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/de With / SA Health Smart Diagnosis / 27 June 2013
TU/e SA Health – Smart Diagnosis
ICT System for Smart & Rem...
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/de With / SA Health Smart Diagnosis / 27 June 2013
Drivers for Smart Diagnosis Roadmap
• Dutch industry has a ...
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/de With / SA Health Smart Diagnosis / 27 June 2013
ICT/Internet :
Trend to transformation economy
- 5 -
• Peop...
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/de With / SA Health Smart Diagnosis / 27 June 2013
Smart Diagnosis fundamental issues
• Basic integrated ICT i...
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/de With / SA Health Smart Diagnosis / 27 June 2013
ReLifE objectives
PAGE 9
SA Health
• ReLifE is personal hea...
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/de With / SA Health Smart Diagnosis / 27 June 2013
Conceptual person-centric infrastructure
• Individual perso...
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/de With / SA Health Smart Diagnosis / 27 June 2013
ReLifE / Personal Data Store
/de With / SA Health Smart Dia...
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/de With / SA Health Smart Diagnosis / 27 June 2013
Personal Data Store and Applications – (2)
• Vision fully a...
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/de With / SA Health Smart Diagnosis / 27 June 2013
Catharin
a
Hospital
Maxima
Medical
Centre
GGD
GGzE
LHV
(nat...
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/de With / SA Health Smart Diagnosis / 27 June 2013
Imaging for embedded applications & home care
2-7-2013 - 1...
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/de With / SA Health Smart Diagnosis / 27 June 2013
Health Eco System – Conditions & Services
- 21 -
• Individ...
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/de With / SA Health Smart Diagnosis / 27 June 2013
ReLifE / Possible operational structure t.b.d.
Advisory Bo...
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Dice01 re life-ict-system-smartdiagn-pdw-27june2013

  1. 1. 7/2/2013 1 /de With / SA Health Smart Diagnosis / 27 June 2013 TU/e SA Health – Smart Diagnosis ICT System for Smart & Remote Diagnosis Peter H.N. de With Program director Smart Diagnosis & C3T Professor Imaging and Analysis DICE – 2 July 2013 /de With / SA Health Smart Diagnosis / 27 June 2013 Smart Interventions • Molecular, Cell and Tissue Engineering • Minimal Invasive Image guided intervention • Gas Plasma Medicine • Virtual Physiologic Human Smart Diagnosis • Imaging, processing & diagnostics • Diagnostic & sensing devices in home care ICT architecture • Nanotechnology diagnostics Smart Environment • Staying healthy • Empowerment in daily life • Making healthcare sustainable Focus programs Health@TU/e SA Health
  2. 2. 7/2/2013 2 /de With / SA Health Smart Diagnosis / 27 June 2013 Drivers for Smart Diagnosis Roadmap • Dutch industry has a few good positions • Imaging, sensing, embedded systems, ICT • Healthcare budgets are about to be limited/frozen • Severe downscaling in EU, declining spending power • Dutch Government spending on R&D lowered • ‘Graying’ society • Increase in age-related dysfunctions and chronic diseases • Need for dedicated services, tools, training, … for elderly • Intrinsic roadmap alignment • Topsector HTSM Chapter Health, version 2012 & 2013 • 3TU ICT Roadmap 2012 - 3 - /de With / SA Health Smart Diagnosis / 27 June 2013 Research objective: trend to home care - 4 - • Trend Northwest: lower costs for home care, even cost benefit • ICT and Internet makes people more independent • Technology for making this shift is there
  3. 3. 7/2/2013 3 /de With / SA Health Smart Diagnosis / 27 June 2013 ICT/Internet : Trend to transformation economy - 5 - • People become organized in groups/communities • Groups address local issues • Various groups or communities share larger global issue(s). /de With / SA Health Smart Diagnosis / 27 June 2013 Smart Diagnosis Roadmap vision • Smart diagnosis aims for unobtrusive methods which enable fast reliable outcome and a shift from hospital to primary care and to self-care. • ICT infrastructure, sensing, embedded systems, imaging are enabling technologies - 6 -
  4. 4. 7/2/2013 4 /de With / SA Health Smart Diagnosis / 27 June 2013 Smart Diagnosis fundamental issues • Basic integrated ICT infrastructure for nomadic/home care is missing • There is lack of control on data – personal privacy, security of data • No integrated joint semantic models shared between institutions • Citizens have to pay more themselves, want to be in control of data • Connected to healthcare infrastructure, but person-centric - 7 - /de With / SA Health Smart Diagnosis / 27 June 2013 Conceptual person-centric infrastructure • Individual persons • Stakeholder of his own health and life processes • Human empowerment with personal processes & applications • Life management desktop with personal and business services • Personal data store • Health (service) providers • Loss of personal data, but access to anonymous data and large-scale insight • Possibility for intent casting, broad- or narrow-casting for services • Health App Builders • Registered in health eco system • Support personal health plan, or clinical path ways • Fit to ‘Myhealthplan’, work flows - 8 -
