How Wireless Networks Empower Patients

Life expectancy is increasing and what used to kill humans 100 years ago is very different than what kills humans today and that patients need to be empowered more to improve their own health. This talk was given at the IEEE Baltimore Section EMB Society.

Transcript

1. How Wireless Networks Empower Patients Shahid N. Shah CEO
2. 2 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”
3. 3 www.netspective.com Life expectancy is increasing… …but the rate of growth is slowing
4. 4 www.netspective.com Bacteria used to kill us the most… Per 100k population, Historical Statistics of the United States, Millennial Edition
5. 5 www.netspective.com We’ve got most infections beat… …except the flu and pneumonia Per 100k population, Historical Statistics of the United States, Millennial Edition
6. 6 www.netspective.com 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
7. 7 www.netspective.com 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
8. 8 www.netspective.com Chronic Conditions Almost half the U.S. population needs chronic disease management Source: NCQA State of Healthcare Quality Report 2007 & Wellpoint
9. 9 www.netspective.com 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
10. 10 www.netspective.com 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
11. 11 www.netspective.com Health services centralization tried Source: Jason Hwang, Innosight, via Jeff Selberg of IHI
12. 12 www.netspective.com …now comes decentralization and disruptive innovation Source: Jason Hwang, Innosight, via Jeff Selberg of IHI
13. 13 www.netspective.com Consumers will need do/pay more…
14. 14 www.netspective.com 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
15. 15 www.netspective.com Consumerization of physiologics….
16. 16 www.netspective.com Consumerization of labs / genes Labs on chips Personal Genomics
17. 17 www.netspective.com Consumerization of monitoring
18. 18 www.netspective.com Wireless Body Area Network (BAN) The cornerstone of mHealth
19. 19 www.netspective.com Wireless BAN Ecosystem Source: Qualcomm
20. 20 www.netspective.com Wireless Protocols Comparison http://acamp.ca/alberta-micro-nano/images/docs/Technology-Presentations/Ken-Fyfe-HealthMedical-Dec09.pdf
21. 21 www.netspective.com ANT+ is winning ULP protocol battle http://acamp.ca/alberta-micro-nano/images/docs/Technology-Presentations/Ken-Fyfe-HealthMedical-Dec09.pdf
22. 22 www.netspective.com Needed: diagnostic quality mHealth
23. 23 www.netspective.com Needed: sophisticated analytics
24. 24 www.netspective.com Needed: care team involvement HEALTHCARE PROVIDER PATIENT/ CONSUMER HOSPITAL FAMILY CAREGIVER ALTERNATE SITE OF CARE Care Team CALL CENTERS AND REMOTE SUPPORT
25. 25 www.netspective.com Needed: automated diagnostics
26. 26 www.netspective.com Data changes the questions we ask Simple visual facts Complex visual facts Complex computable facts
27. 27 www.netspective.com 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
28. Thank you Questions? http://healthcareguy.com Shahid.Shah@netspective.com