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How Wireless Networks Empower Patients

Shahid N. Shah
June 02, 2012

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


  1. 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”
  2. 4 www.netspective.com Bacteria used to kill us the most… Per

    100k population, Historical Statistics of the United States, Millennial Edition
  3. 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
  4. 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
  5. 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
  6. 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
  7. 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
  8. 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
  9. 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
  10. 24 www.netspective.com Needed: care team involvement HEALTHCARE PROVIDER PATIENT/ CONSUMER

  11. 26 www.netspective.com Data changes the questions we ask Simple visual

    facts Complex visual facts Complex computable facts
  12. 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