Seminar presentation by Natnael Dechasa Gemeda on Telemedicine, mHealth, and Electronic Health Records Wearable devices and other latest technologies

1. COLLEGE OF MEDICINE AND HEALTH
SCIENCES.
Title
Current status of digital health technology
& its applications.
BY - NATNAEL D.(MSc)
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2. Welcome!
And Thanks for joining me!
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3. 02
03
01
Presentation outline ...
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Introduction
Objective
Categories of DH
WHO Global Strategy on DH
Barriers to apply DH
09
06
05 Drawbacks of DH
04
A way forward
Benefits DH
07
08 Recommendations.
/our context/

4. Digital health /Intro../
 Digital health refers to the use of information and
communications technologies in medicine and other health
professions to manage illnesses and health risks and to
promote wellness(WHO 2010).
 It is an emerging field of study which has attracted lots of
attention in the past decade in many countries around the
world.
 Often used as synonyms telehealth, health informatics.
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5.  Digital health uses latest technologies to develop a faster,
more efficient and cost-reducing healthcare practice such as
electronic health records and electronic prescriptions etc.
 It is also increasingly used to improve healthcare service
access, transparency and personalization.
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Digital health /Intro../

6. Objectives of this seminar.
 Provides an up-to-date overview of the current state of
knowledge about how digital technologies are
embedded within practices of health and illness.
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7. Digital health includes
 Telemedicine
 mobile health (mHealth) apps.
 wearable devices.
 Electronic health records .
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8. Telemedicine
WHO defined as exchanging health information or providing
health care services through electronic communication and
information technologies when actors are in different locations.
(WHO 2010).
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Telemedicine

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Tele surgery
Operating room, there is a high-resolution
3D - view-camera and a robotic system is
required.

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•
• ,

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15. World health organization considered
Telemedicine as the future of healthcare.
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why?

16. Many factors max out the rise of telemedicine.
 Introduction of modern communications equipment & telecommunication.
 Proliferation of mHealth.
 The future of telemedicine looks exciting and full of possibilities.
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In 2019, Globally value of telemedicine markets
was $50 billion.
why…
(Plungis Statista, J., 20019).

17. Potential disadvantage of telemedicine..
 The security & privacy of personal health data.
 Patients specially children's trouble concentrating or working
with their therapists remotely.
 Technical problems.
 For things like imaging tests and blood work, as well as for
diagnoses that require a more hands-on approach still have to
go into the office.
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Medical professionals who mostly using telemedicine include:
 Mental health practitioners
 Dermatologists
 Reproductive endocrinologists etc.
How to find a provider/trends in developed countries …/
 A quick internet search can uncover telemedicine companies where you
can book an appointment.
 Some countries(USA) also use the Healthline Find Care tool to locate and
identify practitioners in your area.
 If you have health insurance, your provider campanies may have a list of
approved telemedicine practitioners on its website.

19. s
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Healthline Find Care tool

20. mHealth Apps
 General term for the use of mobile phones in medical care
use online app that empowers patients to manage their own
condition.
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21. Wearable devices.
• Wearable devices in healthcare are designed in the watch,
jacket ,t-shirt & jewelry, to collect the data of users' personal
health and exercise, and can even send a patient's health
information to a healthcare professional in real-time.S
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22. What are the
top 5 Latest wearable technologies
in 2023 /today/?????
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23. S
 There is an optical heart rate sensor that calculates metrics
like calorie burn, activity level, heart rate, blood oxygen
saturation etc .
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Apple Watch SE.
499$

24. Amazon Halo View
 The Halo View can measure your activity, blood oxygen saturation
(SpO2), heart rate, skin temperature, while its companion app offers
tons of features to help you improve your results.
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25. Garmin fēnix 7s
 The Garmin Fenix 7s measure sleep time moreover use the
Global Positioning System (GPS) and measure distance, speed,
heart rate, altitude & even pace etc.
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26. Polar H10.
 The Polar H10 is heart rate sensor provides advanced
heart rate monitoring.
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27. Electronic health records .
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28. Electronic health records (EHRs).
An Electronic Health Record (EHR) is an electronic
version of a patients medical history, any data
relevant to that persons care under a particular
provider, including..
• Demographics
• Patient history
• Progress notes.
• Medications prescriptions , lab ordering..etc..
 Allow access to evidence-based care
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30. EHR Software's
EHR / EMR software is a computer system that helps healthcare
providers manage patient medical records and automate clinical
workflows.
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31. Softwares
 Allscripts: Best for Large Organizations.
 eClinicalWorks: Best for Telehealth.
 Valant: Best for Mental Health Practices.
 TherapyNotes: Behavioral Health Practices.
 athenahealth: Best for Reporting.
 Cerner: Best for Multiple Site Organizations.
 RXNT: Best for Multiple Specialty Practice.
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32. What are barriers to apply digital
technology in our health setup.
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33. Barriers to…
 Ethiopia’s government has planned to digitize the healthcare
industry.
 However, most implementations fail due to various
technological and personnel barriers.
 The reviewed articles looked into…
Technological barriers to ICT adoption such as
 Lack ICT skill & knowledge
 lack of computer access & inadequate internet connectivity.
 Lack technical support, & EMR manual.
 Programmer barrier
(Kassa G.et al,2019 ,Abiy A. et al ,2019 Fassil S.et.al,2017 ,Getachew H.et
a.2020).
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34. Organizational barriers to….
 Resistance to change
 Lack of refreshment training
 Poor staff initiation,
 Poor infrastructure,(equipment, internet, electricity)
 Lack of management support.
(Fikreyohannes .G.et al 2015, Kassa G.et al,2019 ,Abiy A. et al ,2019 Fassil S.et.al,2017
,Getachew H.et a.2020)
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Barriers to…

