Sisa Ian is a medical doctor, MBChB, with clinical experience in patient-centered care. His background in health systems and clinical experience inform his empathetic but competitive approach to delivering quality health care.
Sisa is driven by his passion for understanding the differences in cross-cultural health-seeking behavior and beliefs. He considers himself a ‘forever student,’ eager to build on his academic foundations in medicine. He stays in tune with the latest evidence-based practices through continued coursework and professional development. Supervisors: Sisa Ian
Health care delivery continues to evolve with the changing political, economic and technological ... more Health care delivery continues to evolve with the changing political, economic and technological scene. Healthcare is being guided by a consumer-driven principle and framework. Health systems therefore are finding ways to achieve greater efficiency, seamless care, reduced costs and reliable, predictable outcomes. New partnerships are being set up in the health care systems to address trends that impact negatively on the health care delivery while implementing the positive strategies. Drawing insights from key players in the healthcare systems, the following will be the top ranked trends in health care delivery to watch out for in 2018: 1. Top priorities in the practice of medical care will change to increase the quality of care and cut down costs. The cost of health care delivery is increasing exponentially from the changes in political and economic implications. This results in a dip in the revenues collected by medical providers while the clients and patients feel less value for value. Leaders and managers in the healthcare delivery industry will seek to increase the efficiency of the services delivered. Practices will find ways to generate more work output from stuff and increase workflows. The delivery of health care that seeks to cut the costs of medical care should be aligned with patient experience to improve satisfaction of the outcome. With the move to find more ways to satisfy the patients while minimizing costs, healthcare facilities such as hospitals and accountable care organizations will have to use lower-cost medical support stuff like community health workers. 2. Ease of access of medical care will become a competitive strategy. Health care systems will find the need to increase the accessibility potential of medical services delivery. Patients, with the increasing throughput to delivery at their life goals and career opportunities will demand for easily accessible quality healthcare. The scope of medical practice will shift from hospital or office-based to more urgent medical care delivery strategies that seek to reach the patients other than the patient seeking to reach the health facilities. This new trend will push medical systems such as hospitals and care centres to create bypass mechanisms that allow mobile healthcare delivery. Some of the strategies would work to reduce the rates of patient admission and length of hospital stays. Healthcare facilities will have to embark on a journey to ensure that the patients are the focus of the health delivery system. This would involve formation of medical professional teams that are headed by the patient's individual physician, nurses and community health workers to ensure competitive quality health care and access. The idea of having an individual personal physician for a patient is to enhance the patient doctor relationship to a personal relationship with improved communication, decision making and anytime anywhere medical care access for example through mobile phones or teleconferences. To improve the accessibility of quality health care, health facilities will shift their focus and energy to formations and set ups that are patient-based home cares systems to enhance the quality and access of wholesome medical services delivered. 3. Fee-for service and accountable care organizations. The shift of medical care delivery to a more value based payment system and the accountability scheme will force medical professionals and health facilities to partner with community based organizations of find the root causes of preventable diseases. With such a move, the quality of care delivery would seek to address more patients' problems as outpatient than making admissions and readmissions. This strategy would be good for the overall delivery of medical care but would impact negatively on the health systems in a reduction in revenue. Through finding efficient patient care designs, the health care organizations will have to form performance based contracts with payers and investors in order to utilize outsourced medical services and high-value supplies. The participation in value-based payment contracts would push the physicians and other medical facilities and organizations to primarily target causation and prevention of diseases other than management.
