A brand new (tested) approach, a holistic digital strategy to tackle the challenge of chronicity, launched in the Basque Country for providing responsiveness and sustainability to the process of radically changing the current Health Model.
A presentation given by Eric Schneider, M.D., M.Sc., Senior Vice President for Policy and Research at The Commonwealth Fund at Health 2.0 ( #health2con) on September 26, 2016.
More information about Project Sage can be found here: http://www.sagehealthadvisor.com
The document discusses the concept of play or games from several perspectives. It defines play as a voluntary activity that is done for pleasure and fun rather than any practical goal. Several theorists are cited who describe play as being distinct from ordinary life and having elements of uncertainty in its outcome. Play is analyzed for its social and developmental functions as well as how it can incorporate aspects of religion, creativity, and experimentation. Specific types of games are also outlined.
iHT2 Health IT Summit in Austin 2012 –Nora Belcher, Executive Director, Texas e-Health Alliance and Dr. Leanne Field, Director, University of Texas HIT Program, Presentation “Challenges & Initiatives Surrounding Workforce Development in HIT”
HT2 case studies and presentations illustrate challenges, successes and various factors in the outcomes of numerous types of health IT implementations. They are interactive and dynamic sessions providing opportunity for dialogue, debate and exchanging ideas and best practices. This session will be presented by a thought leader in the provider, payer or government space.
e-Health or no-Health will cover e-health ecosystem challenges, case studies and industry gaps, and the importance of low power and reliable sensors for better healthcare.
Система мониторинга движения лекарственных препаратов от производителя до кон...mir4sveta
Вышковский Геннадий Леонидович. Президент Группы компаний РЛС, д.э.н., профессор (Москва). Василев Ефтим Матьович. Генеральный директор НП содействия разработке программ в области здравоохранения и лекарственного обеспечения «Лингвафарм» (Москва
A presentation given by Eric Schneider, M.D., M.Sc., Senior Vice President for Policy and Research at The Commonwealth Fund at Health 2.0 ( #health2con) on September 26, 2016.
More information about Project Sage can be found here: http://www.sagehealthadvisor.com
The document discusses the concept of play or games from several perspectives. It defines play as a voluntary activity that is done for pleasure and fun rather than any practical goal. Several theorists are cited who describe play as being distinct from ordinary life and having elements of uncertainty in its outcome. Play is analyzed for its social and developmental functions as well as how it can incorporate aspects of religion, creativity, and experimentation. Specific types of games are also outlined.
iHT2 Health IT Summit in Austin 2012 –Nora Belcher, Executive Director, Texas e-Health Alliance and Dr. Leanne Field, Director, University of Texas HIT Program, Presentation “Challenges & Initiatives Surrounding Workforce Development in HIT”
HT2 case studies and presentations illustrate challenges, successes and various factors in the outcomes of numerous types of health IT implementations. They are interactive and dynamic sessions providing opportunity for dialogue, debate and exchanging ideas and best practices. This session will be presented by a thought leader in the provider, payer or government space.
e-Health or no-Health will cover e-health ecosystem challenges, case studies and industry gaps, and the importance of low power and reliable sensors for better healthcare.
Система мониторинга движения лекарственных препаратов от производителя до кон...mir4sveta
Вышковский Геннадий Леонидович. Президент Группы компаний РЛС, д.э.н., профессор (Москва). Василев Ефтим Матьович. Генеральный директор НП содействия разработке программ в области здравоохранения и лекарственного обеспечения «Лингвафарм» (Москва
Emerging into E-Health Information Management pdfkatnick56
Kathy is excited about the benefits of e-health initiatives like electronic health records and health information management. She believes these can help both individual patients and communities affected by health conditions. However, there are barriers to implementing these initiatives. As a health information management professional, Kathy's mission is to help break down barriers to adopting electronic health information management. She wants to find a specific barrier and help remove it. E-health involves applying e-commerce principles to healthcare to improve efficiency, quality of care, patient empowerment and more.
This document summarizes a case study of a telemedicine initiative in rural India. An NGO partnered with eWaveMD, a telemedicine solutions provider, to deploy their virtual consultation platform (VCP) across 30 villages. The platform allows local technicians to perform basic medical tests and connect patients to a network of nurses, doctors and specialists for virtual consultations anytime. This has reduced transportation costs, improved access to care, and created jobs. The document outlines eWaveMD's business model of setting up and maintaining such telemedicine systems on a monthly fee basis to bring healthcare services to remote populations.
