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Transform Global Health is an initiative to improve the state of healthcare globally

Our current approach to healthcare isn't working. Medical science has made progress by leaps and bounds with the advent of antibiotics, modern surgery, and the increasing application of technology to every area of healthcare, that has improved human life expectancy and recovery from disease. However, the way we provide healthcare to people across the world needs massive improvement. Not only is it preventing us from realizing the full benefits of the medical advancements we have made, but it is also holding back our true potential for progressing medical science to benefit humanity.



Today, there is high health risk across vast regions of the world. There are issues with the quality of care including inaccurate diagnosis, medical errors, and problems with medical practices in all countries at all economic levels. Healthcare infrastructure is lacking across most regions in the world and there is a severe lack of physicians and medical staff virtually everywhere. Underprivileged and developing nations severely lack health infrastructure and services, while the cost of healthcare is getting prohibitively high in advanced nations, increasing at a rate where it will become over 50% of the gross domestic product (GDP) before the end of the century, a level of expenditure that can bankrupt most countries! There is a global deficiency of physicians and medical staff. While poor nations are the worst hit, developed nations are facing a severe problem as well, with the USA projecting a shortage of more than 100,000 doctors by 2030. Even this doesn’t give a fully accurate picture, as the lack of trained, experienced physicians makes the situation even worse. Perhaps the most alarming and disturbing problem caused by today’s approach and systems is the rampant corruption in healthcare at a global scale. Physicians all over the world get kickbacks for prescribing medication. Doctors in India routinely perform procedures such as putting unnecessary stents in patients’ arteries or performing unrequired hysterectomies on the poorest women after childbirth to collect government insurance. Patients have to pay bribes in places like France, Germany and China for getting proper healthcare. Even in today’s information age, health information is not managed or handled properly. With the corporate inspired, enterprise driven approach most of the world is taking, economically challenged and developing nations cannot afford the expenditure for implementing electronic health records and advanced nations like the USA have severely flawed implementation resulting in health systems that fail to communicate with each other, do not empower patients or provide them more transparency, and cause resentment and burnout amongst physicians and medical staff. Indeed, fully 50% of physicians in the USA say that they do not want their children to take up medicine, a disturbing trend that is bound to catch up with us in the worst way possible.


“We cannot solve our problems with the same thinking we used when we created them.” -Albert Einstein

Looking at all these problems, it is apparent that the state of healthcare is a “global epidemic”! We must do something about it. We must take a fresh approach. We must bring about a global transformation. Transform Global Health is an initiative to help achieve this. It is an action oriented program that will not just highlight global healthcare issues and bring our voices together, but also fund and implement actual, large scale, impactful projects that will achieve concrete results in transforming healthcare.

The first two projects we have undertaken are to implement the universal health information network (UNHIN), and to create a model hospital system that implements efficient technology, ethical practices and the controls required to provide the highest quality of care

There are significant issues with healthcare across the world

Global Health Risk

[Click here for references]

  1. International SOS Health Risk Outlook: https://www.internationalsos.com/risk-outlook

“Today, inaccurate diagnosis, medication errors, inappropriate or unnecessary treatment, inadequate or unsafe clinical facilities or practices, or providers who lack adequate training and expertise prevail in all countries.” -World Health Organization, July 5, 2018

Poor quality health services are impacting healthcare globally in countries at all income levels

  • 10% of hospitalized patients can expect to acquire an infection during their stay in low and middle income countries -7% in high-income countries, and one in ten patients is harmed during medical treatment in high income countries
  • Health care workers in seven low- and middle-income African countries were only able to make accurate diagnoses one third to three quarters of the time, and clinical guidelines for common conditions were followed less than 45 percent of the time on average
  • A recent Johns Hopkins study indicates that more than 250,000 people in the U.S. die every year from medical errors, making it the third-leading cause of death after heart disease and cancer. Other reports claim the numbers to be as high as 440,000
  • The broader economic and social costs of poor quality care, including long-term disability, impairment and lost productivity, are estimated to amount to trillions of dollars each year
[Click here for references]

