141 Interoperability and The Smart Hospital with Henrique Martins
Summary
TLDRIn this healthcare technology discussion, Henrique Martins, an associate professor in Health Management, emphasizes the importance of interoperability in smart hospitals for efficiency and effectiveness. He discusses how advanced hospitals are integrating technologies like automation, robotics, and AI to enhance patient care and streamline operations. Martins also highlights the critical role of data security in building trust and ensuring patient privacy. He concludes by advocating for a more trusting approach in healthcare, empowering patients with their data to simplify the healthcare experience.
Takeaways
- 🌐 Henrique Martins, an associate professor in Health Management, discusses the importance of interoperability in smart hospitals, emphasizing the need for global sharing of health data.
- 🏥 Smart hospitals are becoming more advanced with AI, but their effectiveness is limited without the ability to integrate data from other healthcare facilities.
- 📚 The lack of longitudinal health data from various institutions can hinder the full potential of AI in healthcare, as it requires comprehensive patient histories for accurate diagnosis and treatment.
- 🤖 Technology in smart hospitals includes automation and robotics, which are used to improve logistics and efficiency, such as robotic food distribution and automated pharmacy supply.
- 🚀 The integration of 5G and cloud computing is crucial for the operational side of smart hospitals, facilitating faster data processing and communication for robotic technologies.
- 💡 Decision-making technologies in healthcare include clinical support systems that assist medical professionals in making informed decisions, enhancing patient care.
- 🔒 Data security is paramount in smart hospital technologies to ensure patient privacy and trust. Cybersecurity protocols and human factors play a significant role in maintaining this trust.
- 🛡️ Cybersecurity in healthcare is not just about technical measures but also about educating staff on best practices to prevent human error, which is a common cause of security breaches.
- 💼 The investment in digitalized hospitals is high, and while they may not be more efficient, they are expected to provide better care and patient safety through advanced technologies.
- 🔑 To make healthcare less complicated, there needs to be a shift in trust towards patients, allowing them more access and control over their own health data, similar to how other industries operate.
Q & A
What is the significance of interoperability in smart hospitals?
-Interoperability is crucial for smart hospitals as it allows the integration of data from various healthcare institutions, enabling a more comprehensive view of a patient's medical history, which is essential for personalized and effective treatment.
How does the lack of interoperability affect the functionality of smart hospitals?
-Without interoperability, smart hospitals are limited in their ability to collect and utilize a patient's complete medical history, which can hinder the effectiveness of treatments and limit the potential of AI and other advanced technologies.
What role does technology play in enhancing patient care in smart hospitals?
-Technology in smart hospitals enhances patient care through automation and robotics, decision support systems, and in some cases, replacement technologies. These advancements streamline operations, support clinical decisions, and in certain areas, automate tasks to improve efficiency.
Can you explain the importance of data security in the implementation of smart hospital technologies?
-Data security is paramount in smart hospitals to maintain trust and ensure patient privacy. Without robust cybersecurity measures, the investment in digitalized hospitals could be jeopardized by cyber threats, which could lead to data breaches or system failures.
How can human factors impact cybersecurity in healthcare settings?
-Human factors are the most significant contributors to cybersecurity issues in healthcare. This can include behaviors such as leaving passwords visible, opening phishing emails, or sharing sensitive information carelessly, which can lead to breaches and undermine the security of the entire system.
What are the challenges faced by hospitals in adopting smart technologies?
-The challenges include high initial investment costs, the need for extensive cybersecurity measures, and the complexity of integrating various technologies and data sources. Additionally, there is the need to manage the human factor in technology adoption and ensure that patients' trust is maintained.
How does 5G technology contribute to the operations of smart hospitals?
-5G technology provides the high-speed, low-latency connectivity required for the efficient operation of robotics, remote monitoring, and real-time data processing in smart hospitals, enhancing the overall performance and responsiveness of the healthcare infrastructure.
What are the potential benefits of smart hospitals for patients?
-Smart hospitals can offer patients more personalized and efficient care, potentially reducing wait times, improving the accuracy of diagnoses, and enabling better management of chronic conditions through the use of advanced technologies and data analysis.
How can the healthcare industry learn from other sectors, like aviation, to simplify processes?
-The healthcare industry can learn from sectors like aviation by implementing trust-based systems that simplify processes for users. For example, by making it easier for patients to access their own health data and by standardizing data formats to facilitate sharing across different healthcare providers.
What is the role of trust in making healthcare less complicated?
-Trust plays a vital role in simplifying healthcare by empowering patients with access to their own health data and enabling them to make informed decisions about their care. This requires a shift from a paternalistic approach to one that treats patients as partners in their health management.
How can healthcare institutions balance the benefits of automation with the need for human interaction?
