ACCESS Health China won the 2017 Special Contribution Award by Shanghai Services Federation in February 2018. This award is given to members of the Federation for their contributions to the development of the service industry in Shanghai.
In 2017, ACCESS Health China launched a research unit, the Health Futures Innovation Platform, and the Innovator Alliance to deepen our relationship with partners and to enhance our understanding of the healthcare sector. We organized and supported forty seven events in the past year in collaboration with more than one hundred partners. Our platform brought together more than two hundred industry mentors and more than nine hundred innovators to foster innovations in our focus areas of aging, digital health, and healthcare finance. We also promoted cross border communication and exchanges to share experiences and to explore expansion opportunities.
ACCESS Health China was an inaugural member of the Professional Committee on Health Services of Shanghai Services Federation. Our Health Futures Innovation Platform was committed to the transformation from a hospital centered service model to a person centered care model. We would like to appreciate the great support of the Federation on our work within the platform, especially our joint efforts to hold the 2017 China International Healthcare and Finance Innovation Summit. Click here to read more about the summit.
We look forward to continuing our strong relationship with the federation and future opportunities with other Federation members and its health committee.
About Shanghai Services Federation
Shanghai Services Federation was founded in December 2015. Its membership organizations include services associations, societies, and for profit and non profit enterprises across diverse sectors such as finance, manufacturing, information technology, professional services, cultural services, and consumer services in Shanghai. The federation was established on the mission of serving its membership organizations, government agencies in the service sector, and society as a whole. Since its establishment, the federation has been playing an important role in encouraging collaborations, connecting domestic and foreign resources, and facilitating communications between enterprises and the government.
Margaret Crotty, the Executive Director of the New York based nonprofit, Partnership for Children, and one of the newest members of the Board of Directors of ACCESS Health International, recently visited Sangareddy Hospital in Hyderabad, Telangana to view their maternal and newborn quality improvement programs.
District Hospital Sangareddy Hospital was one of the first hospitals to join the Safe Care, Saving Lives program, back in 2014. Sangareddy is a district headquarters hospital that caters to a population of roughly one and a half million people. It has a well equipped labor room with five beds and a twenty bed Special Newborn Care Unit with round the clock available specialists. Each month, the hospitals delivers roughly six hundred babies and admits nearly two hundred babies to the Special Newborn Care Unit.
The quality improvement team at Sangareddy, led by Medical Superintendent Dr. K Raju and Dr. Rahim, Neonatologist and Nodal Officer in the Special Newborn Care Unit, have been working to reduce newborn deaths related to sepsis and complications of prematurity. These are two of the leading causes of death among newborns in India.
To reduce sepsis in the Special Newborn Care Unit the quality improvement team worked on compliance of hand hygiene, adherence to aseptic non-touch techniques for intravenous insertions, and timely and appropriate use of antibiotics. Through these efforts, the hospital reduced the incidence of sepsis from twenty percent in 2014 to seven percent in 2017. During the same time period, hospital staff achieved a four percent reduction in deaths due to sepsis. The hospital also significantly reduced expenditures on antibiotics, proving that improving the quality of care often leads to reductions in costs.
The quality improvement team at Sangareddy is also working to reduce complications due to prematurity by increasingly administering antenatal corticosteroids for women who are between 24 and 36 weeks pregnant. They have also improved temperature monitoring within the first fifteen minutes of a child being admitted into the Special Newborn Care Unit and have improved exclusive breastmilk feeding for newborns. These efforts have significantly reduced Respiratory Distress Syndrome cases from eleven percent in 2014 to five percent in 2017. Death rates due to Respiratory Distress Syndrome cases were also reduced to five percent from thirteen percent over a period of three years.
The visit to Sangareddy Hospital was an opportunity to showcase the impressive achievements in maternal and newborn care in the district hospital and also an opportunity for Ms. Crotty and ACCESS Health to thank Dr. Raju and Dr. Rahim for their leadership.
ACCESS Health China held its first seasonal “Health Futures Industry Networking Reception” on January 16, 2018 in Beijing. The topic of the session was healthcare innovations and applications and their impact on healthcare system transformation from the perspective of both China and the United States. More than forty mentors and partners participated in the session.
We were honored to have our mentor from the United States, Dr. Molly Joel Coye, as our guest keynote speaker. Dr. Coye is currently the executive in residence at AVIA and a member of the board of directors of Aetna, Inc. AVIA is the nation’s leading network for health systems seeking to innovate and transform, and its mission is to advance care delivery transformation through the deployment of digital solutions. Aetna Inc. is an American managed healthcare company, which sells traditional and consumer directed healthcare insurance plans and related services. Dr. Coye is an expert on healthcare innovation, especially around digital health and disruptive technology, and how innovations can transform healthcare delivery. Dr. Coye gave an insightful presentation on current developments and barriers in the transformation of care delivery in the United States, including virtual care and applications of artificial intelligence. She also introduced investment trends in the U.S. healthcare sector. “One thing that I am most impressed by from this visit is the incredible opportunity that all of you – both investors and innovators – have to scale up your work to reach great numbers of people very quickly”, said Dr. Coye.
