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How Wireless Networks Empower Patients

Shahid N. Shah
June 02, 2012
320

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.

Shahid N. Shah

June 02, 2012
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Transcript

  1. How Wireless Networks
    Empower Patients
    Shahid N. Shah
    CEO

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  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”

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  3. 3
    www.netspective.com
    Life expectancy is increasing…
    …but the rate of growth is slowing

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  4. 4
    www.netspective.com
    Bacteria used to kill us the most…
    Per 100k population, Historical Statistics of the United States, Millennial Edition

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  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

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  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

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  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

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  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

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  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

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  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

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  11. 11
    www.netspective.com
    Health services centralization tried
    Source: Jason Hwang, Innosight, via Jeff Selberg of IHI

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  12. 12
    www.netspective.com
    …now comes decentralization and
    disruptive innovation
    Source: Jason Hwang, Innosight, via Jeff Selberg of IHI

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  13. 13
    www.netspective.com
    Consumers will need do/pay more…

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  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

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  15. 15
    www.netspective.com
    Consumerization of physiologics….

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  16. 16
    www.netspective.com
    Consumerization of labs / genes
    Labs on chips Personal Genomics

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  17. 17
    www.netspective.com
    Consumerization of monitoring

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  18. 18
    www.netspective.com
    Wireless Body Area Network (BAN)
    The cornerstone of mHealth

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  19. 19
    www.netspective.com
    Wireless BAN Ecosystem
    Source: Qualcomm

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  20. 20
    www.netspective.com
    Wireless Protocols Comparison
    http://acamp.ca/alberta-micro-nano/images/docs/Technology-Presentations/Ken-Fyfe-HealthMedical-Dec09.pdf

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  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

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  22. 22
    www.netspective.com
    Needed: diagnostic quality mHealth

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  23. 23
    www.netspective.com
    Needed: sophisticated analytics

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  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

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  25. 25
    www.netspective.com
    Needed: automated diagnostics

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  26. 26
    www.netspective.com
    Data changes the questions we ask
    Simple visual facts Complex visual facts Complex computable
    facts

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  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

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  28. Thank you
    Questions?
    http://healthcareguy.com
    [email protected]

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