Scientific Program

Conference Series Ltd invites all the participants across the globe to attend 5th International Conference on Digital Health Singapore City, Singapore.

Day 1 :

Keynote Forum

Trish Williams

Flinders University, Australia

Keynote: Assembling information systems to design better patient experiences.

Time : 09:00-09:40

Conference Series Digital Health 2023 International Conference Keynote Speaker Trish Williams photo
Biography:

Professor Trish Williams is a leader in research and innovation in digital health. Trish is Cisco Chair and Professor of Digital Health Systems at Flinders University, Director of Flinders Digital Health Research Centre, and Director of Cisco-Flinders Digital Health Design Lab and Digital Health IOT Laboratory. Internationally recognised in her field, Trish applies 40 years of experience in healthcare computing to research and practical outcomes in cybersecurity, health IoT, mobile health, medical devices, governance, patient safety, and health software safety. Trish is a passionate contributor and advocate for digital health informatics standards, Co-Chair HL7 International Security Workgroup and national expert on health informatics, security and medical device ISO standards. She has authored over 140 medical information security and safety publications. In 2021 she was awarded the prestigious Australian Academy of Technology and Engineering, fellowship and named one of the 2021 Brilliant Women in Digital Health

Abstract:

Statement of the Problem: You cannot have digital transformation in healthcare without experience transformation, and it is technology that sits are the core of this transformation. Healthcare provider organisations are dynamic environments and increasingly, organisational capabilities are supported and facilitated by their information systems and infrastructure, to deliver high quality, efficient and patient centred care. The challenge is how to assemble these technologies to support and innovate the experience of patients, through coordinating the interaction between people, process, and systems. As hospital care evolves, digital information systems move towards the centre of creating the patient and staff experience. It has been proven that a positive experience impacts health outcomes, so we need to change the approach to patient experience from post-episode surveys and refining specific processes, to designing what we want a good experience for our patients to look like. Methodology & Theoretical Orientation: Using a design science research methodology, the Sense of Coherence theory, a well-established model for assessing an individual’s resilience to stressors in their environment, was combined with established information infrastructure maturity to devise a unified approach to patient experience. Findings: A set of tools were developed that allows strategic deployment of information systems capabilities to be based on healthcare experience design. In partnership with information architects, these can be linked using well-established information capability frameworks, such as INFRAM. Conclusion & Significance: The collaboration between academia and industry has resulted in a practical framework to support optimal patient experience using the capabilities that hospital digital technology and information infrastructure already provides. Called the Information Infrastructure to Experience Framework, it provides a bridge where the imagination of clinical care designers and information technologists can envision new ways of delivering physical, virtual and hybrid models of care explicitly designed around the patient experience.

 

  • others

Session Introduction

Karl Lillrud

Keynote Speaker, Spain

Title: Digital Marketing
Speaker
Biography:

This abstract is created as a summary or rather as an embryo of the presentation that I will be presenting at your event. Created to show the presentations relevance to your event and its audience interests and purpose of their visit to help you realize the great value this will bring to your event and extended knowledge into this vast area of business with inspiration and easily applicable knowledge that sets winner appart after listening to the presentation in its entirety. The objective with this presentation is to make the audience identify the purpose by starting with the problem. We then move over to the methods to achieve great results and what tools that can be used to reach success in this competitive area The results are obviously speculatory as the conclusion is based on that presentation is picked up by the audience where they will apply the parts that fit their organization best.

 

Abstract:

“Awarded by Global Gurus TOP30 Motivational speakers of 2022, top 30 ecommerce influencers and the world's top 50 ecommerce expert. Karl Lillrud is a source of inspiration, energy, and the person to go to for advice, all in one place. If your company want to focus on growth, Karl Lillrud is the one who will inspire you and your organization to even greater success.” Karl is a professional keynote speaker with experience of working around the world and speaking on topics related to innovation, growth, leadership, online and digitization. “I talk about the Future, Innovation, and Leadership. Inspirational and fact based presentations whereas in my TEDx Talk, I spoke to share my experience as an entrepreneur but also as an adventurer. “I speak to inspire and educate on the subjects that I have been working with professionally since 1996 which are related to business growth and internet-based business. I love sharing my experience and the many tools, methods, and workarounds I developed to force forward in any complex situation. Something that is everyday business for me as an entrepreneur for +25 years and with an everyday growing interest in the future and how we shape it. I lead companies to reach to their next level of full potential with a unique understanding of their business, goals, and challenges.Transforming online strategies based on global data and market-leading insights as a management consultant, speaker, and mentor.

