Medical Care Archives - InnoHEALTH magazine

Digital Health: Mobile, IoT, Blockchain & AI

InnoHEALTH Magazine — Fri, 16 Nov 2018 07:35:07 +0000

Digital Health: Giving birth to new delivery models through Mobile, IoT, Blockchain and Artificial Intelligence

Sumit Puri, in his keynote, addressed the digital innovations in healthcare in three contexts: Industry context, future of healthcare through digitization and used the cases in Max Healthcare – IoT and AI etc.

Today’s patients are informed, savvy and social too. They are looking for: Convenience, reduced cost, improved outcomes, efficient processes, personalized care.

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Digital is about user interactions and experience powered by Technology. Digital in Healthcare is empowering us to reduce cost, increase quality and enable wellness! – Sumit Puri. Emphasized on the utilization of Data from multiple sources like customer experience, patient safety, cost, and operational efficiency and growth to provide insights. He shared his plans on leveraging IoT at Max Healthcare through Connected, Coordinated and Integrated ecosystem with the focus on the patient. Proposed a dedicated, 24×7, technology-enabled clinician monitoring cell, digitized remote patient monitoring during emergency ambulance transfer. MAX BIKE RESPONDERTM for immediate medical care during emergencies 13 mins each time, >150 lives saved since June’17.

The learnings from his keynote were
● Standardization of core systems
● An adaptive and iterative culture of Innovation
● Outside in patient-centric design
● Collaborative ecosystem
● Strong governance mechanisms with metrics
● Focus on user (Clinician) adoption

As we know digital has struggled to make a headway into Indian health sector in a big way so far. However, given the enabling building blocks, it seems that we are at the cusp of a new paradigm in the health sector. In this session, panelists discussed the topic of digital in three contexts, as we have representation from policymakers, IT experts, Hospitals to an insurance marketplace.

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Knowledge of BLS and CPR goes a long way in dealing with emergency cardiac patients

InnoHEALTH Magazine — Fri, 09 Mar 2018 07:24:59 +0000

It is believed that by 2030, India alone will account for 60 percent of the world’s cardiac patients, nearly four times its share of the world’s population. The major reason for these alarming statistics is lack of awareness towards- ‘healthy’ lifestyle and the lack of knowledge of few simple steps that can be taken during emergency or before reaching the hospital.

Out of the people who die from heart attack, about 50 percent die within an hour of their initial symptoms before they reach the hospital. The chances of survival of the victim can increase significantly if he is provided Cardiopulmonary resuscitation (CPR) immediately. Hence, people present at the scene can help avert the risk of death by proving CPR promptly to the victim.

Providing BLS and CPR during the golden hour can help in preventing pre hospital deaths from injuries as well as heart attack if there is a delay in receiving hospital treatment or medical care. Mostly, the steps we take in haste while attending to an emergency, makes a deep-rooted impact in saving the life of the patient. Thus, it is vital for all to learn the BLS and CPR techniques, so that we can take the right measures when required.

These are simple steps like early recognition and initiating chest compression in cardiac arrest or protecting cervical spine with c-collar in road traffic accident victims and for this you don’t need to be an expert in medicine to take these lifesaving steps. Therefore, CPR and BLS should be made mandatory in secondary level of education and to all public service job holders as the chances of survival of the victim increase double fold if appropriate emergency medical care is provided immediately.

Time is the essence while treating a heart attack and cardiac arrest victims. “When the heart stops beating, blood flow to the body organs ceases. Of all the organs, brain is affected first. People become unconscious within 15 -20 seconds after the heart stops and chances of brain recovery decreases with time so much so that irreversible brain damage is common if circulation is not restored within 5 minutes of cardiac arrest. The need of the hour is to train common people to do CPR and BLS before the victim reaches the hospital. This training will help them to learn special skills required to deal with heart related emergencies. Skills to perform CPR through chest compressions, maintaining victims breathing by providing appropriate rescue breaths, can greatly improve the chances of survival of these unfortunate people.

You too can save a life. And for this you don’t need a medical degree.

