A2DataDive keynote: Distributed Health Technologies

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A2DataDive keynote speaker Dr. Dave Burke. A2 Data Dive. Feb. 10- 12, 2012. visit the wiki for more information: http://wiki.datawithoutborders.cc/index.php?title=Project:Current_events:A2_DD

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A2DataDive keynote: Distributed Health Technologies

  1. 1. Author(s): David Burke, Ph.D., 2012License: Unless otherwise noted, this material is made availableunder the terms of the Creative Commons Attribution 3.0 License:http://creativecommons.org/licenses/by/3.0/We have reviewed this material in accordance with U.S. Copyright Law and have tried to maximize yourability to use, share, and adapt it. The citation key on the following slide provides information about how youmay share and adapt this material.Copyright holders of content included in this material should contact open.michigan@umich.edu with anyquestions, corrections, or clarification regarding the use of content.For more information about how to cite these materials visit http://open.umich.edu/education/about/terms-of-use.
  2. 2. Attribution Key for more information see: http://open.umich.edu/wiki/AttributionPolicyUse + Share + Adapt { Content the copyright holder, author, or law permits you to use, share and adapt. } Public Domain – Government: Works that are produced by the U.S. Government. (17 USC § 105) Public Domain – Expired: Works that are no longer protected due to an expired copyright term. Public Domain – Self Dedicated: Works that a copyright holder has dedicated to the public domain. Creative Commons – Zero Waiver Creative Commons – Attribution License Creative Commons – Attribution Share Alike License Creative Commons – Attribution Noncommercial License Creative Commons – Attribution Noncommercial Share Alike License GNU – Free Documentation LicenseMake Your Own Assessment { Content Open.Michigan believes can be used, shared, and adapted because it is ineligible for copyright. } Public Domain – Ineligible: Works that are ineligible for copyright protection in the U.S. (17 USC § 102(b)) *laws in your jurisdiction may differ { Content Open.Michigan has used under a Fair Use determination. } Fair Use: Use of works that is determined to be Fair consistent with the U.S. Copyright Act. (17 USC § 107) *laws in your jurisdiction may differ Our determination DOES NOT mean that all uses of this 3rd-party content are Fair Uses and we DO NOT guarantee that your use of the content is Fair. To use this content you should do your own independent analysis to determine whether or not your use will be Fair.
  3. 3. Distributed Health TechnologiesWhat new technologies can be developed thatconnect people with their health care system?What are the features of human health and healthcare delivery that drive technology development?How can health technology interface withadvances in informatics and communication?How can modern mass-production manufacturingbe harnessed to distribute technology as widely aspossible?
  4. 4. The existing health care system communicates patient data as a hierarchy.Information moves within the system: tertiary care specialist senior specialist primary specialist primary physician nurse
  5. 5. At each level, health care professionals :1) Assess the patient and acquire information.2) Recognize their own knowledge/skill limits.3) Transfer the patient to a more specializedprofessional.4) Hand over accumulated patient information tothe next level in the hierarchy.F transfer patient information to the next level. Each professional is trained to accuratelyF The “hand-off” between levels is formalized.F Information quality is maintained and traceable.
  6. 6. There are levels prior to the first professionalinteraction.Patients are measuring their own health status.And deciding on whether to refer themselves tothe next level. “Do I need to schedule an appointment withF a doctor? Or go immediately to the ER?” Often, there is a second non-professional level. “Mom”, or another adult, that refers the patient.
  7. 7. The quality of transfer of information from thenon-professional levels to the professional levels ishighly variable and informal.There is a “gap” in data transfer efficiency andquality at the first level of interaction with thetraditional health care system.Can we build high quality, physician-approved,patient-accessible, health data technologies toaddress this “information gap”?
  8. 8. The medical “information gap” might be solved byadvanced sensor technologies, computationalpower, software, and communication tools.Four critical features are:1) Quality-assured collection of physiological data.2) Error-free data transfer to health professionals.3) Low capital costs and recurring costs.4) Training of patients and health professionals.
  9. 9. Every person in the population has the potentialto obtain and communicate inexpensive, high-quality data to the available health care system.Technologies can be developed to incorporate thepatient into the health information stream.Any technology that captures health informationwill work for ALL humans. Consequently, a very large demand for healthF technologies already is in place.
  10. 10. Technologies that capture health informationpotentially are valuable for all humans. 2011 “demand”: 300 million people in the United States 1000 million people in developed nations 7000 million people worldwide Modern technology unit-cost decreasesF with increased number of units.F Unit costs can be very inexpensive.
  11. 11. Manufacturing strategies reflect unit demand.Ultra-high volume demand (>10 million units) canengage very low unit cost manufacturing. motion sensing LED w/ motherboard McDonalds pre-orders >30 million of each toy. Manufacturing cost per toy of $1.00 or less. All images
  12. 12. Distributed Health Technologies Resources Human Physical Communication Target LocationsTechnical Medical Infra- Capital Transport Data & Skills Knowledge structure Investment & Supply Information Level A high high high Level B low medium high Level C low low low
  13. 13. Pulse Oximeter (pulse rate and oxygen levels) 1971 = OLV-5100All images
  14. 14. Infra-red temperature sensor “ear bud”
  15. 15. Photolithographic fabrication manufacturing allows extremely low-cost, large-volume of complex electronic devices.Microfabricated sensors linked to microprocessors. Digital data linked to wireless communication. The “digital electronics revolution” dramaticallyF changes our interaction with information. Research advances at the University of MichiganF on biological microsensors and communications.
  16. 16. Rapid advances in micro-sensors and devices3-axis position acceleration air pressurebattery power magnetic fields oxygenAll images
  17. 17. Radio-frequency identification label RF silicon microchip [100 µm thick] polymer support [50 µm thick]metal antenna [50 µm thick] 10 mm diameter All images
  18. 18. High-volume low cost manufacturingAll images
  19. 19. Nasal cavity RF sensor platformodor neuronsRF microsensornasal concha palate
  20. 20. Distributed Health Technologies Resources Human Physical Communication Target LocationsTechnical Medical Infra- Capital Transport Data & Skills Knowledge structure Investment & Supply Information Level A high high high Level B low medium high Level C low low low

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