 

Biography:

Abstract:

Despite country support for strengthening health information, quality data remains a challenge—partly because those who collect data do not always have access to appropriate tools to use it. Health facilities often report their data to districts and do not have the capacity nor mechanisms to review and use their own data for decision-making. Enabling access and visualization of key health indicators at the health facility level will allow health providers to improve quality of service delivery. The U.S. President’s Malaria Initiative (PMI) Measure Malaria (PMM) project used the District Health Information Software 2 (DHIS2) malaria module to select key indicators of surveillance and service delivery at the health facility level to design mobile-friendly dashboard and scorecard applications. The dashboard displays trends of the selected indicators while the scorecard helps monitor health facility performance. The DHIS2-based mobile applications are supported on both Android and iOS devices and data are accessible online and offline. PMM is supporting the implementation of the mobile scorecard and dashboard applications in Cote d’Ivoire and Madagascar. In both countries, the National Malaria Control Program is working with the Health Information System department to configure and adapt the applications in DHIS2. The process included meetings with partners to agree on the selected indicators, their definitions, and the performance score targets. PMM piloted the mobile dashboard and scorecard applications in 42 health facilities in Madagascar and in 20 health facilities in Côte d’Ivoire. After two months of use in Côte d’Ivoire, 100% of health facility managers considered the apps helpful in terms of the timely sharing of information, 85% believed that the apps contributed to developing and carrying actions to address malaria service problems, and 67% confirmed the apps’ ability to help in identifying and monitoring service and commodity management performance and problems. In Madagascar, the two quarterly visits revealed an increase, from 48% to 72%, of malaria scorecard app users and from 37% to 51% of malaria dashboard mobile app users who found that graph and table presentations are very easy to interpret and help immediately to identify problems and strengths. The use of mobile applications allowed health facilities to better understand issues related to reporting to the district during coordination meetings and to solve problems and improve health services. The implementation scale-up will take place around June 2022. The development of these mobile applications into global tools will allow supervisors to improve the monitoring of data and health facility service provision.

 

Biography:

Dr. Yashaswini R has completed hes Ph.D from the All India Institute of Speech and Hearing affiliated to the University of Mysore. She has been serving as a Clinical Supervisor at the Tele-Center for Persons with Communication Disorders at the All India Institute of Speech and Hearing for six years. She has rich experience in tele-Speech-Language Pathology of 6 years. She has published research papers in national and international journals. She has also contributed book chapters on tele-practice.

 

Abstract:

Dysphagia is a common condition in most hospitals in India, and there is a dearth of trained SLPs in the field to attend to the assessment and therapy requirements of the clients (Krishnan & Goswami, 2018). One of the solutions to the disproportionate trained professionals and the demand for services is telepractice for subjective assessment of Dysphagia. Subjective tele-dysphagia assessment carried out   for   four participants is reported in the study. The participants were housed in a medical setting with physicians and speech-language pathologists as facilitators and quick access to medical professionals and setup for resuscitation in case of emergency. The investigator was located in Mysore, Karnataka state. The investigator assessed the swallow functions with the help of the facilitators at the remote end situated in Rajasthan and Madhya Pradesh state, which was at a distance of around 1,800 Km from the investigator's location. Both investigator and remote end were equipped with the infrastructure necessary for videoconferencing. Meticulous preparations and planning were pivotal to effectively carrying out the assessment process through telepractice. The present study focussed on challenges involved in assessment and adaptations to overcome those in terms of instructions to the caregiver to make prerequisite arrangements; instructions to the facilitators to carry out the cranial nerve examination, and observation of specific details during swallow of different consistency of food and fluids and online monitoring of these observations by the investigator. The tele-assessment was concluded with information on severity of Dysphagia and recommendations for treatment to participants, caregivers and facilitators.

