Title: Evolution of Telemedicine and Telehealth
Christoffer Paulsen is the Health care expect. A American VirtualCare Health care appointments - a face to face video conference with a US Board certified healthcare provider Health. Following his passion, he and his team of advisors partner with forward-thinking healthcare leaders to prepare their organizations for the future of healthcare delivery. Mr. Milaster’s expertise stems from a 30-year career, including 18 years in healthcare, at employers including IBM Global Services and the Mayo Clinic; and numerous digital health consulting engagements ranging from strategy development and business planning to the design and implementation of new healthcare services. He has designed and build sustainable healthcare delivery services that delight patients and improve outcomes, while exciting clinical and medical staff.
Title: Think Patient – How to Build Your Next Digital Health Product?
Muhammad Mudassar, has joined Philips in 2017 as Services Transformation Lead responsible for CS business growth for Connected Care and NBX propositions for MET customers; and later transitioned within Enterprise Diagnostic Informatics team to develop integrated managed services business model (ISEE) and boost Performance Bridge (EOI) business, that has seen 3x Install Base growth in MET for past 2 years since launch. He is leading Solution business development for Performance Bridge, Data Management & Interoperability Solutions anchored within EDI and Integrated multi-modality solutions, from value proposition creation to sales enabling, market deployment & enablement with complete customer partnership lifecycle facilitation.
Prior to Philips, Mudassar has built his career for the past 18 years in ICT and New Business strategic ventures within telecoms / service providers, his last role being director of digital ICT solutions & new business at Ooredoo (Qatar HQ & 20 countries operations). He brings strong service oriented expertise designing and launching XaaS value propositions and driving strategic business growth. He holds a Bachelors in Electronics Engineering & MBA in Management Consulting. Mudassar loves reading books, sports and family time while based in Dubai with his wife and kids Sarah & Yusuf.
Title: DOC24- construction of multinationals from different segments in Latin America
Is an actuary and a serial entrepreneur. He reinvented himself several times and today, as country manager of DOC24, a multinational specialized in telemedicine and telehealth solutions, he consolidated his career by actively participating in the construction of multinationals from different segments in Latin America, setting up their business plan and contributing to the structuring of your trading strategies. Moved by challenges, he is a technology enthusiast and today is a reference in the telemedicine segment in the Region, defending the concept of democratization of health services, crossing borders, breaking paradigms and bringing quality medicine to those who need it, wherever they are, bringing the medicine of the future to the present.
He is Specialization is Telemedicine - Actuarial Services - Healthcare - Business Consulting Talks about saude, health, healthtech, inovação, and telemedicinaTalks about saude, health, healthtech, inovação, and telemedicine. He studied in the Pontifícia Universidade Católica de São Paulo, Brazil.
Title: "Primum non nocere":Digital tools and mental load in clinicians and patients: the "E3 task force" project
The Covid 19 pandemia has been an extremely potent enhancer of digital health solutions spreading. Telemedicine was already available in France before SARS-COV2, but not used as a standard of care. It seems like when sticking to the expressed needs and objectives, the implementation of digital solutions became a reality with a high level of acceptability. Since e-health is spreading and the commercial offer of digital solutions dramatically increasing, it seems critical to predict the impact of those new tools mental load of users in order to make sure digital solutions really bring better quality of care together with quality of life (patients) or profesional life (health care professionals). Assistance publique -Hôpitaux de Paris launched in 2022 an ambitious project focusing on digital innovation at Hotel Dieu, making the largest hospital in Europe also an active promotor of digital health. This project includes an Innovation Hub, a large incubator for Start-ups, and (among others) the Digital Medical Hub (DMH). DMH is combining an academic platform dedicated to promoting scientific research on E-health and an open innovation structure promoting transformation strategies for e-health projets. Academic DMH initiated (March 2022) an innovative project aiming at defining what are the critical parameters involved into the lived experience of e-health users (clinicians and patients) with regard to mental load. This project included 3 steps : 1) a "consensus of experts" strategy conducted through two to three hours meetings allowing the group to provide a list of the main dimensions impacting the (positive or negative) changes observed on daily life and mental load. The group includes neurosciences experts, clinicians (nephrologist, cardiologist, psychiatrist), e-health and digital solution experts, neuroergonomics and ergonomics experts, work psychologists, health economy specialist, market access experts). The following task of the group is to identify among those dimensions, those that are measurable or propose a way to evaluate them. 2) In paralell, a large opinion barometer is spread among health care professionals, digital entrepreneurs, and stakeholders in the field of health in ordre to collect over 500 answers allowing to describe expectations, fears and representations about e-Health implementation in France. 3) The last step of our research project is to obtain a large consensus of experts (health care profesionals) using the Delphi method, a structured communication technique or method, originally developed as a systematic, interactive forecasting method which relies on a panel of experts. The expert group conducting this research has turned into a Task Force to build the research plan for the next steps, after publishing the first conclusions of this work in the form of a "white book".
