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DIGITALIZATION
OBGY
DR.MANIK GURRAM
MD DICOG
Most discussed Announcement @ digitalization
digitalization
process of converting information
into a digital (i.e. computer-
readable) format, in which the
information is organized into bits.
(called bit s) (usually in multiple-bit
groups called byte s) ...
The result is called digital
representation or more
specifically a digital image, for
the object, and digital form, for
the signal.
Digitizing information makes it
drmanikgurram@gmail.com
India has one allopathic Government doctor for every
10,200 people,
one government hospital bed for 2050 people and one
state-run medical centre for 90,343 persons.
67% of Indian population lives in rural areas yet they
are served only by 33% of the local doctors.
India has 81% deficit of medical specialists in rural
areas 63% of the hospital beds in India are from the
private sector.
Needfor Digitization ofIndianHealthcare?
India’s geriatric population is on the rise having
crossed 100 million in 2014 itself and is expected
to reach 168 million by 2024.
Non-communicable diseases account for most of
the health ailments in India, needing extra
intervention.
India spends the lowest- only 4.7% of its GDP on
healthcare.
Needfor Digitization ofIndianHealthcare?
Digitalization, as we call it today, is sweeping across
every aspect of our daily lives in all possible ways.
Right from gathering the news we find in the
newspapers every morning to the billing process at
our neighborhood grocery shop, it is digital
technology that is making tasks faster and more
accurate
Effect Of
Digitalization
Seen Today
You can book a travel ticket, do shopping,
chat with your loved ones across the
globe and even share your views to the
external world more freely and easily.
This is the result of digitalization
DNA of digitalization
06
Communication
Communicating via the exchange of information
online keeps patients connected to physicians
and ensure thorough comprehensive care
01
Device monitoring
Patients wear devices to track vitals, activity
and many other variables of doctors’ concerns.
02
Maintenancecycle prediction
implementing a system that monitors
device performance, maintenance issues
can be predicted and avoided ahead of
time
03
DNA of digitalization
reality
Augmented reality and patient portal
mobility contribute to genuine
conversations with physicians
04
Patient responsibility
Instant access to information has afforded
patients more responsibility for their own
health. Instead of waiting to see a
physician about a symptom, diagnosis or
treatment plan
05
Mobility
Integrating systems that permit check ins,
communication, data transfer and report shares from a
mobile device keeps patients happy as they can enjoy
their mobile lives ,
physicians can check in on their smart phone,
communicate with a patient or go over a result within
06
DIGITAL HEALTH
12
wireless LAN in
regards to remote
health
management
means digital
diagnoses can be
made. patients do
not have to visits to
doctors or
hospitals,particular
ly important and
beneficial to those
Remote health
management
enabling surgeons
to further improve
their capabilities
while also helping
medical students
to be better
prepared for
operations in real
life
Augmented reality
technology can make
high resolution 3D
images out of X-rays,
MRI scans and CT
scans, 3D VR
technology can be
useful in complicated
medical procedures
where meticulous
planning is vital,
separating conjoined
twins.
Virtual reality
DIGITAL HEALTH
13
health sensors,
trackers and
wearables are proving
crucial to help people
use technology to
better take care of
themselves.
Wearables can help
with weight
management, stress
levels and overall
Sensors, trackers
and wearable's
portable device
used by doctors
that could scan a
patient and
determine vital
signs as well as
other parameters
and even deliver a
diagnosis
smart phones
already capable of
The medical
tricorder
Medical 3D printing
printable living
cells even being
worked on by the
biotechnology
industry and 3D
printed drugs is
something that is
also being looked
at as a possibility
things that
changed
Medical practice
computers camera internet
COMMON
NOW
A
DAY
16
17
DIGITAL
DIGITAL USE IN OBGYAT PRESENT
18
Fetal monitor fetal cardiac
monitor
Usg with 3d Infertility Wireless fetal
surviellence
Weuse this now withoutnoticing it’s atype of
digitalizationAndadvancesof technology
Books to online e books
PowerPoint Thesis
pdf
Xerox ?