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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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Innovation for affordable – A medical device persepective

InnoHEALTH Magazine — Fri, 16 Feb 2018 06:24:12 +0000

New technology and its implementation will be effective if only it contributes to bringing the cost of health and medical care at a reasonable level.

Moderator: Eur Ing Muthu Singaram
Panelists:
• Stephen Victor
• Dr. Karthik Anantharaman
• Biten Kathrani
• Ashim Roy

Affordability on its own isn’t going to solve the problem of health care if we do not address other issues, voiced the panelists of the third session based on their professional experience and expertise. Costing alone isn’t the only factor in making healthcare affordable; as what is affordable to some may not be the same yard stick of affordability for others.

Intelligently moderated by the guest from IIT Madras Eur Ing Muthu Singaram, with intense participation by the audience and focused response by the panelists, the session highlighted standard problems that are universal in nature and are a concern for industry representatives from the emerging markets and the industry leaders as well.

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Highlighting his concern, Biten Kathrani of Boston Scientific voiced his opinion saying, “Affordability today is very important not just for emerging markets but for the global health care environment. But in the guise of affordability and much talked about affordability, one of the critical things that we have forgotten to do in health care is to figure out challenges associated with awareness, access and adoption. So today we must look beyond affordability and not ignore awareness, access and adoption.”

Addressing the flip side of the subject of beating around about affordability, Dr. Karthik Anantharaman of BPL Medical Technologies highlighted, “Traditionally developing medical devices is very capital intensive with years of R&D that adds to the cost and makes it very unviable for the product to be of any commercial viability. The best way forward is to produce products that are of need by the doctors and not indulge in ambitious research programs that can take as long as 4-5 years of development time and just the research alone can cost a couple of millions of dollars.”

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Highlighting the concern of the market towards the newly-launched products and services, another panelist Stephen Victor said, “Life cycle of a diagnostic device is not predictable as some competition may arrive in the market within six months of its launch, with additional facilities, extra benefits and probably at a cheaper cost. And there are other factors that can contribute to failure of the product despite it being very innovative and technically superior. For this, you need Curators for startups or need big corporates to invest in service and maintenance for new innovative products.”

With an emphatic conclusion about the worries of many of the startup aspirants, M.V. Amaresh Kumar, who works for Abdul Kalam Institute in Andhra Pradesh, a quasi-government establishment, emphasized, “Cost of innovation is always high as it involves immense research and investment in resources with no guarantee of market share. Government establishments like the Andhra Metric Zone and Abdul Kalam Institute have come to the rescue of such innovators who need hand-holding by someone for making new products commercially viable and relieving the inventor of such mental burden. Only such a marriage between innovators and non-profit establishments can ensure innovations to be introduced at reasonable price – not necessarily at a cheap rate, but affordable.”

[vc_cta h2=”Pavan Asalapuram”]

“Providing complex solutions to simple problems is very easy but providing simple solutions to a complex problem is challenging. The choice of appropriate antibiotics is the simplest of solutions to a complex problem that is caused by regular intake of antibiotics especially in the case of ailments like TB, Cancer or most of the communicable diseases.”

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[vc_cta h2=”Dr A.K. Gupta”]

“Human resources is the greatest asset. But scratch a problem and you will find a human at the bottom of the problem. Aim is to motivate and improve the knowledge skills and attitude of the employees, which will benefit the system. If you want to be successful, its very simple: Know what you are doing; Love what you are doing; and believe in what you are doing. Future of management is that there’ll be more problems than human capacity to handle that. Motivation and new technology is the way forward to face these problems.”

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[vc_cta h2=”Biten Kathrani”]

“Affordability today is very important not just for emerging markets but for the global health care environment. But in the guise of affordability and much talked about affordability, one of the critical things that we have forgotten to do in health care is to figure out challenges associated with awareness, access and adoption. So today we must look beyond affordability and not ignore awareness, access and adoption.”

