Shivani Goyal is a Clinical Engineering PhD research fellow from the Institute of Biomaterials and Biomedical Engineering at the University of Toronto, conducting her research at the Centre for Global eHealth Innovation.

1. Shivani Goyal, B.Eng, MASc!

4. 60% of spending on chronic disease
!
Diabetes!
Hypertension!
Heart Failure!
Lung Disease!
Kidney Failure!
Mental Health!

5. 100%!
Home Care!
Quality of Life!
Healthy Independent Living!
Community Clinic!
Chronic Disease Management!
Doctors Office!
Assisted Living!
Skilled Nursing !
Facility!
Patient Self-Care!
Specialty Clinical!
Community Hospital!
ICU!
Acute Care!
0%!
$1!
$10!
$100!
Cost of Care!
$1,000!
$10,000!
From Intel & Center for Aging Services Technologies
(CAST)!

6. mHealth!
Cell phones vs. smartphone!
15,000 + health and wellness apps!
!

7. Remote Patient Monitoring!

8. Highly Automated!

9. Congestive Heart Failure RCT Results!
150 pg/mL!
BNP Horomone!
7.4%!
Left Ventricular Ejection Fraction!
7 Points!
Self-Care!
NO CHANGE in the control group!

10. Hypertension & Type 2 Diabetes!

11. NO CHANGE!
NO ADDITIONAL MEDS OR
OFFICE VISITS!
20% Drop in risk of
heart attack or stroke!

12. Type 1 Diabetes!

13. Its not working…!

14. Mobile!
!
Encourage Self-monitoring!
!
Teachable Moments!
!
Allow Communication With
Parents and Providers!
!
Fast & Discrete!
!
Promote Positive Health
Behaviors!
!
Be wireless!

18. The Pilot Study!
49.6%
Daily average frequency of
blood glucose measurements!

19. United States!
Korea!
Canada!
Italia!
China!
Brazil!
France!
Mexico!
Spain!
United Kingdom!
Australia!
Russia!
>55,000 Downloads!
8,000 Daily Active Users!
11 Languages!
0!
10! 20! 30!
Percentage!
40!

20. Type 2 Diabetes

21. Asthma

22. Its not working…!

25. What about everyone else?

26. Remote Patient Monitoring!
Invincible)18,35)years)old)
Little)disease)burden)
Stressed,out)middle)aged)adults)
Medium)disease)burden)
Older)adults)
Heavy)disease)burden)

30. Encouragement)
Tone%is%playful%and%unique%
%
Awards%are%progressive%
%
Social%interac8on%through%Facebook,%
Twi>er%or%email%
So)much)data!)
%
September%19th,%2012%to%February%27th,%2013%
74,$396$total%downloads%%
69,952%users%
%

31. Approach)was)
successful)
Female)>)Male)
Engagement)
levels)
Promotions)
work!)

32. Poor communication is one of the most common
underlying causes of medical error.!
Complex patients are
particularly vulnerable
!

35. Evidence Based
Rigoursly Designed
Patient Focused
Social
Consumer Initiated
!

36. Thank You!
!
shivani@humanfactors.ca
!