iot potential in asia healthcare system_i4

Exploring the potential of IoT in Asia healthcare system

Guna Sekaran

DGM & CoE Head

Cyient Service Portfolio and Industry Focus

2

Product Engineering Process Engineering Network Operations Data Transformation

Solutions for design and

manufacture of products

Solutions for design and

operations of process plants

Solutions for design,

maintenance and operations

of networks

Solutions for creation,

updating and analysis of

geotechnical data

Electronics; Embedded

Software; Electrical Design;

Mechanical Design;

Manufacturing Engineering

Front End Design;

Instrumentation & Controls;

Civil Structures; Piping;

Electricals

Network Design, Planning &

Analysis; Operational

Support; Network

Management &

Optimization; Geospatial

Asset Management

Geospatial Services;

Content Management;

Geological Management;

Software Development

Aerospace, Rail

Transportation,

Semiconductor, Medical

Devices, Industrial

Equipment, Off-highway

Equipment,

Thermal & Nuclear Power

Plants, Oil & Gas Extraction,

Chemical Plants, Mining

Utilities, Telecoms Geospatial Publishing,

Mining, Oil & Gas

2

Almost ‘anything’

—including ‘living things’—

connected to the internet regardless of

location or other physical restrictions.

Internet of Things

3 Source: Gareth Baxendale, Head of Technology Services at the NIHR Clinical Research Network

M2M vs IoT vs IoE

4 Source: IDC

Machine to Machine

M2M Internet of Things

IoT Internet of Everything

IoE

A Device that captures an Event Transmits it over a network To an Application, which translates it to meaningful information

A Network of uniquely Identifiable things that Communicate with out human Intervention using IP connectivity

Bringing together the People, Things, Process and Data to make network connections more relevant by turning information into actions

5 IoHT Devices 32% (Now at 10%) IoT Devices 68%

IoT Market Prediction

IoHT Focus Areas

6

IoHT Focus Areas

Integration of systems and

platforms

Fitness Tracking

Chronic Disease

Management

Elderly Care Management

Ambulance and Tele-diagnosis

Medication Alarm and Tracking

Clinical Trial Management

Health Monitoring in Automobiles

Healthcare BPOs

IoHT Ecosystem

7

IoHT Ecosystem

Primary/ Secondary

Care

Pharma Cos and Supply

chain

Payer/ Insurance

Companies

Hospitals & Diagnostic

Labs

Home Healthcare

Setup

Collaborative Platforms

Telecom and networking

Co’s

Regulatory Bodies

ACO’s

What can IoT deliver to Healthcare?

8

Ability to react with Speed

Monitor Patient condition

Ability to Act at Scale

Ability to prevent diseases

Empower Patient Hig

he

r Q

uali

ty H

C D

eli

very

Ability to Reduce Healthcare Cost

5

6

6

7

8

9

Your Mobile is an IoT Healthcare device!

9

The average person checks

mobile phone 110 times a DAY!

Check your Heart Rate (Instant Heart Rate)

Check your Walking/Cycling distances (Moves)

Track your Food Intake/Exercise calorie trends

(MyFitnessPal)

Reminder app to drink water (WaterYourBody)

Pill reminder (My Pillbox)

According to data compiled by New York-based app Locket

Curative vs Preventive Healthcare

10

Prevention

Universal

• Whole population

Selective

• Population at risk

Indicated

• Early Signs

Curative

Repair medicine

• Diagnosis

• Treatment

Maintenance care

• After care, rehabilitation

• Chronic disease

management

Challenges in IoHT

11

Interoperability between devices/systems

Regulatory requirements

Privacy and Data Security

Work flow changes/optimization

Connecting existing systems to internet

Portability and Miniaturization

Battery life

Sensor design & signal conditioning

Product Cost to the User

Mindset to Adopt IoHT Technologies

Doctors and Patients

Impacts of IoT solutions in Healthcare : Study

12 Source: ESCP Study

Designing IoHT Solutions

14

Understand Ecosystem needs

• Who are the affected stakeholders in the Ecosystem

• How can we measure success

• Regulatory needs

• Business model

• Interoperability & Integration

Understand patient needs

• Usability: Ease of Use, Adoption, Installation

• Accessibility: Smart Phone or Tablets?

