Microsoft AZURE

IoT Connect 2017

¡Da vida a tus cosas y

aprovecha todo el poder de tus datos!

Fernando Moreno – Digital Advisor - Microsoft

#IoTconnect

Connecting technology, administration, and care

Healthcare Systems

Administration and Care

Data, statistics,

metrics,

and reports

Claims

and billing

Electronic

records

Resources

Asset

management

Systems

and apps

Risk

management

Compliant Tools Community

PatientsProvidersCliniciansEducation,

research,

and training

Secure mobile

devices

Integrated health transformation pillars

Digital

Health

Integrate.

Track.

Empower.

• Integrate systems that effectively bridge

care and patient

• Track data and communications to enable

accountable care

• Empower caregiver and patient to help

improve outcomes

Connecting patients with healthcare

Digital

Healthcare

Laboratory

and testing

Outpatient

care

Hospitalization

and hospice

Patients

Preventative

care

Therapy and

rehabilitation

Electronic health

and medical

records

Personal

device

access

Health

history and

records

Patient

portals

Video reporting

and diagnoses Test and

laboratory

alerts

Office and

in-home visit

schedulingRegulatory compliance

and risk management

Case

management

Improved data-supported healthcare decisions

Dynamic, validated patient insights

Predictive health analytics, workflow management, and best practices

Patient data alignment and interpretation

Identification of health and claims patterns

Predictive health modeling and visualization

Deliver actionable health insights

Patient and health data queries and reports

Alignment of patient data with health benchmarks and statistics

Data source identification and integration

ApplyInsights

AggregateCompilation

AnalyzeVisualization

Customer Use Case | Remote Patient Monitoring

DT Pillars: Engage Customers

Use Case Overview

Remote Patient Monitoring involves following people with chronic

diseases and monitoring all data that comes from the patients using a

variety of devices. Analysis of data helps detecting anomaly situations

and taking preventive actions before problem becomes crisis.

Remote Patient Monitoring helps create care plans and take corrective

actions that prevent hospital admissions.

Business Outcomes

» Reduced hospital admissions and

readmissions

» Enhanced patient care and safety

» Physicians providing optimal care with

actionable data

» Preventive action for patient before

problem becomes crisis

» View to patient’s personalized care

plan

» Reduced emergency room visits

Digital Capabilities

» Customer data management and

analytics

» Complete hybrid cloud approach

providing health organizations with

system flexibility

» Robust data protection practices while

retaining full ownership & control of

sensitive data

» Address wide range of international,

country & industry-specific regulatory

requirements

Business Drivers

» Meeting increased demand due to

growing and aging population

» Shifting from reactive to proactive

health system

» Responding to individual’s health

status in real time

» Reducing hospitalization of people with

chronic diseases

» Monitoring people at home instead in

an elderly or care home

Get Started

COO Book of Dreams

Healthcare Book of Dreams

Patient Engagement Playbook

Healthcare Digital Maturity Model

Cortana Intelligence Suite Essentials

Smartphones

Automate alerts

Advanced Analytics

Increase accuracy

Provide proactive care

Reduce cost of care

Reduce hospital admissions

Customize care plan

Patient Surveys

Sensors

EHR Data

Activity Trackers

Business Process: Service Delivery

Centrally

located data

DATA ACTIONINTELLIGENCE

Customer Stories

Predictive Human Telemetry

The American Heritage® Medical Dictionary Copyright © 2007, 2004 by Houghton Mifflin Company. Published by Houghton Mifflin Company

Anywhere, anytime patient care

Empowered careThe solution securely connects to smartphones and

devices such as blood pressure and glucose meters in

patients’ homes, and integrates the data with a program

prescribed by a Kaiser Permanente clinician.

Real-Time DataEnhances patient care and safety through near-real-time,

remote monitoring of vital signs and automated alerts

Improving efficiency•Provides better insight into patient data, improving

efficiency and workflow for nurses, dietitians and other

staff.

