How Wireless Networks Empower Patients
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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
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How Wireless Networks Empower Patients
- 1. How Wireless Networks Empower Patients Shahid N. Shah CEO
- 2. 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 nonprofit) www.netspective.com Author of Chapter 13, “You’re the CIO of your Own 2 Office”
- 3. Life expectancy is increasing… …but the rate of growth is slowing www.netspective.com 3
- 4. Bacteria used to kill us the most… www.netspective.com Per 100k population, Historical Statistics of the United States, Millennial Edition 4
- 5. We’ve got most infections beat… …except the flu and pneumonia www.netspective.com Per 100k population, Historical Statistics of the United States, Millennial Edition 5
- 6. Infectious diseases used to kill us… …but what’s left seem only to be “manageable” not easily “curable” Top killers in 1900 Pneumonia and influenza TB Diarrhea and enteritis Top killers today Heart disease www.netspective.com Cancer Chronic lower respiratory diseases Per 100k population, Historical Statistics of the United States, Millennial Edition 6
- 7. From cures to management… …young people don’t dye of diseases often now Death by age group, 1900 www.netspective.com Death by age group, Today http://siteresources.worldbank.org/INTHSD/Resources/topics/Health-Financing/HFRChap1.pdf 7
- 8. Chronic Conditions Almost half the U.S. population needs chronic disease management www.netspective.com Source: NCQA State of Healthcare Quality Report 2007 & Wellpoint 8
- 9. Medicine has accepted lack of cures… …we’re now focused on prevention and wellness (below is CDC’s framework) Objectives: • Keep people out of the hospital ($$$) • Keep people from their docs ($$) • Keep people off drugs ($) • Keep people at home www.netspective.com http://www.cdc.gov/chronicdisease/resources/publications/AAG/chronic.htm 9
- 10. Keep patients away from hospitals Hospitalization, physician and clinical services total more than $1.2 Trillion today $800 Hospital care, total $700 Physician and clinical services, total $600 Nursing care facilities and continuing care retirement communities, total Prescription drugs, total $500 $400 $300 $200 $100 $0 1990 1991 1992 1993 1994 1995 1996 www.netspective.com 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 http://www.census.gov/compendia/statab/cats/health_nutrition/health_expenditures.html 2009 10
- 11. Health services centralization tried www.netspective.com Source: Jason Hwang, Innosight, via Jeff Selberg of IHI 11
- 12. …now comes decentralization and disruptive innovation www.netspective.com Source: Jason Hwang, Innosight, via Jeff Selberg of IHI 12
- 13. Consumers will need do/pay more… www.netspective.com 13
- 14. The new world order General Wellness Specific Prevention Self Service Physiologics Self Service Monitoring Healthcare Professional Monitoring Care Team Diagnostics Care Team Monitoring Self Service Diagnostics Healthcare Professional Diagnostics Hospital Monitoring Hospital Diagnostics www.netspective.com 14
- 16. Consumerization of labs / genes Labs on chips Personal Genomics www.netspective.com 16
- 18. Wireless Body Area Network (BAN) The cornerstone of mHealth www.netspective.com 18
- 19. Wireless BAN Ecosystem www.netspective.com Source: Qualcomm 19
- 21. ANT+ is winning ULP protocol battle www.netspective.com http://acamp.ca/alberta-micro-nano/images/docs/Technology-Presentations/Ken-Fyfe-HealthMedical-Dec09.pdf 21
- 22. Needed: diagnostic quality mHealth www.netspective.com 22
- 24. Needed: care team involvement PATIENT/ CONSUMER HEALTHCARE PROVIDER Care Team FAMILY CAREGIVER CALL CENTERS AND REMOTE SUPPORT www.netspective.com HOSPITAL ALTERNATE SITE OF CARE 24
- 26. Data changes the questions we ask Simple visual facts www.netspective.com Complex visual facts Complex computable facts 26
- 27. Implications for scientific discovery The old way The new way Identify problem Identify data Ask questions Generate questions Collect data Mine data Answer questions Answer questions www.netspective.com 27