HealthTech Industry Update | ChatGPT in Clinical Trials

What role could ChatGPT have in Clinical Trials?

ChatGPT has been named as a co-author on at least four research papers.

With proper management, AI generation could be an invaluable tool in clinical research—but only if we are mindful of the potential risks and biases that may arise from their usage and ensure transparency, fairness, and accountability in their use.

Following important topics have to be considered:

➡️ChatGPT’s potential use in engagement, screening, and more

➡️Potential risks of ChatGPT in clinical research 

➡️Ethical implications of ChatGPT in clinical research

With proper management, AI generation could be an invaluable tool in clinical research.

But only if we are mindful of the potential risks and biases that may arise from their usage and ensure transparency, fairness, and accountability in their use.

Have a deeper look:

What Role Could ChatGPT Have in Clinical Trials? A Bigger One Than You Might Think – MedCity News

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HealthTech Knowledge guide | HealthTech Standard highlights: MDR and ISO

Standards are explicit statements of expected quality in the performance of an activity. 

In the medical and HealthTech sector, they may take the form of procedures, clinical practice guidelines, treatment protocols, critical paths, algorithms, standard operating procedures, or statements of expected health care outcomes. 

These standards will outline the usage, safety, and security requirements necessary for a product or solution.

MDR Medical Device Regulation 

Regulation (EU) 2017/745 is a regulation of the European Union relating to the clinical investigation and sale of medical devices for human use. It repeals Directive 93/42/EEC, which concerns medical devices, and Directive 90/385/EEC, which concerns active implantable medical devices, on 26 May 2021.

These changes impact everyone involved in the EU MedTech space, so it is important to familiarise yourself with the updates.

Our Hints

-The Medical Device Directive alters and enhances the MDR Regulation

-MDR contains alignments with regulations outside the EU (to make global market delivery easier)

-All Medical devices must be re-certified according to the MDR

-Due to this, high costs should be expected going forward, especially for new devices

-Current Class 1 devices (minor level) will be moved to a higher level

-There are fewer certification service points (expect longer waiting times for results/permissions)

-Trial and error applications will no longer be possible 

-Useability is now required (meaning trials will need to be planned and performed in advance of application)

-Certification preparation should be included in the development processes as early as possible 

-Document meticulously and throughout the process (retroactively trying to find and create the requisite documentation is incredibly difficult)

-Hiring a regulation expert is advised

-Networking and knowledge-sharing with other companies and institutions can be helpful

ISO 13485:2016 

specifies requirements for a quality management system for organisations that provide medical devices and related services. 

The aim is to ensure that these products and services consistently meet customer and applicable regulatory requirements.

Our Hints:

-Adopt “SMART” measurement and continuous improvement

-Foster internal audits 

-Implement the requirements within your existing quality system -using a holistic approach

-Focus on corrective and preventive actions 

-Encourage proactive customer feedback

-Organise management reviews

-Conduct careful risk management

-Start the documentation process at the earliest possible stage of the project

The additional relevant ones IEC and FDA are as well important standards and are explained in another THAUMATEC Knowledge blog post.

HealthTech Industry Update | Best Mental Health Apps of 2023

The mental health branch promotes emotional and psychological wellbeing and it is very closely linked to physical and social health.

Mental Health Apps 

are mobile apps designed to help users improve their emotional well-being, become more mindful, and address common mental health issues.

The 10 best mental health apps are :

➡️ affordable

➡️️ user-friendly

➡️️ well-designed

➡️ with few technical glitches

➡️ streamlined therapy scheduling process

➡️ flexible subscription program

➡️ with good tracking features

➡️ including audio guidance and online support sessions 

High-quality therapy apps remove some of the usual barriers to mental health care, while mindfulness apps can help you achieve better focus and productivity.   💪

Here the nominated by Verywellmind :

https://www.verywellmind.com/best-mental-health-apps-4692902

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HealthTech Industry Update | High-tech hospital uses artificial intelligence in patient care

Observe the patients and find what they really need

Doctors at the University of Florida Health Center are using artificial intelligence to help monitor their patients to find out how to design hospitals, how to tailor the procedures and processes, how to improve patients comfort and treatment. 

The findings will help them develop algorithms that will soon provide besides learning and medium/long term improvement phases even real-time health care recommendations in important real-time situations.

What could be the hospital room of the future?

➡️️ Sensors and cameras track you 24/7

➡️ From vital signs to facial expressions

➡️️ How is light and voice

➡️️ How do you feel

➡️How do you move

➡️ Are you in and out of the bed

➡️ and many other things

More than 350 Gigabytes of data per patient are processed and analysed by AI on the central computer how they are moving, the behaviour, the grimace to decipher complex features, and emotions like e.g. education or hunger. 

Goal is that  the AI can provide real time health care recommendations, reduce paperwork and present it so that humans can easily understand it. 

A new holistic approach   💪

NBC News’ Dr. John Torres on the future of technology in healthcare.

