Global Health Research Foundation SVC Wireless Presentation December 2012

7/29/2019 Global Health Research Foundation SVC Wireless Presentation December 2012

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Patient Outcomes andEnvironmentalMonitoring System(POEMS) & DEMOSwww.GHRF.org

Erica Weirich MD Founder and Director

Mary Vincent Director Tech and Environment

[email protected]

GHRF is a 501(c)3 - Integrating process improvement with technology to strengthen

systems and build capacity for eco-health solutions in low-resource settings worldwide


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The Honorable Lyonchen Jigme Yoser Thinley, Prime Minister of the Kingdom of Bhutan


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Patient Outcomes and Environmental MonitoringSystem (POEMS) Goal

Streamline data reporting for BHUs (clinics) andDistrict Hospitals, Rangers and community

members involved in POEMS environmental andmedical programs.

Integrate technology, empower processimprovement, and replicate/expand workingsolutions


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Theory behind integration of

POEMS Mobile and Data Tools

Rapid access to accurate evidence of the

problem is a key to coordinating

interventions, and to facilitate control anderadication efforts.

and

The slow return on outcomes data is a

fundamental barrier to tracking and fighting

health and environmental problems, thus to

proactively protecting environment and

health


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POEMS

POEMS will deliver a high-tech, no-cost, easily implemented solution

which, when implemented will be a huge cost savings for Bhutan and

also improve the quality of care to the people Bhutan.

This project satisfies Millennium Development Goals (MDGs)

Goal 1 Eradicate poverty and hungerGoal 3 Promote gender equality and empower women

Goal 5 Improve maternal health as in the Annual Health Survey

Goal 6 Combat communicable disease like HIV and Malaria as well

as Non-communicable disease (NCD) like diabetes, as in the PEN

application

Goal 8 Develop a global partnership for development(Bhutan can lead to model and perhaps directly guide other

countries.)


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Basic Health Unit and Rangermobile data collection applications (POEMS)


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* BHU resources areavailable to BHU provider

through the mobile device


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GHRF history in Bhutan

First visit in 2007 while developing sustainability tools for low-resource areas, to understand the integrated, model sustainedhealth system Bhutan had created

Returned in 2010 to offer mobile and data tools, realizing howwell Bhutan could implement idea of POEMS formed

Designed and brought first iteration of POEMS to usabilitytest in BHUs in 2012

Patient Data Application for BHU, Annual Health Survey, PENprogram, and NFC cards are now ready for pilotRanger tools will be reviewed in 2013


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GHRF ongoing projects worldwide(utilizing Assessments & Outcomes Toolkit)

Uganda Malaria Surveillance ProjectCalifornia Central Valley Asthma ProjectTanzania HIV-Associated Cancer Registry

Bhutan Patient Outcomes and Environmental MonitoringSystemCommunication through IllustrationTOUCH Tanzania (Bugando University, Mwanza)Guatemala Children in Crisis Program (Stanford University)


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GHRF Project Team

Rika Bajra, MDMedical Adviser, TB and HIV project coordinator M.D. Community

and Family Medicine (Stanford)Doug Dworkin

GHRF Web design, Communication through Illustration Lead, Artand Media Director, Kaiser Marketing, Author, illustrator

Lynne Gaffikin, PhDOne Health Epidemiologist, Scientist, >20 yrs exp Path, WWF,

WCF, Stanford Adjunct Faculty

Victor B. Ibabao, MPH (Johns Hopkins), GHRF Director of Cultural Programs and Public

Health Education, formerly with the World Bank in Washington,D.C., Cultural Competency, Public Health (Malaria, Tuberculosis),Decision Support and Evaluation Planning.


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GHRF Project Team

My T. Le, PhDGHRF Engineering Director, Prof. of Engineering (Stanford),

Entrepreneur (sev. successful startupslaunched/sold),Entrepreneur and Angel Investor

Cathy Leather: Program Director, Innovation EducationProfessor Technology Saratoga HS, User Interface and User

Experience expert, User Interface expert, professor technologySaratoga HS, User Interface and User Experience, TeachingCredential, Masters in Information Technology and Graphic

DesignMark Leather: GHRF POEMS Technical LeadFellow at AMD, co creator of the Nintendo Wii (and Gamecube),

Oscar winner for his work with Lucasfilm and Pixar, prior workedfor Silicon Graphics, ATI, BBC London and now AMD. (MarksAcademy Award is for Scientific and Technical Achievement.)


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GHRF Project Team

June Liu Biotech Consultant and Senior Statistician Senior Research Scientist Genomic Health, prior Johnson and

Johnson and prior AlzaJosh Mailman Chief Technology Officer20 yrs tech experience, successfully launched and sold several

startups including Efax, Former worldwide marketing director forXerox

Jon Puro GHRF Data Solutions ArchitectHealth Information Technology Systems, OCHIN, GHRF Data

Warehouse AnalystBenoit Schillings ,Tech TeamSenior technologist, Facebook, prior CTO Myriad, CTO Nokia,

Senior Technologist at Apple and Be


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GHRF Project Team

Christopher Traver MD GHRF Chief Financial Officer M.D. Trauma and General Surgery, ICU director Northern California Trauma

Services Mary Vincent MBA Electronic Business CEO Green Star Solution, Director Tech and Environment GHRF

Erica Weirich, MD MA Director, GHRF; Professor of Medicine, Stanford University School of

Medicine; Physician Palo Alto Medical Foundation Kathy Yates, Business Adviser

CEO AllBusiness.com, Teachscape; former President CBSMarketwatch, Board of Directors, Interplast


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POEMS Technology Timeline

We are here

Tool

Creation

Usability Testing &

Working Group

Appointed

Pilot in One

District

July 2012November 2012-

Jan 2014

Scale to All

Districts

Spring 2014


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The interdependence of health and environmentseems obvious, but is difficult to explore from a

health development perspective

Example: We know that spraying for malaria WORKS. Butkills mosquitoes which are key to the food chain in thejungle. The jungle ecosystem is SO fragile, that this singleenvironmental hit could easily wipe out the critically

endangered tiger.How do we measure this? How do we measure the effect of

spraying on the ecosystem, or the effect of NOTSPRAYING? Can we build a system that holds these data

together, so that we can find the value added of workingtogether? So that we look at impact across a multitude ofvariables?


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www.ghrf.org


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DEMOS

GHRF is a 501(c)3Integrating process improvement with technology to strengthensystems and build capacity for eco-health solutions worldwide

www.ghrf.org

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Global Health Research Foundation SVC Wireless Presentation December 2012

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