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Public Healthcare System and Biotelemetry

Type of study Follow-up Master
Language of instruction Czech
Code 450-4089/01
Abbreviation VZaBitel
Course title Public Healthcare System and Biotelemetry
Credits 4
Coordinating department Department of Cybernetics and Biomedical Engineering
Course coordinator Ing. Daniel Barvík, Ph.D.

Subject syllabus

Lectures
1. Definition and content of the subject of public health. Medicine and Health. Public health. Public Health and New Public Health. Determinants of health. Potential of health and its behavior in the population.
2. Man as a bio-psycho-social unit of the population. The impact of human behavior on its own health, on the environment and on the health potential of the population. His individuality and paradigm. Family, childhood, school, patterns. Social gradient in population, vulnerable groups. Health Trends of the Czech Population.
3. Recognition, support and protection of public health, prevention of nosocomial infections. Fundamentals of epidemiology. Population and intervention clinical trials. Scientific approach versus spiders. Quality of life, QALY, DALY. Social and health insurance in the Czech Republic, Europe and the United States of America.
4. Ethics and morality. Code of Ethics. Risks of Ethical Failure at National, Collective and Personal Levels. Failure of Ethics in Science and Pharmacology. Genuine and generic medicines, food supplements.
5. Organization and management of health care provision. The health system and its executive medical segment, their structure and relationships. Methodological and economic management in the health system. Medical efficiency, economy and quality of the healthcare system. HTA.
6. Health policy, its content at transnational, national and local levels. WHO, UNICEF. State and its higher territorial units. Public administration and health. Public and private healthcare sector.
7. Health law. Hierarchy of Legislation, Legislative Initiative. Selected Legislation - Basic Charter of Rights and Freedoms, Public Health Insurance and Health Insurance Companies, Establishment of Health Service Providers, Financing of Health Care, Medical Occupations, Medical Devices, Asset Management. The importance of standards in health care (EN CSN).
8. Organizational Structure and Management of Health Service Providers. Driving models. Management, HR, Economics, Operations. Internal legislation (regulations, directives, orders). Quality of health service provider management. Location, role and importance of biomedical engineering at the hospital.
9. Quality management (quality). QI / QA, TQM, Process Certification, Workplace Accreditation. Clinical recommended practices and standards of nursing care. Protection against ionizing radiation. Risks and adverse events in healthcare.
10. Medical devices and their management. Acquisition, safe use, service and disposal of medical devices. Their types and security classes.
11. Reserved technical facilities in healthcare. Specific technical risks and adverse health events. Microshock hazard. Hospital spaces, their equipment and classification. Patient environment. Legislation.
12. Provision of health care. Systems of health service providers. Types and forms of health care. Quality of health care. Legislation.
13. Medical Informatics. Data and information, their standardization and sharing. Health Information Systems, NIS and its Subsystems. Health documentation - its classic (paper) and electronic form. Patient identification. Protection of sensitive data and information in healthcare. Qualified certificate, timestamp, GDPR.
14. Ensuring health care in emergency and crisis situations. Emergency call center, cooperation of the rescue units of a higher administrative unit. Traumatology and evacuation plan of the hospital. Fundamentals of 1st Aid.

Laboratory exercises:

During the laboratory exercises the students will work on a controled semestral project. Part of the exercise will always be a theoretical introduction to the issue. The result of this project will be a functional telemetry device applied to a remote home care lab. The individual steps of the project are:
• Design and telemetry devices using Arduino or similar development platforms to measure selected biological signals.
• Selection and implementation of analog circuits to measure selected biological signals (single-conduction ECG or plethysmography or body weight or EMG, or inertial sensors and body temperature, or other types of bioscientists).
• Digitalization of measured analog signals and transferring data to a personal computer using either USB or Ethernet.
• Design and implementation of communication protocol, creation of software for visualization of measured data in a personal computer.
• Implementation the chosen wireless technology (Bluetooth, Bluetooth Low energy, proprietary radio communication, Internet of Things).
• Implementation of developed measurement system into remote home care systems - initial testing in the remote home care lab.
• Practical tests with other measuring systems in a remote home care lab. Monitoring of the movement of people, work with remote home automation systems.
• Design and implementation of test schemes to verify the benefits of telemetry facilities in a remote home care lab.

Literature

HU, Fei. Telehealthcare computing and engineering: principles and design. xix, 726 pages. ISBN 15-780-8802-X .

BUZUG, Thorsten M., Heinz HANDELS a Dietrich HOLZ, ed. Telemedicine: medicine and communication. New York: Kluwer Academic/Plenum Publishers, 2001. ISBN 0-306-46552-3 .

BJÖRKMAN, James Warner a Christa ALTENSTETTER, ed. Health policy. Cheltenham: Edward Elgar, c1998. ISBN 1-85898-587-0.

Advised literature

MAHEU, Marlene M., Pamela WHITTEN a Ace ALLEN. E-health, telehealth, and telemedicine: a guide to start-up and success. San Francisco: Jossey-Bass, c2001. ISBN 0-7879-4420-3.