E-HEALTH - E-SANTE - PHARMAGEEK

Plan "Ma Santé 2022" et son volet numérique, création du laboratoire de données "Health Data Hub", remboursement des actes de télémédecine, bilans des projets Territoire de soins numérique (TSN), renforcement de la sécurité informatique dans les établissements de santé... retour sur une année 2018 riche en actualités autour des systèmes d'information (SI) en santé.

L’information et la vulgarisation concernant l’évolution de la médecine revu et corrigé par les Nouvelles Techniques de l’Information et de la Communication a été notre credo sur innovationesante.fr, mais l’environnement a beaucoup évolué depuis la création de notre blog il y a maintenant près de trois ans

La ministre des Solidarités et de la Santé relance aujourd'hui la filière de la silver économie. En ligne de mire, l'adaptation technologique des logements pour le maintien à domicile plébiscité par les Français.

1.   Interoperability between Health Systems

Interoperability solutions for exchanging patient information across care settings is one particular technological development that will shape the future of healthcare organisations.

https://getreferralmd.com/wp-content/uploads/2016/01/interoperability-referralMD.jpg" alt="Healthcare Interoperability ">

Value-based care and health information exchanges are an increasingly important part of the overall healthcare landscape, and the ability for all providers – from general practitioners and specialists to post-acute care organisations, etc. – will only grow as a critical component of care delivery in the future.

These types of solutions have only started being developed in the past few years by companies such as referral-MD, that are changing how healthcare companies communicate by including post-acute care providers in critical interoperability workflows, as these providers are expected to be a big part of health care cost containment.

By including post-acute care in interoperability strategies, healthcare organisations can ensure that critical patient information across all care settings will be connected, providing a more detailed patient picture for more specific treatment plans and improved patient care.

The statistics are damning, hospitals lose $75+ million per year per 100 affiliated physicians due to referral leakage, a burden that can be reduced by proper referral network management that companies such as referral-MD can help monitor.  Hospitals are just starting to get make changes in their budgets to include programs that can truly help patients receive better care, and save their staff’s time in the process.

Not only are hospitals affected but so are small-to-mid sized practices, with many having to juggle 100's of speciality offices with different workflow requirements, without an electronic way to exchange information, the process breaks down, information is not accurate, and time is wasted.

2. Robotic Nurse Assistant

I have many of friends that are nurses that are injured every year from having to move or lift patients in bed or after an emergency from a fall.  The problem is very common and many of times there is not someone around that is strong enough to lift a patient immediately after one of these occurrences.

There are many variations from a full robot such as RIBA (Robot for Interactive Body Assistance) developed by RIKEN and Tokai Rubber Industries and assisted hardware such as HAL (Hybrid Assistive Limb) robot suits delivered by Cyberdyne.

https://getreferralmd.com/wp-content/uploads/2016/01/RIBA_robot_nurse2-277x300-1.jpg" alt="RIBA">

RIBA is the first robot that can lift up or set down a real human from or to a bed or wheelchair. RIBA does this using its very strong human-like arms and by novel tactile guidance methods using high-accuracy tactile sensors. RIBA was developed by integrating RIKEN's control, sensor, and information processing and TRI's material and structural design technologies.

https://getreferralmd.com/wp-content/uploads/2016/01/HAL.jpg" alt="HAL">A company by the name of HAL is a robotics device that allows a care worker to life a patient with more stability and strength and helps prevent injuries to our nurses.

3. Artificial Retinas

The United States typically defines someone as legally blind when the person’s central vision has degraded to 20/200, or the person has lost peripheral vision so that he sees less than 20 degrees outside of central vision. Normal vision is 20/20, and people can usually see up to 90 degrees with their peripheral vision. An estimated 1.1 million people in the United States are considered legally blind.

