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How Wireless Networks
Empower Patients
Shahid N. Shah
CEO
Who is Shahid?
• 20+ years of software engineering and
multi-site healthcare system deployment
experience
• 12+ years of h...
Life expectancy is increasing…
…but the rate of growth is slowing

www.netspective.com

3
Bacteria used to kill us the most…

www.netspective.com

Per 100k population, Historical Statistics of the United States, ...
We’ve got most infections beat…
…except the flu and pneumonia

www.netspective.com

Per 100k population, Historical Statis...
Infectious diseases used to kill us…
…but what’s left seem only to be “manageable” not easily “curable”

Top killers in 19...
From cures to management…
…young people don’t dye of diseases often now

Death by age group, 1900

www.netspective.com

De...
Chronic Conditions
Almost half the U.S. population needs chronic disease management

www.netspective.com

Source: NCQA Sta...
Medicine has accepted lack of cures…
…we’re now focused on prevention and wellness (below is CDC’s framework)

Objectives:...
Keep patients away from hospitals
Hospitalization, physician and clinical services total more than $1.2 Trillion today
$80...
Health services centralization tried

www.netspective.com

Source: Jason Hwang, Innosight, via Jeff Selberg of IHI

11
…now comes decentralization and
disruptive innovation

www.netspective.com

Source: Jason Hwang, Innosight, via Jeff Selbe...
Consumers will need do/pay more…

www.netspective.com

13
The new world order
General
Wellness

Specific
Prevention

Self Service
Physiologics

Self Service
Monitoring

Healthcare
...
Consumerization of physiologics….

www.netspective.com

15
Consumerization of labs / genes
Labs on chips

Personal Genomics

www.netspective.com

16
Consumerization of monitoring

www.netspective.com

17
Wireless Body Area Network (BAN)
The cornerstone of mHealth

www.netspective.com

18
Wireless BAN Ecosystem

www.netspective.com

Source: Qualcomm

19
Wireless Protocols Comparison

www.netspective.com

http://acamp.ca/alberta-micro-nano/images/docs/Technology-Presentation...
ANT+ is winning ULP protocol battle

www.netspective.com

http://acamp.ca/alberta-micro-nano/images/docs/Technology-Presen...
Needed: diagnostic quality mHealth

www.netspective.com

22
Needed: sophisticated analytics

www.netspective.com

23
Needed: care team involvement
PATIENT/
CONSUMER

HEALTHCARE
PROVIDER

Care Team

FAMILY
CAREGIVER

CALL CENTERS AND
REMOTE...
Needed: automated diagnostics

www.netspective.com

25
Data changes the questions we ask

Simple visual facts
www.netspective.com

Complex visual facts

Complex computable
facts...
Implications for scientific discovery
The old way

The new way

Identify problem

Identify data

Ask questions

Generate q...
http://healthcareguy.com
Shahid.Shah@netspective.com

Questions?

Thank you
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How Wireless Networks Empower Patients

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Life expectancy is increasing and what used to kill humans 100 years ago is very different than what kills humans today and that patients need to be empowered more to improve their own health. This talk was given at the IEEE Baltimore Section EMB Society

Published in: Health & Medicine, Business
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Transcript of "How Wireless Networks Empower Patients"

