2. Cyient Service Portfolio and Industry Focus
2
Product Engineering Process Engineering Network Operations Data Transformation
Solutions for design and
manufacture of products
Solutions for design and
operations of process plants
Solutions for design,
maintenance and operations
of networks
Solutions for creation,
updating and analysis of
geotechnical data
Electronics; Embedded
Software; Electrical Design;
Mechanical Design;
Manufacturing Engineering
Front End Design;
Instrumentation & Controls;
Civil Structures; Piping;
Electricals
Network Design, Planning &
Analysis; Operational
Support; Network
Management &
Optimization; Geospatial
Asset Management
Geospatial Services;
Content Management;
Geological Management;
Software Development
Aerospace, Rail
Transportation,
Semiconductor, Medical
Devices, Industrial
Equipment, Off-highway
Equipment,
Thermal & Nuclear Power
Plants, Oil & Gas Extraction,
Chemical Plants, Mining
Utilities, Telecoms Geospatial Publishing,
Mining, Oil & Gas
2
3. Almost ‘anything’
—including ‘living things’—
connected to the internet regardless of
location or other physical restrictions.
Internet of Things
3 Source: Gareth Baxendale, Head of Technology Services at the NIHR Clinical Research Network
4. M2M vs IoT vs IoE
4 Source: IDC
Machine to Machine
M2M
Internet of Things
IoT
Internet of Everything
IoE
A Device
that captures an Event
Transmits it over a network
To an Application, which
translates it to meaningful
information
A Network of uniquely
Identifiable things that
Communicate with out
human Intervention using
IP connectivity
Bringing together the
People, Things,
Process and Data to
make network
connections more
relevant
by turning information
into actions
6. IoHT Focus Areas
6
IoHT Focus
Areas
Integration of
systems and
platforms
Fitness
Tracking
Chronic
Disease
Management
Elderly Care
Management
Ambulance
and Tele-
diagnosis
Medication
Alarm and
Tracking
Clinical Trial
Management
Health
Monitoring in
Automobiles
Healthcare
BPOs
8. What can IoT deliver to Healthcare?
8
Ability to react with Speed
Monitor Patient condition
Ability to Act at Scale
Ability to prevent diseases
Empower Patient
HigherQualityHCDelivery
Ability to Reduce Healthcare Cost
5
6
6
7
8
9
9. Your Mobile is an IoT Healthcare device!
9
The average person checks
mobile phone 110 times a DAY!
Check your Heart Rate (Instant Heart Rate)
Check your Walking/Cycling distances (Moves)
Track your Food Intake/Exercise calorie trends
(MyFitnessPal)
Reminder app to drink water (WaterYourBody)
Pill reminder (My Pillbox)
According to data compiled by New York-based app Locket
10. Curative vs Preventive Healthcare
10
Prevention
Universal
• Whole population
Selective
• Population at risk
Indicated
• Early Signs
Curative
Repair medicine
• Diagnosis
• Treatment
Maintenance care
• After care, rehabilitation
• Chronic disease
management
11. Challenges in IoHT
11
Interoperability between devices/systems
Regulatory requirements
Privacy and Data Security
Work flow changes/optimization
Connecting existing systems to internet
Portability and Miniaturization
Battery life
Sensor design & signal conditioning
Product Cost to the User
Mindset to Adopt IoHT Technologies
Doctors and Patients
12. Impacts of IoT solutions in Healthcare : Study
12 Source: ESCP Study
14. Designing IoHT Solutions
14
Understand
Ecosystem needs
• Who are the affected
stakeholders in the
Ecosystem
• How can we measure
success
• Regulatory needs
• Business model
• Interoperability &
Integration
Understand patient
needs
• Usability: Ease of Use,
Adoption, Installation
• Accessibility: Smart
Phone or Tablets?
• Wellness or prevention
or diagnosis or
Treatment
• Patient journey with the
product – physical,
emotional
• Age group and
demography
Understand Clinical
needs
• What is the clinical need
of the solution
• Improved HC outcomes
– How can it be
measured?
