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The Virtual Future
of Healthcare

------
July 14, 2012
Today’s Presentation
      Introduction to Virtual Worlds
        − Dr. Robin Teigland, Stockholm School of Economics,
          Sweden


      Case Example I – Scientific meetings at Merck
        − Dr. Chris Welch, Merck Research Laboratories, USA
        − Scott Boyd, Merck Polytechnic Institute, USA


      Case Example II - Healthcare training by CliniSpace
        − Dr. Parvati Dev, Innovation in Learning Inc., USA

      Panel Moderator
        − Dr. Carl Johan Sundberg, Karolinska Institutet, Sweden
Here comes the “Immersive Internet”




                                      O’Driscoll, 2009
How many
usually think of
virtual worlds…
What are Virtual Worlds?




 •Persistent, computer-simulated, immersive environments
    •Shared socialization spaces with interactive content
             •Economic activity and transactions
The number of virtual worlds and users
 continues to rapidly increase

                                              ≈1.9 bln accounts




                                ≈100 worlds
http://www.slideshare.net/nicmitham/kzero-universe-q1-2012
Emerging VW Healthcare
Applications
             1                                                  3
Healthcare       • Education            • Education
 Providers       • Collaboration        • Training & simulation
                 • Data visualization   • Recruitment



             • Research participation   • Education
Healthcare   • User innovation          • Distance care
Recipients                              • “Avatar” care
                                        • Artificial intelligence
             2                                                  4
                   Healthcare               Healthcare
                  Development                Delivery
Virtual collaboration and visualization for
 Heathcare Development
                      Merck’s Global R&D




ProViWo: Professional Collaboration and Productivity in Virtual Worlds, http://vmwork.net/proviwo/
User innovation: Interacting with
customers during Healthcare Development




 Designing tomorrow’s
    hospital: Cisco &
 Palomar West Hospital
Emerging VW Healthcare
Applications
             1                                                  3
Healthcare   • Education                • Education
 Providers   • Collaboration            • Training & simulation
             • Data visualization       • Recruitment



             • Research participation   • Education
Healthcare   • User innovation          • Distance care
Recipients                              • “Avatar” care
                                        • Artificial intelligence
             2                                                  4
                  Healthcare                   Healthcare
                 Development                    Delivery
Training and simulation for Providers of
Healthcare Delivery
  Virtual hallucinations at     In hospital counseling at
  UC Davis                      Univ of New England




  Pharmacy training at Umeå U   Emergency training w/ SAIC
Improving effectiveness for Recipients of
Healthcare Delivery




      Cancer support groups       Health literacy by
      by the BE Community     Trinitas Regional Medical




       Behavioral modeling      Virtual counseling by
        through avatars at        Preferred Family
             Stanford                Healthcare
We have just started exploring the affordances
of Virtual Worlds for Healthcare

   3D, multimodal interface
     − Immersion
     − Simulation
     − Relative-low cost/low effort
   Avatar-based interaction
     − Anonymity
     − Projection
     − Artificial intelligence
   Internet-based
     − Global reach to talent and customers/end-users
     − Global financial infrastructure
   ??????
Increasing pace of VW/3Di development

     Short-term                           Mid-term


    Browser-based,
    hyperlinked 3D                         Mobile


                       Long-term




                     Radical interfaces
                                                    Adapted from Burden, 2012
Cloud party on Facebook – In beta


                https://www.facebook.com/CloudParty
≈1.4 bln VW accounts under age 16




   225 mln




    170 mln



                                        200 mln

              28 mln
                                                                265 mln
                       http://www.slideshare.net/nicmitham/kzero-universe-q1-2012
“Clearly, if social activity migrates to
synthetic worlds, economic activity will
    go there as well.” Castronova, 2006
What impact will labor “mobility” have on
healthcare?




                                     Teigland, JVWR, 2010
“We ain’t seen nothin’ yet!”

