Jack L. Shaffer, Jr. CIO – Community Health Network of West Virginia (I’m not a millenial – I just think like one) The Tra...
Topics Covered Today <ul><li>Intro </li></ul><ul><li>Broadband 101 </li></ul><ul><li>Advantages of Wireless broadband </li...
Broadband Types <ul><li>Wired – </li></ul><ul><ul><li>Existing - </li></ul></ul><ul><ul><ul><li>T1/T3 </li></ul></ul></ul>...
Broadband – How  Fast  is  FAST? 1 2 3 10 min 1 min 26 sec <1 sec 1.5 – 6.0 Mbps down 1.5 Mbps up Cable 8 min 45 sec 10 se...
Advantages of Wireless Broadband <ul><li>More cost effective </li></ul><ul><ul><li>Fiber costs $30,000 per mile on average...
CTIA / Harris Poll on Mobile Health (mHealth) <ul><li>National study conducted October 2009 on behalf of CTIA wireless ass...
Mobile Platforms Driving 3g/4g We’ve Reached the Tipping Point  Much in the same way that PC’s and related applications dr...
Provider Centric Applications <ul><li>Top 25 Medical Applications -  iPhone  3GS 2009  -  http://blog.openmedicine.ca/node...
Provider Centric Applications <ul><ul><li>http://www.sonosite.com/products/sonoaccess </li></ul></ul><ul><ul><li>iPhone Ap...
The doctor of the future will see you. Now.   <ul><ul><li>Jay Parkinson , founder, Hello Health Mixing non-conventional pa...
Patient Communications <ul><li>NCQA – National Committee on Quality Assurance (Patient Centered Medical Home) </li></ul><u...
Patient Communications <ul><li>Meaningful Use – </li></ul><ul><ul><li>Engage patients and families - </li></ul></ul><ul><u...
Patient Centric Applications <ul><li>Health 2.0 – Google it to understand it </li></ul><ul><ul><li>Mostly driven by PATIEN...
Patient Centric Applications <ul><li>Diabetes – </li></ul><ul><ul><li>iPhone connected glucometer - http://mobihealthnews....
Patient Communications <ul><li>Surgeons send 'tweets' from operating room </li></ul><ul><ul><li>http://www.cnn.com/2009/TE...
What’s Next? <ul><li>Augmented Reality for Healthcare – </li></ul><ul><ul><li>http://blog.newsweek.com/blogs/techtonicshif...
Privacy and Security <ul><li>3G/4G wireless as a transport layer is very secure </li></ul><ul><li>E-mail (unless on a corp...
Summary <ul><li>Most Americans prefer wireless </li></ul><ul><li>Wireless apps will continue to explode </li></ul><ul><li>...
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3G HIT

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The Transformation of Healthcare
by mobile devices and
wireless technology

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3G HIT

  1. 1. Jack L. Shaffer, Jr. CIO – Community Health Network of West Virginia (I’m not a millenial – I just think like one) The Transformation of Healthcare by mobile devices and wireless technology There WILL be an app for that!