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HealthTech Industry Update | Carbon neutral Green Hospital

Green Hospital: Carbon neutral thanks to sustainable technology

In light of climate change, the healthcare industry is putting increasing emphasis on sustainability besides digitization and labour shortages. In the future, hospital facilities will be judged by their carbon footprint and their contribution to climate neutrality.

Action to be taken are:

➡️ As a first step, hospitals should calculate their carbon footprint to track all direct and indirect emissions with Tools that can calculate the carbon footprint, business process improvements, and hardware optimization.

➡️ A “Green Hospital” is also a smart facility. That means processes and procedures are efficient, ideally save time and reduce work for the hospital staff. This subsequently lowers stress and creates a more relaxed hospital environment and efficient usage of resources.

➡️ Digital technologies provide significant opportunities to help reduce emissions e.g.

➡️️ Digital controlled recycling systems

➡️ Medical information systems / software

➡️ IT infrastructure / computer hardware

➡️ ️Administrative information systems / software

Unfortunately, outside of panel discussions, decarbonization is not yet an industry priority. 

Decarbonization of healthcare and hospitals is a new and complex issue that necessitates skills and expertise from many different areas. 

https://www.medica-tradefair.com/en/Green_Hospital_Net-Zero_Digitization?utm_source=25-01-2023-2&utm_medium=Email&utm_content=Intro&utm_campaign=Portalnewsletter-2023

Image by David Mark from Pixabay

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HealthTech Knowledge | Remote Patient Monitoring RPM

What is Remote Patient Monitoring?

Remote patient monitoring (RPM) is a technology to enable monitoring of patients outside of conventional clinical settings, such as in the home or in a remote area, which may increase access to care and decrease healthcare delivery costs.

RPM involves the constant remote care of patients by their physicians, often to track physical symptoms, chronic conditions, or post-hospitalization rehab.

RPM is the method of healthcare delivery that uses the latest advances in information technology to gather patient data outside of traditional healthcare settings.

Remote patient management is about moving more healthcare out of the traditional setting, into the house and where people live, work and play every day.

It is about:

➡️Using technologies to build the bridge that space between the traditional physical setting of healthcare, and where people really want to live every day.

➡️Usage of today’s sleek, consumer-friendly personal tech products.

➡️Strongly resembling the smartphones and tablets so widely used by people around the world today.

➡️RPM platforms which truly leverage technology in a way that makes patients feel comfortable with helping manage their own health.

Key features of RPM:

  • Reliable data
  • Upgraded level of Big Data Analysis with Advanced AI and Machine learning
  • Automation
  • Cyber security
  • Accessibly
  • Cost-effectiveness
  • Promptness

Technological components

  • Sensors on a device that is enabled by wireless communications to measure physiological parameters.
  • Sensors can connect back to a central database by WiFi or cellular communication protocols depending on the manufacturer.
  • Local data storage at patients’ site that interfaces between sensors and other centralized data repository and/or healthcare providers.
  • Centralized repository to store data sent from sensors, local data storage, diagnostic applications, and/or healthcare providers.
  • Diagnostic application software that develops treatment recommendations and intervention alerts based on the analysis of collected data.

RPM is applicable to many diseases and use cases

  • Cancer
  • Pandemic infection diseases e.g. COVID 19
  • Chronic Obstructive Pulmonary Disease (COPD)
  • Dementia and falls
  • Diabetes
  • Congestive heart failure
  • Infertility
  • Surgery
  • Telemedicine in prison systems
  • Veterans Health Administration
  • and many others

System Demonstrator Trial in UK started 2008 and achieved

  • 45% reduction in mortality rates
  • 20% reduction in emergency admissions
  • 15% reduction in A&E visits
  • 14% reduction in elective admissions
  • 14% reduction in bed days
  • 8% reduction in tariff costs

Current limitations

➡️RPM is highly dependent on the individual’s motivation to manage their health. Without the patient’s willingness to be an active participant in their care, RPM implementation will likely fail.

➡️Cost is also a barrier to its widespread use. There is a lack of reimbursement guidelines for RPM services, which may deter its incorporation into clinical practice.

➡️The shift of accountability associated with RPM brings up liability issues.

➡️There are no clear guidelines in respect to whether clinicians have to intervene every time they receive an alert regardless of the urgency.

➡️The continuous flow of patient data requires a dedicated team of health care providers to handle the information, which may, in fact, increase the workload. 

➡️Since RPM involves transmission of sensitive patient data across telecommunication networks, information security is a concern. Debate surrounds the potential cybersecurity issues of RPM, including the likelihood of hacks which could pull personal medical data.

What Is Telehealth? What is the difference to RPM?

➡️ Telehealth is where RPM refers to the use of a specific technology to facilitate interaction between clinicians and patients at home.

➡️ Telehealth is a broader term that refers to the entire industry, methodology and technologies that enable that type of healthcare.

If you would like to see more interesting posts, visit our knowledge database: https://thaumatec.com/knowledge/

HealthTech Industry Update | 7 Top Patient Apps in eHealth

eHealth App Functions

From accessing their electronic medical record and viewing lab results to scheduling appointments, managing chronic conditions, tracking disease outbreak information and locating clinical trials, today’s tech-savvy patients are using their smartphones and tablets in new and exciting ways.