35. Global Strategy on digital Health
2020 -2025
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36. Global strategic objectives
 WHO set four strategic objectives to provide
guidance and coordination on global digital health
transformation.
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37. 1.Promote global collaboration and advance the transfer of
knowledge on digital health.
 Aims to align countries and stakeholders to collectively act upon the use
of digital technologies both to improve health and to enable universal
health coverage.
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WHO global strategic objectives
2.Advance the implementation of national digital health strategies.
 Aims to stimulate and support every country to own, adapt and
strengthen its strategy on digital health in a way that best suits its vision,
national context, health situation and trends, available resources and
core values.

38. 3. Strengthen governance for digital health at global, regional and
national levels .
 Aims to strengthen the capabilities and skills needed for countries to
promote, innovate and scale up digital health technologies and building
the capacity for digital health at global and national levels.
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 Aims to advances digital health literacy, gender equality and women’s
empowerment and inclusive approaches to adoption and
management of digital health technologies
Global strategic objectives…

39. GUIDING PRINCIPLES
WHO set four guiding principles
 Aims to orient the global strategy towards the appropriate
and sustainable adoption of digital health technologies
within the context of national health sector and health
strategies.
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40. GUIDING PRINCIPLES
1. Acknowledge that institutionalization of digital health in the national health
system requires a decision and commitment by countries.
 The global strategy acknowledges that each country owns its digital health
action plan built on the strategy, within its own national context, national
health policy & available resources.
2. Recognize that successful digital health initiatives require an integrated
strategy.
 Digital health initiatives must be part of the wider health needs and guided
by a robust strategy that integrates leadership, financial, organizational,
human and technological resources and enables coordination among
multiple stakeholders.
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41. GUIDING PRINCIPLES…
3. Promote the appropriate use of digital technologies for health
 Appropriate use of digital technologies as digital public goods which are
adaptable to different countries and contexts to help address key health
system challenges .
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 There is a pressing need to invest in efforts to overcome the major
impediments that developing countries face in engaging with and
accessing new digital health technologies.

42. FRAMEWORK FOR ACTION
 Aims to facilitate the implementation of the global strategy by providing a
structure and tools for collaboration.
1. Commit
 Encourage countries and stakeholders to commit themselves for digital
health.
2. Catalyze
 Generate and sustain a conducive environment to create, scale up and
maintain digital health.
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43. 3. Measure
 Create and adopt processes and metrics for monitoring and evaluating
the effectiveness of the global strategy on digital health
4. Enhance and iterate
 Undertake a new cycle of actions based on what has been experienced,
measured and learned.
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FRAMEWORK FOR ACTION…

44. Recommendation/for our context/#
Government
 Developing national standards, policies, and regulations.
 Sustained senior leadership and committed financing.
 Help harmonize systems for data interoperability.
Higher institutions
 Identifying real barriers that prevent the implementation of specific
digital health services like Telemedicine, M-health, and
comparable ones in the Ethiopian healthcare system.
 Providing of resources & training, foreign alliances for infusion of
finance and expertise.
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45. Reference
1. Yajiong Xue, Huigang Liang, Victor Mbarika, Richard Hauser, Paul Schwager, Mequanint
Kassa Getahun, Investigating the resistance to telemedicine in Ethiopia, International
Journal of Medical Informatics 84 (2015) 537-547
2. Fassil Shiferaw and Maria Zolfo, The role of information communication technology (ICT)
towards universal health coverage: the first steps of a telemedicine project in Ethiopia,
Glabal Health Action Volume 5, 2012
3. Fikreyohannes Lemma, Solomon Atnafu, Samuel Kinde Kassegne, Survey of Current Efforts and Potentials in
Application of Telemedicine in Ethiopia
4. Getachew Hailemariam Mengesha, Monica J. Garfield, Asfaw Atnafu Kebede, Philip F. Musa; Stakeholders
Analysis of Ethiopian Telemedicine Projects, the case of Black Lion
Hospital, Addis Ababa, Ethiopia.
5. Pan-African e-Network, heralding new era in providing Tele-Education & Tele-Medicine
services to African countries
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