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如何應用 AWS AIoT 幫助醫療產業面對 Covid-19

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如何應用 AWS AIoT 幫助醫療產業面對 Covid-19

  1. 1. © 2020, Amazon Web Services, Inc. or its Affiliates.© 2020, Amazon Web Services, Inc. or its Affiliates.
  2. 2. © 2020, Amazon Web Services, Inc. or its Affiliates. Young Yang, Machine Learning Specialist SA 如何應用 AWS AIoT 幫助醫療產業面對 Covid-19 Response to COVID-19, How AWS AIoT Helps in Healthcare and Life Science
  3. 3. © 2020, Amazon Web Services, Inc. or its Affiliates. Healthcare Challenges
  4. 4. © 2020, Amazon Web Services, Inc. or its Affiliates. 32 Patient records were breached in H1 2019 alone, more than double that of the entire 2018 yearM 18 Rate at which computer processing power doubles, according to Moore’s Lawmonths 54% Percentage of hospital CEOs who say the transition from volume to value is their biggest financial challenge 163ZB Amount of data that will be generated globally in 2025; 10 times the 16.1 ZB of data generated in 2016 Industry pressures for healthcare
  5. 5. © 2020, Amazon Web Services, Inc. or its Affiliates. Healthcare IoT Abuse in FDA 2017 WannaCry 2018 Hacked cardiac devices 70K+ devices including computers, MRI scanners, blood- storage, refrigerators and theatre equipment Via Radio frequency (RF): heart failure or heart rhythm problems 2019 Insulin Pumps Wireless or USB change the pump’s settings to either over- deliver, or stop-delivery 2020 SweynTooth Bluetooth Low Energy (BLE) Crash or deadlock the devices. The device may freeze and stop working correctly source:FDA
  6. 6. © 2020, Amazon Web Services, Inc. or its Affiliates. Security and compliance are job zero ” “Healthcare institutions don’t have the time and resources to devote to cybersecurity that an established cloud provider might have… Lee Kim, Director, Privacy & Security, HIMSS NA 50+ global compliance certifications (e.g., HITRUST, ISO 9001), accreditations and 110+HIPAA eligible services AWS industry-leading security teams work 24/7, 365 days a year Security enhancements from 1M+ customer experiences with tools like Amazon Macie, Amazon GuardDuty and IoT Defender Security infrastructure built to satisfy military, global banks and other high- sensitivity organizations
  7. 7. © 2020, Amazon Web Services, Inc. or its Affiliates. AWS IoT Device Defender Security management for IoT devices Audit IoT resource configuration Continuously monitor device behavior Alerts on AWS IoT Console, Amazon SNS, Amazon CloudWatch Investigate and mitigate security issues Identify anomalies AWS IoT Device Defender
  8. 8. © 2020, Amazon Web Services, Inc. or its Affiliates. Anomaly detection—denial of service Packets out Number of ports and/or suspicious port communication Communication with suspicious IP addresses Bytes out + + + 10 01
  9. 9. © 2020, Amazon Web Services, Inc. or its Affiliates. Anomaly detection—cloud infrastructure abuse Message rate Communication from suspicious source IPs Message size + +
  10. 10. © 2020, Amazon Web Services, Inc. or its Affiliates. Protect your AWS accounts and workloads with intelligent threat detection and continuous monitoring Backdoor Behavior CryptoCurrency PenTest Persistence Policy PrivilegeEscalation Recon ResourceConsumption Stealth Trojan Unauthorized The service uses machine learning, anomaly detection, and integrated threat intelligence to identify and prioritize potential threats. Amazon GuardDuty
  11. 11. © 2020, Amazon Web Services, Inc. or its Affiliates. 120+ HIPAA Eligible Services Reference https://aws.amazon.com/compliance/services-in-scope/ until 2020.4.30 latest information ref:
  12. 12. © 2020, Amazon Web Services, Inc. or its Affiliates. Foundation Services Compute Storage Database Networking Infrastructure Regions Availability Zones Edge Locations Client-side Data Encryption Server-side Data Encryption Network Traffic Protection Platform, Applications, Identity & Access Management Operating System, Network & Firewall Configuration Customer content 之前要負責這麼 大的範圍
