The document discusses the potential of an intelligent, manageable and adaptive personal health (pHealth) platform. It notes that chronic diseases affect 60% of adults and pHealth platforms could help manage chronic care through personalized agendas, reminders, vital sign monitoring and more. It also discusses challenges around data management, privacy and ensuring platforms are easy for users and healthcare providers. The document emphasizes that data management is key but not the end goal, and that pHealth will be important for improving healthcare quality through closed-loop, evidence-based and personalized care enabled by new technologies.

1. An intelligent, manageable and adaptive
pHealth platform
H lh l f
Vicente Traver
Vicente Traver
E‐mail: vtraver@itaca.upv.es

3. Chronic diseases
Chronic diseases
60% adults
60% d lt


4. Kaiser Permanent Pyramid
level 3 High complexity
case
manageme
nt
t High complexity 3 5 %
3-5
of CDM population
60% of adult level 2 High risk
population
15-25% of CDM
disease/care population
management
level 1
self care
self care
support/
management
level 0
40% self care

7. Decision
support
system Intelligent DATA
pHealth
platform
Adaptative Manageable
User Easy to use,
scalable
profiling

8. Data Information Knowledge

9. Decision
support
system Intelligent
DATA
pHealth
platform
Adaptative Manageable
User Easy to use,
scalable
profiling

10. P
Personal Health R
l H lth Record
d
Microsoft
Microsoft
Google
Health Indivo …
Health
Vault
Public
Health Insurance Patients Private
y
System p
companies doctors

11. Ethics Privacy Law Trust
Challenges around data
g
management and PHR

14. > 100 milion Videos
> 4.500 milion
Images
ages
> 200,000,000 blogs
> 13milion articles
in wikipedia

15. June 8, 2009 article from Marketing Vox and Nielsen BuzzMetrics SES Magazine entitled:
Turning Blogs and user-Generated Content Into Search Engine Results, Chris Aarons, Andru Edwards and
Xavier Lanier

17. THE PRACTICAL SIDE

18. Chronic Care management

19. Chronic care management
Administrative data
Agenda
Alarms
Reminders
SMS
Personalized questionnaires
Vital signs

20. Chronic Care management
pHealth platform
pHealth platform
– Personal agenda, reminders, appointment
– EHR
– Medical Call Center
–MMessagingi
– Videoconferencing
– Alarms
– Vital signs telemonitoring
• ECG, BP, breathing rate, SpO2
• RS‐232, USB, Bluetooth

21. Chronic Care management
ArgoPC

22. Chronic Care management

23. Chronic Care management

24. Chronic Care management

26. The way for a proper data management
a proper data management

27. Lessons learnt
Better Evidence
Personalized Sustainable Closed loop
quality of
q y based
vs massive
i care services
i relationship
l ti hi
service medicine
Intelligent, manageable and adaptative p-health platform
The platform is a tool… Remember the goal …

28. ROI

30. To sum up and conclude
up and conclude
pHealth will happen. No other way. The question is when and how.
l h ill h h h i i h dh
Data management is a key factor to succeed but this is the way, not
the last goal
The Personal Health Record is the main pillar for the data
management
Ethical, law, trust and privacy data concerns have to be considered
30

33. An intelligent, manageable and adaptive
pHealth platform
H lh l f
Vicente Traver
Vicente Traver
E‐mail: vtraver@itaca.upv.es