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  Telemedicine : About

Heading Telemedconsultant is Dr D Lavanian Consultant: Healthcare Informatics and TeleHealth . A Domain Expert in Healthcare Informatics and telemedicine, he is in addition, a Certified HL7 Specialist (One of the few doctors in the world to be so certified).

Given below is his Curriculum Vitae

Dr D Lavanian

MBBS , MD

Certified HL7 Specialist

Domain Expert: Healthcare Informatics, EMR,

Clinical care pathways and EHealth

 

Core competencies

* Healthcare IT and EHealth : Consultancy, risk assessment & management, Delivery, research and development

* Hospital Processes and IT enablement, ( incl HIPAA, HL7,ICD-9-CM, DICOM, Read code, etc)

* Dynamic Techno-Managerial skills

* EMR, EHR, clinical care Pathways, HIS, PACS, RIS development, integration, deployment and operations.

* Multi-national business development

* Standardization of processes and workflow

* Strategic level discussions with client leadership teams to identify pain points and develop customized solutions 

* Leading development efforts in Healthcare Informatics

* Managing cross-functional projects with proven track record of on time project delivery

* Training of Teams in HL7 and DICOM

* Medicare processes in the Armed Forces and IT enablement

* Aerospace Medicine, Aircrew health care processes and IT enablement

* Hospital/medical waste management processes and IT enablement

 

Professional Memberships

* Member Georgian EHealth Union (Georgia)

* Member American Medical Informatics Association

* Member HL7 Australia

*Member Telemedicine Society of India

* Member Task Force for EHealth , Government of India

* Co-convener Standards Sub-Committee Govt TM Taskforce

* Life Member Indian Association of Medical Informatics

* Life Member Indian Society of Aerospace Medicine

* Life Member Indian Society of Hospital Waste Management

 

Professional experience

 

Vice President – Healthcare Products, Bilcare Research Ltd: Aug 2007 - present

He is part of the core team that has been entrusted with starting and ramping up a new business line, a ‘Healthcare Product’ in the healthcare IT vertical - beginning right from the vision statement and the strategic goals to the delivery of a world class product with a USP that does not exist any where in the world today.

He steers and supports the assessment of EMRs (incl top EMRs from companies like Epic, Eclipsys, Cerner, EClinical Works, HP,etc), Disease Management Apps and Healthcare portals for the company. The challenge of complex third party HCIT components interoperating and working transparently as one is the other big challenge that he is entrusted with. Other than that he heads HCIT content development along with the responsibility of selecting, developing, utilizing and retaining high quality talent to effectively operationalize multiple functional areas. These are the areas  of ideation, content, design of enterprise wide software applications, compliance, interoperability with other apps, call centers and mobility platforms, risk mitigation strategies, training, deployment and operational management. This being a project with complex Global ramifications, his skill-sets of  strong interpersonal communication, multi-cultural sensibilities and focused analytics come into  play every day, in his dealings and negotiations with multiple companies, partners and vendors, in India, Australia and the US.

 

Former Vice President - Software division AxSys Health Tech- till Jul 2007: AxSys Health Tech is a UK based Health IT EMR company. Its unique multidisciplinary care record has been adopted by the NHS Scotland as the National Generic Clinical System. He headed the software division at Hyderabad , India with a strength of 170 .

 

Former Vice President – Technical- ATNF, Apollo Hospitals Group - Feb 2003 to Apr 2006: Starting out as the Delivery Head, he worked up to the post of VP- Technical at Apollo Health Street (a large IT services organization) then ATNF, both of the Apollo Hospitals Group, from Feb 2003 to Apr 2006:

A Domain Expert in Healthcare Informatics and EHealth , he is a Certified HL7 Specialist (One of the few doctors in the world to be so certified), and was trained by Mike Henderson (Mike was one of the authors of Chap 2 of the HL7 V2.3 specifications). Further, he was trained by Herman Oosterwijk the top international expert on DICOM.