Corinne Isnard Bagnis is Professor in Nephrology (2006) at Pitié Salpetrière Hospital, the largest hospital in Europe, were she is in charge of the ambulatory renal care. She recently created the first research group in OncoNephrology in France to promote better care for renal patients with cancer. She introduced patient's empowerment at Sorbonne Medical University by creating the first diploma for patients in the field of patient's education in 2010 (Special Prize IDS from the French Academy of Medicine). In 2015, she implemented the first CME course for clinicians on Mindfulness training to improve quality of care, decrease burnout and promote compassion (over 300 HCP's in 7 years). Since 2017, she has actively been promoting e Health in the field of Nephrology with the first MOOC on renal diseases (EIT Health grant) and is conducting research projects using the AP-HP data lake. She acts as scientific partner at the Digital Medical Hub at AP-HP.
Title: Tarumã case study: Telemedicine and artificial intelligence applied for reducing Cardiovascular Diseases mortality and Health cost optimization
Telemedicine supported by Artificial Intelligence has been an ally in the fight against cardiovascular disease. Tarumã has been using these techniques as part of a project to decrease mortality from chronic non-communicable diseases (CNCD). This study aimed to analyze the results after one year of implementation of this project. Public and private databases of health data were used, in addition to population demographic indices. It was observed a decrease of 21% in premature deaths from cardiovascular diseases and of 25% in premature deaths from circulatory diseases. In addition, between January and August 2020, the number of deaths from CNCD dropped by 45% when compared to the same period in 2019. By relating the previous years, the ANOVA analysis showed a significance F (4,113)=14, 30 (p = 0.001), and the greatest difference was regarding the circulatory system diseases.
Alexandre is leading the internationalization of Portal Telemedicina, a brazilian scale-up. Before that, Alexandre, after a first experience in China, worked for 10 years in Brazil for consulting on innovation finance and for the French Government: First for BPIFrance, the public investment bank, and then for Business France, the government's internationalization agency, leading the investments from Latin America to France. During these years, with his team, he accompanied dozens of Latin companies to invest and grow in France. Alexandre is Graduated in Business Administration in France.
Title: Institut de Formation et de REcherche en Médecine de Montagne
This presentation will show how Ifremmont solves the lack of medical assistance for isolated patients, in particular those in mountain regions. Tools, originally built for climbers and mountain cabins, appears very efficient and necessary for large urban regions as well. They are now considered as a solution to give a chance for patients with chronic disease and elder people to stay home safely under control rather than to be moved to hospital. This goes the direction of the p-health concept (personalized medicine). We will cover other experiences in Africa and Asia as well as projects on getting faster in taking care of patients with possible stroke
PhD from Télécom ParisTech, Ingénieur UTC (Compiègne), Philippe Chauvet is an International e-Health's Specialist. Vice President of Ifremmont, he focuses mainly on adapting advanced digital solutions for healthcare. This goes from e-diagnostic / Tele-medicine to HAH (Hospitalization at Home). He originated new approaches to reduce the time to healthcare for patient in emergency (stroke, ...). He is involved since 1992 in the development of PACS (Picture Archiving & Communication Systems) and Personal Health Records (PHR). Favouring trans-border projects, he works on bringing Medical Expertise to all patients (especially isolated patients ) using advanced digital technology.
