Philips, connecting India for a healthy future

Bangalore, July 28, 2017: Philips Innovation Campus, successfully organized their third Digital Healthcare Conclave on July 28, 2017. The conference shed light on why connected healthcare is the need of the hour for our country and how it can solve the existing healthcare problems.

Indian healthcare system has always grappled with 2 As - Accessibility and Affordability challenges. In 2015, there were 25354 Primary Health Center (PHC)s in India and 8.1% of these PHCs were without a doctor. To add to this, 38% of deaths are due to communicable diseases, maternal, per-natal and nutritional disorders, and 42% of deaths are due to non-communicable diseases. This burden will only increase as less than 15% of population is covered by insurance. With all these challenges, one can hear the wheels of Indian healthcare cranking hard and heaving to pull. How do we address this?

While there has been a lot of innovations in healthcare where technology has shown the potential to find solutions, it is important that there is a common roadmap, strategy that would help the ecosystem work in tandem towards relevant solutions.

The challenge

Indian healthcare system is burdened with numerous challenges. While it is seen that innovative solutions using digital technologies have been able to address these challenges effectively, there is a long way to go. Connected healthcare solutions is a key to this. But for this to work, it requires an ecosystem where health data is available to care givers. But India lacks a common health data repository. The PHCs DHCs and CHCs are not connected.

Connected care and AI supported by UIDAI (Aadhaar) could help in addressing these challenges  

The National Healthcare Policy 2017, talks about how connected healthcare is the solution to the existing healthcare problems in India. The policy suggests the setting up of a National Digital Health Authority (NDHA) to regulate, develop and deploy digital health across the continuum of care using digital technologies. It highlights the role of Aadhaar to make connected healthcare a reality by establishing a seamless and efficient National Health Information Network.

Philips has been at the forefront of using digital technology in healthcare. Its various connected care solutions have increased accessibility to care in remotest corners of the world, empowered patients to manage their health while also giving health providers tools to improve patient outcomes. With a r mission to touch more than 3 billion lives by 2025, Philips is working towards creating meaningful innovations that will make healthcare accessible to all. Some of these innovations include:

DataScience Platform (DSP)

Healthcareis transitioning from episodic, fragmented care to networked, continuous carewhich enables population health management, integrating data from disparatepoint solutions across hospitals, physician practices, insurance and consumerhomes. It provides actionable and context sensitive information to clinicians,patients and care givers. To provide analytics for such a wide range, there isa need for a data science platform that has comprehensive capabilities to doanalytics on many aspects including analysis on longitudinal data. PhilipsData Science Platform is a platform for healthcare analyticsmeant for data scientists and product development teams to develop analyticalmodels and applications providing a standardized data science platform thatensures seamless development and deployment across healthcarecontinuum. This Platform empowers healthcare organizations to spend moretime understanding their data, freeing them from the responsibility and expenseof building, maintaining and deploying data science capabilities in-house. Withthese advanced analytics and artificial intelligence methods, organizations canrapidly  .. create predictive models, optimize operational workflow, andaccelerate development of analytics offerings

DSP comesprepackaged with most of the open source tools, frameworks, libraries etc.that data scientists use. DSP comes with a richset of pertained clinical models for Medical imagesand clinical reports - that can either be consumed directly within ahospital workflow or by data scientists to build their own custom specificmodels/apps.

MobileObstetrics Monitoring (MoM).

High fetaland maternal mortality rates continue to remain one of the major concerns inthe healthcare space. The Philips Mobile Obstetrics Monitoring (MOM) softwaresolution helps community caregivers and doctors work together to identify andmanage high-risk pregnancies, bringing care to where it’s urgently needed:primary health centers and patient homes. MOM features a way for communitycaregivers to capture vital information so that a clinical decision support(CDS) pregnancy risk level can be calculated. This helps standardize pregnancyrisk stratification so that high-risk cases are not missed. Mobile applicationsconnect doctor, caregiver, and patient for diagnostic assistance and progressassessment.

A pilotstudy using MOM is being done in Shorapur Taluk in Yadagir District, Karnatakasince December 2016. Philips has partnered with Narayana Health and NationalRural Health Mission, Karnataka for this study. Over 1000 women have alreadybeen covered under this study.

ChestPain Clinics (CPC)

Whilecardiovascular diseases have quadrupled in the last 40 years, 50% of theaffected patients arrive too late for appropriate treatment. If the patientreceives treatment within one hour of the ‘the golden hour’, possibilities ofsaving his/her life increase manifold.

PhilipsInnovation Campus has developed a solution ‘Chest Pain Clinics’ to answer theproblem. A Chest Pain Clinic is essentially a clinic or a small healthcarefacility that is devoted to the care of outpatients, primarily CAD patients.These CPCs serve as the first point of contact for the patient and are usuallyrun by general physicians or non-interventional cardiologists. Thepre-requisite for a CPC is that it should be: Capable of performing ECGs onpatient. They are equipped with Philips Efficia ECG 100 an innovative,portable, easy to use ECG machine, with diagnostic quality ECG machine intendedfor acquisition, recording, measurement, display and printing of simultaneous12 channel ECG waveforms of patients in ECG room for both in-patient andoutpatient.

In thismodel, CPCs will constitute the spokes for the ‘hub’ hospital. Once a patientarrives at one of the spoke CPCs, the local physician evaluates the patient’ssymptoms and, performs an ECG via the Philips Efficia ECG 100. This ECG iswirelessly transmitted to the on-call cardiologist. Once Cardiologist reviewsthe ECG, he instructs the general physician on the next steps for treatment ofpatient. 

IntelliSpaceConsultative Critical Care (ICCC) solution

It is acutting edge tele solution that enables transformation of clinical care in anintensive care setting. Using the ICCC solution, one can now monitor multipleintensive care units from a central command center that may be located in ageographically separated area. The state of the art hardware and softwareproducts that are provided as part of the solution enable clinicians connect toand monitor multiple intensive care units from a central location. TrainedIntensivists and intensive care nurses stationed at the command center canmonitor the patients in the peripheral ICUs on a 24/7 basis. The solutionenables the establishment of a “hub-and-spoke” model where the central commandcenter acts as the hub and the peripheral ICUs act as the spokes. The centralcommand center has multiple “monitoring stations”. The qualified specialistssitting in a command center can effectively guide and advise less qualifiedcare givers functioning at peripheral smaller hospitals. The patients who gettreated in such units benefit from the expert care and the smaller hospitalscan enhance their credibility in being able to provide high quality care fortheir patients at affordable costs.

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