Consulting

e-Health Consulting

NT Consulting provides consulting services in many areas of e-health. Our core expertise lies in:

Contact NTC today and allow us to help meet your needs.

e-Health Strategy Development Advisor

NTC provides consultancy services as your e-Health Strategy Development Advisor – for your healthcare facility, region, or your country. Working with guidance and supervision from your designated representative, we will assist you in developing and completing your own e-Health Strategy. Together we will complete each of 8 recommended steps to give rise to a needs-based, evidence-based, and defensible e-health strategy that is innovative yet respectful of current plans and objectives.

Program Evaluation

Our core and collaborator consultants have backgrounds and experience in conducting formative and summative evaluations of e-health programs and services. Although we perform retrospective evaluations, we prefer to work prospectively with our clients – ensuring evaluation is considered fromconception, through design and performance, to the final report of any e-health solution. We can assist at each step, ensuring you will have clear evidence that demonstrates the value of the e-health innovation you intend to employ, and moving to scale with confidence.

Outcomes – Proving ‘Value’

Each of NTCs consultants has experience in evaluation, and can help you identify the optimal set of outcome indicators, outcome measures, and outcome tools that can best demonstrate the ‘value’ of your e-Health solution(s) to different audiences – e.g., society, government, healthcare system (payor or provider), healthcare worker, or patient. A conceptual framework for e-health outcome indicators development is used to guide a transparent and evidence-based approach to the process.

Medical Education

Our core and collaborator consultants have formal and experiential backgrounds in providing general and focussed Medical Education. This includes curriculum development, course design, and evaluation principles and methods. We have found, particularly in developing countries, expertise in MedicalEducation is sparse. NTC can provide local skill development (in English or Spanish) through providing one or two-day workshops, and distance education-based courses.

Awareness, Teaching, and Education

In keeping with the concept of the three types of training required, NTC can provide both open and custom sessions and courses to facilitate progress in each of these areas. Please see the pages on ‘Training’ for further information and examples.

Environmental e-Health

figure1Although poorly recognised, each and every e-health application has environmental impact, and thereby contributes to worsening, or potentially mitigating, climate change, water use, and contamination of our environment. Impacts begin with resource depletion, manufacture, and distribution (upstream), continue during the use and maintenance period (midstream), and are compounded by poor e-waste management at the end of life (downstream). Environmental cost must be considered as an integral part of the total ‘cost’ of an e-health solution: What costs are associated with recycling/redeploying technology vs. refusing (landfill disposal); and what are the environmental costs or consequences of disposing of technology/equipment in ever increasing quantities as we ‘evergreen’ our technology?


Application of e-Health is growing rapidly and globally. As it does so, it must be implemented in an environmentally responsible manner, thereby aligning with MDG Goal 7 (i.e., Ensure Environmental Sustainability). But few people, organisations, or countries are even aware of ‘Environmental e-Health’ impact – and their own contributions. Working in healthcare, we have a duty to be informed and a responsibility to do no harm; yet we remain uninformed and contribute to harming those we are committed to help by poorly considered use of e-health. Pioneered by an NTC consultant, we raise awareness of, perform research into, and teach about Environmental e-Health. Our intent is NOT to stifle development, e-health innovation, or technology use, but rather to allow us to continue to reap the benefits of e-health innovation whilst understanding, minimising, and managing environmental impact. We can help you understand and minimise the environmental impact of your e-health activities as you struggle with the dichotomy of staying current whilst not wasting past investment.


Disaster e-Health

figure2There is evidence that the frequency and severity of disasters – particularly ‘natural’ disasters’ – is increasing. e-Health has, to some degree, been used to aid during the immediate post-disaster Emergency Response period. This is not yet embedded in national Disaster Recovery Plans as routine practice. More importantly, NTC believes e-health has the potential to contribute during the entire disaster management cycle (DMC): the‘Event’ period (event; emergency response; recovery); the ‘Post-Event’ period (mitigation; risk reduction; rehabilitation); and the ‘Pre-Event’ period (preparedness; detection; early warning’) – see the simplified diagram of a DMC opposite. This could include all aspects of e-health – clinical, surveillance, database management, and e-learning. NTC contributes to research into, and education about, the role of e-health in disaster and would be pleased to partner in future initiatives.