Nations around the world can use similar approaches – including deploying home health monitoring technologies for people with chronic illness. Presentation: “Advancing Chronic Care with eHealth Technologies in Japan: Proving Global Solutions for an Aging Population” from the annual Asia-Europe Meeting (ASEM) Conference on eCommerce in London. http://www.brown2020.com

1. Mainstreaming eHealth

2. Advancing Chronic Care with eHealth
Technologies in Japan: Proving Global
Solutions for an Aging Population
Steve Brown
CEO
Health Hero Network Ltd
Mainstreaming eHealth

3. The Aging Population
Challenge in Japan
• Total population drops from
120M (2000) to 100M (2050)
• Population over 65 rises from
18% (2000) to 37% (2050)
• Traditional familial care of
elderly declining rapidly
•
• New solutions needed for
chronic care
Mainstreaming eHealth

4. What can eHealth do?
• Tools to support and educate patients to improve self-
care, wellness, and health behavior
• Tools to support caregivers in the monitoring and
management of patients with chronic disease
• Value to patients, caregivers, and society:
Prevent the worsening of chronic disease
Increase access to chronic care
Lower the burden and cost of chronic care
Mainstreaming eHealth

5. Tools to support and educate
patients
• Easy-to-use interactive
countertop device
• Daily personalized
dialogue and guidance
• Communication hub for
home medical devices
Behavior modification
Mainstreaming eHealth

6. Personalized daily guidance
and feedback
• Congestive Heart Failure
• Chronic Obstructive Pulmonary Disease
• Coronary Artery Disease
• Diabetes
• Hypertension
• Asthma
• Depression
• Senior Wellness (diet, activity, medications)
Development tools and platform approach
enables adaptation to local needs
Mainstreaming eHealth

7. Fully customizable dialogue content
• Example from Dutch COPD program operated by Sananet BV in Netherlands
Mainstreaming eHealth

8. Communication hub for home
medical devices
* Subject to appropriate regulatory approvals
Open system can serve devices from many different vendors
Mainstreaming eHealth

9. Tools to support caregivers
• Web-based application
services for caregivers
• Daily patient status and
needs stratification
• Symptoms, behavior,
knowledge
Monitor everyone but
manage by exception
Mainstreaming eHealth

10. Systems approach
Enabling an improved model of chronic care
Mainstreaming eHealth

11. Yamatake Corporation – Pioneer of
chronic care improvement in Japan
• Over 90 years experience in innovating in process automation and
factory automation
• Develops new business in the fields of health care, energy
conservation and food safety and agriculture
• 7,100 employees, over 1.4 billion (USD) in sales – 2003
• Created the Safety Service Centre which runs a personal
emergency response service
• Developed chronic care improvement system and service based on
Health Buddy® system in partnership with Health Hero Network
• Chronic care improvement services through Safety Service Centre
Mainstreaming eHealth

12. Obstacles to improving
chronic care in Japan
• Insufficient economic incentives for healthcare
providers to focus on prevention
• Entrenched healthcare interests and institutions are
slow to change
• Population health factors are moving in the wrong
direction (obesity, diabetes, lung disease all rising)
Does this sound familiar?
Mainstreaming eHealth

13. Situation in Japan is model for global
needs to improve chronic care for aging population
• Very different healthcare systems in Japan,
Europe, USA
• Very similar needs to improve chronic care for
aging populations
Leading toward similar eHealth solutions
Mainstreaming eHealth

14. Video example is from Health Buddy® program
in Netherlands operated by Sananet BV
Mainstreaming eHealth

15. Similar chronic care improvement
programsand pilots underway in 2005
• Japan (Yamatake)
• Netherlands (Health Ministry, hospital pilots with Sananet)
• USA (Veterans Affairs national program, Medicare pilots)
Opportunity to learn from examples around the world
New body of evidence being generated to support systems
approach to improving chronic care for aging patients
Based on eHealth enabling tools
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16. Future developments will further increase
capabilities applications globally
Health Buddy® 2
Processor: Samsung ARM 2410
Memory: 64MB
Persistent Storage: 32 MB
Operating System: Linux
Screen: 640 x 240 Color LCD
Ports: 4 USB, 1 RJ45 Serial
Modem: 33.6 kbs
Multiple languages
Remote configuration
45 health applications
Mainstreaming eHealth

17. Contact Information
Steve Brown
CEO
Health Hero Network Ltd
40 Abbey Road
Monkstown, Co. Dublin
Ireland
Tel: 00353 1 280 3997
Fax: 00353 1 280 9806
stevebrown@healthhero.com
Mainstreaming eHealth