  2. 2. Topics Covered Today <ul><li>Intro </li></ul><ul><li>Broadband 101 </li></ul><ul><li>Advantages of Wireless broadband </li></ul><ul><li>Wireless & Mobile applications </li></ul><ul><ul><li>Provider centric applications </li></ul></ul><ul><ul><li>Patient Communications / applications </li></ul></ul><ul><li>Security and Privacy </li></ul><ul><li>Questions and Answers </li></ul><ul><li>(presentation available on Slideshare: 3G HIT http://slidesha.re/1xMfZ7 ) </li></ul>
  3. 3. Broadband Types <ul><li>Wired – </li></ul><ul><ul><li>Existing - </li></ul></ul><ul><ul><ul><li>T1/T3 </li></ul></ul></ul><ul><ul><ul><li>Cable </li></ul></ul></ul><ul><ul><ul><li>DSL </li></ul></ul></ul><ul><ul><li>Emerging – </li></ul></ul><ul><ul><ul><li>Fiber (FTTH) </li></ul></ul></ul><ul><ul><ul><li>Broadband over power lines </li></ul></ul></ul><ul><li>Wireless – </li></ul><ul><ul><li>Existing - </li></ul></ul><ul><ul><ul><li>GSM/GPRS </li></ul></ul></ul><ul><ul><ul><li>Fixed Wireless </li></ul></ul></ul><ul><ul><ul><li>Satellite </li></ul></ul></ul><ul><ul><ul><li>Wi-Fi (802.11a/b/g) </li></ul></ul></ul><ul><ul><ul><li>3G </li></ul></ul></ul><ul><ul><li>Emerging - </li></ul></ul><ul><ul><ul><li>4G </li></ul></ul></ul><ul><ul><ul><li>Wi-Max (802.16) </li></ul></ul></ul><ul><ul><ul><ul><li>Mobile-Fi </li></ul></ul></ul></ul><ul><ul><ul><ul><li>802.20 </li></ul></ul></ul></ul><ul><ul><ul><li>Optical </li></ul></ul></ul>
  4. 4. Broadband – How Fast is FAST? 1 2 3 10 min 1 min 26 sec <1 sec 1.5 – 6.0 Mbps down 1.5 Mbps up Cable 8 min 45 sec 10 sec <1 sec 10 – 20 Mbps down 5 Mbps up 4G Wireless 10 Mbps – 1 Gbps .768 Mbps – 1.4 Mpbs .768 Mbps up 1.5 – 3.0 Mbps down .768 Mbps up 1.4 Mbps down/up 1 Mbps down .128 Mbps up .056 Mbps Bandwidth 10 sec 1 sec <1 sec <1 sec Fiber 30 min 3 min 1 min <1 sec 3G Wireless 20 min 2 min 45 sec <1 sec DSL 40 min 4 min 1 min <1 sec T1 90 Min 9 min 4 min <1 sec Satellite 19 Hrs 2 Hrs 45 min 1 sec Dialup Store and Forward Ultra-sound 500M Digital X ray 50M 20 Page Powerpoint 20M E-mail 5k
  5. 5. Advantages of Wireless Broadband <ul><li>More cost effective </li></ul><ul><ul><li>Fiber costs $30,000 per mile on average </li></ul></ul><ul><ul><li>A cell tower costs $250,000 on average </li></ul></ul><ul><ul><ul><li>Covers an area approximately 30 miles </li></ul></ul></ul><ul><ul><ul><li>That’s $30K versus $8K per mile </li></ul></ul></ul><ul><ul><li>Easier to reach rural residents </li></ul></ul><ul><ul><li>Devices are less expensive </li></ul></ul><ul><ul><ul><li>Average PC is $1000 </li></ul></ul></ul><ul><ul><ul><li>iPhone is $299 </li></ul></ul></ul><ul><li>Mobility / Flexibility </li></ul><ul><li>Ease of use </li></ul><ul><li>New applications and diversity </li></ul>
  6. 6. CTIA / Harris Poll on Mobile Health (mHealth) <ul><li>National study conducted October 2009 on behalf of CTIA wireless association </li></ul><ul><ul><li>78% expressed interest in mHealth </li></ul></ul><ul><ul><li>40% think it would supplement medical care they receive </li></ul></ul><ul><ul><li>68% strongly agree it will allow for more home based care </li></ul></ul><ul><ul><li>23% believe mHealth might replace doctor visits all together </li></ul></ul><ul><ul><li>51% believe those in rural areas have most to gain </li></ul></ul><ul><ul><li>48% believe those with chronic diseases will benefit most </li></ul></ul><ul><ul><li>Full survey: http://www.harrisinteractive.com/news/pubs/Harris_Interactive_CTIA_2009_10_08.pdf </li></ul></ul>
  7. 7. Mobile Platforms Driving 3g/4g We’ve Reached the Tipping Point Much in the same way that PC’s and related applications drove wired broadband, mobile platforms and apps are driving carriers to expand speed and coverage of 3g/4g In an industry in disruption (*hint – healthcare is in a disruption) mobile apps are quicker to market and can adapt faster than traditional apps
