the inside story: ge healthcare's industrial internet of things (iot) architecture
TRANSCRIPT
The Inside Story: GE Healthcare's Industrial Internet of Things (IIoT) Architecture
Matt Grubis, Chief Engineer, GE Healthcare's Life Care Solutions
Stan Schneider, CEO RTI
Digital Health… the future of Healthcare!
Matthew GrubisChief EngineerGE Healthcare –
Life Care Solutions
GE Healthcare Today • $18 billion: global business unit of GE
• 46,000: number of employees
worldwide
• $1 billion+ per year investment in R&D
• 35,800 patents filed by GE since 2000
• Core strengths in bio-sciences,
medical imaging & information
technologies
• Headquartered in Pollards Wood, UK
–President: John Flannery
BROAD SOLUTIONS FOR HEALTHCARECustomers
Healthcare IT
Healthcare systems
Life sciences
Surgery
Healthcare partners
Global services
CUSTOMERSOUR KEY CUSTOMERS
INCLUDE:
• Healthcare systems,
hospitals, and clinics
–Physicians
–Clinicians
–Nurses
–Executives and administrators
–IT managers
–Biomedical engineers
–Construction managers
• Government officials
• Pharmaceutical firms
• Genetics researchers
• Bio-science researchers
ANESTHESIA DIAGNOSTIC CARDIOLOGY
MATERNAL INFANT CARE
MONITORING SOLUTIONS
RESPIRATORY
Life Care Solutions Wherever there is a patient
JB32789US
The Things of Caregiving
Title or Job Number | XX Month 201X 7
1.5 GB of raw
physiological data
per day for the
“average”
monitored patient.
8
Global Healthcare themes
Life expectancy 6.7 years over last years, population
growing
15% of pop have asthma, hypertension or diabetes
100M hospital patients per year are monitored partially
Hospital acquired infections…sepsis number one “killer”
Adverse events…0.5M preventable deaths per year
Clinician “alarm fatigue” is at risk to every ICU’ patient every
day…ECRI #1 Hazard
Acute care: 5% of patients, 50% of care givers…80% of
resources
Length of stay, re-admissions, manual errors…costs
Pre-hospital/Sub-acute/Home: 95% of patients, 50% care
givers…20% of resources
9
Chronic disease … the “industry” future
35 million deaths from chronic disease
80% of chronic disease deaths occur in
low-mid income countries
1 billion people overweight in developed
& developing countries
U.S. cost of chronic disease on path to double by 2020
Diabetes set to double in 10 years,
stroke & heart disease rising
Cardio-
vascular
diseases
Cancer Chronic
respiratory
disease
Diabetes
17.5M
7.6M
4.1M1.4M
Chronic disease deaths
worldwide
Sources: WHO Preventing
Chronic Diseases, Milken
Institute Analysis
U.S. projected rise in chronic disease:
2000-2020
29%
Cance
r
62%
53%
42% 39%
31%
Diabete
s
Heart
disease
Hyper-
tensionPulmonary
Stroke
1
2
3
4
5
6
By 2020, 75% of all deaths and costs result from chronic disease
10
Industry productivity … or lack thereof
-0.8%
-0.7%
-0.3%
2.3%
2.5%
3.5%
4.0%
6.0%
7.2%
7.6%
Healthcare
Education
Mining
Transportation
Manufacturing
Utilities
Retail Trade
Telecom Services
Internet & Data Processing
Computers & Semiconductors
Productivity Improvement %, 1990-2010
Source: McKinsey & Company, “How US healthcare
companies can thrive amid disruption”, June 2014
11
Global Industrial Internet Themes
1 Internet of Things – A living network
of machines,
data and
people
2Intelligent Machines – Increasing system
intelligence through
embedded software
3Big Data – Transforming massive
volumes of information into
intelligence
4Analytics – Generating data-driven
insights, enhancing
performance
12
The value to customers is huge Connected machines could eliminate up to $150 billion in waste across
industries
13
Introducing the GE Software Center
Igniting the next industrial
revolution by connecting
minds and machines
$1B investment
over 3 years
•Launched in 2011
•Silicon Valley
location, expanding
•Strategy for talent
acquisition & growth
14
What is Digital Health?
