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E-collaboration for healthcare (Telemedicine / E-prescription)

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Fellowship Week # 8 E-collaboration for healthcare (Telemedicine / E-prescription) ITI Smart Village Week 1 Day 1,2 * * Information Technology Institute – PowerPoint PPT presentation

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Title: E-collaboration for healthcare (Telemedicine / E-prescription)


1
Fellowship
Week 8
E-collaboration for healthcare (Telemedicine /
E-prescription)
Week 1 Day 1,2
ITI Smart Village
2
Course Introduction
  • "In the long history of humankind (and animal
    kind, too) those who learned
  • to collaborate and improvise most effectively
    have prevailed."- Charles Darwin
  • Discussing the past, the present and the future
    of collaboration gives a broad view on how we
    need to work interactively leading to better
    learning experiences in this course,
    collaboration, communication, cooperation,
    coordination, networking, and interactivity
    concepts will be explained more thoroughly,
    selecting the internet as an electronic way not
    only to view information, but also to contribute
    to society.
  • In this course, workshops will be conducted using
    web 2.0 tools to enrich the learning experience.
    Applying the concepts of online/mass
    collaboration will focus mainly on health care
    this opens up two research topics e-Prescription
    and Telemedicine digging deeper in these topics
    would allow us to analyze more case studies,
    giving the ability to recommend the best online
    environment for healthcare professionals to
    support one another as well as supporting
    patients. E-Research tools will help in building
    up a digital online library to be used throughout
    the fellowship program.

3
Course Objectives
  • After the completion of this course trainees
    should be able to
  • Understand what collaboration is and how to
    collaborate effectively
  • Discuss the benefits of most web collaboration
    tools
  • Apply concepts of online tutoring and communicate
    clearly
  • Criticize some online virtual clinical practices
    constructively
  • Identify problems and limitations of handwritten
    prescriptions
  • List the potential benefits of electronic
    prescribing
  • Describe the Sure Scripts and RxHub networks
  • List the obstacles to widespread e-prescribing
  • State the difference between telehealth and
    telemedicine
  • List the various types of telemedicine such as
    teleradiology and teleneurology

4
Course Objectives (Cont.)
  • After the completion of this course trainees
    should be able to
  • List the potential benefits of telemedicine to
    patients /clinicians
  • Identify the different means of transferring
    information with telemedicine such as store and
    forward
  • Describe the concepts of home and hospital
    telemonitoring
  • Enumerate the most significant ongoing
    telemedicine projects
  • Identify the multiple ways IT can improve
    research
  • State the general benefits of research automation
  • Describe the benefits of electronic collaborative
    web sites
  • Describe the specific benefits of electronic
    forms
  • Compare and contrast the pros and cons of PDA
    based e-forms
  • Construct a knowledge base of resources on a
    well-classified library

5
Week 1 - Agenda
What is collaboration? Terminologies Skills and
Sub skills Can we collaborate? Healthcare in
Egypt Workshop How to e-collaborate? E-framewo
rk E-learning E-collaboration ITS
(tutoring) Conclusion Demo Paper Guide
3 hours
2 hours
1 hour
6
Healthcare Hierarchy of Needs
7
Why collaborate?
8
Collaboration Yesterday, Today and Tomorrow
9
History of Collaboration The Tower of Babel
  • About 4000 BCE
  • Do you remember the story of the tower of Babel?
  • King Nimrod wanted to build a tower to the
    heavens in order to wage war on Heaven and the
    Angels.
  • Where did they go wrong?
  • ARROGANCE (didnt understand their role in the
    universe) and
  • SKEWED VALUES - lamented the lost bricks more
    than the lost people (who fell to their death).

10
The Consequences?
  • Suddenly each person spoke a different language
    and they were no longer able to COLLABORATE. The
    tower project failed.
  • Ever since, weve had a difficult time in working
    together - and it is still true that avoiding
    ARROGANCE and VALUING PEOPLE ABOVE TECHNOLOGY are
    still important elements for success.
  • Does anyone remember where exactly the Tower of
    Babel was constructed?

