Healthcare and Information Technology

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Healthcare and medicine are being revolutionized by communications and computational resources. Understanding how the convergence of these enabling technologies is advancing our ability to get and stay well is the topic of this presentation.

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Healthcare and Information Technology

  1. 1. IT and Healthcare
  2. 2. Information Technology and Healthcare
  3. 3. What is IT?
  4. 4. What is IT? • Information Technology • Computers • Internet • Databases • Search • Websites • Mobile • Communications • Artificial Intelligence • Cloud Computing • Wearables: • Google glass/Apple watch
  5. 5. IT Marriage • Convergence of: • Computers • Communications • Moore’s law • Network Effects • Exponential growth
  6. 6. Computers • Computational Power • Speed • Cost • Storage • Programs • Apps • GUIs • Sensors • Moore’s law
  7. 7. Communications • Claude Shannon – Communications Theory – Representation as data • Telephony • Radio • Broadcast • Cellular • Internet • Web • Wi-fi • Mobile
  8. 8. Network Effects • Metcalfe's law states that the value of a telecommunications network is proportional to the square of the number of connected users of the system. • "compatible communicating devices"
  9. 9. Enabling Technologies, Convergence, and Exponential Growth • Moore’s Law http://www.youtube.com/watch? v=E9wFXHYJgdo • Limits of Moore’s Law http://www.youtube.com/watch? v=bm6ScvNygUU Exponential technologies • http://www.youtube.com/watch? v=nUWosx9lJ4o
  10. 10. What is Healthcare?
  11. 11. Healthcare The maintenance and improvement of physical and mental health, esp. through the provision of medical services. •Patients •Providers •Payers •Public Health
  12. 12. Healthcare and Information Technology • Medical Records/Information • Telemedicine • Personalized Medicine – Diagnostics – Therapeutics • Public health – Epidemiology – Pandemics – CDC WHO
  13. 13. Medical Records • History • Medications • Error Reduction • Risk Management • Portability • Privacy • HIPPA • Genetic profile • Personalized medicine • The Quantified Self • Google Glass
  14. 14. Medical Records and Informatics
  15. 15. Electronic Medical Records EMR
  16. 16. Google Glass in Boston • The medical community has been quick to embrace Glass. Hospitals and doctors across the US have been testing it to conduct remote consultations with specialists, for example, record live-videos during surgery for instruction, or provide quick access to patients’ charts, vital stats, doctors’ notes and other medical information--all without having to use their hands to operate a computer. • Electronic Medical Record and Clinical Decision Support System
  17. 17. Patient Risk Management • Help, or at least do no harm. – Hippocrates • Toxicity • Only dose makes the poison • How medications interact
  18. 18. Telemedicine • Remote Areas • Access to Experts and Specialists • Emergency Care • Expert Systems • AI
  19. 19. Medical Imaging • Radiology • Non-invasive diagnosis
  20. 20. Types of Imaging • Ultrasound • Electromagnetic Waves – X Ray – CAT • Radioactivity – PET • Electromagnetism – MRI – fMRI
  21. 21. Genomics • Genetic Sequencing • Predictive • Proactive • Personalized Medicine • Targeted therapies • the branch of molecular biology concerned with the structure, function, evolution, and mapping of genomes.
  22. 22. IT Enabled • Genomics • Exome • Proteomics • Metabolics • Signaling • Structure and Context
  23. 23. VA MVP • VA Million Veteran Program to sequence the genomes of one million veterans • http://www.research.va.gov/MVP/media.cfm • http://www.youtube.com/watch? v=GYAp6uvXxjA
  24. 24. Robotics • Prosthetics • Surgery – DaVinci
  25. 25. Personalized Medicine • Predictive • Diagnostics • Therapeutics • Monitor • Genomics • Proteomics • Toxicity
  26. 26. The Quantified Self A movement to incorporate technology into data acquisition on aspects of a person's daily life in terms of inputs (e.g. food consumed, quality of surrounding air), states (e.g. mood, arousal, blood oxygen levels), and performance (mental and physical). Such self-monitoring and self- sensing, which combines wearable sensors (EEG, ECG, video, etc.) and wearable computing
  27. 27. The Quantified Self • Nike fuel Band • Fit Bit • Google Glass • Apple watch
  28. 28. Public Health • Big Data • Modeling • Research – NIH NCI • Epidemiology – CDC • Pandemic • Viruses bird flu – Super bugs • Food Supplies/air water • Smallpox • Polio • Surveillance 4M door to door • Malaria
  29. 29. Medical Research • Government – NIH NCI – National Science Foundation • Research Universities • Research Hospitals – Mayo, MD Anderson, • DARPA • Philanthropy – Gates Foundation • Literature • Clinical Trials
  30. 30. Future of Medicine
  31. 31. Arthur C. Clarke • One of [science- fiction author] Arthur C. Clarke’s laws is that any sufficiently advanced technology is indistinguishable from magic.
  32. 32. IT and technology • Technology is putting more power in the hands of patients, and researchers are learning to combat disorders by harnessing the body's own ability to heal and grow.
  33. 33. Tricorder X Prize • http://www.youtube.com/watch? v=1m2267NBVdg • http://www.qualcommtricorderxprize.org/
  34. 34. X Prize • Envision a future where everyone has access to affordable, personalized healthcare through sophisticated sensing technologies that put you in charge of your own health. Where sensors and devices recognize and measure your personal health information, provide insights and recommendations relevant to you and communicate that information to your physician. That’s the aim of this competition: a whole new level of personalized, digital health information. • http://nokiasensingxchallenge.org/media/videos/bette r-data-means-better-health
  35. 35. Brain Mapping Project • The BRAIN Initiative (Brain Research through Advancing Innovative Neurotechnologies, also referred to as the Brain Activity Map Project) is a proposed collaborative research initiative announced by the Obama administration on April 2, 2013, with the goal of mapping the activity of every neuron in the human brain. Based upon the Human Genome Project, the initiative has been projected to cost more than $300 million per year for ten years
  36. 36. Light Switch for Neurons • https://www.ted.com/talks/ed_boyden • Ed Boyden shows how, by inserting genes for light-sensitive proteins into brain cells, he can selectively activate or de-activate specific neurons with fiber-optic implants. With this unprecedented level of control, he's managed to cure mice of analogs of PTSD and certain forms of blindness.
  37. 37. Thank You

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