Title: Telehealth: 8 experiences to expect next
I don't think I've ever seen such hype within healthcare as with the breakthrough of Telehealth (or Telemedicine). The possibility to now video call with your (para)medical specialist was all the rage in 2020. Out of necessity (due to you know what), the usage of this technology was suddenly allowed and made feasible in a healthcare setting. In the past months, we've seen the entire healthcare world buzzing about something most of us have been doing for the past 15 years already: video calling with others. Yet, it took a global pandemic for this widely used technology to become accepted within healthcare. Of course, I understand the complexity that legacy architecture, governmental regulations or privacy concerns bring to the table. But from this point forward, can we stop hiding behind those complexities? We now have seen how quickly some changes can be effectuated.
Title: Pediatric telemedicine - some useful snippets (my experience and what I have learnt)
I m a board-certified pediatrician with over 16 years of experience treating and caring for children. I have served in various settings including primary care offices, inpatient hospital settings, urgent care, and busy inner-city emergency rooms provider care for children from newborns to adolescents.I have also worked as a physician advisor at a prominent organization. I stepped into telemedicine almost an accident when I quit my job as a physician advisor and was looking for more flexible options suitable for me as a wife and a mother and not let medicine overwhelm me. I did some online research and quickly figured out there were more than a couple of telemedicine opportunities. In 2016 I also started my own telemedicine practice for pediatrics in the state of Florida. Our mission is to enhance access to the highest quality of care exclusively for children of all ages from the comfort of their homes ( or from anywhere). Why pediatric telemedicine - Vast majority of minor urgent issues can be treated via video or telephone chat sessions.
Title: Next Generation EHRs as the Identity Fabric of Robust and Trustworthy Artificial Intelligence Agents
Artificial Intelligence (AI) has been at the forefront of digital development and transformation in the health sector, holding the promise that by informing prevention, diagnosis and treatment decisions it may deliver digital health interventions which can transform healthcare and public health toward higher efficiencies, improved outcomes for patients, and truly equitable and inclusive access to care. The most basic premise underwriting this future for healthcare and public health is having access to readily available, high-quality, reliable and trusted data, by extending current global regulatory provisions to embrace matters of semantics and enabling social governance. So far we have failed to deliver this. As an indication come reports from academia and the industry, which show that despite heavy investment, there is still a disconcerting gap between corporate recognition of AI risks and efforts to mitigate them, with the prominent field of AI vision having reached a plateau, and with reasoning still being considered a frontier of AI (1). Yet ethics is at the forefront of AI adoption, with bias, equity and inclusion coming at the top of concerns for digital health deployment (2, 3). Together with the need to address data ethics for AI and the need for equitable and inclusive health and digital health policies, there is an unprecedented opportunity to introduce systems medicine into routine clinical practice, to leverage real-time evidence-based practices and precision treatment and to manage the growing threat of multi-morbid diseases within the current capacities of health systems, thus also freeing up resources in order to make universal health coverage sustainable in the long term. The Electronic Health Record (EHR) as an organisational and interoperability concept is expected to play a key role in this direction (4, 5), assuming we can support complex data modelling requirements beyond the current capacity offered by traditional EHR deployments, achieving at the same time an implicit representation in such models of new models of care and integrated public health. These are fundamental requirements for a new generation of EHRs.
