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© 2013 IBM Corporation
Internet
of
Things
Angus McCann
Healthcare Specialist, IBM Europe
& IBM Watson
© 2013 IBM CorporationAngus McCann, Healthcare Specialist, IBM Europe angus.mccann@uk.ibm.com
 “The future is already here – it's just not evenly distributed.” – William Gibson
2
“The wireless health market is gaining
significant momentum. The global
wireless health market is valued at
$23.8 billion in 2013 and is expected to
reach $59.7 billion by 2018” – Markets
and Markets
“In 2020, Over 30 Billion Connected
Devices Will Be In Use.” – Gartner
“By 2020, there’s gonna be loads of
connected things, I can never
remember how many and it keeps
changing. And they’ll generate a stack
of data.” Angus McCann
© 2013 IBM CorporationAngus McCann, Healthcare Specialist, IBM Europe angus.mccann@uk.ibm.com
Things
3
© 2013 IBM CorporationAngus McCann, Healthcare Specialist, IBM Europe angus.mccann@uk.ibm.com
flexible, easy-to-apply patch that continuously
monitors and wirelessly transmits your child’s
temperature to your smartphone. No
uncomfortable thermometers.
4
© 2013 IBM CorporationAngus McCann, Healthcare Specialist, IBM Europe angus.mccann@uk.ibm.com5
© 2013 IBM CorporationAngus McCann, Healthcare Specialist, IBM Europe angus.mccann@uk.ibm.com
Preface to first edition of “A Treatise on the Diseases of the Chest, in which they are described according to their Anatomical Characters,
and their Diagnosis established on a new Principle by means of Acoustick Instruments”, John Forbes M.D. 1821
“That it will ever come into general use,
notwithstanding its value, I am extremely doubtful;
because its beneficial application requires much time,
and gives a good deal of trouble both to the patient and
the practitioner; and because its whole hue and
character is foreign, and opposed to all our habits and
associations”.
Adoption
6
© 2013 IBM Corporation
Adoption
 Who buys?
 Use cases… CHF, asthma, COPD
 Patient adoption
 Physician adoption
 Integration/data linkage, analysis (automation),
security/privacy, asset management
7
© 2013 IBM CorporationAngus McCann, Healthcare Specialist, IBM Europe angus.mccann@uk.ibm.com
Big Data
Volume Variety Velocity Veracity
Data at Scale
Terabytes to
petabytes of data
Data in Many
Forms
Structured,
unstructured, text,
multimedia
Data in Motion
Analysis of
streaming data to
enable decisions
within fractions of a
second.
Data
Uncertainty
Managing the
reliability and
predictability of
inherently imprecise
data types.
9
© 2013 IBM CorporationAngus McCann, Healthcare Specialist, IBM Europe angus.mccann@uk.ibm.com
Many Things > Much Data
10
© 2013 IBM CorporationAngus McCann, Healthcare Specialist, IBM Europe angus.mccann@uk.ibm.com12
© 2013 IBM CorporationAngus McCann, Healthcare Specialist, IBM Europe angus.mccann@uk.ibm.com
Third Party Apps
IBM IoT Foundation Offerings
IBM IoT Foundation Connect
Attach, Collect & Organize, Device Management, Secure Connectivity,
Visualization
IBM IoT Foundation Information Management
Storage & Archive, Metadata Management, Reporting, Streaming
data, Parsing and Transformation, Manage unstructured data
IBM IoT Foundation Analytics
Predictive, Cognitive, Real-time, and Contextual
IBM IoT Foundation Risk Management
Security Analytics, Data Protection, Auditing/Logging,
Firmware Updates, Key/Cert Mgmt, Org Specific Security
Third Party Apps
The IBM IoT
Foundation
© 2013 IBM Corporation
IBM IoT – Get started today
Wide variety of supported
devices
Self Service
Open ecosystem
Simple tutorials
Connect in moments
Learn more about
IBM’s point of view on
the Internet of Things
ibm.com/IoT
Try out Internet of
Things on Bluemix
ibm.biz/try_iot
Join us in our IoT
conversations
@IBMIoT
http://www-05.ibm.com/uk/internet-of-things-2015/
© 2013 IBM CorporationAngus McCann, Healthcare Specialist, IBM Europe angus.mccann@uk.ibm.com
IBM Watson for
Healthcare
15
© 2013 IBM CorporationAngus McCann, Healthcare Specialist, IBM Europe angus.mccann@uk.ibm.com
“Medicine has become too complex. Only about 20% of the
knowledge clinicians use today is evidence-based.”
