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Wireless Healthcare World
 

Wireless Healthcare World

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Wireless Healthcare World Wireless Healthcare World Presentation Transcript

  • Wireless Healthcare World Marc Bage, Ph.D., ing. International Institute of Telecommunications - Research INET 2007 Toronto, ON 20 June 2007
  • Agenda
    • Technologies
      • Taxonomy
      • Applications
    • Wireless Devices
    • Consulting
    • Diagnosis
    • Monitoring
      • Systems
      • Projects
    • Care Process
    • Benefits
      • 3 Points of View
    • Challenges
    • Conclusions
  • Taxonomy of Wireless Technologies Range UWB WiMax IrDA C a p a c i t y 1 cm 10 cm 1 m 10 m 100 m 1 km 10 km 100 km 10 kb/s 100 kb/s 1 Mb/s 10 Mb/s 100 Mb/s 1 Gb/s WAN Access LAN BAN Microwave & Satellite ZigBee ZigBee Bluetooth Mesh WiFi 2.5G 3G Rev.A/HSDPA 1xEV-DO Rev. B Passive RFID Active RFID Continuous Monitoring Intensive Monitoring, EPR, Comm. Process Consultation, Diagnosis, Monitor in Remote Areas Diagnosis EPR, Comm. Process, Wireless Devices, Diagnosis, Process
  • Wireless Monitoring Devices Location Stethoscope Glucometer ECG Temperature Heart Rate Blood Pressure Oxygen Weight Expect Increasing Integration with Cell Phone Using Bluetooth and RFID !!
  • Consulting
    • REACH (ON)
      • Assertive Community Treatment (ACT)
      • Medical Home Care Solution (Teleconference, Remote Vital Sign Monitoring)
      • Telesat, London Health Sciences Center Research + others
    • 3GDoctor ( UK)
      • Cellular Form Filling
      • Screening of Patient Based on Health-Related Questions
    • MyFoodPhone (Qc)
      • 3G Imaging of Meal
      • Dietician Feedback + …
    • Telerobotic
      • Devine-Tidewater Urology (Virginia)
      • St-Joseph Mercy Oakland Hospital (Pontiac, Michigan)
      • Physian Rounds Patient Length of Stay
      • Alzheimer's Disease
      • Silverado Senior Living (Los Angeles)
      • InTouch Health Inc. (California)
      • Qualcomm (San Diego)
        • Rev.A
    Consulting
  • Diagnosis
    • Bravo Capsule
      • Wireless pH-metry
      • Medtronic (Minneapolis)
    • Gastroenterology
      • Gastric Acid Reflux Detection
        • RFID impedance monitoring system that uses electrical impulses to detect oesophageal reflux
        • U of Texas Southwestern Medical Center doctors and UT Arlington engineers
    • Capsule Endoscopy
      • PillCam = T wo-Sided Camera + Light
      • 2600 Color Pictures; 14 Frames per Second
      • Given Imaging (Israel)
  • Wireless Monitoring Systems
    • Télémédic (Qc)
      • SpO 2 , Temperature, Heart Rate
    • AMON : Advanced care and alert portable telemedical MONitor (Israel)
    • Alive Technologies (Australia)
      • SpO 2 , ECG, GPS, accelerometer
      • Sleep Apnea, Atrial Fibrillation
    • Medtronic (Minneapolis)
      • Implantable Defibrillator
      • Measures Pressure and Fluid inside a Patient's Heart
    • Sensor for Medicine and Science (Maryland)
      • Glucose Sensor to be Implanted Under Skin of Forearm (in Development)
      • Fluorescence-Based
      • Oxygen Sensor
    • Medical Intelligence (Qc, Fr)
      • Alzheimer Disease: Alarm when Crossing a Programmable Virtual Fence
      • Urgentys: GPS- and WiFi-Based Location + Voice and Alerts
    Watch-Like Wireless Reader
  • Monitoring Projects
    • MobiHelath
      • 7 Sub-Pprojects : Home Monitoring, Trauma, Nurse Visits
      • Risky pregnancies, Chronic Obstrusive Pulmonary Disease, Ventricular Arrythmias
      • U of Twente (NL), Germany, Spain, Sweden, Ericsson (Ge), Philips (NL)
    • IIT-R
      • 3G-Based Proofs of Concept
      • Biomonitoring (Contextual Analysis and Actions)
      • Teletrauma (Ambulance to Hospital: Voice, EPR, ECG, Other Signs, Video, Camera Remote Control, Image, Annotation)
    • WIISARD
      • Monitoring in Disasters and Mass Casualties
      • Communications Between First Responders
      • Fault Tolerant
      • Wireless Biomonitors in Mesh Ad-Hoc Networks
      • UCSD
  • Care Process
    • Communications
      • Voice + Text Messaging
        • 2-way handsfree voice-controlled wearable badge
        • Kingston General Hospital and St-Thomas Elgin General Hospital
        • Vocera Communications
    • Medication On Demand
      • RFID Access to Drug Dispensing Box
      • Avancen (Florida)
    • Logistics
      • Outpatient Registration
        • Shorter and Fair Queuing
        • Tongren Hospital, China
      • SMS Patient Reminder (UK)
        • At some outpatient clinics, reduced’ DNA rate by 30% (with only 20% uptake by patients)
  • RFID in Care Process
