SlideShare a Scribd company logo
1 of 34
Image: "Google Home vs. Amazon Echo: Alexa takes round 1." CNET. N.p., 2016. Web. 16 Dec. 2016.
Hands-Free Healthcare:
How an Echo Rewrites the Playbook.
Technology has a history of fading into the background
and changes to a negative association.
Image Courtesy : "Ship on American Queen Cruise Ship - Cruise Critic”. 2016
Power
Image Courtesy: Photo by Petter Rudwall | Unsplash 2016
Pollution
Image Courtesy: Andrews, Michelle. 2016
Care
Image Courtesy of: Star Local. 2016
Distraction
Image Courtesy of: The Life and Times of Calamity Jen. 2016
Life
Image Courtesy of: Independent Digital News and Media, 2016
Death
Celebration of Technology for technology’s sake
doesn’t have staying power.
Recommend focus on the empathy
for user that can be facilitated with technology.
To have empathy, we must understand
what do people care about?
Lifestyle
People care about :
People care about :
Dignity
People care about :
Peace of Mind
People care about :
Reassurance
The Zero UI has the opportunity
to help support people’s humanity.
AI provides information on a
human scale
Frictionless interaction through voice,
gestures, behavior
Interact with physical objects
Overview of Zero UI :
Let’s have a look at Zero UI and users.
Vah
Juliana
Contrast with Healthcare.
Courtesy of: Holmes, Lindsay | The Huffington Post 2016.
Barriers
No consideration for Lifestyle
Barriers :
Barriers :
No Dignity
Barriers :
More complexity and less Peace of Mind
Barriers :
More confusion and less Reassurance
Nascent Healthcare Zero UI :
Center, Microsoft News. "Kinect Effect Reaches Into Hospitals, Senior Centers." News Center. N.p., n.d. Web. 23 Dec. 2016.
BostonChildrens. "Boston Children's Hospital launches cloud-based education on Amazon Alexa-enabled devices." EurekAlert! N.p., n.d. Web. 23 Dec. 2016.
Shead, Sam. "Two former Apple and LloydsPharmacy execs have launched a healthcare startup." Business Insider. Business Insider, 2016. Web. 23 Dec. 2016.
OR Vision
Clinical
Decision
Support
Gestures
Actionable Data
Situational
Awareness
Patient Communication Vision
Medication
Compliance
Natural Interface
Access to EHR
Patient
Engagement
Aging in Place Vision
Care on
Demand
Remote
Monitoring
Dynamic
Careplan
Care
Coordination
Not celebrating technology
Promote Empathy
Reduce barriers
Enjoy Humanity
From death
To humanity
www.ximedica.com
Providence
Minneapolis
San Francisco
Los Gatos
Hong Kong
Jeff McCloud
Senior Digital Product Designer
jmccloud@ximedica.com
@jccloud
Thank you

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Hands-Free Healthcare: How an Echo Rewrites the Playbook (Digital Health Summit @ CES 2017)

Editor's Notes

  1. The echo and google nest are exciting pieces of technology that uses no visual user interface instead uses speech to interact with the information and objects. This along with other ‘zero UI’ interfaces have the opportunity to dramatically improve the healthcare system. But first let’s take a look back in time.
  2. If we look at ‘technology’ it tends fade toward ubiquity. Often changing from an posititive to a negative association. Let’s look back in time
  3. In the industrial revolution power was the most celebrated technology. -ornate -symbol of wealth
  4. Fades into the background Changes from wealth to pollution
  5. Symbol of connected care
  6. Distraction and
  7. Former hospital in all its glory
  8. Stark buildings were people go to die
  9. We have to understand people
  10. Technology in itese
  11. At Ximedica we have spend a lot of time in people’s homes and in clinics really trying to understand people and their motivation, and use technology to facilitate systems that are empathetic to their needs and wants. Well what are they?
  12. Living their lives and doing activities that make them happy Golf 9 holes
  13. They want to have self-respect and be viewed by others in that way
  14. Want a way to deal with daily stress and anxiety
  15. They need to be reassured that they are doing the right thing.
  16. Now back to zero UI. By becoming more ubiquitous is as a opportunity to support people’s humanity
  17. Zero is backed up by artificial intelligence that can provide timely, actionable data on a human scale Rather than learning another device, or interface it Zero UI uses voice, gestures and behavior to interact with technology The reach of zero UI is further extended to physical objects including: lights, thermostats, etc
  18. What are some stories of user. I have some personal stories to share
  19. This is Vah. She is 93 and lives independently at home with a care taker. She is a writer and loves listening to old music Since she is older, she has some mobility issues so she uses a walker to get around the house. Her central vision is reducing so she needs better illumination Activities of daily life: weather, news, play old music Turn the lights on to see better Central vision reduction
  20. Another personal experience: this is my daughter. She is 1 and according to the American Pediatrics Association there should be no screen time before 18months reduced screen time from 2 hrs/day to one hour recommendation. According to a study by common sense media people with children spend over 9.5 hours of screen time with doesn’t include work. Reduced screen time Shared experience Calming effect of music
  21. Let’s talk about how this is compared to healthcare
  22. Healthcare horror story Patient experience waiting for a doctor in a undignified gown Clinician is super busy ending in ICD10 codes, and turns back to the patient Patient worried about diagnosis Insurance concerns Call reports the test results
  23. 7 mins conversation average doesn’t give enough time to understand what the patient cares about or considers acceptable A patient really might want to be able to play golf and their treatment plan should reflect this.
  24. Half dressed in a gown while a fully dressed clinician pokes and prods you Designed for clinician ease not patient
  25. Payers, providers, and patient all lack a coordination of care and access to relevant clinical data A patient is instead burdened by anxiety not only about their health but also how to pay for it. Clinicians are burdened with entering in clinical data with specific codes into a confusing electronic record system or else they can’t get paid
  26. Who is responsible for paying for my tests me or the payer… does the clinician know? Am I going to be able to do what I love? Complex care plans See you in 6 months...
  27. Just scratching the surface Kinect in senior centers for PT Boston Children’s patient education UK using echo for prescription reordering and dispensing Point out that they celebrate technology it will be like smoke stack
  28. We at Ximedica have zero UI vision for healthcare in the OR. We want to facilitate access to timely and actionable data in these high stress environments. Since Be able to understand individual gestures and voice in high stress environments Not have another device in the room Only there when needed Presenting actionable data act as support Understands intension
  29. During a patient visit we want to facilitate the communication between patients and providers. When information is needed, this can be accessed in a shared environment that will provide much richer, conversation. The clinician can spend time face-to-face with the patient and answer any questions. Understand patient’s better in the facilitation of care plan creation Understand current medication/CP compliance to inform what adjustments are needed What other medical records are saying Interact with the data together No screen barrier
  30. We are also looking at home to so that patients can age in place where they would prefer to be. We can provide remote patient monitoring based on vitals, and medication compliance and activity. The providers can have access to this information and better coordinate care Rather than go to 3 doctors appointments per week, the speech system accesses a remote monitoring device and asks the patient clinically relevant questions. Present patient experiences and preferences to the clinician to better cater Tx options based on lifestyle Coordinate care across the 6+ providers Manage complex medication regiments Adjust care plan based on real-time data This even as opportunities to have dynamic care plans and care on demand rather than schedule and wait. This would dramatically improve the access for people like Vah. Who see over 3 doctors appointments per week and a counter of medications. This would help vah with her appointments
  31. we want to understand the optimized we spend a lot of time understanding how they want to work and how the technology with facilitate that understand the people and the environment, imagine the healthcare and the environments they are used in.
  32. Go from this
  33. To this