Moving From Digitalization to Digitization in Cardiovascular Care

Steinhubl, Steven R.; Topol, Eric J.

doi:10.1016/j.jacc.2015.08.006

Cited by 58 publications

(17 citation statements)

References 30 publications

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“…This will also provide the radiologist with greater freedom for involvement in shared decision making with patients which will increase work satisfaction. 85 This is in line with a recent survey of radiologists who expect an increase in the time spent with patients as a result of artificial intelligence implementations as well as a lower risk of imaging-related medical errors. 86 Acceptance by human radiologists will be further increased by automated and individualized feedback systems to the human readers about outcomes of his or her patients and thus enhancement of the expert role.…”

Section: Implementation Of the Bionic Radiologistsupporting

confidence: 84%

The Bionic Radiologist: avoiding blurry pictures and providing greater insights

Dewey

Wilkens

2019

npj Digit. Med.

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Radiology images and reports have long been digitalized. However, the potential of the more than 3.6 billion radiology examinations performed annually worldwide has largely gone unused in the effort to digitally transform health care. The Bionic Radiologist is a concept that combines humanity and digitalization for better health care integration of radiology. At a practical level, this concept will achieve critical goals: (1) testing decisions being made scientifically on the basis of disease probabilities and patient preferences; (2) image analysis done consistently at any time and at any site; and (3) treatment suggestions that are closely linked to imaging results and are seamlessly integrated with other information. The Bionic Radiologist will thus help avoiding missed care opportunities, will provide continuous learning in the work process, and will also allow more time for radiologists’ primary roles: interacting with patients and referring physicians. To achieve that potential, one has to cope with many implementation barriers at both the individual and institutional levels. These include: reluctance to delegate decision making, a possible decrease in image interpretation knowledge and the perception that patient safety and trust are at stake. To facilitate implementation of the Bionic Radiologist the following will be helpful: uncertainty quantifications for suggestions, shared decision making, changes in organizational culture and leadership style, maintained expertise through continuous learning systems for training, and role development of the involved experts. With the support of the Bionic Radiologist , disparities are reduced and the delivery of care is provided in a humane and personalized fashion.

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Section: Implementation Of the Bionic Radiologistsupporting

confidence: 84%

The Bionic Radiologist: avoiding blurry pictures and providing greater insights

Dewey

Wilkens

2019

npj Digit. Med.

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“…Many pilot studies and large RCTs of mobile cardiac rehabilitation interventions are currently recruiting (table 2). The recent partnerships between leaders in the technology industry and cardiovascular societies such as the American Heart Association and the American College of Cardiology should help promote high quality research in this area 4950…”

Section: Cardiovascular Disease and Cardiac Rehabilitationmentioning

confidence: 99%

Advances in rehabilitation for chronic diseases: improving health outcomes and function

Richardson

Franklin

Moy

et al. 2019

BMJ

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Much of the burden on healthcare systems is related to the management of chronic conditions such as cardiovascular disease and chronic obstructive pulmonary disease. Although conventional outpatient cardiopulmonary rehabilitation programs significantly decrease morbidity and mortality and improve function and health related quality of life for people with chronic diseases, rehabilitation programs are underused. Barriers to enrollment are multifactorial and include failure to recommend and refer patients to these services; poor communication with patients about potential benefits; and patient factors including logistical and financial barriers, comorbidities, and competing demands that make participation in facility based programs difficult. Recent advances in rehabilitation programs that involve remotely delivered technology could help deliver services to more people who might benefit. Problems with intensity, adherence, and safety of home based programs have been investigated in recent clinical trials, and larger dissemination and implementation trials are under way. This review summarizes the evidence for benefit of in-person cardiac and pulmonary rehabilitation programs. It also reviews the literature on newer developments, such as home based remotely mediated exercise programs developed to decrease cost and improve accessibility, high intensity interval training in cardiac rehabilitation, and alternative therapies such as tai chi and yoga for people with chronic obstructive pulmonary disease.

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“…Hence, the term "digitalization" is more suitable for explaining the impact of digital technologies on organizations in the process of digitally transforming, while the term "digitization" should be diminished from the digital transformation debate unless being properly used. For instance, "digitization" in digital transformation initiatives can be used in medical informatics research or interdisciplinary engineering fields, as it has been used properly ever since the beginnings of computerization (see for instance the adequate use in (Akos & Tsui, 1996;Steinhubl & Topol, 2015).…”

Section: Digital Transformationmentioning

confidence: 99%

Mastering digital transformation through business process management: Investigating alignments, goals, orchestration, and roles

Ivančić¹,

Glavan²

2020

JEMI

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Both business process management and digital transformation are areas that have been a topic of interest for both academia and practice. Since digital transformation is the creation of new, innovative business models and/or change and improvement of the existing business model with the help of digital technologies, one could raise a question regarding the role which business process management plays in digital transformation. With the purpose of shedding some light on that, this paper presents a theoretical framework for observing the link between business process management and digital transformation. Moreover, the results of an extensive literature review and analysis with regards to the presented framework has been given. The results confirm the important role of business process management in digital transformation. However, the results also indicate the need for further research and a greater understanding of practice.

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Moving From Digitalization to Digitization in Cardiovascular Care

Cited by 58 publications

References 30 publications

The Bionic Radiologist: avoiding blurry pictures and providing greater insights

The Bionic Radiologist: avoiding blurry pictures and providing greater insights

Advances in rehabilitation for chronic diseases: improving health outcomes and function

Mastering digital transformation through business process management: Investigating alignments, goals, orchestration, and roles

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