Partogram outside labor room
Digital
Use
App to monitor patients in
labour
From
analogue
to digital
Single
chip to
three chip
HD to 4k
SOFTWARE
HD RECORDER
Recording Of
Laparoscopy
SIMPLE
DVR RECORDER
PAPER WORK IN
HOSPITAL
Labour
Postoperativ
e
One good security camera
can keep watch on patient
You can monitor from
anywhare
ALTERNATIVES
ULTRASOU
ND
DATA STORAGE &
RECOVERY
SOFTAWRE
SLOW
FEW TIPS
Digital Payment
Digital Payment
Software Forhospitals
Prepare
Sets
In word
Format
And
Excel
Sheet for
ipd
app for patient education and hospital
Digital Conference webinars live workshops
Conversion of data into a digital format with the adoption of technology to
asses the situation by nonhuman means
This provides convenience to customers and helps in saving time
A R T I F I C I A L
INTELLIGENCE
Virtual
Intuitive
DYnamic
Assessment tool
Using computerized decision support
systems..
• That incorporate research evidence and can be accessed by the busy
practitioner at touch of the button….
Register
Retain
Recall
3R
vs
This process captures clinical expertise in a
form which can be directly applied by one
agent (such as a computer) on behalf of
another (such as an expert clinician or an
authoritative organisation.
Triggers : The clinical situation
Problem solving : Identify possible
solutions
Argumentation : Assess strengths &
weaknesses of alternative
solutions
Accept / adopt : Accept suggestions
Scheduling : Enact the plan
Data Acquisition : interpretation of clinical
data. For future use
History facts
Age Years
Existing health conditions weight
Blood pressure
HB RBC vol MCV
Past pregnancy previous LSCS
multiple gestation
Gestational diabetes
Preeclampsia/Eclampsia
preterm labor
birth defects
Medical conditions hypertension
cardiac disease
thyroid
autoimmune
kidney disease
Infertility conception yes / no
IVF
Morbid placental
adhesions
yes
Screen
for
Virtual
Intuitive
DYnamic
Assessment tool
Virtual
Intuitive
DYnamic
Assessment tool
yesNeeds institutional delivery
Correct anemia
Arrange for blood
High risk consent
Surgical expertise / get help
SAVE PRINT CONSENT
CLOSE
YES
YES
Virtual
Intuitive
DYnamic
Assessment tool
CRL Date CRL in mm
12-Mar-19 40
11-13 Weeks CL CL in mm
4-Apr-19 50
20 Weeks CL CL in mm
30-May-19 42
Calculate
DCA tool : Dynamic Cervical Length Assessment tool
Possibility of delivery by 34
weeks ( in % )
60
0
10
20
30
40
50
60
70
80
90
100
Virtual
Intuitive
DYnamic
Assessment tool
Case 1: Primi , low risk,
CL at NT- 42 mm, CL at18th wk-31mm
CRL Date CRL in mm
12-Mar-19
11-13 Weeks CL CL in mm
4-Apr-19 42
20 Weeks CL CL in mm
30-May-19 31
Calculate
DCA tool : Dynamic Cervical Length Assessment tool
Possibility of delivery by 34
weeks ( in % )
84
75
80
85
90
95
100
History facts
Age Years
Existing health conditions weight
Blood pressure
HB RBC vol MCV
Past pregnancy previous LSCS
multiple gestation
Gestational diabetes
Preeclampsia/Eclampsia
preterm labor
birth defects
Medical conditions hypertension
cardiac disease
thyroid
autoimmune
kidney disease
Infertility conception yes / no
IVF
Screen for
Teenage /
elderly
Pre-eclampsia
Menzer index < 13
Screen for
Thalassemia
Morbid
placental
adhesions
GDM
Serial cervical
assessment
Medical
consultation
Special needs
History facts
Age Years
Existing health conditions weight
Blood pressure
HB RBC vol MCV
Past pregnancy previous LSCS
multiple gestation
Gestational diabetes
Preeclampsia/Eclampsia
preterm labor
birth defects
Medical conditions hypertension
cardiac disease
thyroid
autoimmune
kidney disease
Infertility conception yes / no
IVF
Screen for
Menzer index < 13
Screen for
Thalassemia
9 645.6
Virtual
Intuitive
DYnamic
Assessment tool
Screening
for
Thalassemi
a
• Obtain family history / consanguity
• Look at partner’s CBC
• Order HB electrophoresis for both
• If parents are carriers , they will need prenatal
diagnosis to rule out THAL MAJOR
• Refer to Fetal Medicine center for evaluation/ invasive
tests
drmanikgurram@gmail.c
om
9370602999
Digitalization in obgyn

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Digitalization in obgyn

  • 1.