Dr Dimitris Kalogeropoulos is a senior independent advisor in global health innovation recognised by peers worldwide as an industry leader and key policy expert in the field of digital health and innovation. Being an expert with the World Bank, the European Commission, UNICEF and the World Health Organisation, he has the significant global experience of thirty years advising on digital economy, innovation, decision pipelines, data ethics, AI, health tech and tech-driven policy, including governments, think-tanks, multilateral and bilateral international development partners, and philanthropic organizations. Dimitris started his career at IBM UK, during the early digital transformation of the banking sector and subsequently served as the CEO and Chairman of a digital economy consultancy firm, from which position he helped develop cutting-edge data management technologies and to bring innovation projects and business plans to the attention of major venture capital and equity investment firms. A landmark achievement in international development has been his participation as lead digital health consultant in the development under the China Joint Study Partnership, with the World Bank and the World Health Organization of the Reform Policy Summary Deepening Health Reform in China (2016): Building High Quality and Value-Based Service Delivery, which was adopted by the Chinese government in October 2016 as the Healthy China 2030 initiative. During the Covid-19 pandemic Dimitris advised governments on available data regulatory and strategic governance policy options in order to mount an effective response to the pandemic and to strengthen capacities to collaborate on future global challenges. At the same time he joined as a volunteer senior policy advisor the national digital innovation and AI think-tank of the government of Greece, focusing on the development of innovation acceleration models built around hybrid ecosystems with public social partnerships and public-private partnerships. As an advisor he conducted on behalf of the WHO Europe Regional Office a benchmark assessment of the National Action Plan of Public Health 2021-2025, now adopted and under implementation by the government in the context of Covid-19. At the same time he has been volunteering as a mentor and policy adviser in the industry, to accelerate digital health innovation, adoption and scaling, with the mission to build innovation ecosystems which support data-driven collaboration among healthcare providers, the industry and start-ups, to develop, integrate and commercialize impact investments and digital solutions that drive the digital transformation of healthcare.
Title: Establishment of a Pan-European Master Value Catalogue for Clinical Disease Management Milestones, Codes and Terms for use by the digital services of Electronic Health Record and e-Prescription Systems for all EU Member States
This presentation aims to communicate a major problem regarding the low quality of health information collected in most of the integrated digital health national systems in Europe. According to a pre-analytical review (conducted in Greece1 by Reformed2 , in the collected eHealth data from EHR and e-Prescription national services), the physician’s ability to use extended classifications regarding diagnostic terms and codes, and furthermore the conceptual design of digital health services mostly in the aspect of reporting individual patient-physician contacts, produce a large amount of data that are limited in precision, integrity, and quality and are not in agreement to the clinical practice. This presentation proposal is targeted to raise awareness of the need for a combined semantic mechanism, and it related Standard Oriented Procedures (SOP) in the form of a central ClinicalMaster Value Catalogue (C-MVC) definition, which can become a solid framework for the development of high-quality digital health services for physician specialties. Furthermore, this CMVC, based on accurate and critical nosology and epidemiology large-scale data, will also act as a milestone disease treatment digital management guide for physicians. This core-level functional enhancement willsignificantly advance the delivery of the rational drug or medical examination prescription following accurate clinical evaluations, and the overall patient safety. Hence, it will strengthen the health care systems in terms of decision making, health-policies impact assessment, and proper health budgeting.
George Stephanopoulos is an electrical engineer & computer scientist and holds a master’s degree in health services administration. He has a strong experience in the design of national ICT applications, and digital health services. During 2015-2019 period he worked as a Special Advisor for the Greek Ministry of Health, contributing to the design of 2017-Digital Health Roadmap, and advancing critical digital health projects (Telemedicine, RIS-PACS, HIS, EHR, ePS, NeHIF in NSRF and SRSP programs). He was a member of the Greek National eHealth Body, and a leading member in several technical committees for the Ministry of Health. For two years (2017-2919), he was a member of the Board of Directors of IDIKA SA. Today, he is a Digital Health Governance Expert and a Program Manager, utilizing his multifaceted knowledge in the fields of health and digital health. He is also a co-founder of Reformed, a consulting health policy services company, with a significant number of journals in digital and print media of health domain
Title: Scalable TeleHealth and Virtual Wards
The ability to transmit valid clinical information from a citizens home to a madical facility - is not novel - and ever since the arrival of wireless technology, more and more medical devices have been made available for home use. Despite the easy access to such medical devices - we have yet to see Virtual Care become a widely accepted and normal way of providing Healthcare to people. As people with Chronic diseases are a huge burden for any Healthcare system - One would think it obvious that Virtual Care would a got solutions to reduce the load on the hospitals. We are seeing more and more people with NCD’s caused by the increasing number of elderly people. In addition, we are also seeing a declining number of Nurses and Doctors who’re available for the Healthcare System. During the Pandemic, it became abundantly clear, that Virtual Care was NOT available and ALL scrambled to establish Videobased services as a stop-gap measure. It helps on the distancing issue, but it doesn’t scale well - so there is not much help to find in Video based Consultation. There are two major strategies that can be applied in Virtual care. 1. Remote Patient Monitoring 2. Virtual Wards Ad 1. Patients with a diagnosis or conditions that need to be tracked are provided with medical devices and daily they will submit data (measurements and Questionnaires) about their Health to the Healthcare provider. Ad 2. Patients are moved from a hospital bed to their own home and provided with Medical Devices that continuously monitor their Vital Signs and feed the data to the Healthcare Staff in a Virtual Ward, that monitors the live stream of data and takes action if the data show that the patient needs intervention. After the Pandemic, many healthCare organizations - especially NHS, are focusing on early discharge as a means to free up space in the Hospital - which gives an immediate result, whereas Remote Patient Monitoring is more of a preventive effort, and requires more time to show an effect. Both initiatives give excellent results as has been proven numerous times. This session will address the underlying challenges of scaling up such solutions. What is required technically, and also a bit about administrative requirements, and how is it organized from a project management point of view.