  8. 8. Provider Centric Applications <ul><li>Top 25 Medical Applications - iPhone 3GS 2009 - http://blog.openmedicine.ca/node/223 </li></ul><ul><ul><li>http://www.airstriptech.com/ </li></ul></ul><ul><ul><li>http://www.epocrates.com/ </li></ul></ul><ul><ul><li>http:// www.heartit.com </li></ul></ul><ul><ul><ul><li>http://www.heartit.com/index.php/news/51-heartit-announces-five-new-us-webpax-installations </li></ul></ul></ul><ul><ul><li>http://www.merckmedicus.com/pp/us/hcp/hcp_mobile_wireless.jsp </li></ul></ul><ul><ul><li>http://www.qxmd.com/pedi-stat-for-iPhone / </li></ul></ul>
  9. 9. Provider Centric Applications <ul><ul><li>http://www.sonosite.com/products/sonoaccess </li></ul></ul><ul><ul><li>iPhone App Proof of Concept for VA-VistA: </li></ul></ul><ul><ul><ul><li>http://medsphere.org/community/project/ovid/blog/2009/10/01/proof-of-concept-iphoneipod-touch-app-for-openvista </li></ul></ul></ul><ul><ul><li>http://www.medgadget.com/archives/2009/08/blausen_human_atlas_for_iphone_helps_with_doctorpatient_interactions.html </li></ul></ul><ul><ul><li>Citrix Receiver for iPhone: http://www.citrix.com/English/ps2/products/feature.asp?contentID=1685511 </li></ul></ul>
  10. 10. The doctor of the future will see you. Now. <ul><ul><li>Jay Parkinson , founder, Hello Health Mixing non-conventional payment structure (monthly subscription fee, PayPal but no insurance) and eyebrow-raising communications (e-mail, instant messaging, even house visits), Jay’s Hello Health offers a wildly popular alternative to the current model of high insurance costs and eight-minute office visits. http:// jayparkinsonmd.com / </li></ul></ul><ul><ul><li>&quot;This is a $2.4 trillion industry run on handwritten notes,&quot; says 33-year-old Dr. Jay Parkinson. &quot;We're using 3,000-year-old tools to deliver health care in the richest country on the planet.&quot; His prescription: a Facebook-like platform that uses technology, from IM to video chat, to restore the traditional doctor-patient relationship that has been lost in today's high-pressure, high-volume, eight-minute-appointment practice model, which is often blamed for the shortage of primary-care physicians. </li></ul></ul><ul><ul><li>http://www.fastcompany.com/magazine/135/the-doctor-of-the-future.html </li></ul></ul>
  11. 11. Patient Communications <ul><li>NCQA – National Committee on Quality Assurance (Patient Centered Medical Home) </li></ul><ul><ul><li>The practice uses electronic communication to communicate with patients/families and other care providers </li></ul></ul><ul><ul><ul><li>Provide patients/families with access to interactive web site </li></ul></ul></ul><ul><ul><ul><ul><li>Request appointments by reviewing clinicians schedules </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Request referrals </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Request test results </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Request prescription refills </li></ul></ul></ul></ul><ul><ul><ul><ul><li>See elements of their medical record </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Import elements of their medical record into a personal health record </li></ul></ul></ul></ul>
  12. 12. Patient Communications <ul><li>Meaningful Use – </li></ul><ul><ul><li>Engage patients and families - </li></ul></ul><ul><ul><ul><li>2011 – Provide patients with an electronic copy of their health information (including lab results, problem list, medication lists, allergies) upon request. </li></ul></ul></ul><ul><ul><ul><li>2011 – Provide patients with timely electronic access to their health information (including lab results, problem list, medication lists, allergies) </li></ul></ul></ul><ul><ul><ul><li>2013 – Access for all patients to PHR populated in real time with health data </li></ul></ul></ul><ul><ul><ul><li>2013 – Upload data from home monitoring device </li></ul></ul></ul><ul><ul><li>Improve care coordination – </li></ul></ul><ul><ul><ul><li>2011 – Capability to exchange key clinical information (e.g. problem list, medication list, allergies, test results), among providers of care and patient authorized entities electronically </li></ul></ul></ul>