Following Dr. Coye, Dr. Chang Liu, managing director of ACCESS Health Mainland China, Hong Kong, and Singapore, introduced our Health Futures Innovation Platform and our newly established Innovator Alliance with the audience. The Health Futures Platform is ACCESS Health’s flagship grogram in China. It promotes cross industry, cross border, interdisciplinary collaboration in the health industry, facilitating the growth of innovative institutions and projects. The Innovator Alliance supports innovative enterprises at their growth stage, helping members with business development, resource sharing, and network building.
We also organized a roundtable panel discussion. We were pleased to have Mei Dong, KPMG partner, head of healthcare and aged care, to moderate the discussion. The discussion focused on the rapidly developing industry of digital health that has grown from technology breakthroughs and the government vision of Healthy China 2030. Each guest speaker shared their experiences and insights in various areas including online healthcare, big data, artificial intelligence, and the internet of things. Our roundtable guests included:
Yusheng Zhang, Chief Executive Officer of Apricot Forest
Qinqin Huang, business unit director of TK.CN health department
Lei Li, strategy department general manager of Peiking University Healthcare Group
Jimmy Jin, deputy general manager of Tianyi Group HEALTH WORK
At the end of the session, we invited three of our Startup Alliance members to present their projects and business development for our mentors and partners. These innovators included Yihu365, 66nao Brain Training, and Yiyi.
ACCESS Health launched its latest book Every Second Counts with an hour long session at the Jaipur Literature Festival, titled “Innovations in Healthcare”. The book describes the story of the largest emergency response providers in the world, the Emergency Management and Research Institute (EMRI). EMRI launched in 2005 in a single state in India, Andhra Pradesh. Today, it operates in seventeen Indian states and territories and serves a population of more than seven hundred million. Each day, the emergency system receives one hundred and fifty thousand calls and responds to almost twenty five thousand emergencies. The service is free to the user and costs EMRI less than $15 USD per emergency, less than one percent of what an emergency call costs in the United States.
Watch ACCESS Health Chair and President William A. Haseltine and ACCESS Health India Country Director Siddhartha Bhattacharya discuss the book and other innovations in health in the video below.
This post was guest authored by Shefali Srinivas, Vice President, Health Lead, Asia Pacific at WE Communications. It originally appeared on LinkedIn.
SGInnovate and ACCESS Health International brought a truly fantastic group of people together to talk blockchain in healthcare earlier this week. I had a mortifying moment at the start of our discussion; I forgot what I wanted to say. Let’s just say I had blockbrain. Lesly Goh (Financial Services Industry Lead, Microsoft Asia Pacific) rescued me so gracefully, picking up my train of thought and validating the quote I eventually remembered: “AI and climate change may ruin us, but blockchain and women will save us.”
Lesly talked about permissioned blockchain, the area that is most promising for healthcare enterprises. “We need to focus on interoperability and commitment to an open source standard,” she said.
Zia Zaman (Chief Innovation Officer, MetLife Asia) said blockchain technology could make insurance more inclusive by providing different ways to extend cover to more people or cover more diverse risk pools. The hope is to reduce costs and complexity and make it simpler for people to buy insurance products at the point of care. “About as much friction as it takes to get a drink out of a vending machine,” he said.
Dr Marcus Tan (senior resident at NUH) said blockchain could be the answer to the problem of patient data that is stuck in various institutional silos. “In the blockchain model, we can give patients back the ownership of their data. Data that is reliable, immutable, and trusted.” In Singapore, the first implementations of blockchain will probably be targeted at electronic medical records.
We had an hour-long discussion with a very engaged audience and questions ranged from privacy concerns to use cases. Judging by the audience interest, we could easily have gone on for another hour.
Zia’s reminder stood out: no matter what the enterprise is, we need to think of all technology from the perspective of the end user. “It’s not about the technology itself – it is about the problems you can solve uniquely and differently for the customer. So we need to think about how deep tech impacts the industry’s customers – Does it reduce friction? Does it increase security? Does it provide other types of benefit?”
These are the questions to ask in order to keep this conversation going well into 2018. A big thank you to everyone on the panel, the organisers, and our very encouraging audience.