  1. 1. How Wireless Networks Empower Patients Shahid N. Shah CEO
  2. 2. Who is Shahid? • 20+ years of software engineering and multi-site healthcare system deployment experience • 12+ years of healthcare IT and medical devices experience (blog at http://healthcareguy.com) • 15+ years of technology management experience (regulated systems, government, non-profit, commercial) • 10+ years as architect, engineer, and implementation manager on various EMR and EHR initiatives (commercial and nonprofit) www.netspective.com Author of Chapter 13, “You’re the CIO of your Own 2 Office”
  3. 3. Life expectancy is increasing… …but the rate of growth is slowing www.netspective.com 3
  4. 4. Bacteria used to kill us the most… www.netspective.com Per 100k population, Historical Statistics of the United States, Millennial Edition 4
  5. 5. We’ve got most infections beat… …except the flu and pneumonia www.netspective.com Per 100k population, Historical Statistics of the United States, Millennial Edition 5
  6. 6. Infectious diseases used to kill us… …but what’s left seem only to be “manageable” not easily “curable” Top killers in 1900 Pneumonia and influenza TB Diarrhea and enteritis Top killers today Heart disease www.netspective.com Cancer Chronic lower respiratory diseases Per 100k population, Historical Statistics of the United States, Millennial Edition 6
  7. 7. From cures to management… …young people don’t dye of diseases often now Death by age group, 1900 www.netspective.com Death by age group, Today http://siteresources.worldbank.org/INTHSD/Resources/topics/Health-Financing/HFRChap1.pdf 7
  8. 8. Chronic Conditions Almost half the U.S. population needs chronic disease management www.netspective.com Source: NCQA State of Healthcare Quality Report 2007 & Wellpoint 8
  9. 9. Medicine has accepted lack of cures… …we’re now focused on prevention and wellness (below is CDC’s framework) Objectives: • Keep people out of the hospital ($$$) • Keep people from their docs ($$) • Keep people off drugs ($) • Keep people at home www.netspective.com http://www.cdc.gov/chronicdisease/resources/publications/AAG/chronic.htm 9
  10. 10. Keep patients away from hospitals Hospitalization, physician and clinical services total more than $1.2 Trillion today $800 Hospital care, total $700 Physician and clinical services, total $600 Nursing care facilities and continuing care retirement communities, total Prescription drugs, total $500 $400 $300 $200 $100 $0 1990 1991 1992 1993 1994 1995 1996 www.netspective.com 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 http://www.census.gov/compendia/statab/cats/health_nutrition/health_expenditures.html 2009 10
  11. 11. Health services centralization tried www.netspective.com Source: Jason Hwang, Innosight, via Jeff Selberg of IHI 11
  12. 12. …now comes decentralization and disruptive innovation www.netspective.com Source: Jason Hwang, Innosight, via Jeff Selberg of IHI 12
  13. 13. Consumers will need do/pay more… www.netspective.com 13
  14. 14. The new world order General Wellness Specific Prevention Self Service Physiologics Self Service Monitoring Healthcare Professional Monitoring Care Team Diagnostics Care Team Monitoring Self Service Diagnostics Healthcare Professional Diagnostics Hospital Monitoring Hospital Diagnostics www.netspective.com 14
  15. 15. Consumerization of physiologics…. www.netspective.com 15
  16. 16. Consumerization of labs / genes Labs on chips Personal Genomics www.netspective.com 16
  17. 17. Consumerization of monitoring www.netspective.com 17
  18. 18. Wireless Body Area Network (BAN) The cornerstone of mHealth www.netspective.com 18
  19. 19. Wireless BAN Ecosystem www.netspective.com Source: Qualcomm 19
  20. 20. Wireless Protocols Comparison www.netspective.com http://acamp.ca/alberta-micro-nano/images/docs/Technology-Presentations/Ken-Fyfe-HealthMedical-Dec09.pdf 20
  21. 21. ANT+ is winning ULP protocol battle www.netspective.com http://acamp.ca/alberta-micro-nano/images/docs/Technology-Presentations/Ken-Fyfe-HealthMedical-Dec09.pdf 21
  22. 22. Needed: diagnostic quality mHealth www.netspective.com 22
  23. 23. Needed: sophisticated analytics www.netspective.com 23
  24. 24. Needed: care team involvement PATIENT/ CONSUMER HEALTHCARE PROVIDER Care Team FAMILY CAREGIVER CALL CENTERS AND REMOTE SUPPORT www.netspective.com HOSPITAL ALTERNATE SITE OF CARE 24
  25. 25. Needed: automated diagnostics www.netspective.com 25
  26. 26. Data changes the questions we ask Simple visual facts www.netspective.com Complex visual facts Complex computable facts 26
  27. 27. Implications for scientific discovery The old way The new way Identify problem Identify data Ask questions Generate questions Collect data Mine data Answer questions Answer questions www.netspective.com 27
  28. 28. http://healthcareguy.com Shahid.Shah@netspective.com Questions? Thank you

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