 

Yashaswini R

University of Mysore, India

Title: Tele-Speech Language Pathology in India
Biography:

Dr. Yashaswini R has completed hes Ph.D from the All India Institute of Speech and Hearing affiliated to the University of Mysore. She has been serving as a Clinical Supervisor at the Tele-Center for Persons with Communication Disorders at the All India Institute of Speech and Hearing for six years. She has rich experience in tele-Speech-Language Pathology of 6 years. She has published research papers in national and international journals. She has also contributed book chapters on tele-practice.

 

Abstract:

Telepractice is the application of telecommunication technology to the delivery of speech-language pathology and audiology services at a distance by linking clinician to client or clinician to clinician for assessment, intervention, and/or consultation (ASHA website 2022). Speech-language pathology (SLP) is defined as the profession that engages in communication and swallowing across the life span. Tele-SLP in India is relatively a new field half a century old (Rao & Yashaswini, 2016). Although there are several challenges in the Tele-SLP vizs of lack of specific training for professional skills in Telepractice, lack of valid digital resources, lack of empirical studies on comparison between face-to-face, virtual or hybrid service delivery, lack of a solid mechanism to protect client’s privacy on e-platforms (Rao & Yashaswini, 2016), the field is growing. In the past 3 years, post Covid-19 pandemic, Tele-SLP has also seen a boost due to the implementation of the Covid-19 safety protocol. The total number of sessions delivered from the Tele-Center for Persons with Communication Disorders has seen an increase of 36%-50% in the past three years.

The usefulness of Tele-SLP in the management of Aphasia, Stuttering, and Speech Sound Disorders is already established. The SLPs taking a conservative approach were forced to use Tele-practice more extensively with meticulous planning and precautions in areas where telepractice was not explored. The present study attempts to project insights to telepractice in the management of Aphasia, Stuttering, Speech Sound Disorders. In addition, it also focuses on the challenges and ways to overcome those for subjective assessment of Dysphagia and implementation of Alternative Augmentative Communication with case studies.

 

  • Digital Health Start-up Forum
Speaker
Biography:

Mr. Abdulsalam Mohammed is the Co-Founder and Chief Executive Officer of Corporate Health Ghana limited, an innovative startup that focuses on effectively integrating home care and digital health care services in the current health system. With the advent of COVID-19, Mr Mohammed led his team to develop the Oxygen Digital Health Marketplace, connecting patients with health professionals, service providers, resources closest to them and to disseminate health tips in local languages. He also works as a Principal Nursing Officer with over a decade of professional working experience at Ghana’s premier referral hospital, Korle-Bu Teaching Hospital (KBTH) established in 1923. Over the last seven years, his outstanding transformational leadership skills and impacts were recognised making him the first Administrative Secretary of the Nursing Audit Unit of KBTH with the key responsibility of professional nursing monitoring, training, developing clinical auditing standard protocols and promoting quality of health care.

 

Abstract:

STATEMENT OF PROBLEM : Honey, J. (2017, April) established the correlation between length of stay and overcrowding; termed No-Bed Syndrome (NBS) in Ghanaian Health System. Data shows that, The NBS at the emergency unit of Korle-Bu Teaching Hospital(KBTH), built in 1923 with over2000 bed capacity, Ghana's premier Hospital, is positively correlated with prolonged hospital stay of patients at the medical ward, because over fifty percent (50%) of cases presented at the Emergency Department are medical related. With many reports of patients losing life due to The NBS. The issue became a subject of many media publications, commentary from the general public, including the Parliament of Ghana proposing criminalization of the act. The purpose of this paper is to develop a conceptual framework to underscore the major causes and contributing factors of the problem and assess how integration of home care and digital health care can mitigate these factors . METHODOLOGY :This study reviewed available literature and studies on the subject matter .Retrospective analysis of data on cases presented at the emergency unit of KBTH was done. In-depth interviews with a cross section of health professionals regarding reasons for prolonged length of stay and the no-bed syndrome was conducted. FINDINGS: Prolonged Hospital stay of patients in KBTH is affected by four main interlinked factors emanating from patients, health staff, the facility and external complimentary system. Delay in discharge planning and Lack of effective usage of computerized clinical decisions delays clinical judgements of doctors. No integration of home care prolonged the stay of most patients with chronic conditions, who otherwise could have been discharged earlier to free beds for acute cases. Many studies have also linked home care services with reduction and length of stay and risk for hospital readmission by about 25%. “It has become increasingly clear that UHC cannot be achieved without the support of e-Health.(WHO) RECOMMENDATIONS: National Stakeholders must develop policies to integrate and regulate home and digital health care in the mainstream health service to improve quality, solve critical problems and improve on access to health care.

