1. IBM World Wide Healthcare Team
Smarter Healthcare
Telemedicine 2015
IBM Healthcare Solutions

2. Telemedicine – A New Idea?
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3. Healthcare Global Challenges
DRIVERS INHIBITORS
Globalisation Financial constraints
Healthcare costs are affecting Pool of funds for healthcare is not limitless
competitiveness of companies, regions and
countries Societal expectations and norms
Is healthcare a societal right or a market
Consumerism service?
More knowledgeable, demanding citizens
Lack of aligned incentives
Changing demographics and lifestyles Few incentives to encourage the behaviour of
Aging and overweight populations collaboration and service transformation
Diseases that are more expensive to treat Inability to balance short and long-term
Increased prevalence of chronic conditions – perspectives
especially diseases of affluence Common focus on urgent short-term needs,
rather than long-term sustainability
New technologies and treatments
Advances revolutionizing risk assessment, Inability to access and share information
diagnosis, and treatment Clinical data is being generated at
unprecedented rates, but information sharing
remains elusive
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Source: “Healthcare 2015 Series,” IBM Global Business Services and IBM Institute for Business Value

4. IBM Point of View on eHealth
 Innovative use of IT will enable new healthcare delivery models:
 Healthcare information becomes ‘digital’, and based on industry standards
 This enables ‘views’ of the patient across organisational boundaries
 Minimise patient travel – move patient information instead
 Extend the reach of healthcare services to the home, workplace, community
 Exploit the power of electronic media to educate, inform and support citizens
 This will deliver:
 More convenient and safer care pathways for the patient
 Improved demand management for medical (and social) care
 Better informed and more ‘activated’ citizens
 Reduced costs for the healthcare system
 An affordable and sustainable service
Electronic networks are a pre-requisite

5. Smarter Healthcare
A smarter health system forges partnerships in order
to deliver better care, predict and prevent disease and
empower individuals to make smarter choices.
+ + =
Instrumented Interconnected Intelligent
Improve operational Deliver collaborative care for Achieve better quality
effectiveness prevention and wellness and outcomes
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6. IBM in Healthcare
 Integration Strategy
 Middleware
 Dashboards
Sharing of
 Analytical Tools
Information =
 Infrastructure
 Delivery and Transformational Services
Performant
 No Branded Devices
Networks
 No Front End Operational Applications
 Application Partners
 Demonstrations, Pilots and References
Standards Based Integration and Presentation
of Information for Smarter Healthcare
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7. Telehealth – The Wider Health Ecosystem
Scenarios drive the need for
PHARMACIES
Healthcare IT systems to exploit RADIOLOGY PATHOLOGY
data & interoperability standards LARGE
to: CORPORATIONS
Advances
in Medicine/Procedures
Connect – integrate sytems across the
PCT/Surgery
enterprise boundary
Share – high value data among Value
communities
Accelerate Innovation – rapid Selective New Care EMPLOYERS
deployment of new services
PROVIDERS
Ability 

