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Laurence Yudkovitch
July 12, 2016
Capturing data
and improving outcomes
for Humans and Machines
using the
Internet of Caring Things
Photo Credit: Vincent Laforet
"The streets of New York had always looked like either brain synapses, computer chips or motherboards
to me. From high up all these streets become a sort of pattern and almost like an organism.© Copyright 2016, Laurence Yudkovitch
Goals for tonight
How to sound smart in your TEDx Talk
Youtube: https://youtu.be/8S0FDjFBj8o
GE Online Center
GE Online Center
Protecting MRI’s
Protecting MRI’s
Protecting MRI’s
Protecting MRI’s
Prevent a Quench
Dedicated Service called MagMon
MRI Components
MRI Components
• Temperature
• Voltage
• Cycles
Benefits of Monitoring
• Pro-active maintenance
http://business.time.com/2011/12/19/stop-changing-the-oil-every-3000-miles-already/
http://CheckYourNumber.org
Benefits of Monitoring
• Pro-active maintenance
• Reduced down time
• Competitive intelligence
Anesthesia
GE Aisys Carestation
• Anesthesia
• Patient Monitor
• Decision Support
GE Aisys Carestation
Remote monitoring?
http://www.businesswire.com/news/home/20040203005752/en/GE-Healthcare-Selects-Questra-Provide-Next-Generation-Remote
GE Aisys Carestation
Remote monitoring?
http://www.prnewswire.com/news-releases/axeda-acquires-questra-65409312.html
GE Aisys Carestation
Remote monitoring?
http://www.ptc.com/news/2014/ptc-completes-acquisition-of-axeda
GE Aisys Carestation
Remote monitoring?
GE Aisys Carestation
Remote monitoring?
GE Aisys Carestation
Remote monitoring?
• HIPAA Protection
Prediction
GE Navigator®
Applications Suite
Historical Future
Summary
Summary
• Connectivity is key
• Preventing and
Predicting MRI failures
• Security risks
connecting to
Anesthesia Systems
Cardiac
Rehab
AACVPR Data Registry
American Association for Cardiovascular and Pulmary Rehabilitation
By assisting in the collection, management, and interpretation of outcomes
data, the registry can help your program enhance patient care, improve
quality of life, and increase support from healthcare partners.
• Access program and patient data reports instantly, and benchmark your
results against national averages.
• Implement quality improvement projects based on real data, and
enhance documentation for administrators and referring physicians.
• Influence healthcare policy makers to utilize cardiac rehabilitation, and
improve coverage and reimbursement rates for your program.
Senior
Living
Longevity Revolution
By 2030, the proportion of
the U.S. population aged 65
and older will double to
about 71 million older
adults, or 1 in 5 Americans.
Wisconsin Plan for Older People:
http://cdm16119.contentdm.oclc.org/cdm/singleitem/collection/p267601coll4/id/2461/rec/11
Wisconsin’s
“Elder Boom”
Projections for the
Growing 65+ Population,
2005 to 2035WISCONSIN DEPARTMENT OF HEALTH SERVICES
Division of Long Term Care
P-00138 (10/2009)
My Own Home:
The #1 Choice for Long-Term Care
https://mlaem.fs.ml.com/content/dam/ML/Articles/pdf/AR6SX48F.pdf
Dr. Eric Topol
Scripps
• https://www.ted.com/talks/eric_topol_the_wireless_future_of_medicine
Why PERS alone doesn’t work
Start at 0:23
Dr. Eric Topol
Take-aways
• Plenty of diseases that
need to be monitored
• Benefit of monitoring
reduces costly
hospitalization by
catching issues before
they are serious
• Wireless technologies
discussed in 2009 are
now mainstream; but
they are all individual
https://www.ted.com/talks/eric_topol_the_wireless_future_of_medicine/transcript?language=en
The Air Conditioner Story
http://www.bloomberg.com/news/2013-05-17/oregon-s-radical-health-overhaul-blazes-new-trail.html
Intel / Eric Dishman Ted Talk
Take health care off the
mainframe
https://www.ted.com/talks/eric_dishman_take_health_care_off_the_mainframe#t-332933
Health Sense
1. Passive check-in
2. Out of bed
3. In bed too long
4. Front door open
5. Bathroom activity
6. Socialization
7. Bed occupancy
8. Bathroom usage
9. Activity levels http://healthsense.com/solutions/health-and-safety-monitoring/
DIY - Staying at Home
Longer
• 77-year-old in the
middle stages of
Alzheimer's. Lives on her
own, monitored
remotely by family.
