Holtmann I Region Karlsruhe 20090623

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Presentation at IBM's Smarter Cities Event in Berlin 2009

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Holtmann I Region Karlsruhe 20090623

  1. 1. SmarterCities, Berlin 23/24 June 2009 iRegion Karlsruhe – the road to Smarter h d Infrastructures Dr. Carsten Holtmann FZI Forschungszentrum Informatik, Research Center for Information Technology gy Karlsruhe, Germany
  2. 2. Karlsruhe: Among the solution architects for SmarterCities 9.000 9 000 scientists and 30.000 IT-specialists One of the top European ICT clusters ready to solve problems by adding smartness to the infrastructures Agenda mpact Smart Healthcare Im solution with regional scope l ti ith i l … and the more general iRegion vision for a g SmarterPlanet 2
  3. 3. Stroke as a infrastructure problem Background Stroke • 20% of the patients die within 3 month, 29% within 12 • main reason for lifelong disablement • in Germany 3.4 million cases and • direct treatment costs of 108,6 billion EURO until 2025 Time is brain: 3 hours time to start lysis therapy Lysis is best therapy option, but … • only 3% of stroke patients get it today, ca. 20% possible • a main reason: infrastructure deficits Stroke Rescue Chain stroke lysis therapy 3 * PD Dr. Kolominsky-Rabas et al; Stroke 2006
  4. 4. Stroke Angel: Adressing the infrastructure problem Augment infrastructure by a Digital Awareness Layer • handheld computer with an electronic checklist (DSS) • ‘informed’ treatment & transport decisions • while transport, data send to next hospital (Stroke Unit) transport • pre-admission of the patient • physicians pre-informed with detailed information • hospital infrastructure ( g CT) booked and p p p (e.g. ) prepared Information Integration: Technology and i ti l h organizational changes Stroke Rescue Chain 4
  5. 5. Stroke Angel: Saving lives and costs by smarter care for stroke patients p Augment infrastructure by a Digital Awareness Layer • case data automatically collected • data stored in a database and analyzed in detail to • get general insights • provide individual feedback to paramedics, nurses, physicians, also management  Transparency and scientific insights Feedback Services: Learning & Motivation Information Integration: Technology and i ti l h organizational changes Stroke Rescue Chain 5
  6. 6. Stroke Angel: Results Regional study (2006 – 2008) • Clinical process time reduced by 50% down to 20 min (door2CT) • Lysis rate doubled from 6 to 11% • N Number of patients t b f ti t treated at one t d t hospital tripled from 300 to 900 p.a. Information Integration: Technology and i ti l h organizational changes Stroke Rescue Chain 6 6
  7. 7. Stroke Angel: Results Regional study (2006 – 2008) Work in Progress • Clinical process time reduced by 50% • Aggregated level: impact analysis • Lysis rate doubled from 6 to 11% w.r.t. area, type of event, … • Number of patients treated in one • Individual level: hospital more th h it l than tripled from 250 t t i l df to • success and failures d f il 900 p.a. = process improvements • quality of work & patient recovery = personal learning & motivation p g Feedback Services: Learning & Motivation Information Integration: Technology and i ti l h organizational changes Stroke Rescue Chain 7 7
  8. 8. Stroke Angel: Results Regional study (2006 – 2008) Work in Progress • Clinical process time reduced by 50% • Aggregated level: impact analysis • Lysis rate doubled from 6 to 11% w.r.t. area, type of event, … • Number of patients treated in one • Individual level: hospital more th h it l than tripled from 250 t t i l df to • success and failures d f il 900 p.a. = institutional learning • quality of work & patient recovery = personal learning & motivation p g Feedback Services: Learning & Motivation Information Integration: Technology and i ti l h organizational changes Stroke Rescue Chain 8 8
  9. 9. Stroke Angel: Pilot for something much bigger? How will we proceed? 1. Impact 1. iRegion Karlsruhe Living lab for the development and testing of SmartInfrastructures for Healthcare, Logistics, Energy, … 9
  10. 10. Vision in the iRegion Traditional remedies to urban, regional, national & global infrastructure bottlenecks what is done by whom with your • extensive approach: more streets personal information today? • intensive approach: more lanes/ uniform speed Personal Information Account • regulative approach: city toll get interest on your information! Allow information access in case of Smart approach: • emergency • commercial interest Know much more about each individual and •… use the knowledge to the benefit of all information security as a next layer to data security? People are already Smart! People know. Actively manage your information We need a knew interpretation of data security protect, share earn adjust protect share, earn, adjust, … Protect individual information to share it (not: protect information to hide it)  opportunity f active individual i f management t it for ti i di id l info t  opportunity for highly individualized services basis for collective intelligence solutions Some food for thought for your travel: y “If you could easily and securely manage and share the information … where you travel, why you travel, when you want to do what (e.g. meet whom), how well could individual service povision to you & infrastructure management be?!”
  11. 11. „Protect individual information to share it“ … soon a reality in Karlsruhe as a regional testbed. Hagen Buchwald President Cyberforum, Karlsruhe Prof. Dr. Dr. h.c. Peter Lockemann Dr. Carsten Holtmann Director FZI Divison Manager FZI Forschungszentrum Informatik Haid-und-Neu-Str. 10-14 D-76131 Karlsruhe Prof. Dr. Gerhard Satzger http://www.fzi.de Director Karlsruhe Service holtmann@fzi.de Research Institute, University Karlsruhe Want to know more? Just talk to us. We are glad to answer your questions.

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