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1 Chair: Dr. Kalyanasundaram 'Kas' Subramanian Chief Scientific Officer 5th Floor, Kirloskar Business Park Bellary Road, Hebbal, Bangalore , India kas@strandls.com Profile: Dr. Kalyanasundaram, popularly known as 'Kas', leads Strand's scientific and technical programs and coordinates the cross-divisional efforts in R&D. Dr. Kas's interests lie in the field of genomics and systems biology. He has been leading the molecular diagnostics R&D efforts at Strand since 2003, and has over a decade of experience in modeling biological systems. An IIT - Bombay alumnus, Kas went on to complete his M.S. in Chemical Engineering from the State University of New York College at Buffalo. Equipped with a Ph.D. in Biomedical Engineering from Johns Hopkins University, Kas took up the position of Senior Scientist at Genetic Therapy Inc (Novartis) between , where he helped set-up a group to perform research in synthetic and hybrid vectors for gene delivery. Prior to Strand, Kas headed the Collaborative R&D group for immunology products at Entelos. Speakers Dr. Pradeep Ramayya Chairman and CEO, AxSys Technology Ltd., Scotland AxSys House, Marchburn Drive Glasgow Airport Business Park, Paisley, PA3 2SJ,United Kingdom pradeep@axsys.co.uk Title: Transforming health care delivery through a patient centric care management system. Abstract: In today s world patients receive healthcare in a more disconnected and distributed environment. The doctor is no longer the primary care provider; instead care is often delivered and facilitated through a multi-disciplinary group of care providers who may or may not be connected to a single organisation. Care delivery is becoming more fragmented,
2 inefficient and delivered based on priorities and availability of providers rather than the priorities of patients. Patients feel increasingly disempowered by the system and this, I believe, has a negative impact on patient care, especially for those with long term conditions. Health care needs a paradigm shift from being expert centric to becoming patient centricin order to achieve better coordination of care, improve outcomes and reduced cost. Patient engagement is the key enabler to make this happen. Payers and providers, globally, have recognised this need, and many have been adding patient engagement programs to their services in the past few years, in the form of web based personal health records (PHR) or patient portals. However, the success of most of these initiatives has not been encouraging, with poor take-up by patients or lack of improvement in outcomes. Even those PHRs that claim large usage are being used primarily to re-order medications, view appointments or communicate with providers through messaging. At the heart of the problem lies the nature of the PHRs. Most PHRs are either stand-alone, which means that patients have to enter all their information themselves and get very little value from it, or tethered to a provider s electronic medical record (EMR) so the patient information is incomplete, being limited to that available in that provider s EMR system, requiring patients to access multiple providers patient portals. Patients want, but do not get a single view of all their relevant information as present in the diverse systems their providers may have. I believe that active patient engagement supported by an integrated, protocol driven and personalised care management system is the key to improved outcomes and reduced costs. In order to create a solution that delivers sustainable benefits patient engagement must ideally begin by identifying a population who are the high utilisers, at risk of moving up the morbidity scale or those who can become expert patients. Providers then communicate with and engage with these patients to enrol then and bring them into a partnership with the healthcare system. The system must prompt for regular assessments to be carried out by patients themselves or by providers in order for the system to continuously evaluate and stratify risk and to assign them to individualised care programs. A system such as this makes the entire process of care management and care delivery transparent to patients in order to promote engagement and participation in decisions and so enables empowerment. Randomised trials have shown that patient engagement and shared decision making results in greater patient knowledge, fewer decision conflicts, decreased patient passivity, increased individual accountability, enhanced perception of risk and reduced variation and cost.