• “It's kept her to the
point where we haven't
even had to have in-
home care yet. Our goal
is to keep her in her
home for as long as
possible,” said her
daughter Cathy Johnson
http://www.cnn.com/2014/08/25/tech/innovation/alzheimers-smart-home/index.html?iref=allsearch
SmartThings
No Monthly Fee
SmartThings looks for specific triggers,
and sends alerts (by text) to her two
daughters:
• Silent sensor on her front door
detects if she leaves between 9 pm
and 6 am.
• Key chain sensors detect when she
goes outside her condo's grounds.
• A motion sensor in the kitchen helps
monitor her eating habits
• Another in the bedroom notes when
she wakes up in the morning and
catches any sleeping issues.
• There is even a flood sensor in the
laundry room.
http://smarthings.com
Kemuri
Help your loved ones keep their independence
Installation
• KemuriSense® smart power sockets are
professionally installed in the kitchen.
There’s no change in lifestyle, nothing to
remember and no intrusive monitoring. It
works like a standard double power socket.
• Smart software checks activity every hour,
identifies changes and keeps everybody
informed via the Internet. Nothing could be
simpler.
• The product is most suitable for people
who do not wish to be reminded of their
increasing frailty by wearing an alarm
pendant. They have to appoint a trusted
person, or organisation, who can share the
data with family members, friends or
carers. No data will be shared without full
consent.
http://www.kemuri.org.uk/
Smart Wireless Pill
Bottles
• Determines when
bottle is opened
• Counts how many
pills are removed
• Transmits data
wirelessly over
3G connection
• No setup!
http://adheretech.com/
http://medcitynews.com/2014/12/10-approaches-companies-taking-create-better-pill-takers/
$300 billion market opportunity of medication adherence
https://clinicaltrials.gov/ct2/show/NCT02222103
http://rhythmdiagnosticsystems.com/
MultiSenseTM sensor is a self-contained, reusable, rechargeable, battery-powered, flexible
strip, measuring 4 X 1.2 inches that simultaneously tracks and records a number of
physiological health related parameters such as ECG, heart rate, pulse synchronized oxygen
saturation, temperature, respiratory rate, depth of respiration and motion/position. One
advantage of this device over current home diagnostic systems is the capability for recording
over several nights
Quietyme
Using its intelligent sensor and analytics
platform, Quietyme provides streaming
solutions that prevent costly damage and
disturbances in hospitals, hotels,
apartments and homes.
• ZigBee sensors monitor noise, temp,
humidity
• Analytics s/w learns, recommends
change, and then monitors (cheaper)
• Hospitality Solutions: Stop relying on
complaints to identify problems.
http://quietyme.com/
Pixie Briefs
http://www.ericsson.com/thinkingahead/networked_society/stories/#/film/pixie-smart-diapers
Pixie Briefs
Any physician will tell you
that human waste can tell
you a lot about physical
health. A used diaper, for
example, contains valuable
data about the health of the
baby. So what if a baby’s
diaper could alert parents to
potential health risks?
Parents can then scan the QR
code on the diaper to receive
information about their
child's health on an app.
http://www.ericsson.com/thinkingahead/networked_society/stories/#/film/pixie-smart-diapers
Pixie Briefs – It gets better!
https://www.youtube.com/watch?v=OifRYoH6OUA
Disposable adult briefs to
monitor hydration and
infection
http://www.pixiescientific.com/
MC10 Biostamps
http://www.ericsson.com/thinkingahead/networked_society/stories/#/film/mc10-biostamp
http://www.ericsson.com/thinkingahead/networked_society/stories/#/film/mc10-biostamp
Number of births: 3,932,181
Deaths from SIDS: 0.1%
http://www.mc10inc.com/company-information/technology/
Conclusion
• Decreasing cost
of sensors
• Increased
connectivity
• Incredible
computing
power
What’s Changed?
Questions?

