Sunday, July 26, 2020

AHD ACADEMY: DIGITAL HEALTH 101



Digital Health 101 is a basic set of webinar recordings from AHD Academy. Suitable for Doctors/Nurses/Clinicians, Public Health and Healthcare Managers, Government Administrators and Technologists interested in Digital Health. The Courses are spread across Basic, Specialist and Expert Levels. It is a video based learning model and It is free. 

Disclaimer: AHD Academy is a Library of Live Webinar Recordings from AHD on various Digital Health topics. It is opensource material meant for learning from experts at your own pace. This is Not an Academic Course material. Please do not confuse these webinar recordings with regular recognized courses run by universities/colleges. You may contact your College, University, Organization for properly moderated Lectures, Trainings, Courses on Digital Health.

Basic Course for Digital Health Enthusiasts: Suitable for Clinicians, Healthcare Managers, Govt Administrators and Technologists interested in Digital Health. Will take approximately 40 Hours to read up the material and listen-in to these 101 webinars.

LESSON 1: HEALTHCARE IT IS DIFFERENT

Note: This is a preparatory Lesson that will open your mind and help you understand the higher lessons. Reading material for this Lesson is based on white paper written by Dr Pankaj Gupta on the same topic.

LESSON 2: GOVERNANCE AND FINANCIAL LEVER

Note: This is a preparatory Lesson that will open your mind and help you understand the higher lessons. Reading material for this Lesson is based on white paper written by Dr Pankaj Gupta on the same topic.

LESSON 3: FUZZY BOUNDARIES FOR GOVERNANCE

Note: This is a preparatory Lesson that will open your mind and help you understand the higher lessons. Reading material for this Lesson is based on white paper written by Dr Pankaj Gupta on the same topic.

LESSON 4: LINES ARE BEGINNING TO BLURR!

Note: This is a preparatory Lesson that will open your mind and help you understand the higher lessons. Reading material for this Lesson is based on white paper written by Dr Pankaj Gupta on the same topic.

LESSON 5: HEALTH DELIVERY INFORMATION SYSTEM [HDIS] MVP


LESSON 6: CLOSED LOOP MEDICATION ADMINISTRATION


LESSON 7: HEALTH INSURANCE INFORMATION PLATFORM [HIIP] MVP


LESSON 8: HEALTH INFORMATION EXCHANGE [HIE]


LESSON 9: META DATA AND DATA STANDARDS AND NDHB

Additional Reading material: 
http://www.openbodhik.in/2020/04/india-leads-way-in-digital-health.html
http://www.openbodhik.in/2020/04/access-health-india-perspectives.html
http://www.openbodhik.in/2020/06/mdds-for-health-standards-published-in.html
http://www.openbodhik.in/2020/04/health-systems-for-new-india-eobjects.html
http://www.openbodhik.in/2020/05/blog-post.html

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Specialist Course: Suitable for Healthcare Managers wanting to Specialize in Digital Health. Will take approximately 50 Hours to listen-in to these 101 webinars. Pre-requisite is Basic Course for Digital Health Enthusiasts. Technologists can jump to the Expert level Course.

LESSON 1: HL7 AND FHIR


LESSON 3: MICROSERVICES

LESSON 4: CLOUD COMPUTING


LESSON 7: JAVA PART 1

LESSON 8: JAVA PART 2

LESSON 9: JAVA PART 3

LESSON 10: DESIGN PATTERNS


LESSON 12: OOPS CONCEPTS

Additional Reading material:
http://www.openbodhik.in/2020/07/beneficiary-registry-recommendations.html
http://www.openbodhik.in/2020/06/doctors-registry-of-india-concept-note.html
http://www.openbodhik.in/2020/06/national-health-facility-registry.html

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Expert level Course: Suitable for Technologists aspiring for Expertise in Digital Health. Will take approximately 60 Hours to listen-in to these 101 webinars. Pre-requisite is Basic Course for Digital Health Enthusiasts. Specialist Course is not required for Technologists. 

LESSON 1: HL7 AND FHIR

LESSON 2: eObjects IMPLEMENTATION

LESSON 3: MICROSERVICES

LESSON 4: CLOUD COMPUTING

LESSON 5: Bootcamp 2 PART 1
Discussions on NDHB, Federated Architecture, HDD, Registries,

LESSON 6: Bootcamp 2 PART 2
Discussions on SNOMED,

LESSON 7: Bootcamp 2 PART 3
Discussions on eObjects, FHIR,

LESSON 8: Bootcamp 2 PART 4
Discussions on Microservices,

LESSON 9: Bootcamp 3 PART 1
Discussions on eObjects Implementation,

LESSON 10: Bootcamp 3 PART 2
Discussions on SEA Members eObjects Experience,

LESSON 11: Bootcamp 3 PART 3
Discussions on Microservices Implementation,

LESSON 12: Bootcamp 3 PART 4
Discussions on HIEAF,

Additional Reading material:
http://www.openbodhik.in/2020/07/beneficiary-registry-recommendations.html
http://www.openbodhik.in/2020/06/doctors-registry-of-india-concept-note.html
http://www.openbodhik.in/2020/06/national-health-facility-registry.html
http://www.openbodhik.in/2020/04/provider-eobjects-published.html
http://www.openbodhik.in/2020/08/eclaims-payer-eobjects.html
http://www.openbodhik.in/2020/06/hdis-mvp-microservices-published.html

DIGITAL HEALTH ECOSYSTEM - ACCESS HEALTH DIGITAL VISION


Congratulations! This completes the AHD Academy's Digital Health 101 Webinars. Best of Luck for implementing the concepts on the field.

