The Internet of Things (IoT) is the latest buzzword out of the interface between information technology and business. As technologies like Bluetooth and sensors enable connections between devices and networks, innovation has brought connections between devices and a human interface. In healthcare, this has been termed the Internet of Medical Things or Healthy things. Medical devices and consumer health devices generate data which can be analyzed, synthesized and displayed for the consumer and healthcare provider to get a broader picture of one’s health. Everything from fitness devices to glucose monitors can give us information about our current health status as never before. How this will integrate into a clinician’s workflow is a new journey of discovery as medical practice catches up with these innovations.

1. John Sharp, Senior Manager
IoT and Personal
Connected Health
10/26/2016 Personal Connected Health Alliance

2. Personal Connected Health Alliance
• Division of HIMSS
• Originally focused on events
– mHealth Summit
• Now expanding to
• thought leadership
• convening stakeholders
• publishing technical guidelines
• promoting innovation and developing an evidence base
• on an international level
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3. Defining Personal Connected Health
• Personal: unique to a specific person – different for every
individual, customized
• Connected: individual’s information flows seamlessly, with their
consent, to and from a clinician, caregiver or community
• Health: the state of a person’s physical, social and mental well-
being including but not limited to the absence or control of a
disease
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4. State of Personal Connected Health
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Consumer
Apps &
Devices
Mobile
phone
Cloud Interop

5. Consumerism
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6. Consumerism and Health
• From Philips Future Health Index
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7. Future of treatment
Connected health devices
(apps, wearables, biosensor devices) for
patients will form part of treatment plans in the
future
33%38%
27%37%
33%42%
• USA • UK
Physicians
Consumers
Diabetics

8. Consumer and Provider
•Seeing the same data –
displayed in ways that are
usable/actionable for each
•Participatory healthcare
•Partnership in care
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9. Consumerism
• Dana Lewis
• Type 1 Diabetes
• Do It Yourself Artificial
Pancreas
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10. Wearables and sensors
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11. Wearable Market
• Fitness bands
• Smart watches
• Shoe devices and smart shoes
• Smart clothing
• Ear devices
• Headsets
• Glasses
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12. Sensors
• Accelerometer
• Gyroscope
• Multi-touch display
• GPS
• Microphone
Can enable monitoring of
multiple actions:
• Gait and balance
• Fitness
• Timed walk
• Reaction time
• Hand dexterity
• Tone audiometry
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13. Future Applications of Sensors
• Smartphones can be used to
identify atrial fibrillation with
existing hardware
• uses the phone's own
accelerometer and gyroscope
to check for atrial fibrillation
• http://www.news-medical.net/
• Wristband detects and alerts
for seizures
• http://news.mit.edu
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14. New Devices
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Smart Inhalers Medical smart tatoos
Robotics and
exoskeletons
medicalfuturist.com

15. Apps and devices
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16. App and Device Market
10/26/2016 Personal Connected Health Alliance
• 78.5 million consumers using
home health technologies by
2020

17. Personal Health Dashboard
10/26/2016 Personal Connected Health Alliance Fitbit

18. Cloud enabled
• Data moves from the
personal health device or
app
• Through secure transmission
• To cloud storage
• For analysis and visualization
• Delivered to consumer and provider
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19. Healthcare internet of things
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20. Healthcare Internet of Things Categories
• Clinical efficiency
• Clinical grade biometric
sensors
• Consumer/home monitoring
• Infant monitoring
• Fitness wearables
• Advanced sports apps
• Brain sensors/
neurotechnology
• Sleep monitoring
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21. Internet of Things (IoT)
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22. 10/26/2016 Personal Connected Health Alliance
“This caldron of innovation is
enough chaos to make many
companies
tentative about dipping their
toe in the water.”

23. interoperability
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24. Interoperability,
wearables
and the EHRs
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25. Interoperability
Personal
Health
Devices
• Personal
Health
Devices
Interface
Personal
Health
Gateway
• Services
interface
Health &
fitness
Service
• HIS
Interface
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EHR
Design Guidelines

26. Integrating into Workflow
Data from devices,
questionnaires
Transmission Integration engine
Store in EMR
Algorithm
generates alert or
inbox to team
member
Take action
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27. Integrating
Patient Generated Health Data
• Workflow options
• Alert about significant change in status
• Unusual reading which may indicate device malfunction
• Combination of data indicating risk for readmission
• Overall trends sent to inbox as a message
• To whom should each situation be routed?
• Medical home team member
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28. Incentives and barriers
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29. Provider Incentives
• Readmission penalties
• Diabetes Prevention Programs
• Accountable Care Organizations
– pay for value
• Chronic Care Management
• Comprehensive Primary Care Plus
• Care bundles – joint replacement, cardiac
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30. Barriers to Connected Health
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31. Behavior Change and Coaching
• Devices and apps alone cannot create real change
JAMA Internal Medicine study
• Need strategy and coaching to enable health behavior
change
• Example
– Diabetes Prevention Programs
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32. Evidence and innovation
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33. Evidence
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propellerhealth.com

34. Evidence
•Text 2 Move: Diabetes Care
– Partners Healthcare
• Personalized text messages encouraged physical
activity
• Significant lowering of HbA1c levels
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35. Evidence
• NODE Health – Network of Digital Evidence
• From the Sinai App Lab
• Newsletter includes
• Initiatives
• Publications
• Resources
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36. Innovation – Venture Funding
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2015 – 4.5 Billion
Tracking toward
$4B for 3rd year
in a row

37. Innovation – Venture Funding
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38. 10/26/2016 Personal Connected Health Alliance
Future of the
Internet of Things
Smart
Home
AgingLighting
Motion
sensors
Memory Loss Alarms
Climate Vital signsAppliances

39. State of Personal Connected Health
10/26/2016 Personal Connected Health Alliance
Consumer
Apps &
Devices
Mobile
phone
Cloud Interop

40. Personal Connected Health Alliance
• December 11-14, 2016
• Gaylord National | Washington, DC Area
• PCHAconference.org
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41. Contact Me
• jsharp@pchalliance.org
• @JohnSharp
• Linkedin.com/in/johnsharp
• Recent blogs: http://www.pchaconference.org/blogs
10/26/2016 Personal Connected Health Alliance