Rehabilitation

Kinect Hololens

Assisted Rehabilitation

Experience

Real-Time DataThe Kinect recording is analyzed in near-real time and

scored using Stream Analytics and Machine Learning

Fastest recovery

The project aims to support remote rehabilitation scenarios, with the

support of motion detection to track the quality of the exercises and

to give the physician a way to figure out how the patient is

performing

Continuous Improvement

Training partnerThe Golf training solution is observing the body movement

using Kinect and can analyzes and corrects your body

motion throughout your swing. The trainer can predict the

height and distance of the stroke and the development

over time during several training sessions

Real-Time DataThe Kinect recording is analyzed in near-real time and

scored using Stream Analytics and Machine Learning

Improving efficiencyProvides better golf statistic over time and have the ability

to replay captured training session with an professional

golf instructor to get recommendations on how to improve

IoT Integrated Architecture

Analyze and act

on new data

Integrate and transform

business processes

Connect and scale

with efficiency

Capture and analyze biometrics

And

more

Real-time

operating

systems

Device Registry

Rules and Actions

Analytics

Dashboards & Visualization

Accelerate time to value with preconfigured solutions

Expand with other human biometrics devices and

build your own healthcare solution

Integrate with back-end systems

Highly visual for your real-time operational data

Get started in minutes with Microsoft Band 2

and one of the partner solutions

Explore the near-real time capabilities

1Establish

monitoring

objectives

and

requirements

2Profile the

devices

involved

3Determine

additional

solution

components

4Categorize

the data 5Define

alerts and

actions

6Operationalize

the solution

and scale

Imagine if you could monitor health of thousands of people located around the world

without physically inspecting them. Or use Kinect and wearable sensors to accelerate

rehabilitation or to improve performance of sports athletes.

Predictable Human Telemetry FrameworkOur approach to a remote monitoring project

Mark is part of an ever aging workforce, looking after an ever aging

group of people! Mark wants to help as many people as he can, of

course, and is eager to use Predictive Human Telemetry

to help more patients improve more over time.

It’s a different way of working for sure, but his knowledge gets to help

more people, and he likes that.

Goals

Help patient get better faster

Help more patients in the same time

Meet Dr Mark

Meet Sarah

Sarah has lived a long and good life with her husband, Otto.

They are both retired for 15 years and live a quiet but

comfortable life at home. Sarah was recently diagnosed with

COPD and low blood pressure. She is struggling to stop

smoking, but is determined to do it, for her health, and

for Otto. She is frail in general and needs extra

oxygen a lot of the time.

Goals

Managing her condition

Leading a better life in the time she has left

Wears

Oxygen wristband

Blood pressure checker

Microsoft Band

Smart Phone with an Health app

At-home blood pressure measurementMicrosoft Band

When her wristband notified her

on to attach her blood pressure

cuff to get a reading.

”The system speaks for me

when I’m not with you”, Dr Mark

explained to her. She trusts Dr

Mark, even if she doesn’t trust

technology just yet…

The data is automatically

collected and stored in her

records.

Sarah’s blood pressure has

been lower than usual for

several consecutive days.

The system has identified a negative trend in Sarah’s

blood pressure data, which triggers a notification.

Thanks to machine learning, Dr Mark is able to monitor

his patients even though they never leave their home.

He is kept up to date on everyone’s status, and is able

to identify potential problems and take action much

sooner than he would otherwise have.

Demo

Remote health monitoring using Microsoft Band and Band Sensor Monitor

Meet Teresa

Teresa is an adventurous lady with a busy schedule but a lot of

willpower and some discipline. She plays golf with more enthusiasm

than skill, but wants to take the step up to competitive level. To do this

she has the support of a personal trainer to create her exercising

schedule, but she does most of the work on her own, independently.

Well… she gets a little help from technology.

Goals

Get fit

Qualify for the local golf competition finals

Wears

Microsoft Band

Smart socks

Teresa and her personal trainer (PT)

set up an optimized training

schedule together.

The PT explains how everything will

work, utilizing the mirror neurons,

when she works out by herself.

Making sure it’s you…

When she starts the system at home, she is automatically logged in to her profile, just by standing in front of the Kinect. When logged in, she can see all her exercises, her personal profile.

There is a lot of predictive data for each exercise. It will take a lot of time to get to her goal, clearly, even though she is helped by the mirror neuron stimuli, but Teresa is willing to invest in it.

She finds the appropriate exercise

and watches the video.