4/7/2015
10
Information Technology Institute
11
IRAQ Full Story http//en.wikipedia.org/wiki/Tow
er_of_Babel
12
Quick History of Collaboration Tools
  • Writing 3200 BC (Sumerian cuniform)
  • Printing Press (Gutenberg 1450)
  • Photography (Daguerre 1839)
  • Telephone (Bell 1876)
  • Phonograph (Edison 1877)

13
Quick History of Collaboration Tools (cont.)
  • Movies (Lumiere 1895)
  • Wireless (radio) (Tesla 1891 or Marconi 1895)
  • Video Conferencing (Bell PicturePhone 1956)

14
Quick History of Computer-aided collaboration
tools
  • ARPANET 1969
  • John Postel
  • David Crocker
  • Vint Cerf

15
Quick History of Computer-aided collaboration
tools (cont.)
  • Killer App 1 Email (Ray Tomlinson 1971) The
    first use of network email announced its own
    existence.

16
Quick History of Computer-aided collaboration
tools (cont.)
  • Graphical User Interface (1984 - 2495)
  • Note Useability and User-Friendly are
    important.

17
E-learning History
Year Invention Invention
1861 Telegraph is Invented
1876 Telephone is Invented
1969 Computer Data Networking is Invented DARPANET/ARPANET
1971 Email is Invented
1971 Computer Conferencing is Invented
Mid 70's University course are supplemented by Email and Conferencing
Mid 70's Virtual Communities of Practice Scientists use EIES to collaborate
1981 First Totally online Courses (Non-formal, Adult Education) The Source EIES
1982 First Online Program (Executive Education) WBSI Executive Education (EIES)
1983 Networked Classroom Model Emerges (Primary and Secondary Schools) ICLN Research Project (4 countries) RAPPI Canada X-Cultural Project
1985 First Totally Online Graduate Courses Connect-Ed (New School of Social Research) OISE (University of Toronto)
1985 First Totally Online Labor Education Network Solinet Candian Union of Public Employees
1986 First Totally Online Undergraduate Classroom Virtual Classroom (NJIT)
1986 First Online Degree Program Connect-ED, 1989 (University of Phoenix)
1986 Online Professional Development Communities Emerge OISE Ontario Educators Online Courses
1989 Internet Launched
1989 First Large Scale Online Courses Open University (U.K.)
1992 World Wide Web is Invented CERN (Switzerland)
1993 First National Educational Networks 1993 SchoolNet (Canada)
1996 First Large Scale Online Education Field Trials Virtual-U Research Project
18
Quick History of Computer-aided collaboration
  • World Wide Web (1990 Time Berners-Lee _at_
    CERN) Berners-Lee related how difficult it was
    ten years ago when he was demonstrating the Web
    for the first time. Viewers seeing him progress
    from one document to another by clicking on links
    were nonplussed -- it's when the system scales
    that the advantages may be reaped.
  • Total number of web sites in the world in 1990
    1.
  • 2000- Semantic Web, WC3, and XML

19
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20
  • Oracle

21
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22
Collaboration
  • Working jointly together in order to gain
    competitive advantage
  • Aims
  • Increased efficiency (better service)
  • Unified terminology, standards
  • Raising awareness / more relevant cases
  • Quality improvement (cost, services, time, risk)
  • Training, more skills, and outsourcing
  • Rapid diffusion of best practices
  • Stimulation of new hybrids and combinations
  • Availability of just-in-time expertise
  • Faster positive feedback cycles
  • Increasingly horizontal and distributed models of
    research and innovation.