Steven Shapiro
Chief Medical & Scientific Officer
University Pittsburgh Medical Center
1. Information Systems Can Prevent Errors and Improve Quality, Balas EA, J Am Med Inform Assoc 2001
2. Strategies for coping with information overload. Smith.R. BMJ 2010
17 years < 5 hr / mth
81% of physicians spend
< 5 hours / month reading
medical journals
“takes an average of 17
years to implement
clinical research results
in daily practice” 1
Trainee in cardiac
imaging:
40 papers a day
5 days per week
11 years to bring up
to speed 2
40 /day
Healthcare is “dying of thirst in an ocean of data”
© 2013 IBM CorporationAngus McCann, Healthcare Specialist, IBM Europe angus.mccann@uk.ibm.com
Easy Questions?
ln((12,546,798 * π)) ^ 2 / 34,567.46 = 0.00885
© 2013 IBM CorporationAngus McCann, Healthcare Specialist, IBM Europe angus.mccann@uk.ibm.com
Hard Questions?
Computer programs are explicit, fast and exacting in their calculations with numbers and
symbols….But Natural Language is implicit, highly contextual, ambiguous and often
imprecise.
 Where was X born?
One day, from among his city views of Ulm, Otto chose a water color to send to Albert
Einstein as a remembrance of Einstein´s birthplace.
Structured
Unstructured
© 2013 IBM CorporationAngus McCann, Healthcare Specialist, IBM Europe angus.mccann@uk.ibm.com
IBM Grand Challenges
http://www-03.ibm.com/ibm/history/ibm100/us/en/icons/deepblue/
© 2013 IBM CorporationAngus McCann, Healthcare Specialist, IBM Europe angus.mccann@uk.ibm.com
© 2013 IBM CorporationAngus McCann, Healthcare Specialist, IBM Europe angus.mccann@uk.ibm.com
Analyzes large volumes of unstructured
and structured data
Combines large amounts of unstructured
data with structured data to be analyzed
together
Interprets and understands natural
language questions
Understands ambiguous and imprecise
questions using sophisticated natural
language algorithms
Generates and evaluates hypotheses
and quantifies confidence in answers
Identifies many answers to questions with
evidence to "explain" rationale for answers
Supports iterative
dialogue to refine results
Enables iterative and interactive question
and answering to refine and improve results
Adapts and learns to
improve results over time
Learns from additional evidence, additional
questions and mistakes to improve
accuracy over time
Watson’s Five Core Capabilities
© 2013 IBM CorporationAngus McCann, Healthcare Specialist, IBM Europe angus.mccann@uk.ibm.com
Business problem:
Need better individualized cancer treatment plans
Solution:
• Suggestions to help inform oncologists’ decisions based
on 600K+ pieces of evidence and 2M pages of text
from 42 publications
• Analyzes patient data against thousands of historical
cases and trained through 5000+ Memorial Sloan-
Kettering MD and analyst hours
• Evolves with the fast-changing field
Attacking the cause of
one in four deaths
Watson helping oncologists treat cancer patients
22
IBM Watson
Oncology
Built with Memorial Sloan Kettering
© 2013 IBM CorporationAngus McCann, Healthcare Specialist, IBM Europe angus.mccann@uk.ibm.com
Business problem:
No easy way to search eligibility criteria at point of care to match patients to clinical trials
Solution:
• Identify all the relevant clinical attributes needed to search across clinical trials for a disease
• Instantly check the patient’s eligibility
• Provide an ordered list of relevant clinical trials with the degree of match
• Provide criteria (inclusion / exclusion) level evaluation based on the patient’s attributes
• Dynamically re-evaluate the case based on changes to clinical attributes
Overall only 3%1
of cancer
patients are on clinical trials
Watson quickly matches patients to clinical trials
IBM Watson
Clinical Trial Matching
1
Medscape 23
© 2013 IBM Corporation
Understanding natural language
© 2013 IBM CorporationAngus McCann, Healthcare Specialist, IBM Europe angus.mccann@uk.ibm.com
© 2013 IBM CorporationAngus McCann, Healthcare Specialist, IBM Europe angus.mccann@uk.ibm.com
Further Information
 http://www.ibm.com/smarterplanet/us/en/ibmwatson/offerings.ht
ml
 YouTube…
 Content Analytics
– http://www-01.ibm.com/software/ecm/offers/programs/icpa.html
© 2013 IBM CorporationAngus McCann, Healthcare Specialist, IBM Europe angus.mccann@uk.ibm.com
In the nineteenth century health was transformed by clear,
clean water. In the twenty-first century, health will be
transformed by clean clear knowledge
--Sir Muir Gray
Chief Knowledge Officer
National Health Service, England
© 2013 IBM CorporationAngus McCann, Healthcare Specialist, IBM Europe angus.mccann@uk.ibm.com
Demo
28