                                              Karinda Rhode
  Photo: Lindholm, Metro
                                            aka Robin Teigland
                                          robin.teigland@hhs.se
Photo:
Nordenskiöld


                                       www.knowledgenetworking.org
                                       www.slideshare.net/eteigland
                                          www.nordicworlds.net
                                              RobinTeigland
                              Photo:
                           Lindqvist
Today’s Presentation
       Introduction to Virtual Worlds
         − Dr. Robin Teigland, Stockholm School of Economics,
           Sweden


       Case Example I – Scientific meetings at Merck
         − Dr. Chris Welch, Merck Research Laboratories, USA
         − Scott Boyd, Merck Polytechnic Institute, USA


       Case Example II - Healthcare training by CliniSpace
         − Dr. Parvati Dev, Innovation in Learning Inc., USA

       Panel Moderator
         − Dr. Carl Johan Sundberg, Karolinska Institutet, Sweden
Virtual collaboration


                   Merck’s Global R&D




                                    http://bit.ly/sNyKb5




Welch et al 2010
Today’s Presentation
       Introduction to Virtual Worlds
         − Dr. Robin Teigland, Stockholm School of Economics,
           Sweden


       Case Example I – Scientific meetings at Merck
         − Dr. Chris Welch, Merck Research Laboratories, USA
         − Scott Boyd, Merck Polytechnic Institute, USA


       Case Example II - Healthcare training by CliniSpace
         − Dr. Parvati Dev, Innovation in Learning Inc., USA

       Panel Moderator
         − Dr. Carl Johan Sundberg, Karolinska Institutet, Sweden
Healthcare training
Q&A
       Introduction to Virtual Worlds
         − Dr. Robin Teigland, Stockholm School of Economics,
           Sweden


       Case Example I – Scientific meetings at Merck
         − Dr. Chris Welch, Merck Research Laboratories, USA
         − Scott Boyd, Merck Polytechnic Institute, USA


       Case Example II - Healthcare training by CliniSpace
         − Dr. Parvati Dev, Innovation in Learning Inc., USA

       Panel Moderator
         − Dr. Carl Johan Sundberg, Karolinska Institutet, Sweden

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The Virtual Future of Healthcare