3 Profile: Pradeep Ramayya is the CEO of AxSys Technology Ltd. Pradeep s senior medical career commenced in 1989 when he was appointed as a Consultant in Anaesthesia at Aberdeen Royal Hospitals NHS Trust and his healthcare IT experience goes back to the early 80s when as a junior doctor, he developed and implemented a comprehensive clinical information system for management of patients in the Intensive Care Unit at Aberdeen Royal Infirmary. Working as a doctor in the UK for over 20 years, Pradeep recognised that healthcare delivery was becoming more fragmented and less coordinated and so set up AxSys to create a software platform for patient centric care management. AxSys has offices in Glasgow, Scotland and in Hyderabad, India. Speakers Prof. K. Ganapathy President, Apollo Telemedicine Networking Foundation Director, Apollo Tele Health Services Past President, Telemedicine Society of India President, Indian Society for Stereotactic & Functional Neurosurgery Former Secretary & Past President Neurological Society of India Adjunct Professor IIT Madras, Tamilnadu Dr MGR Medical University & Anna University Tel : Fax: drganapathy@apollohospitals.com Title : Telehealth. The Reinvention of Healthcare Abstract: That India will never ever be able to make available brick and mortar hospitals or provide human resources in suburban and rural India for health care, is well known. The exponential increase in use of Information and Communication Technology therefore needs to be exploited, in the context of a low resource health setting. Drawing on the author s experience, in promoting telehealth over the last 14 years, this presentation will identify factors that need to be addressed, to make ehealth a reality. The challenges involved in scaling up successful pilots will be reviewed. The take home message will be that a
4 radical transformation of mindset and developing a self sustaining revenue generating model is the answer. Technology per se is not the problem Profile: K.GANAPATHY M.Ch.(Neurosurgery), FACS, FICS, FAMS Ph.D is a former Secretary and Past President of the Neurological Society of India and a former Secretary of the Asian Australasian Society of Neurological Surgery. An Adjunct Professor, at the IIT Madras, Tamilnadu Medical University & Anna University, ChennaiDr Ganapathy was formerly Honorary Consultant and Advisor in Neurosurgery Armed Forces Medical Services. A former examiner & Inspector for the National Board of Examinations Ministry of Health, Govt of India he was also an overseas examiner to the UniversitiSains Malaysia and the Royal College of Surgeons Edinburgh. He is Member of the Editorial Board of 4 International and 3 National Journals in Neurosciences and was the first neurosurgeon from South Asia to be formally trained in Stereotactic radiosurgery in 1995 and later in robotic radiosurgery in A pioneer in introducing Telemedicine in India Dr Ganapathy has been working relentlessly from 1999, for the growth and development of Telemedicine in India. A Member of the National Task Force on Telemedicine he is aco Founder of the Telemedicine Society of India. Extensively travelled, he is a popular speaker in national and international conferences. He started the first formal Certificate course on Telehealth Technology, in conjunction with the Anna University. He was a mentor formbascholars Harvard Business School and for the Ross Business School Univ of Michigan, in the field ofmhealthduring the last 38 years he has presented more than 350 papers in national conferences and 140 in International meetings. He has published 200 scientific papers & 10 chapters in books. President of the Apollo Telemedicine Networking Foundation the largest and the oldest multi speciality Telemedicine network in South Asia he is an immediate Past President of the Telemedicine Society of India andcurrently President of the Indian Society of Stereotactic & Functional Neurosurgery. Prof Ganapathy has initiated pilot projects in using wireless telemedicine in rural areas in India. In Nov 2007 he organized a well attended international conference on telemedicine at Chennai.He has been on the faculty for several WFNS educational programmes. At the recently concluded WFNS course at Bhubaneshwar in India he facilitated the first multi point( 8centres) two way audio video broadcast of the educational programme besides webcasting the programme. As a member of the hi power Programme Advisory Committee ( Health Sciences) Dept of Science & Technology Govt of India he reviews research projects for funding. Full CV available at SYNOPSIS of CV First in South Asia to start and develop Stereotactic Radiosurgery in ( 1995) First in South Asia to start and develop Clinical Telemedicine (2000) First in South Asia to get a Ph.D in Neuroimaging 1990
5 Elected by peers as President of 3 National Societies, Secretary of a National Society and Secretary General of the largest continental society of neurosurgeons Delivered 125 guest lectures overseas and 328 in India Authored 74 papers in peer reviewed journals Authored 16 chapters in text books Authored 175 articles in magazines, newspapers Personally organized three major national conferences and played a major role in assisting in the organization of 15 national conferences and international conferences. Responsible for initiating Telemedicine in the Armed Forces of India Social activities include being a co respondent in a PIL to enforce helmet use Member of 13 hi level Govt of India committees in telehealth Member of 3 international committees in telehealth Supervised 9 dissertations including 2 Ph.d examiner for Ph.D Received 15 awards, orations and national recognitions Winner of several prizes awards and distinctions even as an undergraduate Speakers Prof. J. Stewart Aitchison Associate Scientific Director for Theme Lead for Public Health IC-IMPACTS Room 179, C.K. Choi Building 1855 West Mall University of British Columbia Vancouver, British Columbia, V6T 1Z2 stewart.aitchison@utoronto.ca Title: IC-IMPACTS - Mobile Health Technology Abstract: In this presentation we will review the funding priorities and opportunities for the IC- IMPACTS Network Centre of Excellence. IC-IMPACTS supports collaborative research projects between Canadian and Indian researchers in areas relating to infrastructure, clean water and public health. A particular focus of the public health theme is supporting the development of new, point-of-care technologies for the early detection and monitoring of infectious diseases. Such networked solutions, coupled with mobile health applications
