bringing the world to the bedside. components of healthcare system health care workforce patients...
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MedicineAfricaBringing the world to the bedside
Components of healthcare system
Health Care Workforce
Health Care Workforce
Patients and Disease
Patients and Disease
Knowledge / research
Knowledge / research
GovernanceGovernance
MoneyMoney
Therapeutics /
interventions
Therapeutics /
interventions
The Architecture for Global Health Unified architecture for the activities of
global health Global Healthcare Workforce Record1
Global Electronic Patient Record Global Medical Education and Training2
Global Access to Specialist Care2
Global Burden of Disease Monitoring Database
Global Clinical Trials Handling Global Health Economic Modelling Global Medical Knowledge Database2
2Finlayson et al 2009J Telemed
1Finlayson et al 2011Science
Global threats to global health require global solutions
Train more healthcare workers Redefine healthcare workers Develop new therapies Improve infrastructure Connect the dots differently
Redefine healthcare workers Health officers Traditional healers Nurses
Migration remains a problem As does inequality but perhaps develop a
platform on which growth can occur more organically
Using technology to reconnect the dots Architecture for organisation of people Governance for professionalism Security systems for data protection Institutional memory for evolvability Standard nomenclature for patient
information High levels of penetration across
traditional boundaries Free at the point of use
Components of the healthcare workflow
Health Care Workforce
Health Care Workforce
Patients and Disease
Patients and Disease
KnowledgeKnowledge
GovernanceGovernance
High levels of penetration across traditional boundaries
Architecture for organisation of people
Governance for professionalism
Security systems for data protection
Institutional memory for evolvability
Standard nomenclature for patient information
Components of the healthcare workflow
Health Care Workforce
Health Care Workforce
Patients and Disease
Patients and Disease
KnowledgeKnowledge
GovernanceGovernance
High levels of penetration across traditional boundaries
Architecture for organisation of people
Governance for professionalism
Security systems for data protection
Institutional memory for evolvability
Standard nomenclature for patient information
Components of the healthcare workflow
Health Care Workforce
Health Care Workforce
Patients and Disease
Patients and Disease
KnowledgeKnowledge
GovernanceGovernance
High levels of penetration across traditional boundaries
Architecture for organisation of people
Governance for professionalism
Security systems for data protection
Institutional memory for evolvability
Standard nomenclature for patient information
Components of the healthcare workflow
Health Care Workforce
Health Care Workforce
Patients and Disease
Patients and Disease
KnowledgeKnowledge
GovernanceGovernance
High levels of penetration across traditional boundaries
Architecture for organisation of people
Governance for professionalism
Security systems for data protection
Institutional memory for evolvability
Standard nomenclature for patient information
Components of the healthcare workflow
Health Care Workforce
Health Care Workforce
Patients and Disease
Patients and Disease
KnowledgeKnowledge
GovernanceGovernance
High levels of penetration across traditional boundaries
Architecture for organisation of people
Governance for professionalism
Security systems for data protection
Institutional memory for evolvability
Standard nomenclature for patient information
Components of the healthcare workflow
Health Care Workforce
Health Care Workforce
Patients and Disease
Patients and Disease
KnowledgeKnowledge
GovernanceGovernance
High levels of penetration across traditional boundaries
Architecture for organisation of people
Governance for professionalism
Security systems for data protection
Institutional memory for evolvability
Standard nomenclature for patient information
Components of the healthcare workflow
Health Care Workforce
Health Care Workforce
Patients and Disease
Patients and Disease
KnowledgeKnowledge
GovernanceGovernance
High levels of penetration across traditional boundaries
Architecture for organisation of people
Governance for professionalism
Security systems for data protection
Institutional memory for evolvability
Standard nomenclature for patient information
mHealth
Forecast worldwide telecom statistics at a glance – 2010
Population 6.9 billion Fixed lines 1.4 billion Mobile subscribers 5.1 billion Mobile text messages sent 4.2 trillion Internet users 1.6 billion
Species level penetration
MedicineAfrica
Designed as an augmented network for global health
Deliver simulated bedside teaching around the world
Specifically designed for low bandwidth Behind it is an incredibly carefully thought
out database which cross links resources, people, countries, and quality
The ability to deliver a tutorial is just the start
MedicineAfrica Architecture
Health Care Workforce
Health Care Workforce
Patients and Disease
Patients and Disease KnowledgeKnowledge
GovernanceGovernance
Case based recordsSocial Network Evolving Information Bank
Official hierarchyRather than online anarchy
Why MedicineAfrica?