  13. 13. © 2020, Amazon Web Services, Inc. or its Affiliates. AWS Foundation Services Compute Storage Database Networking AWS Global Infrastructure Regions Availability Zones Edge Locations Client-side Data Encryption Server-side Data Encryption Network Traffic Protection Platform, Applications, Identity & Access Management Operating System, Network & Firewall Configuration Customer App / Content / DataCustomerAWS 聚焦在 創新應用 AWS 全球專業的 安全團隊 AWS 提供專業的 工具協助客戶
  14. 14. © 2020, Amazon Web Services, Inc. or its Affiliates. AWS Native Services Cloud Mgmt. AWS Service Catalog AWS CloudTrail AWS Config AWS Trusted Advisor AWS X-Ray AWS OpsWorks Amazon CloudWatch AWS CloudFormation AWSSnowball AWSSMS AWS Systems Manager AWSKMS IAM AWSDMS Amazon Inspector Amazon Macie Amazon GuardDuty Service request Inventory and classification Monitoring and analytics Packaging and delivery* Provisioning and orchestration Cost management and resource optimization Cloud migration, backup, and DR Identity, security, and compliance AWSConfigAWSCodeDeploy AWSCodeCommit AWSCodePipeline AWSCodeBuild Source: Gartner Evaluation Criteria for Cloud Management Platforms and Tools May 2018
  15. 15. © 2020, Amazon Web Services, Inc. or its Affiliates. Cloud is new normal in healthcare industries
  16. 16. © 2020, Amazon Web Services, Inc. or its Affiliates. Provider Challenges Value-based care Increasing volume of digital data Continuous technology advances Sophisticated security breaches Trends Extracting valuable insights from data becomes far more complicated Traditional IT model & internal systems lack necessary agility Lack of resources to implement data-driven decision making Patient data & compliance standards vulnerable to compromise Provider Challenges
  17. 17. © 2020, Amazon Web Services, Inc. or its Affiliates. Solutions Powered by AWS Benefits Scalable architecture to allow rapid and dynamic data analysis Hyperscale storage with automated life cycle management and deep analytics tools Flexible infrastructure to leverage ever- advancing technology Automated security and compliance checks reduce risk AWS Benefits Extracting valuable insights from data becomes far more complicated Traditional IT model & internal systems lack necessary agility Lack of resources to implement data-driven decision making Patient data & compliance standards vulnerable to compromise Provider Challenges Value-based care Increasing volume of digital data Continuous technology advances Sophisticated security breaches Trends
  18. 18. © 2020, Amazon Web Services, Inc. or its Affiliates. Impact of COVID-19 Pandemic
  19. 19. © 2020, Amazon Web Services, Inc. or its Affiliates. Impact of COVID-19 pandemic on in-flight trials Site staff SitesPatients CRA’s Supply & DistributionManufacturing Disruptors: Travel limitations Participant Fear Supply chain disruption Key challenges Regulatory bodies have issued guidance for industry, investigators, and institutional review boards for conducting clinical trials during the COVID-19 pandemic
  20. 20. © 2020, Amazon Web Services, Inc. or its Affiliates. Impact of COVID-19 pandemic on other areas • Drug supply: In some cases, drug (investigational medicinal product) supply will be disrupted, so direct-to patient supply by certified distribution partners could address that need • Remote Study Visits by HCPs: Not all medication can be self-administered and some trials require more extensive patient examination • Remote monitoring: If feasible, companies should consider remote monitoring of clinical endpoints which will require seamless and compliant data integration (e.g. secure file sharing) • Decentralized trials: Some companies offer fully integrated virtual trial platforms to address several areas across the clinical development continuum
  21. 21. © 2020, Amazon Web Services, Inc. or its Affiliates. What do you know about Amazon? Unprecedented SCALE Hyper SPEED Relentless INNOVATION Customer OBSESSION
  22. 22. © 2020, Amazon Web Services, Inc. or its Affiliates.