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Adopting new technology to cross physical barriers

InnoHEALTH Magazine — Wed, 14 Feb 2018 06:05:14 +0000

High profile panel of speakers from different fields of health and medical facilities explored the option of inducing innovations and new technology in the operations of hospitals and clinics, at the InnoHEALTH 2017 conference in New Delhi.

Keynote Address: Dr. Vijay Agarwal,
Moderator: Dr. Arati Verma
Speakers
· Prof. A.K Gupta,
· Partha Dey,
· Surjeet Thakur,
· Prof. Arti Maria

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Hospitals are the core of health and medical care and adaptation of new technology and innovations will make the biggest difference to our medical needs while improving the health conditions of all.

Highlighting the concern of data security and reluctance to depend on technology because of that concern, the keynote speaker for the first session Dr. Vijay Agarwal shared his views on the subject emphasizing on the fact that technology is rolling out at a very fast pace. Stating an example of landline telephones that took more than 100 years to reach the one billion mark of users, was reduced to less than 20 years for mobile technology to do the same. This way he highlighted the fact that newer technology will be very rapid in implementation requiring hospitals and clinics to adapt and be prepared to utilize it rather than be apprehensive about it.

Professor AK Gupta of the esteemed PGI Hospital in Chandigarh, also, supported this view and shared his personal experiences and experimentation with management and administration of the hospital. He emphasized that it’s not just in the medical and clinical field that we have to embrace innovations and technology, but in fact it will fetch very positively encouraging results if adopted in the management and administration of hospitals. He shared his views on reducing the time stay of patients in hospitals by means of using an innovative approach provided by tailored software and mobile apps. These efforts were recognized by the hospital; national level authorities and even internationally and was rightly awarded for this approach. He concluded his speech by asserting that you don’t have to discover new technology, but innovative utilization of existing technology can also provide very good results.

Touching the humane element in the hospitals, Prof Arti Maria of RML Hospital shared her experiences of involving mothers and non-hospital staff in caring for the young ones in ICU units. “A soft touch by the mothers, who are otherwise distanced outside the ICU units, has resulted on faster recovery of infants in the ICU.”

“In fact, this experimentation has also resulted in enhanced confidence of mothers and improved their social status with respect to their husbands, families and the social fabric as such.” Prof Maria, who specializes in Neonatology as Head of that Department is keenly working with other authorities beyond the hospital to promote this concept and is getting very encouraging results from hospitals, and relevant bodies.

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Partha Dey, with years of experience at IBM shed some light on the subject of innovations with the simplicity that the IBM is known for. The three products and services of IBM, Watson, Block Chain and Cloud data are the way forward, according to Mr. Dey, Healthcare Leader and SME and IBM, India.

Watson, according to Mr Dey, is the most innovative friend for health care workers and doctors alike, as it understands many languages, including regional and Oncology. This helps medical staff to interpret and diagnose ailments with a high grade of accuracy and ease. Watson can, not only, analyze and conclude at a faster pace, but can also eliminate human error contributed in the form of emotional stress and personal bias.

Block Chain, on the other hand is the best mode of data utilization and can contribute to tracking of product and their status. Block Chain can also help eliminate counterfeit medicines by clever tracking of products and their batches.

IBM is constantly pushing the boundaries of innovations with introduction of new products and services. Watson and Block Chain are latest in the field of health and medical welfare.

In totality, the high profile panel of speakers from different fields of health and medical facilities explored the option of inducing innovations and new technology in the operations of hospitals and clinics beyond clinical procedures, leading to heightened efficiency and operational advantages resulting in a healthier society and population at large.

[vc_cta h2=”Dr. Arati Verma”]

“Artificial intelligence has been there since ages. But big corporates throw things at you to claim that they have something new and latest. Most artificial intelligence uses software and the software is as good as the users, which means even the artificial intelligence needs human intervention for efficient execution. In the field of health and medical, AI is even more depending on the involvement and interpretation of human beings.”

