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Clinic Without Walls
Rick Cnossen- Intel, Worldwide Director of Health IT
2
Agenda
Intel in Healthcare?
Clinic Without Walls
Four Recommendations
Intel's Vision
This decade we will create and extend computing technology to connect and enrich
the lives of every person on earth
3
Intel in Healthcare
Research & Innovation Health IT Solutions Health InitiativesTrusted Advisor Standards & Policy
Desktops Laptops WearablesSmartphonesUltrabook™ Tablets
Single Architecture from Hospital to Home
Secure, High Performance, and Consistent User Experience
Cloud/Datacenter
NEW IMAGE NEW IMAGE 4
5
Agenda
Intel in Healthcare?
Clinic Without Walls
Four Recommendations
Hope or Hype
These new technologies will change
everything and usher in the electronic
revolution in medicine… putting real
time information at the doctor’s
fingertips and ushering in the
era of the paperless office
Recent Article:
TheAdventofElectronic
Medicine,…EHRswillbe
widespreadinjustafewyears
Clinical Futures 1984:
6
7
Home Care
Chiropractor
Public Library
Long Term Care Facility
Pharmacy
Employer
Bold Proposal
Shift50%
of care to a
Clinic Without Walls
in10years
8
9
10
Main Hospital
Fitness Center
Church
Home Care
Retail Pharmacy
Chiropractor
Public Library
Favorite Restaurant
Therapist
Long Term Care Facility
Primary Care Office
Neighbor Caregiver
Patient’s House
Pharmacy
Employer
11
Primary Care
Office
Work
Place
Home
Car
Distributed: from campus to community care
Disruptive technologies—
mobile, social, analytics—on
top of global megatrends are
nudging the world in this
direction.
12
Not a tech problem Garage innovation Relationships
Summary
13
14
Agenda
Intel in Healthcare?
Clinic Without Walls
FourRecommendations
Lessons from the EHR Revolution that wasn’t
Holistic User
Centered
Standards
Based
Virtual
15
What’s making this all possible?
Social Mobile
Analytics Cloud
The
SMAC
Stack
16
Common View Across the IT Ecosystem
* Other names and brands may be claimed as the property of others 17
Mobile Workflow: Doctor App Subscriptions
http://www.pcmag.com/slideshow/story/309765/doctor-recommended-7-top-health-apps
PC Magazine, April 7, 2013
Allergist
AllergyCast (Zyrtec)
4 day pollen forecast
Cardiologist
Quit Smoking (NHS)
Support Messages, Tips, Helpline
Dentist
Time2Brush (Aquafresh)
Where, Timer, Points
Dermatologist
LoveMySkin Mole Map
Track Moles, Education
Nutritionist
Glucose Buddy
Track, Trend, Reminders
Pregnancy
My Pregnancy Today
Education, Checklists, Birth Clubs
Pediatrician
Baby Connect
Monitor Activity (sleep, eating)
18
Holistic User
Centered
Standards
Based
Virtual
Recommendations
19
Intel Global
Innovation Survey
Objective
Evaluate consumer perceptions
of technology innovations and
various ways that it is expected
to impact daily life.
Methodology
Penn Schoen Berland conducted
a quantitative poll with over
12,000 interviews, spanning
8 countries in Q3, 2013.
20
Objective
Evaluate consumer perceptions
of technology innovations and
various ways that it is expected
to impact daily life.
Methodology
Penn Schoen Berland conducted
a quantitative poll with over
12,000 interviews, spanning
8 countries in Q3, 2013.