• Wellness or prevention or diagnosis or Treatment

• Patient journey with the product – physical, emotional

• Age group and demography

Understand Clinical needs

• What is the clinical need of the solution

• Improved HC outcomes – How can it be measured?

• Economical advantages

• Speed of care – how can it be measured?

• Operational efficiency – how can it be measured?

3 Areas To Explore

Empowering

Patients

Work flow / Process optimizations

Interoperability between

devices/systems

Products and Solutions that Offer work flow

optimizations to reduce wait time, quicker

data acquisition and turn around etc.

Products and services that empower Patients

to act on their health status

Solutions that enable host of Health devices

interoperable with device access and control

Interoperability Work flow optimizations Empowering Patients

15

$2bn

$3bn

$18bn

• Reduced cost of care secondary to avoidance

of redundant testing

$36bn

• Annual health care savings

due to Interoperability

• Quality improvement through reduction of adverse

events due to safety interlocks

• Increased clinician productivity secondary to decreased

time spent manually entering information

$12bn

• Increased capacity for treatment secondary

to shortening length of stay

Westhealth Institute report on THE VALUE OF MEDICAL DEVICE INTEROPERABILITY : March 2013

90% of hospitals use six or more types of devices that

could be integrated with EHRs

ONLY one third of hospitals actually integrate medical

devices with EHRs today

Fewer than 3 types of devices on average are integrated

in those hospitals investing in interoperability

$1bn

• Avoided development testing and integration costs based on use

of commonly adopted standards

US Healthcare Cost: 2.4

Trillion USD

Cumulative Wastage :

700Bn USD

Inter -operability savings :

36Bn USD

Breakdown

of

Estimated

Savings

from Inter-

operability

Healthcare Waste:

Any activity that does not add

value to the continuum of care

25 July 2015 | 16

Need for Interoperability


16

Data interoperability: Agreement/consistency in formatting, storage, querying, and synchronization of data

Communication interoperability: Consistency in transmission and reception of messages between nodes

Semantic interoperability: Agreement/consistency between systems on the meaning of communicated information

Workflow interoperability: Agreement/consistency on how technology supports/shapes the workflow

25 July 2015 | 17

Challenges

• Co-existence of devices with disparate interfaces

• Balancing need for standardization and customization

• Latent interoperability failures

Needs

• Interoperability should be a function specific

• Interoperability should be continuous

• Interoperability should be seamless

• Need to address all the hidden vulnerabilities

Technological Dimensions

Interoperability – Challenges, Needs and Dimensions


17

Interoperability Key Use cases

Monitoring

Controlling

Storing

D2D Communication


Interoperability use cases Various HMI apps for

Accessing and

Monitoring Medical

devices

Various HMI apps for

controlling Medical

devices remotely

Medical devices to

seamlessly

communicate with

any EHRs

Device to Device

communication to

support better health

outcomes 18

Interoperability : Monitoring

19

A patient walks in to the clinic

Patient wears all the required sensors

Nurse/Doctor takes a photo/video using an

interoperable Glass to read Biosensors data

Health data are recorded in a Photo/Video

The report stored in EHR and shown on the Glass to

Clinician on the move

Reduced wait time: Quicker data acquisition and clinician turn around!


Interoperability :D2D Communication

20

A Cancer patient under patient-controlled

analgesia (PCA)

Patient asks for more dosage due to pain

Nurse/Doctor increases dosage on PCA pump,

which is interoperable with a patient monitor

Due to increased PCA dosage patient Spo2 drops

Pump disconnects infusion due to dropped Spo2 data

from PM

Dosage Error is avoided without nurse intervention


Westhealth Institute report on THE VALUE OF MEDICAL DEVICE INTEROPERABILITY : March 2013

4 IoHT trends that Empower Patients

Empowered Patient

Now Care

Shared

Care

Engaged

Care

Smart

Care

Communication: The ability to communicate anytime anywhere increases virtual face time with doctors

via mobile applications and home health platforms.