 

  • Artificial Intelligence and Digital Health

Session Introduction

Hongmei Chi

Florida A&M University, USA

Title: Machine Learning in Implementing mHealth Apps
Speaker
Biography:

Dr. Hongmei Chi is Professor of the Department of Computer and Information Sciences at Florida A&M University. She served as director of FAMU center for cybersecurity. She has a broad base of research funding in scientific computation, cybersecurity, and data science.  She teaches undergraduate and graduate courses in and network security and cryptography, artificial intelligence and scientific computation. Her research interests span many areas related to Big Data, parallel computing, mobile health security and cyber security. Her work in those areas has been published in top journals and conferences. 

 

Abstract:

While IoT devices and smart phones are becoming common in everyone life,  mobile health reaches far beyond different health apps and educational tools. Emerging mHealth apps are changing the way patients track information related to diagnosed conditions and make decision about their treatment and choices of different drugs. A new study  is examined how mHealth technologies impact of  the patients’ health and economic decisions, especially,  how to identify patients’  mental health  among individuals with chronic medical conditions, such as heart disease, diabetes and  cancer.  Recently, AI techniques have experienced a resurgence following concurrent advances in computational power, large amounts of data, and theoretical development. ML architectures, a part of a broader family of AI, including deep neural networks (DNN), convolutional neural networks (CNN), and recurrent neural networks (RNN), have been applied to fields such as digital health. Many popular mHealth apps adopt Machine Learning  (ML) algorithms. This talk aims to explore applications of Machine Learning in designing and implementing mental health application to detect mental  health  symptoms  and  risk  factors and  to develope predictions  about  disease  progression through personalizing  and  optimizing therapies.  This talk will give an overview of ML adopted by real-world mHealth apps  and provide the sharing of the database, algorithms, and apps for the research fileds.

 

Speaker
Biography:

Debopam Raha is a research student pursuing Doctor of Business Administration at SP Jain School of Global Management, India. Currently he works as an Associate Partner in KPMG. Debopam has more than 20 years of Industry experience across US, India and Europe in large management consulting firms and have been involved in leading digital health strategy and implementation projects globally for various state, national governments and private sector. He was a critical member in establishing the Digital Health Hub Center of Excellence set up by KPMG. His expertise includes Large Scale Technology Transformation, Business Systems Integration, Enterprise Architecture, Business and Solution Architecting. His interest lies in Digital Healthcare, Artificial Intelligence, Machine Learning, Big Data, IOT as well as understanding Business Impact and change Management through Digital Transformation He has been a public speaker in numerous health and technology conferences.

 

Abstract:

Statement of the Problem: Artificial intelligence (AI), with its seemingly limitless potential, promises to revolutionize healthcare industry. However, the ground reality and its adoption are very different than the discourse. Thus, a research on the acceptance and adoption intention of AI by health professionals is imperative. This paper analyzes the factors that are critical drivers for the adoption of AI and its impact on healthcare service delivery, specifically on patient care.

Methodology & Theoretical Orientation: The ethnographic study employed social construct theory to systematically review literature between 2018 and 2022 through the lens of critical realism to investigate the factors that affect the use of Artificial Intelligence for patient care in hospitals.