Traditional models of medical aid Healthcare delivery Health systems strengthening
Economic, environmental, personnel cost Not scaleable
Worker flux Progress
Medical Development
Programme
Video
How to MedicineAfrica
Welsh Institution
Gambian Institution
How to MedicineAfrica
Syllabus
Mentor
Peer to Peer
On Call
Welsh Institution
Gambian Institution
Tutorial
You plan a lesson
Student 1 Case
Student 2 Case
Tutor plans some
supplemental teaching material
Tutor and students meet to
discuss cases
Student 3 Case
Meeting Space
Cases
Medical Files
Recorded Transcript
s
Mentor
REAL WORLD
Psychiatry
ApprovedMentor
Mentee
MEDICINE
AFRICA
Capacity Amplification
REAL WORLD
Psychiatry
Mentor Mentee
MedicineAfricaMeeting Space
Cases
Medical Files
Recorded
Transcripts
Distant supervision
REAL WORLD
Psychiatry
Mentor Mentee
Medicine Africa Meeting Space
Cases
Medical Files
Recorded
Transcripts
Distant supervision
REAL WORLD
Psychiatry
Mentor Mentee
Medicine Africa Meeting Space
Cases
Medical Files
Recorded
Transcripts
Distant supervision
REAL WORLD
Psychiatry
Mentor Mentee
Medicine Africa Meeting Space
Cases
Medical Files
Recorded
Transcripts
Distant supervision
REAL WORLD
Psychiatry
Mentor Mentee
REAL WORLD
Psychiatry
Mentor Mentee
Medicine Africa Meeting Space
Cases
Medical Files
Recorded
Transcripts
Distant supervision
Medicine Africa Meeting Space
Cases
Medical Files
Recorded
Transcripts
Distant supervision
Peer to Peer
Medicine Africa
WelshMedical Student
GambianMedical Student
EthiopianMedical Student
Your Link Sets Discussion Topics
Integrated: Recorded Transcripts/Questionnaires
Evaluation
As the programmes develop the emphasis will be to shift toward South – South education, training and support
North – South South - South
Climbing Kirkpatrick's Hierarchy
Bird’s Eye View
MedicineAfrica Support Team
UK Links
Links Based at Kings College
London
Clinical Lead and
Administrative Leader
Zimbabwe Lead
Speciality
Leads
Zambia Lead
Speciality
Leads
Sierra Leone Lead
Speciality
Leads
Somaliland Lead
Speciality Leads
Intern Lead
Mentoring Lead
Medical Student
Lead
Peer – Peer Lead
Tanzania Lead
Speciality Lead
Links Based at Oxford University
Oxford Lead
Other Oxford Links
Oxford Palestine Link
Programmati c
Leader (T AHH)
Cli nical Lead (TM and AS)
Edinburgh University
Links
The Royal Hospital for
Sick Children / Afrox
UCL Links
USA Links
UCSF Programme Lead
Tanzania Lead
Speciality Lead
MedicineAfrica Growth in Wales
MedicineAfrica Support Team
UK Links
Links Based at Kings College London
Clinical Lead and
Administrative Leader
Zimbabwe Lead
Speciality Lead
s
Zambia
Lead
Speciality Lead
s
Sierra Leone Lead
Speciality Lead
s
Somaliland Lead
Speciality Leads
Intern Lead
Mentoring Lead
Medical Student
Lead
Peer – Peer Lead
Tanzania Lead
Speciality Lead
Links Based at Oxford University
Oxford Lead
Other Oxford Links Oxford Palestine L ink
Prog ram m ati c L ea de r (T AHH)
Cl in i c a l L ead (T M an d AS )
Edinburgh University
Links
The Royal Hospital for
Sick Children / Afrox
UCL Links
USA Links
UCSF Programme Lead
Tanzania Lead
Speciality Lead
?Wales
Global threats to global health require global solutions
Components of the healthcare workflow
Health Care Workforce
Health Care Workforce
Patients and Disease
Patients and Disease
KnowledgeKnowledge
GovernanceGovernance
High levels of penetration across traditional boundaries
Architecture for organisation of people
Governance for professionalism
Security systems for data protection
Institutional memory for evolvability
Standard nomenclature for patient information
MedicineAfrica.com