  • 3. Most discussed Announcement @ digitalization
  • 4. digitalization process of converting information into a digital (i.e. computer- readable) format, in which the information is organized into bits. (called bit s) (usually in multiple-bit groups called byte s) ... The result is called digital representation or more specifically a digital image, for the object, and digital form, for the signal. Digitizing information makes it
  • 6. India has one allopathic Government doctor for every 10,200 people, one government hospital bed for 2050 people and one state-run medical centre for 90,343 persons. 67% of Indian population lives in rural areas yet they are served only by 33% of the local doctors. India has 81% deficit of medical specialists in rural areas 63% of the hospital beds in India are from the private sector. Needfor Digitization ofIndianHealthcare?
  • 7. India’s geriatric population is on the rise having crossed 100 million in 2014 itself and is expected to reach 168 million by 2024. Non-communicable diseases account for most of the health ailments in India, needing extra intervention. India spends the lowest- only 4.7% of its GDP on healthcare. Needfor Digitization ofIndianHealthcare?
  • 8. Digitalization, as we call it today, is sweeping across every aspect of our daily lives in all possible ways. Right from gathering the news we find in the newspapers every morning to the billing process at our neighborhood grocery shop, it is digital technology that is making tasks faster and more accurate
  • 9. Effect Of Digitalization Seen Today You can book a travel ticket, do shopping, chat with your loved ones across the globe and even share your views to the external world more freely and easily. This is the result of digitalization
  • 10. DNA of digitalization 06 Communication Communicating via the exchange of information online keeps patients connected to physicians and ensure thorough comprehensive care 01 Device monitoring Patients wear devices to track vitals, activity and many other variables of doctors’ concerns. 02 Maintenancecycle prediction implementing a system that monitors device performance, maintenance issues can be predicted and avoided ahead of time 03
  • 11. DNA of digitalization reality Augmented reality and patient portal mobility contribute to genuine conversations with physicians 04 Patient responsibility Instant access to information has afforded patients more responsibility for their own health. Instead of waiting to see a physician about a symptom, diagnosis or treatment plan 05 Mobility Integrating systems that permit check ins, communication, data transfer and report shares from a mobile device keeps patients happy as they can enjoy their mobile lives , physicians can check in on their smart phone, communicate with a patient or go over a result within 06
  • 12. DIGITAL HEALTH 12 wireless LAN in regards to remote health management means digital diagnoses can be made. patients do not have to visits to doctors or hospitals,particular ly important and beneficial to those Remote health management enabling surgeons to further improve their capabilities while also helping medical students to be better prepared for operations in real life Augmented reality technology can make high resolution 3D images out of X-rays, MRI scans and CT scans, 3D VR technology can be useful in complicated medical procedures where meticulous planning is vital, separating conjoined twins. Virtual reality
  • 13. DIGITAL HEALTH 13 health sensors, trackers and wearables are proving crucial to help people use technology to better take care of themselves. Wearables can help with weight management, stress levels and overall Sensors, trackers and wearable's portable device used by doctors that could scan a patient and determine vital signs as well as other parameters and even deliver a diagnosis smart phones already capable of The medical tricorder Medical 3D printing printable living cells even being worked on by the biotechnology industry and 3D printed drugs is something that is also being looked at as a possibility
  • 14.
  • 18. DIGITAL USE IN OBGYAT PRESENT 18 Fetal monitor fetal cardiac monitor Usg with 3d Infertility Wireless fetal surviellence Weuse this now withoutnoticing it’s atype of digitalizationAndadvancesof technology
  • 19. Books to online e books PowerPoint Thesis pdf Xerox ?
  • 20. Partogram outside labor room Digital Use App to monitor patients in labour
  • 24. Labour Postoperativ e One good security camera can keep watch on patient You can monitor from anywhare
  • 30. app for patient education and hospital
  • 31. Digital Conference webinars live workshops
  • 32.
  • 33. Conversion of data into a digital format with the adoption of technology to asses the situation by nonhuman means This provides convenience to customers and helps in saving time
  • 34. A R T I F I C I A L INTELLIGENCE
  • 35.