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Angus McCann, IBM. Presentation at Health-Tech Innovation LABS Conference 18.09.2015

  • 1. © 2013 IBM Corporation Internet of Things Angus McCann Healthcare Specialist, IBM Europe & IBM Watson
  • 2. © 2013 IBM CorporationAngus McCann, Healthcare Specialist, IBM Europe angus.mccann@uk.ibm.com  “The future is already here – it's just not evenly distributed.” – William Gibson 2 “The wireless health market is gaining significant momentum. The global wireless health market is valued at $23.8 billion in 2013 and is expected to reach $59.7 billion by 2018” – Markets and Markets “In 2020, Over 30 Billion Connected Devices Will Be In Use.” – Gartner “By 2020, there’s gonna be loads of connected things, I can never remember how many and it keeps changing. And they’ll generate a stack of data.” Angus McCann
  • 3. © 2013 IBM CorporationAngus McCann, Healthcare Specialist, IBM Europe angus.mccann@uk.ibm.com Things 3
  • 4. © 2013 IBM CorporationAngus McCann, Healthcare Specialist, IBM Europe angus.mccann@uk.ibm.com flexible, easy-to-apply patch that continuously monitors and wirelessly transmits your child’s temperature to your smartphone. No uncomfortable thermometers. 4
  • 5. © 2013 IBM CorporationAngus McCann, Healthcare Specialist, IBM Europe angus.mccann@uk.ibm.com5
  • 6. © 2013 IBM CorporationAngus McCann, Healthcare Specialist, IBM Europe angus.mccann@uk.ibm.com Preface to first edition of “A Treatise on the Diseases of the Chest, in which they are described according to their Anatomical Characters, and their Diagnosis established on a new Principle by means of Acoustick Instruments”, John Forbes M.D. 1821 “That it will ever come into general use, notwithstanding its value, I am extremely doubtful; because its beneficial application requires much time, and gives a good deal of trouble both to the patient and the practitioner; and because its whole hue and character is foreign, and opposed to all our habits and associations”. Adoption 6
  • 7. © 2013 IBM Corporation Adoption  Who buys?  Use cases… CHF, asthma, COPD  Patient adoption  Physician adoption  Integration/data linkage, analysis (automation), security/privacy, asset management 7
  • 8. © 2013 IBM CorporationAngus McCann, Healthcare Specialist, IBM Europe angus.mccann@uk.ibm.com Big Data Volume Variety Velocity Veracity Data at Scale Terabytes to petabytes of data Data in Many Forms Structured, unstructured, text, multimedia Data in Motion Analysis of streaming data to enable decisions within fractions of a second. Data Uncertainty Managing the reliability and predictability of inherently imprecise data types. 9
  • 9. © 2013 IBM CorporationAngus McCann, Healthcare Specialist, IBM Europe angus.mccann@uk.ibm.com Many Things > Much Data 10
  • 10. © 2013 IBM CorporationAngus McCann, Healthcare Specialist, IBM Europe angus.mccann@uk.ibm.com12
  • 11. © 2013 IBM CorporationAngus McCann, Healthcare Specialist, IBM Europe angus.mccann@uk.ibm.com Third Party Apps IBM IoT Foundation Offerings IBM IoT Foundation Connect Attach, Collect & Organize, Device Management, Secure Connectivity, Visualization IBM IoT Foundation Information Management Storage & Archive, Metadata Management, Reporting, Streaming data, Parsing and Transformation, Manage unstructured data IBM IoT Foundation Analytics Predictive, Cognitive, Real-time, and Contextual IBM IoT Foundation Risk Management Security Analytics, Data Protection, Auditing/Logging, Firmware Updates, Key/Cert Mgmt, Org Specific Security Third Party Apps The IBM IoT Foundation
  • 12. © 2013 IBM Corporation IBM IoT – Get started today Wide variety of supported devices Self Service Open ecosystem Simple tutorials Connect in moments Learn more about IBM’s point of view on the Internet of Things ibm.com/IoT Try out Internet of Things on Bluemix ibm.biz/try_iot Join us in our IoT conversations @IBMIoT http://www-05.ibm.com/uk/internet-of-things-2015/
  • 13. © 2013 IBM CorporationAngus McCann, Healthcare Specialist, IBM Europe angus.mccann@uk.ibm.com IBM Watson for Healthcare 15
  • 14. © 2013 IBM CorporationAngus McCann, Healthcare Specialist, IBM Europe angus.mccann@uk.ibm.com “Medicine has become too complex. Only about 20% of the knowledge clinicians use today is evidence-based.” Steven Shapiro Chief Medical & Scientific Officer University Pittsburgh Medical Center 1. Information Systems Can Prevent Errors and Improve Quality, Balas EA, J Am Med Inform Assoc 2001 2. Strategies for coping with information overload. Smith.R. BMJ 2010 17 years < 5 hr / mth 81% of physicians spend < 5 hours / month reading medical journals “takes an average of 17 years to implement clinical research results in daily practice” 1 Trainee in cardiac imaging: 40 papers a day 5 days per week 11 years to bring up to speed 2 40 /day Healthcare is “dying of thirst in an ocean of data”