  13. 13. Patient Centric Applications <ul><li>Health 2.0 – Google it to understand it </li></ul><ul><ul><li>Mostly driven by PATIENTS </li></ul></ul><ul><ul><li>Are you as a physician prepared for transparency? </li></ul></ul><ul><li>MyLife Record PHR - http://emr.liferecord.com/features/index.html </li></ul><ul><li>http://www.webmd.com/mobile </li></ul><ul><li>TheCarrot.com - http://thecarrot.com/ </li></ul><ul><li>Glide Health - http://www.glidehealth.us/corp/ </li></ul><ul><li>GI Monitor - http://www.wellapps.com/ </li></ul>
  14. 14. Patient Centric Applications <ul><li>Diabetes – </li></ul><ul><ul><li>iPhone connected glucometer - http://mobihealthnews.com/973/interview-lifescan-on-iphone-30/ </li></ul></ul><ul><ul><li>Home testing of HbA1c - http://medgadget.com/archives/2006/07/a1cnow_for_home_1.html </li></ul></ul><ul><ul><li>Bayer A1c - http://www.walgreens.com/store/catalog/Diabetic-Supplies/A1CNow-SelfCheck-At-Home-A1C-System/ID=prod5825101&navCount=1&navAction=push- product?V = G&ec =nt_502404&srccode=cii_9324560&cpncode=23-56769839-2 </li></ul></ul><ul><li>Hypertension – </li></ul><ul><ul><li>http:// www.apple.com/webapps/calculate/bloodpressure.html </li></ul></ul><ul><li>Asthma – Peak Flow Meter </li></ul><ul><ul><li>http://www.hktdc.com/sourcing/company_product_detail.htm?companyid=1X0467HY&productid=548158&query=device&entryPoint=2&locale=en </li></ul></ul>
  15. 15. Patient Communications <ul><li>Surgeons send 'tweets' from operating room </li></ul><ul><ul><li>http://www.cnn.com/2009/TECH/02/17/twitter.surgery/index.html </li></ul></ul><ul><ul><li>&quot;Doing this removes a real communication barrier. It helps make something scary much more comprehendable,&quot; said Christopher Parks, co-founder of the Web site changehealthcare.com. &quot;It brings us closer together and makes us more engaged.“ </li></ul></ul><ul><li>Follow me on Twitter: @WVHITCIO </li></ul>
  16. 16. What’s Next? <ul><li>Augmented Reality for Healthcare – </li></ul><ul><ul><li>http://blog.newsweek.com/blogs/techtonicshifts/archive/2009/10/08/augmented-reality-apps-iphone-android.aspx </li></ul></ul><ul><ul><li>Bionic Eye - http:// www.youtube.com/watch?v =pbG5QBNBc2c </li></ul></ul><ul><ul><li>Facial Recognition - http://www.youtube.com/watch?v=tb0pMeg1UN0 </li></ul></ul>
  17. 17. Privacy and Security <ul><li>3G/4G wireless as a transport layer is very secure </li></ul><ul><li>E-mail (unless on a corporate network) is NOT secure </li></ul><ul><ul><li>Consider an email encryption service like Zixmail </li></ul></ul><ul><li>IM is NOT secure </li></ul><ul><ul><li>Consider some type of encryption. Google Talk can be encrypted but.. </li></ul></ul><ul><li>Always remember, once you send data to someone you have lost control of that data </li></ul><ul><li>iPhone security is still not industrial strength </li></ul><ul><ul><li>iPhone is still a consumer product </li></ul></ul><ul><ul><li>Be careful of applications that store PHI on the device </li></ul></ul><ul><ul><li>Lots of different ways to connect – 3G/Wi-Fi/Bluetooth – make sure you know how you are connecting to the Internet </li></ul></ul><ul><ul><li>Applications that provide a “window” or “portal” access are generally OK – consider Citrix here </li></ul></ul><ul><li>Blackberry still the most secure </li></ul><ul><ul><li>Still better for corporate environments – for now </li></ul></ul><ul><ul><li>Can be erased or “bricked” remotely </li></ul></ul>
  18. 18. Summary <ul><li>Most Americans prefer wireless </li></ul><ul><li>Wireless apps will continue to explode </li></ul><ul><li>Mobile platforms are just easier to use </li></ul><ul><li>3G speeds are close to wired NOW </li></ul><ul><li>Apps will drive further adoption and expansion of 3G/4G </li></ul><ul><li>New paradigms in primary care will drive further changes </li></ul><ul><li>Transparency WILL come to healthcare via Health 2.0 </li></ul><ul><li>Wireless itself is secure – the devices and apps though can be iffy </li></ul><ul><li>Wireless is the way the doctor of the future will reach the patient of the future </li></ul>

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