Here the 7 examples recommended by AMN Healthcare:

➡️WebMD Pain Coach

➡️Glucose Buddy

➡️uChek

➡️Clinical Trial Seek

➡️Healthy Heart 2

➡️Kardia Mobile (EKG)

➡️CDC

There are currently more than 250,000 health apps globally available to consumers, according to the mHealth App Developer Economics study, conducted by Research 2 Guidance. 

Amid this crowded market, there are several innovative medical apps worth mentioning for your patients. 

A quick look at these 7 apps selected by American Mobile ….

https://www.americanmobile.com/nursezone/nursing-news/7-top-patient-apps-in-ehealth/

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HealthTech Knowledge | What is Quadruple Aim ?

The problem

Additional demands on physicians frequently come without an increase in time or resources, and often, though perhaps unintentionally, at the expense of what physicians cite as the most meaningful aspect of medicine: the doctor-patient relationship.

🏥Health care organisations have faced increasing pressure due to:

➡️ declining reimbursements, 

➡️ increasing burden of quality reporting, 

➡️ electronic health record requirements, 

➡️ prior authorization and a 

➡️ national shortage of nurses and physicians. 

Reacting to these external challenges, organisations have reflexively increased productivity expectations for physicians. 

Quadruple Aim 

It is a framework for Achieving Value-based Care to solve the current situation :

➡️️ enhancing patient experience

➡️ improving population health

➡️️ reducing costs

➡️️ work life of healthcare personnel

Quadruple Aim is the expansion of the Triple Aim to include an additional goal concerning the health care providers to improve the healthcare processes and tools to overcome pressure and improve effectiveness and patients comfort and health

By putting the patients in the centre of care, extended measures and data collection and interpretation by using new technology like Artificial Intelligence the research projects with focus on these 4 goals are ongoing. 

With the results of these projects many  innovative solutions and as well new business models will be created the implementation of the new Quadruple Aim systems in healthcare will be possible and successful implementation and execution can take place 💪

Here the basics by EBSCO :

Here some insight by Objectivity:

https://www.objectivity.co.uk/blog/the-quadruple-aim-a-framework-for-success-measuring-value/

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HealthTech Knowledge | What are the HealthTech technology areas?

Three core technology areas for HealthTech are undergoing rapid evolution resulting in increased speed, accuracy, and overall performance.

  • Application Technology
  • Digitalization Technology 
  • IT Infrastructure Technology

Hardware and Software Technology is the base for medical devices, health platforms, doctor’s offices, hospitals, telemedicine, ambulance and rescue, and many other HealthTech solutions that you can no longer imagine without.

Application Technology

The term “Application Technology” refers to all software, data, and physical solutions that are enabled by revolutionary innovations outside of the healthcare sector but which, in turn, support new opportunities for data generation and analytics or digital diagnosis or treatment.

Examples include:

  • Nanotechnology
  • Biosensors
  • Wearables
  • Medical devices
  • Connected devices
  • 3D printing
  • Robotics
  • Next-Generation Sequencing

Digitalization Technology 

Digitalization Technology refers to technology and computing approaches associated with generating and analysing large datasets to build knowledge or optimise outcomes.

Examples include:

  • Smart devices
  • Applications
  • Big Data
  • BlockChain
  • Machine Learning
  • Deep Learning
  • Artificial Intelligence

IT Infrastructure Technology

This term refers to software solutions that support the optimization of operations through the digitization of historically offline systems and processes.

Examples include:

  • Electronic recording
  • Data repository
  • Records management
  • Data security, VPN
  • Analytics
  • Decision making
  • Safety

Advancements in these technology areas can only be made within the bounds of local and global standards, which are in place to ensure reliable and high-quality products and services.

One of the next posts will cover the HealthTech/Medical Standards and regulations which could as well give space for discussions.

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HealthTech Industry Update | The 10 Best Nutrition Apps to Download

Eating healthy isn’t always easy. But there are many apps available with tools and resources to make achieving your nutrition goals easier than ever.

Here are the 10 best nutrition apps worth downloading.

Between their impressive reviews, quality content, and reliability, these apps are designed to make eating healthier as simple as tapping a few buttons.

How we chose the best nutrition apps:

➡️Quality of information: We looked for apps that offer reliable and helpful nutrition information, ideally from an expert source, such as a registered dietitian.

➡️User interface: We looked for apps that are easy to use and intuitive to navigate.

➡️Nutritional needs: We included apps to suit a variety of nutritional needs, from meal planning and food tracking to pregnancy and weight loss.

➡️Customer reviews: We asked friends, family members, and colleagues for their recommendations, as well as read through countless user reviews to find highly rated apps.

➡️Vetting: All the apps included have been vetted to ensure that they meet Healthline’s medical and business standards. Read more about our vetting process.

➡️Best overall nutrition app: MyPlate Calorie Counter

When selecting a nutrition app to download, it’s important to consider your goals and which features are most important to you.

A quick look at the best nutrition apps for download  found out by healthline

https://www.healthline.com/nutrition/top-iphone-android-apps#how-to-choose

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