  • 15. © 2013 IBM CorporationAngus McCann, Healthcare Specialist, IBM Europe angus.mccann@uk.ibm.com Easy Questions? ln((12,546,798 * π)) ^ 2 / 34,567.46 = 0.00885
  • 16. © 2013 IBM CorporationAngus McCann, Healthcare Specialist, IBM Europe angus.mccann@uk.ibm.com Hard Questions? Computer programs are explicit, fast and exacting in their calculations with numbers and symbols….But Natural Language is implicit, highly contextual, ambiguous and often imprecise.  Where was X born? One day, from among his city views of Ulm, Otto chose a water color to send to Albert Einstein as a remembrance of Einstein´s birthplace. Structured Unstructured
  • 17. © 2013 IBM CorporationAngus McCann, Healthcare Specialist, IBM Europe angus.mccann@uk.ibm.com IBM Grand Challenges http://www-03.ibm.com/ibm/history/ibm100/us/en/icons/deepblue/
  • 18. © 2013 IBM CorporationAngus McCann, Healthcare Specialist, IBM Europe angus.mccann@uk.ibm.com
  • 19. © 2013 IBM CorporationAngus McCann, Healthcare Specialist, IBM Europe angus.mccann@uk.ibm.com Analyzes large volumes of unstructured and structured data Combines large amounts of unstructured data with structured data to be analyzed together Interprets and understands natural language questions Understands ambiguous and imprecise questions using sophisticated natural language algorithms Generates and evaluates hypotheses and quantifies confidence in answers Identifies many answers to questions with evidence to "explain" rationale for answers Supports iterative dialogue to refine results Enables iterative and interactive question and answering to refine and improve results Adapts and learns to improve results over time Learns from additional evidence, additional questions and mistakes to improve accuracy over time Watson’s Five Core Capabilities
  • 20. © 2013 IBM CorporationAngus McCann, Healthcare Specialist, IBM Europe angus.mccann@uk.ibm.com Business problem: Need better individualized cancer treatment plans Solution: • Suggestions to help inform oncologists’ decisions based on 600K+ pieces of evidence and 2M pages of text from 42 publications • Analyzes patient data against thousands of historical cases and trained through 5000+ Memorial Sloan- Kettering MD and analyst hours • Evolves with the fast-changing field Attacking the cause of one in four deaths Watson helping oncologists treat cancer patients 22 IBM Watson Oncology Built with Memorial Sloan Kettering
  • 21. © 2013 IBM CorporationAngus McCann, Healthcare Specialist, IBM Europe angus.mccann@uk.ibm.com Business problem: No easy way to search eligibility criteria at point of care to match patients to clinical trials Solution: • Identify all the relevant clinical attributes needed to search across clinical trials for a disease • Instantly check the patient’s eligibility • Provide an ordered list of relevant clinical trials with the degree of match • Provide criteria (inclusion / exclusion) level evaluation based on the patient’s attributes • Dynamically re-evaluate the case based on changes to clinical attributes Overall only 3%1 of cancer patients are on clinical trials Watson quickly matches patients to clinical trials IBM Watson Clinical Trial Matching 1 Medscape 23
  • 22. © 2013 IBM Corporation Understanding natural language
  • 23. © 2013 IBM CorporationAngus McCann, Healthcare Specialist, IBM Europe angus.mccann@uk.ibm.com
  • 24. © 2013 IBM CorporationAngus McCann, Healthcare Specialist, IBM Europe angus.mccann@uk.ibm.com Further Information  http://www.ibm.com/smarterplanet/us/en/ibmwatson/offerings.ht ml  YouTube…  Content Analytics – http://www-01.ibm.com/software/ecm/offers/programs/icpa.html
  • 25. © 2013 IBM CorporationAngus McCann, Healthcare Specialist, IBM Europe angus.mccann@uk.ibm.com In the nineteenth century health was transformed by clear, clean water. In the twenty-first century, health will be transformed by clean clear knowledge --Sir Muir Gray Chief Knowledge Officer National Health Service, England
  • 26. © 2013 IBM CorporationAngus McCann, Healthcare Specialist, IBM Europe angus.mccann@uk.ibm.com Demo 28

Notas del editor

  1. Infusion pumps / smart monitors Propeller inhaler w GPS and dosage monitoring Wearable vitals monitor Google contact lens for blood sugar Sub dermal RFID tag, holds medical record
  2. ECG Patient tracker Smart pills Soap dispenser alerts on use Temperature patch
  3. Wirelessly configurable pacemaker Endoscopic pill camera