15
What is Digital Health?
• Care delivered in an analog/paper way
• Physicians largely unaware of
patients’ health until:
-Annual checkups
-Emergency events
-Chronic disease follow up visits
Digital/networked tools of tomorrow enable:
• Real-time, continuous information across
care settings
• Comprehensive & relevant view of health
• Chronic disease management, wellness,
and prevention
Analog Digital & networked
Source: http://storyofdigitalhealth.com/
16
The promises of Digital Health
Digital technology will enable novel clinical applications and health delivery
models within and beyond the traditional care continuum
The convergence of hardware, software and services will
enable novel integrated healthcare solutions. Digital
technology is expected to drive structural changes.
Care will shift out of the hospital... …and focus more on prevention & management
Prevent Treat Manage
• Telemedicine
• Condition-specific solutions
• Patient-centric devices
• Consumer incentives & “gamification”
• Collaborative care
• Remote monitoring
Source: GE analysis
17
Vision: A complete “Life Care” Ecosystem
Source: GE analysis
18
Connectivity Critical for the Life Care Ecosystem
Connectivity that is:
• “Real-time” – less than a second to distribute
physiological information and events.
• Robust – overcomes faulty mediums (WLANs,
WANs)
• Durable – allows for loss of connectivity
• Secure – endpoint authentication, subscription
authentication, encryption, auditing
• Architected – fan-out is by design and not the
burden of the endpoint (weakest point in
network), or only a single infrastructure point
(choke point).
• Conservative – with bandwidth (end-point
filtering), with memory, with CPU… especially on
battery operated wearable devices
• Scalable – from 2 devices to 200,000 devices –
keeping burden on client level while maintaining
robustness
• “Internet Friendly” - Supports NATs and
Firewalls
19
GE HealthCare is Using DDS Provided by Real-time Innovations
• Proven vendor of DDS
technology stack in
multiple segments
• End-point support for
multiple operating
systems
• Full and robust security
solution
• Additional OOB services
for routing and discovery
• Outstanding set of design,
troubleshooting and
monitoring tools
• Very capable and
responsive support staff
• Experience in mission-
critical systems
The Industrial IoT & RTI Connext DDS
Stan Schneider, RTI CEO
IIC Steering Committee Member
The smart machine era will be the most disruptive in the history of IT-- Gartner 2015
©2015 Real-Time Innovations, Inc.
The IIoT Disruption
©2015 Real-Time Innovations, Inc.
The real value is a common architecture that
connects sensor to cloud, interoperates
between vendors, and spans industries
Common technology that spans industries brings bold new approaches and enables fast change
200+ companies strong
Goal: build and prove a common architecture that spans sensor to cloud, interoperates between vendors, and works across industries
200+ Companies, 27 Countries
RTI’s Experience
• Over $1T of IIoT designs– Healthcare– Transportation– Communications– Energy– Industrial– Defense
• 15+ Standards & Consortia Efforts
– Interoperability– Multi-vendor ecosystems
• “Most Influential” IIoT vendor
©2015 Real-Time Innovations, Inc.
Provide a Common Platform
©2015 Real-Time Innovations, Inc.
Revolution®
"GE Healthcare chose the DDS standard because it can handle many classes of intelligent machines.
RTI Connext DDS satisfies the demanding requirements of our devices and supports standardization on a single communications platform across product lines."
-- J Gustavo Perez, General Manager for
MI&CT Engineering
GE Healthcare's IIoT Architecture
©2015 Real-Time Innovations, Inc.
"GE Healthcare is leveraging the GE
Digital Predix architecture to connect
medical devices, cloud-based analytics,
and mobile and wearable instruments.
