The document discusses M2M (machine-to-machine) technology and its applications in healthcare. It describes how M2M enables remote patient monitoring through devices that capture medical data and transmit it over networks to healthcare providers. This allows for prevention, diagnosis, treatment and monitoring of patients. The document also examines M2M's role in areas like medical homes, health kiosks, medical equipment management, and overcoming challenges of big data and cloud computing in healthcare.

1. IT Infrastructure and the Cloud
BIG DATA, BIG MEDICINE
M2M Perspective of
New World Health Paradigm
Narendra K Saini
Narendra.K.Saini@sukrutsystems.com
Ph. +91 206 522 2258 www.sukrutsystems.com info@sukrutsystems.com

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Agenda
• What is M2M?
• M2M & m-Health/e-Health
• M2M & Health Service Delivery through Kiosks
• M2M & MedHomes
• M2M & Medical Equipments
• Cloud & Big Data Challenge in Healthcare
• M2M in the New World Health Paradigm

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WHAT IS M2M?WHAT IS M2M?WHAT IS M2M?WHAT IS M2M?
M2M Perspective of New World Health Paradigm

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What is M2M?
M2M is using a device … … … … Sensor, measurement unit etc.
to capture an event … … … … … … level, location, status, etc.
that is relayed through a network … wireless, wired or hybrid
to an application … … … … … … … software program
which translates the
captured data into
meaningful, actionable
information … … …
“there is a breach”
“tank level is low”
“measurements are out of normal range”
“lost vehicle is located”
“vending machine needs to be restocked”
... etc.
Source: Numerex

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M2M
The number of activated
emerging wireless devices,
including smart phones,
wireless CE, and enterprise
M2M apps, will grow from
53.5m in 2008 to 268m by
2013.
- Source: nCode
50 Billion connected
devices by 2020
– Hans Vestberg, CEO Ericssion
There will be more machines communicating than people.
- Keiji Tachikawa, President NTT DOCOMO
Total cellular M2M module
shipments growing at over
a 24% CAGR through 2009-
2014 period.
– Josh Builta IMS Research

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The Market Drivers for M2M
Automation &
Control
Vehicle
Telemetics
E-governance
Digital
Signage
Security
Vending
Machine
ATM/POS Utilities
Emergency
Service
Public
Transport
Consumer-
Connected
Devices
E-Health &
Telemedicine
Greater
Efficiency
• Business process
efficiency
• Energy efficiency
• Regulatory
compliance
Added
Capabilities
• New business
models
• Improved safety
& security
• Improved
customer service
Pay-as-you-go
Schemes
Regulatory Security
Smart Grid
Fleet
Management
Telehealth

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The Market Drivers for M2M
Automation &
Control
Vehicle
Telemetics
E-governance
Digital
Signage
Security
Vending
Machine
ATM/POS Utilities
Emergency
Service
Public
Transport
Consumer-
Connected
Devices
E-Health &
Telemedicine
Greater
Efficiency
• Business process
efficiency
• Energy efficiency
• Regulatory
compliance
Added
Capabilities
• New business
models
• Improved safety
& security
• Improved
customer service
Pay-as-you-go
Schemes
Regulatory Security
Smart Grid
Fleet
Management
Telehealth

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M2M Business Landscape
• Vehicle Telematics
– Emergency Services
– Automotive telematics
– Transport & logistics
– Automated Toll Collection
– Auto Insurance
– Automotive infotainment
• e-Health or m-Health
– Mobile Phone apps
– Dedicated devices
– Medical Homes
– Health Insurance
• Precision Agriculture
– Weather Parameters
– Soil statistics
– Crop forecast
– Vertical farming
• Smart buildings
– Energy efficient buildings
– Green Building initiatives
– Security
• Smart & sustainable cities
– Smart Buildings & farming options
– Smart Metering & Grids
– Intelligent Public Transport
• Social Aspects
– Disaster Management
– Nuclear radiation detection
– Financial Inclusion
– Community health system
• Environment
– Green house gas emission
– Renewable Energy
• Local/geographically specific
• Others
– POS/Retail, Vending Machines &
payments
– Home & Industrial Automation
– Sports & recreation
– Consumer electronics
– Remote Monitoring & Control
. . . and much more