6 which can collect data and deliver an educational message represent an opportunity to extend the reach of traditional health care to remote or rural communities. The presentation will give examples of the point of care technologies being developed for the monitoring of HIV using a lab-on-a-chip based approach. Profile: Professor J. Stewart Aitchison received his Ph.D from the Department of Physics, Heriot- Watt University, Edinburgh, U.K., in He joined the Department of Electronics and Electrical Engineering, University of Glasgow in 1990 and was promoted to a personal chair as Professor of Photonics in Since 2001 Professor Aitchison has held the Nortel chair in Emerging Technology, in the Department of Electrical and Computer Engineering at the University of Toronto. His research focuses on the development of micro and nano-scale devices for optical signal processing and sensing applications. From he was the Director (and from the interim director) of the Emerging Communications Technology Institute at the University of Toronto, where he established an open access micro and nano-fabrication facility. In 2009 he co-founded ChipCare Corporation with James Dou and Rakesh Nayyar. Chipcare is currently developing a portable HIV monitoring system, which will enhance healthcare delivery in remote communities. This project won the University of Toronto inventor of the year award in 2012 and the Canada business magazine Innovation Award in Professor Aitchison is a Fellow of the Royal Society of Canada and a Fellow of the American Association for the Advancement of Science. Speakers Mr. T.S.Y. Aravindakshan National Manager (Industry Solutions) Health Microsoft Corporation (India) Pvt. Ltd., Infinity Towers, 7th Floor, Tower B, DLF Cyber City, Sector 25A, Phase II, Gurgaon Mobile: , Tel: , Fax: taravind@microsoft.com Title: Real Impact for Better Healthcare Abstract
7 Making a real impact on improving care requires more than just technology it requires intuitive and pervasive collaboration; reliable ways of storing, retrieving and analyzing diverse sources of medical data; and enabling care providers to perform at their best. It involves harnessing the power of the latest technology innovations toward meeting the goals of improving quality of care, making better use of current resources, and bringing healthcare access to the patients who need it most. There are four information technology trends that are changing the way many organizations deliver care. Providing coordinated, high-quality care is both facilitated and in some ways complicated by a number of technological trends that are changing the ways many healthcare organizations operate, including: 1. An Explosion of Data: Today, healthcare organizations are awash with data. This data comes wrapped in layers of complex regulations and stringent federal and state regulations. Collecting data is not the problem; it's the ability to process, store and interpret significant amounts of information that is one of today's most important technological drivers in health. 2. Cloud Computing: Cloud computing is the delivery of IT infrastructure assets over the Internet on a utility basis. Increasing numbers of health organizations are investing in on-premise, cloud, or hybrid solutions to help address their current computing needs, while providing a sustainable path to the future. 3. Bring Your Own Device: Doctors generally prefer to use the technology with which they are most comfortable. The Bring Your Device trend in which employees use unsupported, personally owned technology in the workplace makes this tendency particularly significant for healthcare IT. Healthcare providers are now faced with balancing security in a non-homogenous information technology environment while supporting the different communication needs of workers across an organization. Tablets and new mobility scenarios are now possible in healthcare. 4. Health Collaboration: While Health Information modernization forms the fundamental priority for improving care delivery, Health Collaboration can bring in the transformative element, enabling caregivers to collaborate can address key priorities like increasing through-put, enhancing patient experience and achieving clinical excellence. Health organizations can drive real impact for better healthcare by leveraging one or more of these trends for data coding, the transmission of data, improved security, quality measurement, safety reporting, electronic health record implementation, meaningful use, accountability, and transparency. Across several countries, major facets of the healthcare industry are being reshaped by organizations that practice a more integrated approach to patient care.
8 Profile: T.S.Y. Aravindakshan holds the position of National Manager (Industry Solutions) Healthcare at Microsoft India. Based in Gurgaon, Aravindakshan s charter includes leading and defining the solution offerings and strategy for meeting the needs of healthcare customers across India. He brings with him experiences of working in Health IT cutting across Public & Private Health across India. He has an overall experience of 18 years and has been working extensively in the Public Sector Industry Domains of Government, Healthcare & Education. Prior to joining Microsoft 8 Years back, Aravindakshan has also worked in the domains of IT Training, Psychometric Testing, and Skill Development Programs & Initiatives.
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