Wednesday, 21 June 2017

Navyacare - Making Complex Decisions When Confronted With Conflicting Opinions

Experts from Tata Memorial Centre (TMC) and National Cancer Grid (NCG) review your medical reports and provide an opinion on the best treatment option for your case.

Navya provides patients and physicians with the tools to make expert treatment decisions for complex medical conditions. Navya has accurately made over 10,000 expert treatment decisions in oncologists.



Navya’s computative decision system uses published medical literature, globally accepted guidelines, consensus opinion of world leading experts, treatment opinions and outcomes of similar patients, and patient’s preferences or risk/benefit tradeoffs of treatment options to make expert treatment decisions.

Our Services

Navya offers an expert decision service in oncology. Simply by uploading some of your medical case reports, Navya can offer you an evidence-based expert decision on your treatment options. Navya factors in your preferences and assesses your risk/benefit tradeoffs to determine the most suited option for you.

Navya for Patients

Navya’s Expert System synthesizes information from a universe of evidence based medical literature, factors in the consensus opinion of a global network of medical experts, and then arrives at a treatment recommendation tailored to patient’s preferences and risk/benefit tradeoffs. Navya decisions can be carried out immediately and patients are comforted in knowing the expert decision on their treatment options.

Navya is partnered with Tata Memorial Centre(TMC) and National Cancer Grid (NCG) to provide expert opinions from experts at TMC and NCG to patients/caregivers worldwide. Patients upload their medical reports per Navya’s list of requirements. Navya translates the patient’s medical reports and questions into a structured case summary and decision question for experts at TMC and NCG. Using Navya’s ExpertApp, experts respond and provide an expert opinion on the patient’s case. Navya combines the opinion of multiple experts from different Disease Management Groups at Tata Memorial Centre and National Cancer Grid and prepares a final report for the patient. Navya’s reports are easy to understand and in patient-speak. Navya’s case summaries to the experts are quick to review and may include evidence and guidelines based treatment options for the experts to quickly choose from, thereby reducing the turnaround time for an expert opinion. Navya also includes evidence and guidelines information for the patient as necessary, which provides strength to the expert opinion. The strength of the expert opinion and the simplicity of the patient-speak, provide clarity in complexity of decision making for the patients/caregivers. They are comforted that they now know and understand their treatment options and are guided by an evidence based multidisciplinary expert decision.

Since May 2014, Over 10,000 cancer patients from 22 developing countries and 47 countries including worldwide including Bangladesh, Dubai, Kuwait, Iraq, Russia, Singapore, Hong Kong, Malaysia, Kenya, Mozambique, Nairobi, South Africa, Australia, Canada, United States, United Kingdom, and from all across the Indian subcontinent have reached out to Navya an expert opinion on their treatment options.

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More Details:


Navya expedited our request & within 24 hours we got a report  OnlineExpertOpinion http://www.navya.care/  Tata Memorial Centre 

BANGALORE:
No. 2 Al-Latheef Building,
Off Infantry Road, Union Street,
Banglore-560001.
Gmail: navya@navya.care
Phone: +91 7022009550
 
MUMBAI:
Dr. E Borges Road, Parel,
Mumbai-400012.
Fax: +912224146937
Email: msoffice@tmc.gov.in
Phone: +1 912224177000

Tuesday, 13 June 2017

Major Digital Health/Healthtech/Health 2.0 Trends for 2017 (Part 1)

First, I will define digital health/healthtech/health 2.0 as products and services that rely on using the Internet and digital data (versus paper or physical contact/in-person consultations), to better the overall physical or mental health of an individual. This does not include medical devices or pharmaceutical.

The major trends for 2017 include using information technology and Internet, of which mobile is a significant component, to do the tasks that patients and physicians or other service providers would ordinarily do, but at a faster, cheaper, and larger scale i.e. to reach a global network without incurring added costs of time and money. Unlike in other industries, healthcare does not allow immediate and ground-breaking leaps in the use of information technology to do new and powerful things that were otherwise not already possible, for example, offering a treatment or diagnosing using the Internet.


Healthcare does not allow immediate and ground-breaking leaps in the use of information technology.
 
A few years ago, as an early stage startup investor in Boston, I came across technologies that proposed to use video games to treat Attention Deficit Disorder, or rely on patterns in mobile phone usage to diagnose and manage depression, or leverage the iPhone camera to send images to ophthalmologists to diagnose eye infections in rural India, or attach monitors to cell phones as an electrocardiogram device.