  1. Delivering quality health services - A global imperative for universal health coverage, WHO-OECD-World Bank joint publication, July, 2018: http://www.who.int/servicedeliverysafety/quality-report/en/
  2. A new evidence based estimate of patient harms associated with hospital care: https://journals.lww.com/journalpatientsafety/Fulltext/2013/09000/A_New,_Evidence_based_Estimate_of_Patient_Harms.2.aspx
  3. CDC statistics on deaths and mortality: https://www.cdc.gov/nchs/fastats/deaths.htm
  4. The third-leading cause of death in US most doctors don't want you to know about: https://www.cnbc.com/2018/02/22/medical-errors-third-leading-cause-of-death-in-america.html

Underprivileged and developing areas lack healthcare resources while developed nations are struggling with unmanageably high costs

Hospital Density per 1000 people

Corruption in health care is endemic worldwide in public and private sectors, and in developed and resource-poor settings alike

  • Corruption is a serious threat to global health outcomes, leading to financial waste, compromised health security, and adverse health consequences. Forms of health corruption are diverse and complex and impact both developed and developing countries
  • Many governments fail to prevent a "black market" in health, where widespread corruption, bribery, "moonlighting" and other illegal practices flourish
  • A study in Europe revealed that bribery in medical services is a major challenge. European Countries where patients have the most frequent experiences of paying for privileged treatment are: Slovakia (41%), Slovenia (38%) and Germany, Spain, France and Sweden (all 29%), while the EU average stands at 19%
  • Surveys report that 80% of individuals in developing countries have experienced health sector corruption. Publications on details of corruption provide an alarming picture
  • As an example, there are several reports of alarming corruption in India related to widespread kickbacks, bribery, unnecessary medication, treatment, surgeries, and more
[Click here for references]

  1. World Health Organization Assesses the World's Health Systems: http://www.who.int/whr/2000/media_centre/press_release/en/
  2. Updated Study on Corruption in the Healthcare Sector: https://ec.europa.eu/home-affairs/sites/homeaffairs/files/20170928_study_on_healthcare_corruption_en.pdf
  3. Combating healthcare corruption and fraud with improved global health governance: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3519514/
  4. Transparency International Global Corruption Barrometer: https://www.transparency.org/research/gcb/overview
  5. Study Finds India Is Asia's Most Corrupt Country, While Japan Comes In Last: https://www.forbes.com/sites/suparnagoswami/2017/03/08/study-finds-india-is-asias-most-corrupt-country-while-japan-comes-in-last/#4ed8a23d1201
  6. Healers or Predators, ISBN-13: 978-0199489541, OUP India: https://global.oup.com/academic/product/healers-or-predators-9780199489541?cc=us&lang=en&

Poor handling of health information is a major issue globally that causes multiple problems and frustration for patients and physicians

EHRS DOMINATE DOCS' TIME
  • Handling of health information is problematic globally. While this applies to every aspect of healthcare, including drug production, clinical research and trials, analysis of treatments, identification of health trends, etc., it is most evident in the area of electronic health records (EHR)
  • Advanced nations that have wide adoption of EHRs have taken a highly problematic and expensive approach, with the global expenditure on EHR expected to reach $33.4 Billion by 2025
  • EHRs have been implemented as silo systems that do not interoperate. Health systems use multiple EHR software packages (with 1000+ vendors). Silo EHR systems cannot exchange information between hospital departments, let alone more broadly across organizations
  • The current approach to EHR is not providing the expected level of patient engagement and is also causing stress and dissatisfaction for medical staff. As an example physician burnout is affecting about 50% of practicing doctors in USA with EHR implementations taking the blame as the most significant factor
  • Several problem areas such as improper or inaccurate tabulation of healthcare statistics, distribution of counterfeit drugs in the market, and many more can be improved immensely with a well implemented health information network
[Click here for references]

