Change is a group at the University of Washington exploring how technology
can improve the lives of underserved populations in low-income regions.

Justin Iwasaki – Primary care innovation in the United States: Tribal Health Centers + Affordable Care Act

November 24th, 2014 by Trevor Perrier

What:  Justin Iwasaki –  Primary care innovation in the United States:  Tribal Health Centers + Affordable Care Act

When: Tuesday, Nov 25 at 12pm

Where: The Allen Center, CSE 203

Please join us for this weeks Change Seminar.  This week Justin Iwasaki MD MPH will be talking about exciting new opportunities for primary health care he is looking to implement as director of the Lummi Tribal Health Center on the Lummi Nation near Bellingham, WA.

Abstract:

The Affordable Care Act has created an unprecedented financial opportunity for Tribal Health Centers to be centers for primary care innovation. The Indian Health Service provides a capitated payment to Tribal Health Centers well above the range of most leading direct primary care organizations. With Medicaid expansion, many more tribal members have become eligible for benefits with very healthy reimbursement rates unique to Tribal Health Clinics. These two factors have created a financial model for Tribal Health Centers allowing them to fulfill many of the needs most primary care clinics cannot afford to provide.  The Lummi Nation has recognized these unique opportunities and is in the process of developing new methods for improving healthcare delivery to its people. We are exploring ways technology can address culturally appropriate strategies to answer two fundamental questions for our patients:

  1. Do I need to see a doctor?
  2. When and where should I be seen?

About the speaker:

Dr. Iwasaki is the Director of the Lummi Tribal Health Center located on the Lummi Nation near Bellingham, WA. The health center provides medical, dental, X-ray, laboratory, pharmacy, social work, behavioral health, and health benefits services to approximately 5000 Native American patients per year. Prior to this he completed a family medicine residency at the University of Washington with areas of concentration in global health and bioinformatics. He has worked across East Africa in healthcare delivery, social enterprise and impact investing. As a medical student he won Harvard Business School’s Social Venture Competition and launched a for-profit social enterprise in Tanzania to bring clean water to urban slums. Prior to medical school he worked in the design shop for the Program for Appropriate Technology in Health (PATH).

Elizabeth Scott and Alex McGee: Global Health and E-Learning in Low Resource Settings

November 17th, 2014 by Trevor Perrier

What:  Global Health and E-Learning in Low Resource Settings

When: Tuesday, Nov 18 at 12pm

Where: The Allen Center, CSE 203

Please join us Change this week.  Elizabeth Scott and Alex McGee from the Department of Global health’s E-learning Program will be talking about their work and experiences in deploying educational content for health workers.

Abstract:

The University of Washington, Department of Global Health’s E-learning Program (EDGH) plans, develops, and supports a variety of e-learning and web-based products in support of global health programs. They specialize in designing blended learning, including real-time and self-paced courses for health workers, delivered in international, resource-limited settings. Elizabeth Scott, Senior E-learning Developer and Alex McGee, Managing Director, will discuss the framework EDGH uses to create programs across the globe, as well as some best practices and key lessons learned from deploying learning programs and products in low resource settings. They will be bringing tablets to demonstrate some of their projects, and sharing key examples of learning programs including: self-paced modules, SMS programs, LMS based courses, and apps.

About the speaker:

Elizabeth Scott, E.d.M. is a learning professional with 10 years of experience in e-learning and blended learning design. She has worked in a variety of professional fields (developing e-learning products) including: non-profit, consulting, retail, academia, and global health. She has worked with business and global health leaders, key stakeholders, and project teams to plan, design, develop, and implement interactive, training solutions for a variety of e-learning and blended learning products in support of organizational needs. Elizabeth has extensive knowledge in adult learning theory and pedagogy and uses instructional design skills, graphic design skills, technical skills, writing, and presentation skills to produce on-target solutions that support the project’s needs. Her specialty is in designing e-learning and blended learning solutions, including real-time and self-paced courses, delivered in international and resource-limited settings.

Amer Dahmash: Mobiles, Minds and Money

November 2nd, 2014 by Trevor Perrier

What: Mobiles, Minds and Money: mobile technology as a platform for implementing financial behavior change

When: Tuesday, Nov 4 at 12pm

Where: The Allen Center, CSE 203

Please join us at Change this week.  We welcome Amer Dahmash from Juntos Finanzas who will talk about experiences using SMS for financial behavior change in Colombia.