Urban E-Health Project in Rio de JaneirojC Azcarraga
This document describes an urban e-health pilot project in Santa Marta, Rio de Janeiro that aimed to address barriers to healthcare access using portable electronic health technology. The project found that the e-health backpacks enabled nurses to perform in-home visits and detect chronic diseases earlier, reducing healthcare costs and hospitalizations. Patients and health workers largely reported positive experiences with the backpacks. The results supported the value of using mobile health innovations to improve care for underserved communities.
eWave MD is an international healthcare software company that provides secure, web-based medical platforms and solutions like electronic medical records, telemedicine, patient portals, and disease management tools. Their products have been implemented in national health plans and hospitals in Israel, the US, and other countries to improve care quality, reduce costs, and support remote diagnostics. Case studies demonstrate how their platforms have benefited organizations by streamlining workflows, centralizing medical records, and enabling telehealth services.
Transformative governance of personal health ecosystems Totti Könnölä
Invited speech of Dr. Totti Könnölä, CEO inf Insight Foresight Institute in the scientific conference 'Bioengineering for Healthy Ageing. Adding Life to Years' November 9th 2017, CosmoCaixa Barcelona.
Future personal health ecosystems encompass various areas of application such as chronic disease management, life-style management, independent living and emergency services. Such future systems assist in the provision of continuous, quality controlled and personalised health services to empowered individuals regardless of location and provide a horizontal development area across variety of patients, clinical specialties, technology fields and health services. Hence, the development of such ecosystems requires transformative governance that enable coordination and federation of diverse stakeholders.
The Future of Specialized Health Care ProvidersJosinaV
This project is for the game-changers and rabble-rousers working within health care to create much needed transformation within the industry. For those that are frustrated with the way things are and seek a better future, this project is an example of the power of foresight to provoke deep insights and inform thoughtful strategic directions.
This project was completed by Phouphet Sihavong, Uma Maharaj, and Josina Vink as part of Ontario College of Art and Design University’s (OCADU) Master of Design in Strategic Foresight and Innovation (SFI) program in Toronto, Ontario.
The document discusses the need for enterprise architecture and electronic health systems in developing countries. It notes that currently many countries have fragmented and duplicative health information systems due to a lack of national eHealth policies and standards. The document advocates for adopting an enterprise architecture approach to conceive integrated eHealth systems that are interoperable and scalable. It provides definitions of key concepts like eHealth, enterprise architecture, and highlights frameworks like TOGAF that can guide the development of aligned health enterprise and information system architectures.
Future of Mental Health - Reverse Archaeology Event ReportJosinaV
Experiment in Reverse Archaeology: Exploring the Future of Mental Health Services was a hands-on workshop co-hosted by MaRS and CAMH (Centre for Addiction and Mental Health) on May 23rd, 2013. This session was held as a part of a series of meet-ups of health innovation centres, engaging forty health system innovators, service providers, and individuals with lived experience of mental health needs from across Southern Ontario.
The APTIC social network has been developed by the PSINET research group at the Universitat Oberta de Catalunya, in collaboration with Hospital de St. Joan de Déu and the Fesalud Foundation. The network aims at enabling the individual members of patients’ associations (mostly parents of children with chronic and rare diseases) to share experiences, information, resources and advice.
In parallel, we created a group on Facebook (APTIC Facebook Group) to publicize the network and analyse differences in the use of the two platforms (APTIC Social Network vs. APTIC Facebook Group)
Emerging into E-Health Information Management pdfkatnick56
Kathy is excited about the benefits of e-health initiatives like electronic health records and health information management. She believes these can help both individual patients and communities affected by health conditions. However, there are barriers to implementing these initiatives. As a health information management professional, Kathy's mission is to help break down barriers to adopting electronic health information management. She wants to find a specific barrier and help remove it. E-health involves applying e-commerce principles to healthcare to improve efficiency, quality of care, patient empowerment and more.
