IoT potential in Asia Healthcare System_i4
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Transcript of IoT potential in Asia Healthcare System_i4
Exploring the potential of IoT in Asia healthcare system
Guna Sekaran
DGM & CoE Head
Cyient Service Portfolio and Industry Focus
2
Product Engineering Process Engineering Network Operations Data Transformation
Solutions for design and
manufacture of products
Solutions for design and
operations of process plants
Solutions for design,
maintenance and operations
of networks
Solutions for creation,
updating and analysis of
geotechnical data
Electronics; Embedded
Software; Electrical Design;
Mechanical Design;
Manufacturing Engineering
Front End Design;
Instrumentation & Controls;
Civil Structures; Piping;
Electricals
Network Design, Planning &
Analysis; Operational
Support; Network
Management &
Optimization; Geospatial
Asset Management
Geospatial Services;
Content Management;
Geological Management;
Software Development
Aerospace, Rail
Transportation,
Semiconductor, Medical
Devices, Industrial
Equipment, Off-highway
Equipment,
Thermal & Nuclear Power
Plants, Oil & Gas Extraction,
Chemical Plants, Mining
Utilities, Telecoms Geospatial Publishing,
Mining, Oil & Gas
2
Almost ‘anything’
—including ‘living things’—
connected to the internet regardless of
location or other physical restrictions.
Internet of Things
3 Source: Gareth Baxendale, Head of Technology Services at the NIHR Clinical Research Network
M2M vs IoT vs IoE
4 Source: IDC
Machine to Machine
M2M Internet of Things
IoT Internet of Everything
IoE
A Device that captures an Event Transmits it over a network To an Application, which translates it to meaningful information
A Network of uniquely Identifiable things that Communicate with out human Intervention using IP connectivity
Bringing together the People, Things, Process and Data to make network connections more relevant by turning information into actions
5 IoHT Devices 32% (Now at 10%) IoT Devices 68%
IoT Market Prediction
IoHT Focus Areas
6
IoHT Focus Areas
Integration of systems and
platforms
Fitness Tracking
Chronic Disease
Management
Elderly Care Management
Ambulance and Tele-diagnosis
Medication Alarm and Tracking
Clinical Trial Management
Health Monitoring in Automobiles
Healthcare BPOs
IoHT Ecosystem
7
IoHT Ecosystem
Primary/ Secondary
Care
Pharma Cos and Supply
chain
Payer/ Insurance
Companies
Hospitals & Diagnostic
Labs
Home Healthcare
Setup
Collaborative Platforms
Telecom and networking
Co’s
Regulatory Bodies
ACO’s
What can IoT deliver to Healthcare?
8
Ability to react with Speed
Monitor Patient condition
Ability to Act at Scale
Ability to prevent diseases
Empower Patient Hig
he
r Q
uali
ty H
C D
eli
very
Ability to Reduce Healthcare Cost
5
6
6
7
8
9
Your Mobile is an IoT Healthcare device!
9
The average person checks
mobile phone 110 times a DAY!
Check your Heart Rate (Instant Heart Rate)
Check your Walking/Cycling distances (Moves)
Track your Food Intake/Exercise calorie trends
(MyFitnessPal)
Reminder app to drink water (WaterYourBody)
Pill reminder (My Pillbox)
According to data compiled by New York-based app Locket
Curative vs Preventive Healthcare
10
Prevention
Universal
• Whole population
Selective
• Population at risk
Indicated
• Early Signs
Curative
Repair medicine
• Diagnosis
• Treatment
Maintenance care
• After care, rehabilitation
• Chronic disease
management
Challenges in IoHT
11
Interoperability between devices/systems
Regulatory requirements
Privacy and Data Security
Work flow changes/optimization
Connecting existing systems to internet
Portability and Miniaturization
Battery life
Sensor design & signal conditioning
Product Cost to the User
Mindset to Adopt IoHT Technologies
Doctors and Patients
Impacts of IoT solutions in Healthcare : Study
12 Source: ESCP Study
13
Designing IoHT Solutions
14
Understand Ecosystem needs
• Who are the affected stakeholders in the Ecosystem
• How can we measure success
• Regulatory needs
• Business model
• Interoperability & Integration
Understand patient needs
• Usability: Ease of Use, Adoption, Installation
• Accessibility: Smart Phone or Tablets?