The basis of this project was to identify the factors that are integral to implementation of arti... more The basis of this project was to identify the factors that are integral to implementation of artificial intelligence in healthcare and the challenges that are slowing down the implementation in the healthcare domain. The overall approach of the study was to determine the challenges affecting the implementation of artificial intelligence. The study also considered factors that are necessary in the framework for smooth adaptation of artificial intelligence in the health care sector. An empirical analysis of the artificial intelligence implementation was used. This analysis took into consideration the advantages and limitations of the earlier process of implementation. Data was collected in healthcare institutions. The data collection covered health institutions where artificial intelligence was practiced and those that did not implement artificial intelligence. Secondary sources of data were also used to generate the literature review. During data analysis, artificial intelligence was implemented to compliment human intelligence in diagnoses, imaging and management of patients. The major challenges determined during the implementation of artificial intelligence were: ▲ Ethical and legal complications which were but not limited to legal implications due to failed technology and robots' safety features. ▲ Medical conflicts and bias., that included feeding the computed algorithms with medical data without considerations of bias which would result in systematic errors in diagnosis and/ imaging. ▲ Technological complications such as autonomous weapons of mass distraction, malicious use and systemic bugs from algorithms codes that would undermine the functionality of the " artificial intelligence system ". ▲ Human rejection due to the fear that artificial intelligence would render humans jobless by substituting for doctors and radiologists.
Neuropathies might be acute or chronic
Mononeuropathy – affecting a single nerve
Polyneuropathy –... more Neuropathies might be acute or chronic Mononeuropathy – affecting a single nerve Polyneuropathy – diffuse, symmetrical disease usually starting peripherally. Mononeuritis multiplex – affects several or multiple nerves. Radiculopathy – disease affecting nerve roots
First line treatment is to start the patient on one of:
Angiotensin Converting Enzyme (ACE) Inh... more First line treatment is to start the patient on one of: Angiotensin Converting Enzyme (ACE) Inhibitor Angiotensin II receptor Blocker (ARB) Calcium Channel Blocker Diuretic
Background Early postnatal hospital discharge increased care demands and midwives' duties. Only 2... more Background Early postnatal hospital discharge increased care demands and midwives' duties. Only 23% of planned postnatal visits were based on women's needs, while 65% planned visits based on organizational pressure. Omission of care is exclusion or significant delay of critical patient care. Missed care has been linked to increased neonatal and maternal morbidity and mortality, particularly for first time mothers who, for example, have difficulties initiating and maintaining
Health care delivery continues to evolve with the changing political, economic and technological ... more Health care delivery continues to evolve with the changing political, economic and technological scene. Healthcare is being guided by a consumer-driven principle and framework. Health systems therefore are finding ways to achieve greater efficiency, seamless care, reduced costs and reliable, predictable outcomes. New partnerships are being set up in the health care systems to address trends that impact negatively on the health care delivery while implementing the positive strategies. Drawing insights from key players in the healthcare systems, the following will be the top ranked trends in health care delivery to watch out for in 2018: 1. Top priorities in the practice of medical care will change to increase the quality of care and cut down costs. The cost of health care delivery is increasing exponentially from the changes in political and economic implications. This results in a dip in the revenues collected by medical providers while the clients and patients feel less value for value. Leaders and managers in the healthcare delivery industry will seek to increase the efficiency of the services delivered. Practices will find ways to generate more work output from stuff and increase workflows. The delivery of health care that seeks to cut the costs of medical care should be aligned with patient experience to improve satisfaction of the outcome. With the move to find more ways to satisfy the patients while minimizing costs, healthcare facilities such as hospitals and accountable care organizations will have to use lower-cost medical support stuff like community health workers. 2. Ease of access of medical care will become a competitive strategy. Health care systems will find the need to increase the accessibility potential of medical services delivery. Patients, with the increasing throughput to delivery at their life goals and career opportunities will demand for easily accessible quality healthcare. The scope of medical practice will shift from hospital or office-based to more urgent medical care delivery strategies that seek to reach the patients other than the patient seeking to reach the health facilities. This new trend will push medical systems such as hospitals and care centres to create bypass mechanisms that allow mobile healthcare delivery. Some of the strategies would work to reduce the rates of patient admission and length of hospital stays. Healthcare facilities will have to embark on a journey to ensure that the patients are the focus of the health delivery system. This would involve formation of medical professional teams that are headed by the patient's individual physician, nurses and community health workers to ensure competitive quality health care and access. The idea of having an individual personal physician for a patient is to enhance the patient doctor relationship to a personal relationship with improved communication, decision making and anytime anywhere medical care access for example through mobile phones or teleconferences. To improve the accessibility of quality health care, health facilities will shift their focus and energy to formations and set ups that are patient-based home cares systems to enhance the quality and access of wholesome medical services delivered. 3. Fee-for service and accountable care organizations. The shift of medical care delivery to a more value based payment system and the accountability scheme will force medical professionals and health facilities to partner with community based organizations of find the root causes of preventable diseases. With such a move, the quality of care delivery would seek to address more patients' problems as outpatient than making admissions and readmissions. This strategy would be good for the overall delivery of medical care but would impact negatively on the health systems in a reduction in revenue. Through finding efficient patient care designs, the health care organizations will have to form performance based contracts with payers and investors in order to utilize outsourced medical services and high-value supplies. The participation in value-based payment contracts would push the physicians and other medical facilities and organizations to primarily target causation and prevention of diseases other than management.
