Amazon’s Echo is just one example of how the anticipated, hands-free, screen-free, zero-UI world will change consumers’ lives. The upcoming zero-UI health care leaps will be astounding–at home, on the exam table, and in the hospital–tearing away roadblocks and smoothing over speedbumps leading directly to improved care and better outcomes.
16. The Zero UI has the opportunity
to help support people’s humanity.
17. AI provides information on a
human scale
Frictionless interaction through voice,
gestures, behavior
Interact with physical objects
Overview of Zero UI :
The echo and google nest are exciting pieces of technology that uses no visual user interface instead uses speech to interact with the information and objects. This along with other ‘zero UI’ interfaces have the opportunity to dramatically improve the healthcare system.
But first let’s take a look back in time.
If we look at ‘technology’ it tends fade toward ubiquity. Often changing from an posititive to a negative association.
Let’s look back in time
In the industrial revolution power was the most celebrated technology.
-ornate
-symbol of wealth
Fades into the background
Changes from wealth to pollution
Symbol of connected care
Distraction and
Former hospital in all its glory
Stark buildings were people go to die
We have to understand people
Technology in itese
At Ximedica we have spend a lot of time in people’s homes and in clinics really trying to understand people and their motivation, and use technology to facilitate systems that are empathetic to their needs and wants.
Well what are they?
Living their lives and doing activities that make them happy
Golf 9 holes
They want to have self-respect and be viewed by others in that way
Want a way to deal with daily stress and anxiety
They need to be reassured that they are doing the right thing.
Now back to zero UI. By becoming more ubiquitous is as a opportunity to support people’s humanity
Zero is backed up by artificial intelligence that can provide timely, actionable data on a human scale
Rather than learning another device, or interface it Zero UI uses voice, gestures and behavior to interact with technology
The reach of zero UI is further extended to physical objects including: lights, thermostats, etc
What are some stories of user. I have some personal stories to share
This is Vah. She is 93 and lives independently at home with a care taker. She is a writer and loves listening to old music
Since she is older, she has some mobility issues so she uses a walker to get around the house. Her central vision is reducing so she needs better illumination
Activities of daily life: weather, news, play old music
Turn the lights on to see better
Central vision reduction
Another personal experience: this is my daughter.
She is 1 and according to the American Pediatrics Association there should be no screen time before 18months reduced screen time from 2 hrs/day to one hour recommendation.
According to a study by common sense media people with children spend over 9.5 hours of screen time with doesn’t include work.
Reduced screen time
Shared experience
Calming effect of music
Let’s talk about how this is compared to healthcare
Healthcare horror story
Patient experience waiting for a doctor in a undignified gown
Clinician is super busy ending in ICD10 codes, and turns back to the patient
Patient worried about diagnosis
Insurance concerns
Call reports the test results
7 mins conversation average doesn’t give enough time to understand what the patient cares about or considers acceptable
A patient really might want to be able to play golf and their treatment plan should reflect this.
Half dressed in a gown while a fully dressed clinician pokes and prods you
Designed for clinician ease not patient
Payers, providers, and patient all lack a coordination of care and access to relevant clinical data
A patient is instead burdened by anxiety not only about their health but also how to pay for it.
Clinicians are burdened with entering in clinical data with specific codes into a confusing electronic record system or else they can’t get paid
Who is responsible for paying for my tests me or the payer… does the clinician know?
Am I going to be able to do what I love?
Complex care plans
See you in 6 months...
Just scratching the surface
Kinect in senior centers for PT
Boston Children’s patient education
UK using echo for prescription reordering and dispensing
Point out that they celebrate technology it will be like smoke stack
We at Ximedica have zero UI vision for healthcare in the OR. We want to facilitate access to timely and actionable data in these high stress environments. Since
Be able to understand individual gestures and voice in high stress environments
Not have another device in the room
Only there when needed
Presenting actionable data
act as support
Understands intension
During a patient visit we want to facilitate the communication between patients and providers. When information is needed, this can be accessed in a shared environment that will provide much richer, conversation. The clinician can spend time face-to-face with the patient and answer any questions.
Understand patient’s better in the facilitation of care plan creation
Understand current medication/CP compliance to inform what adjustments are needed
What other medical records are saying
Interact with the data together
No screen barrier
We are also looking at home to so that patients can age in place where they would prefer to be. We can provide remote patient monitoring based on vitals, and medication compliance and activity. The providers can have access to this information and better coordinate care
Rather than go to 3 doctors appointments per week, the speech system accesses a remote monitoring device and asks the patient clinically relevant questions.
Present patient experiences and preferences to the clinician to better cater Tx options based on lifestyle
Coordinate care across the 6+ providers
Manage complex medication regiments
Adjust care plan based on real-time data
This even as opportunities to have dynamic care plans and care on demand rather than schedule and wait.
This would dramatically improve the access for people like Vah. Who see over 3 doctors appointments per week and a counter of medications.
This would help vah with her appointments
we want to understand the optimized
we spend a lot of time understanding how they want to work and how the technology with facilitate that
understand the people and the environment, imagine the healthcare and the environments they are used in.