Her mirror neurons are activated,

mimicking the motions in her

brain, as she watches the

instructor perform the exercise.

Her brain learns to perform the

motion, even without her doing

anything, her personal trainer

explained. It’s quite fascinating!

Mirror neurons

Kinect

After watching the video, she repeats the exercise.

Her devices gathers data about motions, heartrate, temperature.

When she doesn’t do it right, the system helps her get there by providing useful feedback in real time.

Almost there,

straighten your

front knee to 90

degrees.

After her workout is done, she can

review the data. As can her PT!

They both have a look at the actual

data, and compare it to the desired

state. Together they can work on how

to improve over time.

Every day Teresa also practices

her golf stroke in front of the

system. She watches the expert

in the video, and then repeats it

herself.

Kinect

Microsoft

Band

After each session she looks at all

the data in detail.

By analyzing and aggregating data,

and comparing it to historical data,

the system gives her incredible help

to improve even as she gets a lot

better, because the data is so

precise.

She can see the evidence in the

data, that her hard work is really

paying off! She really is continuously

improving, ever so slightly every

day.

It took a lot of time and hard work; first her brain

learned to perform the tasks, then after a lot of hard

work, so did her muscles.

Teresa improved her skill tremendously, and played one

of her best rounds of golf ever when the day came!

Thanks to KHARE, Teresa is in better shape than ever

before, and has raised her level of golf skill from casual

to competitive level in just some months time!

Demo

Claudia

Claudia, today…

• got injured and needs rehabilitation

frustrated

annoyed

Thanks to KHARE, tomorrow, Claudia…

• Will be able to do part of the rehab at home

• will not need to go everyday

Natural User Interface

Capture of gestures and movements to see and interact with virtual and added

elements.

Microsoft Kinect

Kinect HoloLens Assisted Rehabilitation Experience goes beyond video communication

adding three-dimensionality and intelligence.

It helps the doctor to verify the quality of the exercises while assisting the

patient in the execution.

*

Hololens integration, will be

added in future release

*

Future improvements- Augmented reality

The doctor can see the movements of the patient in a three-dimensional space

without the need for the latter to have expensive and sophisticated medical

devices.

• Delocalization

• Telemetry

• Data collected

when doctors are

not present

Patient experience journey map

37

• Seeking health information online

• Choosing a physician or facility for

treatment

• Remote interactions with physician and

clinicians

• Appointment scheduling

• Accessing electronic health records (EHR)

• Sharing EHR /EMR with other physicians

• Digitally receiving prescriptions

• Interactions with other care team members

• Filling, refilling and approving refills for

prescriptions

• Reporting satisfaction

• Ongoing patient care and patient

reminders

Experience symptoms

Schedule an appointment by self or with assistance

Visit lab for tests

Digital Hotspots

Use portal or apps to schedule an appointment or receive guidance

Report symptoms

Schedule appointment with lab

Chat or meet with physician or nurse

about results

Receive treatment

plan

Meet with care team members, as needed

Schedule appointments with care team

members

Visit pharmacy for prescriptions

Treat issues

Chat or meet with physician to discuss progress

Discuss satisfaction with others

Obtain prescription refills

Visit the physician in person or remotely

Chat with physician or nurse about symptoms

Receive lab orders

Access history, lab results, insurance

claims

Receive reminders for follow-up care?

Choose physician, if needed, based on evaluations

“ ”

Source: Gartner IT Glossary

http://www.gartner.com/it-glossary/internet-of-things/

The network of physical

objects that contain

embedded technology to

communicate and interact

with their internal states or

the external environment.

Anywhere, anytime patient care

Kaiser Permanente

“There’s far less expense in having the patient record their vitals remotely

from home, instead of coming to the clinic… And because it’s easier

for the patients, they’re more willing to participate.”

Mehul Shah

Associate Director of Product Engineering, Cognizant Technology Solutions

ObjectivesKaiser Permanente was

exploring ways to provide care

to its patients in the most

convenient place for them,

while improving connectivity

between hospitals, clinics and

medical devices to enable

secure, remote access to

patient data.

TacticsA remote patient

monitoring system based

on Microsoft technology

that securely connects to

smartphones and devices

like glucose meters, and

integrates the data with a

program prescribed by a

clinician.

