angus mccann, ibm. presentation at health-tech innovation labs conference 18.09.2015

InternetofThings

Angus McCannHealthcare Specialist, IBM Europe

& IBM Watson

“The future is already here – it's just not evenly distributed.” – William Gibson

“The wireless health market is gaining significant momentum. The global wireless health market is valued at

$23.8 billion in 2013 and is expected to reach $59.7 billion by 2018” – Markets

and Markets

“In 2020, Over 30 Billion Connected Devices Will Be In Use.” – Gartner

“By 2020, there’s gonna be loads of connected things, I can never

remember how many and it keeps changing. And they’ll generate a stack

of data.” Angus McCann

Things

flexible, easy-to-apply patch that continuously monitors and wirelessly transmits your child’s

temperature to your smartphone. No uncomfortable thermometers.

Preface to first edition of “A Treatise on the Diseases of the Chest, in which they are described according to their Anatomical Characters, and their Diagnosis established on a new Principle by means of Acoustick Instruments”, John Forbes M.D. 1821

“That it will ever come into general use, notwithstanding its value, I am extremely doubtful;

because its beneficial application requires much time, and gives a good deal of trouble both to the patient and

the practitioner; and because its whole hue and character is foreign, and opposed to all our habits and

associations”.

Adoption

Who buys?

Use cases… CHF, asthma, COPD

Patient adoption

Physician adoption

Integration/data linkage, analysis (automation), security/privacy, asset management

Big Data

Volume Variety Velocity Veracity

Data at ScaleTerabytes to

petabytes of data

Data in Many Forms

Structured, unstructured, text,

multimedia

Data in MotionAnalysis of

streaming data to enable decisions

within fractions of a second.

Data UncertaintyManaging the reliability and

predictability of inherently imprecise

data types.

Many Things > Much Data

Third Party Apps

IBM IoT Foundation Offerings

IBM IoT Foundation ConnectAttach, Collect & Organize, Device Management, Secure Connectivity, Visualization

IBM IoT Foundation Information ManagementStorage & Archive, Metadata Management, Reporting, Streaming data, Parsing and Transformation, Manage unstructured data

IBM IoT Foundation AnalyticsPredictive, Cognitive, Real-time, and Contextual

IBM IoT Foundation Risk ManagementSecurity Analytics, Data Protection, Auditing/Logging,Firmware Updates, Key/Cert Mgmt, Org Specific Security

Third Party Apps

The IBM IoT Foundation

IBM IoT – Get started today

Wide variety of supported devicesSelf ServiceOpen ecosystemSimple tutorialsConnect in moments

Learn more about IBM’s point of view on the Internet of Things ibm.com/IoTTry out Internet of Things on Bluemix ibm.biz/try_iotJoin us in our IoT conversations@IBMIoT

http://www-05.ibm.com/uk/internet-of-things-2015/

IBM Watson for Healthcare

“Medicine has become too complex. Only about 20% of the knowledge clinicians use today is evidence-based.”

Steven Shapiro

Chief Medical & Scientific Officer University Pittsburgh Medical Center

1. Information Systems Can Prevent Errors and Improve Quality, Balas EA, J Am Med Inform Assoc 2001

2. Strategies for coping with information overload. Smith.R. BMJ 2010

17 years < 5 hr / mth

81% of physicians spend < 5 hours / month reading

medical journals

“takes an average of 17 years to implement

clinical research results in daily practice” 1

Trainee in cardiac imaging:

40 papers a day

5 days per week

11 years to bring up to speed 2

40 /day

Healthcare is “dying of thirst in an ocean of data”

Easy Questions?

ln((12,546,798 * π)) ^ 2 / 34,567.46 = 0.00885

Hard Questions?

Computer programs are explicit, fast and exacting in their calculations with numbers and symbols….But Natural Language is implicit, highly contextual, ambiguous and often imprecise.

Where was X born?One day, from among his city views of Ulm, Otto chose a water color to send to Albert

Einstein as a remembrance of Einstein´s birthplace.

Structured

Unstructured

IBM Grand Challenges

http://www-03.ibm.com/ibm/history/ibm100/us/en/icons/deepblue/

Analyzes large volumes of unstructured

and structured data

Combines large amounts of unstructured data with structured data to be analyzed together

Interprets and understands natural language questions

Understands ambiguous and imprecise questions using sophisticated natural language algorithms

Generates and evaluates hypotheses and quantifies confidence in answers

Identifies many answers to questions with evidence to "explain" rationale for answers

Supports iterativedialogue to refine results

Enables iterative and interactive question and answering to refine and improve results

Adapts and learns to improve results over time

Learns from additional evidence, additional questions and mistakes to improve accuracy over time

Watson’s Five Core Capabilities

Business problem: Need better individualized cancer treatment plans

Solution: • Suggestions to help inform oncologists’ decisions

based on 600K+ pieces of evidence and 2M pages of text from 42 publications

• Analyzes patient data against thousands of historical cases and trained through 5000+ Memorial Sloan-

Kettering MD and analyst hours• Evolves with the fast-changing field

Attacking the cause of one in four deaths

Watson helping oncologists treat cancer patients

IBM WatsonOncology

Built with Memorial Sloan Kettering

Business problem: No easy way to search eligibility criteria at point of care to match patients to clinical

trialsSolution:

• Identify all the relevant clinical attributes needed to search across clinical trials for a disease

• Instantly check the patient’s eligibility• Provide an ordered list of relevant clinical trials with the degree of match

• Provide criteria (inclusion / exclusion) level evaluation based on the patient’s attributes• Dynamically re-evaluate the case based on changes to clinical attributes

Overall only 3%1 of cancer patients are on clinical

trials

Watson quickly matches patients to clinical trials

IBM WatsonClinical Trial

Matching

1 Medscape 23

Understanding natural language

Further Information

http://www.ibm.com/smarterplanet/us/en/ibmwatson/offerings.html

YouTube…

Content Analytics– http://www-01.ibm.com/software/ecm/offers/programs/icpa.html

In the nineteenth century health was transformed by clear, clean water. In the twenty-first century, health will be transformed by clean clear knowledge

--Sir Muir Gray

Chief Knowledge Officer

National Health Service, England

angus mccann, ibm. presentation at health-tech innovation labs conference 18.09.2015

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