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How Wireless Networks
Empower Patients
Shahid N. Shah
CEO
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www.netspective.com
Who is Shahid?
• 20+ years of software engineering and
multi-site healthcare system deployment
experience
• 12+ years of healthcare IT and medical
devices experience (blog at
http://healthcareguy.com)
• 15+ years of technology management
experience (regulated systems,
government, non-profit, commercial)
• 10+ years as architect, engineer, and
implementation manager on various EMR
and EHR initiatives (commercial and non-
profit)
Author of Chapter 13,
“You’re the CIO of your Own
Office”
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www.netspective.com
Life expectancy is increasing…
…but the rate of growth is slowing
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Bacteria used to kill us the most…
Per 100k population, Historical Statistics of the United States, Millennial Edition
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We’ve got most infections beat…
…except the flu and pneumonia
Per 100k population, Historical Statistics of the United States, Millennial Edition
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Top killers today
Heart disease Cancer
Chronic lower
respiratory
diseases
Top killers in 1900
Pneumonia
and influenza
TB
Diarrhea and
enteritis
Infectious diseases used to kill us…
…but what’s left seem only to be “manageable” not easily “curable”
Per 100k population, Historical Statistics of the United States, Millennial Edition
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Death by age group, 1900 Death by age group, Today
From cures to management…
…young people don’t dye of diseases often now
http://siteresources.worldbank.org/INTHSD/Resources/topics/Health-Financing/HFRChap1.pdf
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Chronic Conditions
Almost half the U.S. population needs chronic disease management
Source: NCQA State of Healthcare Quality Report 2007 & Wellpoint
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Medicine has accepted lack of cures…
…we’re now focused on prevention and wellness (below is CDC’s framework)
http://www.cdc.gov/chronicdisease/resources/publications/AAG/chronic.htm
Objectives:
• Keep people out of the hospital ($$$)
• Keep people from their docs ($$)
• Keep people off drugs ($)
• Keep people at home
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Keep patients away from hospitals
Hospitalization, physician and clinical services total more than $1.2 Trillion today
$0
$100
$200
$300
$400
$500
$600
$700
$800
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Hospital care, total
Physician and clinical services, total
Nursing care facilities and continuing care
retirement communities, total
Prescription drugs, total
http://www.census.gov/compendia/statab/cats/health_nutrition/health_expenditures.html
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Health services centralization tried
Source: Jason Hwang, Innosight, via Jeff Selberg of IHI
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…now comes decentralization and
disruptive innovation
Source: Jason Hwang, Innosight, via Jeff Selberg of IHI
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Consumers will need do/pay more…
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The new world order
General
Wellness
Specific
Prevention
Self Service
Physiologics
Self Service
Monitoring
Self Service
Diagnostics
Care Team
Monitoring
Care Team
Diagnostics
Healthcare
Professional
Monitoring
Healthcare
Professional
Diagnostics
Hospital
Monitoring
Hospital
Diagnostics
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Consumerization of physiologics….
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Consumerization of labs / genes
Labs on chips Personal Genomics
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Consumerization of monitoring
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Wireless Body Area Network (BAN)
The cornerstone of mHealth
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Wireless BAN Ecosystem
Source: Qualcomm
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Wireless Protocols Comparison
http://acamp.ca/alberta-micro-nano/images/docs/Technology-Presentations/Ken-Fyfe-HealthMedical-Dec09.pdf
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ANT+ is winning ULP protocol battle
http://acamp.ca/alberta-micro-nano/images/docs/Technology-Presentations/Ken-Fyfe-HealthMedical-Dec09.pdf
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Needed: diagnostic quality mHealth
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Needed: sophisticated analytics
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Needed: care team involvement
HEALTHCARE
PROVIDER
PATIENT/
CONSUMER
HOSPITAL
FAMILY
CAREGIVER
ALTERNATE
SITE OF CARE
Care Team
CALL CENTERS AND
REMOTE SUPPORT
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Needed: automated diagnostics
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Data changes the questions we ask
Simple visual facts Complex visual facts Complex computable
facts
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Implications for scientific discovery
The old way
Identify problem
Ask questions
Collect data
Answer questions
The new way
Identify data
Generate questions
Mine data
Answer questions