• Economical advantages
• Speed of care – how can
it be measured?
• Operational efficiency –
how can it be measured?
15. 3 Areas To Explore
Empowering
Patients
Work flow / Process
optimizations
Interoperability
between
devices/systems
Products and Solutions that Offer work flow
optimizations to reduce wait time, quicker
data acquisition and turn around etc.
Products and services that empower Patients
to act on their health status
Solutions that enable host of Health devices
interoperable with device access and control
Interoperability Work flow optimizations Empowering Patients
15
16. $2bn
$3bn
$18bn
• Reduced cost of care secondary to avoidance
of redundant testing
$36bn
• Annual health care savings
due to Interoperability
• Quality improvement through reduction of adverse
events due to safety interlocks
• Increased clinician productivity secondary to decreased
time spent manually entering information
$12bn
• Increased capacity for treatment secondary
to shortening length of stay
Westhealth Institute report on THE VALUE OF MEDICAL DEVICE INTEROPERABILITY : March 2013
90% of hospitals use six or more types of devices that
could be integrated with EHRs
ONLY one third of hospitals actually integrate medical
devices with EHRs today
Fewer than 3 types of devices on average are integrated
in those hospitals investing in interoperability
$1bn
• Avoided development testing and integration costs based on use
of commonly adopted standards
US
Healthcare
Cost: 2.4
Trillion USD
Cumulative
Wastage :
700Bn USD
Inter -
operability
savings :
36Bn USD
Breakdown
of
Estimated
Savings
from Inter-
operability
Healthcare Waste:
Any activity that does not add
value to the continuum of care
25 July 2015 | 16
Need for Interoperability
Interoperability Work flow optimizations Empowering Patients
16
17. Data interoperability: Agreement/consistency in formatting, storage, querying, and synchronization of data
Communication interoperability: Consistency in transmission and reception of messages between nodes
Semantic interoperability: Agreement/consistency between systems on the meaning of communicated information
Workflow interoperability: Agreement/consistency on how technology supports/shapes the workflow
25 July 2015 | 17
Challenges
• Co-existence of devices with
disparate interfaces
• Balancing need for standardization
and customization
• Latent interoperability failures
Needs
• Interoperability should be a function
specific
• Interoperability should be
continuous
• Interoperability should be seamless
• Need to address all the hidden
vulnerabilities
Technological Dimensions
Interoperability – Challenges, Needs and
Dimensions
Interoperability Work flow optimizations Empowering Patients
17
18. Interoperability
Key Use cases
Monitoring
Controlling
Storing
D2D
Communication
Interoperability Work flow optimizations Empowering Patients
Interoperability use cases
Various HMI apps for
Accessing and
Monitoring Medical
devices
Various HMI apps for
controlling Medical
devices remotely
Medical devices to
seamlessly
communicate with
any EHRs
Device to Device
communication to
support better health
outcomes18
19. Interoperability : Monitoring
19
A patient walks in to the clinic
Patient wears all the required sensors
Nurse/Doctor takes a photo/video using an
interoperable Glass to read Biosensors data
Health data are recorded in a Photo/Video
The report stored in EHR and shown on the Glass to
Clinician on the move
Reduced wait time: Quicker data acquisition and clinician turn around!
Interoperability Work flow optimizations Empowering Patients
20. Interoperability :D2D Communication
20
A Cancer patient under patient-controlled
analgesia (PCA)
Patient asks for more dosage due to pain
Nurse/Doctor increases dosage on PCA pump,
which is interoperable with a patient monitor
Due to increased PCA dosage patient Spo2 drops
Pump disconnects infusion due to dropped Spo2 data
from PM
Dosage Error is avoided without nurse intervention
Interoperability Work flow optimizations Empowering Patients
Westhealth Institute report on THE VALUE OF MEDICAL DEVICE INTEROPERABILITY : March 2013
21. 4 IoHT trends that Empower Patients
Empowered
Patient
Now
Care
Shared
Care
Engaged
Care
Smart
Care
Communication: The ability to communicate anytime anywhere increases virtual face time with doctors
via mobile applications and home health platforms.