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M2M & MM2M & MM2M & MM2M & M----HEALTH/EHEALTH/EHEALTH/EHEALTH/E----HEALTHHEALTHHEALTHHEALTH
M2M Perspective of New World Health Paradigm

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e-Health or m-Health
Chronic diseases are growing, so is aged populationChronic diseases are growing, so is aged populationChronic diseases are growing, so is aged populationChronic diseases are growing, so is aged population
• ~ 1 Billion people aged 65+ by 2020
• ~ 900 Million people with long term health concerns
• ~ 1.4 Billion people would require assistance and continuous monitoring
Resource ScarcityResource ScarcityResource ScarcityResource Scarcity
• 3 Billion people do not have access to sufficient medical care
• Cost of medical care is going up continuously
M2M ConnectM2M ConnectM2M ConnectM2M Connect
• Many portable e-health devices, sensors are mature as of today & available off
the shelf in the market
• Home Area Network (HAN) is stable and being used for medical care
• Bringing health service to a platform for Managed Health Insurance Services
M2M is here to helpM2M is here to helpM2M is here to helpM2M is here to help
Prevention Diagnosis Treatment Monitoring

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Stakeholders in e-Health or m-Health
Hospitals & NGO/NPOs
- Enhanced reach at low cost
•Extend hospital services in remote areas,
•Deliver health services in Africa, South America and Asia
•Health Kiosk
•Medical home / extended medical care at home
“3rd parties”
•Health Insurance
•Telemedicine Service Providers
•Government
•Additional Employment Generation
Medical equipment Manufacturers & Service Providers
•Product as a services offers,
•Conversion of data into services (back office or pool of doctors)
•Remote diagnostics and software updates…

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Case Study for m-health
• Remote Patient MonitoringRemote Patient MonitoringRemote Patient MonitoringRemote Patient Monitoring
– A person is required to check their glucose values after each
meal
– The data is delivered to a cell phone / M2M module (possibly
embedded directly into the sensor)
– The data is then delivered to a monitoring service via e.g. GPRS
Source: Continua
Disease Management
Service
M2M Enabled
Medical Device
Disease
History Server
Glucose Meter
Disease Mgmt
Server
Network
MNO
MVNOs

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M2M & HEALTH SERVICEM2M & HEALTH SERVICEM2M & HEALTH SERVICEM2M & HEALTH SERVICE
DELIVERYDELIVERYDELIVERYDELIVERY
M2M Perspective of New World Health Paradigm

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• Community Health Kiosks
– For the poor, and untouched by the medical revolution of last 5-6
decades, Rural health care sector
– Increased opportunities for self-employment in rural areas
– M2M enabled tele-medicine services in Uganda, Kenya & other parts
of Africa
– Community health Kiosks in South and East India
Source: NGE Solutions
Touching the billion lives: Community Health
Source: Neurosynaptics

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Wait for remote connection setup
Call break or next patient
M2M & Health Kiosks
Remote
examinee
Physical examination
Test 1, 2 etc.
Start
Measured data
Display System
Doctor’s
remote
availability
Basic information of problem
Consent for tests
M2MServiceDeliveryPlatform
City Hospital Site Remote Kiosk Site
Prescription & suggestions
Communication & End of call

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• Emergency Services for Ambulance
• Drug Inventory management
• Cold storage management for drugs
• Disaster Management Solution
• Health personal management
• Hospital Management with micro information updates
• Health Survey & Field data collection
• Connected medical homes/extended hospital facilities
• Personal healthcare management
• Community healthcare management
Health Service Delivery Infrastructure

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M2M & MEDM2M & MEDM2M & MEDM2M & MED----HOMESHOMESHOMESHOMES
M2M Perspective of New World Health Paradigm

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• Medical Homes
– Handles “non-urgent” medical care for patients/aged patient
care
– Monitoring of relevant medical parameters through wireless
sensor networks connected remotely to the hospital
– Equipped with local alarms to help patient take care of nominal
changes in the parameters
– Through remote monitoring of the important parameters, an
alarm can be sent to the appropriate medical representative
and/or to the relatives of patient
– Reduced admission to hospitals
– Low cost, long term monitoring for chronic disease & lifestyle
diseases
Concept of Medial Homes