This document summarizes a case study of a telemedicine initiative in rural India. An NGO partnered with eWaveMD, a telemedicine solutions provider, to deploy their virtual consultation platform (VCP) across 30 villages. The platform allows local technicians to perform basic medical tests and connect patients to a network of nurses, doctors and specialists for virtual consultations anytime. This has reduced transportation costs, improved access to care, and created jobs. The document outlines eWaveMD's business model of setting up and maintaining such telemedicine systems on a monthly fee basis to bring healthcare services to remote populations.
Urban E-Health Project in Rio de JaneirojC Azcarraga
This document describes an urban e-health pilot project in Santa Marta, Rio de Janeiro that aimed to address barriers to healthcare access using portable electronic health technology. The project found that the e-health backpacks enabled nurses to perform in-home visits and detect chronic diseases earlier, reducing healthcare costs and hospitalizations. Patients and health workers largely reported positive experiences with the backpacks. The results supported the value of using mobile health innovations to improve care for underserved communities.
eWave MD is an international healthcare software company that provides secure, web-based medical platforms and solutions like electronic medical records, telemedicine, patient portals, and disease management tools. Their products have been implemented in national health plans and hospitals in Israel, the US, and other countries to improve care quality, reduce costs, and support remote diagnostics. Case studies demonstrate how their platforms have benefited organizations by streamlining workflows, centralizing medical records, and enabling telehealth services.
Transformative governance of personal health ecosystems Totti Könnölä
Invited speech of Dr. Totti Könnölä, CEO inf Insight Foresight Institute in the scientific conference 'Bioengineering for Healthy Ageing. Adding Life to Years' November 9th 2017, CosmoCaixa Barcelona.
Future personal health ecosystems encompass various areas of application such as chronic disease management, life-style management, independent living and emergency services. Such future systems assist in the provision of continuous, quality controlled and personalised health services to empowered individuals regardless of location and provide a horizontal development area across variety of patients, clinical specialties, technology fields and health services. Hence, the development of such ecosystems requires transformative governance that enable coordination and federation of diverse stakeholders.
The Future of Specialized Health Care ProvidersJosinaV
This project is for the game-changers and rabble-rousers working within health care to create much needed transformation within the industry. For those that are frustrated with the way things are and seek a better future, this project is an example of the power of foresight to provoke deep insights and inform thoughtful strategic directions.
This project was completed by Phouphet Sihavong, Uma Maharaj, and Josina Vink as part of Ontario College of Art and Design University’s (OCADU) Master of Design in Strategic Foresight and Innovation (SFI) program in Toronto, Ontario.
The document discusses the need for enterprise architecture and electronic health systems in developing countries. It notes that currently many countries have fragmented and duplicative health information systems due to a lack of national eHealth policies and standards. The document advocates for adopting an enterprise architecture approach to conceive integrated eHealth systems that are interoperable and scalable. It provides definitions of key concepts like eHealth, enterprise architecture, and highlights frameworks like TOGAF that can guide the development of aligned health enterprise and information system architectures.
Future of Mental Health - Reverse Archaeology Event ReportJosinaV
Experiment in Reverse Archaeology: Exploring the Future of Mental Health Services was a hands-on workshop co-hosted by MaRS and CAMH (Centre for Addiction and Mental Health) on May 23rd, 2013. This session was held as a part of a series of meet-ups of health innovation centres, engaging forty health system innovators, service providers, and individuals with lived experience of mental health needs from across Southern Ontario.
The APTIC social network has been developed by the PSINET research group at the Universitat Oberta de Catalunya, in collaboration with Hospital de St. Joan de Déu and the Fesalud Foundation. The network aims at enabling the individual members of patients’ associations (mostly parents of children with chronic and rare diseases) to share experiences, information, resources and advice.
In parallel, we created a group on Facebook (APTIC Facebook Group) to publicize the network and analyse differences in the use of the two platforms (APTIC Social Network vs. APTIC Facebook Group)
This document outlines Gonzalo Bacigalupe's presentation on social technologies and collaborative health. The presentation defines social media tools, categorizes emerging technologies, and discusses their impact on patients, providers and policy. It also evaluates challenges and approaches to using social tools to strengthen collaborative healthcare practices. The document provides objectives, expected outcomes, descriptions of social media and applications, and a methodology for analyzing e-health tools. It introduces criteria to assess tools' collaborative potential and categories like clinical networks, e-patient networks and mobile apps.
