The Future of mHealth - Jay Srini - March 2011

Jay Srini
jsrinij@gmail.com
jas378@pitt.edu
412 760 9593
Chief Strategist SCS Venutures

What we know today?
What are we doing today?
Where is the future headed to
Challenges and opportunities
Agenda

McKinsey quarterly- Impact of Chronic Conditions-75% of healthcare Spend

Dramatic Increase in Diabetes Disease Burden

Hospitalization is expensive yet rehospitalization is not under control
The rates include all patients in fee-for-service Medicare programs who were discharged between October 1, 2003, and September 30, 2004. The rate for Washington, DC, which does not appear on the map, was 23.2%.

The P’s of HealthCare
Predictive
Proactive
Participatory
Personalized
Preventative
Precision Medicine

The C’s (criteria)of Health Care Delivery
Content
Context
Collaboration
Communication
Convenience
Customization
Community

The Right Principles
Right Care ( Right to access and right to waive)
Right Time
Right Place
Right Delivery Mode/Channel
Right Price
Right Personnel
Right Partnerships

What do we know today?
Where is the future headed to?
What are Challenges and opportunities
Agenda

Let us start with Definitions
Mobile eHealth or mHealth broadly encompasses the use of mobile telecommunication and multimedia technologies as they are integrated within increasingly mobile and wireless health care delivery systems and is part of a movement towards citizen-centered health service delivery.
The most widely cited and definitive definition is by Istepanian et al. as ‘emerging mobile communications and network technologies for healthcare.’
Other later citations include Bardram et al. as m-health is focused on embedded wireless devices that track health-related parameters:

Washington Post
The tsunami looms: By 2050, nearly 90 million Americans will have passed age 65, and every corner of society will feel the impact. With our inadequate health-care workforce, outmoded retirement ideas and rigid housing policies, how can our country prepare? Beyond rethinking ways to ensure retirement savings (mandatory government savings plans?) and redefining retirement (phased retirements? working longer?), researchers and professionals are trying out, and in some cases reviving, some ideas.

VA Saves with Health Buddy--- Moral Keep the Patient at Home

Text Messaging in HealthCare

Lifestyle management

Text messaging-Simple yet Effective
University of Oregon study published in the journal Health Psychology found that a series of eight anti-smoking text messages per day over a three week period was highly effective in stimulating the parts of the brain that fight cravings.
The researchers wrote, "Text messaging may be an ideal delivery mechanism for tailored interventions because it is low-cost, most people already possess the existing hardware and the messages can be delivered near-instantaneously"

Episodic Care to Continuous Care

Wearable wireless

Wound healing status
Shape of things to come Smart: bandage tells doctors about state of wound healing
Published 8 April 2009
Dutch researchers develop a smart bandage which updates doctors about the wound healing process; bandage made of printed electronic sensors; the researchers' next goal: add an antenna to transmit information about the patient's health remotely to the attending physician
Here is good news for soldiers and first responders who are injured in the line of duty, patients in hospitals, and the medical staff that takes care of them: a bandage that makes use of printed electronics could soon alert doctors to changes in the wound-healing process without the need to undergo extensive check-up appointments.
By using techniques currently employed in glucose monitoring, the Smart Bandage is claimed to employ advanced scalable printing to enhance patient monitoring by regulating how often a bandage needs to be changed

Corventis- Proactive Preventative and Individualized
What Corventis is trying to do is fundamentally create a new type of machine intelligence that serves to manage the patient's overall health,“ CEO Ed Manicka

Electronic Knee since 2004
The new study funded by NIH ( 600,000) is being conducted in collaboration with researchers at the University of Florida, Stanford University and University of Western Australia.

Monitor over the age rangesFetal monitoring to Fall monitoring From Home to Hospitals

Every breath you take every move you make( awake or asleep) I will be watching you!!

Phone Booths and Stethoscopes- relics of the past

Cell phone + Imaging device
Using a filter the scope can now spot microscopic critters tagged with dye that glows under fluorescent light -- things like Mycobacterium tuberculosis A software app is able to then count the number of cells within a given sample

Communities in health
Some interesting facts from the article- 550 million members thus far.
If Facebook was a country, it will be the third largest in population after India and China- 1 of 12 people on Earth has a Facebook account- Nearly half of Americans have a Facebook account- 70% of Facebook members live outside of the United States- Facebook members speak 75 different languages- About 700,000 people join Facebook each day

From Patients like me to Facebook communities for Cancer /Diabetes
from mhealth360.com
from alterian.com

Tsunami Damage- Health Wealth and Happiness at Stake

Clinical world is easier to handle with mobility

Clinical reference libraries on the go

There is an app for that!!
March 22, 2011 | Terry Sharrer

Eldercare Mobility
App for iPad

The Stark Current Reality
There are now more than 250,000 apps available for the iPhone, more than 30,000 such apps for smart phones running Android, and several thousand for those who have Blackberry devices.
According to a pretty recent survey by the Pew Internet and American Life Project, 17% of cell phone users have used their phone to look up health or medical information but only 9% have software applications or “apps” on their phones that help them track or manage their health

What we know today?
Agenda

Mhealth Market 2015
revenue from digital health technology and services would exceed $5.7 billion in 2015, compared with $1.7 billion in 2010, fueled by devices that monitor chronic conditions like hypertension and diabetes and by wellness and fitness applications and programs- Park Associates

Cell Phone Penetration in US

Frenetic Adoption of Mobile DevicesChilimark Research

Year Man Becomes ImmortalWhen Humans Transcend Biology

The future to come
Organic Intelligence and Artificial Intelligence Blur cannot be Unblurred
Imagine a computer scientist that was itself a super-intelligent computer. It would work incredibly quickly. It could draw on huge amounts of data effortlessly. It wouldn't even take breaks to play Farmvillehttp://www.time.com/time/health/article/0,8599,2048138,00.html#ixzz1GVo4h2aC

Cough into your phone

Cancer Diagnostics
96% accuracy for establishing a cancer diagnosis, surpassing conventional clinical analyses by immunohistochemistry
Cost 200 dollars

Accurate Information at the right time
Smart phones equipped with what are essentially hand-held MRI scanners can accurately diagnose life-threatening tumors, researchers say.