• Wellness or prevention or diagnosis or Treatment
• Patient journey with the product – physical, emotional
• Age group and demography
Understand Clinical needs
• What is the clinical need of the solution
• Improved HC outcomes – How can it be measured?
• Economical advantages
• Speed of care – how can it be measured?
• Operational efficiency – how can it be measured?
3 Areas To Explore
Empowering
Patients
Work flow / Process optimizations
Interoperability between
devices/systems
Products and Solutions that Offer work flow
optimizations to reduce wait time, quicker
data acquisition and turn around etc.
Products and services that empower Patients
to act on their health status
Solutions that enable host of Health devices
interoperable with device access and control
Interoperability Work flow optimizations Empowering Patients
15
$2bn
$3bn
$18bn
• Reduced cost of care secondary to avoidance
of redundant testing
$36bn
• Annual health care savings
due to Interoperability
• Quality improvement through reduction of adverse
events due to safety interlocks
• Increased clinician productivity secondary to decreased
time spent manually entering information
$12bn
• Increased capacity for treatment secondary
to shortening length of stay
Westhealth Institute report on THE VALUE OF MEDICAL DEVICE INTEROPERABILITY : March 2013
90% of hospitals use six or more types of devices that
could be integrated with EHRs
ONLY one third of hospitals actually integrate medical
devices with EHRs today
Fewer than 3 types of devices on average are integrated
in those hospitals investing in interoperability
$1bn
• Avoided development testing and integration costs based on use
of commonly adopted standards
US Healthcare Cost: 2.4
Trillion USD
Cumulative Wastage :
700Bn USD
Inter -operability savings :
36Bn USD
Breakdown
of
Estimated
Savings
from Inter-
operability
Healthcare Waste:
Any activity that does not add
value to the continuum of care
25 July 2015 | 16
Need for Interoperability
Interoperability Work flow optimizations Empowering Patients
16
Data interoperability: Agreement/consistency in formatting, storage, querying, and synchronization of data
Communication interoperability: Consistency in transmission and reception of messages between nodes
Semantic interoperability: Agreement/consistency between systems on the meaning of communicated information
Workflow interoperability: Agreement/consistency on how technology supports/shapes the workflow
25 July 2015 | 17
Challenges
• Co-existence of devices with disparate interfaces
• Balancing need for standardization and customization
• Latent interoperability failures
Needs
• Interoperability should be a function specific
• Interoperability should be continuous
• Interoperability should be seamless
• Need to address all the hidden vulnerabilities
Technological Dimensions
Interoperability – Challenges, Needs and Dimensions
Interoperability Work flow optimizations Empowering Patients
17
Interoperability Key Use cases
Monitoring
Controlling
Storing
D2D Communication
Interoperability Work flow optimizations Empowering Patients
Interoperability use cases Various HMI apps for
Accessing and
Monitoring Medical
devices
Various HMI apps for
controlling Medical
devices remotely
Medical devices to
seamlessly
communicate with
any EHRs
Device to Device
communication to
support better health
outcomes 18
Interoperability : Monitoring
19
A patient walks in to the clinic
Patient wears all the required sensors
Nurse/Doctor takes a photo/video using an
interoperable Glass to read Biosensors data
Health data are recorded in a Photo/Video
The report stored in EHR and shown on the Glass to
Clinician on the move
Reduced wait time: Quicker data acquisition and clinician turn around!
Interoperability Work flow optimizations Empowering Patients
Interoperability :D2D Communication
20
A Cancer patient under patient-controlled
analgesia (PCA)
Patient asks for more dosage due to pain
Nurse/Doctor increases dosage on PCA pump,
which is interoperable with a patient monitor
Due to increased PCA dosage patient Spo2 drops
Pump disconnects infusion due to dropped Spo2 data
from PM
Dosage Error is avoided without nurse intervention
Interoperability Work flow optimizations Empowering Patients
Westhealth Institute report on THE VALUE OF MEDICAL DEVICE INTEROPERABILITY : March 2013
4 IoHT trends that Empower Patients
Empowered Patient
Now Care
Shared
Care
Engaged
Care
Smart
Care
Communication: The ability to communicate anytime anywhere increases virtual face time with doctors
via mobile applications and home health platforms.
