The Mize Award: The Smithsonian Institution
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.
The Crudem Foundation
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 Association for the Advancement of Medical Instrumentation (AAMI)
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.
Samuel Gurmu, University of Maryland Medical Center
This year's winner is Samuel Gurmu who engineered a clinical morbidity platform for the University of Maryland Medical Center to ensure rapid and reliable communication between the neonatal intensive care unit and the labor and delivery unit.
This led to demonstrable improvements in healthcare delivery and is now being adopted across the hospital. Gurmu published his solution in the American Journal of Medical Quality.
“I am incredibly honored to be chosen for this award and am glad to see an institution such as AAMI encouraging the healthcare workforce to improve quality of care,” said Gurmu. “Ultimately, this award recognizes our team for striving to serve patients to the best of our ability.”
Recipients of the AAMI Foundation & ITHC Clinical Solution Award
American Academy for HIV Medicine (AAHIVM)
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.
2020 Winner: Drs. Rebecca Dillingham and Karen Ingersoll of the University of Virginia (UVa) Ryan White Clinic
The American Academy of HIV Medicine and the Institute for Technology in Health Care have awarded the 2020 Caceres Award for Technology in HIV Practice to Drs. Rebecca Dillingham and Karen Ingersoll of the University of Virginia (UVa) Ryan White Clinic for their PositiveLinks (PL) digital application. PL is a clinic-deployed, smartphone-based platform that provides tools and support to people with HIV (PWH) to improve medication adherence and engagement with care. It includes a patient-facing app, a provider-facing app, a web portal for providers, and an on-line training system. (See website here: www.positivelinks4ric.com).
The technology was developed to address the stigma, poor access to transportation, isolation, substance use, and mental health challenges facing many PWH in rural Virginia. Dr. Dillingham, an infectious disease physician, and Dr. Ingersoll, a clinical health psychologist, collaborated to create PL by adapting evidence-based behavioral interventions to improve adherence to ART, as well as to reduce stigma, depression, and isolation.
PL app features include medication reminders, mood and stress check-ins, educational resources, an anonymous community message board (CMB), secure document upload, and private provider messaging. PL shrinks physical and psychological distance between patients and care providers. It expands connections among PWH in a space that is experienced as safe. It provides important tools that support self-monitoring, care coordination, and social support -- all in a secure mobile app.
The provider-facing PL app and web portal facilitate providers’ ability to monitor patient-reported data about adherence and mood. They also permit “texting”-like messaging in a health system-approved environment that allows for the flexibility and efficiency of texting.
Development of PL was supported originally by AIDS United beginning in late 2012. Since 2017, based on the successful pilot, the Virginia Department of Health (VDH) has supported expansion of PL as a usual care service at UVA and at other HIV clinics.
Thanks to the visionary support of the Virginia Department of Health (VDH), the tool is available at no cost to clients, and, in fact, if used regularly, can qualify clients for assistance with cellular voice and data access, an increasingly recognized social determinant of health.
“The ability to remain in touch through a cell phone, whether with calls or through an app, may become increasingly important as the recommended number of visits to an HIV care provider decreases with less frequent need for CD4 and viral load monitoring,” stated Dr. Dillingham. “In addition, care coordination and secure messaging is growing in importance for our aging PWH population who have a rising number of medical co-morbidities.”