Objectives/Goal:
Transforming healthcare through transparency, accountability and shared
learning between health professionals and patients with chronic illnesses
globally.
Focus
areas:
Evidence informed health-professionals
Education
Health innovation and Wellness Centers
Tertiary health care through Medical
Hospitals
Reverse Medical Tourism
Remote and Home-Health Care
Motto/Slogan:
“Global learning toward local caring.’
Strategy:
We begin with a patient-centered training program for E-health entrepreneurs
(incubatees), also designated, ‘patient information communication managers,’
PICMs who shall be interested graduates in any discipline, chosen from their community
of residence (rural-urban) globally. These trained E-health entrepreneurs will
run the Innovation incubator’s E-health and wellness centers set up in their
residences in the community where they shall interview patients, and create an
online record using their patient’s history, clinical images and past
investigation records (after removing patient identifiers to nurture patient
privacy) and share it online with the Innovation incubator’s global-learning
team for them to suggest solutions to support the patients and their locally
practicing doctors with evidence based information to promote ‘remote-healthcare’
that in the near future will be augmented toward a tertiary-level, home-healthcare.
The entire learning transactions between the global and local learning team around
the individual patient’s treatment (including data from innovative ‘n of 1’
trials around the patient) is shared in the patient’s online-record (as a web
logged case report) taking care to remove all identifiers as per HIPAA
guidelines: http://cphs.berkeley.edu/hipaa/hipaa18.html
. Many
such online records and patients and care-providers are thus connected transparently
and accountably in a participatory blended learning
eco-system.
More here on the business model and call
for students for this course: http://userdrivenhealthcare.blogspot.in/2015/06/global-learning-toward-local-caring.html
Training workflow and steps to patient-centered,
discovery based learning and innovation outlined in a past lecture here: http://www.pitt.edu/~super1/lecture/lec54091/001.htm,
What is a generalist E-health
entrepreneur and why we need them as incubatees for our incubation center? Link
to a past lecture here: http://www.pitt.edu/~super1/lecture/lec54101/001.htm
Past
lecture on assessment of Generalist Learning Competency:
http://www.pitt.edu/~super1/lecture/lec54111/002.htm
Sample case record uploaded in spring
2014 by our PIMC here: http://www.udhc.co.in/INPUT/displayIssueGraphically.jsp?topic_id=1593
Same case record published (with a
suggested innovation) as a case-report by our global elective students here: http://casereports.bmj.com/content/2016/bcr-2015-211127.full?keytype=ref&ijkey=GrkuudGK4zzuAwk
Sample
case record (uploaded in summer, 2016) here: http://ebpc-udhc-debasishacharjee.blogspot.in/2016/06/24-year-old-man-suffering-from-renal.html
Sample case record (uploaded in Spring
2016) here: http://globaludhc07.blogspot.in/2016/02/a-18-years-old-girl-with-lower.html
Past lecture on Informal healthcare
providers here: http://www.pitt.edu/~super1/lecture/lec53961/001.htm
Value
Addition to the Innovation incubator’s group:
1) Better patient outcomes for chronic
complex patients seeking health care services from the Innovation incubator’s
Group. Global E-health centers managed by trained E-health entrepreneurs and
citizen scientists in global locations will support medical tourism where a few
complex issues that cannot be tackled online can be called to the Innovation
incubator’s tertiary care hospital for further interventions.
2) Transparent and Informed health care
for patients will mean better health outcomes for patients (E health centers
will become wellness centers) and better financial outcomes for Innovation
incubator’s Group.
3) This is a novel project and perhaps
the need of the hour. This will also provide an opportunity for a training
program in this area and developing a future work force for this form of health
care delivery.
Risks:
1) As this is novel and aims for transparency and better health care outcomes
for people it may upset other stakeholders with different motives.
2) Extreme care shall be required to
nurture patient privacy according to HIPAA guidelines: http://cphs.berkeley.edu/hipaa/hipaa18.html
and at the same time promote transparency.
3) We would have to have a strong and
committed network of health professionals to sustain the high standard of
‘care’ we are promising.
Requirements
to start the Project:
Financial investment required for this
from the Innovation incubator’s Group will be minimal.
Currently this has already been piloted in
a Tertiary Medical hospital and Medical college in Bhopal with an E-health
center in Mathabhanga, West Bengal.
WORKFLOW
for project at the Innovation incubator’s hospital and its local community:
Trainee selection,
trainee provided with laptop and data card
Trainee posted to
Medicine ward with current PICM and
Training received on
how to capture patient data and share it in http://www.udhc.co.in/
to enable further online network processing of patient data
Training completed and
execution of the same workflow in other Innovation incubator’s E health centers
that can be gradually scaled in the community, state, nation and globe.
Past Publications on this work:
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