23
Terminologies
  • Communication A message is sent from person A to
    person B, and person B acknowledges receipt.
    There could be simple or complex information
    transferred in this message.
  • Interaction A message is sent from person A to
    person B, and person B acknowledges receipt, and
    person B sends a message back to person A in
    reply. The type of information that is
    transferred by an interaction is complex.
  • Collaboration Multiple interactions occur
    between two or more people for the transfer of
    complex information for some common goal over a
    specified period of time.
  • Coordination, cooperation, networking, etc.

24
Directions of Collaboration
  • Vertical Collaboration
  • Sequential collaboration


  • Horizontal Collaboration (Workgroup)
  • Group collaboration
  • Network collaboration

25
Group and Network collaboration
  • Collaboration of individuals and firms
  • Virtual group meetings (Video conferencing)
  • Analysis and decision support systems
  • Virtual environments, e.g. awareness sessions
  • Knowledge exchange
  • Developing/accessing capabilities, skills,
    resources

26
Levels of collaboration
  • Collaboration is generally treated as meaning the
    cooperative way that two or more entities work
    together towards a shared goal. The Research Team
    developed the Levels of Collaboration scale,
    based on the work of other collaboration
    researchers (Hogue, 1993 Borden Perkins, 1998,
    1999) to measure progress over the five stages of
    collaboration.
  • The five stages are described as

27
Levels of collaboration (cont.)
  • 1. Networking-Aware of organization
  • -Loosely defined roles
  • -Little communication
  • -All decisions are made independently
  • 2. Cooperation-Provide information to each other
  • -Somewhat defined roles
  • -Formal communication
  • -All decisions are made independently

28
Levels of collaboration (cont.)
  • 3. Coordination-Share information and resources
  • -Defined roles
  • -Frequent communication
  • -Some shared decision making
  • 4. Coalition
  • -Share ideas
  • -Share resources
  • -Frequent and prioritized communication
  • -All members have a vote in decision making
  • 5. Collaboration-Members belong to one system
  • -Frequent communication is characterized by
    mutual trust
  • -Consensus is reached on all decisions

29
Collaboration levels of interaction
30
Collaboration vs. C-Three, by Leo Denise
(Cooperation,
Coordination, and Communication)
  • Collaboration...cooperation...coordination...commu
    nication. We tend to use these words
    interchangeably. All are presumed descriptors of
    what people need to do to work together
    effectively. Yet when these words are mixed
    together, mush results. Each term is different
    and each has not only strengths but also
    limitations.
  • The CCCs of Togetherness
  • Communication speaks to how persons understand
    each other and how information (not just facts,
    but policies, prospects, rumors, feelings,
    failures, and all other human experiences) is
    transferred in organizations. While lack of
    communication tops the problem list in most
    organizations, the diagnosis is a facile one for
    many reasons.

31
Collaboration vs. C-Three, by Leo Denise
(Cooperation,
Coordination, and Communication)
(Cont.)
  • Coordination, like communication, begins with an
    assumption of differences. Different persons,
    different units, different units create overlap,
    redundancy and/or separation without
    coordination. As in athletics, we are coordinated
    when the arms and legs move together. Everything
    falls into balance if not symmetry. Coordination
    is about efficiency and harmony.
  • Unlike communication, however, coordination looks
    to inform each unit or part of the whole as to
    how and when it must act. Among the relationship
    betweenmajor coordination problems in any large
    organization is that between central office and
    field units. In many cases, coordination boils
    down to two conditions that people and units
    know what they are to do and when they are to do
    it and that they see the what they do and what
    the coordinated whole achieves.

32
Collaboration vs. C-Three, by Leo Denise
(Cooperation,
Coordination, and Communication)
(Cont.)
  • Cooperation is important but so is divergence. If
    someone has a very different idea to contribute
    to the groupperhaps as a challenge to its
    current directions, norms, or assumptions, is it
    non-cooperative to raise it? Much of creativity
    comes from the sparks of disagreement, dissent,
    and even conflict.
  • Cooperation too often becomes a call for
    increased socialization to a culture, not a
    prompt for high performance. Also, one opposite
    of cooperative is competitive. Do we deny that
    competitive juices can be useful? Consider
    also that virtually all of what we call
    strategy is about competitive or comparative
    advantage. Cooperative thinking is rarely the
    same as strategic insight.