He headed Ehealth project implementations, operational management and marketing (incl discussions, presentations and lectures regarding EHealth technology). The applications included integration with internal and external HIS, RIS, PACS and other Healthcare applications. His focus was on studying the existing processes, work flows and pain points of the client healthcare entity or hospital. He would then study the technical aspects from the viewpoint of Business processes to ensure a cost effective solution and based on the study, design a solution which would EHealth enable the entity while providing interoperability with the existing HIS (his experience as a senior Medical Administrator came in very useful out here). He would then sit through multiple rounds of discussions with the client to modify and polish the solution so as to make it acceptable. His quadruple credentials (medical doctor, Informatics Expert, communications specialist and senior administrator) helped him understand the issues and requirements of disparate groups so that he could put together an amicable and acceptable solution. On closing the deal he would then head implementation of the solution and follow it up with operational management. He was thus, the single point of contact for the client, through out the complete life cycle of the solution. This ensured a high level of satisfaction from a client viewpoint and translated to a high success rate from his company.

After he joined Apollo, his first activity was to rebuild and hire appropriate software development and test individuals to align with the new road map that he had planned. Though attrition was an issue with most teams, his work ethos ensured that this was kept to a minimum This got him the trust and freedom that he needed to carry out market intelligence, investigation and R&D to development new software modules, products, methodologies and technologies in the field of Life Sciences - a must to keep ahead in this highly competitive domain. Some of the applications that were designed from ground up by him are as follows:

Medintegra Web: An enterprise wide web based EHealth application that permitted  world wide availability of the Electronic Medical Record which included Patient investigations like ECGs, X-rays, MRIs, etc. The application was DICOM and HL7 compliant and could exchange data with external HL7 compliant entities. Security was HIPAA compliant. Designed to work on a Microsoft platform using ASP technology, the later versions were successfully tested on Linux and Mac OS. They  were last working on improving functionality and lowering the application costs further by moving to .NET and porting the server database from MS SQL to MySQL.

MiniPax: A Picture Archiving and Communications Solution (PACS); it was an addon to Medintegra Web. Being browser and web based it was capable of facilitating Telecardiology, Teleradiology and Telepathology.

MedIntegra GoLive!: A multi user desktop audio-video conferencing solution. Based on Flash 7 and Flash Communications Server this web based solution could allow as many as 6 person video conferencing or 1:many (1 to 1000 users), two-way interactive medical training using audio and live video streaming. This was a powerful tool that supported them in training of users across great distances. All of the above required him to constantly review and plan for the optimal utilization of the human resources and infrastructure under his command.

Another important function was working across teams (HIS, PACS) to suggest techniques of data transfer and data compatibility using HIPAA, DICOM and HL7 protocols. With foreign implementations under his belt he  was responsible for dealing with top officials in the govt and depts like ISRO, C-DAC, NEC, etc to propagate EHealth . His skills at negotiating with foreign companies, hospitals teams, clients from different countries and across cultures, successfully helped build up our revenue streams. His team consisted of software, hardware, networking and marketing personnel and together, they have carried out many EHealth road shows, demonstrations (INTEL, Thailand , Saudi Arabia , Nigeria , Nebraska University , USA , etc) and have even implemented solutions abroad ( Kazakhstan , Pakistan , Nepal ). This leadership role of his on multiple software projects in a global environment and his concrete knowledge of project management (methodologies, tools and processes) and in applicable business areas is what he attributes to his  many successes.

He was very active in training as it is his belief that proper training is the key to sustained and stable operational management. A guest lecturer for EHealth at the Anna University , Chennai , India and Medvarsity, Apollo Group, he has  trained the Misys - Apollo Health Street team on HL7. Further, he has authored a chapter on the technical aspects of EHealth in the `EHealth Manual', the first authoritative textbook on EHealth in India , released by the Indian Space Research Organisation, India .

His expertise and skills were even recognized by the Indian government, which requested him  to play a leadership role in the Government's thrust for EHealth by offering him the post of  co-convener "the Standards committee of the EHealth Taskforce", which he accepted and actioned successfully. The Taskforce was a joint venture of the Min of Health (MOH) and the Min of Communications and IT (MCIT), government of India .

