My digital model for the health sector

My digital model for the health sector and why?

 

Record-keeping is not done properly which is problematic, and it is recommended that there should be continuous training, monitoring and evaluation of nurses on record-keeping issues, supply of adequate recording materials and proper time management amongst nurses to improve record-keeping challenges. The need for comprehensive record-keeping remains fundamental in public hospitals in order to improve patient care. With ever-increasing numbers of individuals needing the information in a medical record, the physical condition and location of the record become extremely important. Here are some disadvantages of using a manual (non-computerized) paper medical record.

1. Costs of manual medical records

There are several types of costs associated with manual patient records. One type, duplication of the record, requires paper and copying supplies, as well as the staff to create and distribute the copies. Staff hired to assemble, file, retrieve, or distribute the hard copy chart is a costly expense. Storage of the paper record necessitates the use of valuable space that could be better utilized. The records also need to be protected from water, fire, or mishandling of the paper to preserve their physical integrity.

One of the most expensive disadvantages of the paper record is duplicate patient testing required to replace lost or missing test results. 

2. Lost productivity from manual medical records

There is no ability to sort data fields in a paper record. Staff responsible for reporting mandated data elements to the appropriate organizations must perform a manual review. This is a very labor-intensive process, and inaccuracies can occur.

3.Quality of manual medical records

The issue of quality encompasses the physical record, the documentation, and patient care. There are limitations to the physical quality of the paper record. The paper is fragile and does not last permanently. Normal use of the record may result in torn or stained documents. Also, over the years, the ink used to complete documentation can fade. Actual damage resulting from water or fire is another threat to the physical integrity of the paper record.

4.Fragmentation caused by manual medical records

 The level of fragmentation varies based on several factors. These factors include:

• the patient’s ability to communicate pertinent health information to the provider;

• the ability of the provider to collect information that is accessible to other providers;

• the provider’s ability to directly elicit health information from the patient and any written documentation to create an appropriate treatment plan; and

• the limitations of the patient record system(s) that are being utilized to collect and disseminate information.

A well planned and implemented electronic medical record system should address and/or alleviate many of the general disadvantages of the paper record. 

Blockchain provide a better solution to manual recording and more.

Blockchain technology has the ability to address the documented shortcomings of public and even private legacy health information technology systems. Electronic medical records are the backbone of every modern healthcare system, but your medical records grow longer and become more complex with each visit to your doctor. And then since every hospital and every doctor's office has a different way of storing them, it's not always easy for our healthcare providers to obtain them.Blockchain technology applications have the potential to transform our current use of health information technology and the associated hardware and software infrastructure.

The promise of blockchain extends into healthcare allowing a transformation of our current system and its use of information technology. The current use of information technology in healthcare can be advanced with blockchain. The fundamental values that blockchain will bring include decentralization due to its distributed ledger technology, interoperability and increased security and immutability. These benefits enable a healthcare system that is integrated, seamless and more secure and with an increased level of compliance.With the rapid development of mobile computing, wearable technology and wireless sensing, people have been using

different types of mobile and wearable devices, such as smartphone, smart watch, smart band and smart glasses etc. to realise various health-related applications, such as remote diagnosis [Health Monitor, mySugr - Diabetes Tracker Log, PTSD Coach, Fitness, Eye-care live etc]Large amount of personal health data are produced by these devices and these data are valuable resources for healthcare research and commercial applications. Properly sharing personal health data will benefit all related stakeholders including the device users, patients, researchers,and even the whole public healthcare system.The research about using personal data generated by mobile and wearable devices to improve the quality of healthcare service has been popular for decades. The above-mentioned studies mainly focused on using blockchain to manage the static health data like EHRs or Electronic Medical Records (EMRs). The EMR contains relatively static data such as almost unchanged during the life of the patient, like gender, blood type, fingerprint etc., or gradually changing, like the age, weight, height, disease history etc.

This type of data usually require less storage space which makes it possible to save and share data inside the blockchain. Generally, health data can be divided into dynamic and static data . The static data refers to the personal data that almost unchanged during the life of the user, like genome and fingerprint and so on. The dynamic data reflects the activity of the user during a period of time, like heart rate Electro-Encephalo-Graphic (EEGs) data; or the state of the organism at the time of sampling, like blood test data.

The dynamic data can he further divided into rapidly changing data, like the acceleration data, and gradually changing data,like height and weight etc.

In contrast, the instant data are obtained in one single measurement. The instant data can be unchangeable static data

or gradually changing dynamic data. The classification methods are based on the type of the data and the data acquisition methods, not based on the health indicators represented by the data. The data reflecting the same health indicator may belong to different categories. For example, we can count the number of heart beats in one minute and use this single number to represent the heart-beat status and this single number is of instant-dynamic data. But when EEG is used to monitor the heartbeat over a period of time, the data collected during this period is the same heart-beat, but it is continuous-dynamic

data.And the supply chains, the pharma industry has the highest standard for product safety, security, and stability. It's right for disruption. For example, supply chain management with blockchain can be monitored securely and transparently. This can quickly reduce time delays and human mistakes. It can also be used to monitor costs, labor, and even waste in emissions. At every point in the supply chain, it can be used to verify the authenticity of products by tracking them from their origin combating the counterfeit truck market that costs 200 billion in losses to the market. Annually companies like chronicled block pharma and mode are working towards more efficient logistic solutions mode in particular, works in compliance with EU laws that require proof that medicine or products have not been exposed to certain conditions, especially higher high or low temperatures, which may change their quality mode solution was to develop a sensor that records environmental conditions while physical products are in transit and permanently recorded on the blockchain.

In conclusion,it seems clear that from banking to supply chain logistics, it is ready for disruption. And in healthcare in particular, there is a massive opportunity for the blockchain evolution to lead a digital transformation from medical records to pharmaceutical supply chains, to smart contracts for payment distribution that are plenty of methods to leverage this technology.