Best Practices 2nd Quarter 2014

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By Victor Kumar-Misir, M.D. | imeddrs.vm@gmail.com

From the Medical Director

LETTER

PLASMA INTELLIGENCE EXCHANGE

I

π Tech - Today’s Imminent Challenge

n 1450, Johannes Gutenberg invented the revolutionary printing press, which replaced labor-intensive handwritten documentation, and enabled widespread dissemination of knowledge to the global population. The emergence of the portable, personal tele-computer now integrated with cloud voice/video/data/ text technology, now enables instant information access, global communication and tele-conferencing connectivity. Like Gutenberg’s printing press, this capability represents a major revolution in the history of information management, and is already altering the geopolitical, socio-economic landscape of the planet, and has the potential for vastly improving healthcare delivery today. The human body comprises an ultracoordinated diversity of cells immersed in a sea of biochemicals (like blood corpuscles in plasma), to which each cell selectively absorbs and processes then responds and adds to the sea – a biochemical exchange. So too, humanity comprises a coordinated diversity of individual psyches, immersed in a sea of knowledge, to which each psyche selectively absorbs and processes, then responds and adds to the sea – an intelligence exchange. Global web- and cloud-based Plasma Intelligence is the new and improved sea of human knowledge that is rapidly replacing the passive book format with active net-applications. π tech provides the Information Management Technology that interactively facilitates the human-intellect/globalintelligence interface, thereby creating an all-inclusive Plasma Intelligence Exchange (π). This new capability has historic implications for health care delivery. The practice of modern medicine is an informed, decision-making process, whereby medical decisions are only as good as the information gathered from the patient by multilingual communication, and from past medical records by connectivity. π tech applications are poised to create a quantum leap in enhancing accuracy and adequacy when acquiring both acute and biographic information, as well as in coordinating clinical communication, connectivity and conferencing within the local medical diaspora, and with the

global medical literature. π tech has the exceptional potential for meeting the lofty goal of health-carefor-all, regardless of language, literacy, location or level of income. Better communication + better connectivity = better care + better cost. π tech – Plasma Intelligence Exchange – enables several patient applications. For example: π tech empowers the average person with instant access to intelligible medical knowledge that heretofore has only been the prerogative of educational institutions and professionals. π tech enables self-care by way of multilingual self-assessment, triage and treatment of simple conditions. π tech enables intelligent communication and knowledgeable discussion with healthcare providers regarding more complex situations. π tech enables the patient to become an active participant in his/her own healthcare, in intelligent partnership with health care providers. It engenders patient satisfaction and faster, better care. Some π tech Plasma Intelligence Exchange innovations being developed are: A passive virtual medical library of clinical information, in text, audio and video clip formats, available, accessible and affordable by all, anytime, anywhere, any language. An active personal medical records library of text, audio and video medical records, where the patient, physician, consultant, laboratory and providers all input information into an internationally standardized, classified database in both summary and extension details formats. A selective patient-centered database that can be instantly accessed by, or transmitted to providers and consultants, instantly on demand, anytime, anywhere, globally, with patient permission and with built-in data privacy, confidentiality and security. A portable personal cumulative biographic library of significant family, past, social and immunization history, instantly available on demand, to save time and avoid mistakes. This is absolutely essential for travelers or

displaced populations, following natural or other disasters, as well as for continuity of care within the collective medical expertise in diaspora. A reactive virtual robo-medical assistant that interviews the patient by a simple audio phone call or smart phone, anywhere, anytime, any language, any condition, then instantly creates a series of medical records in a variety of responsive formats (triage, patient language, physician narrative in several languages). These can then be securely transmitted to appropriate responders, including paramedics in an ambulance. For example: A French-speaking patient visiting Mexico, who develops an acute illness, can make a simple phone call, and have a medical robo-history taken in French. Several reports are then generated – one in French that is transmitted to the patient on site, and to the patient’s primary care physician in Quebec, another narrative in English to a volunteer tourist English-speaking physician, and one in Spanish to the local Mexican emergency department. An interactive virtual tele-conferencing application with an audio-visual composite of the patient, the consultants, the virtual clinical library, and the patient’s personal medical biographic database, for a multi-specialty conference, collectively evaluating the patient and patient database, for a consensus/ management response to a complex case. This avoids costly delays, duplication and digressions that plague today’s sequential consultation practice. Emerging π tech Plasma Intelligence Exchange innovations enable fast, costeffective health care delivery to all, avoid delays and duplication, and empower the contemporary conscientious healthcare consumer to intelligently navigate the complex medical diaspora, and chart a personalized course to best practices. Victor Kumar-Misir, M.D., is an international physician, who has spent the past 40 years integrating trans-lingual, cross-cultural healthcare delivery with emerging information-management technologies, with input from physician executives of national academies of medicine in over 30 countries. He has been a media spokesman and key-note speaker in several countries, including the Society for Intercultural Education Training and Research (SIETAR). email: imeddrs.vm@gmail.com © Victor Kumar-Misir, M.D. 2014 All rights reserved.

Second Quarter 2014 | www.BestPracticesMD.com|

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