Henrik L. Ibsen is CEO of the danish Virtual Care company OTH.IO From a Computer Science background - Henrik worked as a developer and Projectmanager before managing Healthcare IT projects for CSC starting in 1997. In 2002 Henrik was the lead Architect behind the vision and design to implement the National Health Portal (https://www.sundhed.dk) which was launched in 2003, and now covers all citizens and Healthcare Professionals in Denmark. In 2011 Henriks company also developed and delivered the Danish National Service Platform for healthcare IT - integrating and standardizing data exchange in Healthcare on the national level in Denmark. With a fully digitized Healthcare System, Henrik turned his attention to bringing Healthcare to the citizens, as to help the hospitals become more effective in supplying healthcare. The OTH.IO platform has been in full production across Denmark since 2013, and with 9 years of experience in Virtual Healthcare, Henrik is an authority on the requirements and challenges in scaling up Virtual Care.
Title: Telecommunication and Technology
Over the last few decades, the use of telecommunication and technology has seen exponential growth, and this is reflected in the innovation of the virtual care industry. The increase in the use of the internet and advancing technology has allowed for novel, disruptive modalities of connecting doctors and patients with each other virtually. Through EMR advancements, doctors can transfer data related to the medical encounter in a secure, HIPAA compliant, and legally permissible way. Telehealth stands to be a solution to the problems of access to care and health discrepancies in the US, as the field continues to rapidly advance. What started twenty years ago as a criticized and unregulated, rogue way of providing healthcare, has now earned a respectable and massive presence in the industry. Here we will review with respect and appreciation the historical timeline and innovations that have allowed the virtual care, or telemedicine, industry to flourish and bloom into the beautiful and monstrous entity that it is today.
I spent several years as an active duty Physician prior to entering the civilian sector. My primary focus in brick-and-mortar practice is hospital medicine, for which I have a deep love. Towards the end of my time in service, I emerged into the telemedicine space and have worked with/for dozens of companies across the industry. It has been rewarding and challenging to share this with the next generation of doctors as we are taking care of patients today on the cutting edge of healthcare. 20 years from now, virtual care will be commonplace in every household and I am honored to be apart of this growing profession and industry. My hope is to enable success of every company with which I come into contact.
Title: Modern approaches to developing safety critical software in healthcare applications
Digital health technologies, m-Health, AI and ML, telehealth and telemedicine are all software intensive systems that may have the capacity to cause harm or even death. Modern software development practices have diverged from the world of safety critical systems development in aerospace, nuclear and transportation which retain decades old proven practices. In this talk we will discuss how current agile approaches to software development can be adapted to develop safe, reliable and robust solutions maintain compliance with medical device regulation (such as EU MDR 2017/745) and standards such as IEC 82304, IEC 62304 and ISO 14971. Attendees will learn how to create software development processes that are consistent with agile principles whilst building confidence in the integrity of the products launched and, crucially, satisfying regulators that the products are safe and effective for clinical use and can be legally placed on the market.
