Faces of Digital Health

Chris Johnson is a Children’s Anaesthetist with 30 years of experience in clinical practice. Chris was the medical lead for the healthcare IT transformation of the Perth Children’s Hospital in Australia, which was planned after the institution relocated into a new building, approximately 10 years ago.  In the end, the robotics system was bought, but the EHR project had been stopped, leaving the hospital medical records management right where it was — on paper.  Several reasons contributed to the outcome in the huge process of change management. After all, the IT support projects presented only 25% of the budget for transformation.  Some questions addressed: What do anaesthetists do in practice? What are the digital trends in anesthesiology? Will doctors be replaced by automation and precision dosing algorithms? How does a tender for digital transformation of a hospital look like? Who has to be included? How long does it take? How can hospitals be more pleasant for patients? What is the role of architecture and design in the hospital?

The first episode of Faces of digital health offers a reflection on digital health in 2018, followed by a discussion on digital health in Malta. Because the country is small, the adoption of new solutions could be faster compared to bigger countries. Stefan Buttigieg, Specialist Trainee in Public Health Medicine with a special interest in Clinical Informatics, Social Media and Digital Health, and the co-chair of Health 2.0 Malta believes in the bright future ahead, driven by AI, blockchain, and younger generations.  Some questions addressed:  What is the state of healthcare and healthcare IT in Malta? How big is the digital health community in Malta? What is the funding situation like for digital health in Malta? Is the national optimism and plans for digitilization driven by understanding or general hype of technologies such as artificial intelligence or blockchain?

In 2012, right after finishing his PhD in neurobiology, Martin Inderbitzin got a rare type of pancreatic cancer. He found his strength in another patient's story. Martin's doctor told him about another young man, who survived and was now skiing in the mountains. For the doctor that was an anecdote, for Martin a mantra that kept his spirits up, every time he received a piece of bad news. He started thinking how impactful stories of others with similar struggles to our own can be. To help other patients like him, he started a media project My Survival Story. In the 25th episode of Faces of digital health Martin shares his knowledge regarding how to be a good presenter, and what is the role of digital health in mental health.

What mistakes are entrepreneurs making? Why does the US seem like a better starting point compared to Europe in the early stages? How to look for support in the most initial stages of a company? In this episode: digital health investments and opportunities for startups. The speaker in this episode Jack van Lint. He is the Corporate Finance Director at NLC The Healthtech Venture Builder - a healthcare accelerator and incubator from the Netherlands supporting early-stage startups. ***   Additional episodes on financing: Ep. 18:What Forces Are Reshaping Early Stage Digital Health Funding? Recap: http://bit.ly/2Lblw1S iTunes: https://apple.co/2rHsumF Podbean: http://bit.ly/2C9dqEf   Ep. 12: Rethinking the Patient as Customer, Payment Models & Funding OptionsRecap: http://bit.ly/2zYLOjD Podbean: http://bit.ly/2QStm5O iTunes: https://apple.co/2UF4YUk   Ep. 10 and 11: Tackling the German Healthcare System Recap: http://bit.ly/2rx11E3 iTunes: Ep. 10: https://apple.co/2Py87l7 Ep. 11: https://apple.co/2RTK6H7 Podbean: Ep. 10: http://bit.ly/2C8maKU Ep.11: http://bit.ly/2rwsaqB

In November 2018, Associated Press shocked the global medical community with a news from China: A Chinese researcher claimed that he helped make the world’s first genetically edited babies. He edited the genes of twins with CRISPR/Cas9 technology, with the aim to make the babies resistant to possible future infection with HIV, the AIDS virus. The medical community was more or less unanimous in condemnation of the act because CRISPR technology is so new. This was not the only news that resonated in global news in December: the startup Nebula Genomics announced it is offering free genome sequencing, in which the ownership and control of the data would be in individual's hands. Furthermore, patients could make money with their data, as the company predicts that companies and research organizations would be willing to pay for the cost of sequencing if in exchange they also get some key medical information about the person involved.  The expert in this episode is Natalie Pankova. Natalie has a medical background but currently work as a COO of SHIVOM - a global genomics blockchain company, targeting developing countries first, to discover the genetic specifics of various ethnicities, which could improve drug development and help uncover, why certain ethnicities don’t respond to specific drugs.

