This document discusses the potential for passive home-based monitoring and telemedicine to support wellness. It outlines how integrating data from multiple sources can provide ongoing wellness and health information to help maintain healthy lifestyles. Future technologies discussed include automated monitoring of vital signs, medications, sleep, and other biomarkers to facilitate early medical intervention and reduce healthcare costs through remote patient monitoring.
2.
Wellness
Feeling well
Achieving wellness
Wellness strategies
Denial or retraining
Wellness Support
Growing need for new
sources of data, and data
,
interpretation
Integration of multiple
diagnostic sources (clinical,
radiology, molecular
biology, pharmacy, lifestyle)
Integrated wellness and
health record
Ongoing information
support for maintaining
healthy lifestyles
3.
Wellness Support
Food coaching
g
Exercise rewards
Consequence
reporting
Consequence
forecasting Overcome vicarious
goal fulfillment or,
“exhaustion of self-
control”
Home Health IT
Cloud
Integration of multiple Interpretations
information sources
(wellness,
socialization, medical)
New revenue source:
Medical Cloud
coaching and
hi d
Interpretations
4.
AN EXAMPLE
SALT, THE #1
KILLER
Vogue 4‐10
Example of Medical Cloud
Interpretation
Hypogen-DX
(Hypertension/Salt
Sensitivity Genomic
Interpretation)
3 SNP test ($300)
Proprietary algorithms
Determines probability
of developing HT or
SS
1st Example of
Molecular Diagnostics
for Chronic Disease
5.
Wellness Technologies Cognitive Social
6.2 9.1
Nutrition 8.0
Physical
Exercise
Biometrics
Stress reduction
Mood enhancement
Pain reduction
Sleep improvement
Health and wellness monitoring
New Communication Paradigms
6.
Embedded Wellness Sensors
Instrument common
fixtures
Wireless
transmission of data
Web based
aggregation and
interpretation
Action Inspired Instruction
Real time coaching
Medically approved
content
Tailored for the
individual
7.
Passive Wellness Monitoring
Healthcare providers
Vital Sensor
·Body temperature
·Pulse
Urine analyzer ·Blood Pressure
·Body fat percentage
Urine protein
Data management PC Urine glucose
The M.A.R.C. In-Home
Health Monitoring Project
C
Create a model where the impact of chronic
d l h h i f h i
disease is delayed or avoided
Provide opportunity for medical intervention
before a crisis occurs
Minimize impact of chronic disease on the
healthcare system
Potentially delay admittance to a nursing home
and reduce the cost of healthcare
8.
Passive Wireless
Sensor Systems
WellAWARE™, provides unobtrusive, highly
accurate wellness monitoring services to allow
individuals to age with options.
15
Passive Remote Sensing
The WellAWARE™ solution has three primary
elements that work together to provide passive, yet
informative, monitoring of seniors:
Wireless Sensor Array (WSA) – gathers data on daily activities
Data Manager (DM) –transmits data to data analysis servers
Capture Analysis & Reporting Engine (CARE) – captures potential
problems and alerts caregiver
9.
Sleep Monitoring
Sleep apnea affects more
than 40 million people in the
United States alone of which
85% are currently
undiagnosed
sleep apnea testing and
therapy market that is
expected to reach more that
$4 billion by 2012
Passive Vital Sign Bed Monitor
Polysomnography
Mattress pad to measure:
• Sleep quality
• Pulse (and HRV)
• Breathing
• Movement/
restlessness
• Bed exit
• Subject position/
turning
• Body temperature
• Blood Pressure
Passive Sensing
10.
Sleep Quality Graphs
Restful Resident
Restless Resident
Remote Automated Triage
Real time assessment of participant health
status/well being
Ability to drill down to specifics
Built in automated optimized dispatching
Manual override of dispatch event or
downstream processes
11.
21
One Click Trending
Health
Socialization
System
utilization
12.
Telehome Monitoring Decreases
Costs by 74%
Overall Cost of Care Comparison
80000
70000
$67,757.88
60000
onitored
50000
Dollars $
40000 Unmo
30000
20000
$17,407.02
10000 Monitored
0
N=21 in each group, P<0.05;
Telemed J E Health,
FUTURE WELLNESS
TECHNOLOGIES
14.
Automated Pharmaceuticals
Automated Pill – iPill (Philips)
Magnatrace™ System looks for p
g y pill
ingestion
Networked pills (Proteus
Biomedical)
Instrumented Pills
Cost < $0.01
Measure and send physiologic signals
through body electrically
Receiver is a patch worn on the body
that also logs respiration, heart rate and
body movement, sleep patterns
Automated Intestinal Biopsies
Intestinal diagnostic
imaging coupled with
miniaturized biopsies
Pillcams with
intestinal “Velcro” to
arrest the camera at
a selective l
l ti location
ti
Continuous
monitoring
MIT Technology Lab
15.
The Eye as the Window to Health
UCSC
Univ. of MD, Baltimore
Medical Robotics
Medical Robotics, LLC
Real time glucose
monitoring
Alerts for low or high
glucose concentrations
Trending analysis
Food coaching via
telenutritionalmentoring
16.
Receptivity
Presenting health vs
wellness to a patient
Determining what
information is TMI
Optimizing the time
for the presentation
of wellness strategies
“Wellformation”
Augmented Reality
Projection of
underlying anatomy
d l i t
on living tissue
Relies on
superimposition of
reality and
previously scanned
animated image/data
20.
The Wellness Health Paradigm
Evaluation
Predictive Continuous
and
Diagnostics Monitoring
Reporting
Medical Automation.org
A non-profit
educational
organization
improving
healthcare quality
and efficiency
through teaching
automation
principles and
their application in http://medicalautomation.org
health systems