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Internet of Things for healthcare: data
integration and security/privacy issues  
1
Payam Barnaghi
Institute for Communica...
2
Data-driven Solutions for Global Challenges
3
Healthcare, Environment, …
4
The Health Challenge: Dementia
 16,801 people with dementia in Surrey – set to rise to 19,000
by 2020 (estimated) - natio...
6
The Health Challenge: Falls
 Surrey spends £10m a year on fracture care – with 95% of hip
fractures caused by falls
 Peo...
The Health Challenge: Carers
 5.4m carers supporting ill, older or disabled family members,
friends and partners in Engla...
TIHM: Technology Integrated Healthcare Management
− To evaluate the effectiveness of a domiciliary IoT intervention
for pe...
 Infrastructure
 Interoperability, integration
 Security
 Data governance
 Scalability
Technical Challenges
Innovation Partners
Device/Data interoperability
12
Interoperability - FHIR4TIHM
13
Gateway
Gatewa
y
Data Analytics
Engine
IoT Test Bed Cloud
External NHS, GP IT systems
Possible links to
Other Test Beds
Hy...
Data sources
16
Combining information sources….
Learning what is
normal for you….
TIHM Integrated View
17
Events and Alerts
18
Pattern Analysis
19
Agitation/Irritation/Aggretion
20
21
TIHM Architecture
22
- Privacy
- Security
- Reliability
- Scalability
Security issues
23
Security: Information flow
24
Reliability: Infrastructure
25
Reliability: Data
26
How to deal with cyber security threats?
27
Extend into homes – year 1 via
twoCCG areas, rolling out across
four more CCGs in year 2
Reach 350 homes – with a control
...
Key technical issues
Security
Privacy
Trust, resilience and
reliability
Noise and
incomplete data
Cloud and
distributed co...
Acknowledgments
• My colleagues at the University of Surrey (Shirin Enshaeifar, Severin
Skillman, Andreas Markides, Tarek ...
Q&A
− Thank you.
http://personal.ee.surrey.ac.uk/Personal/P.Barnaghi/
@pbarnaghi
p.barnaghi@surrey.ac.uk
Internet of Things for healthcare: data integration and security/privacy issues  
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Internet of Things for healthcare: data integration and security/privacy issues  

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PETRAS IoT Research Hub Workshop - Securing Health IoT, Hamlyn Centre, Imperial College London, June 2017.

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Internet of Things for healthcare: data integration and security/privacy issues  

  1. 1. Internet of Things for healthcare: data integration and security/privacy issues   1 Payam Barnaghi Institute for Communication Systems (ICS)/ 5G Innovation Centre University of Surrey PETRAS IoT Research Hub Workshop - Securing Health IoT
  2. 2. 2
  3. 3. Data-driven Solutions for Global Challenges 3
  4. 4. Healthcare, Environment, … 4
  5. 5. The Health Challenge: Dementia  16,801 people with dementia in Surrey – set to rise to 19,000 by 2020 (estimated) - nationally 850,000 - estimated 1m by 2025 (Alzheimer’s Society)  Estimated to cost £26bn p/a in the UK (Alzheimer’s Society): health and social care (NHS and private) + unpaid care  Devices in the IoT will provide actionable data on agitation, mood, sleep, appetite, weight loss, anxiety and wandering – all have a big impact on quality of life and wellbeing
  6. 6. 6
  7. 7. The Health Challenge: Falls  Surrey spends £10m a year on fracture care – with 95% of hip fractures caused by falls  People with dementia suffer significantly higher fall rates that cause injury – with falls the most common cause of injury- related deaths in the over-75s  Devices in the IoT will monitor location, activity and incident, supporting health/care staff and carers, enabling early intervention
  8. 8. The Health Challenge: Carers  5.4m carers supporting ill, older or disabled family members, friends and partners in England - expected to rise by 40% over the next 20 years.  Value of such informal care estimated at £120bn a year – but carer ‘burnout’ a key reason why loved ones require admission to a care/nursing home.  Devices in the IoT will support carers in their caring asks – and support their own health and wellbeing.
  9. 9. TIHM: Technology Integrated Healthcare Management − To evaluate the effectiveness of a domiciliary IoT intervention for people with dementia and their carers − Randomised controlled study design − Standard care versus standard care plus IoT − 700 people with dementia and 700 carers (350 control and 350 intervention) − Primary outcome – whole system health and social costs − Secondary outcomes – quality of life, independence, symptoms, carer distress, patient and professional experiences
  10. 10.  Infrastructure  Interoperability, integration  Security  Data governance  Scalability Technical Challenges
  11. 11. Innovation Partners
  12. 12. Device/Data interoperability 12
  13. 13. Interoperability - FHIR4TIHM 13
  14. 14. Gateway Gatewa y Data Analytics Engine IoT Test Bed Cloud External NHS, GP IT systems Possible links to Other Test Beds HyperCat Gateway HyperCat HyperCat HyperCat Data-driven and patient centered Healthcare Applications TIHM Architecture
  15. 15. Data sources 16 Combining information sources…. Learning what is normal for you….
  16. 16. TIHM Integrated View 17
  17. 17. Events and Alerts 18
  18. 18. Pattern Analysis 19
  19. 19. Agitation/Irritation/Aggretion 20
  20. 20. 21
  21. 21. TIHM Architecture 22 - Privacy - Security - Reliability - Scalability
  22. 22. Security issues 23
  23. 23. Security: Information flow 24
  24. 24. Reliability: Infrastructure 25
  25. 25. Reliability: Data 26
  26. 26. How to deal with cyber security threats? 27
  27. 27. Extend into homes – year 1 via twoCCG areas, rolling out across four more CCGs in year 2 Reach 350 homes – with a control group of 350 – via dementia register Focus on most effective product combinations – with potential for more via an open call Scaling up NE Hants & Farnham Living Lab Guildford & Waverley Rest of Surrey
  28. 28. Key technical issues Security Privacy Trust, resilience and reliability Noise and incomplete data Cloud and distributed computing Connectivity and quality of services Interoperability Applications and scalability, flexibility 29
  29. 29. Acknowledgments • My colleagues at the University of Surrey (Shirin Enshaeifar, Severin Skillman, Andreas Markides, Tarek Elsaleh, Thomas Acton, Kieren Egan, Catherine Parsons, Roma Maguire, Theti Chrysanthaki). − Our collaborators from NHS Surrey and Borders (Dr Ramin Nilforooshan, Dr Helen Rostill, Irfan Hassan, Mark Kenny, Stuart Klein), KSS Academic Health Science Network, Alzheimer's Society, and Royal Holloway University of London. − Innovation partners (Arqiva, Docobo, Haliday James, Intelesant, Safe Patient Systems, Sense.ly, Vision360, Yecco). 30
  30. 30. Q&A − Thank you. http://personal.ee.surrey.ac.uk/Personal/P.Barnaghi/ @pbarnaghi p.barnaghi@surrey.ac.uk

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