the role health informatics can play toward resolving the...

Faculty of Science

The role health informatics can play toward resolving the community health care crisis

Associate Prof Andrew StranieriHealth Informatics Laboratory, Centre for Informatics and Applied Optimisation, Federation University Australiawww.

Faculty of Science

Health Care System in Crisis

Faculty of ScienceGlobal Health care crisisIndicator Indicator

Shortage of HCP Malawi has 250 doctors for 16 million 6 week wait for GeneralPractitioner in Ararat Australia

Rise of Chronic diseases Diabetes in Australia 17% Diabetes in Sri Lanka over 12%

Cost of health care Australia 12% of GDP US 17% of GDP

Equity Indigenous Australians life expectancy 20 years less In US, low income

Faculty of ScienceTrends and Impacts• World is in a Healthcare Crisis• Co-existence of Allopathic and

Other Medical Systems• Telemedicine emerging• Remote patient monitoring• Online information• Simulation• Data mining• Decision Support

• Patient empowerment, choice

• Privacy, security challenges

• Disruptive technologies

• Challenges to legal systems

TRENDS IMPACT

Faculty of Science

Co-existence of Allopathic and Other Medical SystemsIngestive Remedial Energetic Other

Herbal Medicine Massage Acupuncture Dietary advice

Nutritional Medicine Reflexology Aromatherapy Yoga

Homeopathy Shiatsu Reiki Art therapy

Naturopathy Acupressure Magnet therapy Music therapy

Ayurveda Chiropractic Spiritual Healing Qi gong

Faculty of ScienceGlobal trend: Co-existence of Allopathic and Other Medical SystemsCo-existence (not integration) will continue because

• Emerging super economies of China and India have strong traditional medicines. E.g Ministry of Ayush 2014

• TCM, Others already popular in the West, WM already popular in East

• TCM, others (in West) provides good models of patient empowerment

• Chronic (lifestyle) conditions resistant to WM

Faculty of ScienceIncommensurate?Body-person. Physical Psychological Spiritual EnergeticIllness. Caused by external agent Caused by internal imbalancePractitioner-patient relationship Passive.............................Active

Faculty of ScienceChallenges/Research

Ayurvedic Tridhosa entryStranieri/Sahama(QUT)/Perera(UC)

Info

grap

hic

for l

ow h

ealth

lite

racy

PhD

Lei

cest

er

Factors in selection decisionsStranieri/Sahama(QUT)/Golden

Faculty of ScienceChallenges/ResearchComparing the incomparable

• How to support patients to choose a medical system ?

• How to compare evidence bases ? • How to ensure IT is designed to

support all medical systems ?• Golden/Sahama(QUT)/Others







TRENDS IMPACT

Faculty of ScienceeHealth: Telemedicine is emerginghttp://www.hd3dtelemedicine.com.au/

• Tele-dentistry into aged care facilities. Brunswick, Stawell, Epping

• Tele-psychiatry with 3D Immersion. Cisco high bandwidth. RMH-Shepparton

State Govt of Victoria funding, BEIP

http://www.hd3dtelemedicine.com.au/

Faculty of ScienceeHealth: Telemedicine• http://www.hd3dtelemedicine.com.au/

• Tele-wound. Nurses in home to specialists

• Store and Forward

• Tele-oncology. Oncologist to Cancer nurse

• 2D video conferencing. Vidyo

© Stranieri and Sahama 2014

http://www.hd3dtelemedicine.com.au/

Faculty of ScienceTelemedicine and CrisisFor telehealth application to succeed need confluence:• Clinical case• Business case• Technological case

© Stranieri and Sahama 2014

Faculty of ScienceRemote Patient Monitoring• Stream data from patients body

wirelesses sensor network to cloud databases

• Health Care Professionals anywhere can access the data

• Applications. Falls, Ventricular fibrillation, post operative early detection of sepsis

• Remote Patient Monitoring needs new architectures Balasubsamanian, Stranieri et al


Balasubramanian/Stranieri

Shimmer sensor to Android to NECTAR Cloud to Doctor Login

Rea

l tim

e EC

G c

ompr

essi

on a

nd fo

reca

stin

gPh

D A

lnai

mi

Field Trials planned Kauvery Hospital, Chennai

Ramasamy (RMK), Balasubramanian/StranieriANZ Medical Trustees







TRENDS IMPACT

Faculty of ScienceeHealth: Online information

Burstein, Monash UniversityHawkins, NHSD 4mill hits/month







TRENDS IMPACT

Faculty of ScienceeHealth: Simulation

EdHeads SecondLifeScenari-Aid Prognosis

Faculty of ScienceMake Your Own Case Study

Nuecke/Stranieri/Yearwood

Faculty of Science

21







TRENDS IMPACT

Faculty of ScienceData mining - analytics• Big Data – electronic health records, patient

monitoring streams, • Challenges – How to analyse/mine helath

data to generate insight and/or clinical benefit


Pixe

l n-g

ram

s fo

r mam

mog

ram

cla

ssifi

catio

nPh

D K

ulka

rni

Jelinek (CSU)/Yatsko/Ventrakaman(NMIT) /Stranieri

Ewing Test sequencing. DISCRI Data

Weighted Sum Interaction Search Influence = Pr(T2|Female) – Pr(ND|Female)Cystic Fibrosis, RCHQuinn/Ugon/Stranieri







TRENDS IMPACT

Decision support systems• Supporting health care

professionals and patients toward better decision making:

• Individually,• In groups


Lingard/Blismas/Edirisinghe(RMIT)/Stranieri/

Toolshed. OHS Construction

Bellucci/Aberwathy(Deakin) Venkatraman(NMIT)/Stranieri

Online Dispute Resolution

ARC Linkage


Burstein(Monash)/Yearwood(Deakin)/Warren(UA)/Stranieri/

Multimorbidity group reasoning Mul

ti-di

scip

linar

y m

eetin

g as

a R

easo

ning

C

omm

unity

PhD

Sha

rma

ARC Discovery







TRENDS IMPACT

Faculty of Science

the role health informatics can play toward resolving the...

Documents