Intel Global
Innovation Survey
21
Intel Global
Innovation Survey
22
Intel Global
Innovation Survey
23
Intel Global
Innovation Survey
24
Intel Global
Innovation Survey
25
End User Research
26
Battery Life
Rugged
Ease of Use
Complexity
Holistic User
Centered
Standards
Based
Virtual
Recommendations
27
28
Continua End-End mHealth Architecture
Personal Device
Weight Scale
Pulse
Oximeter
Independent
Living Activity
Cardio /
Strength
Medication
Adherence
Glucose Meter
Pulse /
Blood
Pressure
Thermometer
Physical Activity
Peak Flow
Electrocardiogram
Insulin
Pump
Mobile Apps
Aggregation
Manager
Telehealth
Service Center
Health
Records
Health
Record
Network
(HRN)
Interface
Personal
Area
Network
(PAN)
Interface
Wide
Area
Network
(WAN)
Interface
29
Personal Connected Health Alliance (PCHA)
An alliance and collaboration focused on the vision of person-centered health and health care
with a mission to deliver interoperable personal health solutions that foster independence and
empower people to better manage their health and wellness from anywhere; at anytime.
Empowering individuals
to better manage
their health.
Interoperability &
Eco System Enablement
Thought Leadership &
Industry Connection
Global Access &
Leadership
Holistic User
Centered
Standards
Based
Virtual
Recommendations
30
0
200
400
600
800
1,000
1,200
1,400
1,600
1,800
2,000
2010 2011 2012 2013 2014 2015 2016 2017
Others
Mental Health
Hypertension
Diabetes
COPD
CHF
Worldwide Telehealth Patients (thousands)
Growing to 1.7 Million Visits by 2017
The World Market for Telehealth – An Analysis of Demand Dynamics – 2012 INMedica, IMS Research 31
Online Applications:
 Viewing Lab Results
 e-mail Providers securely
 Rx refills
 Booking appointments
In-Person And Virtual Patient-Physician Visits
Health Affairs, Pearl R Health Aff 2014;33:251-257
©2014 by Project HOPE - The People-to-People Health Foundation, Inc
Kaiser Permanente Northern California, 2008–13.
0
5
10
15
20
2008 2009 2010 2011 2012 2013
office visits Virtual visits (telephone and secure e-mail)
Kaiser Permanente Northern California, 2008–13.
32
Pascal Example- mobile prescription, order and renewal
Experiences from the first mobile users
Evaluation Areas: User Acceptance, Patient Safety, Usage Model, Authentication with SMS
34
Pascal Example- Survey Findings
 68% percieves that they have better access to information with a mobile
device than without.
 76% percieves that their work have improved with the use of tablets.
 80% percieves that they can provide better help to their patients.
 60% state that the patient becomes more engaged in the precription.
 92% percieves that the tablet has fulfilled their expectations.
 84% would recommend their colleagues to use Pascal on a tablet.
A Wide Array of mHealth IoT Wearables
Person to Person Person to Computer Person as Computer
Data Streamed
Care
Emotional
Mirror
Biometrically
Attuned
Responsive
Coaching
Authenticated
Self
Cloud
Memory
Long Distance
Togetherness
Bespoke
Biotech
Augmented
Sensory Perception
On-board
Interface
Hug Simulation Jacket Lets
Parents Calm Kids Via
Mobile Devices
Printed Prosthetic Offers
The Functionality Of A
Human Hand
Biohacked, Implanted
Headphones Allow User
To Echolocate
Electronic Make Up Lets
You Activate Gadgets
By Blinking
Smartphone Provider
Introduces Ingestible
Password Pill For Devices
Wearable Camera Life
Blogs By Snapping Photos
Throughout The Day
Responsive Bracelet Sends
Thermoelectric Pulses To Heat
Or Cool A Person’s Entire Body
Running App Personalizes
Workouts Based On Current
Stamina
Tooth Embedded Sensor
Relays Eating Habits
To Dentist
Workout Gear Visualizes
Activity Levels Of Wearer
In Real-Time
Sleep Monitoring
A Kimono* with sensors monitors
the baby's temperature, breathing
and communicates with parents.
35
Video- IoT Limbs
36
37
Thank You
rick.a.cnossen@intel.com
Intel Across Healthcare: Learn More
www.intel.com/healthcare
Policy and Standards
Mobile Healthcare Care Coordination Secure Cloud Devices and Imaging
Performance Big Data Aging
38
Notice and Disclaimers
Notice: This document contains information on products in the design phase of development. The information here is subject to change without notice. Do
not finalize a design with this information. Contact your local Intel sales office or your distributor to obtain the latest specification before placing your
product order.
