Pradeep Jobanputra

Where and how

information and communication technology can contribute to the improvement of health care

Obtain,Manage and Use information

to improve health care

and medical services performance, governance, management

and support process.

What is INFORMATION What is INFORMATION ??

A billion $ Questionis

?From where do we begin

Information Technology in Healthcare

What is in the center for us ? ◦HOSPITAL or PATIENT….

Begin with

Information Technology in Healthcare

Patient

Present Methodology of Medical assistance to Patient

1.Patient record : Manual 2.Patient Prescription :

manual3.Periodic checkup after medical aid: Patient has to

maintain4.Drug purchase : searches and purchases from

markets.

Transform the Present Methodology of Medical assistance to Patient Using ICT

1.Patient record : E-record on smart card available online or mail.

2.Patient Prescription : pdf format smart phone/ web view

3.Periodic checkup after medical aid: Use SMS, e-mails, voice calls

4.Drug purchase : Pharmacy store to maintain the stocks and ,SMS, e-mails,B2B Purchase

Health Smart Cards

Secure Save time - money -lives. Improve - security and privacy of patient

information Provide - secure carrier for portable

medical records Reduce - healthcare fraud, Support - Portability of medical records, Provide - secure access to emergency

medical information, Enable - compliance with government

initiatives Helps - administrative process and

claiming speed.

The Medco Pharmacy mobile app is built on Medco's My Rx Choices prescription savings and patient safety program,

To use the app, patients must first register at the Medco website. Once registered, their medication histories and drug plans are made available online.

Where HIT Needs To Be

I/P LabSystem

RadiologySystem

Hosp. BillingSystem

Pt. Registration System

Hospital Interface

I/P Pharmacy System

O/P PharmacySystems

Home Health System

O/P LabSystem

Elec. Med.Record

Office Billing System

MD Office Interface

Pt. Reported Data (On-Line Dx) (QOL Data) (Compliance)

MasterInterfaceEngine

Converging Data Streams Should Converging Data Streams Should Drive Clinical AutomationDrive Clinical Automation

Computerized Patient Record

ConsumerDecision Support

ClinicalDecision Support

SOURCE: Health Futures, Inc.

Molecular(Genetic characterof self-pathogens)

Organ Systems(Anatomic detail)

Interventions(Orders, meds,procedures)

Tissues(Metabolism,pathology)

Cellular(Types, counts, receptors)

Better Day HealthThe Better Day Health app is a Web-based, patient-centered health and practice management software platform that is designed to drive improvements in patient care quality, coordination, and collaboration. The platform was developed by VoiceHIT, and it combines predictive modeling and third-party applications and devices to turn patient data into actionable information.It is primarily used by healthcare pro

Medical Informatics Medical Informatics ApplicationsApplications

Automated remindersComputerized expert

systemsTelemedicineTele SurgeryDigital imaging Voice recognition

Medical InformaticsMedical Informatics

Future Consultant’s Office:Future Consultant’s Office:

CT Scan, MR Imaging, Infrared and Near Infrared Scanners, Holographic Image of Patient (Medical Avtar), Surgical Simulators, and Intraoperative Navigation

Medical InformaticsMedical Informatics

Medical InformaticsMedical Informatics

Virtual Reality SimulatorsVirtual Reality Simulators

Training in Surgical Procedures

Master the Surgical Skills before Operating

Monitor the Actions of Resident Surgeons during surgery

Intraoperative Navigation

Expert system

Expert Systems

Encoding the knowledge of human experts and applying it in goal-directed reasoning

Neural Networks, Machine Learning in biomedical domains

Medical InformaticsMedical Informatics

Anatomy of an expert system

Knowledge base

Inference engineBlackboard

languageprocessor

justifier

facts

rules

interpreter

scheduler

consistency enforcer

plan

agenda

solution

USER

Medical InformaticsMedical Informatics

Expert Systems

◦Examples:Medical Diagnosis Event monitoring in clinical systems - decision support via Medical Logic Modules

Genetic motif detection in molecular sequence and molecular structure databases

Bioinformatics◦Molecular sequence and structure databases

◦Similarity (homology) detectionCorrelation of molecular and clinical events

Interactive, Immediate and Specific Feedback, Individually Tailored Instruction, Objective Testing, and Entertaining

Self-Directed Learning

Discretion of Content, Time, Place, and Pace of Instruction.

One’s Own Level of Knowledge, Specific to Problem-Solving

On-Line Discussion Groups - Difficult Cases

On-Line Journal ClubsCMEScientific PostersTelemedicineStreaming

Research & Manuscript PreparationPatient Care & Clinical Problem

SolvingLower the Hospital Cost with Short

StayChoose Diagnostic Tests Select and Implement Best

Treatment PlanEasy, Effective, Efficient, and

Economical

Medical InformaticsMedical Informatics