  1. EHR interoperability, connectivity a big challenge around globe new study finds: https://www.healthcareitnews.com/news/ehr-interoperability-connectivity-big-challenge-around-globe-new-study-finds
  2. Use of more than one electronic medical record system within a single health care organization: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3613036/
  3. EHRs get most blame for epidemic of physician burnout: https://www.healthdatamanagement.com/news/ehrs-get-most-blame-for-epidemic-of-physician-burnout
  4. To Combat Physician Burnout and Improve Care, Fix the Electronic Health Record: https://hbr.org/2018/03/to-combat-physician-burnout-and-improve-care-fix-the-electronic-health-record
  5. Electronic Health Records Market: https://www.transparencymarketresearch.com/electronic-health-records-market.html
  6. Electronic solutions for combating counterfeit drugs: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4517327/
  7. Growing threat from counterfeit medicines: http://www.who.int/bulletin/volumes/88/4/10-020410/en/

Transform Global Health Projects

Universal Health Information Network (UNHIN)

The UNHIN is an initiative that takes a fresh approach in establishing the Universal Health Information Network (UNHIN) by applying decentralized computing including Blockchain technology. It overcomes the numerous challenges and cost related to managing health information to provide a secure, protected, while universally accessible health information network that facilitates advancing healthcare globally in providing improved healthcare outcomes, significantly reduced costs, and services that are not possible with current infrastructure and technology.

The UNHIN will be universally available to everyone for free, completely open source, completely community driven, economically self-sustained, and not owned by any entity. Providing a truly universal health information network that is ever present and freely available to everyone, and all individuals and organizations can use it for managing health information. This is in contrast to the traditional approach of implementing EHR software as enterprise systems and then finding ways to integrate these enterprise systems to achieve interoperability, which is costing billions of dollars every year with limited results and is prohibitively costly for most underprivileged and developing nations to implement.

Open Source Hospital Information System (HIS) Implementation

As a part of the UNHIN program, Transform Global Health (TGH) is offering to implement an enterprise grade Hospital Information System for free for five (5) small to mid sized hospitals in developing and underprivileged areas using leading open source hospital management and ERP software packages. A TGH industry partner will work with each hospital to understand their specific needs and implement the system to meet their requirements. This is part of the effort to improve the management of physician practices and hospitals globally, which is a key factor for establishing the UNHIN. Hospitals and physician practices may apply for this by filling out a simple form providing their information. The TGH team will review your information and get in touch with you to discuss your requirements and the suitability of the HIS platform for your organization . While we are limiting this opportunity to five healthcare organizations at this point, we expect to expand this to more organizations in the near future.

Model Hospital System

Develop a model hospital system that will provide a template for rapidly developing healthcare infrastructure at affordable costs, while implementing efficient technology and ethical practices and controls to provide the highest quality of care.

This project includes developing a 300 bed quaternary care, multi-super-specialty hospital with 5 secondary care satellite centers in India that will be used as a model for expansion nationally and internationally. India presents a unique opportunity for undertaking such a project. The country has a severe deficiency of healthcare infrastructure with just 0.7 hospital beds per thousand people, while having a strong economy, affordable cost of services, and positive focus and incentives related to healthcare from the national government. This combination of factors allows us to implement a project that will fulfill a dire need while providing an attractive return to investors.

This will be a Joint Commission International (JCI) accredited healthcare system, providing the highest level of internationally recognized quality of healthcare. It will additionally apply several innovations for implementing a smart hospital, using green engineering and construction practices, and implementing patient-centric healthcare practices that enhance the interaction between patients and physicians, and monitor and manage medical errors, and discourage and report on healthcare corruption.

Featured Blogs

Organizations

St. James Medical Complex

Trinidad and Tobago

Dhingra Hospital

Ferozepur, India

Khanna Nursing Home

Ferozepur, India

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