INFORMATION IN THIS DOCUMENT IS PROVIDED IN CONNECTION WITH INTEL® PRODUCTS. EXCEPT AS PROVIDED IN INTEL'S TERMS AND CONDITIONS OF
SALE FOR SUCH PRODUCTS, INTEL ASSUMES NO LIABILITY WHATSOEVER, AND INTEL DISCLAIMS ANY EXPRESS OR IMPLIED WARRANTY RELATING TO
SALE AND/OR USE OF INTEL PRODUCTS, INCLUDING LIABILITY OR WARRANTIES RELATING TO FITNESS FOR A PARTICULAR PURPOSE,
MERCHANTABILITY, OR INFRINGEMENT OF ANY PATENT, COPYRIGHT, OR OTHER INTELLECTUAL PROPERTY RIGHT. Intel products are not intended for
use in medical, life saving, or life sustaining applications. Intel may make changes to specifications, product descriptions, and plans at any time, without
notice.
All products, dates, and figures are preliminary for planning purposes and are subject to change without notice.
Designers must not rely on the absence or characteristics of any features or instructions marked "reserved" or "undefined.“ Intel reserves these for
future definition and shall have no responsibility whatsoever for conflicts or incompatibilities arising from future changes to them.
Performance tests and ratings are measured using specific computer systems and/or components and reflect the approximate performance of Intel
products as measured by those tests. Any difference in system hardware or software design or configuration may affect actual performance.
The Intel products discussed herein may contain design defects or errors known as errata which may cause the product to deviate from published
specifications. Current characterized errata are available on request.
Knights Corner, Knights Ferry, Aubrey Isle and other code names featured are used internally within Intel to identify products that are in development
and not yet publicly announced for release. Customers, licensees and other third parties are not authorized by Intel to use code names in advertising,
promotion or marketing of any product or services and any such use of Intel's internal code names is at the sole risk of the user.
opies of documents which have an order number and are referenced in this document, or other Intel literature, may be obtained by calling 1-800-548-
4725, or by visiting Intel's website at http://www.intel.com.
Intel®, Itanium®, Xeon®, Pentium®, and the Intel logo are trademarks or registered trademarks of Intel Corporation or its subsidiaries in the United States
and other countries.
Copyright © 2011-14, Intel Corporation. All rights reserved.
*Other names and brands may be claimed as the property of others.
39

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Intel HIMSS WoHIT mhealth

  • 1. Clinic Without Walls Rick Cnossen- Intel, Worldwide Director of Health IT
  • 2. 2 Agenda Intel in Healthcare? Clinic Without Walls Four Recommendations
  • 3. Intel's Vision This decade we will create and extend computing technology to connect and enrich the lives of every person on earth 3
  • 4. Intel in Healthcare Research & Innovation Health IT Solutions Health InitiativesTrusted Advisor Standards & Policy Desktops Laptops WearablesSmartphonesUltrabook™ Tablets Single Architecture from Hospital to Home Secure, High Performance, and Consistent User Experience Cloud/Datacenter NEW IMAGE NEW IMAGE 4
  • 5. 5 Agenda Intel in Healthcare? Clinic Without Walls Four Recommendations
  • 6. Hope or Hype These new technologies will change everything and usher in the electronic revolution in medicine… putting real time information at the doctor’s fingertips and ushering in the era of the paperless office Recent Article: TheAdventofElectronic Medicine,…EHRswillbe widespreadinjustafewyears Clinical Futures 1984: 6
  • 7. 7
  • 8. Home Care Chiropractor Public Library Long Term Care Facility Pharmacy Employer Bold Proposal Shift50% of care to a Clinic Without Walls in10years 8
  • 9. 9
  • 10. 10
  • 11. Main Hospital Fitness Center Church Home Care Retail Pharmacy Chiropractor Public Library Favorite Restaurant Therapist Long Term Care Facility Primary Care Office Neighbor Caregiver Patient’s House Pharmacy Employer 11
  • 12. Primary Care Office Work Place Home Car Distributed: from campus to community care Disruptive technologies— mobile, social, analytics—on top of global megatrends are nudging the world in this direction. 12