  • 36. Virtual Intuitive DYnamic Assessment tool Using computerized decision support systems.. • That incorporate research evidence and can be accessed by the busy practitioner at touch of the button…. Register Retain Recall 3R vs
  • 37. This process captures clinical expertise in a form which can be directly applied by one agent (such as a computer) on behalf of another (such as an expert clinician or an authoritative organisation. Triggers : The clinical situation Problem solving : Identify possible solutions Argumentation : Assess strengths & weaknesses of alternative solutions Accept / adopt : Accept suggestions Scheduling : Enact the plan Data Acquisition : interpretation of clinical data. For future use
  • 38. History facts Age Years Existing health conditions weight Blood pressure HB RBC vol MCV Past pregnancy previous LSCS multiple gestation Gestational diabetes Preeclampsia/Eclampsia preterm labor birth defects Medical conditions hypertension cardiac disease thyroid autoimmune kidney disease Infertility conception yes / no IVF Morbid placental adhesions yes Screen for
  • 40. Virtual Intuitive DYnamic Assessment tool yesNeeds institutional delivery Correct anemia Arrange for blood High risk consent Surgical expertise / get help SAVE PRINT CONSENT CLOSE YES YES
  • 41. Virtual Intuitive DYnamic Assessment tool CRL Date CRL in mm 12-Mar-19 40 11-13 Weeks CL CL in mm 4-Apr-19 50 20 Weeks CL CL in mm 30-May-19 42 Calculate DCA tool : Dynamic Cervical Length Assessment tool Possibility of delivery by 34 weeks ( in % ) 60 0 10 20 30 40 50 60 70 80 90 100
  • 42. Virtual Intuitive DYnamic Assessment tool Case 1: Primi , low risk, CL at NT- 42 mm, CL at18th wk-31mm CRL Date CRL in mm 12-Mar-19 11-13 Weeks CL CL in mm 4-Apr-19 42 20 Weeks CL CL in mm 30-May-19 31 Calculate DCA tool : Dynamic Cervical Length Assessment tool Possibility of delivery by 34 weeks ( in % ) 84 75 80 85 90 95 100
  • 43. History facts Age Years Existing health conditions weight Blood pressure HB RBC vol MCV Past pregnancy previous LSCS multiple gestation Gestational diabetes Preeclampsia/Eclampsia preterm labor birth defects Medical conditions hypertension cardiac disease thyroid autoimmune kidney disease Infertility conception yes / no IVF Screen for Teenage / elderly Pre-eclampsia Menzer index < 13 Screen for Thalassemia Morbid placental adhesions GDM Serial cervical assessment Medical consultation Special needs
  • 44. History facts Age Years Existing health conditions weight Blood pressure HB RBC vol MCV Past pregnancy previous LSCS multiple gestation Gestational diabetes Preeclampsia/Eclampsia preterm labor birth defects Medical conditions hypertension cardiac disease thyroid autoimmune kidney disease Infertility conception yes / no IVF Screen for Menzer index < 13 Screen for Thalassemia 9 645.6
  • 45. Virtual Intuitive DYnamic Assessment tool Screening for Thalassemi a • Obtain family history / consanguity • Look at partner’s CBC • Order HB electrophoresis for both • If parents are carriers , they will need prenatal diagnosis to rule out THAL MAJOR • Refer to Fetal Medicine center for evaluation/ invasive tests

Notas do Editor

  1. I declare here Having no intention of promoting any product company or person
  2. Good afternoon Its post lunch session Hyperglycemic status But I am sure You all will awake with the video in next slide Which I think Till date Most discussed Announcement @ digitalization
  3. Till date this is Most discussed Announcement @ digitalization We all seeing the effect of this in our day to day activities
  4. What is digitalization? process of converting information into a digital (i.e. computer-readable) format, in which the information is organized into bits. (called bit s) (usually in multiple-bit groups called byte s) ... The result is called digital representation or more specifically a digital image, for the object, and digital form, for the signal. Digitizing information makes it easier to preserve, access, and share.
  5. Digitization is the conversion of data into a digital format with the adoption of technology This provides convenience to customers and helps in saving time.
  6. Need for Digitization of Indian Healthcare? India has one allopathic Government doctor for every 10,200 people, one government hospital bed for 2050 people and one state-run medical centre for 90,343 persons. 67% of Indian population lives in rural areas yet they are served only by 33% of the local doctors. India has 81% deficit of medical specialists in rural areas 63% of the hospital beds in India are from the private sector. India’s geriatric population is on the rise having crossed 100 million in 2014 itself and is expected to reach 168 million by 2024. Non-communicable diseases account for most of the health ailments in India, needing extra intervention. India spends the lowest- only 4.7% of its GDP on healthcare.
  7. Need for Digitization of Indian Healthcare? India has one allopathic Government doctor for every 10,200 people, one government hospital bed for 2050 people and one state-run medical centre for 90,343 persons. 67% of Indian population lives in rural areas yet they are served only by 33% of the local doctors. India has 81% deficit of medical specialists in rural areas 63% of the hospital beds in India are from the private sector. India’s geriatric population is on the rise having crossed 100 million in 2014 itself and is expected to reach 168 million by 2024. Non-communicable diseases account for most of the health ailments in India, needing extra intervention. India spends the lowest- only 4.7% of its GDP on healthcare.