 Patient
Delivery
Models
Improve Efficiency – re-use existing
assets and infrastructure
Address Service Issues – PUBLIC HEALTH
Health &
transparently allow service trends to be
Wellbeing
captured and analysed for refinement SMALL CORPORATIONS
and development purposes and to
identify best practice.
LIFE SCIENCES
PBMs
Home Care
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8. Potential Entry Point – Medical Device Integration
Continua
Vital Signs
IBM Remote
Home Medical Device
Aggregator
Patients Continua
XML
Clinicians
Clinical
Applications
Clinical
Proprietary Proprietary MLLP HL7 Applications
Clinical
Space Applications
Integration
Engine - ESB
Vital Signs Proprietary Intellivue MLLP HL7
Information Web Services Nurses
Centre Dashboard
Web Services
Hospital
Patients Proprietary
Alaris Gateway
Device Manufacturer Medical Device Manufacturer Data Integration Engine - ESB
Devices Aggregator
Overarching Data Aggregator. Nurses
Collects data from devices for Collects feeds from different
that manufacturer and sends Device Manufacturer Data
out to other interested parties. Aggregators and creates a
single feed in the format
required for downstream
applications
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9. Demonstration
IHE Connectathon, Vienna, April 2009
Monitoring for Diabetes
Device Remote IHE
Devices Manager Monitoring Affinity
Server Domain
Wired Glucose Meter
Wireless Pulse Oximeter
Medication Pack
Wired Weighing
Scale
Devices to collect IBM Sensor Event Platform
personal health data Collect device data Care management
Aggregate data from large
regarding diabetes platform for
number of devices monitoring diabetes
Perform event processing patients and
Map into Provider supporting behavior
Application change
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10. Reference
Dialog Pro-active Disease Management - Denmark
15,282
Patients
149
GP
12
Specialists
3
Out-Patient Clinics
Municipality of Odense
Implementation project in progress
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11. Reference
Dialog Pro-active Disease Management - Denmark
Patient
Devices
Diabetes Patient
Heart Plan National
Lung Chronic Remote Quality Clinical
xxx Disease Monitoring Monitoring Databases
Patient
Overview self treatment
Out patient GP and
Municipality
clinic Speicalist
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12. Reference
Brigham and Womens Hospital Radiology Theatre
Brigham Clinicians
Share Medical Scans
Remotely (e.g.
Intensive Care and
Cardiovascular Units)
Providing
Collaborative
Diagnostics, Care
Plans and Consensus
of Opinion.
Project IBM Blue Spruce – Web Application Development
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13. Reference
Telemedicine – Tristan Da Cunha
What’s smart?
• Using telemedicine to provide access
to clinicians in University of Pittsburgh
Medical Center
• Provision of teleradiology,
telepathology, doctor-to doctor, and
doctor-to-patient consultations, all via
satellite link
Smarter Business Outcomes
Fact: Accessing quality medical
• Immediate referrals and 2nd opinions
care in remote locations is
• Improves quality of patient care
difficult and time-consuming (in
• Eliminates need to travel (a very long
this case no airstrip - 7 days
way!) for specialist consultations
travel by sea to Capetown)
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14. IBM Healthcare and Telehealth
 Worldwide Strategy now being promoted in UK
 Investment in capability and resources
 Integration and aggregation strategy
 Utilisation of standards
 Start simple and expand
 Best of breed
 Demonstrations and simulations
 European and North American references
 UK pilots
Better quality care - more consistent, more effective,
more proactive, more efficient, less invasive and less
costly
Smarter Healthcare
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15. ibm.com/healthcare
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16. Distinctions and Definitions
Telecare
Safety and security for independent living (panic buttons etc.)
Telemedicine
Using ICT as a collaboration mechanism between healthcare
professionals for diagnostic, therapy and care services
Telehealth
Using ICT as a collaboration mechanism between the home and
health service locations for proactive health monitoring, disease
management and rehabilitation
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17. A value-based healthcare system should help citizens
to better understand and manage their health risks
Health status Healthcare spending
Healthy/ At High Early Active
Low Risk -Risk Risk Symptoms Disease
20% of people
generate
80% of costs
A value-based healthcare system
Source: IBM Global Business Services and IBM Institute for Business Value

18. Introducing Cypak IPP - core benefits
 Automation of overall process
 Doctor/patient interaction
 Reconciliation / drug accountability
 Patient compliance
 Records medication usage with time stamp
 Improves patient compliance through reminders
 Electronic diary
 Records and link patient experience, with time stamp,
to actual medication
 Data management
 Increase overall data quality
 Makes all data traceable
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19. Wireless Vital Signs
• Disposable non irritant patch sensor
• Reusable wireless electronics
• Quick and easy to apply
• Respiration
• Temperature
• Accelerometers
ecg
• ECG
resp motion
• Blood oxygen (coming)
• All in 1 disposable patch pulse temp
ox
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20. 20
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21. BiancaMed
Contactless Sleep Monitoring
 SleepMinder™
 First wireless sleep
measurement Biosensor
 In the convenience of
person’s own bed!
 Features:
 Biosensor/Mobile Phone • Non-Contact Motion Sensor
• Measures body motion and respiration
• Continuously monitors the person as they
 Internet enabled, full service sleep
sleep data • Screens for:
– Breathing Disorders
- Cheyne Stokes Respiration;
- Sleep Apnea
– Sleep Quality
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22. Rationale for WSD
We want to know to what extent the WSD model of care:
 promotes individuals long term well-being and independence
 improves individuals and their carer’s quality of life
 improves the working lives of staff
 is more cost effective
 is more clinically effective
 provides an evidence base for future care and technology models.
(Tim Ellis – WSD Programme Update to Intellect – 3 March 2010)
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23. Quotes from WSD Participants
 “Living on my own it’s nice to know I can call for help if I feel ill during the night or fall.”
 “The alarm system allows me a lot more freedom and peace of mind.”
 “It means that I don’t have to go into a care home which I don’t want to do. I want to stay in my own home as long as
possible.”
 “I feel much more confident knowing that someone is keeping an eye on my health every day. I think it’s great.”
 “Since I started using Telehealth I’ve been able to manage my condition better.”
 “It changes the whole concept of my life. I can get on with my daily activities... and am totally independent.”
 “Now if my condition changes I can speak to someone quickly and they have a record and can see what has changed -
they know what to do to sort it out.”
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(Tim Ellis – WSD Programme Update to Intellect – 3 March 2010)