  • 13. Not a tech problem Garage innovation Relationships Summary 13
  • 14. 14 Agenda Intel in Healthcare? Clinic Without Walls FourRecommendations
  • 15. Lessons from the EHR Revolution that wasn’t Holistic User Centered Standards Based Virtual 15
  • 16. What’s making this all possible? Social Mobile Analytics Cloud The SMAC Stack 16
  • 17. Common View Across the IT Ecosystem * Other names and brands may be claimed as the property of others 17
  • 18. Mobile Workflow: Doctor App Subscriptions http://www.pcmag.com/slideshow/story/309765/doctor-recommended-7-top-health-apps PC Magazine, April 7, 2013 Allergist AllergyCast (Zyrtec) 4 day pollen forecast Cardiologist Quit Smoking (NHS) Support Messages, Tips, Helpline Dentist Time2Brush (Aquafresh) Where, Timer, Points Dermatologist LoveMySkin Mole Map Track Moles, Education Nutritionist Glucose Buddy Track, Trend, Reminders Pregnancy My Pregnancy Today Education, Checklists, Birth Clubs Pediatrician Baby Connect Monitor Activity (sleep, eating) 18
  • 20. Intel Global Innovation Survey Objective Evaluate consumer perceptions of technology innovations and various ways that it is expected to impact daily life. Methodology Penn Schoen Berland conducted a quantitative poll with over 12,000 interviews, spanning 8 countries in Q3, 2013. 20
  • 21. Objective Evaluate consumer perceptions of technology innovations and various ways that it is expected to impact daily life. Methodology Penn Schoen Berland conducted a quantitative poll with over 12,000 interviews, spanning 8 countries in Q3, 2013. Intel Global Innovation Survey 21
  • 26. End User Research 26 Battery Life Rugged Ease of Use Complexity
  • 28. 28 Continua End-End mHealth Architecture Personal Device Weight Scale Pulse Oximeter Independent Living Activity Cardio / Strength Medication Adherence Glucose Meter Pulse / Blood Pressure Thermometer Physical Activity Peak Flow Electrocardiogram Insulin Pump Mobile Apps Aggregation Manager Telehealth Service Center Health Records Health Record Network (HRN) Interface Personal Area Network (PAN) Interface Wide Area Network (WAN) Interface
  • 29. 29 Personal Connected Health Alliance (PCHA) An alliance and collaboration focused on the vision of person-centered health and health care with a mission to deliver interoperable personal health solutions that foster independence and empower people to better manage their health and wellness from anywhere; at anytime. Empowering individuals to better manage their health. Interoperability & Eco System Enablement Thought Leadership & Industry Connection Global Access & Leadership
  • 31. 0 200 400 600 800 1,000 1,200 1,400 1,600 1,800 2,000 2010 2011 2012 2013 2014 2015 2016 2017 Others Mental Health Hypertension Diabetes COPD CHF Worldwide Telehealth Patients (thousands) Growing to 1.7 Million Visits by 2017 The World Market for Telehealth – An Analysis of Demand Dynamics – 2012 INMedica, IMS Research 31
  • 32. Online Applications:  Viewing Lab Results  e-mail Providers securely  Rx refills  Booking appointments In-Person And Virtual Patient-Physician Visits Health Affairs, Pearl R Health Aff 2014;33:251-257 ©2014 by Project HOPE - The People-to-People Health Foundation, Inc Kaiser Permanente Northern California, 2008–13. 0 5 10 15 20 2008 2009 2010 2011 2012 2013 office visits Virtual visits (telephone and secure e-mail) Kaiser Permanente Northern California, 2008–13. 32
  • 33. Pascal Example- mobile prescription, order and renewal Experiences from the first mobile users Evaluation Areas: User Acceptance, Patient Safety, Usage Model, Authentication with SMS
  • 34. 34 Pascal Example- Survey Findings  68% percieves that they have better access to information with a mobile device than without.  76% percieves that their work have improved with the use of tablets.  80% percieves that they can provide better help to their patients.  60% state that the patient becomes more engaged in the precription.  92% percieves that the tablet has fulfilled their expectations.  84% would recommend their colleagues to use Pascal on a tablet.
