The document discusses smart health homes, which combine technologies from smart homes and healthcare to monitor individuals' health and environment at home. A smart health home focuses on prevention and medical-grade monitoring for both patients and doctors. It supports remote health care through connectivity between various medical devices, sensors, and mobile/computing systems. Key challenges include ensuring medical compliance, capturing and analyzing data privacy, and addressing legal and socioeconomic factors like users' perceived risks and values. Ultimately, a smart health home must satisfy all stakeholders' needs and requirements to serve as a certified medical system.

1. SMARTHEALTHHOME:
Technology,healthcare,legal,andsocioeconomics
DSC Europe 23
Vladimir Brusic, Professor
Smart Medicine Laboratory
University of Nottingham Ningbo China

2. Introduction
Technology
Smart Health and Telemedicine
Legal and regulatory compliance
Socioeconomics
Conclusion

4. What is a Smart Health Home?
Smart Health Home combines technologies and practices from Smart
Home and from Smart Health
It monitors humans (heart health, sleep, blood pressure, and activities),
and environmental variables (temperature, humidity, noise,
atmospheric pressure, …) at home
It supports the Internet of Things and Internet of Medical Things
connectivity, as well as mobile components for out-of-home
monitoring.
It supports Home Health Care.
It can tell a healthy from an unhealthy heart and monitor several
diseases and their severity.

5. "What‘s the difference? There are many
systems and Apps available."

6. Smart Health Home
1. Focuses on monitoring and prevention
2. Expected to provide medical-grade monitoring
3. For use by both patients and medical doctors
4. High level of automation
5. Legal and regulatory compliance

7. New model, New roles, New challenges
An Ideal SHH:
- Effective improve health
outcomes
- Compliant with normative
requirements
- Useful to all stakeholders MULTIPLE USERS HOME COMPUTING CENTER
eHealth & mHealth
applications
MEDICAL DEVICES
MOBILE SETTING
HOME SETTING
WEARABLE DEVICES
INDOOR SENSORS

8. General scheme for Smart Health Home

9. SCALING UP - SMART HEALTH COMMUNIT

10. Introduction
Technology
Smart Health and Telemedicine
Legal and regulatory compliance
Socioeconomics
Conclusion

12. General scheme for Smart Health Home

13. Introduction
Technology
Smart Health and Telemedicine
Legal and regulatory compliance
Socioeconomics
Conclusion

14. Trends in medicine
MEGATRENDS
Demography:
Aging,
mobility,
urbanization
Lifestyle:
Sedentary
life, dietary
patterns
Economy:
Changing
types and
centres of
activities
Technology:
instruments
automation,
ICT, 5G, IoT
Environment:
climate
change,
pollution
LIFE SCIENCES AND MEDICINE
Changing
disease
patterns
Better-
informed
patients
Increase of
regulation
mHealth,
evidence-
based
medicine,
telemedicine
Shortage of
physicians

17. Information accumulation
grows faster than our ability
to analyze – the ANALYSIS
GAP

19. Artificial Intelligence
Automation
Home Health Care
Huge economic potential,
Can use currently existing infrastructure

20. The SHH-centric view of P4 medicine delivery
Prediction, Personalization, Prevention, and Participation

21. Journal of Medical Systems (2018) 42: 30
https://doi.org/10.1007/s10916-017-0883-
A 3-tier proposed telemedicine system

22. Challenges and new requirements
Ensuringmedicalcompliance? Healthinformatics,certification
Howtocapturedata? InternetofThings
Howtoanalyzedata? MedicalBigDataanalytics
Improvetheuseofknowledge? Knowledge-basedsystems
Whoistheownerofthedata? Patientacceptance
Whocanaccessdata? Approvedusers,butonlythem
Decisionmaking,possibleerrors? AIsystems
Safety,security,privacy? Blockchain
Regulation? Law,ethics

24. Sleep Study Report
in clinic using PSG
Sleep Health Report by our system (screenshots)
using heart rate data from consumer wearables

25. Introduction
Technology
Smart Health and Telemedicine
Legal and regulatory compliance
Socioeconomics
Conclusion

43. Introduction
Technology
Smart Health and Telemedicine
Legal and regulatory compliance
Socioeconomics
Conclusion

44. Example of personal
health monitoring
Smart medical and elderly care systems (SMECS)
home-based care model, economic factors, and technological accessibility are
important
Personalized programs for the elderly are needed
The perceived risk from SMECS was stronger than their perceived value

45. PERCEIVED RISKS
Medical risks
inoperative equipment
improper diagnosis
privacy disclosure.
Financial risks
considerable fees
financial fraud
capital turnover
problems
PERCEIVED VALUE
Utilitarian value
functional benefits
meaningful information
efficiency
all obtained in time
Hedonic value
subjective happiness
relaxation
enjoying use of SMECS

46. Journal of Medical Systems (2018) 42: 30
https://doi.org/10.1007/s10916-017-0883-
A 3-tier proposed telemedicine system

47. Journal of Medical Systems (2018) 42: 30
https://doi.org/10.1007/s10916-017-0883-
A 3-tier proposed telemedicine system
Safety
Privacy
Safe data transfer
Certification
Medical devices
Medical software
Usability
AI
Acceptance

48. Introduction
Technology
Smart Health and Telemedicine
Legal and regulatory compliance
Socioeconomics
Conclusion

49. Smart Health Home must
1. Address the needs of all stakeholders
2. Serve as a medical laboratory
3. Have certification as a medical device/system/software
4. Satisfy the requirements of all stakeholders

50. Smart Health Home is primarily a
socio-economic and legal issues
and secondarily
medical and technological issues

51. Thanks to the members of the
Smart Medicine Laboratory at the
University of Nottingham Ningbo China
for work and contributions towards
building Smart Health Home!