  23. 23. © 2020, Amazon Web Services, Inc. or its Affiliates.
  24. 24. © 2020, Amazon Web Services, Inc. or its Affiliates. A Better, Simpler Pharmacy
  25. 25. © 2020, Amazon Web Services, Inc. or its Affiliates. Optimized manufacturing, automation, and fulfillment centers Last mile delivery—direct to consumer Data-driven supply chain and ML driven by AWS Fulfillment logistics for degradable products like vaccines and biologics Currently doing fulfillment for Class I/II devices Continuing innovation and disruption— online vs traditional pharmacy
  26. 26. © 2020, Amazon Web Services, Inc. or its Affiliates. COVID-19 Trigger Digital Transformation
  27. 27. © 2020, Amazon Web Services, Inc. or its Affiliates. https://aws.amazon.com/health/covid-19/ COVID-19 HPC Consortium AWS Diagnostic Development Initiative
  28. 28. © 2020, Amazon Web Services, Inc. or its Affiliates. https://aws.amazon.com/data-exchange/covid-19/
  29. 29. © 2020, Amazon Web Services, Inc. or its Affiliates. https://registry.opendata.aws/ s3://covid19-lake https://cord19.aws/
  30. 30. © 2020, Amazon Web Services, Inc. or its Affiliates. QuickSight for COVID-19 Dashboard blog
  31. 31. © 2020, Amazon Web Services, Inc. or its Affiliates. AI / ML Technologies reshaping healthcare 1 Voice ASR/NLU Vision CV/DL/RL/NLP 2 3 4 Prediction ML Sensation IoT Automation Bots/Robotics Perception AR/VR Mobility GPS/BTLE/5G Trust Blockchain 5 6 7 8
  32. 32. © 2020, Amazon Web Services, Inc. or its Affiliates. Gartner, Magic Quadrant for Cloud AI Developer Services, Van Baker, Bern Elliot, Svetlana Sicular, Anthony Mullen, Erick Brethenoux, February 2020. ID G00431332. Gartner does not endorse any vendor, product or service depicted in its research publications, and does not advise technology users to select only those vendors with the highest ratings. Gartner research publications consist of the opinions of Gartner's research organization and should not be construed as statements of fact. Gartner disclaims all warranties, expressed or implied, with respect to this research, including any warranties of merchantability or fitness for a particular purpose. The Gartner logo is a trademark and service mark of Gartner, Inc., and/or its affiliates, and is used herein with permission. All rights reserved. AWS Recognized as a Leader in Cloud AI Developer Services
  33. 33. © 2020, Amazon Web Services, Inc. or its Affiliates. The AWS ML Stack Broadest and most complete set of Machine Learning capabilities VISION SPEECH TEXT SEARCH CHATBOTS PERSONALIZATION FORECASTING FRAUD DEVELOPMENT CONTACT CENTERS Ground Truth Augmented AI ML Marketplace Neo Built-in algorithms Notebooks Experiments Model training & tuning Debugger Autopilot Model hosting Model Monitor Deep Learning AMIs & Containers GPUs & CPUs AWS Greengrass Inferentia (Inf1 instance) FPGA Amazon Rekognition Amazon Polly Amazon Transcribe +Medical Amazon Comprehend +Medical Amazon Translate Amazon Lex Amazon Personalize Amazon Forecast Amazon Fraud Detector Amazon CodeGuru AI SERVICES ML SERVICES ML FRAMEWORKS & INFRASTRUCTURE Amazon Textract Amazon Kendra Contact Lens For Amazon Connect SageMaker Studio IDE NEW NEW! NEW! NEW! NEW! NEW! NEW! NEW! NEW! NEW! NEW! Amazon SageMaker RL Coach E C 2 C 5
  34. 34. © 2020, Amazon Web Services, Inc. or its Affiliates. Prognostication of COVID-19 on CT-Scans https://cic.ubc.ca/covid-19-ct-scans/ Artificial Intelligence (AI) model to predict the likelihood of COVID-19 based on CT-Scans, University of British Columbia Power by AWS
  35. 35. © 2020, Amazon Web Services, Inc. or its Affiliates. Butterfly Networks improves access to ultrasound exams (設備微型化,更容易攜帶到現場。) Handheld whole-body ultrasound system coupled with a cloud-based, intelligent data and analytics platform designed to make medical imaging universally accessible and affordable
  36. 36. © 2020, Amazon Web Services, Inc. or its Affiliates.© 2020, Amazon Web Services, Inc. or its Affiliates. COVID-19 Response Bot