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[vc_cta h2=”Prof. Arti Maria”]

“Innovation doesn’t have to be in technology alone. Anything that has not been measured doesn’t mean it doesn’t exist. So if stress on a child straight out of the womb and placed in an ICU has not been measured for any reason; it does not mean that the child is not undergoing any stress. Our new approach to introduce mother and family members in the ICU area has shown very encouraging results that resulted in speedy recovery by the child.”

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[vc_cta h2=”Siddharth Sangwan”]

“We have been hearing of tele-medicine has been from the Nehru and Indira Era. But what is accomplished so far is very less. We have now integrated the tele-medicine system where the doctor explains the report to the patient and in the process takes the customer/patient in a walk through his report and diagnosis. Next step of tele-medicine will be to integrate Artificial Intelligence so that patients can contribute to the clinical process and recover faster, with the additional help of doctors and medicines.”

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CLINIC ON WHEELS

InnoHEALTH Magazine — Tue, 02 Jan 2018 06:04:45 +0000

Fortis Hospital and EzyMov launch a first of its kind Mobile Clinic for Senior Citizens

Senior citizens of Thane and Mulund to benefit from this initiative, a free of cost service at their doorstep

Recently a team of doctors and staff at Fortis Hospital, Mulund launched ‘Clinic on Wheels’ at Wamanrao Munjaran Vidyalaya Complex, Mulund. The Clinic on Wheels is set to provide free OPD services and medical consultation to all senior citizens. It will remain on-call from 7 am to 7 PM for six days in a week. Services provided at this clinic include ECG check, Random Blood Sugar check and Blood Pressure check. The mobile clinic, manned by a trained team of a Geriatrician and a nurse is also equipped with Oxygen support which is vital during emergencies. It also wheelchair enabled for patients with special needs.

In light of the view that It is imperative that we, as a society at large, are responsible for well-being of our elders. This initiative is an attempt to reach out to elders who may need medical care within comfort of their home. The trained teams are capable and will provide best possible medical care to the senior citizens of the region. The initiative has witnessed support from many senior citizen groups. Appointment for the Clinic on Wheels service, to your doorstep, can be taken on 91670 01122.

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HOME HEALTHCARE: EMERGING MODEL FOR ELDERLY CARE

InnoHEALTH Magazine — Wed, 15 Mar 2017 08:36:31 +0000

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Home Health Care: emerging model for elderly care
Niket Gupta is an experienced Healthcare Informatics professional with deep understanding of IT systems, Interoperability Standards and Electronic Data Exchange (EDI) used in Healthcare industry

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Author suggests that home healthcare is the way forward to improve elderly care and reduce healthcare cost in India

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The rapidly growing elderly population is driving the rise in healthcare cost globally. In India, the situation will be no different in the forthcoming years. Given the increase in life expectancy due to medical advances and other factors, India’s 60+ population will grow from 100 million today, to over 300 million by 2050. Out of the 300 million people aged above 60 years, 200 million are likely to be suffering from chronic diseases. The profound shift to chronic conditions such as chronic obstructive pulmonary disease, cardiovascular conditions, endocrinal conditions (diabetes and thyroid disorders), and cancer, directly or indirectly, cause around 50% of all deaths in the Indian subcontinent. This shift to non-communicable diseases will impact the elderly population much more than other age cohorts. This calls for a serious focus on elderly care. This article evaluates the potential of a globally successful care delivery model – “home-based health care” in improving ‘Aging in Place’ and reducing healthcare cost in India.

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What is Home Care?

Globally, Home Care has evolved around the idea of providing medical and non-medical services to a person who is ill enough to need care, but stable enough not to have been admitted in a hospital or a long term care facility. These services are delivered to a person in his or her own home. Home Care consists of two broad categories of services:

Home Health Care – medical care provided to individuals in their homes. Trained medical professionals such as doctors and nurses provide these services including, but not limited to, physical therapy, occupational therapy, speech therapy and nursing.

Non-Medical Home care / Personal Care – non-medical home care is typically provided to assist individuals in performing activities of daily living (ADL) in order for them to continue living life from the comfort of their own home. These services are rendered by caregivers but not trained medical professionals. Personal care services include assistance in bathing, eating, mobility, and general household chores such as housekeeping, laundry, shopping for groceries, transportation and preparation of meals.

