To make smart hospitals and create smart health services

Prof. Dr. Peter Chang, MD, MPH, ScD, FRCP, Ombudsman

Tufts University College of Medicine & Asian Health Literacy Association &

International Health Literacy Association

Mzuzu rainbow clinic in northern Malawi “Too busy to use health informatics”

IOM report: 10 rules for redesigning health care

1. Care based on continuous healing relationships--care whenever needed, not just face to face visits

2. Customisation based on patient needs and values

3. The patient, the source of control

4. Shared knowledge and free flow of information

Crossing the quality chasm: A new health system for the 21st century

Institute of Medicine, 2001

IOM report: 10 rules for redesigning health care

5. Evidence based decision making6. Safety as a system property7. The need for transparency--all information available, system’s performance on safety, evidence based practice, patient satisfaction8. Anticipation of needs9. Continuous decrease in waste10. Cooperation among clinicians

2019

Smart hospitals and smart health services

• What are elements of smart hospitals?• Smart medical technology

• Efficient, timely healthcare

• Precision medicine

• Patient-centered healthcare

• Less waste of health resources

IOT~ Internet of Things• More things are connected.

• New connection help the system smart.

• People are connected by smart phones to the health system.

• Time are connected

• Place are connected.

• Willing to connect, break down barriers and disconnections.

BIG Data

Individuals information useful for more individuals

Smart hospitals and smart health services

• What are elements of smart health services?

• efficiency, effectiveness, value, less waste, and behavior in the production and consumption of healthand healthcare.

IOM report: six challenges for health care organisations

1. Design seamless, coordinated care

2. Make effective use of IT, including automating patient records

3. Manage knowledge so that it is delivered into patient care

4. Coordinate care across patient conditions, services, and settings over time

5. Advance the effectiveness of teams

6. Incorporate measurement of care processes and outcomes into daily practice

The importance of patients’ satisfaction

Institute of Medicine. “Crossing the Quality Chasm: A New Health System for the 21st Century”

Health literacy~ learn, understand and best use health resources

• Low health literacy

• Low patient satisfaction

• Low healthcare quality

• Higher healthcare waste

• Less smart health services

• Less smart hospitals

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Canada

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General health literacy levels

Health literacy needed to the new challenges

Pandora of Health Literacy•Patient engagement & patient participation

•Shared decision-making

•Choose wisely

•Health literate organizations

五個

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PhysiciansPatients, families, communities

Know the needs for

health

Access to health care

Shared decision making

Rights to choose, Smart

choosing

Patient engagements

Empowerment of patient literacyHI Health Intelligence

Patient safety

eHealth Record, mHealth

Universal health coverage – UHC

Development of

AI for health

The development of health technology and services

•Connection•Communications•Inter-operability•Innovations•Coorporation

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