  • 35. A Wide Array of mHealth IoT Wearables Person to Person Person to Computer Person as Computer Data Streamed Care Emotional Mirror Biometrically Attuned Responsive Coaching Authenticated Self Cloud Memory Long Distance Togetherness Bespoke Biotech Augmented Sensory Perception On-board Interface Hug Simulation Jacket Lets Parents Calm Kids Via Mobile Devices Printed Prosthetic Offers The Functionality Of A Human Hand Biohacked, Implanted Headphones Allow User To Echolocate Electronic Make Up Lets You Activate Gadgets By Blinking Smartphone Provider Introduces Ingestible Password Pill For Devices Wearable Camera Life Blogs By Snapping Photos Throughout The Day Responsive Bracelet Sends Thermoelectric Pulses To Heat Or Cool A Person’s Entire Body Running App Personalizes Workouts Based On Current Stamina Tooth Embedded Sensor Relays Eating Habits To Dentist Workout Gear Visualizes Activity Levels Of Wearer In Real-Time Sleep Monitoring A Kimono* with sensors monitors the baby's temperature, breathing and communicates with parents. 35
  • 38. Intel Across Healthcare: Learn More www.intel.com/healthcare Policy and Standards Mobile Healthcare Care Coordination Secure Cloud Devices and Imaging Performance Big Data Aging 38
  • 39. Notice and Disclaimers Notice: This document contains information on products in the design phase of development. The information here is subject to change without notice. Do not finalize a design with this information. Contact your local Intel sales office or your distributor to obtain the latest specification before placing your product order. INFORMATION IN THIS DOCUMENT IS PROVIDED IN CONNECTION WITH INTEL® PRODUCTS. EXCEPT AS PROVIDED IN INTEL'S TERMS AND CONDITIONS OF SALE FOR SUCH PRODUCTS, INTEL ASSUMES NO LIABILITY WHATSOEVER, AND INTEL DISCLAIMS ANY EXPRESS OR IMPLIED WARRANTY RELATING TO SALE AND/OR USE OF INTEL PRODUCTS, INCLUDING LIABILITY OR WARRANTIES RELATING TO FITNESS FOR A PARTICULAR PURPOSE, MERCHANTABILITY, OR INFRINGEMENT OF ANY PATENT, COPYRIGHT, OR OTHER INTELLECTUAL PROPERTY RIGHT. Intel products are not intended for use in medical, life saving, or life sustaining applications. Intel may make changes to specifications, product descriptions, and plans at any time, without notice. All products, dates, and figures are preliminary for planning purposes and are subject to change without notice. Designers must not rely on the absence or characteristics of any features or instructions marked "reserved" or "undefined.“ Intel reserves these for future definition and shall have no responsibility whatsoever for conflicts or incompatibilities arising from future changes to them. Performance tests and ratings are measured using specific computer systems and/or components and reflect the approximate performance of Intel products as measured by those tests. Any difference in system hardware or software design or configuration may affect actual performance. The Intel products discussed herein may contain design defects or errors known as errata which may cause the product to deviate from published specifications. Current characterized errata are available on request. Knights Corner, Knights Ferry, Aubrey Isle and other code names featured are used internally within Intel to identify products that are in development and not yet publicly announced for release. Customers, licensees and other third parties are not authorized by Intel to use code names in advertising, promotion or marketing of any product or services and any such use of Intel's internal code names is at the sole risk of the user. opies of documents which have an order number and are referenced in this document, or other Intel literature, may be obtained by calling 1-800-548- 4725, or by visiting Intel's website at http://www.intel.com. Intel®, Itanium®, Xeon®, Pentium®, and the Intel logo are trademarks or registered trademarks of Intel Corporation or its subsidiaries in the United States and other countries. Copyright © 2011-14, Intel Corporation. All rights reserved. *Other names and brands may be claimed as the property of others. 39