33
Collaboration vs. C-Three, by Leo Denise
(Cooperation,
Coordination, and Communication)
  • Collaboration is not about agreement. It is about
    creation. As Michael Schrage puts it in his book,
    Shared Minds
  • ...collaboration is the process of shared
    creation two or more individuals with
    complementary skills interacting to create a
    shared understanding that none had previously
    possessed or could have come to on their own.
    Collaboration creates a shared meaning about a
    process, a product, or an event. In this sense,
    there is nothing routine about it.
  • Something is there that wasnt there before.
  • Collaboration is distinct from each of the C
    words defined earlier. Unlike communication, it
    is not about exchanging information. It is about
    using information to create something new. Unlike
    coordination, collaboration seeks divergent
    insight and spontaneity, not structural harmony.
  • And unlike cooperation, collaboration thrives on
    differences and requires the sparks of dissent.
    If we use this rigor to define collaboration, we
    will use the word much less frequently to
    describe what we do.

34
Collaboration vs. Cooperation and Coordination
35
More into Collaboration
36
More into Collaboration
37
The Main Idea of collaboration
  • is of working together
  • sharing of planning, making decisions, solving
    problems, setting goals, assuming responsibility,
    working together cooperatively, communicating,
    and coordinating openly (Baggs Schmitt, 1988).
    http//www.medscape.com/viewarticle/499266_2

38
Collaborative Processes
  1. Team Creation
  2. Idea Generation
  3. Decision-Making
  4. Work or Production
  5. Evaluation or Recap

39
Team Creation
  • connecting
  • Katzenbach and Smith
  • Small numbers of people - lt 12
  • Complementary skills in group members
  • Common purposes for working
  • Performance goals agreed upon
  • Shared working approaches
  • Mutual accountability amongst all members

http//en.wikipedia.org/wiki/Collaborative_method
The Wisdom of Teams. New York, NY HarperCollins,
2003.
40
Idea Generation
  • creating
  • Brainstorming
  • Concept mapping / mind mapping
  • Breakdown (analysis)
  • Storyboarding
  • Role Play
  • Etc.

http//creatingminds.org/tools/tools_ideation.htm
41
Decision-Making
  • deciding
  • Autocratic
  • Hand-clasping and cliques
  • Consensus
  • Deliberative Processes
  • Polling
  • Voting (voting mechanisms)

http//www.csuchico.edu/sac/leaders/grpdecision.ht
ml
42
Work or Production
  • producing
  • Functions execution, tracking, timelining and
    optimizing
  • Separate roles and responsibilities individual
    work
  • Iterative (eg. Word Update)
  • Common Environment (Music and Lyrics)

43
Evaluation or Recap
  • reflecting
  • Tabulation of expectations and results
  • Surveying, polling
  • Scoring and measurement against objective
    standards
  • Story-telling, lessons learned
  • Collection of best practices

44
Challenges collaborating using Technology
  • Communication among PEOPLE is hard
  • Lack of common language in between users
  • Tools takes the focus over what you want to
    accomplish
  • Waste time on the Internet
  • Your online/virtual/electronic image should be
    professional

