Sharing is careing

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How eHealth will change the way health care are delivered

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Sharing is careing

  1. 1. How will the future health care worker meet the future patient? Steinar.pedersen@telemedicineconsult.com
  2. 2. eHealth Telemedicine Wellfare Technology TTC • Commisions in 70 municipalities • Private – – – – – – McKinsey PWC KPMG Telenor SOS International LHL • EU prodject. VictoryaHome
  3. 3. A little bit of history • 1985: Internett • 1991: WWW
  4. 4. 1996 674 Larry Page og Sergey Brin
  5. 5. 1998 2004
  6. 6. The convergence • eHealth • mHealth • Telemedicine • Telehealth • Smart house technology • Wellfare technology
  7. 7. My picture of the future back in 2006
  8. 8. Driving forces 1 400 000 1 200 000 1 000 000 90 år og eldre 800 000 80-89 år 600 000 400 000 67-79 år 200 000 00 2000 2010 2020 2030 2040 2050
  9. 9. The net Departement of Telemedicine University Hospital of Tromsø
  10. 10. Videoconferencing – first step
  11. 11. Videoconferencing – second step
  12. 12. Videoconferencing – third step
  13. 13. Videoconferencing – next step
  14. 14. 2013 - IBM 5 in 5 • • • • • • 5 in 5 in 2012 Tactile stimuli via phone A pixel will be worth more than 1000 words Computer will hear what is important Digital tastebuds will help you to eat smarter The computer will recognize the smell
  15. 15. Scotland and the safty alarm • Saved hospital beds: 109 398 • A national poicy • Govermental money • Good organizing of the service • Saved nursing home beds: 545 943 • Saved home visits: 443 969 • Saved expences: 781 000 000 NOK/year
  16. 16. Telehealth in England • Lower mortality • Fewer emergencies • Shorter hospital stays • The financial savings are moderate
  17. 17. The road ahead • From analog to digital • Start simple and build on • 980 000 000 NOK over 8 years
  18. 18. Expand based on needs • Fall detector • Bed detector • Pil box • Sensors to detect movement • GPS • Smoke alarm
  19. 19. The App’s
  20. 20. Sound recognition
  21. 21. APPs for pictures
  22. 22. Image recognition
  23. 23. BP
  24. 24. EKG screening • Automated measurement of heart rythems • The costs are reduced dramatically • American Heart Association : AliveCor is an ideal technology for undiagnosed cardiac arrhythmia and may reduce the number of strokes
  25. 25. Watson
  26. 26. Scroll with the eyes
  27. 27. Samsung healthphone • Step converted to calories • Supports sensors from their own and other manufacturers (cardiovascular measurements, body weight, blood glucose, blood pressure) • Checks REM sleep • MIT Human Dynamic Laboratory: Based on the collected data, they want to be able to tell when you're going to get sick
  28. 28. Access to own health informations • When the government owns the data: Sensitive information must not go astray • When the patients own data, the patient will share information with anyone who can help – Decisions support systems (Watson) – Patient will judge the advice of health workers to the advice that comes from all available "channels"
  29. 29. New roles and responsibilities? • Will health worker become more a counselor or a coach? • Infomediarian
  30. 30. New ways of service deliverance
  31. 31. At the pharmacy
  32. 32. Remote monitoring of emergency departments New forms of organization
  33. 33. The competence • 62 international elite universities • 3 million students in 220 countries • Will the professors role changed from repeating their lectures to be mentors and coaches?
  34. 34. FOR LENGE SIDEN……
  35. 35. The Guardian • Humanity increasingly stores it’s knowlegde virtually, in the cloud, making it vulnerable to catastropic loss • Things we used to remember, quotations, phone numbers – we now outsource to machines. Why learn by heart when you can google it?
  36. 36. What we learn and what we remember
  37. 37. Information access at tip of your nose
  38. 38. Future access to procedures
  39. 39. The pilots
  40. 40. Finding your way in the dark
  41. 41. Sympathic ophthalmia • A compendium written by MD Viggo Clemmesen
  42. 42. Collegial assistance
  43. 43. Some of the direction when everything converges • The HCS must meet the patients as the banks meet their customers – Email, access to information, use of VC…… • The hospital must be a local government's extended arm to the municipality – The hospital must ensure that the fewest possible number of patients are admitted to the hospital – Virtual Outpatient department ala Inverness – The hospital must extend into the patient's home • The municipality must be the hospital's extended arm – Municipal alarm centrals "must be integrated" in the hospital
  44. 44. Diabetes as an example
  45. 45. Disruptive innovations • A product or service takes root initially in simple applications at the bottom of a market and then relentlessly moves up market, eventually displacing established competitors
  46. 46. Virgin Air
  47. 47. My new – and final – conclusions • Personal health care services will the driving force for the future development • The development in the private marked will be fastest • The govermental health care system will not be the frontrunner in the use of new technology • HCS in the municipalities will adapt faster to new technology than will the hospitals • New players will develop new sensors and gadgets • New players,ala Virgin Air, will first adapt to new ways of health care delivery

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