Peter Brady is a med-tech specialist and subject-matter-expert in medical device software with deep understanding of business and technology in the digital health and medical device sectors. He brings thirty years’ experience including as director with a leading medical device manufacturer and managing consultant with renowned technology consultancies. He is an award-winning leader in innovation and product development working on strategic direction and technology management. He has wide experience in healthcare sectors including digital health technologies, oncology, proton therapy, medical imaging, implantable devices, renal therapy, diabetes management, vascular therapy, minimally invasive surgical devices, active therapeutics, point-of-care diagnostics and drug delivery. He is a subject matter expert in software systems for a leading Notified Body. He has a first degree in engineering and a master’s degree in computer science and mathematics from the University of Surrey and has studied business and management at the Copenhagen Business School and Digital Transformation at MIT. He is a Notified Body subject matter expert in development of safety critical software, modern software development practices and safety risk management in healthcare technology
Title: Integration of digital health services at national level
Integration of digital health services in the national health system are provided, which is a major untertaking by health and informaiton technology policy makers in thier national planning exercises. Integration is viewed as the enemy of silos, independent, disconnected and unplanned applications. This integration requires national planning for digital health services including governance of health services, the use of standards at the national level to facilities interoperability between systems, building capacity and national training of digital health workforce, integrated information and communication technology (ICT) infrastructure in health facilities, equitable and timely knowledge sharing and dissemination, national coordinated implementation of an electronic health record system that is an open standard-based and fully recognize the centrality of patients in the health care process and driving digital health activities in one direction in support of health care at the national level. The example of the 17 Sustainable Development Goals (SDGs) adopted by the United Nations General Assembly in 2015 is an excellent example of integrating these Goals. Achieving a Goal affects and is affected by other Goals. Health is in a central place in the SDGs and represents a complete set of targets.
Is the President of the eHealth Development Association of Jordan, Preisdent of the Jordan Library and Information Association and Vice-President of the International Medical Informatics Association. He has been working as Freelance consultant in knowledge management and eHealth since March 2017. Prior to that he was the Vice-President for Knowledge, Research and Ethics at eMarefa since September 2015. He held the position of Director of Knowledge, Ethics and Research at WHO 2008-2015. Between 1988-2008 he worked for WHO in Amman, Alexandria and Cairo as Reginal Advisor, Coordinator and Information Scientist. He is a Fellow of the International Academy of Health Sciences Informatics and a member of a number of national, regional and international scientific associations and committees.
Title: Developing and deploying next generation remote patient health monitoring devices
With MATLAB and Simulink, you can design, develop, simulate, and deploy patient monitoring devices and Software as a Medical Device (SaMD) applications in the cloud at scale while complying with global regulatory standards for medical devices. You can validate MathWorks® products for use in FDA/CE-regulated workflows and meet harmonized standards such as IEC 62304.
In this talk we will show you how to develop next-generation patient monitoring products, with reducing the time needed to bring the devices to market using MATLAB and Simulink.
Specific highlights include :
• Patient health monitoring and digital health device development
• Deploying the software on public and private clouds
• Developing apps for dashboards with integration to database servers and data streaming services
• Streamline certification of your medical software to safety standards such as IEC 62304
Akhilesh Mishra is the global medical devices industry manager at MathWorks. In his current role, Akhilesh closely works with customers developing digital health and medical devices, academic researchers, and regulatory authorities to help them see the value of modeling and simulation and how people can leverage latest trends such as AI to build the next generation medical devices. Akhilesh holds a M.S. degree from University of Kansas in Electrical Engineering, and prior to MathWorks has worked as a signal processing lead for NASA OIB focused on radar based remote sensing of ice sheets of Greenland and Antarctica to study global sea-level rise.
Title: Smartphone Mental Health Interventions for Anxiety and Depression
Background: Anxiety and depression are common (prevalence of 18% to 21%) in UK young people . Insomnia (difficulty sleeping, staying asleep) is associated with the onset of mental health problems . Automated insomnia treatment is effective for mental health symptoms. The onset of insomnia symptoms could therefore be used to identify and treat those with early onset mental health problems in a public health intervention to improve treatment for young adults.
