all the technical features that you feel are essential to the product; downscaling features will not necessarily downscale your cost; lastly, collaborate and team up with others who will complement your product, effort and intentions. There’s no one entity that has all the knowledge and resources to develop any product in its entirety. So build up on sound partnerships using complementary technology and process.”

In support of the view, Dr. S. Venkataramanaiah highlighted data usage as one of the most effective tools to implement an innovative approach for spreading good health. He said, “Data clearly indicates that there’s a huge demand for private players in the health sector. Everyone is and needs to be medically insured and ensured of good health by private or a government body. On the other hand, healthcare has some major deficiencies like availability of medical help at anytime and anywhere. Like you have roadside assistance available all over the country, such a facility for health and medical urgencies is still not available.

“So innovative approach in production, processing, delivering service or business management is the answer to finding solutions to new challenges faced in the health sector,” he said

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In a more myopic approach to the topic of distance solutions Dr. Mukesh Taneja shared some startling data from the WHO.

“According to World Health Organization’s 2010 data 285 million people are visually impaired; 90 percent of these are in the developing world; and 80 percent of these are preventable,” he said.

And speaking of India, 70 percent of the population lives in rural areas, however 90 percent of the medical facilities are located in urban areas. So, there’s a huge gap between the care providers and the population who they should be reaching. And we believe that telemedicine – a very innovative approach — is the answer to bridge this gap. Eye problems can more effectively be pictured and online imaging of affected eye can easily be examined and diagnosed by a distant located ophthalmologist.
“We, at LV Prasad Eye Institute, extensively use this telemedicine platform and are reaching out to the rural population with the help of health workers and specially trained technicians who operate our remotely located Vision Centers.”

The next panelist, Dr. Santanu Biswas, from the UAE shared his international perspective and said, “If you are to work on remote distance technology, you cannot work in isolation. You choose partners in technology, data procurement and delivery system. This means your dependence on your partners is even more critical as you depend on their credibility, technical compatibility and similar intentions. This is the reason that even though we have been talking about digital health and e-health; but other than the fact that it’s been a buzzword for the last 15 years, it has not become a well-charted module. We are still talking about the concept and exploring innovations that will truly support the telemedicine or e-health platform. This is because we are trying to marry and merge a conventional health system with an imposed telemedicine process.”

Concluding his views on the subject he summed it up saying, “I think we need to rediscover a totally new innovative approach to telemedicine, which will use innovative technology, innovative approach and an all-new processing and delivery system. And this will evolve, as this is the future.”

Dr. Tarun Ramole, speaking in the role of an investor and entrepreneur spoke candidly about the business aspect of telemedicine. In his opinion, Telemedicine, as a business is a very lucrative platform. The gap between the resources and the users remains very high and in a country like India is not going to be easy to fill that.

“Telemedicine will be a very reliable option to bridge the gap and that makes it a very viable business option. But, like most businesses, telemedicine also has challenges that are very unique. Starting with, most start-ups end up replicating what is already there in the market “with improvisations”. What we need is new solutions and not improved solutions. You must think innovatively to innovate things,” he concluded his opinion with a very upfront approach on the subject.

[vc_cta h2=”Dr D. Prabhakaran”]

“We need to understand mechanism of disease. Innovations are needed in the management of acute illness. You also need data to apply biotechnology at its best and develop guidelines. Especially for contagious diseases, we need to keep track of various demographic realities on ground through good quality data that should be available to medical experts, without any corruption in the data. What is required is a simple device available at the location and operational without the need of any complex operations.”

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[vc_cta h2=”Dr Sanjiv Kumar”]

Technology is available in your pocket for your good heal. Starting with your smart phone, by which you can count the steps you take and the calories that you burn in a day, innovation hence has already become part of our life and we our using technology of today with very innovative approach and amazing outcomes.

“Even the shortage of doctors or specialists is taken care of by telemedicine or long distance consultation, he said”

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[vc_cta h2=”Dr Pranav Gupta”]

Cost is the most important element to determine easy diagnostics and cheap diagnostics. With that intent, we started our lab for local operations in Varanasi. With the advancement of biotechnology and implementation of biotechnology, we have developed some very affordable tools and devices to test and analyse clinical tests. Initially it was done locally in Varanasi with support from Banaras Hindu University, but our results also received encouraging support from doctors and specialists at All India Institute of Medical Medical Sciences in Delhi.”