A well known authority  in the AsiaPAC region, he was invited by various well known entities to speak on EHealth and Healthcare Informatics. Given below are a few such forums where he was invited. For further details please visit www.telemedconsultant.com):

*Speaker - `Global CSR Conclave' - NF Track at NASSCOM India Leadership Forum `07 Grand Hyatt Mumbai, 9 Feb-2007

* Speaker - “Healthcare Informatics” Marcus Evans, Royal Orchid Sheraton, Bangkok , Thailand , 18-19 Sep 06

* Speaker -Annual meet of the American Telemedicine Association San Diego , USA , 10th of May 06 (could not attend due to visa unavailability)

* Speaker - “Healthcare Revenue Cycle Management” Marcus Evans, Intercontinental, Dubai , UAE 8-9 May 06

* Speaker - `ICT for National Development' CSI, Hyderabad India Nov 2005* Speaker - The First Gulf Forum on "Healthcare, Quality Improvement and Accreditation”, Bahrain , UAE Jun 2005

* Speaker - Medi-IT Asia Kuala Lumpur , Malaysia May 2005

* Speaker and Demo - IntelemedIndia 2005, ISRO, Bangalore

* Speaker - ICMIT 2005, IIT Kharagpur , India

* Speaker - CIT 2005, Ahmedabad , India (Hosted by the govt of Gujarat and CII)

* Speaker - and Demo `Intel Centrino Launch', 2005, Bangalore , India

* Speaker - Meditel 2004, Bangalore , India

* Speaker -and Demo 'Intel Asia Pacific Healthcare Leadership Forum'. Bangkok , Thailand  17 Nov 04

* Speaker - 4th VSAT India 2004 international conference & exhibition, Delhi , India

* Speaker - U P Development Sub committee on Healthcare Meeting, Lucknow , India

* Speaker - Meeting of the Media Lab Asia Core Group on ICT for Healthcare, Kochi , India

* Key note Speaker - “Ehealth - How it impacts your health positively” ISPAT, Karaganda , Kazakhstan

 

Deputy Director Medical Services (IT) (2000 - 2002)

His in-depth knowledge of computers, networking, programming and system analysis help him to plan, steer and implement an IT strategy for the medical services of the Indian Air Force (IAF). He spearheaded the process of evaluations to create an enterprise wide AF MedNet that would seamlessly connect Hospital Information Systems, PACS, Ehealth applications, CPOEs and existing applications. The aim was to ensure secure availability of a patient's records at any AF medical entity in almost realtime.

 

Hospital Administrator, Senior Medical Officer, Squadron MO , MO and maverick programmer (1980 - 1999)

He was appointed at various IAF flying stations earlier as medical officer or squadron medical officer and later as Senior Medical Officer (SMO). As SMO he gained valuable knowledge in medical administration and provided comprehensive medical and health cover to isolated townships with populations of between 1000 to 10,000 men and their families. During this period (1986 onwards) he got drawn to Computers and learned to program; first in GWBasic and then in Delphi, Visual Basic, Relational Databases (Dbase, FoxPRO, Access, Oracle, etc), Internet languages (HTML, JavaScript, JAVA, ASP, etc) and accessories (MS Office, Photo shop, Flash, etc). The resulting knowledge was utilized in producing Healthcare applications. His first App was a Hospital Drugstore Inventory management system done in GW Basic in 1992. This application was hailed as `Most Revolutionary' at that time and was very successfully utilized at his hospital where he was in charge of hospital administration (a 75 bedded air force hospital in the state of Bengal ). There, his administrative acumen helped him successfully deal with not only routine hospital problems but also worker union unrest, which is very common in West Bengal .

 

Education and courses

a.     MBBS 1979 AFMC, Pune , India

b.     Primary Aviation Medicine 1983 IAM, Bangalore , India

c.     MD(Alt Med) 1994 IBAM, Calcutta , India

d.     Dip (Acu) 1994 I Alt M, Bombay

e.     Dip(Mag) 1994 I Alt M, Bombay

f.      Certificate Course in Hospital Administration 2002 NIHFW, New Delhi , India

g.     Advanced DICOM and HL7 (Certified by Otech , USA ) 2004 , Bangalore , India

h.     HL7 V2.3 (Certification by HL7 organisation) 2004 , Bangalore , India

i.      Courses in Windows, HL7, DICOM 3, MS Office, networking (Win 2000 Server),Visual Basic, Oracle, Delphi, HTML, ASP, Java, JavaScript, Flash, etc. (Self taught and formal done between 1986 and 2003).

Download His CV here

 You can email him by clicking here or call/SMS  91-9970921266 . 

   We firmly believe that telemedicine is a surefire 'Force multiplier' which can take the knowledge, wisdom and experience of a limited number of specialist doctors and multiply it many fold to treat tens of thousands of the sick and the ailing, in the remotest of villages.

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