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
   

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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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   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
    

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28. Thank you
    Questions?
    http://healthcareguy.com
    Shahid.Shah@netspective.com
    

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