Asian Hospital & Healthcare Management


Foreword

Online PHRs

Bridging the information divide

Online PHRs can overcome the geographical limitations of existing EMR systems, while encouraging patients towards selfcare.

Akhil Tandulwadikar

Akhil Tandulwadikar
Editor
Asian Hospital & Healthcare
Management


Cover Story

Patient Records Online

Shared access for quality care

Online Personal Health Records signal a paradigm shift in the management of a patient data. By allowing easy access to patient information, online health records can enhance patient care and create a healthy doctor-patient relationship.

Prasanthi Potluri, Editor, Asian Hospital & Healthcare Management

Prasanthi Potluri
Editor
Asian Hospital & Healthcare
Management


Akhil Tandulwadikar

Akhil Tandulwadikar
Editor
Asian Hospital & Healthcare
Management



Interviews

Patient Health Records Online

The patients are much more engaged and satisfied when they feel that they have a kind of open relationship with their healthcare providers, hospitals or clinics; that there is free flow information and nothing is being with held.

Bill Crounse, Global Healthcare Industry Manager, Healthcare and Life Sciences, Microsoft Corporation, USA

Bill Crounse
Global Healthcare
Industry Manager
Healthcare and Life Sciences
Microsoft Corporation
USA


Patient Health Records Online

Greater transparency and sharing of information can also improve communication, trust and shared-decision making between patients and doctors.

Claudia Pagliari, Senior Lecturer in Primary Care General Practice section, Division of Community, Health Sciences, The University of Edinburgh, UK

Claudia Pagliari
Senior Lecturer
in Primary Care
General Practice section
Division of Community
Health Sciences
The University of Edinburgh
UK


Patient Health Records Online

It’s better if the patient is informed about health, so he can manage his life and affairs in a better fashion.

Aniruddha Malpani, Medical Director, HELP - Health Education Library for People Excelsior Business Center, India

Aniruddha Malpani
Medical Director
HELP - Health Education
Library for People
Excelsior Business Center
India



Patient Health Records Online

The most popular features of the integrated PHR are access to lab test results and communication with physicians. Call it a Case Study.

John D Halamka, Associate Professor, Emergency Medicine and  Chief Information Officer, Harvard Medical School, USA

John D Halamka
Associate Professor
Emergency Medicine and
Chief Information Officer
Harvard Medical School
USA


Online Health Information

Accuracy, quality and privacy

Several e-Health initiatives are underway to empower the patient with the right information. The Internet, with its vast amounts of information, is a key player in turning the patient into an ‘informed patient’.

Celia Boyer, Executive Director, Health on the Net Foundation (HON), Switzerland

Celia Boyer
Executive Director


Mayoni Ranasinghe, Research Assistant, Health on the Net Foundation (HON), Switzerland

Mayoni Ranasinghe
Research Assistant

Health on the Net
Foundation (HON),
Switzerland

Healthcare Management

Health Tourism

The growth phenomenon

More affordable international travel and major advances in medical science, medical or health tourism is becoming less of a novelty and more of a global trend.

Luigi Bertinato, Director

Luigi Bertinato
Director


Marina Canapero, Health Communications Consultant

Marina Canapero
Health Communications
Consultant

International Health
and Social Affairs Office
Department of Health
and Social Services, Italy


Knowledge Transfer and Human Resource Development in Medicine

CME and beyond

HR development could play a key role in providing quality healthcare. Care providers need to dedicate more resources to devise their HR policies and strategies.

Alexander v Smekal, CEO, Meditrainment GmbH, Germany

Alexander v Smekal
CEO
Meditrainment GmbH
Germany


Interruptions at the Workplace

A risk worth managing

While it is known that they can lead to errors, interruptions can also be imperative in high-risk domains such as healthcare, where patient safety and medical error reduction is now paramount. Human error theory can explain the concept of error and how errors occur at different levels in an organisation.

