# Agenda for IMIA Call

This is the page for discussion of our community call for IMIA

## Date and time to be decided

## How to join the meeting

- We will use Zoom for discussion (Zoom link will be posted later here), here:
- https://canterbury.zoom.us/j/288676178

See some notes on how to participate in online meetings
from https://hackmd.io/3f_5gkMVRBSnHfxFh1vwNQ?view

Topic: IMIA_TH_WG community call
Time: Mar 12, 2020 08:00 PM Universal Time UTC
(Please use https://www.timeanddate.com/worldclock/converter-classic.html
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Meeting ID: 288 676 178

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Meeting ID: 288 676 178

## Attendee list
// Write your name, country, email address, Twitter/LinkedIn handle (if any)

1. Arindam Basu, New Zealand, [e-mail], @arinbasu +
2. Prasad Ranatunga, Sri Lanka, [e-mail], @pran
3. Kleber Araujo, Brasil, [e-mail]
4. Marcia Ito, Brazil, [e-mail], + linkedin: https://www.linkedin.com/in/marciaito/
5. Shashi Gogia, India, [e-mail], @gogia7
6. Gumindu Kulatunga, Sri Lanka, [e-mail]
7. Jose F Florez-Arango, Colombia/USA, [e-mail] , twitter @josefflo / linked in https://www.linkedin.com/in/josefflo/
8. Átila Szczecinski Rodrigues, Brazil, [e-mail], www.linkedin.com/in/atilaszc
9. Vije Rajput, United Kingdom, [e-mail] +
10. Craig Kuziemsky, Canada, [e-mail], Twitter @ckuziemsky
11. Sriram Iyengar, Arizona, USA, [e-mail]
12. Kendall Ho, Vancouver, Canada, [e-mail] +
13. Najeeb Al-Shorbaji, [e-mail], Amman, Jordan +
14. Jai Ganesh Udayasankaran, India, [e-mail] +

## March
// Type what you want to discuss or see discussed

1. Introduce each other
2. Note of thanks for successfully completing the first project: Ethics paper
3. Plan the topics/activities that we will work this year
4. *Progress and next steps for our Book (@gogia7)*
5. Development of a global framework for Telehealth Implementation
6. Discussion of success and failures in Telehealth implentation...
7. Sharing best practices in telehealth
8. Corona virus and telehealth: what can be done?

## Notes for the meeting
In attendance:
Najeeb Alshorbaji (NAS)
Marcia Ito (MI)
Vije Rajput (VR)
Jai Ganesh (JG)
Kendall Ho (KH)
Note-taker: Arindam Basu

- Jai Ganesh (JG) briefed about the webinar organized by Global Digital Health Network that dealt extensively on the response from digital health community towards Covid (action item: JG will share the link from the webinar here)
- Najeeb talked about a statement that he is working on and discussed the importance of that "statement"
- NAS:"appropriateness of devices for contexts, infrastructure"
- NAS: "7000 languages in the world, use technology and languages, localisation, WHO"
- NAS: "Coordination and sy"
- KH: "dilemma: all of us want to contribute, how do we truly add value, how do we deploy virtual health, do we have a good source of "truth", do we have the ability to adapt to the local context,
- involve community, BC relatively contained ,most of them traceable, how do we transition from here to plan for , how do we counter misinformation or missing information
- Many companies want to present their solutions, home based monitors, follow up for patients who are isolated, how do they progress,
- Digital health great solution
- Platforms to use?
- How do we work together to harmonise the processes together

JG:
- "what constitutes telehealth"
- Clarity about what is telehealth given a context
- More than mere video consultation and accompanied by electronic case documentation
- infrastructure
- policies
- agreements for cross border sharing of information
- input from immigration
- what evidence is out there regarding use of telehealth in epidemics/pandemics (agenda for the working group)
- Ebola/SARS/MERS/Covid
- Collect evidence on what worked and what didn't
- Classify and relate them based on utility during the various phases of epidemics

VR:
- Every GP practice videoconf
- health care professionals affected can lead to chaos
- 111 service, take calls
- Contact tracing
- Source
- Texting
- Texting is a fast way of getting information across
- Empowering or supporting people
- Texting is agnostic of whether smartphone/not
- UK Guidelines
- Self-isolate for 7 days

VR responds to JG's question about resourcing and coordination of GP services
NAS:
- When we use TH/EHealth
- Data being moving shared, rather than pts moving
- requires policies, quality control around data,
- data that are usable
- Limitation: Countries people in places data sharing is not something "normal", left to the patients taking responsibilities
- Data transparency
- Need emphasise limit movement of people
- Make sure data from ppl are good quality and timely

VR:
- Integrated care record
- Widespread sharing of records
- Policy statements/discussions/documentation

MI:
- Not many cases in Brazil
- Phone line
- Prepping hospitals
- Information
- Use th, to put information
- inform people what //epidemiology
- work with "fake news"

KH:
- Great information
- Summarising helpful
- Unique: how telehealth is being used and in what context of pandemic
- Principles of telehelath containing pandemic control
- Dive deeper
- What specific ways
- patient monitoring, text messaging,
- Highlighted principles of TH/DH
- Redundancy?
- One or two pager
- We can

VR:
- Workforce issues
- Automate texting
- Standardised automated texting
- Automate repetititive
- Personalisation
- Isolated
- Make feel supported
- Connecting communities

NAS:
- Other areas
- Summation of different ideas
- How can this group reach out to the ministries and public the potential of telemedicine?
- Jordan, started, faded, now,
- Skills/cultural awareness, infrastructure
- A paper in one of these journals and be translated
- HOw can we reach out to max nummber of people to think about delivering health care through telemedicine?
- Raise awareness
- Medical schools
- Digital health
- Lead a "campaign" to make people more aware about TH/TM services
- People often talk narrowly or as if marketers but rather than that, policies

KH:
- Need to start showcasing good practices
- Need good stories, showcase frontline people in the fight against covid
- Opportunity:
- Can we call for good stories how tH/vh are being used
- How this is being used in "insert country"
- Get a mosaic of how TH is being used
- Doing well --> turn to case studies
- Spaces for discussion
- Keep it simple, showcase good news story
- Repository
-
+ from JG (evidence of historical use in epidemics like SARS, MERS,)

Next?
- Opinionn piece?
- Journal/Publication with higher reach?
- Perspective
- Could the journal partner with us?
- This is extraordinary time, not just scholar paper, rally together
- Lancet digital health
- JMIR
- JG: as a special issue in one of the reputed journals?
- JG: Identifying successful case studies from countries to be showcased, curating the evidence takes time
- Are the case studies going to be good enough?
- Innovation
- How do you organise large scale telehealth
- Large scale activities
- How TH at scale is working? Is it

Put together some ideas
Google docs
Skeleton
Versions of the document

(Todo: put together a Google Docs)

JG: WG can aim for a quick perspective or opinion piece in NEJM, JMIR, The LANCET Digital, BMJ, Health Affairs or PLOS. Preferable to get it out in two weeks from now

What is going to be the focus
Big paper --> smaller papers

"On how TH/TM can be effective in fighting coronavirus?"