The future communication fabric of its
monitoring technology is based on
RTI's data-centric Connext DDS
platform.”-- Matt Grubis, Chief Engineer, GE
Healthcare's Life Care Solutions
http://www.rti.com/mk/webinars.html#GEHEALTHCARE
Connect Vehicle/Cloud/Infrastructure Systems
Physio-Control supplies emergency response medical equipment to 60% of the world’s emergency vehicles
"Physio-Control is utilizing RTI Connext DDS to exchange critical patient care information throughout the system of care.“
-- Dale Pearson, VP Data Solutions
©2015 Real-Time Innovations, Inc. Permission to distribute pdf granted to IoT SWC
We envision a society in which no person dies from acute, treatable medical events
DDS is Different!
©2015 Real-Time Innovations, Inc.
Data-Centric
DDS
Shared Data Model
DataBus
Point-to-Point
TCP Sockets
Client/Server
MQTTXMPPOPCCORBA
BrokeredESB
Daemon
Publish/Subscribe
FieldbusCANbusZeroMQJMS
Queuing
AMQPActive MQ
Data Centric is the Opposite of OO
Object Oriented• Encapsulate data• Expose methods
Data Centric• Encapsulate methods• Expose data
ExplicitShared
Data Model
Data Centricity Directly Controls Flow
• Global Data Space– Automatic
discovery– Read & write data
in any OS, language, transport
– Type Aware– Redundant
sources/sinks/nets
• No Servers!• QoS control
– Timing, Reliability, Redundancy, Ordering, Filtering, Security
©2015 Real-Time Innovations, Inc.
Shared Global Data Space
DDS DataBus
Patient Hx
Device Identity
Devices
Sup
ervi
sory
CD
S
Physiologic State
Nu
rsin
g St
atio
n
Cloud
Offer: Write this 1000x/sec
Reliable for 10 secs
Request: Read this 10x/secIf patient = “Joe”
Why Choose RTI Connext DDS?
• Reliability: Severe consequences if offline for 5 minutes?
• Performance/scale:
– Measure in ms or µs?
– Or scale > 20+ applications or 10+ teams?
– Or 10k+ data values?
• Architecture: Code active lifetime >3 yrs?
©2015 Real-Time Innovations, Inc.
2 or 3 Checks?
Dataflow-Level Security
• Dataflow-Level Security– Control r,w access to each
data item for each function– Ensures proper dataflow
operation
• Complete Protection– Discovery authentication– Data-centric access control– Cryptography– Tagging & logging– Non-repudiation– Secure multicast
• No code changes!• Plugin architecture for
advanced uses
• Topic Security model:– PMU: State(w)– CBM: State(r); Alarms(w)– Control: State(r), SetPoint(w)– Operator: *(r), Setpoint(w)
CBM AnalysisPMU Control Operator
State Alarms SetPoint
©2015 Real-Time Innovations, Inc.
Safety-Critical Components
• Connext DDS Micro Cert– Stringent SWaP requirements– Complete certification
evidence– Full interoperability with DDS
product line
• DO-178C Level A– Flight management systems
• ISO 26262– Road vehicle functional safety
• IEC 60601 class 3– Medical devices
©2015 Real-Time Innovations, Inc.
Available
Soon
Soon
The Network is the Healthcare
©2015 Real-Time Innovations, Inc.
The Network is the Future
• The IIoT will soon be as well defined as The Internet is today• Common technology will replace special solutions • The IIoT will inspire entire ecosystems
©2015 Real-Time Innovations, Inc.
For More Information
• RTI site: www.rti.com
• Examples, forum, papers: community.rti.com
• IIC website: www.iiconsortium.org
• Email: [email protected]
• Connect on LinkedIn
• TSN and DDS March 23 @11am PT– GE Transportation & RTI
• Free RTI Connext DDS Pro: www.rti.com/downloads
©2015 Real-Time Innovations, Inc.