Collaborated with the Mayo Clinic's Centre for Innovation on a team project to envision a 2035 future for specialized healthcare providers. Researched trends and drivers from a social, technological, economic, political, environment and values perspective and applied strategic foresight/futures methods to create possible future outcomes. Designed strategies to influence a positive future and mitigate against negative outcomes. The final report was used by the clinic as an innovation input for their multi-year strategic planning activities.
This document summarizes a study investigating barriers and facilitators to scaling up assistive health innovations for people living with dementia. The study uses a social innovation approach called the Dutch Ecosystem Dementia Care (EDC), which brings together over 100 stakeholders from healthcare, companies, knowledge institutes, government, and people with dementia. Preliminary results from focus groups and interviews found that collaboration between stakeholders is essential for scaling up innovations but is challenged by differing expectations and responsibilities. Barriers also exist in the development and adoption of technologies. Recommendations include facilitating practical collaboration between clients, healthcare professionals, and manufacturers through co-creation and a shared vision.
The aim of the project is developing a dynamic website
exploring how the tools and the information that supports communication between the people with dementia and their caregivers can be provided to improve the overall quality of support.
This document summarizes a research project called COBACORE that aims to close collaboration gaps in urban disaster recovery through two innovation pathways: 1) improving community-wide collaboration building through methods and technologies to facilitate information sharing and joint work; and 2) stimulating a comprehensive needs assessment approach through systematic exploration and joint sensemaking to understand recovery environments from different perspectives. The COBACORE project will develop a collaborative workspace to support common needs assessment in humanitarian recovery operations, complementing existing approaches while enhancing accountability and participation. It will be tested in a large-scale experiment on the Dutch-German border in mid-2015.
Mentoring in Digital Health Care FORUM October 2015 author Kerry SpaedyKerry Spaedy
The document discusses the benefits of reverse mentoring programs in healthcare, where younger digital native physicians mentor more experienced physicians who are not as technologically proficient. Reverse mentoring programs pair experienced physicians with younger physicians to help the former transition their practices to digital formats and electronic health records. These programs benefit both parties by allowing experienced physicians to learn new digital skills and allowing younger physicians to gain experience communicating with colleagues and understanding patient care. The keys to successful reverse mentoring are clear expectations, agreed rules of participation, a willingness to learn from each other, trust, and transparency between the parties.
The OpenMRS community is a global volunteer network working to build and support flexible medical software. Their mission is to improve healthcare in developing areas afflicted by diseases like AIDS, tuberculosis, and malaria. Originally created to support a single Kenyan clinic, OpenMRS has grown significantly and is now used in clinical and research settings worldwide. The community takes a collaborative approach, believing the best ideas come from diverse backgrounds working together openly.
This document discusses the changing landscape of opinion leaders and advocates in healthcare due to digital channels like the internet, social media, and mobile. It defines "digital opinion leaders" as individuals who influence stakeholders through digital engagement. It explores new concepts in healthcare engagement enabled by digital tools, including patient bloggers, doctors' social networks, and user-generated medical information. It also provides examples of digital opinion leaders from different stakeholder groups and outlines a three-step process of identifying, engaging, and activating digital opinion leaders for pharmaceutical companies.
Web 2.0 systems supporting childhood chronic disease management: a general ar...Gunther Eysenbach
The document proposes a general architecture for Web 2.0 systems that support chronic disease management in children. The architecture is designed to be compliant with the World Health Assembly eHealth resolution. It involves three main services: access to resources for developing competencies in disease management, endorsement of peer-to-peer learning about disease management, and accreditation of learning materials and processes. Design patterns are used to represent core elements like access rights, regulatory frameworks, and values like individual customization and community belonging. The architecture allows an "ecological" development of user-generated content while ensuring medical quality and respecting constraints from the eHealth resolution.
The document discusses e-health and patient empowerment. It provides information on:
- The definition and goals of e-health as emerging from the intersection of medical informatics, public health, and business.
- The importance of patient empowerment and engagement in the context of increasing chronic diseases and an aging population challenging healthcare systems.
- Tools and strategies for patient empowerment including e-health solutions, social learning theory, self-efficacy, and maintaining long-term patient engagement.
- Challenges including health literacy and examples of mobile health technologies and apps that can help monitor health and encourage physical activity to address these challenges.
