IoT is the newest buzzword in the healthcare sector. The use of sensors, IoT and wearables tends to be on the rise and is radically changing the way patient care has been delivered.

1. IT to IoT
The Journey to NextGen

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Applications – As we knew
2
Integration Back Bone
CDSS
CIS
CA / OR
EMAR
EMR
Data
Warehouse
Clinical &
Business
Intelligence
ADT Module
Registration
Scheduling System
Document Mgmt
E-mail
Team rooms
Learning &
Knowledge mgmt
Workflow
Automation
Patient Mgmt Clinical Systems Collaboration Tools
Drug
Interaction
DB
General Ledger
Payables
Receivables
Asset Management
Cash Management
Financials
Purchase
Inventory Mgmt
Order Mgmt
Contracts Mgmt
Supply Chain
Human Resource
Management
Payroll
Attendance
Recording system
HR
Biometric
CCTV
Remote Access
Facility Mgmt
Billing (OP.IP)
Pharmacy
PACS
RIS
LIMS
Infrastructure Services Resource Management
Remote Access
Ancillary
Systems
Department Systems

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The Ambulance – We attempted
Switch
P
C
2
P
C
1
INTERNET
Video Conference Bridge
Chennai Video Conference Bridge
Mumbai
Tech Support
Switch
Router
MPLS
Network
Remote
Consultants
Selected Doctor’s Office
HD Video Conference Bridge
Delhi
Telecom
Network
Mobile VC Solution for
Ambulances
AMBULANCE
The first attempt on IoT

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The Ambulance was Ready
 For Attention on the Move
 Ambulance is designed for Patient Care On the Move
 Enabled with Satellite Connectivity, VC Solution- Mobile Cart or
Practitioner Cart
AMBULANCE

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And Telepresence on the journey to IoT
 Life Size Images of far side
 Multiple operations at same time
on full screens
 Reports on a separate LCD while
viewing operation online
 Far side Image limited to display
size
 Limited to Single site/operation at
a time. Multiple sites will reduce
screen size
 Reports viewed on same screen
Telepresence Conference Room for Teaching

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We extended Telepresence
• Life Size images and HD Clarity for
consulting live operations
 Video for live operations

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5
• Global Shortage of physicians and nursing staff
• Increasing demand for Care
• Demand for Quality Care – Emphasis on patient outcomes,
measurements of quality statistics
• Increasing Demand for Mobility
– Anytime, anywhere access
• Increasing emphasis on true
“health” care
© 2014 Napier Healthcare. All Rights Reserved.
Drivers for IoT

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“Internet of Things”
Evolution to the “Internet of Things”
Computing
Era
1960’s 1970’s 1980’s 1990’s 2000’s 2010’s 2020’s
Multi-device computing
Many devices for one user
Mass market
One device for one user
Institutional computing
One device for many users
Mainframe Mini
Computing
Client / Server Desktop
Internet
Cloud & Mobile Cloud & Digital
Computing
Data
Management
Apps
Business
Logic Apps
Process
Automation Apps
Web Apps Mobile Apps
Apps, Open
APIs & Big Data
?
ComputingDevices
1960’s 1970’s 1980’s 1990’s 2000’s 2010’s 2020’s
An IT Practitioner’s View

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Costs are Coming Down

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The New ICU
Remote Monitoring
and Alert Systems

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Benefits of Homecare Tele-health
• Clinicians can remotely manage
and monitor a range of health
conditions
• Regular monitoring at home
can reduce hospital visits and
improve quality of life.
• Ability to cover cost effective
care alternatives in growing
markets.
IoT will improve scalability
8
Tele-health is a type of
ambulatory healthcare that
allows a patient to use a mobile
medical device in real-time.
Tele-Health&Home
Care
• Tele-Monitoring
• Tele-Alert
• Tele-Consultation
• Tele-Rehabilitation
• Home Health
• Home Help
• Home Based Care
© 2014 Napier Healthcare. All Rights Reserved.

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Patient e
Diabetes
Mellitus
Hypertensio
n
Cardio Vascular
Diseases
Chronic Obstructive
Pulmonary Disease (COPD)
Post Cerebrovascular
Accident/Diseases
(CVA)
Chronic
Asthma
IoT Gateway
Tele-
Monitoring
Tele-
Alerts
Tele-
Consultation
Integrated
Tele-Health
Portal
Cloud Services
Physician / Specialist
Healthcare
Professional
Tele-Health Monitoring Station
Next-of-Kin /
Caregiver
Internet
© 2015 Napier Healthcare. All Rights Reserved.
Elder Care Provider
9
Integrating Home Care

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Tele-Monitoring Tele-Alert Tele-Consultation Tele-Rehabilitation
Care
Provider
Resident
Data Collection
Unit IoT
Gateway
Vitals instantly monitored
from Care Provider
Dashboard
Triggered Alerts for Panic
Calls, Inactivity & Irregular
vitals readings
Automated alerts to Care
Provider based on severity
of the case
Scheduled &
Automated Tele-
Consultation Session
Provides
Consultation via
Online Video Chat
Physiotherapy
session with Care
Provider online
Physiotherapist
guides
& monitors
resident’s
exercise
Vitals collected &
activities monitored
at Resident Home
Inactivit
yAlerts
The Big View
© 2015 Napier Healthcare. All Rights Reserved.

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The Risk
* The Wearable tech of 2020, section relevant to wearable - "Scenario 5: Sensorium
(Internet of Emotion)
* In 2020 wearable devices won’t care about how many steps you take; they will care
about your real-time emotional state. With devices tracking hormone levels, heart
rates, facial expressions, voice tone, and more, the internet is now a vast system of
“emotion readers,” touching the most intimate aspects of human psychology.
* These technologies allow people’s underlying mental, emotional, and physical
states to be tracked—and manipulated. Whether for blackmail, “revenge porn,” or
other motives, cybercriminals and hostile governments find new ways to
exploit data about emotion.
* The terms of cyber security are redefined, as managing and protecting an
emotional public image and outward mindset appearance become basic social
maintenance."
SECURITY WILL NEED TO BE FROM A DIFFERENT REALM

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The Risk

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And 3D Wave
• Healthcare 3D Printing Market Analysis By Application (Surgical Guides,
Implants, Surgical Instruments, Bioengineering), By Technology (Electron
Beam Melting, Stereolithography, Droplet Deposition Manufacturing), By
Raw Material (Metals, Biological Cells, Polymers, Ceramics) And Segment
Forecast to 2020