Your feedback is welcome, Write to digital.health@accessh.org

Note: All Content is released under MPL 2.0 License. It is free to use with proper attributions.



Monday, July 20, 2020

Social Entrepreneurship Accelerator

Social Entrepreneurship Accelerator [SEA]

ACCESS Health Digital [AHD] is a a not for profit think tank working on NDHB Digital Health Standards for India. We run a Social Entrepreneurship Accelerator [SEA] for helping Indian HealthTech startups and vendors to implement Open Digital Health Standards that are applicable globally. #AtmaNirbharBharat #VocalForLocal










SEA Objectives








SEA Cohort 1


SEA Cohort 2

In late October 2020, India's National Health Authority' Market ACCESS Program [MAP] put 12 startups under mentorship of ACCESS Health Digital's Social Entrepreneurship Accelerator [SEA] -- the second of three cohorts to join the SEA family, now home to almost 40 startups that range in sector and specialty from primary care delivery and telemedicine to electronic health records and disease management. Like the previous cohort, SEA aims to provide its newest members with mentorship, market access, and a stamp of confidence, among other basic building blocks that will situate them in the digital health landscape. Together, they're working toward a single transformative purpose: building a vibrant national digital health ecosystem.



SEA Cohort 3

Parallelly Cohort 3 has also started to take shape, mostly on reference from Cohort 1 and requests from Partner organizations.



SEA Silver Club

Silver Club has implemented the Standards and achieved our Stamp of Confidence.




SEA is an Exponential Organization (ExO) whose impact will be disproportionally large as compared to its peers because it leverages exponential technologies.


SEA implements the eObjects Interoperability framework. eObjects were first written by Prof Dennis Streveler and Dr Pankaj Gupta in a white paper in Nov 2018 that was published by Niti Aayog in the book Health Systems for New India, Chapter 5 - Reimagining India's Digital Health Landscape Wiring the Indian Health Sector in Nov 2019.



Additional Reading material:

Will update soon...keep checking this space..

-- ACCESS Health Digital --

Contact for Clarifications:
Access Health Digital
digital.health@accessh.org 


Thursday, July 9, 2020

Beneficiary Registry Recommendations for India

Since the start of the Millennium, India has been trying to overcome the problem of interoperability and fragmented healthcare delivery ecosystem across states, health policies and vertical health programs to deliver seamless or uninterrupted continuum of care. With the launch of the Pradhan Mantri Jan Arogya Yojna (PMJAY), that covers & provides free healthcare to approximately 40 % of the Indian population, it has become critical to identify each patient uniquely. The criticality for unique identification of individuals got highlighted when India was hit by the COVID 19 pandemic – when patient tracking and relevant health information on comorbidities was not available for effectively and efficiently executing surveillance. States and government could only collect aggregated data in non-standard and an unstructured format via door to door screening, which was extremely inefficient and poorly suited for response planning and to effectively combat a pandemic of this size and scale.

UHID is a critical building block from a Universal Health Coverage perspective and is also the missing link in enabling a true longitudinal health record for the patient. This is critical in providing all individuals, equal access to quality healthcare at all times. The first step towards enabling UHC for a country is to identify uniquely all individuals who seek healthcare as patients. 

Many developed countries as well as some developing countries have already implemented the concept of UHID. These can provide valuable inputs to India, in finalizing our UHID implementation policy. It was found that different countries have followed varied methodologies and approaches for UHID implementation at the National Level. In the more advanced countries with robust civil or social protection laws, UHID is generated and assigned at the time of birth and is utilized for every healthcare transaction throughout a person’s life.

India is a democratic country where health is a state subject with flexible regulations, which gives States and citizens freedom of choice to adhere to the health policies they want to adopt. In such an environment, to enable access to quality healthcare for all, it is critical to define a well thought out UHID strategy that can seamlessly encompass various use cases and scenarios specific to India. 

The recommended UHID approach is - Create a National Unique Health Identifier for every person in the country and link it with Aadhaar or with any Government verifiable ID for authentication and validation of the persons information.

The categories and recommended approaches are provided here for ready reference. 

https://drive.google.com/file/d/1FeqmVkGMLTSeWexjGx1XluA4j8lATdne/view?usp=sharing

Various use cases were identified and studied to arrive at the recommendation. The population can be divided into 5 major categories with an associated approach to assign a UHID to the identified population group. The minimum data elements recommended for the Beneficiary Registry are also provided. 

We are also publishing the recommended minimum data elements for the Health Delivery Information Systems minimum viable product for Personal Health Records [PHR].

https://drive.google.com/file/d/1HU7cf6D4MmNx9YzNO1DpX2TInRgue1N5/view?usp=sharing

NDHB has also recommended a Health Locker to Maintain the Personal Health Records of the Individuals in the Health System. The Health Locker is a standards‐based interoperability specification that can be implemented by multiple players to enable the creation of a Personal Health Record. A personal health record, or PHR, is an electronic application through which patients can maintain and manage their health information (and that of others for whom they are authorized) in a private, secure, and confidential environment. The healthlocker either stores patient’s record in digital format pushed by various providers or can store eObject pointers to the patient record or summary stored in a source system against the Unique Health ID of the patient.

The health lockers enable creation of a longitudinal health record from the various eObject links/pointers available and enables retrieval and storage of the EHR for continued clinical decision making. All the related eObject pointers and ID documents can be loaded to the Healthlocker for the PHR, giving the individuals the right to their information and control the information which they may like to share with other stakeholders.

-- ACCESS Health Digital --

Contact for Clarifications:
Access Health Digital
digital.health@accessh.org