In the broadest possible sense, patient centricity is a mental shift from WHAT is done for the patient in the healthcare system, to HOW things are done. The HOW may include the used technology but also includes the environment. Walter Werzowa - Austrian composer, producer, and owner of LA-based music production studio Musikvergnuegen, and prof. dr. Klaus Laczika - An Austrian specialist in Emergency Medicine, Anaesthetics and Pediatrics, have been researching the effect of music on patients in the ICU for the last decade. They share their insight into the meaning of the environment in the care setting.  The next indispensable piece of equipment will have to be earphones.  Denise Silber, on the other hand, has been working for more than 20 years in the area of patient centricity and how to raise the patient-includedness in the healthcare system. She and Raquel Correia, a Paris based GP and an advisor to digital health startups share their views on what needs to be changed to prevent doctor burn-outs and enable them the basic conditions to offer their patients time and empathy in treatment.

This episode is a recap of a few talks at 2018 Exponential Medicine. You will hear thoughts on interoperability, practical use of AI in enterprises, some bold ideas about the future medicine thanks to digital innovation by Vinod Khosla, and lucid thoughts regarding the affordability of novel digital health solutions and how we should reframe our thinking about management and leadership to improve global health. Speakers in episode 22: Shannon Sartin, Executive Director of the US Department of Digital Service at Health and Human Services, Lonnie Rae, the founder of a healthcare startup MEDAL, which is working on gathering patient data from various sources such as faxes, paper, and EHR system, Rajeev Ronanki, SVP & Chief Digital Officer, Anthem, Vinod Khosla, Founder of Khosla Ventures, Dr. David Bray, Executive Director for the People Centered Internet coalition. Other speakers from Exponential Medicine, featured in other episodes of this podcast: Shafi Ahmed - F018 Can Bolivia become the global digital health role model? https://www.podbean.com/media/share/pb-ei4fi-9a22c0 iTunes: https://itunes.apple.com/si/podcast/f018-can-bolivia-become-global-digital-health-role/id1194284040?i=1000420000966&mt=2  Shawna Butler - How are nurses shaping healthcare? https://www.podbean.com/media/share/pb-fzgvh-96c074 iTunes: https://itunes.apple.com/si/podcast/f017-how-are-nurses-shaping-healthcare-shawna-butler/id1194284040?i=1000417338206&mt=2 Walter Greenleaf - F011 Will VR decrease drug expenditure? https://www.podbean.com/media/share/pb-jexte-9151db iTunes: https://itunes.apple.com/si/podcast/f011-will-vr-decrease-drug-expenditure-walter-greenleaf/id1194284040?i=1000411634982&mt=2 Rasu Shrestha - F006* Rasu Shrestha at SXSW: “Healthcare shouldn’t be about survival but about thrival” https://www.podbean.com/media/share/pb-i7hfx-8d4b05 iTunes: https://itunes.apple.com/si/podcast/f006-rasu-shrestha-at-sxsw-healthcare-shouldnt-be-about/id1194284040?i=1000406445223&mt=2 Ashish Atreja - 020 USA Healthcare Leaders - How Far From Collaboration First, Competition Later Relationship…? (Rasu Shrestha - UPMC; Mitesh Rao - Stanford; Ashish Atreja - Mount Sinai) https://www.podbean.com/media/share/pb-z627w-7e395f iTunes: https://itunes.apple.com/si/podcast/020-usa-healthcare-leaders-how-far-from-collaboration/id1194284040?i=1000394079542&mt=2   Recap of all the episodes: https://medium.com/faces-of-digital-health

In 2017 media started reporting on promising blockchain projects inside the US Center for Disease Control (CDC). The hopes are that blockchain could help decrease the burden of reporting of epidemics, antibiotic prescriptions and the opioid crisis in the USA. In this episode, health IT specialist Jay Jemal talks about what potentials of blockchain were recognized by the Center for disease control in the USA. Jay Jemal is a solutions architect with the CDC, who is exploring how emerging technologies for data collection and analysis could benefit public agencies. In the past few years, he helped design collection systems for outbreaks such as Ebola, anthrax, E.coli. Recap of this episode: https://medium.com/faces-of-digital-health/f021-what-is-the-cdc-doing-with-blockchain-36c15dac3603 More on blockchain in healthcare:  F020 Blockchain, value of data, and the role of legislation with adoption (Ray Dogum, Health Unchained) - https://medium.com/faces-of-digital-health/f020-blockchain-value-of-data-and-the-role-of-legislation-with-adoption-ray-dogum-health-80919d909e97  iTunes: https://lnkd.in/g9sbdnp Podbean: https://tjasazajc.podbean.com/e/f020-blockchain-value-of-data-and-the-role-of-legislation-with-adoption-ray-dogum-healthcare-unchained/  More on blockchain in healthcare: If you’re a regular listener of this show, you’ve heard quite a few episodes on blockchain in healthcare by now - The basics of what blockchain technology is and how it could be used in healthcare, misconceptions around blockchain, and it’s actual potential around interoperability, I recorded a panel at SXSW where various speakers talked about blockchain in pharma, personal health records and identity management with blockchain. Here are the direct links to the episodes: Episode 14 of Medicine today on digital health - What is blockchain and how fast could it be applied in healthcare: iTunes: https://itunes.apple.com/us/podcast/014-blockchain-in-healthcare-how-how-fast-could-it/id1194284040?i=1000389721696&mt=2 Podbean: https://www.podbean.com/media/share/pb-na6nf-7e3965   Episode 23 of Medicine today on digital health - Misconceptions about blockchain: iTunes: https://itunes.apple.com/us/podcast/023-misconceptions-around-blockchain-what-it-will-not/id1194284040?i=1000397151361&mt=2 Podbean: https://www.podbean.com/media/share/pb-3s9bh-7efd59   F007 The hype and the hope around blockchain (SXSW panel discussion): iTunes: https://itunes.apple.com/us/podcast/f007-hype-hope-blockchain-in-healthcare-michael-dillhyon/id1194284040?i=1000407073820&mt=2 Podbean: https://www.podbean.com/media/share/pb-vimnn-8db4e0   F008 How do sex, blockchain and medical anthropology go together: iTunes: https://itunes.apple.com/us/podcast/f008-how-do-sex-blockchain-medical-anthropology-go/id1194284040?i=1000408108683&mt=2 Podbean: https://www.podbean.com/media/share/pb-ew3f9-8e8f7a