These innovations tread on diagnosing and treating, and must be tempered by regulation and clinical trial validations before adopted use. This is beyond what digital health/healthtech/health 2.0 can reasonably promise to deliver, as the intricacies of the healthcare and legal landscape intervene.

The success of such innovations, measured by adoption and use in the clinical world, is yet to be seen.

However, leveraging technology to improve performance of products and services that already exist, and that improve healthcare delivery as it exists today, is a fair game for digital health/healthtech/health 2.0. This can be boiled down to some key trends.

Let’s look at the first one:

Trend #1 – Increasing access to expertise

There are only a few hundred or few thousand experts in any given clinical indication/disease. These experts are limited to a few expert centers usually in large cities in the developed world. Using digital transcription of clinical information and medical reports, and the Internet via email and mobile application, these experts can provide their opinions to patients around the world.

My company, Navya, provides one such avenue for cancer patients to receive online expert opinions on the next best step in the management of their care. So far patients from 42 countries, including 20 developing countries in Asia and Africa, have availed the service.

Technology systems and online service enable the bridging of access to world leading experts who today provide opinions locally but can now also provide opinions to patients in Fiji, Mozambique, Russia, China, and in any corner of the world.

I will discuss another trend in the next post.

– Gitika Srivastava

Online Expert Opinion: Navya.Care

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Friday, 9 June 2017

Expert Opinion for Cancer Care in 24 Hours


TMC NCG Online – Navya Expert Opinion Service empowers patients with critical information within 24 hours enabling families to make robust decisions in cancer care with adequate inputs from oncologists at Tata Memorial Centre and National Cancer Grid (including cancer centers like AIIMS, Kidwai, Max Hospital, etc.). This service, available at www.navya.care, allows patients to upload their reports and get a response from world renowned experts.



Families seek to vet treatment plans with experts but it can be challenging as doctors often recommend the treatment start immediately to prevent cancer from advancing. Balancing the need to act quickly while ensuring the decision is made with all relevant inputs is when Navya’s Online Expert Opinion Service becomes a powerful ally.

While diagnosing the presence of cancer can be relatively straightforward, treatment is highly specialized and the number of experts experienced in managing complex cases is very few. Many cancers are curable or can be managed for a number of years if diagnosed early and treated appropriately. Choosing the right therapy can be the difference between the best possible outcome and failed treatment. Patients are able to receive the best possible treatment opinion which includes what therapy to choose (surgery, chemotherapy, radiotherapy or immunotherapy) as well as dosage, duration, side effects and other details pertinent to the treatment. The detailed report, that answers all questions asked by the patient in language that is simple to understand, can then be shared with the local oncologist to proceed with the treatment locally.

Maya Fonseca, 27, of Goa had a situation where following a routine checkup and follow up tests, her mother was diagnosed with stage IV cancer. The tests administered at the time were inconclusive as to the origin of the cancer. A slide review was recommended which would have taken 14 days but the treating oncologist advised that chemotherapy be commenced immediately. Maya and her family were understandably unsure of how and when to proceed with treatment. She reached out to Navya Online Expert Opinion Service and uploaded the reports. Navya’s patient advocate called her, got a thorough understanding of the case and noted all the questions that she wanted to ask the expert. The medical history along with evidence based treatment options were presented to an expert using Navya’s patented system for an opinion. The experts at Tata Memorial Centre were able to conclude that the medical reports and clinical history were consistent with cancer of the ovaries and chemotherapy was the next step followed by surgery.   On receiving the expert’s response, a report was created that answered all questions asked by the patient in language that was simple to understand. With the treatment opinion that included the chemotherapy, dosage and frequency, Maya’s mother was able to proceed with immediate treatment safe in the knowledge that she was making the right decision.

Urging families of cancer patients, Gitika Srivastava, Founder of Navya, says: “Most people who have had any experience with cancer are aware that given time and logistical constraints, it is not always feasible to go to tertiary care centers in metropolitan cities at each treatment decision point. Given the importance of treatment decisions in yielding the best possible outcomes, we would urge everyone to get an expert opinion through TMC NCG Online. We understand the anxiety in knowing what to do as quickly as possible, and hence have strived to ensure that we facilitate the opinion from the experts within 24 hours of getting all necessary medical reports. When making a decision on treatment, you and your oncologist can be assured that the opinion rests on the experience of world renowned cancer experts and follows evidence based protocols best suited to your specific case.”

Online Expert Opinion : Navya.Care

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