This has led to companies like Nano-Retina to develop a sophisticated and elegant solution intended to restore the sight of people who lost their vision due to retinal degenerative diseases. The miniature Nano Retina device, the NR600 Implant, replaces the functionality of the damaged photo-receptor cells and creates the electrical stimulation required to activate the remaining healthy retinal cells. NR600 consists of two components; a miniature implantable chip and a set of eyeglasses worn by the patient.

https://getreferralmd.com/wp-content/uploads/2016/01/Nano-Retina-e1454272108993.jpg" alt="Nano Retina">

Very interesting technology for those that are always sitting in front of the computer like myself, hopefully it will not be needed by me, but it's great that companies are advancing for those that suffer this debilitating illness.

4. Tooth Regeneration

Hey Kids, here is some candy!  All kidding aside, this could be an amazing advancement if the technology holds true in the coming years.

Colourful fish found in Africa may hold the secret to growing lost teeth. In a collaborative study between the Georgia Institute of Technology and King’s College London, researchers looked at the cichlid fishes of Lake Malawi in Africa, who lose teeth just to have a new one slide into place. Their study, published in the Proceedings of the National Academy of Sciences, identifies the genes responsible for growing new teeth and may lead to the secret to "tooth regeneration" in humans.

"The exciting aspect of this research for understanding human tooth development and regeneration is being able to identify genes and genetic pathways that naturally direct continuous tooth and taste bud development in fish, and study these in mammals," said the study’s co-author Paul Sharpe, a research professor from King's College, in apress release. "The more we understand the basic biology of natural processes, the more we can utilise this for developing the next generation of clinical therapeutics: in this case how to generate biological replacement teeth."

Another study from a Harvard team successfully used low-powered lasers to activate stem cells and stimulate the growth of teeth in rats and human dental tissue in a lab. The results were published today in the journal Science Transnational Medicine.  Stem cells are no ordinary cells. They have the extraordinary ability to multiply and transform into many different types of cells in the body. They repair tissues by dividing continually either as a new stem cell or as a cell with a more specialised job, such as a red blood cell, a skin cell, or a muscle cell.

https://getreferralmd.com/wp-content/uploads/2016/01/tooth-regrowth-stem-cells.jpg" alt="tooth regrowth">Dentures and dental implants may soon become a thing of the past. Stem cell research is making it possible to regrow your missing teeth! This is a much-needed medical advancement, especially considering that by age 74—26% of adults have lost all of their permanent teeth.

5. Light-bulbs that Disinfect and Kill Bacteria

https://getreferralmd.com/wp-content/uploads/2016/01/light-bacteria.jpg" alt="http://www.indigo-clean.com/">Hospitals are known to be potentially dangerous place with lot's of people with different elements and diseases.  One company, Indigo-Clean has developed a technology using visible light that continuously disinfect the environment and bolsters your current infection prevention efforts.

How it works

1. The 405 nm emitted from Indigo-Clean reflects off of walls and surfaces, penetrating harmful micro-organisms
2. The light targets naturally occurring molecules called porphyrins that exist inside bacteria. The light is absorbed and the excited molecules produce Reactive Oxygen Species (ROS) inside the cell
3. 405 nm creates a chemical reaction inside the cell, similar to the effects of bleach
4. The Reactive Oxygen Species inactivates the bacteria, preventing it from re-populating the space

La médecine « personnalisée » est le grand champs ouvert par les nouvelles techniques de séquençage du génome. L'espoir est que la lecture et l'interprétation de plus en plus précise des informations contenues dans nos gènes permettront de mieux comprendre les mécanismes des maladies, de mieux les traiter et de les prévenir.Quand il s'agit d'estimer un risque chez une personne indemne d'une maladie donnée, on parle alors de « médecine prédictive ». Le cancer est l'un des domaines où l'augmentation des capacités de séquençage est en train de changer la donne.Quatre questions à Dominique Stoppa-Lyonnet, chef du service de génétique de l'Institut Curie et professeure de génétique à l'université Paris-Descartes.