-Healthcare institutions can balance automation and human interaction by carefully implementing technologies that augment, rather than replace, human tasks. This includes using AI and robotics to handle routine tasks, freeing up healthcare professionals to focus on more complex cases and patient interactions.
Outlines
🏥 The Role of Interoperability in Smart Hospitals
In the first paragraph, the discussion centers on the significance of interoperability in enhancing the efficiency and effectiveness of smart hospitals. Henrique Martins, an associate professor in Health Management, explains that while many hospitals are technologically advanced, they often operate in isolation. This results in patients leaving behind fragmented health data as they move between different healthcare facilities. Interoperability is crucial for smart hospitals to collect and integrate this data automatically, allowing for more intelligent healthcare services. The conversation also touches on the importance of longitudinal health data for AI algorithms and the growing interest in hospital networks for data collection.
🤖 Technology and Automation in Smart Hospitals
The second paragraph delves into how smart hospitals are leveraging technology to improve patient care and streamline operations. Henrique discusses various technologies including automation and robotics, such as robots for food distribution and pharmacy supply, which are facilitated by 5G connectivity and cloud computing. The paragraph also covers decision-making technologies like clinical support systems and the cautious implementation of replacement technologies where AI is used in medical imaging and diagnosis, potentially replacing some human tasks. The discussion highlights the balance between technological advancement and the need for human trust and acceptance.
🔒 Data Security in the Age of Smart Hospitals
In the third paragraph, the focus shifts to the paramount importance of data security in smart hospital technologies. Henrique emphasizes that without trust, the value of digital investments in healthcare cannot be realized. He points out that while it's clear that advanced digital hospitals can be built, the challenge lies in extracting value from these investments. The conversation underscores the high costs associated with digital hospitals and the risks posed by cybersecurity threats. Henrique stresses the need for 'cybersecurity patrols' and the importance of human factors in cybersecurity, advocating for a culture that prioritizes trust in healthcare data management.
🛂 Simplifying Healthcare Through Trust and Technology
The final paragraph addresses the question of how to make healthcare less complicated. Henrique suggests that the industry needs to trust patients more with their own health data, drawing a comparison with the airline industry's approach to ticketing and check-ins. He argues that healthcare should empower and trust individuals with the tools to manage their health, which would inherently simplify the process. The conversation concludes with a call for a shift from a paternalistic healthcare culture to one that assumes most people have a personal interest in their health and are capable of making informed decisions.
Mindmap
Keywords
💡Interoperability
💡Smart Hospitals
💡Digital Health
💡Healthcare AI
💡Automation and Robotics
💡5G
💡Cybersecurity
💡Data Security
💡Patient Care
💡Healthcare Operations
💡Trust
Highlights
Introduction to Henrique Martins, an associate professor in Health Management and digital Health leader.
Discussion on how integration of interoperability contributes to the efficiency and effectiveness of smart hospitals.
Challenge of hospitals being isolated islands of excellence and the need for data sharing across different healthcare institutions.
Importance of collecting longitudinal health data for AI and smart hospital algorithms.
Investment in hospital networks for automatic data collection and the role of large scale projects like European electronic Healthcare exchange format.
Role of technology in enhancing patient care and streamlining healthcare operations in smart hospitals.
Use of automation and robotics in hospitals for logistics and supply chain management.
Importance of 5G for communication and fast processing in robotic hospital operations.
Technologies for decision making support in healthcare and the role of electronic pathway software.
Emergence of replacement technologies in healthcare, such as AI in medical imaging and digital pathology.
The significance of data security in the implementation of smart hospital technologies.
Human factors as the most critical aspect of cybersecurity in healthcare.
The necessity of trust for the successful implementation of digitalized hospitals.
The high investment required for high-end digitalized hospitals and the focus on effectiveness and quality of care.
The role of cybersecurity in ensuring patient trust and the safe operation of smart hospitals.
Henrique's perspective on making healthcare uncomplicated by trusting patients with their health data.
The need for healthcare to empower and enable patients with tools for self-care.
Closing thoughts on the importance of trust in healthcare and the potential for patients to manage their health more effectively.
