innovations in wireless technology - tcbi.org · innovations in wireless technology ... netmotion...

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Innovations in Wireless Technology

Richard AdlerPeople & Technology/Institute for the Future

Bradley KreitInstitute for the Future

Healthcare Unbound June 22, 2009

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HealthCare Unplugged (Nov 2007)

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Evolution of Mobile Phones

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Evolution of Mobile Phones

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Remote Monitoring for Health

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Texting for Health

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T4H: SexINFO

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T4H: Text2Quit

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T4H: mDiet

A randomized controlled trial of an SMS/MMS mobile phone application to improve dietary behaviors in overweight and moderately obese men and women age 25 through 55 years.

At the end of four months, the intervention group lost 4.25 lbs more than the control group

mobile Dietary Intervention Through Electronic Technology

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New Combinations

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Future Advances

- Faster networks (3G...4G)

- Better sensors

- More elegant algorithms

- Improved engagement strategies

http://enews.buy.com/cgi-bin5/DM/y/nrFN0MkKRK0Pk10CbKS0GA�

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Remaining Barriers

- Who pays?

- Privacy & security concerns

- Network interoperability

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Panelists

Jay CouseDiversinet Corp

Amy TingNetMotion Wireless

Clint McClellanQualcomm

Kendra MarkleKaiser Permanete

Jay Couse Slide Set

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NetMotion Wireless Confidential

Innovations in Wireless Technologies: The NetMotion Wireless Perspective

Amy TingSr. Marketing ManagerNetMotion Wireless

June 22, 2009

6/23/200915


Increasing Need for Clinicians to Connect in Mobile Environments and Across Delivery Systems

6/23/200916


Top Five Challenges for Wireless Healthcare Deployments

Physical connectivity issues Wi-Fi: basements, elevators, older facilities, etc.

Cellular: coverage gaps, unfavorable terrain, “urban jungle”

Technology connectivity issues Available bandwidth

Meeting user demand Need for transparent systems & persistent applications

Security considerations How to secure the network, data and “rogue” devices

Network management Need for reliable networks and to minimize help desk calls

6/23/200917


Traditional VPNs Not designed for Wireless Networks or Dynamic, Mobile Workers

Complex to implement

Adds 30% overhead

Lack support for internetwork roaming

Lack support for application persistence

No bandwidth management

Limited visibility

Often results in need to reauthenticate and restart applications

“Not the right toolfor the job.”


6/23/200919

Solves key challenges faced by clinicians & health IT managers:

Application persistence - Persist applications through lost coverage

Security –AES Encryption to support HIPAA compliance

Roaming – Seamless movement through coverage gaps and between networks (Wi-Fi to cellular data)

Best bandwidth selection – Always selects fastest network

Data network optimization – Faster speeds across cellular data

Central management - Monitor and control deployment from web browser

Proactive notifications – Identify potential problems before they occur; dramatically reduce help desk calls

Mobile Virtual Private Network (VPN): New Category to Address Mobile Challenges


6/23/200920

Secure, turnkey client server software

Supports laptops, tablets & smart phones

Complements existing IT systems & mobile deployments

Mobility XE – Mobile VPN


Potential to Transform Healthcare with Mobile VPNsIncrease speed and quality of care Faster patient diagnosis and treatment

Better outcomes with real-time data Verify meds/blood type at point of care

First responders transmit data to ED

Enhance patient experience Reduce number of hospital/doctor visits

Bring care to patient: diagnostic tests, home monitoring

Improve bottom line Facilitate supply chain management, improve operations

Faster billing6/23/2009

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St. Luke’s Episcopal Health SystemSituation Magnet hospital known for innovation in medicine & health IT Staff use wireless laptops/tablet PCs/handhelds

Challenges Maintain secure connection to records Maximize ROI for medical equipment

Solution: Mobility XE VPN, mobile scanning units

Results HIPAA-compliant security for patient information Eliminates need to re-login/re-key data due to wireless coverage gaps Anywhere, anytime access to charting applications and patient records More secure, reliable blood management system Facilitates coordination of services and payment by insurers Faster room changes increased ICU bed availability by 400% Real time access to test results for faster patient diagnosis & treatment

6/23/200922


Marshfield ClinicSituation Needed access to imaging/EMRs at POC 5,600 employees, 800 physicians Staff moves between 40 clinics/hospitals/LTC

Challenges How to best secure the system Wanted to control customer and consultant access Needed freedom to move between home wireless systems, WANs and LANs

Solution: Mobility XE VPN, Tablet PCs running Windows XP

Results• Data stays secure as team moves between local and remote facilities• Phenomenal acceptance by clinicians – put data at POC and freed providers• Ability to save millions of dollars a year

