Bringing Connected Diagnostics to Scale
Connected Diagnostics Opportunity
Improve Linkage to Care
Reduce Loss to Follow Up
Improve Surveillance Reduce
Transcription Errors
Monitor Quality
AssuranceReduce Stock
Outs
Improve Training & HR
Diagnostics Data
Challenge - Fragmented Data Collection
Dx1 Portal Dx2 Portal Dx3 .. No portal
Dx1 Dx2 Dx3
Aggregated View Across Diagnostics
DX2
DX1
DX3
DX2 Portal
DX1 Portal
?
Useful DX1 info
Useful DX2 info
CDX: Connected Diagnostics Initiative
CDX Platform:CDX Initiative:
• Technology & Services• Transmit & store data• Multiple diseases,
manufacturers• Open source • Secure, PII privacy• Commitment to standards• Manufacturer engagement• Policy maker engagement• Design Advisory Board• Ecosystem of field support
vendors• Evaluation and Research
InSTEDD specializes in designing open source, scalable technology tools to solve critical health, safety and development issues.
FIND’s expertise is in the domain of diagnostic development and delivery, particularly for infectious diseases.
CDX Platform
Accelerates connecting new devices by manufacturers & 3rd parties
Device SoftwareOpen & standards-based protocols for 2 way communication between devices and servers.See dxapi.org
ProtocolsSoftware that can run in the cloud or your own servers.Aggregates device, result, error and other information
Servers & Services
Ecosystem of ehealth & mhealth tools: EMR, ERP, TB Dashboards, HIMS, mobile alerts, etc.
3rd Party Applications
etc….
Trained resources for eHealth interventions
CDX Initiative Areas of Effort
Hospitals & Labs
Health postCommunity health worker
eHealth policy & strategy
Evidence of eHealth impact
Standards & Interoperability
Centralised data collection, sharing & access
AB
DC
E
National health programs
Global policy & surveillance
CDX 1.0 Platform Sneak Peak
CDX Preview – Basic Stats
CDX Preview - Errors
CDX Preview – Filters & Alerts
Multiple Perspectives
CDX Preview – Mapping Results
CDX Preview – Workflow Views
CDx Preview – Data Sharing
CDX 1.0 - Offering
• Platform– Version 1.0 – Q1 2016– Available both cloud & institution-
hosted– A portfolio of TB diagnostics
• Technical Assistance – CDX server deployment guide– User guide GeneXpert
Omni
BACTEC MGIT
GenoScan Cepheid Alere
Alere-qBD
Micro Imager
Hain
Mike TurnlundVP/GM, Engineering & SoftwareCepheid
Connectivity & Roles in the Ecosystem
• Centralized, multivendor data systems (EMR, ERP, etc) are best served by ISVs, not device manufacturers
• Quick integration of secure data streams makes system adoption easier
• Different roles mean different data needs for institutions and manufacturers• Manufacturers: system heuristics, usage, errors• Institution: EMRs, epidemiology, logistics
• CDX allows for quick, uniform, contextual large scale diagnostic system data collection for an institution
Data Streams in a CDX Ecosystem
GeneXpert harvests data and Transmits to RemoteXpert
CDX local serverreceives data andstores it in institution EMR
Tests run onlab devices – cross labs and geos
Heterogeneous devices transmitdata in CDX format
Institution X data
Institution, NGO userslog into their serversand use aggregated regionalEMR and logistical data
RemoteXpert receives data and securely stores it, generates machine health analysis and alerts
CDX client transmits formatted datafrom GX to institution servers
RemoteXpertGeneXpert
CDX
CDX Cepheid Support
• Cepheid supports integration with many different LIS, EMR, and multi-disciplined ecosystem tools
• Secure, structured integration with all data systems is vital
• Quicker, structured integration of comprehensive diagnostics data (not just PCR) frees up resources, accelerates care
• Cepheid will make available open source clients for it’s systems to securely and robustly support data transmission in the CDX format to support FIND’s initiative
Anita SureshWorldwide Mktg Manager, TB DiagnosticsBD Diagnostics
“BD's vision is to enable fully integrated and connected informatics solutions for our diagnostics customers. In TB, this would include real-time reporting, data aggregation and surveillance tools, bringing together diagnostic results across multiple platforms at multiple health settings. BD is partnering with the Connected Diagnostics Initiative to achieve these goals while allowing institutions to customize their solutions to drive clinical impact. ”
Dr. Dennis FalzonGlobal TB ProgrammeWHO
Global tuberculosis report 2015 (WHO/HTM/TB/2015.22). Geneva, World Health Organization. Geneva, World Health Organization; 2015. www.who.int/tb/publications/global_report/en/
MDR−TB cases and additional rifampicin−resistant TB cases detected (orange) compared with TB cases enrolled on MDR−TB treatment (blue), global trend and trend in 27 high MDR−TB
burden countries, 2009−−2014
Uses of TB Laboratory Information
1) The requisition, receipt, scheduling and performance of tests
2) The collection and management of samples, and the chain of custody
3) The distribution of test results to clinicians4) Inventory5) General laboratory reporting (including billing and
contracts)6) Workload statistics and laboratory performance7) Surveillance of TB and drug-resistance8) Human resources development, including training9) Quality control and external quality assessment processes10) Laboratory biosafety measures11) Others (specific to an individual laboratory)
Laboratory Informatics
• Strengthening TB laboratory informatics important
- Laboratory confirmation desirable in both TB/DR-TB patients
- Case detection data (TB & DR-TB) are often sourced directly from laboratories
- As diagnostics become more advanced even in low resource settings, weaknesses in information management become more pronounced
- Better informatics offer other potential to improve care and laboratory performance.
WHO/ERS. Digital health for the End TB Strategy: an agenda for action. (WHO/HTM/TB/2015.21). Geneva, World Health Organization; 2015.
“Connected diagnostics” : a logical first step in the development of TB laboratory informatics
Extensive Existing & Planned Clients
• Increasing coverage of common ehealth & mhealth solutions
• From self-contained to national scale
• Promiscuous interoperability a core goal
2016 Efforts
• CDX Advisory Board• Additional Manufacturer Support• Implementations• Research & Evidence
Thank you
For further information please visit
cdx.io
Top Related