Findings: The study investigates the relationship of data governance, workforce competency, patient voice, predictive medicine, security and privacy on AI adoption. AI adoption will be limited if the trust for tor the AI solutions, algorithms is not developed. The paper examines how trust mediates the effect of patient voices, privacy and security, predictive medicine and workforce training on AI adoption. Three sub-factors for each of the dependent variables are further identified and a conceptual framework has been developed to assess the impact on patient experience.

Conclusion and Significance: In terms of contributions, this work provides a novel framework integrating different factors while discussing several barriers and benefits of AI-based health. In addition, five insightful propositions emerged as a result of the main findings. Thus, this study’s originality is regarding the new framework and the propositions considering adoption of AI. By understanding what factors shape adoption concerns, organizations can better manage reactions and concerns regarding the use of new technologies and guidance can be provided to practioners better adopt. Further quantitative study can be done to establish the relationship between the factors and establish the validity of the model.

 

  • e-health

Session Introduction

Moses Braimah

CEO of Computics Limited,Nigeria

Title: Data Governance and the Lagos State Ministry of Health Journey
Speaker
Biography:

Moses Braimah is a versatile professional with wide range of expertise. He can be described as a digital health strategist and communication expert who is also the Lead Consultant for the LSMoH Data Governance Project and Adviser for the Data Protection Regulation Project. He is the CEO of Computics Limited, Project Director at PacificMessages;  and Director of Marketing, Communication & Strategy of the Nigerian Healthcare Excellence Award. Braimah is a Life Member of the Nigeria Computer Society; he is also a Member of Computer Professionals Registration Council of Nigeria, National Institute of Marketing of Nigeria and Society of Participatory Medicine, USA. He has attended several healthcare informatics conferences (locally & internationally). Moreover, he has been involved in various technology deployment, and business consulting. In the last three years, he has been involve and technology and communication experts for three different Climate Change related projects that covers Climate technology, Climate Finance, and Adaptation Benefit Mechanism (ABM). Braimah is an enthusiast of Artificial Intelligence in Healthcare. A certified Training Administrator of alison.com, he also facilitates NDPR data protection regulation masterclass trainings.

 

Abstract:

The Lagos State is touted to be the 5th largest in Africa when compared and put at the same pedestal with other countries in the continent. The population of Lagos State is over 20 million. The state health’s mandate is to protect, promote and restore the health of Lagosians and to facilitate the unfettered access to quality healthcare services without financial or other barriers. The state boasts of a health system that encompasses both public and private service providers, with 70% being provided by the private sector. In January 2020, they organized a conference where their plan to provide a technology platform known as the Lagos State Health Information Platform (LASHIP) was announced. LASHIP is expected to connect and enable all healthcare providers in both the public and private sectors exchange data and information in a defined format. The benefits to the management and delivery of healthcare services through this effort once it comes on stream cannot be over emphasized. Policy direction like this comes with its own challenges due to increase in digitalization.During the height of COVID-19 challenges, Lagos as the epicenter of the pandemic generated a lot of healthcare data. These on its own have created a lot of challenge in data and information management, also in terms of quality, security and protection of sensitive personal information because there is no existing structure or policy in place to manage the data centrally. Moreover, as healthcare data are increasingly digitized, privacy issues and various forms of data protection regulation compliance / governance of sensitive healthcare data/ information become inevitable.The Nigeria Data Protection Regulation (NDPR) and other renowned bodies such as the EU’s General Data Protection Regulation (GDPR), have imposed various forms of regulations that should be complied with on sensitivity of personal information. This is to ensure proper protection of the various data subjects. Breach of any part of the NDPR in Nigeria will result to various kinds of heavy penalties and reputational damage to the state government. As a forward looking governmental organization, the LSMOH decided to embark on full compliance by initiating a data governance programme.Consequently, LSMOH contracted Computics Limited to help drive the process. The journey has not being an easy one. As a public sector organization were most of the activities are being done manually, semi-manually and digitalization in few and isolated cased the task is herculean. The presentation is share experience through a case study that will enrich discuss at the Data Quality and Information Conference through a case study. The experience and interesting outcomes are worth sharing. The journey was not only revealing but shows how the public sector needs to be re-jigged in order to make any meaningful progress in the implementation of the project report. 