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Visiting Nurse Service of New YorkSituation 2,500+ home health clinicians. Deployed tablet PCs for real time access to patient data Spikes in data transmissions interrupted access to server

Challenges Need secure, mobile access to EMRs & patient data Wireless access created device complexity for clinicians How to push anti‐virus updates to remote client devices

Solution: Mobility XE VPN & cellular data cardsResults Roam between networks without intervention Secure access to EMRs & point-of-care applications Control access to Internet sites; protect against viruses Freed clinicians to focus on patient care Real-time data entry facilitates faster billing

6/23/200924


6/23/200925

How to Overcome Key Challenges

Challenge Solution1. Unaware solution exists Spread the word2. “It’s too expensive” ROIs quickly cost justify purchase3. How to teach “old dogs”

new tricksAdopt best practices for change management

4. Still on paper system Use ARRA funds to exit middle ages

Qualcomm Incorporated Proprietary & Confidential 26


Every Body on the Netsm

Collapsing Time and Spacein Healthcaresm


Connectivity Matterssm


750+ million 3G mobile broadband subscribers today


Source: Wireless Intelligence

Forecasted to Grow to 1.6B+ 3G Subscribers by 2012

3G

Wireless health market development

Innovative Business

Development Opportunities

Qualcomm Wireless Health

Initiatives

Ecosystem of Partners &

Organizations

Technology Incubations &

Spinouts


mHealth Alliance

Qualcomm Research and Development

Qualcomm Ventures

BAN 3GWWAN

Phone is the most personal device

4.0 billion cell phones Over 3 Billion More Than Any Other Computing or Consumer Electronics Device

• Security/access control • Increased Mobility• Realtime data streaming


BAN

Phone reminds patients

Qualcomm Incorporated Proprietary & Confidential33

Innovative Business

Opportunities

Confirms Compliance with Loved Ones

Survey Surveillance Features

Drug-to- Drug Interactions

Convenient Medication List Management

Innovative Business Development Opportunities

A Wireless Patch Drug Delivery system delivers specific medication doses, and sensors transmit data for monitoring and therapy management.

• Control Patch Activation• Monitor Use• Monitor Therapy• Adjust Drug Delivery• Monitor Patient Physiology

Smart Band-Aidssm enable people to measure information while exercising for personal performance.

Health maintenance• Heart Rate• Respiratory Rate• Distance/Steps taken/Relative motion• Speed• Elevation• Calories Burned & Calories Consumed


SMART Band-Aids

Innovative Business

Opportunities


MicroCHIPS’ implantable devices monitor and dispense the amount of medication the body needs.

• Osteoporosis• Diabetes• Cardiology• Ophthalmology


Proteus Biomedical develops products that integrates electronics into existing pharmaceuticals to improve therapeutic outcomes. Embedded transmitters in pills are activated when patients digest them.

• Measures Compliance• Improves Therapeutics

Innovative Business

Opportunities


http://www.proteus.bz/index.html�


Smart Band-Aidssm are merging wireless body-area network communications (WBAN) with improved biosensors and continuous blood pressure.

• Continuous Blood Pressure• Heart Rate• SP02• Other Key Vital Signs

Home Health Hubs enable people to capture and wirelessly transmit vital signs, improving health, and fitness maintenance.

Remote Care• Caregiver Connections• Diagnostics• Monitoring

Health Maintenance• Coaching• Diary Functions

Omron Pedometer

Omron Body Composition Meter

Omron Blood Pressure Monitor

Johnson & Johnson Glucose Meter

Healthcare Devices

Cellular Network

Technology Spinouts

Transforming Healthcare


Diabetes ManagementMobile Personal Emergency ResponseElderly Users

Technology Spinouts

Consumer ‘Health Phones’ & Carrier ‘Health Network’

The intelligent connection to health

• Multimedia connections between patients and their physician by mobile phone video chat, instant messaging, email and text messaging

• Health Consultation-Any network, any device, anywhere

The Doctor is In.


Technology Spinouts


Thank you

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Kendra Merkle Slides

EncouragingWell-Being &

Happiness

PreventingIllness

AidingTreatment &

Recovery

I’m sorry to detect you’re in traffic. Would you like to:

• Listen to relaxing music• Practice mindfulness

Your meeting with your boss begins in 5 minutes. For the next 30 seconds, imagine yourself relaxing at a warm, sunny beach..

Proximity Alert:It’s almost lunchtime and you’re passing a healthy

restaurant.

• See healthy menu items• Get directions Todd is now at the gym.

You need 45 more minutes of exercise to meet your weekly goal.

11 of 15 of your teammates have already met their weekly goal.

• Alert Todd that I’m on my way

innovations in wireless technology - tcbi.org · innovations in wireless technology ... netmotion...

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