ACCESS Health and its partners Health News (Jian Kang Bao) organized the China Chronic Disease Management Industrial Forum late last year in Wuxi, Jiangsu Province. ACCESS Health and Health News invited guest speakers to speak about chronic disease and medical insurance and invited healthcare startup representatives and investors to present in a roadshow on chronic disease management. Chronic diseases are a growing health concern across the globe and an important priority for ACCESS Health that combines much of our work on aging, digital health, and healthcare and finance. Cross industry collaboration is essential to improving the life quality of patients with chronic diseases.
Emergency medical response systems are a critical component of any nation’s healthcare system. Minutes and seconds can mean the difference between life or death. In our latest book, Every Second Counts, ACCESS Health Chair and President William A. Haseltine tells the story of the largest emergency services provider in the world.
The Emergency Management and Research Institute (EMRI) launched in 2005 in a single state in India, Andhra Pradesh. Today, it operates in seventeen Indian states and territories and serves a population of more than seven hundred million. Each day, the emergency system receives one hundred and fifty thousand calls and responds to almost twenty five thousand emergencies. The service is free to the user and costs EMRI less than $15 USD per emergency, less than one percent of what an emergency call costs in the United States.
“What the government of India has achieved in partnership with EMRI is nothing short of groundbreaking,” said Dr. Haseltine. “Despite limited resources, challenging infrastructure, and a substantial population spread out over one of the largest countries in the world, the government created a near universal, world class emergency system. The EMRI story proves that every government, with the right intentions and partnerships, can provide their people universal access to high quality and affordable care.”
At ACCESS Health, we believe all people no matter where they live, no matter what their age, have the right to access high quality and affordable healthcare and to lead healthy and productive lives. Every Second Counts is one in a series of books written by the organization to showcase outstanding examples of success.
In addition to being the largest emergency services provider in the world, EMRI also represents one of the largest public private partnerships. Central and state governments in India share the costs of the service but private companies do the work. Every Second Counts is an inspiring story of political leadership, private sector engagement, and public access to care. The book is an important read for policymakers, business leaders, and healthcare leaders who care about providing high quality care at an affordable cost to all those in need.
Head to Amazon.com to buy a hard copy of the book or download the PDF of the book here.
As part of its support for its partner, the Non-Profit Incubator, and the Bright Start Project, ACCESS Health China participated in recruitment sessions in four different colleges in Shanghai and conducted a series of online and offline training sessions for students in November. More than two hundred students joined the November training sessions. Bright Start is a nonprofit joint project with ACCESS Health China and Non-Profit Incubator, funded by J.P. Morgan Foundation. The goal of the project is to prepare students for jobs in the digital health sector.
We were grateful to be joined by Haochen Xu from the human resource department of Ping An Health Cloud Company Limited human resource department for a sharing session at Shanghai University of Medicine and Health Science. Mr. Xu spoke with medical students about the potential of a career in the digital health sector. We also invited distinguished guest speakers Ying Zhao from AstraZeneca and Lisha Ye from First Respond to participate in the online sharing events. Shu Shang from ACCESS Health China also took part. The three guest speakers shared their respective experiences and offered insightful suggestions on developing careers in digital health marketing, information technology, and administration.
The ACCESS Health China team also supported a Design Thinking workshop at Shanghai Second Polytechnic University. The challenge for the workshop was to improve the user experience of an online medical application. More than one hundred and fifty students participated in the workshop. The goal of the workshop was to let students learn design thinking and develop a deeper understanding of digital health. It was the first time for many students to use the online medical application. All students went through the process of design thinking to understand how online medical works, how to conduct user surveys with empathy, how to define problems, and how to brainstorm solutions and create draft models for testing. We appreciate the support of Ping An for using their Good Doctor mobile application as the study case for students. Students will present their solutions to the challenge in the form of a roadshow for Ping An in the coming week.
The Bright Start project started in January 2017. Since its inception, the project has organized more than thirty online and offline training events for more than sixty mentors and one thousand students. As part of the program, ACCESS Health approached thirteen companies about more than eighty positions that may be available to students. By supporting training and content for Bright Start, we are glad to be able to enable these students as they consider starting their careers in digital health.
This post originally appeared on the Joint Learning Network blog.
Medical audit systems are crucial to improving the quality of patient care and making efficiency gains in health care systems. But many countries struggle with the complexities of establishing or strengthening their medical audit schemes.
Defined as a quality improvement process with a step-by-step analysis of health care services against explicit criteria relating to quality and cost, well-designed medical audit systems can ensure effective and financially sustainable health care systems and improve patient outcomes.
When the delivered care or health outcomes fail to meet established benchmarks in a medical audit, practitioners have vital data on the changes that should be implemented at an individual, team or service level.