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Capturing Data and Improving Outcomes for Humans and Machines Using the Internet of Caring Things

  • 1. Laurence Yudkovitch July 12, 2016 Capturing data and improving outcomes for Humans and Machines using the Internet of Caring Things Photo Credit: Vincent Laforet "The streets of New York had always looked like either brain synapses, computer chips or motherboards to me. From high up all these streets become a sort of pattern and almost like an organism.© Copyright 2016, Laurence Yudkovitch
  • 3.
  • 4. How to sound smart in your TEDx Talk Youtube: https://youtu.be/8S0FDjFBj8o
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  • 12. Protecting MRI’s Prevent a Quench Dedicated Service called MagMon
  • 13.
  • 16. Benefits of Monitoring • Pro-active maintenance http://business.time.com/2011/12/19/stop-changing-the-oil-every-3000-miles-already/ http://CheckYourNumber.org
  • 17. Benefits of Monitoring • Pro-active maintenance • Reduced down time • Competitive intelligence
  • 19. GE Aisys Carestation • Anesthesia • Patient Monitor • Decision Support
  • 20. GE Aisys Carestation Remote monitoring? http://www.businesswire.com/news/home/20040203005752/en/GE-Healthcare-Selects-Questra-Provide-Next-Generation-Remote
  • 21. GE Aisys Carestation Remote monitoring? http://www.prnewswire.com/news-releases/axeda-acquires-questra-65409312.html
  • 22. GE Aisys Carestation Remote monitoring? http://www.ptc.com/news/2014/ptc-completes-acquisition-of-axeda
  • 25.
  • 26. GE Aisys Carestation Remote monitoring? • HIPAA Protection
  • 30. Summary • Connectivity is key • Preventing and Predicting MRI failures • Security risks connecting to Anesthesia Systems
  • 32. AACVPR Data Registry American Association for Cardiovascular and Pulmary Rehabilitation
  • 33. By assisting in the collection, management, and interpretation of outcomes data, the registry can help your program enhance patient care, improve quality of life, and increase support from healthcare partners. • Access program and patient data reports instantly, and benchmark your results against national averages. • Implement quality improvement projects based on real data, and enhance documentation for administrators and referring physicians. • Influence healthcare policy makers to utilize cardiac rehabilitation, and improve coverage and reimbursement rates for your program.
  • 34.
  • 36. Longevity Revolution By 2030, the proportion of the U.S. population aged 65 and older will double to about 71 million older adults, or 1 in 5 Americans. Wisconsin Plan for Older People: http://cdm16119.contentdm.oclc.org/cdm/singleitem/collection/p267601coll4/id/2461/rec/11
  • 37. Wisconsin’s “Elder Boom” Projections for the Growing 65+ Population, 2005 to 2035WISCONSIN DEPARTMENT OF HEALTH SERVICES Division of Long Term Care P-00138 (10/2009)
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  • 46. My Own Home: The #1 Choice for Long-Term Care https://mlaem.fs.ml.com/content/dam/ML/Articles/pdf/AR6SX48F.pdf
  • 47. Dr. Eric Topol Scripps • https://www.ted.com/talks/eric_topol_the_wireless_future_of_medicine
  • 48. Why PERS alone doesn’t work Start at 0:23
  • 49. Dr. Eric Topol Take-aways • Plenty of diseases that need to be monitored • Benefit of monitoring reduces costly hospitalization by catching issues before they are serious • Wireless technologies discussed in 2009 are now mainstream; but they are all individual https://www.ted.com/talks/eric_topol_the_wireless_future_of_medicine/transcript?language=en
  • 50. The Air Conditioner Story http://www.bloomberg.com/news/2013-05-17/oregon-s-radical-health-overhaul-blazes-new-trail.html
  • 51. Intel / Eric Dishman Ted Talk Take health care off the mainframe https://www.ted.com/talks/eric_dishman_take_health_care_off_the_mainframe#t-332933
  • 52.
  • 53.
  • 54.