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Startup coordinates and e-health destination

InnoHEALTH Magazine — Tue, 30 Jan 2018 05:53:58 +0000

The startup coordinates and e-health destination

By Sachin Gaur, Director operations IC

Last year May 24-26, 2017 was big startup event Latitude 59 in Tallinn,Estonia. I attended the event and got a flavor of the startup scene and healthcare sector discussions were held. I aligned my visit to Estonia along with the visit of my meeting with CBHEALTHACCESS delegates, innovative healthcare companies from Finland, Sweden, Estonia and Latvia.

I could witness many startups and meet some friends. At any point in the premises of the conference there were over 1000 people and all engaged about future trends and opportunities. One way to know future is always by observing what problems best startups are engaged in solving. I could witness many biotech (genetics) based startup trying their hands on personalized medicine and new age diagnostics platform. Also, interesting was the cyber security companies.

One cyber security startup from Switzerland, OneVisage, that attracted my attention was working on 3D face scanning as authentication mechanism and looked promising for applications like online banking with your own face as your password. Estonia in general has made great advances in two areas, one that of e-governance including e-health and the other cyber security. Hence, it was no surprise for me to see both kind of startups flocking in conference and building upon the existing good work happening in that country. The other exciting thing to see was the countries collaborating and there were many international visitors including from India. Japanese and Finnish presence was quite visible.

There was also heavy promotion of e-residency program with some exciting announcements about easier account opening with a Finnish provider. It lured me also to try my hands on registering a company and post conference it took me only few minutes with the help of some local friends to register a company! Although, I am yet to make it fully functional, but that was already something for me.

The highlight for me was the healthcare session on the second day, which had a keynote by Nicky Hekster from IBM Watson. Nicky started by asking everyone in the room to standup and asked first those who have been to a hospital in last six months to sit down or someone in their close family. Next, he asked if they knew someone in friends/relatives who have been to the hospital. To my surprise there were only 2-3 people standing in the room which had over hundreds of people. This was a master tactic to drive the point home, that healthcare matters to all.

Followed by the keynote was a panel discussion, which comprised of panelists from USA, Finland, Germany, Italy, Netherlands and Estonia. They were healthcare practitioners, investors, incubators, startups and large company representatives. The session was interesting and demonstrated that how international best practices sharing and collaboration is need of the hour cutting across all type of stakeholders. I really enjoyed my two days not just in the conference but also in after parties with loads of intellectual discussions. Look forward being there again next year!

Want to write for InnoHEALTH? send us your article at magazine@innovatiocuris.com

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HEALTHY INTENTIONS FOR A HEALTHY WORLD

InnoHEALTH Magazine — Mon, 20 Nov 2017 06:10:32 +0000

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Professor Jeffrey Braithwaite is a leading health services and systems researcher with an international reputation for his work investigating and contributing to systems improvement. He has particular expertise in the culture and structure of acute settings, leadership, management and change in health sector organisations, quality and safety in health care, accreditation and surveying processes in international context and the restructuring of health services. In an exclusive interview with VIGYAN ARYA of InnoHEALTH he responds to the growing global concerns of health and medicare.

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Q1. What is the prime objective of the institute you are leading: Australian Institute of Health Innovations?

The Australian Institute of Health Innovation (AIHI) at Macquarie University conducts world-class research with national and international research communities, governments, policymakers, providers of health services, managers, clinicians, patients and the community. Our work underpins health reforms and systems improvement, providing new tools, perspectives and evidence to help stakeholders who are interested in making the health system more effective, efficient and productive. Our overarching aim is to produce new, high-quality research evidence to support change, prevention and improvement.in the Australian health system, and internationally.

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Q2. Could you share some of the achievements of the institute in the recent past?

As highlights of 2016, we are currently running over 77 different funded projects valued at almost $40 million, and participating in another 17 grants administered by other institutions worth a similar amount. Overall, we attracted new funding in 2016 valued in excess of $15 million. One notable milestone is that we secured the largest grant ever awarded to the Institute and the largest to Macquarie University in 2016: the NHMRC Partnership Centre in Health System Sustainability, valued at $10.75 million. In that project we are trying to create more sustainable systems of care.

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Q 3. The contributions of the institute (and yours) limited to Australia or its implications are international? Can you elaborate on it with some examples?

In 2015 Professor Enrico Coiera won the highest international award for digital health—the IMIA Francois Gremy Award of Excellence. He is a highly influential commentator on national e-health strategies, advocating strongly for rational policy making based on sound evidence. His work has translated into policy and practice changes for e-health safety, multiple patented inventions, as well as for a US-based consumer e-health start-up company. He is author of one of the earliest textbooks on health informatics, which is widely used internationally, translated into multiple languages and now in its 3rd edition. Professor Coiera is the lead researcher, along with colleague Dr Annie Lau, of healthy.me, a personal health management system.