Transcripts
[Music] hello and welcome back to the healthcare and complicated YouTube channel make sure you
subscribe to the channel so you get all the notifications and the amazing guests every
week and also acknowledge our Channel partners and make sure you check all the previous content
there over 100 VI videos about Healthcare technology everything to do with healthare in
life sciences for you but today gives me great pleasure to introduce you to Henrique Martins
he's an associate professor in Health Management and the digital Health leader Henrique how are
you thank you I'm good thank you very much for the conversation now today brilliant Henrique
thank you so much for accepting my invite we have this common element we both Portuguese
but operate globally isn't it that's true well today I'm home but often not so much so very
happy to to chat from Portugal but of course um sharing my ideas and and yeah definitely working
more and more at a global scale as I think digital health is about global sharing right now sure and
today we are here to discuss interoperability and the smart Hospital and the first question
I have for you is how does the integration of interoperability contributes to the efficiency
and effectiveness of smart hospitals so one of the one of the challenges really thank you for the
question is that many times we see very Advanced hospitals um they tend to be large organizations
some of them academic medical centers around the world us Singapore or Japan Taiwan whatever you
name it Europe um and they many times they're isolated there are one island of Excellence
where if you're a patient and you are admitted to that hospital um and perhaps most of your medical
history is there it's fine they're smart they're becoming even smarter with AI they're becoming
intelligent the problem is that most of us don't live always in the same place so we tend to leave
our health uh uh Health Data behind us a little bit like uh our footsteps so we leave Health Data
in many many other Healthcare institutions and as we move around the world as we move around our own
countries even inside each country um we leave bits and pieces of our medical history and as
many people people know I'm sure everyone hearing this has experienced a conversation with a doctor
the first thing a doctor asks you is you know where have you been how have you been and and
and at the end of the day he's collecting data about your life about your health history and the
problem with smart hospitals is that if they're not collecting this data automatically from other
hospitals from other health care facilities from primary care facilities they cannot really be
smart so many times many of the algorithms that people are now working on for example Healthcare
AI they would require a very good longitudinal so lifelong set of data which often is not available
in each individual super amazingly smart one Hospital facility uh and so therefore we see
now big hospitals investing and interested in what we call hospital networks uh large scale projects
such as European electronic Healthcare uh exchange format because they want to be able to collect the
DAT their citizens from their perations in a very automatic way is not available uh um
you know in their servers when you step in so I don't know if that that was clear enough but
without interoperability there's going to be very very very uh significant limitations to the type
of smart things you can do with digital technology in very Advanced hospitals I'm talking about thary
care you know super sophisticated hospitals that are going to do high-end procedures or
diagnosis personalized medicine as we've been talking now yeah brilliant thank you I think
of course very important to have data and um historic data and data from other sources so
pardon me so interoperability is really very crucial I'm moving on how are smart hospitals
uh leveraging technology to enhance patient care and streamline Health Care operations basically
when when we talk about the expression smart hospital or intelligent hospitals um we are
looking at various sets of Technologies uh I mean one sort of group of Technologies is
what we call Automation and Robotics so we see that these hospitals are investing heavily on
automated procedures such as distribution of food with robots rather than people we see
these hospitals automating Pharmacy supplying the wards with also robots that are able to
organize the dispensation of of medication uh into you know movable boxes and movable units
and then and then these units are moved around the hospital with robotics um technology behind
this all of the robotic part also 5G for the communication part having these robots moving
around requires good fast processing and communication with wireless capabilities
as well as as iend clouding Computing so this is a sort of once or more logistic uh in the
logistics side you would see these things you see uh for example automated beds that are able
to um um you know for example provide the weight of the patient automatically or the occupation
the bad occupation rate and things like that um then there's one other set of Technologies
looking at decision making so everything to do with clinical pathways clinical support
decision systems um so supporting professionals not just doctors but other professionals um to
make better informed decisions so of course here technology behind very sophisticated highly Gra
[Music]
electronic pathway software that often run provide good
decision um and then I would say as a sort of a third uh third group we see um is the word is
a little bit dangerous people get nervous is is replacement Technologies where uh you are
seeing things like booking automated booking admin procedures that are substituted between
people and it uh we see AI in IM Medical Imaging somehow replacing some uh medical diagnosis uh uh
and this is very of course problematic pathology digital pathology so in this case it's not about
supporting the function it's actually slowly progressively very carefully and managing the
the the human reaction but in a way moving forward um replacing some human tasks with robots with AI
um which is a little bit more tense and it's becoming an issue in in some context where um
there isn't a shortage of stuff where there is shortage of stuff many of these Technologies are
being well received because there just no people to do the task so people are welcoming that they
have an extra hand in this case an extra an extra artificial brain these are just a few examples I
mean of course one one could stay here all day well all night talking about this brilliant
Henrique thank you so much I mean you mentioned many many factors there but also I like the 5G
capabilities that crucial for connectivity and the infrastructure of technology for the operational
side and to advance things speed the connection the even the interoperability and getting data
faster I was actually doing a couple of large projects in 5G when the 5G came out with big Tech
brand so 5G very crucial for healthcare moving on what roles does data secure security play in the
implementation of smart Hospital Technologies and how can it be effectively manage to ensure patient