  5. 5. 7/2/2013 5 /de With / SA Health Smart Diagnosis / 27 June 2013 ReLifE objectives PAGE 9 SA Health • ReLifE is personal health eco-system • Integration Project Health ICT infrastructure which is patient-centric • Integrated patient & clinical pathways: personalized processes • Detailed Clinical Models and modeled processes and DCM standards • Patient empowerment • Improved decision support through integrated data storage concepts • Integrated care system for stakeholders • Health eco system governance /de With / SA Health Smart Diagnosis / 27 June 2013 Learning & Knowledge Repository SugarCRM CALL CENTER Cisco VOIP router EHR Health Coach My Devices MyData Patient Specialist GP Analytics Framework Publishing My Health Portal Social Publishing DCM My Health Tablet Complex Event Process’g Nurse/Agent Continua Health Alliance social care MyHealthPlan ReLifE Apps
  6. 6. 7/2/2013 6 /de With / SA Health Smart Diagnosis / 27 June 2013 Conceptual person-centric infrastructure • Individual persons - 11 - /de With / SA Health Smart Diagnosis / 27 June 2013 ICT Infrastructure – Trust is key… - 12 -
  7. 7. 7/2/2013 7 /de With / SA Health Smart Diagnosis / 27 June 2013 ReLifE / Personal Data Store /de With / SA Health Smart Diagnosis / 27 June 2013 Personal Data Store and Applications – (1) • Personal data Store and Personal application layer • Apps are crucial for the citizen • easy to use • Application layer is a way to: • Connect all stakeholders in one single chain • Create uniform trustworthy Health ICT infrastructure • Participation of 1st and 2nd line care institutes should be reached • Participation in system and exploitation of patient data • Large-scale apps: mental disorders, heart failure and revalidation, colon/prostate etc. cancer - 14 -
  8. 8. 7/2/2013 8 /de With / SA Health Smart Diagnosis / 27 June 2013 Personal Data Store and Applications – (2) • Vision fully aligns with • Slimmer Leven 2020 in Brainport region • Provinciale Staten Brabant: Notitie breedband comm. • Smart Diagnosis wants to emphasize • Large-scale health applications • Create breakthrough in Health ICT infrastructure deployment - 15 - /de With / SA Health Smart Diagnosis / 27 June 2013 ReLifE / Horizontal & vertical integration
  9. 9. 7/2/2013 9 /de With / SA Health Smart Diagnosis / 27 June 2013 Catharin a Hospital Maxima Medical Centre GGD GGzE LHV (national GPs) DOH regional GPs Patient commun. Patient /citizen@ home Diagn4U centre Pharma- cies Example / Eindhoven care chain cardio case … ReLifE involves 3 cases in 4 regions (Ehv, Waterford, Copenhagen, Oslo): COPD, Heart, Mental/Epilepsy ReLifE integrates all stakeholders into the system… ReLiFE also integrates data of those stakeholders… • Eindhoven cardio case involves CZH, MMC, RZCC, GPs, Patient communities and at home… /de With / SA Health Smart Diagnosis / 27 June 2013 Sensing devices home & nom. monitoring • Use low-cost devices for diagnosis, support, monitoring • Wearable • Integrated services • Build living lab conditions • Examples • Clinical decision support, automatic data gathering & models • Sensors for life patterns and revalidation training • Personal feedback • Perfect area for the Brainport region • World-class strength in Embedded Systems and emb. SW & ICT • Fertile breeding place for SMEs and further stimulation • Good fit between Companies and University - 18 -
  10. 10. 7/2/2013 10 /de With / SA Health Smart Diagnosis / 27 June 2013 Imaging for embedded applications & home care 2-7-2013 - 19 • Specific imaging at home & embedded • Nomadic monitoring and diagnostics • behavior & training, coaching • Important focus areas • Mental disorders (stress, dementia) • Heart failure and cardio diseases • Premature cancer detection (prostate, colon) Concentrate on early stage diagnosis • Chances for the Brainport region… • TU/e is strong in multidisciplinary R&D • Can be used for large-scale disease appli- cations supporting gen. health infrastructure • Possible SME spin-off creation /de With / SA Health Smart Diagnosis / 27 June 2013 Health Eco System – Maturity growth - 20 - Healthcare services grow mature over time: the patient becomes stakeholder…
  11. 11. 7/2/2013 11 /de With / SA Health Smart Diagnosis / 27 June 2013 Health Eco System – Conditions & Services - 21 - • Individual persons • Owner health and life processes • Personal processes and applications • Life management • Personal data store • Match to the actual personal status • Every citizen a Personal Health Plan /de With / SA Health Smart Diagnosis / 27 June 2013 Care communities are growing now …. • RZCC: 4 hospitals, 80 pharmacies, 600 specialists, 400 medical doctors, 3 Million care messages/year… - 22 -
  12. 12. 7/2/2013 12 /de With / SA Health Smart Diagnosis / 27 June 2013 ReLifE / Possible operational structure t.b.d. Advisory Board ReLifE JV company SME app. 1 SME app. 2 SME technol. 1 Certifi- cation process Brainport Eindhov. TU/e, Syngt RZCC Govern mt. etc. Board of Commissioners ReLifE archi- tecture Indep. Q Control Certifitic. Institute TU/e Certific. company System Design is R&D, the operation becomes a regional company pps, with quality control & certification /de With / SA Health Smart Diagnosis / 27 June 2013 ReLifE conclusions PAGE 24 SA Health • ReLifE is personal health eco-system for all citizens, patient-centric setup • ICT infrastructure is a backbone, open architecture connects third parties (standard interfaces & quality • Integrates all stakeholders: hospitals, practitioners, local carers, joint data platform • Patient empowerment: control of own data store, personalized processes • ReLifE does not build EPDs, but integrates good proposals of stakeholders • Trustworthy and secure data storage • Connects patient at home…

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