DIGITAL HEALTH WORLD AT UPMC CHILDREN"S HOSPITAL OF PITTSBURGH

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by Kanwal Nischal3 views·Updated Apr 13, 2020
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  1. digital health.
  2. Well, the UPM to Children's Hospital of Pittsburgh has been
  3. around for some time.
  4. What's happened with Cove?
  5. It is that it's blown everything out of proportion and
  6. forced us into accelerating that development that started back in
  7. 2008 and you can see over 5000 in patients, virtual
  8. visits and 4000 outpatient ones.
  9. Telly medicine is one part of the digital health program.
  10. Digital health also includes Tell you, educate telly till the
  11. education telling surveillance digital APS on digital research, the evaluation
  12. in the terms of the method of delivery and the
  13. patient court.
  14. Specificity is important, and you'll see here that Theo, the
  15. fact that you have a synchronous telly medicine was it
  16. means that it may be arranged by clinic, as we
  17. knew would arrange a face to face appointment on.
  18. We're going to rely on Eastern ER visits for that,
  19. or it may be 24 7 on demand by the
  20. patient. Such is the anywhere care platform that we now
  21. have the patient specificity, maybe outpatient impatient on the outpatient,
  22. maybe referred in various ways, which we're going to discuss
  23. and identify.
  24. So, as far as a synchronous visits are concerned this
  25. storm forward, you'll see that they're basically two main specialties.
  26. We need to identify which other specialties conduce you asynchronous
  27. such as Terry radiology.
  28. Tell the ophthalmology and grow these, but we need to
  29. identify first which one's weaken I developed Now the patient
  30. pre Kobe had to be seen in a, uh, chemical
  31. site. And we did this at the tele meant Care
  32. centers on the specialty care centers has shown here.
  33. But during the code word crisis, and I believe Post
  34. Cove it, we're going to be able to continue to
  35. do encounters with the patient at home on Bill.
  36. For these pre covered, the average yearly life outpatient encounters
  37. were reasonable, but they really now have dramatically improved in
  38. number. But with that improvement in number means that our
  39. systems on our operations in terms off making sure that
  40. the quality of what that patient gets have to be
  41. improved as well.
  42. So that's another area that we have to develop very
  43. carefully with protocols and pathways for both providers on for
  44. administrators. Sure that we know how to deliver that care
  45. now. Our outpatient governments have been referred traditionally by other
  46. providers or self referrals.
  47. But what we need to do is we need to
  48. now concentrate on our local schools are local universities.
  49. And also we need thio.
  50. Encourage the Center for Rare Disease therapy to start to
  51. see how they couldn't provide telly medicine evaluations prior to
  52. the patient getting here.
  53. So when they do get here, they have as full
  54. evaluation as brief a time as possible.
  55. Our average live in patient encounters really again.
  56. For with two specialties, you can see newborn medicine and
  57. cardiac I.
  58. C. U.
  59. And again, we really need to identify which other specialties
  60. and divisions can improve and consider using telemedicine as an
  61. in patient encounter to the education eyes.
  62. Extremely important, it's important for parents, for patients and for
  63. health professionals.
  64. As far as parents are concerned.
  65. You know, the education starts with the geographical navigation of
  66. CHP in all its satellites.
  67. The per visit navigation, you know where to go then
  68. the the education about the disease and the intervention.
  69. Uh, that's, uh, available on duh.
  70. We mustn't forget that we have to develop a partnership
  71. with a search engine or a entity such as Web
  72. MD. Where key words that are searched would be answered
  73. by specialists.
  74. Children's now we don't want to make this onerous.
  75. So the suggestion is that we develop a repositories of
  76. all the talks power point or other than given on.
  77. We asked the presenters to when they do this, create
  78. three or four key words for those talks so that
  79. we over a period of a year, would develop at
  80. least 1000 presentations, each with keywords in the different specialties
  81. that would help us that integrate with a search engine
  82. or a specialist service like WebMD, Patient education really needs
  83. to come into the 21st century.
  84. You know, we need to be able to use social
  85. media such as a YouTube to educate our patients.
  86. We also need to use instagram Twitter, tick talk to
  87. educate and spread the word about our virtual digital space.
  88. And I think it's important that we utilize for marketing
  89. influences in on Twitter on Instagram.
  90. That would help get that word out, and that's an
  91. important component of marketing that we need to look at.
  92. It's important that professionals, you know, already have webinars.
  93. We have presentations, but we also need to look at
  94. that area that we haven't developed, which is programs for
  95. clinical trials in a showing other centers want protocols to
  96. use for clinical trials.
  97. This is especially show in the gene therapy programs, where
  98. we do a lot of gene therapies in your metabolic
  99. diseases on dhe red neurological diseases.
  100. And it's important that we capture industry partnerships for that
  101. purpose so that we get another source of income to
  102. the hospital and develop our presence in that space.
  103. Teddy surveillance is important.
  104. We already do.
  105. See, I see youse we do.
  106. I see youse and we do em.
  107. I see years, but we need to develop the surveillance
  108. at home, either using digital APS or using peripherals that
  109. could be used at home and consent us information again,
  110. an area that needs to be developed.
  111. Digital maps are really important, and we need to encourage
  112. our clinicians on our researchers to develop digital lapse in
  113. house winning to register with the pre thesis oft where
  114. pre certification program with the FDA on dhe we need
  115. to identify for our patients, perhaps that we think would
  116. be reliable and robust to help us deliver remote care.
  117. I think the final thing that needs to be developed
  118. is a proper research program for the digital platform we
  119. need to utilize.
  120. For example, validated question is so that we can record
  121. and measure patient related experience measures on patient related outcome
  122. measures. There will be other things that we can develop
  123. research on to do with the APP development app development
  124. on remote surveillance.
  125. But this is a basic thing that would be helpful
  126. right now.