privacy well um security cyber security is is Paramount for trust uh without trust there
cannot be uh um there cannot be the environment for humans to really deliver value upon the
investment the question is is not whether you can build a very Advanced uh digitalized hospital that
that is that is quite clear we know we can do it as humans the question now is can we extract
value from that can we make sure that that that means either better care or more effective so so
we solve more clinical problems more efficient difficult because the investment in a in a in a
high-end highly digitalized hospital is very high right now so so we cannot really talk about smart
hospitals being very efficient uh some people say because they want to sell the idea but I
don't believe that is true I I I think they are going to be better safer from the point of view
of clinical care so people will die less people will get more care but I think they're going
to be quite expensive now why am I saying this because after all of this if you you're going to
have highend product which is differentiating himself itself not out of efficiency but of
Effectiveness and quality and patient safety then you can't risk it all because you have a you know
you have some ransomware uh destroying your servers just because one of your professionals
forgot the good rules of of not opening a a pishing uh email you know and and you know
or or sharing his password with with someone from his family or what what not so it's these
cyber security etiquette cyber security rules continuously what what we called at some point
in time in in in Portugal when we were drafting our national cyber security for health policies
we were talking about the cyber security patrols which is something that was tested in in in in
an environment I don't remember even where but where people were going around the hospital and
checking whether whether for example people left posting with their password on the on the screen
of their computer computer very typical Behavior because 2third of the cyber security problems
in health are human related factors they're not about network uh connectivity they're not about
firewalls updates on firmware and whatnot this is also an important point in cyber security um
procedures but but the human factor is the most important one so in conclusion if I don't trust
my hospital I won't trust its my data to it so I I will not allow it to be smart and intelligent H
at the other on the other hand if in the process of being smart and intelligent about my health
something goes wrong with information some someone tappers into the system and shuts it down for two
minutes then you know the system doesn't work it doesn't deliver the intelligence that we would
expect expected to deliver to provide value so that's that's the connection brilliant Henrique
thank you so much I mean we coming to the end of the interview I really appreciate your expertise
This Magnificent overview all these important points from the enhanced Technologies to the
security layer and I finish all my episodes with this question which is big question in
heare is related to the channel is how can we make Health Care uncomplicated
well how can we make it not so complicated I think we need following from what I was saying about
trust uh I think we need to trust people more and and and Healthcare has been historically dominated
by a paternalistic culture of doctors thinking they know better from for People's Health just
because people are sick now the problem is is that people are less and less sick in the sense
that they are completely uncapable of thinking and deciding so we have more chronic disease we will
have more preventive medicine so progressively people are actually healthier when they interact
with Healthcare so I'll give you a few examples of making it simple when you fly you normally
you book your plane and you get an email with your e ticket right you don't have a you know
complicated password to access your email your your your ticket you just have a booking reference
in your name so anyone in the world indeed could check in for you they would just go to a
normal checkin website for any air company as long as they know your your your booking
reference right and yet most companies they they don't force you to register they don't force you
to have a password okay and we're talking about a very safe com uh very safe uh um oriented industry
now let me finish this example and then you'll you'll know what I'm going to get at so then
you go with your checked in you know a boarding card which anyone could actually literally put
on their phone they could put your boarding card on their phone M right and then you go
with that boarding card and you go to an airport you go through a machine no one's there it reads
your K code you go in and if you're flying in the EU it may even happen that you walk into
the plane and no one checks if that person is the name on the boarding card now and then you
sit and you'll fly okay now why why such a very sophisticated industry does this because actually
no one really would fly with your boarding card people won't do that they won't they won't find
out because you are not going to share an expensive ticket with anyone else and the
the industry trusts you on that this is the point the industry trusts that you will not do it look
at Healthcare your own laboratory results in theory it it's your data in the European law
it's your data and yet we don't trust it we don't send you an email well private practice
sometimes they do in public settings you have to upload you have to go into the website get
registered have a national EID number maybe have to use a sophisticated e signature e um you know
account then you finally get to your lab results if you're lucky and if you try to share your lab
results with another hospital whatnot you may might find it very difficult that they could
import that data because it's not standardized so we don't trust people we don't trust people with
their data yeah and it's their D okay and we want them to take care of themselves so I think to make
health care less complicated we need to start assuming most people have a personal interest
on their health it is not the doctor's interest it's not the healthc care or Hospital's interest
people have the interest on their health they have to be empowered and enabled but
also entrusted with tools to use for their health care that's my that's my key on on uncomplicating
Healthcare I didn't even notice that your channel
was about this topic anyway it was very very nice and interest
so good good luck with this session yeah brilliant uh Henrique thank you so much for
your amazing expertise your input your time I know you are busy doing many many things including the
European projects uh it's been a delight so I'm going to wrap up now thank you so much again uh
to all our viewers and listeners make sure to subscribe to the channel also following Rick's
uh work I'm going to post his um links to his social his LinkedIn and everything and check our
Channel partners and I'll see you all next week for another exciting episode take [Music] care
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