  • Telemedicine and Telehealth
Speaker
Biography:

Dr. Kristine Joy Y. Sumanga had her residency training in Family and Community Medicine in Vicente Sotto Memorial Medical Center, Cebu City, Philippines. During her residency, the COVID19 pandemic changed the course of health service delivery due to community quarantines and isolation. This was one of the challenges faced by family medicine residents who are in the frontlines in patient care. Together with her Medical Specialist Consultant, Dr. Clarissa Mae D. Derecho, the above research was conducted. Dr. Sumanga’s passion is focused towards public health and health service delivery to the community and using technology for this cause will be a great stepping stone for a better and healthier tomorrow.

Abstract:

Background: Telemedicine is the delivery of health care services at a distance using electronic means, the diagnosis of treatment, and prevention of disease and injuries, research and evaluation, education of health care providers. The role of telemedicine in this time of COVID19 pandemic is vital especially to the practice of medicine. General Objective: To determine the extent of knowledge, preparedness and perception on telemedicine among Family Medicine Resident Physicians in different training institutions in Cebu City during COVID 19 pandemic. Methods: A descriptive, cross-sectional, survey research study conducted in four hospital training institutions in Cebu City. A total of 41 respondents gave their consent and were given the online survey questionnaire pertaining to the extent of knowledge, preparedness and perceptions on telemedicine, including respondents’ demographic data and problems encountered in Telemedicine. Results: Out of the 41 respondents, 56.10% were young adults (26 to 30 years old), mostly females (70.73%), single (68.29%), first year residents (43.90%), employed at a government hospital (70.73%) and are in the traditional residency pathway (82.93%). On relevant experience, 82.93% experienced telemedicine during residency, with 100% on follow up consultations, and 95% were consulted due to infections. Respondents’ extent of knowledge were average while extent of preparedness and perception were high. Problems on low connectivity (80.48%) was noted by most of the respondents. Conclusion: Resident physicians moderately understood the information about telemedicine but with a high extent of preparedness and perception. They are always prepared for telemedicine modality because they are fully aware of its existence and need in the delivery of health care services among their patients at the time of pandemic. Challenges on low connectivity and handling patients’ data privacy were the major concerns met by the resident physicians in the use of telemedicine.

 

  • Digital Health Technologies
Biography:

Abstract:

Background: Digital health education and training (DHET) is imperative for preparing current and future clinicians to work competently in digitally enabled environments. Despite rapid integration of digital health in modern health services, systematic education and training opportunities for health workers is still lacking.
Objectives: This study aimed to investigate healthcare professionals’ perspectives and expectations regarding the knowledge, skills and competency needs in digital health for current and future healthcare workforce.
Methods: A qualitative study design with semi-structured individual interviews was employed. A purposive sample method was adopted to collect relevant information from the health workers. Inductive thematic analysis was used to analyse data. Interviews were audio-recorded and transcribed verbatim. Consolidated Criteria for Reporting Qualitative Research (COREQ) was followed when we reported this study.
Results: Two themes emerged while analysing the data: (1) what to teach in DHET and (2) how to teach DHET. Overall, healthcare professionals agreed that DHET is important for preparing current and future clinicians for working competently in digitally enabled environments. Knowledge relating to what is digital health, types of digital health, use of technology and human factors in digital health were considered as important to be taught in DHET. Skills relating to digital health consultations, clinical information system management and remote monitoring were considered important to be taught. Blended learning which combined e-learning and classroom-based teaching, simulation sessions and clinical rotations were suggested by healthcare professionals as optimal approaches to deliver the above-mentioned content.
Conclusions: This study is the first of its kind to investigate health professionals’ perspectives and expectations relating to the knowledge, skills and competency needs in digital health for current and future healthcare workforce. Healthcare workers are keen to acquire relevant knowledge, skills and competencies related to digital health. Different modes of education delivery is of interest to fit in with busy schedule of health workers.