According to Transparency Market Research’s featured report on global home healthcare market, the home care market will grow at a progressive 8.1% CAGR during 2014 to 2020. This report titled “Global Home Healthcare Market Industry Analysis, Size, Share, Growth, Trends and Forecast, 2014-2020” further states that the global home healthcare market in 2013 was worth US$176,107.9 million, and is estimated to reach a market revenue of US$303,605.9 million by 2020.

“Can Home Care improve the way Indian population ages”?

Patients who are suffering from chronic conditions do not really need to remain in hospitals or long term care facilities. As a result of advances in telecommunications and medical technology, most part of the patient monitoring and care delivery, which was earlier possible only in hospitals, can now be done in a patient’s home. This can result in improved health conditions, reduced hospital re-admissions and lower medical cost for patients. With increase in average life expectancy, homebased care in India is becoming a need rather than a choice.

In developed nations such as United States, Canada and United Kingdom, the concept of Assisted Living Residence or Assisted Living Facility (ALF) for elderly population emerged in 1990s as an eldercare alternative for people who do not need the 24-hour medical care provided by a nursing home and want to live independently with dignity. These facilities provide assistance with activities of daily living (ADLs); coordination of services by outside

health care providers; and monitoring of resident activities to help to ensure their health, safety, and well-being. However, the concept of old-age homes to a large extent is socially unacceptable in India and therefore home healthcare services will become vital in the continuum of care for elderly population in India.

The Road Ahead: Obstacles to Overcome
Role of Technology

The success of Home-based healthcare in improving elderly care, reducing medical costs and improving care outcomes in India is only possible with the effective use of Healthcare Information Technology. From accurate scheduling of caregiver visits to a patient’s home, co-ordination between back office and caregivers in the fields, capturing and documenting patient’s data at the point of care, delivering medical and non-medical services as per the patient’s care plan and standard protocols, patient billing, staff payroll and adhering to regulatory compliances – it requires a robust integrated system to manage every aspect of home care.

Further, the latest advances in IT have the potential to transform home-based care in many ways:

Tele-health applications to connect patients and their families to their health care providers. Such an ecosystem can be very useful in reducing the need of hospitalization and emergency room visits in patients with chronic conditions. Many pilot studies such as asthma Tele-monitoring system and Telematics Management of Insulin-Dependent Diabetes Mellitus have shown promising results.

Web-based social networks have emerged to connect patients with their families, doctors, friends and community for real-time information sharing. These virtual communities of patients with similar conditions can be a very powerful medium of educating, discussing issues, sharing resources and consulting with experts from the comfort of home.

Digital storage and management of personal health records so that patients can increase their health understanding and participate in clinical decision-making.

Personal Emergency Response Services (PERS) – use of Artificial Intelligence and bio-sensors for passive monitoring and management of patients in their homes. Example, wearable medical devices such as wrist bands or neck pendants for fall detection in the elderly people, wearable patch to monitor blood-sugar levels and blood-pressure. These sensors can share the data in real-time and trigger alerts to family members and healthcare providers for immediate medical intervention.

Role of Health Insurance

Unlike developed nations, home care services in India are not covered by health insurance policies. In fact, the overall awareness and adoption of Health Insurance in India is still very low. The Home Care industry has gained a lot of traction in India recently with some domestic and international companies setting up their home health care businesses in metros and other cities. However, increasing the penetration of affordable Health Insurance in India with the coverage of home care services by government and private health insurance plans is imperative to the growth of organized and regulated home care services sector for elderly care in the country. Setting up national and state level regulatory bodies for home care and investments by organized players like big hospitals can bring scale, standards and credibility to this type of care delivery model in India. This would also encourage health insurance companies to cover home care services in their policies.

Undoubtedly, home care led by Healthcare IT, investments from domestic and international players and government initiatives has the power to transform elderly care and reduce medical cost in India in the coming years.

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