An update on the current landscape of healthcare blockchain projects, when can we expect practical implications, what the role of legislation will be, and how genomics research, AI and blockchain make a good combination. Intrigued? Listen to Ray Dogum - the host of Health Unchained - podcast focused on blockchain projects and implementation in healthcare. His background is in Health Sector Management and currently is a project manager at American Well, a telehealth company in Boston.   More on blockchain in healthcare: If you’re a regular listener of this show, you’ve heard quite a few episodes on blockchain in healthcare by now - The basics of what blockchain technology is and how it could be used in healthcare, misconceptions around blockchain, and it’s actual potential around interoperability, I recorded a panel at SXSW where various speakers talked about blockchain in pharma, personal health records and identity management with blockchain.   Here are the direct links to the episodes:   Episode 14 of Medicine today on digital health - What is blockchain and how fast could it be applied in healthcare: iTunes: https://itunes.apple.com/us/podcast/014-blockchain-in-healthcare-how-how-fast-could-it/id1194284040?i=1000389721696&mt=2 Podbean: https://www.podbean.com/media/share/pb-na6nf-7e3965   Episode 23 of Medicine today on digital health - Misconceptions about blockchain: iTunes: https://itunes.apple.com/us/podcast/023-misconceptions-around-blockchain-what-it-will-not/id1194284040?i=1000397151361&mt=2 Podbean: https://www.podbean.com/media/share/pb-3s9bh-7efd59   F007 The hype and the hope around blockchain (SXSW panel discussion): iTunes: https://itunes.apple.com/us/podcast/f007-hype-hope-blockchain-in-healthcare-michael-dillhyon/id1194284040?i=1000407073820&mt=2 Podbean: https://www.podbean.com/media/share/pb-vimnn-8db4e0   F008 How do sex, blockchain and medical anthropology go together: iTunes: https://itunes.apple.com/us/podcast/f008-how-do-sex-blockchain-medical-anthropology-go/id1194284040?i=1000408108683&mt=2 Podbean: https://www.podbean.com/media/share/pb-ew3f9-8e8f7a Unity Stoakes interviews: From the StartupHealth Festival, with Esther Dyson and Steven Krein:  https://medium.com/faces-of-digital-health/f-002-is-it-possible-to-to-improve-the-health-and-wellbeing-of-everyone-in-the-world-9f37553371d5 iTunes: https://itunes.apple.com/us/podcast/f002-is-it-possible-to-to-improve-health-wellbeing/id1194284040?i=1000400746280&mt=2 Podbean: https://www.podbean.com/media/share/pb-ghm4h-853c2e   Episode 003 of Medicine today on digital health - How did a digital health vision end up in the oval office iTunes: https://itunes.apple.com/us/podcast/003-how-did-digital-health-vision-end-up-in-oval-office/id1194284040?i=1000380325225&mt=2 Podbean: https://www.podbean.com/media/share/pb-xp5r5-7e3972

The key topic of today’s episode is pharmacy related robots, which will be presented by Lea Dias - a pharmacist by profession, who now works predominately as an advisor for international hospitals looking to implement robotic hardware and EHR software solutions to improve patient care. She comes from Australia, so we also touched upon the latest big digital health project in Australia - the digitization of medical records of all Australians.