Professor Johanna Westbrook is an elected a Fellow of the American College of Medical Informatics (AC MI) – one of only four Australians. In 2014 she was named Australian ICT professional of the year by the Australian Information Industry Association for her research contributions. In 2015 she was appointed as an Associate Editor of the Journal of the American Medical Informatics Association (JAMIA). She was also appointed Chair of the Deeble Institute Advisory Board by the Australian Healthcare and Hospitals Association in 2015. The Institute has a major focus on driving evidence-based health policy. In 2016 Johanna was elected by members to the Sax Institute Board. In 2016, Professor Westbrook was appointed by the Federal Minister for Health to the Board of the Australian Digital Health Agency and chairs the national Digital Health Quality and Safety Governance Committee.

Our landmark CareTrack Australia study revealed, in 2012, Australians receive “appropriate” healthcare in only 57 percent of consultations. A follow-up study to CareTrack Australia, “CareTrack Kids” will, for the first time, determine the percentage of healthcare encounters at which Australian children receive evidence- and consensus-based care for 16 paediatric conditions and examine the frequency and types of adverse events involving Australian children. We aim to deliver a range of important outcomes in this highly significant and overdue research. Led by Professor Jeffrey Braithwaite and Peter Hibbert, this research stream is building on CareTrack Australia’s findings to pilot new approaches to clinical standards and to explore digital platforms for their delivery. This stream aims to provide a new evidence base to reduce healthcare costs and improve care by helping clinicians deliver the right care at the right time to the right patients.

The Work Observation Method by Activity Timing (WOMBAT ) developed by Institute staff led by Professor Westbrook, and now used by over 30 research teams around the world, has produced new opportunities to undertake international collaborative studies. This measures how care is delivered using a hand held device, looking at how clinical care actually takes place.

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Q 4. Are there any biological/medicinal differences in the needs and concerns of original Aborigines in Australia and its broadly expat population?

Everyone deserves good care. Australia has been trying very hard in recent years to provide high quality services to Aboriginal and Torres Strait Islands populations. Many live in remote areas, and it has been hard to narrow the gap between the health status of those populations and other members of Australian society. Governments in Australia are making investments in this situation.

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Q 5. What is your institute doing to address the needs and concerns of Australian Aborigines, who are genetically distant from the rest of the Australian expat population?

While this is not our area of expertise, we strongly support colleagues who do research on these populations. This is very important work. Most of our studies include a wide range of patient groups including those from Aboriginal and Torres Strait Islander populations.

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Q 6. Can you highlight some of the achievements of the institute in Emotional Health sector since it invests a lot in resources in this field?

We are very interested in doing research with clinicians who are want to deliver the best care that resources permit to patients. We are also interested in ensuring that patients are involved in decisions about their care. We have done a great deal of work with both groups.

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Q 7. What, according to you, are going to be the biggest challenges for Australia and the world for securing a healthy society and combat future medical challenges?

To my mind, three things are important. One is digital health: ensuring we get the greatest advantage from investments in future e-health and information systems. The second is patient safety and quality of care. It is critical that we make further inroads into keeping patients safe and improving the quality of their care. In particular, we need to understand when things go right as well as when things go wrong. Third, we need to build sustainable health systems: ones that are built to last, and flexible enough that they can cope with future changes and innovations.

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Q 8. On personal front, where do you draw the line between medical marvels and miracles?

I don’t personally believe in miracles. I am very much appreciative, as a scientist, of the benefits to be gained by the application of evidence, science and technology to improve the health system for the benefit of our patients. This is the real marvel.I don’t personally believe in miracles. I am very much appreciative, as a scientist, of the benefits to be gained by the application of evidence, science and technology to improve the health system for the benefit of our patients. This is the real marvel.

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Q 9. What are your expectations from the global medical community and what direction would you see governments and people should invest in?

In my next edited book, involving care delivered to patients in 60 countries, I found four things that were success factors in improving care. One is to start with a pilot program, and then scale it up. A second is the importance of having good data on which to base decisions about systems and care. A third is to ensure that multiple stakeholders are involved in complex improvement initiatives. And a fourth is that the benchmark for improvement must be the patient, rather than other stakeholders’ views on the care we need to provide.

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Q 10. How do you see innovations of your country linked to Indian which is well known for frugal innovations, do you think some collaboration at working level to take it forward for benefit of both countries in view of two countries’ Prime Ministers have signed recently MoU of collaboration?

This is an excellent idea. India and Australia have many things to learn from each other, and have been friends for many years not just because of our shared interest in cricket and because of our ties as members of the Commonwealth. We are natural partners in ensuring a better health system for our respective countries, and teaching each other about innovative things we have done.

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