Gamification: A growing body of research has shown that games are a “non-pharmacological
intervention” that can actually help people be better patients – by increasing their engagement in care,
improving adherence and boosting resilience.
Self
Mo
nit
ori
ng
: S
mart
Health is a
n
effective m
easure
that
can h
arn
ess n
ew
,
afford
able
mobile
technolo
gy w
ith t
he
pote
ntial to
measure
dis
ease s
tate
,
deliv
er
convenie
nt, e
ffective c
are
to
patients
.
Partic
ipatio
n: It h
as b
een d
em
onstra
ted
that lin
kin
g w
ith o
ther p
eople
facin
g
sim
ilar h
ealth
pro
ble
ms h
as h
olis
tic
health
benefits
and th
e o
nlin
e w
orld
is
tailo
r-made to
facilita
te th
is s
harin
g a
nd
gro
up p
roble
m-s
olv
ing.
Interoperability Work flow optimizations Empowering Patients
Elizabeth Prescriber MD Primary Care Physician Gives prescriptions for
cholesterol lowering medication, apps, adherence needs
Bob Aspirin (Retail
Pharmacist) shares with John drug specific instructions
DD Sister (Nutritionist), Texts off-limits types of food to Patricia and Angela with
links to a website
CardioChek Device PoC Device for
cholesterol, HDL and triglycerides
measurements
Angela, Fellow Patient under cholesterol lowering
medication, monitored by Elizabeth Pill reminders,
Pill strips, boxes enabled with ibeacon,
accelerometer technologies
Patricia, Patient under cholesterol
lowering medication
1
2 3
4
5
6
Activity Monitors Help patients monitor
and track their activities and wellness
7
8
Pharma Co. Monitoring adherence data, health
outcomes, communicating drug details, establishing
info exchange
Bettering Patients Lipid profile: A Case
Interoperability Work flow optimizations Empowering Patients
22
Pharma Co
Maintains backend Servers for
1. Personalization engine,
2. Loyalty management,
3. Adherence management,
4. Regulatory compliance,
5. Patient notification,
6. Promotion management,
7. Customer service
8. End user application management
9. Data analytics and aggregation
Physician
Physicians applications that talks to the Pharma Co backend system for,
1. Data aggregation and correlation,
2. Enter patient profile, send prescriptions to pharmacy,
3. Send alerts to Patients,
4. Send recommendations to patient,
5. Collaborate with the patient etc.
Pharmacy
Pharmacy application that talks to the Pharma Co backend systems and send,
1. Notifications Medication refills,
2. Notifications Medication Guides,
3. Redeem reward points
4. Recommendations to patient,
5. Collaborate with the patient etc.
End user Apps/Techs
Patient mobile application for
1. Activity tracking,
2. Adherence management 3. Redeem rewards,
4. Send data on the vital parameters measured to physician,
5. Share & track info with fellow patients
6. Communicate with sensors, smart bottle fitted with Sensors, gyroscope, ibeacons
7. Enter profile information
Em
pow
ere
d P
atient
Value chain of an empowered patient
Interoperability Work flow optimizations Empowering Patients
23
Business Benefits and Patient Outcomes from IoHT
Physician
• Improved access to targeted
knowledge and information
• Improved patient engagement
• Improved access to all
patients
• Real time information
exchange
• Improved engagement with
and loyalty of physicians
• Engaged patient communities
• Improved transparency about
patient adherence
• Improved data exchange
• Enhanced revenues
• Lower operational costs
• Improved regulatory
relationships
Pharma &
Med Device Co’s Patient
• Better access to relevant
information, and
promotions
• Engaged care
• Improved adherence
• Improved access to
caregivers
• Improved outcomes
• Effective and Lower cost
of care
24