  8. Digitalization, as we call it today, is sweeping across every aspect of our daily lives in all possible ways. Right from gathering the news we find in the newspapers every morning to the billing process at our neighborhood grocery shop, it is digital technology that is making tasks faster and more accurate
  9. Effect Of Digitalization Seen Today You can book a travel ticket, do shopping, chat with your loved ones across the globe and even share your views to the external world more freely and easily. This is the result of digitalization
  10. DNA of digitalization Communication Device monitoring Maintance cycle prediction Reality Patient responsibility mobility
  11. DNA of digitalization Communication Device monitoring Maintance cycle prediction Reality Patient responsibility mobility
  12. These are various things or factors which are now imporatnt in digital health propagation Remote health management Augmented reality Virtual reality Sensors, trackers and wearable's The medical tricorder Medical 3D printing
  13. These are various things or factors which are now imporatnt in digital health propagation Remote health management Augmented reality Virtual reality Sensors, trackers and wearable's The medical tricorder Medical 3D printing
  14. We already digitalized obgy practice without noticing it
  15. Computers camera internet changed Medical practice
  16. This pic taken 2 days back Patient not educated from banjara family Came with proof of upt This is digitalization
  17. These are few examples Where digital use started And we accepted it And now it’s a day to day factor in our practice
  18. Fetal doppler poratble device Fetal cardiac monitoring nst 3d usg Infertility management by app Wireless fetal surviellence We use this now without noticing it’s a type of digitalization And advances of technology
  19. We saw the era of books all over the place in room But now all obgy books are in pocket Obgy resident can do ppt thesis read Anywhere This is effect of digitalization on obgy education
  20. Partogram in labour room give you proper guidance about action to be taken Can this possible remotely without seeing patient Yes Here is an app Where you can register pt. Findings enterd by sister or housmen Will be on the app You can see this digital partogram Offcousre this is good for high load labour rooms
  21. As technology is changing Newer advances are emerging Evolution of Endoscopic surgery is tremandous
  22. Keeping records of laproscopic surgery cahnded with digital technology Writing notes digram on ipd paer Then came video cassetes Now various softwares grabber cards available Off course very costly Here I give a tip You can use good hd dvr with 1 tb hard disc in less than 10k rs
  23. We all know imporatnce of notes on the paper You can digitalize all your notes immediately at the time of writing on paper You need this digital pen Which transmits via blue tooth in your mobile or computer in jpg format But the best way of preserving and digitalizing notes Is Use a good scanner Make a pdf file by name of patient Stor eir on hard disc and google drive
  24. You might be having all gazettes in labor room Postoperative area But a simple ip camera can keep watch on patient You can monitor patient from your mobile from anywhere
  25. In screening of cervical malignancy colposopy plays imp.role But there are some products they can do it without colposcope with equal sensitivity
  26. Ultrasound most important tool in obgy How many of you know about ghost image of machine ?
  27. Now people are asking Do you have swipe machine ? In small hospital You can keep Qr code of your hospial account in many app But the best and secure is Unified payments interface
  28. Now people are asking Do you have swipe machine ? In small hospital You can keep Qr code of your hospial account in many app But the best and secure is Unified payments interface
  29. There are many softwares available in form of HMS Again comes cost factor and entry of data But once you accostmed with it , your billing ipd data discharge willb be on one click from your bedroom With lan ports and printer at reception area I suggest only two programe Word and excel If you keep discharge format in word format Withou sotware you can give dischrge card Bill to patient In EXCEL ipd data can be saved in single file
  30. Now a days apps are available for patient education
  31. Digital conferences are allready there In form of webinars
  32. Now something about artificial intelligence and its use in obgy
  33. Digitization is the conversion of data into a digital format with the adoption of technology to asses the situation by nonhuman means This provides convenience to customers and helps in saving time
  34. In cervical cancer screening AI is used to remove normal pap smears by compters In israel use of mobile camera light and ai on app is used to detect cx cancer
  35. Here is another use in ivf area For predicting the chance of a viable preganacy
  36. Human brain can register event Can retain in memmory for some time and recall But this is different for each person But not with computers It canregister retain recall after many years with same presicion
  37. This process captures clinical expertise in a form which can be directly applied by one agent (such as a computer) on behalf of another (such as an expert clinician or an authoritative organisation.
  38. This is a prototype. The tiles can be added depending upon what the clinicians need. This will evolve as people start contributing to it.
  39. This is a prototype. The tiles can be added depending upon what the clinicians need. This will evolve as people start contributing to it.