Gamification: A growing body of research has shown that games are a “non-pharmacological
intervention” that can actually help people be better patients – by increasing their engagement in care,
improving adherence and boosting resilience.
SelfMonitoring:SmartHealthisan
effectivemeasurethatcanharnessnew,
affordablemobiletechnologywiththe
potentialtomeasurediseasestate,
deliverconvenient,effectivecareto
patients.
Participation:Ithasbeendemonstrated
thatlinkingwithotherpeoplefacing
similarhealthproblemshasholistic
healthbenefitsandtheonlineworldis
tailor-madetofacilitatethissharingand
groupproblem-solving.
Interoperability Work flow optimizations Empowering Patients
22. Elizabeth Prescriber MD
Primary Care Physician
Gives prescriptions for
cholesterol lowering
medication, apps,
adherence needs
Bob Aspirin
(Retail
Pharmacist)
shares with John drug
specific instructions
DD Sister
(Nutritionist), Texts
off-limits types of food to
Patricia and Angela with
links to a website
CardioChek Device
PoC Device for
cholesterol, HDL and
triglycerides
measurements
Angela,
Fellow Patient under
cholesterol lowering
medication, monitored
by Elizabeth Pill reminders,
Pill strips, boxes
enabled with ibeacon,
accelerometer
technologies
Patricia, Patient
under cholesterol
lowering medication
1
2 3
4
5
6
Activity Monitors
Help patients monitor
and track their
activities and wellness
7
8
Pharma Co. Monitoring
adherence data, health
outcomes, communicating
drug details, establishing
info exchange
Bettering Patients Lipid profile: A Case
Interoperability Work flow optimizations Empowering Patients
22
23. Pharma Co
Maintains backend Servers
for
1. Personalization engine,
2. Loyalty management,
3. Adherence management,
4. Regulatory compliance,
5. Patient notification,
6. Promotion management,
7. Customer service
8. End user application
management
9. Data analytics and
aggregation
Physician
Physicians applications that
talks to the Pharma Co
backend system for,
1. Data aggregation and
correlation,
2. Enter patient profile,
send prescriptions to
pharmacy,
3. Send alerts to Patients,
4. Send recommendations
to patient,
5. Collaborate with the
patient etc.
Pharmacy
Pharmacy application that
talks to the Pharma Co
backend systems and send,
1. Notifications Medication
refills,
2. Notifications Medication
Guides,
3. Redeem reward points
4. Recommendations to
patient,
5. Collaborate with the
patient etc.
End user
Apps/Techs
Patient mobile application
for
1. Activity tracking,
2. Adherence management
3. Redeem rewards,
4. Send data on the vital
parameters measured to
physician,
5. Share & track info with
fellow patients
6. Communicate with
sensors, smart bottle fitted
with Sensors, gyroscope,
ibeacons
7. Enter profile information
EmpoweredPatient
Value chain of an empowered patient
Interoperability Work flow optimizations Empowering Patients
23
24. Business Benefits and Patient Outcomes from IoHT
Physician
• Improved access to targeted
knowledge and information
• Improved patient engagement
• Improved access to all
patients
• Real time information
exchange
• Improved engagement with
and loyalty of physicians
• Engaged patient communities
• Improved transparency about
patient adherence
• Improved data exchange
• Enhanced revenues
• Lower operational costs
• Improved regulatory
relationships
Pharma &
Med Device Co’s
Patient
• Better access to relevant
information, and
promotions
• Engaged care
• Improved adherence
• Improved access to
caregivers
• Improved outcomes
• Effective and Lower cost
of care
24
25. Guna Sekaran
DGM & CoE Head
www.linkedin.com/in/sgunasekaran
guna.sekaran@cyient.com
@sgunasj
