MAGAZINE N.23 Digital Health: From the Treccani Encyclopedia to Field Applications

Over the past few months, the transformations brought about by the Covid-19 , in addition to forcing us to telework, distance learning and webinars, have also affected the world of health and healthcare, with a notable acceleration in technological solutions for carrying out remote , monitoring physiological parameters from home and making disease diagnoses.

The phenomenon of “ digital health” has taken on such growing social importance that it deserves a specific entry in Appendix X of the Treccani Italian Encyclopedia . To fully understand its meaning, field applications and expected benefits, Treccani – Puglia and Basilicata Agency, in collaboration with Openwork , an Apulian IT company that has repeatedly applied its software technologies to the digital healthcare sector, held an online event on Friday 19 March “Digital Health, the new frontier of medicine: meanings and applications” .

The event was attended by several industry experts, including Prof. Eugenio Santoro , Mario Negri Institute for Pharmacological Research IRCCS, and editor of the definition of Digital Health in Appendix X of the Treccani Italian Encyclopedia; Maurizio Leone , Director of the Neurology Unit at the IRCCS Casa Sollievo della Sofferenza; Piero Cosoli , Health Business Line Manager of Openwork srl .

According to research by Professor Santoro, in Italy , in the current pandemic-driven context, "174 initiatives have been undertaken by Italian healthcare companies to use digital tools to support remote patient visits (29% for the management of Covid patients, 71% for chronic diseases), with a higher prevalence of remote visits (47%) than telemonitoring (33%)."

Treccani and Openwork , in addition to having photographed the ecosystem of the most used telemedicine tools in Italy and around the world (from triage and televisit systems to telemonitoring systems and the so-called “wearable” devices, which in Italy affect 10.3% of the population, second behind the USA with 12.2% and ahead of Germany and France), discussed and demonstrated the potential of the phenomenon in Puglia , through some concrete cases.

TGNorba 24's report on the Treccani/Openwork event

In the case of Puglia, in fact, one of the most awarded telemedicine projects at the national level is the one proposed by Maurizio Angelo Leone , director of the Neurology Unit of the IRCCS Casa Sollievo della Sofferenza , born from the need of clinicians to constantly monitor and provide teleassistance to some young multiple sclerosis patients treated from their homes, through the Jamio platform created by the IT company Openwork.

"Multiple sclerosis," Leone emphasized , "is the most common cause of neurological disability in young people and is characterized by a chronic course that affects people's quality of life, both physically and psychologically. The progression of the disease is unfortunately unpredictable, which is why technology can be of great help in reducing travel, better organizing one's time, and receiving constant support from the healthcare team. The ultimate goal is to improve patients' quality of life. Furthermore, the medical team can integrate clinical information already available at the hospital with data collected in the community, including biosignals (heart rate, temperature, sleep, mobility, etc.) and information (via questionnaires, video calls, image transmission, adverse event detection) collected through readily available devices. Young patients who have experienced the entire e-health ecosystem have described all the features offered as "easy to use" and have expressed enthusiasm for this opportunity."

The COVID-19 pandemic provides a unique opportunity to relaunch a serious digital health and telemedicine program in Italy. "Telemedicine can improve the services offered by the National Health System (NHS) by offering services that do not require patients to leave their homes, remotely monitor patients, and manage chronic conditions," explained Professor Eugenio Santoro , head of the Medical Informatics Laboratory at the Mario Negri Institute . "The recent telemedicine guidelines approved by the State-Region Conference, which regulate the prescription, administration, and reimbursement of certain categories of telemedicine services, equating them to traditional in-person services, are a step in this direction." Furthermore, Professor Santoro concludes: "It is possible that these tools could reduce healthcare costs, although the data in the literature are limited and conflicting." With the current development of innovative technologies—such as mobile health, the Internet of Things, big data analytics, cloud computing, artificial intelligence, and collaborative robotics—there is the opportunity to fundamentally redesign healthcare systems toward a true innovation ecosystem, through the development of new digital services for the benefit of policymakers, physicians, and patients. Digital technologies are enabling patients to become active participants in managing their own care pathways.

Therefore, with the current development of innovative technologies —such as mobile health, the Internet of Things, big data analytics, cloud computing, artificial intelligence, and collaborative robotics—there is the opportunity to fundamentally redesign healthcare systems toward a true innovation ecosystem, through the development of new digital services for the benefit of policymakers, physicians, and patients. It is thanks to digital technologies that patients become active participants in managing their own care pathways.

performance with the introduction of new features, both for users and designers .
Additionally, improvements to the Jamio user interface to simplify the user experience and optimize work.

email (PEC) and email are a widespread tool in companies for managing communications both between different organizations and between individuals within the same organization.
They serve as a means of transporting information and documents that represent the company's, not individual, information assets . They participate, in various ways, in corporate business processes and, if not managed properly, can lead to information loss, inefficiencies, and delays, which impact the company's business.

Various application solutions can help us with management. A successful and comprehensive approach is to have procedures and methodologies in place to properly digitize business processes with the help of Business Process Management Platforms.

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In this brief example, we'll see how it's possible to develop financial offers Jamio processes starting from an Excel containing price lists, discounts, and related calculations.

Let's learn how to manipulate internal information in Jamio by using a Jamioware example called Offer Manager .

Jamioware . The price lists and related calculations, which are used to prepare the quote, are contained in an Excel spreadsheet, also stored in Jamio. The Excel file is placed in the folder where Jamioware is stored.

The Account Manager can manage the formulation of the offer by entering the data directly into Jamio without interacting directly with the spreadsheet that performs the processing, while still leaving easy maintenance of the spreadsheet itself to another authorized operator.