Abstract:

The global ubiquity of mobile phones presents an opportunity to explore the potential of this technology as a tool for implementing lasting behavioral change on a large scale employing techniques from behavioral economics.  This talk presents a 6 month long pilot project carried out by Juntos Finanzas in conjunction with Bancolombia to determine whether behavior change messaging delivered via responsive SMS can alter the savings behavior  of first-time banking customers in Colombia. We discuss the results of the intervention, the technological and design techniques used and show a strong correlation between receiving behavior change messaging and increased savings.  We explore the potential uses of these techniques in other areas such as public health and the pros and cons of SMS vs native mobile apps as a platform for delivering behavior change content.

About the speaker:

Amer Dahmash is a software engineer at Juntos Finanzas in San Carlos, California.  His interests lie in the use of mobile computing to overcome problems in infrastructure in under-developed and low-income areas.  Prior to working with Juntos, Amer cofounded Regalii a venture-backed startup based in Washington Heights in Manhattan working on mobile remittances.

Grégoire Lurton: Improving the usability and usage of routine Health Systems data in Developing Countries.

October 24th, 2014 by Trevor Perrier

What: Grégoire Lurton: Improving the usability and usage of routine Health Systems data in Developing Countries.

When: Tuesday, Oct 28 at 12pm

Where: The Allen Center, CSE 203

Please join us at Change this week –  Grégoire Lurton from the Institute for Health Metrics and Evaluation (IHME) will be presenting current research on Health Management Information Systems.

Abstract:
Emphasizing the importance of Health Management Information Systems (HMIS) as well as their overall weak performance in providing reliable data is becoming a stencil of the discussions on health systems in developing countries. Many efforts have been made to improve data collection in these settings. This talk presents ongoing reflections on ways to improve HMIS data usage, focusing on data management and data analysis innovations.

Based on current research at the Institute for Health Metrics and Evaluation and at CSE’s Data Science Incubator, we present two examples of HMIS data leveraging. A first example will present how metadata from Excel spreadsheets have been used to compile and standardize batches of reports from Kenyan HMIS. A second example shows how data from Open Street Map can be matched with HMIS data from Nigeria to estimate geo-localization of health services.

Finally, we will offer preliminary reflections on how the increasing availability of structured HMIS data changes the way information and decision making should be linked. Using Alain Desrosières’ typology of the use of statistics for policy making, we will propose the possibility of a Learning State as being most adapted to the data available through HMIS.

About the speaker:
Grégoire Lurton is a second year PhD Student in Global Health at UW, and Research Associate at IHME. His research explores how data from in African countries’ HMIS can be used to inform policy making. Grégoire graduated from the French National School of Statistics and Economic Administration and from Sciences-Po Paris. He spent 5 years in West Africa, working with NGO Solthis, building Health Information Systems for national HIV programs in Guinea, Sierra Leone, Niger and Mali.

Nicki Dell: Field Evaluation of a Camera-Based Mobile Health System in Low-Resource Settings

October 19th, 2014 by Trevor Perrier

What: Nicki Dell: Field Evaluation of a Camera-Based Mobile Health System in Low-Resource Settings

When: Tuesday, Oct 21 at 12pm

Where: The Allen Center, CSE 203

Please join us this week at Change as Nicki Dell presents findings from a field evaluation in Zimbabwe where her Android based diagnostic tool into was interoperated into the health services work flow.

Abstract:

The worldwide adoption of mobile devices presents an opportunity to build mobile systems to support health workers in low-resource settings. This paper presents an in-depth field evaluation of a mobile system that uses a smartphone’s built-in camera and computer vision to capture and analyze diagnostic tests for infectious diseases. We describe how health workers integrate the system into their daily clinical workflow and detail important differences in system usage between small clinics and large hospitals that could inform the design of future mobile health systems. We also describe a variety of strategies that health workers developed to overcome poor network connectivity and transmit data to a central database. Finally, we show strong agreement between our system’s computed diagnoses and trained health workers’ visual diagnoses, which suggests that our system could aid disease diagnosis in a variety of scenarios. Our findings will help to guide ministries of health and other stakeholders working to deploy mobile health systems in similar environments.

About the speakers:
Nicki Dell is a final year PhD Candidate in Computer Science and Engineering at the University of Washington in Seattle. Her research interests lie in human-computer interaction and mobile computing with a focus on designing and evaluating systems that improve the lives of underserved populations in low-income regions. Her PhD thesis focuses on the technical, user interaction and deployment challenges of integrating mobile, camera-based systems into resource-constrained environments. Nicki obtained a BS in Computer Science from the University of East Anglia (UK) in 2004 and an MS in Computer Science and Engineering from the University of Washington in 2011. Nicki has won several awards and fellowships including a Graduate Facebook Fellowship and a Google Anita Borg Scholarship. She has completed internships at Microsoft Research in Redmond, USA and in Bangalore, India and has helped to organize the Change group at the University of Washington since 2011.