Gerry Armitage, Senior Research Fellow, Patient Safety Bradford Institute for Health Research Bradford Teaching Hospitals Trust, UK

Gerry Armitage
Senior Research Fellow
Patient Safety
Bradford Institute
for Health Research
Bradford Teaching
Hospitals Trust, UK

Medical Sciences

Chronic Pain Management

Integrated with primary care

With the number of individuals in need of assistance for chronic pain increasing each year, only a small fraction of patients with chronic pain are treated directly by the Pain Clinic.

Marilee Donovan, Regional Coordinator, Pain Management / Clinical Nurse Specialist

Marilee Donovan
Regional Coordinator
Pain Management / Clinical
Nurse Specialist


Thomas W Feeley,  Helen Shafer Fly Distinguished Professor Anesthesiology and Head, Division of Anesthesiology & Critical Care The University of Texas M.D. Anderson Cancer Center, USA

Lindsay Kindler
Clinical Nurse Specialist

Kaiser Permanente, USA


Slow Medicine

Emerging concept in elderly care

Slow Medicine advocates less-aggressive and compassionate approach towards the elderly patients. Despite many ethical and professional apprehensions, a start has been made.

Sridevi Prekke, Member, Editorial Team, Asian Hospital & Healthcare Management

Sridevi Prekke
Member, Editorial Team
Asian Hospital & Healthcare
Management


Interview

Slow Medicine

A compassionate approach to elderly care

The patient’s perspective is always, always central to the practice of Slow Medicine.

Dennis McCullough, Geriatrician and Faculty Member, Dartmouth Medical School, USA

Dennis McCullough
Geriatrician and
Faculty Member
Dartmouth Medical School
USA


Cardiac Death Predisposition

New tools for early detection

Those who die a sudden death, probably are never aware of the potential risk they carry. Recently, new tools for diagnosing those prone to SCD have been introduced. This marks a key milestone in the detection of sudden cardiac death signs among healthy individuals.

Ivana I Vranic, Specialist in Internal Diseases Cardiologist and Assistant Professor, Medical School University of Belgrade Private Clinic HERTZ, Serbia

Ivana I Vranic
Specialist in Internal
Diseases
Cardiologist and
Assistant Professor
Medical School University
of Belgrade Private
Clinic HERTZ, Serbia

Surgical Speciality

Bariatric Surgery

Experience with medical tourism

Medical tourism for obesity surgery is still in its infancy and needs to be taken care of.

Arun Prasad, Senior Consultant and Academic Coordinator, Minimal Access & Bariatric Surgery Apollo Hospitals, India

Arun Prasad
Senior Consultant and
Academic Coordinator
Minimal Access &
Bariatric Surgery
Apollo Hospitals, India


Diagnostics

Radiology Beyond Anatomy

New value chain for personalised medicine

Radiological imaging is capable of providing 'functional' information for biomedical characterisation of disease beyond volumetric visualisation of structure with high spatial resolution. Improved technologies enable further transparency beyond imaging interlinked with important economical aspects, such as Six Sigma for improved and efficient patient care.

Frederik Lars Giesel, Physician,  Department of Radiology National German Cancer Research Centre, Heidelberg, Germany

Frederik Lars Giesel
Physician
Department of Radiology
National German
Cancer Research Centre
Heidelberg, Germany


Technology, Equipment & Devices

Medical Device Market

Mega trends in Asia

Faced with an increasingly ageing society and rising healthcare costs, countries in Asia Pacific are expecting cost-effective medical devices to be developed by local companies.

Jennifer Lau, Industry Analyst, Frost & Sullivan, Singapore

Jennifer Lau
Industry Analyst
Frost & Sullivan
Singapore


Medical Products Manufacturing in India

Getting ready for growth

Soon India will be able to demonstrate its capabilities as an alternate manufacturing destination to China for many medical products.

G S K Velu, Managing Director, Trivitron Group of Companies and Metropolis Health Services India Ltd. India

G S K Velu
Managing Director
Trivitron Group of
Companies and Metropolis
Health Services India Ltd.
India


Medical Devices Meet Consumer Electronics

Revolution in healthcare delivery

Advanced semiconductor technology is transforming healthcare. At the vanguard is an entirely new way of monitoring the human body-wirelessly, intelligently and at low cost. Microchip-sized wireless body monitoring systems are offering quality of life for users and providing critical data for healthcare professionals.