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• Patient Centered Medical Homes (PCMH) initiative by
PCMHRI
– The patient-centered medical home is a new way to provide healthcare. It is a
model that improves people's health and wellbeing by helping doctors
proactively manage and coordinate care for their patients, increasing the use
of preventive care and regular screenings, and supporting people with
diabetes, depression, and other chronic diseases in new and innovative ways.
Source: pcmhri.org
• Barbara Starfield of Johns Hopkins University
– Review of dozens of studies comparing healthcare in U.S. and with
other countries
– 33% lower costs of care; 19% less likely to die from their condition (PC vs SPEC)
– PCP supply assoc w/ improved health outcomes
– Each additional PCP per 10,000 persons=3-10% decrease mortality
– Increase one PCP = 1.44 fewer deaths / 10,000
– Primary care reduces socio demographic /economic disparities
Medical Homes: Concept to Practice

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M2M & MEDICAL EQUIPMENTSM2M & MEDICAL EQUIPMENTSM2M & MEDICAL EQUIPMENTSM2M & MEDICAL EQUIPMENTS
M2M Perspective of New World Health Paradigm

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Medical Equipments
Cost
Tax
Admin
Usages
Power
Interest
Depreciation
Repair &
Maintenance
Insurance
Income
Shelf life
Uptime

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Bundle of products & services
Complete Managed Solutions
Services
Core
Products
(ex. Medical Equipment)
Products
Aftermarket
Products
(e.g. spare parts)
Services
Offering
(e.g Equipment mgnt,
service contracts)
Emerging Scenario for Medical Equipment Manufacturers

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Stockholders in Medical Equipment Business
Unit operators and their customer
- improved service efficiency and cost optimization i.e.;
•Unit management & utilization,
•Security,
“3rd parties” - increased control related to
legislation and risk management, i.e.;
•Remote Management terminal
•Medical Equipment Insurance
Medical Equipment manufacturers – connected with their products
- secure unit up-time & improved customer relationship management, i.e.;
•Predictive maintenance,
•Service contract monitoring,
•Remote diagnostics and software updates

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CLOUD & BIG DATA CHALLENGECLOUD & BIG DATA CHALLENGECLOUD & BIG DATA CHALLENGECLOUD & BIG DATA CHALLENGE
M2M Perspective of New World Health Paradigm

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Big Data Challenge in Healthcare
Big Data Source
• Data discovery
• Patterns
• Research data warehouses
• Pharmacology
• Patient data management
• Medical Equipments
• Clinical Research & Trails
• Health service providers
• Health Insurance Service
providers
• New drug discovery
Big Data Challenges
• Harmonization of data
• HER/EMR standardization
• Security & privacy of data
• Predictive Analysis
• Decision support
• Big Data
– Geographical spread of medical
spending?
– Prevalent choice of treatment ?
– Geographical spread/trends of various
diseases, their treatments and success
rates with respect to the
clinics/doctors/hospitals etc
– Cost vs. quality analysis with respect to
the health service providers, health
insurance providers

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TM
Cloud in Healthcare
• Patient’s information to be stored in a cloud
• Accessed and managed over the Internet through
authorized users
• Information on one cloud is connected to bigger clouds
• Low costs
– Outsourcing information reduces amount spent on new
technology
– Easier to maintain
• Must provide a secure, safe, and authorized
environment for the prevention of information leakage
• Still being explored and is in its nascent stage with
respect to the legal and security point of view in
Healthcare domain

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Major Verticals of M2M in Health
Medical Equipment Manufactures
Extended support and shelf life of equipments
Personal Care & Community health
Healthcare delivery infrastructure
Drug discovery & trials
New drug discovery and clinical trails
Major Verticals of M2M in Health by 2015

28. Thank You
Narendra K. Saini
Co-Founder, Sukrut Systems | India
Email: narendra.k.saini@sukrutsystems.com
© Sukrut Systems, Pune. 2013. All rights reserved.
Protected by the copyright laws of the India and by international treaties. It is illegal and strictly prohibited to distribute, publish, offer for sale or sublicense, give or disclose to any other party in hard copy or digital form or
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Ph. +91 206 522 2258 www.sukrutsystems.com info@sukrutsystems.com
IT Infrastructure and the Cloud
BIG DATA, BIG MEDICINE

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Backup Slide

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