24. 24
• “Don’t implement technology just for
technology’s sake.”
• “Don’t make use of excellent technology.
Make excellent use of technology.”
(Tangwongsan, Supachai. Personal communication, 2005.)
• “Health care IT is not a panacea for all that ails
medicine.” (Hersh, 2004)
Some “Smart” Quotes
29. 29
To treat & to care
for their patients
to their best
abilities, given
limited time &
resources
Image Source: http://en.wikipedia.org/wiki/File:Newborn_Examination_1967.jpg (Nevit Dilmen)
What Clinicians Want
31. 31
A safe, effective care that
focus on us, the patients,
and our needs
And something that helps
us take care of ourselves...
What Patients Want
32. 32
• Safe (ปลอดภัย)
• Timely (ทันเวลา)
• Effective (มีประสิทธิผล)
• Patient-Centered
(ยึดผู้ป่วยเป็นศูนย์กลาง)
• Efficient (มีประสิทธิภาพ)
• Equitable (เป็นธรรม)
Institute of Medicine, Committee on Quality of Health Care in America. Crossing the quality chasm:
a new health system for the 21st century. Washington, DC: National Academy Press; 2001. 337 p.
Quality of Care
33. 33
• Safe
–Drug allergies, drug interactions
–Medication Reconciliation
• Timely
–Complete information at point of care
• Effective
–Guideline adherence (alerts & reminders)
Being “Smart” in NCD Care
34. 34
• Patient-Centered
–Empowerment & better self-care by m-
Health & Personal Health Records
• Efficient
–Faster care, time & cost savings
–Reducing unnecessary tests
• Equitable
–Access to providers & knowledge
Being “Smart” in NCD Care
35. 35
Image Source: (Left) http://docwhisperer.wordpress.com/2007/05/31/sleepy-heads/
(Right) http://graphics8.nytimes.com/images/2008/12/05/health/chen_600.jpg
To Err is Human 1: Attention
36. 36 Image Source: Suthan Srisangkaew, Department of Pathology, Facutly of Medicine Ramathibodi Hospital
To Err is Human 2: Memory
38. 38
• Guideline adherence
• Better documentation
• Practitioner decision making or
process of care
• Medication safety
• Patient surveillance & monitoring
• Patient education/reminder
Documented Values of Health IT
40. 40 Dorsey & Topol (2015)
State of Telehealth
• Current Trends
–Change from using telehealth to increase
access to health care to providing
convenience and reducing cost
–Expansion of telehealth to chronic
conditions
–Migration of telehealth from hospitals and
clinics to home and mobile devices
41. 41 Dorsey & Topol (2015)
State of Telehealth
• Limitations of Telehealth
–Reimbursement
• Limited & fragmented insurance coverage of
telehealth
• Potential for excess health care utilization
–Clinical issues
• Patient-physician relationship
• Quality of physical examination
• Quality of care with remote visits than with in-
person visits
42. 42 Dorsey & Topol (2015)
State of Telehealth
• Limitations of Telehealth
–Clinical issues (continued)
• Potential for abuse (e.g. overprescribing of
narcotics)
• Fragmentation of care among multiple
providers
–Legal issues (e.g., state licensure, liability)
–Social issues (digital divide)
43. 43
Hospital A Hospital B
Clinic C
Government
Lab Patient at Home
Health Information Exchange (HIE)
48. 48
Source: Courtesy of นพ.พลวรรธน์ วิทูรกลชิต ผู้อานวยการศูนย์เทคโนโลยีสารสนเทศและการสื่อสาร
สานักงานปลัดกระทรวงสาธารณสุข
Health 4.0 as eHealth Vision
49. 49
Source: Courtesy of นพ.พลวรรธน์ วิทูรกลชิต ผู้อานวยการศูนย์เทคโนโลยีสารสนเทศและการสื่อสาร
สานักงานปลัดกระทรวงสาธารณสุข
Health 4.0 & Digital Economy (DE) Roadmap
50. 50
Source: Courtesy of นพ.พลวรรธน์ วิทูรกลชิต ผู้อานวยการศูนย์เทคโนโลยีสารสนเทศและการสื่อสาร
สานักงานปลัดกระทรวงสาธารณสุข
DE, MoPH’s 4 Excellence & eHealth
51. 51 WHO & ITU
Achieving eHealth &
Health Information Exchange (HIE)