  • 55. Health Sense 1. Passive check-in 2. Out of bed 3. In bed too long 4. Front door open 5. Bathroom activity 6. Socialization 7. Bed occupancy 8. Bathroom usage 9. Activity levels http://healthsense.com/solutions/health-and-safety-monitoring/
  • 56. DIY - Staying at Home Longer • 77-year-old in the middle stages of Alzheimer's. Lives on her own, monitored remotely by family. • “It's kept her to the point where we haven't even had to have in- home care yet. Our goal is to keep her in her home for as long as possible,” said her daughter Cathy Johnson http://www.cnn.com/2014/08/25/tech/innovation/alzheimers-smart-home/index.html?iref=allsearch
  • 57. SmartThings No Monthly Fee SmartThings looks for specific triggers, and sends alerts (by text) to her two daughters: • Silent sensor on her front door detects if she leaves between 9 pm and 6 am. • Key chain sensors detect when she goes outside her condo's grounds. • A motion sensor in the kitchen helps monitor her eating habits • Another in the bedroom notes when she wakes up in the morning and catches any sleeping issues. • There is even a flood sensor in the laundry room. http://smarthings.com
  • 58. Kemuri Help your loved ones keep their independence Installation • KemuriSense® smart power sockets are professionally installed in the kitchen. There’s no change in lifestyle, nothing to remember and no intrusive monitoring. It works like a standard double power socket. • Smart software checks activity every hour, identifies changes and keeps everybody informed via the Internet. Nothing could be simpler. • The product is most suitable for people who do not wish to be reminded of their increasing frailty by wearing an alarm pendant. They have to appoint a trusted person, or organisation, who can share the data with family members, friends or carers. No data will be shared without full consent. http://www.kemuri.org.uk/
  • 59. Smart Wireless Pill Bottles • Determines when bottle is opened • Counts how many pills are removed • Transmits data wirelessly over 3G connection • No setup! http://adheretech.com/ http://medcitynews.com/2014/12/10-approaches-companies-taking-create-better-pill-takers/ $300 billion market opportunity of medication adherence
  • 60. https://clinicaltrials.gov/ct2/show/NCT02222103 http://rhythmdiagnosticsystems.com/ MultiSenseTM sensor is a self-contained, reusable, rechargeable, battery-powered, flexible strip, measuring 4 X 1.2 inches that simultaneously tracks and records a number of physiological health related parameters such as ECG, heart rate, pulse synchronized oxygen saturation, temperature, respiratory rate, depth of respiration and motion/position. One advantage of this device over current home diagnostic systems is the capability for recording over several nights
  • 61. Quietyme Using its intelligent sensor and analytics platform, Quietyme provides streaming solutions that prevent costly damage and disturbances in hospitals, hotels, apartments and homes. • ZigBee sensors monitor noise, temp, humidity • Analytics s/w learns, recommends change, and then monitors (cheaper) • Hospitality Solutions: Stop relying on complaints to identify problems. http://quietyme.com/
  • 63. Pixie Briefs Any physician will tell you that human waste can tell you a lot about physical health. A used diaper, for example, contains valuable data about the health of the baby. So what if a baby’s diaper could alert parents to potential health risks? Parents can then scan the QR code on the diaper to receive information about their child's health on an app. http://www.ericsson.com/thinkingahead/networked_society/stories/#/film/pixie-smart-diapers
  • 64. Pixie Briefs – It gets better! https://www.youtube.com/watch?v=OifRYoH6OUA
  • 65. Disposable adult briefs to monitor hydration and infection http://www.pixiescientific.com/
  • 69.
  • 71. • Decreasing cost of sensors • Increased connectivity • Incredible computing power What’s Changed?

Notes de l'éditeur

  1. How many people have seen Will Stephen’s TED talk about nothing? Nothing to sell Nothing to give away
  2. 42nd result when googling “Picture”
  3. 11: number of years I worked for GE 2000: year I started
  4. Liquid helium
  5. 11: number of years I worked for GE 2000: year I started
  6. “Here’s the air conditioner story: There’s a 90-year-old woman with well-managed congestive heart failure who lives in an apartment without air conditioning. A hot day could send the temperature in her apartment high enough that it strains her cardiovascular system and kicks her into full-blown congestive heart failure. Under the current system, Medicare will pay for the ambulance and $50,000 to stabilize her. It will not pay for a $200 window air conditioner, which is all she needs to stay in her home and out of the hospital. The difference to the health-care system is $49,800. And we could save that $49,800 without reducing her benefits or her quality of life.”
  7. Used mainly for pharmaceutical and research engagements. i.e. high priced HIV and cancer treatment drugs. It’s a GE StartUp Health program graduate.
  8. A real time transmitting version of this Strip is under development. http://bio2devicegroup.org/content/development-wearable-cardiopulmonary-sensor-system-2014-02-19