Method: Patient participation involvement (PPI)- We conducted two focus groups to discuss the acceptability of running a mobile app in the background to study sleeping patterns as well as the acceptability of the app design and ease of the registration process. The young people told us that having a mobile app to be run in the background without user intervention would be good and more acceptable to them than an app that required regular user intervention. Moreover, regarding the design and registration process of the app the group found it was easy and user friendly to register in the app.
Base on this design we have created a sleep-tracking app (Sleep Tracker) for Android smartphones. The app uses the phone on/off time to identify when a young person wakes up/goes to sleep. We conducted two field tests with a total of 13 participants to test the app. The aim of these tests was to check the accuracy of the algorithms in calculating sleep duration. During the study period over 17 nights (10 nights in field test 1 and 7 nights in field test 2) we asked the participants to submit sleep diaries. The diary was used to collect data related to their sleep duration, whether they were awake at night without using the phone or if they woke up in the morning without checking their phones and later compared with the Sleep Tracker app data.
Doaa Alamoudi is currently a third-year Ph.D. student in Computer Science (Digital Health) and under the supervision of Prof Nabney and Prof Crawley. Doa'a undertakes research in providing early intervention in mental health for young adults
Title: The importance of role-playing assignments and peer/self-analysis in online training for telehealth
Introduction: The impact of COVID19 resulted in a rapid expansion of digital and telehealth services to deliver healthcare across the globe. For clinical students this resulted in the transfer of in-person internship training classes to online modalities. Many clinical training programs had yet to introduce classes that focused on the differences in carrying out a diagnostic or intake interview in an online platform. The way we manage clinical interactions online often rely on not only different communication skills but also the ability to manage technology. This applies to both clinician and patient.
Objective: The aim of this project was to evaluate the effectiveness of role-playing assignments that required students enrolled in a Child Life Specialist program (medical play therapy) to prepare videos of themselves conducting a telehealth session that included explaining a medical condition or intervention to a young child or adolescent.
Methods: Students prepared, set-up, and videoed at least 3 sessions of the role-playing assignment. Once completed they were given a self-evaluation sheet and an evaluation sheet to give to five different outside raters. The videos were uploaded to their Moodle class site and were reviewed by peers in their class. The students submitted a final self-report that included an overall assessment of their performance and specifically noted any features that may have affected the outcomes of the telehealth session. The assignment reports were compared to prior years’ reports taken from students who had only completed in-person internship experiences.
Results: The assignment reports from the tele-health role-playing and the in-person reports were noticeably different. The telehealth role-playing reports yield more detailed and insightful self-reflection.
Conclusion: This study highlighted the need for more structured and focused training in the area of digital and telehealth procedures to be added as core teaching components to clinical training programs.
Title: Reflections on digital Maternal & Child Health support for mothers and community health workers in rural areas of Limpopo Province, South Africa
Introduction : Digital health support using mobile and digital technologies, such as MomConnect and WhatsApp, are providing opportunities to improve maternal and child health care in low and middle income countries.
Methods: A qualitative study was conducted to reflect on experiences of mothers and community health workers on mobile health opportunities in the context of maternal and child health in rural areas. Purposive sampling was used to select 16 participants. Two focus groups and individual semi-structured interview with a guide to collect data about digital maternal and child health support. Thematic analysis assisted in making sense of the given reflections of mothers and community health workers about digital health support.
Results: Participants commented on different existing digital support Apps and their importance for maternal and child health. For example, digital support apps and non-digital resources were perceived as useful way for communication which assist in improving maternal and child health, However participants reported several challenges for the use of these technologies such as poor network connectivity and data affordability and lack of smartphones, data, and capacity on existing cell phones to download the digital Apps.
Keywords: Digital health, Mother and child health, Mother
Title: Utilisation of Digital Health in Early Detection and Treatment of Pre-Eclampsia in Primary Health Care Facilities South Africa: Literature Review
Gestational hypertension and pre-eclampsia are the most prevalent in Sub-Saharan Africa leading to undesirable perinatal and maternal outcomes. In South Africa, a high rate of maternal death was noted due to pre-eclampsia. However, the use of digital maternal health in South Africa has become of significance for reinforcement of health care. Digital health initiatives such as mobile health technologies were developed to improve better access to communities in low and middle-income countries. The implementation and practices of digital health seem to be growing expandable to achieve the UHC goals in the provision of care to all globally and nationally. This review aims to review existing literature on the use of digital maternal health to minimise admission of pre-eclampsia and early identification of gravid women who are at risk of developing pre-eclampsia.