Alison Burdett, Director Technology Toumaz Technology, UK

Alison Burdett
Director Technology
Toumaz Technology, UK

Facilities & Operations

Sustainable Hospital Design

Beyond the numbers

The new trend to design and build hospitals using sustainable technology, renewable resources and systems designed to reduce energy consumption and carbon emissions is making it possible to achieve higher building performance in terms of reduced energy consumption, improved indoor air quality and a supportive healing environment.

Russell A Sedmak, Vice President, Heery International, USA

Russell A Sedmak
Vice President
Heery International, USA


The Hospital of the Future Isn’t...

Role of architects

The concepts for what the hospital of the future ‘is likely to be’ and ‘isn’t’ include distributed services, the ‘hospital at home’ project, ‘wearable hospital’ telemedicine innovations, ‘lean design’ principles and ‘cellular care.’ These concepts dictate the design professional’s responsibilities within an era of healthcare reform.

Gary M Burk, Principal

Gary M Burk
Principal


Terrie L Kurrasch, Senior Associate, 			RATCLIFF, USA

Terrie L Kurrasch
Senior Associate
RATCLIFF, USA

Casestudy

Baylor Emergency Department

Providing the state-of-the-art services

The Baylor University Medical Center's Emergency Department in Dallas, Texas has been operating at near capacity for almost 10 years. The high number of patients combined with the dearth of resources lead to an inevitable and unwelcome decline in service.

Todd C Howard, President, t. howard + associates, USA

Todd C Howard
President
t. howard + associates
USA


Quality and Safety

Creating a supportive culture

A process-oriented approach, which sees care as both social and technical, naturally supports a positive quality improvement strategy and aligns the major subcultures.

Philip Hoyle, Director, Clinical Governance Northern Sydney Central Coast Area Health Service, Australia

Philip Hoyle
Director
Clinical Governance
Northern Sydney Central
Coast Area Health Service
Australia



Benchmarking and Measuring Patient Safety

The Medway model

The Medway Nursing and Midwifery Accountability System (NMAS) is a model that calls nurses and midwives to account for their performance in relation to nursing care and patient safety.

Jacqueline McKenna, Director, Nursing and strategic Planning Medway NHS Planning, UK

Jacqueline McKenna
Director
Nursing and strategic
Planning
Medway NHS Planning
UK


Information Technology

Challenges in Managing Chronic Diseases

EMRs enable better care

The majority of healthcare expenditure worldwide is spent towards treating chronic diseases like diabetes. Electronic Medical Records could prove effective in the management of chronic diseases, facilitating the delivery of quality healthcare to the patients.

Gregory Larkin, Chief Medical Officer, Indiana Health Information Exchange, Indiana

Gregory Larkin
Chief Medical Officer
Indiana Health Information
Exchange, Indiana


Semantic Web and Translational Medicine

Creating the next generation healthcare enterprise

Translational Medicine, which aims to improve communication between the basic and clinical sciences, coupled with informatics and semantic technologies will help in creating the next generation healthcare enterprise.

Thomas M Eberle, Senior Clinical Architect Digital Health Group Intel Corporation, USA

Vipul Kashyap
Clinical Informatics R&D
Partners Healthcare System
USA


Telemedicine and Remote Monitoring

Improving COPD patient care

The medical world is in urgent need of providing new ways of dealing with the challenges of the profession. IT and sharing of competences among the staff must be part of the solution.

Michael Hansen-Nord, Chief Physician
Odense University Hospital, Hospital of Svendborg Denmark

Michael Hansen-Nord
Chief Physician
Odense University Hospital
Hospital of Svendborg
Denmark


Insights into Healthcare IT

Transforming healthcare in Asia

Healthcare delivery can be improved by focussing on clinical leadership and governance, e-health, EHR, EMR, EPR, PHR, IT strategy and innovation.

H Stephen Lieber, President and CEO
HIMSS, USA

H Stephen Lieber
President and CEO
HIMSS, USA

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