  • 1. The Virtual Future of Healthcare ------ July 14, 2012
  • 2. Today’s Presentation  Introduction to Virtual Worlds − Dr. Robin Teigland, Stockholm School of Economics, Sweden  Case Example I – Scientific meetings at Merck − Dr. Chris Welch, Merck Research Laboratories, USA − Scott Boyd, Merck Polytechnic Institute, USA  Case Example II - Healthcare training by CliniSpace − Dr. Parvati Dev, Innovation in Learning Inc., USA  Panel Moderator − Dr. Carl Johan Sundberg, Karolinska Institutet, Sweden
  • 3. Here comes the “Immersive Internet” O’Driscoll, 2009
  • 4. How many usually think of virtual worlds…
  • 5. What are Virtual Worlds? •Persistent, computer-simulated, immersive environments •Shared socialization spaces with interactive content •Economic activity and transactions
  • 6. The number of virtual worlds and users continues to rapidly increase ≈1.9 bln accounts ≈100 worlds http://www.slideshare.net/nicmitham/kzero-universe-q1-2012
  • 7. Emerging VW Healthcare Applications 1 3 Healthcare • Education • Education Providers • Collaboration • Training & simulation • Data visualization • Recruitment • Research participation • Education Healthcare • User innovation • Distance care Recipients • “Avatar” care • Artificial intelligence 2 4 Healthcare Healthcare Development Delivery
  • 8. Virtual collaboration and visualization for Heathcare Development Merck’s Global R&D ProViWo: Professional Collaboration and Productivity in Virtual Worlds, http://vmwork.net/proviwo/
  • 9. User innovation: Interacting with customers during Healthcare Development Designing tomorrow’s hospital: Cisco & Palomar West Hospital
  • 10. Emerging VW Healthcare Applications 1 3 Healthcare • Education • Education Providers • Collaboration • Training & simulation • Data visualization • Recruitment • Research participation • Education Healthcare • User innovation • Distance care Recipients • “Avatar” care • Artificial intelligence 2 4 Healthcare Healthcare Development Delivery
  • 11. Training and simulation for Providers of Healthcare Delivery Virtual hallucinations at In hospital counseling at UC Davis Univ of New England Pharmacy training at Umeå U Emergency training w/ SAIC
  • 12. Improving effectiveness for Recipients of Healthcare Delivery Cancer support groups Health literacy by by the BE Community Trinitas Regional Medical Behavioral modeling Virtual counseling by through avatars at Preferred Family Stanford Healthcare
  • 13. We have just started exploring the affordances of Virtual Worlds for Healthcare  3D, multimodal interface − Immersion − Simulation − Relative-low cost/low effort  Avatar-based interaction − Anonymity − Projection − Artificial intelligence  Internet-based − Global reach to talent and customers/end-users − Global financial infrastructure  ??????
  • 14. Increasing pace of VW/3Di development Short-term Mid-term Browser-based, hyperlinked 3D Mobile Long-term Radical interfaces Adapted from Burden, 2012
  • 15. Cloud party on Facebook – In beta https://www.facebook.com/CloudParty
  • 16. ≈1.4 bln VW accounts under age 16 225 mln 170 mln 200 mln 28 mln 265 mln http://www.slideshare.net/nicmitham/kzero-universe-q1-2012
  • 17. “Clearly, if social activity migrates to synthetic worlds, economic activity will go there as well.” Castronova, 2006
  • 18. What impact will labor “mobility” have on healthcare? Teigland, JVWR, 2010
  • 19. “We ain’t seen nothin’ yet!” Karinda Rhode Photo: Lindholm, Metro aka Robin Teigland robin.teigland@hhs.se Photo: Nordenskiöld www.knowledgenetworking.org www.slideshare.net/eteigland www.nordicworlds.net RobinTeigland Photo: Lindqvist
  • 20. Today’s Presentation  Introduction to Virtual Worlds − Dr. Robin Teigland, Stockholm School of Economics, Sweden  Case Example I – Scientific meetings at Merck − Dr. Chris Welch, Merck Research Laboratories, USA − Scott Boyd, Merck Polytechnic Institute, USA  Case Example II - Healthcare training by CliniSpace − Dr. Parvati Dev, Innovation in Learning Inc., USA  Panel Moderator − Dr. Carl Johan Sundberg, Karolinska Institutet, Sweden
  • 21. Virtual collaboration Merck’s Global R&D http://bit.ly/sNyKb5 Welch et al 2010
  • 22. Today’s Presentation  Introduction to Virtual Worlds − Dr. Robin Teigland, Stockholm School of Economics, Sweden  Case Example I – Scientific meetings at Merck − Dr. Chris Welch, Merck Research Laboratories, USA − Scott Boyd, Merck Polytechnic Institute, USA  Case Example II - Healthcare training by CliniSpace − Dr. Parvati Dev, Innovation in Learning Inc., USA  Panel Moderator − Dr. Carl Johan Sundberg, Karolinska Institutet, Sweden
  • 24. Q&A  Introduction to Virtual Worlds − Dr. Robin Teigland, Stockholm School of Economics, Sweden  Case Example I – Scientific meetings at Merck − Dr. Chris Welch, Merck Research Laboratories, USA − Scott Boyd, Merck Polytechnic Institute, USA  Case Example II - Healthcare training by CliniSpace − Dr. Parvati Dev, Innovation in Learning Inc., USA  Panel Moderator − Dr. Carl Johan Sundberg, Karolinska Institutet, Sweden