Title: Use of Digital Media to Teach Nutrition to Women in Low Socioeconomic Status Group
Poor nutrition knowledge is a prime factor affecting nutritional status amongst low socioeconomic groups. A principal aim of nutrition education must be to provide people in the low SES groups with adequate information to consume appropriate diets. We conducted a study with the purpose of educating women in the lower SES about nutrition using digital media. The aim was to highlight the need for nutrition education in society and to suggest use of digital media for it. Twenty-four, 20-60 year old, domestic helpers belonging to the lower socioeconomic strata women were randomly selected for the study. A pre-test was done to assess nutrition knowledge of subjects. Five different modules of lessons for basic nutrition were prepared. These modules were shown as power point presentations using a laptop or a tablet. After two weeks a post-test questionnaire was used to observe the impact of these nutrition education sessions. Pre-test showed that more than half of them did not know about essential nutrients. Most did not know about a balanced diet or its importance. In the post test, subjects responded about making better food choices. We conclude that nutrition education will positively impact eating behaviour amongst women and will benefit their families. Now a day’s using digital methods make an impact. Also almost all are using smart phones. Thus, this medium can be used for instruction and appropriate changes can be achieved.
Key words: nutrition, education, low SES, nutrition knowledge.
Title: The role of telehealth during COVID-19 outbreak: a systematic review based on current evidence
Background: The outbreak of coronavirus disease-19 (COVID-19) is a public health emergency of international concern. Telehealth is an effective option to fight the outbreak of COVID-19. The aim of this systematic review was to identify the role of telehealth services in preventing, diagnosing, treating, and controlling diseases during COVID19 outbreak.
Methods: This systematic review was conducted through searching five databases including PubMed, Scopus, Embase, Web of Science, and Science Direct. Inclusion criteria included studies clearly defining any use of telehealth services in all aspects of health care during COVID-19 outbreak, published from December 31, 2019, written in English language and published in peer reviewed journals. Two reviewers independently assessed search results, extracted data, and assessed the quality of the included studies. Quality assessment was based on the Critical Appraisal Skills Program (CASP) checklist. Narrative synthesis was undertaken to summarize and report the findings.
Results: Eight studies met the inclusion out of the 142 search results. Currently, healthcare providers and patients who are self-isolating, telehealth is certainly appropriate in minimizing the risk of COVID-19 transmission. This solution has the potential to prevent any sort of direct physical contact, provide continuous care to the community, and finally reduce morbidity and mortality in COVID-19 outbreak.
Conclusions: The use of telehealth improves the provision of health services. Therefore, telehealth should be an important tool in caring services while keeping patients and health providers safe during COVID-19 outbreak.
Keywords: Telehealth, Telemedicine, Coronavirus, COVID-19, Outbreaks
Title: Telehealth and covid 19
During the pandemic,during both the waves telemedicine played a vital part in both triaging and treating covid 19 patients. Due to the proper triaging load on the hospital was grossly reduced , people on the onset of the first symptom were duly triaged through telemedicine consultation and only patients who actually needed hospital care were hospitalised . Otherwise the other patients were treated with required medication and were observed at home. Home isolation course was also monitored by doing repeated teleconsultations and treating the patients according to the symptoms which were encountered. This greatly reduced the load on hospitals as well as reduced the anxiety of the patients to a huge extent. Patients at the onset of symptoms could immediately connect with their doctor and get their problems sorted out . Both at a government as well as private level telehealth and telemedicine were practiced and patients were treated and instructed. Health education to the patients was also provided through telehealth medium . Instructions regarding wearing a mask, maintaining social distancing and washing hands regularly were given and re emphasized time and again.
Dr Haleema Yezdani Mbbs, Diploma in diabetology, master class in digital health.Senior manager and consultant telemedicine at connect and heal India Graduated from Karnataka University Dharwad,Al Ameen medical College Bijapur Karnataka.