Gamification: A growing body of research has shown that games are a “non-pharmacological

intervention” that can actually help people be better patients – by increasing their engagement in care,

improving adherence and boosting resilience.

Self

Mo

nit

ori

ng

: S

mart

Health is a

n

effective m

easure

that

can h

arn

ess n

ew

,

afford

able

mobile

technolo

gy w

ith t

he

pote

ntial to

measure

dis

ease s

tate

,

deliv

er

convenie

nt, e

ffective c

are

to

patients

.

Partic

ipatio

n: It h

as b

een d

em

onstra

ted

that lin

kin

g w

ith o

ther p

eople

facin

g

sim

ilar h

ealth

pro

ble

ms h

as h

olis

tic

health

benefits

and th

e o

nlin

e w

orld

is

tailo

r-made to

facilita

te th

is s

harin

g a

nd

gro

up p

roble

m-s

olv

ing.


Elizabeth Prescriber MD Primary Care Physician Gives prescriptions for

cholesterol lowering medication, apps, adherence needs

Bob Aspirin (Retail

Pharmacist) shares with John drug specific instructions

DD Sister (Nutritionist), Texts off-limits types of food to Patricia and Angela with

links to a website

CardioChek Device PoC Device for

cholesterol, HDL and triglycerides

measurements

Angela, Fellow Patient under cholesterol lowering

medication, monitored by Elizabeth Pill reminders,

Pill strips, boxes enabled with ibeacon,

accelerometer technologies

Patricia, Patient under cholesterol

lowering medication

1

2 3

4

5

6

Activity Monitors Help patients monitor

and track their activities and wellness

7

8

Pharma Co. Monitoring adherence data, health

outcomes, communicating drug details, establishing

info exchange

Bettering Patients Lipid profile: A Case


22

Pharma Co

Maintains backend Servers for

1. Personalization engine,

2. Loyalty management,

3. Adherence management,

4. Regulatory compliance,

5. Patient notification,

6. Promotion management,

7. Customer service

8. End user application management

9. Data analytics and aggregation

Physician

Physicians applications that talks to the Pharma Co backend system for,

1. Data aggregation and correlation,

2. Enter patient profile, send prescriptions to pharmacy,

3. Send alerts to Patients,

4. Send recommendations to patient,

5. Collaborate with the patient etc.

Pharmacy

Pharmacy application that talks to the Pharma Co backend systems and send,

1. Notifications Medication refills,

2. Notifications Medication Guides,

3. Redeem reward points

4. Recommendations to patient,

5. Collaborate with the patient etc.

End user Apps/Techs

Patient mobile application for

1. Activity tracking,

2. Adherence management 3. Redeem rewards,

4. Send data on the vital parameters measured to physician,

5. Share & track info with fellow patients

6. Communicate with sensors, smart bottle fitted with Sensors, gyroscope, ibeacons

7. Enter profile information

Em

pow

ere

d P

atient

Value chain of an empowered patient


23

Business Benefits and Patient Outcomes from IoHT

Physician

• Improved access to targeted

knowledge and information

• Improved patient engagement

• Improved access to all

patients

• Real time information

exchange

• Improved engagement with

and loyalty of physicians

• Engaged patient communities

• Improved transparency about

patient adherence

• Improved data exchange

• Enhanced revenues

• Lower operational costs

• Improved regulatory

relationships

Pharma &

Med Device Co’s Patient

• Better access to relevant

information, and

promotions

• Engaged care

• Improved adherence

• Improved access to

caregivers

• Improved outcomes

• Effective and Lower cost

of care

24

Guna Sekaran DGM & CoE Head

www.linkedin.com/in/sgunasekaran

[email protected]

@sgunasj

Thank You!

www.linkedin.com/in/sgunasekaran

[email protected]

@sgunasj Guna Sekaran DGM & CoE Head

iot potential in asia healthcare system_i4

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