Editor's Notes

  1. Bios are here: http://nordicworlds.net/2012/06/28/panel-at-esof-the-virtual-future-of-healthcare/
  2. https://picasaweb.google.com/lh/photo/cGAPUCiKe6LI6l5fM4rFqAComputer-generated, persistent spaceThree-dimensional, immersiveenvironmentExperienced by many people at once/interactivity
  3. Platforms for unleashing creativity and revolutionizing value creationPersistent, computer-simulated, immersive environments ranging from 2D "cartoon" imagery to more immersive 3D environmentworld exists regardless of whether users logged inUsers can manipulate and/or alter existing content or even create customized content Shared space or co-presencenumerous users, or ‘avatars’, simultaneously participate, interact, and share experiences through gestures, text chat, and voiceSocialization/community formation of in-world social groups such as teams, guilds, clubs, cliques, housemates, neighborhoods, etc the world allowed and encouraged
  4. Some notes from people who replied to my request for applications:This is a project that has been going on here in Umeå. Maybe it is of interest for you. http://www.upc.umu.se/om-upc/projekt/kommunikationstraning-i-virtuella-apotek// Hanna-----David Burden from Daden: Sure there are images around what we have done at University Hospital Birmingham and University of West England and St George's Hospital, all on nurse and paramedic training. Summary details are at http://www.daden.co.uk/clients/project-listing/.-----We are using SL for healthcare, have a look at the blog link at the bottom of this email and contact me off list I you wish. Evelyn McElhinneyLecturer in Advanced Practice NursingModule Leader Non Medical PrescribingSchool ofHealth and Life SciencesGlasgow Caledonian University0141 331 8791 Join VWHealthedICoP IM Kali Pizzaro in SLCheck out our work in VWs http://caledonianblogs.net/soh-secondlife----For the past year I have been Project Manager for the SPICE Project at  the University of New England in Armidale Australia. The Social Work and Pharmacy Interaction Contextualization Experience involved making scenario based videos of pharmacists and social workers in action in community pharmacies and hospitals. The Principal Investigator is Prof IevaStupans. The videos were made in Second Life and are used as discussion and reflection starters not models of perfect practice. Some of the four videos we have made so far have multiple different endings. Student swatch the videos in class or online and then discuss or write alternative scripts. In this way the students get opportunities to encounter many different situations that they may not chance upon during their practical experience sessions. I have attached some stills from the videos.  They are also conducting real time role plays using Adobe Connect and an island is being readied to try role plays in Second Life as well.  The topics of the videos so far are:Community pharmacy including interdisciplinary collaboration. PharmacyIn hospital medication counselling about Warfarin. PharmacyIn hospital counselling scenario – patient has a badly broken leg and stranded animals at home with no one to care for them. Social WorkIn hospital counselling scenario after the still birth of the first child of a young couple. Social Work Lindy Orwin, PhD
Cell: 360 536 5047 (USA)
Email: lindyaustralia@gmail.com
Web: http://lindyorwin.com’
  5. http://www.youtube.com/watch?v=3yhaK7lto0A
  6. http://www.thebecommunity.org/http://www.hypergridbusiness.com/2010/10/treatment-center-gets-865000-for-second-opensim-project/http://vhil.stanford.edu/projects/Avatar - Media Psychology Publication details, including instructions for authors and subscription information: http://www.slideshare.net/sheilawebber/fostering-health-information-literacy-through-use-of-a-virtual-worldhttp://www.tandfonline.com/loi/hmep20 Virtual Self-Modeling: The Effects of Vicarious Reinforcement and Identification on Exercise Behaviors Jesse Fox a & Jeremy N. Bailenson aJesse Fox a & Jeremy N. Bailenson 2009The three studies presented above indicate that virtual self-models can be effective instigators of health behavior change. In the first study, participants who witnessed the reward and punishment of their VRSs engaged in more voluntary exercise than those who saw an unchanging VRS or no virtual human. The second study determined that either the reward of the VRS losing weight or the punishment of the VRS gaining weight was sufficient to encourage participants to exercise, whereas observing either change in a VRO was not. In the third study, participants who viewed their VRS exercising engaged in more exercise in the 24 hours following the experiment than participants who viewed their VRS loitering or a VRO exercising.4
  7. Global reachAnonymityChat translator, language3d "Our virtual identity is not separate from our physical identity," says Mr. Bailenson.Librarians one of first active
  8. Lecuyer et al, Brain-Computer Interfaces, Virtual Reality, and Videogames Opensimulator3d printingBCI
  9. https://www.facebook.com/CloudParty
  10. https://marketplace.secondlife.com/stores/19444RT: traditional leadership further challenged as we move to a world of web 3.0 or the immersive internet…
  11. http://journals.tdl.org/jvwr/article/view/866