  37. 37. © 2020, Amazon Web Services, Inc. or its Affiliates. What are we hearing from customers? • Patients - whether worried well, mildly symptomatic, or seriously unwell - are looking to their healthcare providers for reliable information on COVID-19 • Call centers are seeing a spike in phone calls • Some callers are frustrated with wait times and traveling to facility anyway • Closing clinics and needing to reschedule non-critical cases are adding to volumes
  38. 38. © 2020, Amazon Web Services, Inc. or its Affiliates. COVID-19 Response Bot Align Scope Assist Customer in deploying a fully functional COVID-19 Response Bot 2 to 5 days, to handle triage* based questions powered by Amazon Lex, through at least one of multiple channels (phone call, web messaging, mobile app messaging, or social media chatbot) * Triage - A process of determining the priority of next steps based on patient’s condition. Key Activities Discover Customer’s use cases, requirements and existing technology. Introduce Lex Bot’s architecture and implementation guidelines. Review modification required in COVID19 responses based on publicly available triage Assist in deploying one (1) instance of a fully functional COVID-19 Response Bot powered by Amazon Lex for one channel (phone call, web messaging, mobile app messaging) including logging, customized responses, configuration and validation. Provide documented high level solution architecture, deployment guides and operational best practices COVID-19 Response Bot blog Outcome One (1) instance of fully functional COVID-19 Response Bot to handle triage based questions powered by Amazon Lex Duration 1 week engagement
  39. 39. © 2020, Amazon Web Services, Inc. or its Affiliates. COVID-19 Response Bot Reference Architecture
  40. 40. © 2020, Amazon Web Services, Inc. or its Affiliates. Triage Protocol – Sample Example of the Screening Questions Age m <18 m 18-60 m Over 60 Have you been in contact with someone know to have coronavirus (COVID-19)? m Yes m No Have you been told by a public health official or your employer you may have been exposed to coronavirus (COVID-19) m Yes m No Are you experiencing any of the following symptoms? m New Cough m Fever > 100.4 m New shortness of breath m New sore throat m New muscle aches (myalgia) Have your recently been in a skilled nursing facility? m Yes m No Do you have any of the following medical conditions (comorbidities)? m Heart disease such as congestive heart failure? m Lung disease such as COPD or emphysema m Liver disease m Kidney disease Are you immunocompromised? m Yes m No Logic  New onset cough Yes  refer for evaluation through telehealth,  Referred by public health official or employer Yes  refer for evaluation through telehealth We help you convert your triage protocol into rules that are easy to deploy and update
  41. 41. © 2020, Amazon Web Services, Inc. or its Affiliates.
  42. 42. © 2020, Amazon Web Services, Inc. or its Affiliates. HIPAA-eligible patient engagement opportunities through voice Opportunities for clinical trials, digital therapeutics, real-world evidence collection Personalize your engagements with the customization engine driven by AWS ML Now applied to life sciences
  43. 43. © 2020, Amazon Web Services, Inc. or its Affiliates.
  44. 44. © 2020, Amazon Web Services, Inc. or its Affiliates. https://www.amazon.com/b?ie=UTF8&node=21155035011 "Alexa, what do I do if I think I have COVID-19?” You can ask Alexa for a series of questions about your travel history, symptoms, and possible exposure. Based on your responses, Alexa will provide CDC guidance given your risk level and symptoms. “Alexa, sing a song for 20 seconds“ Timing is everything, so sing along while you wash your hands.
  45. 45. © 2020, Amazon Web Services, Inc. or its Affiliates. Thank You

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