The OpenMRS community works to improve healthcare in developing countries where diseases like AIDS, tuberculosis, and malaria are prevalent. Their mission is to coordinate a global community to create and support open source medical software that can operate in resource-constrained environments. The OpenMRS community is made up of volunteers from different backgrounds working to build a flexible technology platform to support healthcare delivery in challenging areas. Originally created to fix a database for a clinic in Kenya, OpenMRS has grown significantly and is now used in research and clinical settings around the world.
The OpenMRS community works to improve healthcare in developing countries where diseases like AIDS, tuberculosis, and malaria are prevalent. Their mission is to coordinate a global community to create and support open source medical software that can operate in resource-constrained environments. The OpenMRS community is made up of volunteers from different backgrounds working to build a flexible technology platform to support healthcare delivery in challenging areas. Originally created to fix a database for a clinic in Kenya, OpenMRS has grown significantly and is now used in research and clinical settings around the world.
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Pues… ¡la percepción de que hace falta una idea genial para prosperar!
…cuando, en realidad, lo que se necesita para triunfar es una idea simple de nicho
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These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
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These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
7. For Designing a Strategy we need… A clear Direction A solid Architecture for dealing properly with the relationship between the parts and the whole A Response for everyone of the groups of actors involved in the Health System.
19. The Pivoting Aim: Chronicity “In the Basque Country, chronic illnesses represent the dominant epidemiological situation of the country. It is estimated that they currently represent 80% of the interactions with the Basque Health System (BHS) and account for more than 77% of health expenditure” Rafael Bengoa
20. Re-Health is… Conversational Responsive Adapted to HC actors Integrated Chronicity-aware Sustainable Supported by realcommunities of practice
23. A well balanced Architecture “Organic Order: … The kind of order that is achieved when there is a perfect balance between the needs of the parts and the needs of the whole” “The principle of organic order: Planning and construction will be guided by a process which allows the whole to emerge gradually from local acts” Christopher Alexander, 1975
36. A Multi-Channel Web Portal www.osakidetza.euskadi.net Integrates all previous portals Virtual Web Assistant Web Appointments Instant Medical Assessment by Phone iPhone, iPad, Android support Integrated with a powerful Patient Relationship Management (PRM) infrastructure 902 20 30 20 Extended tosocial networks
40. Unpredictable Master Plans “Master plans have 2 unhealthy characteristics Its existence alienates the users …the members of the community can have little impact on the future shape of their community Because most of the important decisions have already been made …users live in a frozen future, able to affect only relatively trivial details Neither the users nor the key decision makers can visualize the actual implications of the master plan.” Extracted from Christopher Alexander, 1975
41. Master Plans as… skyscrapers! “A modern skyscraper has a fixed inflexible interior, which is secondary to the designed beauty of the exterior. Little attention is paid to the natural light, and often the interiors are constructed as “flexible office space,” which means cubicles. The flexibility is for management to set up offices for the company, not for the inhabitants –the employees- to taylor their own space. When you run out of space in the skyscraper, you build another; you don’t modify the existing one or add to it.” Richard P. Gabriel, 1996
42. Habitability Healthcare professionals are not mere users, but inhabitants of the Health System, and consequently they need a sense of… Ownership Professionals need to feel that they have some authority over what they are responsible for… …and also a sense of ‘elitism’ that hold them together and makes each member of the team feel responsible for the others’ success (Richard P. Gabriel) Professionals know what they need, and despite of the BHS master plans, they’re engaged with their own (usually modest) marginal communities, with their own look & feel and a consensus-based flexible structure. …so they can comfortably inhabit them.
43. A Network of Pro Communities Pro Community #2 Pro Community #4 Agora
48. Identifying Moods as Objectives Patient’s objectives use to be related to their moods and states-of-mind. But it’s not always easy to recognize them! We needed to use Interaction Design techniques for coming out with effective results …that have being successfully validated by Chronic Patients
58. Re…Re…Re…Re…Re…Re-Health Re[sponsive]-Health is our way of saying that… We need to react in front of the mere technology sublimation, reformulate our schemes in order to achieve a revolutionary road to an integrated health system, responding to its main actors, and reinserting all their values in it.
61. III Spanish conference on chronic care Meet us at Building capacity for progress: the role of clinicians may, 19th/20th 2011 • Donostia – San SebastiánKursaal Congress Center