How eHealth will change the way health care are delivered

1. How will the future health
care worker meet the future
patient?
Steinar.pedersen@telemedicineconsult.com

2. eHealth
Telemedicine
Wellfare Technology
TTC
• Commisions in 70 municipalities
• Private
–
–
–
–
–
–
McKinsey
PWC
KPMG
Telenor
SOS International
LHL
• EU prodject. VictoryaHome

3. A little bit of history
• 1985: Internett
• 1991: WWW

4. 1996
674
Larry Page og
Sergey Brin

5. 1998
2004

6. The convergence
• eHealth
• mHealth
• Telemedicine
• Telehealth
• Smart house technology
• Wellfare technology

7. My picture of the future back in 2006

8. Driving forces
1 400 000
1 200 000
1 000 000
90 år og eldre
800 000
80-89 år
600 000
400 000
67-79 år
200 000
00
2000
2010
2020
2030
2040
2050

9. The net
Departement of Telemedicine
University Hospital of Tromsø

11. Videoconferencing – first step

12. Videoconferencing – second step

13. Videoconferencing – third step

16. Videoconferencing – next step

17. 2013 - IBM 5 in 5
•
•
•
•
•
•
5 in 5 in 2012
Tactile stimuli via phone
A pixel will be worth more than 1000 words
Computer will hear what is important
Digital tastebuds will help you to eat smarter
The computer will recognize the smell

18. Scotland and the safty alarm
• Saved hospital beds:
109 398
• A national poicy
• Govermental money
• Good organizing of the
service
• Saved nursing home beds:
545 943
• Saved home visits:
443 969
• Saved expences:
781 000 000 NOK/year

19. Telehealth in England
• Lower mortality
• Fewer emergencies
• Shorter hospital stays
• The financial savings are
moderate

20. The road ahead
• From analog to digital
• Start simple and build
on
• 980 000 000 NOK over 8
years

21. Expand based on needs
• Fall detector
• Bed detector
• Pil box
• Sensors to detect
movement
• GPS
• Smoke alarm

22. The App’s

23. Sound recognition

24. APPs for pictures

26. Image recognition

27. BP

28. EKG screening
• Automated measurement
of heart rythems
• The costs are reduced
dramatically
• American Heart
Association : AliveCor is
an ideal technology for
undiagnosed cardiac
arrhythmia and may
reduce the number of
strokes

29. Watson

30. Scroll with the eyes

31. Samsung healthphone
• Step converted to
calories
• Supports sensors from
their own and other
manufacturers
(cardiovascular
measurements, body
weight, blood glucose,
blood pressure)
• Checks REM sleep
• MIT Human Dynamic
Laboratory: Based on
the collected data, they
want to be able to tell
when you're going to
get sick

33. Access to own health informations
• When the government
owns the data:
Sensitive information must
not go astray
• When the patients own
data, the patient will
share information with
anyone who can help
– Decisions support
systems (Watson)
– Patient will judge the
advice of health workers
to the advice that comes
from all available
"channels"

34. New roles and responsibilities?
• Will health worker become more a counselor
or a coach?
• Infomediarian

35. New ways of service deliverance

36. At the pharmacy

37. Remote monitoring of emergency departments
New forms of organization

41. The competence
• 62 international elite
universities
• 3 million students in
220 countries
• Will the professors role
changed from repeating
their lectures to be
mentors and coaches?

42. FOR LENGE SIDEN……

43. The Guardian
• Humanity
increasingly stores
it’s knowlegde
virtually, in the
cloud, making it
vulnerable to
catastropic loss
• Things we used to
remember,
quotations, phone
numbers – we now
outsource to
machines. Why learn
by heart when you
can google it?

44. What we learn and what we
remember

45. Information access at tip of your nose

47. Future access to procedures

48. The pilots

49. Finding your way in the dark

50. Sympathic ophthalmia
• A compendium written
by MD Viggo
Clemmesen

51. Collegial assistance

52. Some of the direction when everything
converges
• The HCS must meet the patients as the banks meet their
customers
– Email, access to information, use of VC……
• The hospital must be a local government's extended arm to
the municipality
– The hospital must ensure that the fewest possible number of
patients are admitted to the hospital
– Virtual Outpatient department ala Inverness
– The hospital must extend into the patient's home
• The municipality must be the hospital's extended arm
– Municipal alarm centrals "must be integrated" in the hospital

53. Diabetes as an example

55. Disruptive innovations
• A product or service
takes root initially in
simple applications at
the bottom of a market
and then relentlessly
moves up market,
eventually displacing
established competitors

56. Virgin Air

57. My new – and final – conclusions
• Personal health care services will the driving force for
the future development
• The development in the private marked will be fastest
• The govermental health care system will not be the
frontrunner in the use of new technology
• HCS in the municipalities will adapt faster to new
technology than will the hospitals
• New players will develop new sensors and gadgets
• New players,ala Virgin Air, will first adapt to new ways
of health care delivery