    • Asset Management
      • Up-to-Date-Inventory and Optimized Restocking
      • Gurneys, Wheelchairs, Pacemakers, Stents, Mobile Lab Equipment
      • Supply Chain Systems and Smart Shelving
    • People Management (Doctors, Nurses, Patients)
      • Access Control and Security
      • Patient Flow Management
      • Outpatient Tracking
        • waiting time, EPR, billing
      • RFID in Patient ID Wrist Bracelet
        • saved lives, improved workflow efficiency, reduced cost of care
        • correct medication and surgical procedures
        • Siemens (Germany)
    Bhagwan Mahaveer Jain Heart Center in Bangalore, India
  • RFID Implants
    • Size of Rice Grain
    • Implanted Under Skin of Upper Arm
      • Surgical or Syringe
    • Secure Access
      • Amal Graafstra, Washington, DC
    • Electronic Patient Record
    • Medical Implants
      • Alzheimer, diabetes, chronic diseases
      • Mexico City
    • Animal Control
      • Government initiative to control rabies
      • all Portuguese dogs must be RFID tagged by 2007. Similarly in Serbia
        • dog's history
        • owner's information
    • Verichip
      • by Applied Digital Solutions
      • + Digital Angel (Glucose monitor)
      • Patient Identification
      • FDA 2004
    PHOTO: Amal Graafstra
  • Care Process (more)
    • Closing the Gap Healthcare Group
      • Telus + HealthPhone (NZ) + Microsoft
      • Community Care Management Solution
        • Optimize direct patient care time
        • Increase patient safety through one-time recording of clinical notes at the Point of Care
        • Improve patient outcomes by facilitating sharing of healthcare information across the continuum of care
    • Taiwan Mobile Healthcare Services
      • M-Taiwan Initiative
      • Chunghwa Telecom + Nortel ( WiMax )
      • Mobile Nurse
        • Outpatient Registration
      • Treatment Assistant
        • Access to EPR
      • Wireless Care Genie
        • Bluetooth monitoring of patients
      • Health Care Guru
        • Virtual Information center
  • Benefits of Wireless Healthcare
    • Patient’s Quality of Life
      • Mobility (Tetherless / Cordless, Ambulatory, Vehicular)
      • Home Treatment vs Hospital Treatment
      • Reduced Waiting Time, Travel Time and Travel Costs
    • Medical and Professional Point of View
      • Early Detection of Upcoming Health Problem
      • More Sophisticated Healthcare
        • Increasing Bandwidth
        • Imaging, X-Ray ECG
      • Better Prognosis
      • ECG Door to Needle/Balloon :
        • 1 min saved = +11 days for patient
        • Saving of 20 to 55 min = + ?? days for patient
      • Home Monitoring Increases Survival Rate by 15% in Post-Hospitalization Care + 26% Reduction in Hospital Days per Patient Compared to Nurse Telephone Support.
      • Access to the Most Up-to-Date and Complete EPR
    • System Improvements
      • Reduced Bed Blocking
      • Reduced Nosocomial Infections
      • Single Data Entry (Resulting in Reduced Errors)
      • Reduction in Duplication of Tests and Analysis ($$$)
      • Inventory Control
    TEN-HMS Philips Medical System University of Hull (UK) Swiss Institute of Medical Informatics
  • Challenges of Wireless Healthcare (1)
    • Technical Issues
      • Radiation Level
        • Fœtal
        • FDA Testing of RFID Effects on Drugs
      • Power Supply
        • Battery Life
        • Range
        • Bandwidth
        • Environmentally-Save
    • Financial Model
      • Role of Cellular Operators
      • Payer: Patient, Government, Insurance
    • Logistics Issues
      • How to Work Differently
  • Challenges (2): Patient Concerns
    • Product and Service Features
      • Accuracy and Radiation
      • BUPT (Beijing University of
      • Post and Telecom)
    • Ethical Acceptability
      • Human-Chipping Presentation, March, Prayer Vigil,
        • West Palm Beach, Florida, May 12, 2007
      • CASPIAN: Customers Against Supermarket Privacy Invasion And Numbering
  • Conclusions
    • Healthcare Providers Are Pushing Care Elements at the Edge of the Healthcare Network. This is Where Wireless Access Networking Can Help.
    • Remote Care Also Needs Remote DiagnosTICs
    • Demonstrated Technical Feasibility
    • Economic Viability Yet To Be Proven
      • Look at the Big Picture
    • Challenge: How to Work Differently …
    • W orld W ide W i reless Health is Progressing Fast.
  • Thank You for your attention! Vendors, products and services named in this presentation are for illustration purposes only without any implied endorsement by IIT. Trademarks belong to their respective owners. Dr Marc Bage, Researcher, 1.514.395.8018 /