The Formation of the Medical Audits Collaborative
The participating JLN member countries formed a collaborative working group to address what practitioners had identified as common challenges in designing and implementing medical audits within their national health insurance programs.
Participants included technical professionals focusing on claims, quality assurance and monitoring and evaluation in national health insurance agencies; medical practitioners, professors and researchers; and policymakers from national ministries of health.
South Korea, a new member of the JLN, hosted three in-person meetings to support fellow member countries in thinking about how to design and implement medical audits to improve quality of care. South Korea has one of the most well-established and highly-functioning medical audit systems today, leading the collaborative to identify HIRA as a reference point for best practices in medical audit systems.
Throughout the in-person and virtual meetings, the collaborative discussed common challenges and exchanged experiences, defined the components of a medical audits framework within a health insurance program, and identified tangible recommendations for strengthening medical audit systems within the context of their countries.
Equipped with this collective knowledge, the participants worked collaboratively to produce a practical toolkit for their fellow practitioners on how to design, implement and strengthen medical audit systems.
The Medical Audit Systems Toolkit and Framework
Developed from the perspective of purchasers of care, such as national health insurance agencies, the Toolkit provides comprehensive recommendations for designing and implementing medical audit systems and includes best practices, country examples, and solutions to common challenges.
Results from a medical audit can guide actions and recommend changes to the individual, team, service or system levels. Practitioners can then further monitor the changes to identify improvements in the quality and efficiency of the health care system.
The Toolkit also walks the user through a medical audits framework. Essential components of a medical audit framework include:
Inputs: preconditions for enabling a successful medical audit system
Processes: the development of indicators, rules, and triggers to ensure effective medical audits and the process of conducting the audit, including onsite and offsite investigations
Outcomes: the overarching goals of improved quality, patient outcomes and financial elements of risk protection and sustainability
The figure below illustrates the medical audit system framework adopted by the collaborative, featuring the perspectives of policymakers, purchasers of care (such as insurers), health care providers and patients.
The collaborative also developed cross-linkages with JLN Data Analytics collaborative, which focuses on collecting indicators for provider payment mechanisms, complementing the work of the Medical Audits collaborative around the process of developing audit triggers. For example, one step in the Medical Audits toolkit requires the development of indicators for claims reviews, drawing directly from the co-produced knowledge in the Using Data Analytics to Monitor Provider Payment Systems manual.
As the technical coordinator of the collaborative, ACCESS Health International synthesized and developed the content for the toolkit based on case studies, country examples and critical insights shared by participants. The toolkit will be officially launched at an event in South Korea, hosted by HIRA, in December 2017.
Applying the Toolkit in Nigeria and the Philippines
The discussion during the in-person and online meetings have already supported member countries to take immediate steps to strengthen their respective medical audit systems. Participation in the collaborative helped the Philippines’ national health insurance agency, PhilHealth, to train its staff on data quality and the importance of data standardization. PhilHealth is currently working with a consulting firm to determine thresholds for fraud identification triggers. Meanwhile, Nigeria’s national health insurance agency launched a capacity-building program for staff working in the medical audits program.
Next Steps for Quality Health Systems
Following the launch, the JLN will work with member countries to adapt, apply and implement the toolkit. The Medical Audits collaborative plans to continue engagement through a community of practice, identify in-country champions for designing efficient medical audit systems and explore in-country dissemination opportunities. JLN member countries can also take advantage of the Joint Learning Fund to start initial learning and application of best practices in their countries. As countries increasingly have the opportunities, knowledge, and resources to improve their medical audit systems, they will move ever closer to their common goal of ensuring universal access to high-quality health care.
ACCESS Health China organized a Modern Aging Open Day inviting mentors from Hong Kong and Mainland China to give guidance on innovative projects that are aimed at improving the quality of life and wellbeing of the elderly. It was the first time inviting mentors to participate virtually from different geographic locations. Two distinguished mentors participated in the day:
Ms. Serena Xie, Co Founder and Chief Executive Officer of YD Care
Ms Di Zheng, Senior Program Officer of Leping’s Social Innovation Research and Development Center
SOW Asia, our Open Day partner, recommended three outstanding projects from Hong Kong in the aging sector: ELDPATHY, Sit N Shower, and Acesobee. These projects focus on elderly simulation, elderly assistive devices, and platforms to help manage healthcare records. Mentors gave their comments on each project based on different opportunities and challenges specific to each field.
Open Day is a monthly Modern Aging event. It facilitates the implementation and growth of new projects that serve the needs of the elderly and provides opportunities for collaboration for mentors. Open Days also attracts startups to our community of entrepreneurs.
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