Results• Enhanced patient care and safety

through near-real-time, remote

monitoring of vital signs and

automated alerts

• Reduced outpatient visits for routine

checks and reporting of vital signs

• Improved insight into patient data

Improving physical therapy with mobile app

D+R Therapy

“Microsoft was vital to us getting D+R Therapy HIPAA compliant, which opens up

the US market for the app. Because of Microsoft, we have been able to expand the

business overseas much faster than we anticipated.”Vivian Austin

Technical Lead, D+R Therapy

ObjectivesD+R Therapy sought to

increase post-op physical

therapy success by improving

communications between the

patient and physical therapist.

TacticsCreated a motion-sensing

mobile app that enables

physicians to plan

treatments for each patient,

reminds them to complete

the regimen, and ensures

at-home exercises are

performed properly.

Results• Enhanced communication between

therapists and patients, resulting ing

better care and fewer repeat injuries

• Increased patient capacity by

allowing therapists to monitor

patients with fewer in-person

appointments

• Ensured the safety of patient data by

storing on a secure database

Remove communication barriers

Care Innovations

“We can show customers that they can cut costs and improve patient adherence to

treatment protocols. For example, if we can keep a diabetic’s blood glucose level steady,

that is a huge value to the patient as well as to those who pay for that patient’s care.”

Kumar Subramaniam

Chief Information and Technology Officer, Care Innovations

ObjectivesCreate healthcare technologies

that foster healthy independent

living at home and in senior

housing, and to reduce the

barriers to adopting remote

care management solutions

involving IoT.

TacticsUsing Microsoft

technology, GE and Intel

partnered to

add predictive analytics and

simplified update

deployment to their data

management platform,

simplifying IoT sensor

integration.

Results• Migrated over 4,000 residences and

50 facilities to new system

• Created easy-to-deploy system for

new IoT sensors and connected

devices

• Analyzed over 6.8 billion data points

to provide treatment

recommendations

Proactive, personalized healthcare

Dartmouth-Hitchcock

“It’s a seamless technology solution.”

Nathan Larson

Director of Remote Medical Sensing, Dartmouth-Hitchcock

ObjectivesProviding a technology

platform to health

organizations that ensures

healthier people who are more

in control of their own well-

being, receiving proactive care

at home where they are most

comfortable.

TacticsA cloud-based system that

synthesizes vast amounts

of real-time and historical

patient data from myriad

sources to predict when

care is needed and create

personalized, evidence-

based treatment plans.

Results• Saved millions of dollars in

readmission costs, unnecessary

visits, and missed work

• Improved patient monitoring with

real-time 360-degree views of

health, mood, and behavior

https://blogs.microsoft.com/business-matters/2015/07/13/dartmouth-hitchcock-ushers-in-a-new-age-of-

proactive-personalized-healthcare-using-cortana-analytics-suite/

http://www.cio.com/article/2954656

/healthcare/how-predictive-

analytics-will-revolutionize-

healthcare.html

References and

customer quotes

Virtual Care Rooms (Sweden)

Virtual health room is a customized, unstaffed healthroom with the aim of staying open 24 hours a day for recipients of care in rural areas. It will also be possible to install the virtual health rooms of the future in people’s own homes or on their mobiles. If necessary, doctors and other health professionals will be able to connect to these rooms via video and the rooms will be equipped with a range of devices. The solution is running on Azure as platform..

“We will see a clear improvement. Accessibility for residents is one of the benefits, as well as taking services out to patients and reducing the cost of travel and transport”

Björn Eriksson of Region Jämtland Härjedalen.

Link to customer story

References and

customer quotes

St. Olavs Hospital Home Patient Monitoring (Norway)

The project is called HelsaMi and implemented by Microsoft partner Imatis and aims to help patients with chronic illness to take care of their own health at home with remote support of health service professionals and improve the wellbeing of patients with chronic disease while at home.

“HelsaMi is a project which defines the overall strategy in Trondheim based on a technological model which aims to help people feel safer while living at home and to simplify the interaction of health services within the municipality and hospitals.”

Helge Garasen

Director for Health and Welfare, Trondheim Municipality

Link to customer video

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