© 2019 by ITHC - Institute for Technology in Health Care

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HISTORY |

 

Utilization of Archaeological Technology to Develop Insights Regarding Bone Health

 

An award was granted to the Smithsonian Institution, National Museum of Natural History for the project Human Bone Density in 17th Century America. This study will use DEXA scan imaging technology to analyze the bone health and general health of the early settlers of Jamestown, VA and St. Mary's, Maryland.Douglas W. Owsley, Smithsonian Curator in the Anthropology section has started on this project that could enhance knowledge in health care in a way that could further stimulate today's ongoing study of bone health in a positive way.

 

Bones from about 20 to 30 residents of Jamestown, Virginia and St. Mary's, Maryland are available for study at the Smithsonian in a reasonable state of preservation from the viewpoint of an archaeologist. A study by DEXA scan has begun to determine osteopenia or osteoporosis. Currently there is a vast amount of accumu-lated knowledge regarding these diseases.

 

Can the bones from yesteryear add to current knowledge by showing us differences between today's and a population of Americans from the 1600's utilizing established archaeological technology combined with 20th century technology? Could the results show us a relationship of osteopenia/osteoporosis to disease more prevalent then, such as osteomyelitis, and nutritional or other changes, helping to improve today's health care.

 

A study on the femurs, and thoracic spines of the above mentioned group could be matched to already known modern day subjects of similar sex and age. Such differences or similarities could be useful in clinical medicine today.

 

The ITHC has funded Zamorano University Food Analysis projects since 2010. The hope is that as an agricultural college the diet of the surrounding population could be influenced in a positive manner.  The purpose of an agricultural college is not only to produce food, but to produce food that is healthful. The work of the students and professors has supported this mission each year since.

 

On Monday, October 19, 2015 the Cytopathology Laboratory at Hôpital Sacré-Coeur opened. Haitian women scored a life-changing victory. Thirty-seven Pap Smears were collected that day. They were prepared and stained. On Wednesday, October 21, all 37 Pap Smears had been read by Dr. Santos and the reports printed out. On Thursday, October 22nd, all 37

patients were notified of their results via a system devised by the clinical staff at Hôpital Sacré-Coeur. The following day some of those with abnormal reports had been seen, biopsied and were awaiting final disposition of their cases. One woman was unable to comprehend how such an important test, which had taken her two years to have performed, could have the results ready in only 3 days.

“The Institute for Technology in Health Care has changed this dreadful reality for the better. Because of your generous support, Hôpital Sacré-Coeur in Milot has been able to equip a small pathology lab and acquire the services of Dr. Rene Santos, a Cuban born Pathologist and the only specialist of his kind in all of Northern Haiti --- a region with a population of more than 2 million people..."

This capacity is a really significant step for the women of Haiti, not only for the lives which will be saved, but for the relief of the anxiety and mental anguish that these women endure in fear of this dread disease. This reality was brought home by the pinched, anxious face of one of those notified that her result was abnormal. She happened to be a nurse on the Hôpital Sacré-Coeur staff and she raced to the door of the Operating Room, where an OB-Gyn team was working, with fearful questions about her fate. The fact that the surgery team was able to answer her questions, examine her and perform a biopsy that same day is almost unbelievable to those who know from past experience what a time consuming ordeal this usually is for the patient.”

 

The ITHC approached AAMI to establish the Association for the Advancement of Medical Instrumentation Foundation / Institute for Technology in Health Care Clinical Solutions Award was established in 2005.  This is an award that recognizes career achievement in the field of Clinical Engineering.  

The AAMI Foundation & Institute for Technology in Health Care’s Clinical Solution Award honors a healthcare technology professional or group that has applied innovative clinical engineering practices or principles to solve one or more significant clinical patient care problems or challenges facing a patient population, community or group. 

2018 Winner:
Beebe Healthcare &
Renovo Solutions

This year’s winner is a multidisciplinary team that is meeting the challenge of supporting and securing medical devices and systems from ever-growing cybersecurity threats while simultaneously meeting interoperability and clinical needs. The team, which consists of IT security experts, HTM professionals, and leadership staff from Beebe Healthcare and Renovo Solutions, has implemented a process that brings medical device security to the forefront of operational, capital, and strategic decisions. This partnership has been used as a model for other hospitals, helping HTM departments better prepare for and address future technology issues.

 

The team includes four members from Renovo Solutions: Joseph Happ, executive vice president and chief information officer (CIO); Gregory Scott, director of IT infrastructure and support; Bishal Basnyat, a clinical engineer; and Richard Toth, an area manager, as well as two members from Beebe Healthcare: Michael J Maksymow, vice president and CIO, and Glenn D. Stover, an IT security manager

Recipients of the AAMI Foundation & ITHC Clinical Solution Award

Beebe Healthcare, which serves Sussex County in southern Delaware, and Renovo Solutions, based in Irvine, CA

  2018

Regenstrief National Center for Medical Device Informatics (REMEDI) Infusion Pump Collaborative Project Team, Purdue University

2017

James Piepenbrink, Boston Medical Center, Prioritization of Medical Audible Alarms

2016

Texas Children's Hospital Alarm Management Team

2015

Robert D. Butterfield

2014

Lancaster General Hospital and Hospira

2013

Monitor Research Team, Children's National Medical Center

2013

James P. Welch and George T. Blike, MD

2011

Elliot B. Sloane, PhD, CCE, FHIMSS

2010

Julian M. Goldman, MD

2009

Thomas M. Judd, CCE

2006

Antonio Hernandez

2005

 

AAHIVM/ITHC HIV Practice Award was established as an annual award in 2011, with the first awards given by the American Academy for HIV Medicine (AAHIVM) in 2012. Recipients are nominated for the award and an AAHIVM committee selects recipients.  Some of the awards have been given for use of social media to educate at-risk populations, telemedicine to expand clinical reach in urban, rural, and prison populations, and in focusing electronic health software on the needs of clinicians specializing in treating HIV positive patients. While the ITHC funds the awards, it has no involvement in the selection process.

2018 Winner: Michael Ohl, MD

The 2018 recipient of this award was Michael Ohl, MD, MPH,  MSPH of the University of Iowa and is the winner of the 7th annual AAHIVM/Institute for Technology in Health Care HIV Practice Award.  Increasing HIV incidence in some rural areas of the United States - and recent HIV outbreaks in rural areas impacted by the opioid epidemic - demonstrate the need to develop effective and scalable rural PrEP delivery models. TelePrEP leverages existing technologies, health care resources, and public health programs to create a scalable rural PrEP model that can be replicated in other settings.

 

Providing PrEP to individuals at risk for acquiring HIV infection will reduce new HIV infections. Creation of a private and accessible telehealth delivery model will allow rural-dwelling Iowans to obtain the same level of preventative care available to their urban-dwelling counterparts, contributing to greater health equity. Engaging individuals with ongoing high-risk behavior in a PrEP delivery system ensures routine screening and monitoring for HIV and other STDs. TelePrEP partnerships allow public health disease intervention specialists to follow up with newly identified STDs among TelePrEP clients with greater efficiency.

 

Telehealth, mailed medication, and SMS communication ensure privacy and overcome distance barriers. Patients who are worried about stigma and privacy concerns in local clinics and pharmacies are more likely to remain engaged with preventive care and PrEP monitoring. Easy access to the TelePrEP team via SMS allows questions to be answered and side effects addressed in real time. Positive interactions with the TelePrEP team keeps communication open, builds trust, and facilitates discussions related to risk and medication adherence.

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