#wearenotwaiting - call to action by howard look @ the diabetesmine d-data exchange june 2014
DESCRIPTION
Howard Look, CEO of Tidepool, lays out the steps for device makers to achieve an open systems approach to diabetes care, at the June 2014 DiabetesMine D-Data ExChange event.TRANSCRIPT
#WeAreNotWaitingHoward Look
President, CEO and Founder, Tidepool
#WeAreNotWaiting
#WeAreNotWaiting…for peace of mind that our children with
type 1 diabetes are safe. !
…to allow PWDs to have a choice in how they see their own diabetes data.
!… to bring together the best and brightest minds from around the world to help make
things better for PWDs.
Who owns the data?
What data are we talking about, anyway?
How is the data accessed?How do we assess safety
and efficacy ?
Why is this all so important, anyway?
Who owns the data?
Who owns the data?
“It’s my disease, it’s my data.”
What data are we talking about, anyway?
Personal Health Data
Contextual Data
Diagnostic, Safety, Efficacy, Proprietary Data
Device Identification Data
BG data basal rate settings
insulin to carbohydrate ratios insulin sensitivity factors
basal rate change events bolus and bolus wizard events
settings change events …
Personal Health Data
Contextual Data
location activity tracker
meal information calendar events
…
Device Identification Data
device ID brand
model and revision …
ISIG values pump occlusion pressure
internal temperature battery recharge cycles
internal error logs
Internal, Diagnostic, Safety, Efficacy Data
http://commons.wikimedia.org/wiki/Category:Crying_babies#mediaviewer/File:Waaah!.jpg
http://commons.wikimedia.org/wiki/File:The_ladder_of_life_is_full_of_splinters.jpg
!!!!!!!Does the patient own their own health data?
!!!!!!Can patients donate and repurpose their data? !Does the patient own their own health data?
“Any data submitted through [the service] shall be property
of [the service], and you hereby waive all right, title and interest to the submitted data.”
“Any data submitted by you through our service is owned by you.
We are stewards of your data. !
If you’d like to make your data accessible to someone else, or to different software,
just let us know. !
If you’d like to donate your data to an anonymous research database,
just let us know.”
!!!!Cloud Services - machine accessible APIs? Devices - documented protocol? !Can patients donate and repurpose their data? !Does the patient own their own health data?
!!!Devices - allow identification? !Cloud Services - machine accessible APIs? Devices - documented protocol? !Can patients donate and repurpose their data? !Does the patient own their own health data?
!!Data format/protocols complete and unambiguous? !Devices - allow identification? !Cloud Services - machine accessible APIs? Devices - documented protocol? !Can patients donate and repurpose their data? !Does the patient own their own health data?
!Provide safety/efficacy/diagnostic data? !Data format/protocols complete and unambiguous? !Devices - allow identification? !Cloud Services - machine accessible APIs? Devices - documented protocol? !Can patients donate and repurpose their data? !Does the patient own their own health data?
Source code available for inspection? !Provide safety/efficacy/diagnostic data? !Data format/protocols complete and unambiguous? !Devices - allow identification? !Cloud Services - machine accessible APIs? Devices - documented protocol? !Can patients donate and repurpose their data? !Does the patient own their own health data?
A!device
B!device
C!device
D!cloud
E!cloud
Open!dev+cloud
Open Source? ✗ ✗ ✗ ✗ ✓ ✓Safety and
Efficacy data? ✗ ✗ ✗ ✗ ✓ ✓Protocol
complete? ✓ ✗ ✓ ✗ ✓ ✓Device ID OK? ✗ ✗ ✓ - - ✓
Accessible Cloud APIs? - ✗ ✓ ✓ ✓ ✓
Device protocol
published?✓ ✗ ✓ - - ✓
Donate and repurpose
data?✓ ✗ ✓ ✗ ✓ ✓
Patient owns health data? ✓ ✓ ✓ ✗ ✓ ✓
#WeAreNotWaiting
Ben West
Let’s chat with an insulin pump
Meet Dario, the Personalized Smart Meter
#DIYPS | @DanaMLewis & @ScottLeibrand
• Real-‐time processing of BG, insulin on board, carbohydrate decay !
• Customizable alerts based on CGM Data + trends !
• Real-‐time predictive alerts for FUTURE high/low BGs (hours in advance) !
• Continually updated recommendations for insulin (bolus or temp basal) + carbs
IN A BOLD NEW WAY
Galileo Cosmos™
EXPLORE YOUR DATA
Apps Hardware DoctorsEducation
INTEGRATED DIABETES HEALTHCARE
Nightscout
cloud
Watch Web browser “app”
CGM Remote monitoring for people wearing CGM:
CGM + USB Cable + Android + Database + Cloud Server + App running on Glanceable Display = Safety and Peace of Mind
• Ben West - Let’s chat with an insulin pump
• Dario, LabStyle Innovations - Oren Fuerst, David Edelman
• #DIYPS - Dana Lewis, Scott Leibrandt
• Gallileo Analytics - Anna McCollister-Slipp
• Joslin HypoMap™ powered by Glooko™ - Rick Altinger, Howard Wolpert
• mySugr - Kyle Rose, Frank Westermann
• Tidepool - Blip, Sonar, Nutshell, Sonar, Tidepool Platform
• Nightscout - Lane Desborough, Jason Calabrese, Ross Naylor