45
E-Learning
  • Source WR Hambrecht Co

46
E-Learning Scenario
47
Internet
48
Collaboration E-learning
  • E-collaboration
  • Must involve Social Media

49
Leslie Bradshaw Ag Comm July 22, 2010
President Co-Founder JESS3 Principal
Partner Bradshaw Vineyards
Tweet This _at_LeslieBradshaw _at_JESS3
_at_BradshawPinot
50
FALSE!
Tweet This _at_LeslieBradshaw _at_JESS3
_at_BradshawPinot
51
(No Transcript)
52
Tweet This _at_LeslieBradshaw _at_JESS3
_at_BradshawPinot _at_RWW
53
Tweet This _at_LeslieBradshaw _at_JESS3
_at_BradshawPinot _at_ScottMonty _at_Ford
54
Tweet This _at_LeslieBradshaw _at_JESS3
_at_BradshawPinot _at_ScottMonty _at_Ford
55
Tweet This _at_LeslieBradshaw _at_JESS3
_at_BradshawPinot _at_EkaterinaWalter _at_Intel
56
Tweet This _at_LeslieBradshaw _at_JESS3
_at_BradshawPinot _at_NMSosphere _at_NationalJournal
57
Tweet This _at_LeslieBradshaw _at_JESS3
_at_BradshawPinot
58
Tweet This _at_LeslieBradshaw _at_JESS3
_at_BradshawPinot
59
Tweet This _at_LeslieBradshaw _at_JESS3
_at_BradshawPinot
60
Tweet This _at_LeslieBradshaw _at_JESS3
_at_BradshawPinot
61
Medicine 2.0
http//web2097.blogspot.com
Victor Castilla MD
62
What is Medicine?
  • Medicine combines both science as the evidence
    base and art in the application of this medical
    knowledge in combination with intuition and
    clinical judgment to determine the treatment plan
    for each patient.

63
What is Web 2.0 ?
  • "Web 2.0 is the business revolution in the
    computer industry caused by the move to the
    internet as platform, and an attempt to
    understand the rules for success on that new
    platform.
  • Tim O'Reilly (2006-12-10). Web 2.0 Compact
    Definition Trying Again.

64
What Web 2.0 is about ?
65
Web 2.0 Services
66
Web 2.0 Medicine Medicine 2.0
67
What is Medicine 2.0 ?
  • Medicine 2.0 is about realizing the potential of
    today's technology in Healthcare.
  • Medicine 2.0 is about working together.
  • Medicine 2.0 is about getting closer to
    colleagues and patients.

68
Why Medicine 2.0?
  • It helps medical practitioners who needs lifelong
    learning to use the web to improve their
    practice.
  • Because it is a wonderful resource for studying,
    lifelong learning and community learning.
  • http//www.slideshare.net/maxedmond/how-web-20-is
    -changing-medicine-39262/ by jessenfelix

69
Tools of Medicine 2.0 ?
  • Blogs
  • RSS
  • Podcast
  • Webcast
  • Wikis
  • Medical Search
  • Content Sharing Sites
  • Virtual World
  • Online Communities
  • Online Companies
  • e-books
  • e-learning
  • Online Writing, etc

70
Why to use it?
  • To save time
  • To share knowledge and experience
  • To create knowledge
  • To collaborate with others
  • To communicate more efficiently
  • To participate actively
  • To change the medicine

This was created by Scott Shreeve, MD
71
Additional Resources
  • Change Management Book
  • Our iceberg is melting http//www.kotterinternati
    onal.com/kotterprinciples/OurIceberg.aspx
  • Online course http//www.leadingboldchange.com/pr
    ework/Demo/index.html
  • E-collaboration course blog
  • hifellowship.wordpress.com

72
Assignment (01)
  • Download a journal or conference paper
  • Main resource Scholar.google.com
  • 1- It has to be related to collaboration in
    healthcare
  • 2- Summarize what you read and understood and
    state how it can be useful for healthcare in
    Egypt
  • 3- Submission is in two or three pages max.
  • 4- Deadline (Saturday 31 july, 2010)
  • Send by email to hi.fellowship_at_gmail.com
  • 5- Subject of the email has to be (Assignment 01
    Your Name)
  • Good Luck ?

73
Thanks
Amena Safwat amenas_at_mcit.gov.eg
  • HI Fellowship Program
  • RD Department
  • Information Technology Institute
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