CellNOVO: ITUNES for Diabetes
http://www.cellnovo.com/CellNovoInVivoArticle.pdf

Vitality Glow Caps- Coordinated CareIt is not just about the Technology!!

Wearable Wireless to Smart Bandages
Wireless Body Area Network (WBAN) connects independent nodes (e.g. sensors and actuators) that are situated in the clothes, on the body or under the skin of a person. The network typically expands over the whole human body and the nodes are connected through a wireless communication channel. According to the implementation, these nodes are placed in a star or multihop topology

Blown to bits
evaluate respiratory status on Mt Everest.
The doctor studied the ultrasound image of the patient’s lungs. Sure enough, the telltale signs of altitude sickness were apparent. That was not a surprise. The patient was a climber at base camp on Mount Everest, 6,400 meters above sea level. Doctor was in Detroit

Can we then impact brain performance
Wireless EEG enables continuous remote monitoring-Mar 11, 2011 11:28 AM
Imec, Leuven, Belgium, a nano-electronics research company, and R&D provider Holst Centre, Eindhoven, The Netherlands, demonstrated a prototype headset that records high-quality EEG signals and wirelessly transmits real-time data to a receiver located 10 m from the system

What else is your phone meant for?

T2 – DCoEIphone 4’s Face Time Application
Researchers with the National Center for Telemedicine and Telehealth are exploring how smart phones and cargo containers equipped with two-way video technology can link soldiers to care across long distances. Tests are underway for smart phones, and the first converted cargo container is already in use

The Internet of Things Ambient Assisted Living

Health, Wealth and Incentives

Power of CollaborationWisdom of the Crowds
James Yang Illustration

UCLA Wireless Health Community

West Wireless Institute

Holst Center

The Eye to the FutureFrom Health Monitoring to Bionic Sight
basic image processing and Internet access, a contact-lens display could unlock whole new worlds of visual information, unfettered by the constraints of a physical displayRead more: Solar Powered Augmented Contact Lenses Cover Your Eye with 100s of LEDs Augmented Reality Contact Lens – Inhabitat - Green Design Will Save the World

What we know today?
Agenda

Technology causes Technical Issues
Mickey McManus- Maya

Privacy Wars– Who knows about YouWho wants to know about You
EXelate
Reputation.com
Rapleaf
BlueKai
Intellidyn
http://www.time.com/time/business/article/0,8599,2058114-2,00.html

Holst –Imagine a Future

Lifestyle Continuous Sensors

Challenges
Dr. Eric Topol, vice chairman and chief innovation officer of the West Wireless Healthcare Institute and director of the Scripps Translational Science Institute at Scripps Health.
"In addition to that overarching challenge, we will need to work together as an industry to overcome regulatory, reimbursement and legislative barriers. Enlightened policies are desperately needed to change outdated, inefficient models of healthcare deliveryRead more: Leaders in San Diego m-health community discuss wireless innovation, roadblocks - FierceMobileHealthcarehttp://www.fiercemobilehealthcare.com/story/leaders-san-diego-m-health-community-discuss-wireless-innovation-roadblocks/2010-06-22#ixzz1GRuRy1id

Mobile Etiquette

Wrapping Up

Nov 2010 Conference on m-health
Bill Gates keynoted the conference and was clear about the future or mobile health. "Diagnosis of malaria and TB will likely be the first ones you can assign a number to and say without this mobile phone app these people would have died," Gates said. "In the diagnostics areas we're seeing some very good stuff come through."
And Aneesh Chopra, U.S. Chief Technology Officer, told attendees at the summit that cloud computing and improved connectivity are likely to speed up the process by which mobile health innovations go from ideas to implementation.
http://www.fastcompany.com/1701769/mhealth-summit-wraps-reveals-booming-industry

The Perfect Storm
Continuous cycle of learning analyzing measure treating and testing-
Measure ->Test_> EBD/CDSS-> Treat-> Learn not a linear path

The GoalLive Like your Life depends on it
What you do not measure you cannot manage-
Birth of Personal Health Management Systems-- Behavioral and Life Style Modification through Education, Engagement and Incentives

A must readUnwired to wired to wireless
http://www.globalproblems-globalsolutions-files.org/unf_website/assets/publications/technology/mhealth/mHealth_compendium_full.pdf
http://www.globalproblems-globalsolutions-files.org/unf_website/assets/publications/technology/mhealth/mHealth_for_Development_full.pdf
http://www.economist.com/node/13437950

A must watch
http://www.ted.com/talks/eric_topol_the_wireless_future_of_medicine.html

Mobile phones- A piece of the puzzleTowards Integrated Healthcare Access

Tele or E or MTime to drop the Prefix
It is time for integration – Provide a multi modal delivery of care which is personalized and pertinent to the patient and is cost effective
It is time for Prevention to take Center stage
It is time for Coordinated Care integrating physicians, nurse practitioners, Diabetes educators, dieticians and smoking cessation specialist etc.
Health Literacy and Individual Engagement is Critical
It is time to provide the RIGHT care for all

WSJ segment – Innovations in Healthcare
http://online.wsj.com/article/SB10001424052748704608504576208533502726292.html

The Future of mHealth - Jay Srini - March 2011

by LifeWIRE Corp on Apr 02, 2011

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The Future of mHealth - Jay Srini - March 2011 — Presentation Transcript