The basis of this project was to identify the factors that are integral to implementation of arti... more The basis of this project was to identify the factors that are integral to implementation of artificial intelligence in healthcare and the challenges that are slowing down the implementation in the healthcare domain. The overall approach of the study was to determine the challenges affecting the implementation of artificial intelligence. The study also considered factors that are necessary in the framework for smooth adaptation of artificial intelligence in the health care sector. An empirical analysis of the artificial intelligence implementation was used. This analysis took into consideration the advantages and limitations of the earlier process of implementation. Data was collected in healthcare institutions. The data collection covered health institutions where artificial intelligence was practiced and those that did not implement artificial intelligence. Secondary sources of data were also used to generate the literature review. During data analysis, artificial intelligence was implemented to compliment human intelligence in diagnoses, imaging and management of patients. The major challenges determined during the implementation of artificial intelligence were: ▲ Ethical and legal complications which were but not limited to legal implications due to failed technology and robots' safety features. ▲ Medical conflicts and bias., that included feeding the computed algorithms with medical data without considerations of bias which would result in systematic errors in diagnosis and/ imaging. ▲ Technological complications such as autonomous weapons of mass distraction, malicious use and systemic bugs from algorithms codes that would undermine the functionality of the " artificial intelligence system ". ▲ Human rejection due to the fear that artificial intelligence would render humans jobless by substituting for doctors and radiologists.
Neuropathies might be acute or chronic
Mononeuropathy – affecting a single nerve
Polyneuropathy –... more Neuropathies might be acute or chronic Mononeuropathy – affecting a single nerve Polyneuropathy – diffuse, symmetrical disease usually starting peripherally. Mononeuritis multiplex – affects several or multiple nerves. Radiculopathy – disease affecting nerve roots
First line treatment is to start the patient on one of:
Angiotensin Converting Enzyme (ACE) Inh... more First line treatment is to start the patient on one of: Angiotensin Converting Enzyme (ACE) Inhibitor Angiotensin II receptor Blocker (ARB) Calcium Channel Blocker Diuretic
Background Early postnatal hospital discharge increased care demands and midwives' duties. Only 2... more Background Early postnatal hospital discharge increased care demands and midwives' duties. Only 23% of planned postnatal visits were based on women's needs, while 65% planned visits based on organizational pressure. Omission of care is exclusion or significant delay of critical patient care. Missed care has been linked to increased neonatal and maternal morbidity and mortality, particularly for first time mothers who, for example, have difficulties initiating and maintaining
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Mononeuropathy – affecting a single nerve
Polyneuropathy – diffuse, symmetrical disease usually starting peripherally.
Mononeuritis multiplex – affects several or multiple nerves.
Radiculopathy – disease affecting nerve roots
Angiotensin Converting Enzyme (ACE) Inhibitor
Angiotensin II receptor Blocker (ARB)
Calcium Channel Blocker
Diuretic
Mononeuropathy – affecting a single nerve
Polyneuropathy – diffuse, symmetrical disease usually starting peripherally.
Mononeuritis multiplex – affects several or multiple nerves.
Radiculopathy – disease affecting nerve roots
Angiotensin Converting Enzyme (ACE) Inhibitor
Angiotensin II receptor Blocker (ARB)
Calcium Channel Blocker
Diuretic