Smart Health for Smart Communities

K Ganapathy, President, Apollo Telemedicine Networking Foundation

That healthcare is essential even for sustenance is well known. Formation of a smart village presupposes healthy individuals in the ‘smart community’. ‘Smart healthcare’ is eminently feasible, cost effective and must be integrated with other ‘smart facilities’. Behavioural modification among all stakeholders in the healthcare ecosystem is critical.

That healthcare is absolutely essential even for sustenance is well known. Water management, energy management, building automation, transportation –every single item in the formation of a smart city presupposes healthy individuals in the ‘smart community’. Attention to ‘smart healthcare’ in 2015 is therefore not a luxury but an absolute necessity. Contrary to public perception providing ‘smart healthcare’ is eminently feasible, cost effective and just needs a little tweaking of software and hardware used to provide other ‘smart facilities’. The major difference between deploying Smart Healthcare (SHC) and other smart functions is the requirement of a radical transformation in the mindset of the healthcare provider and the receiver. SHC presupposes:

     •  DIY (Do it yourself)
     •  POCD (Point of Care Diagnostics)
     •  Promoting wellness proactively
     •  Staying Smart the eWay.

While behavioural modification at all levels of the healthcare ecosystem is critical in deploying SHC, it is WiiiFM (What is in it For Me) that needs to be primarily addressed.

Some examples of SHC are provided below

1.  Promoting health literacy the eWay providing authenticated, validated customised health information to a pre-defined population through smart phones etc. If public WiFi is available this could be exploited
2.  Telemedicine enabled pre-hospital management in smart ambulances for emergencies, trauma etc
3.  Remote health monitoring at home that reduces hospital bed occupancy by converting a home into a hi care ward using technology
4.  Today’s glucometers can be supplemented with similar tests for liver function , kidney function, cardiac function etc. This can be done with just a few drops of blood without any requirement of a paramedic. This will eventually be replaced with non-invasive sensors which through the skin will use surrogate biomarkers to study blood biochemistry. Eventually urinalysis using surrogate biomarkers will even be able to examine brain pathology–just a few examples of ‘smart’ diagnostics
5.  Large hospital complexes can have in-house SHC for its residents
6.  Large offices can have in-house SHC for employees
7.  Family physicians, specialists, super specialists can conduct virtual OPs at offices, malls, or residences
8.  Most importantly 24/7 availability of EMR will considerably reduce duplication of investigations. Immediate access to entire past and present medical history to authorised personnel will produce incremental changes in quality of health care delivery
9.  Scientific, statistical evaluation of health care outcomes, incidence prevalence, follow up etc. will for the first time be feasible 
10.  ‘Health’ is an inherent and major component, which must always be taken into account while planning a smart city. Whether it be pollution, the metro or even water or transportation management, inputs of a clinician who is familiar with technology and its implications and most importantly the behavioural response to use / imposition of technology needs to be considered
11.  In the past, health has always been an afterthought, retrofitting being the order of the day – we have never ever been future ready – with the imminent construction of smart communities, this is once in a life time opportunity.


Author Bio

K Ganapathy

K Ganapathy (Neurosurgeon) is a Past President of the Telemedicine Society of India. Former Secretary and Past President of the Neurological Society of India. Formerly an adjunct professor at the IIT Madras and Anna University, Chennai. He is currently Emeritus Professor at the Dr MGR Tamilnadu Medical University. He was formerly honorary consultant and advisor in Neurosurgery at Armed Forced Medical Services.

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