Wearables application into hospital environments
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The future of Wearable in Healthcare Technology
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Wearables application into hospital environments
- 1. Healthcare Future Wearable’s Applications and Integration in Hospital Environments Nick van Terheyden, MD @drnic1 Chief Medical Officer, Dell HCLS
- 2. Nick van Terheyden, MD CMO, Dell Health and Life Sciences Twitter http://twitter.com/drnic1 LinkedIn http://www.linkedin.com/in/nickvt Blog http://drnick.vanterheyden.com/ FaceBook http://www.facebook.com/drnic1 E-Mail DrNick@dell.com, drnic1@gmail.com AboutMe http://about.me/obiwan Google Voice (301) 355-0877 Where you can find me
- 3. 2009 Continua Health Alliance Brigitte Piniewski, MD 0 25 >65 Age IllnessPre-IllnessWellness Unpredictable Health Predictable (Rules-based) Health Death 60-80% Lifestyle Modifiable Health
- 4. Improving Healthcare “If you can not measure it, you can not improve it.” Lord Kelvin (1824-1907)
- 5. Technology has become an integral part of our daily lives…
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- 10. › Source: Caroline McSwain (http://carolinemcswain.wordpress.com/2010/10/25/the-internet-a-student%E2%80%99s-greatest-asset-or-worst-distraction/) Talking on phone Surfing the web? Watching television Reading a magazine Listening to music Texting a friend
- 11. Wearable's and Internet of Things will surpass smartphones and personal computers by 2018 Internet of Things Tablets Smartphone Personal Computers
- 13. Quantified Self • Ubiquitous, low cost, always on sensors • Seamless tracking with minimal friction and requiring no behavior change • Generates interactive easy to understand data and influences behavior • What Can you Track – Activity and Weight – Sleep, Mood – Cardiac including Heart Rate, Blood Pressure and EKG – Bloods including Glucose – DNA and Your MicroBiome • Incentives may be the Key
- 14. The Quantified Self Meet Chris Dancy and His 10 devices he wears or carries and 13 more in his home and car
- 15. “Patient Engagement is the blockbuster drug of the century” Leonard Kish, Principal and Co-Founder VivaPhi
- 16. In the next 10 years, data science and software will do more for medicine than all of the biological sciences together Vinod Khosla
- 17. The Future of Medicine will be Predictive, Personalized Precise, Participatory, Preventive
- 18. Thank you
- 19. Nick van Terheyden, MD CMO, Dell Health and Life Sciences Twitter http://twitter.com/drnic1 LinkedIn http://www.linkedin.com/in/nickvt Blog http://drnick.vanterheyden.com/ FaceBook http://www.facebook.com/drnic1 E-Mail DrNick@dell.com, drnic1@gmail.com AboutMe http://about.me/obiwan Google Voice (301) 355-0877 Where you can find me
Notas del editor
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- http://www.vosizneias.com/111335/2012/08/07/new-york-free-wi-fi-catches-on-with-nycs-subway-riders/ Photo by Paul Lowry, Flickr Maybe this image is not striking enough?
- http://lolyard.com/1980/find-the-odd-one-out
- http://polpix.sueddeutsche.com/bild/1.1692756.1370860225/900x600/szforum-unsocial-networks.jpg http://www.sueddeutsche.de/muenchen/dachau/sz-forum-unsocial-networks-lernen--1.1692687 Students try Tablet PC in the classroom from the students Marisa, Max, Philip and Maria from 7b of the New School Rüsselsheim, Hesse already working with tablet PC in the classroom. The State then moved to its own project. Photo: AP (Photo: picture alliance / dpa )
- Photo by Sarah Wilson Tech-hungry members of the Village on the Green e-communications committee study up on new advancements in tablet and mobile technology at the Longwood retirement home. http://www.wpmobserver.com/news/2013/jul/31/seniors-catching-tech/
- http://technori.com/2013/04/4281-the-beginners-guide-to-quantified-self-plus-a-list-of-the-best-personal-data-tools-out-there/ Dubai offered gold for weight reduction (Fat for Gold)
- Data Assisted Living http://www.businessweek.com/articles/2014-06-05/is-chris-dancy-the-most-quantified-self-in-america The result is a multicolor, proliferating array of information that is, according to Dancy, full of unexpected correlations. During his first self-improvement project—to lose 100 pounds—he discovered that he ate worse after binge-watching TV shows. It didn’t matter which show, only that his caloric intake increased whenever he watched episodes of the same show back to back. Now he still might watch four hours of TV, but he mixes it up: an episode of Dexter followed by True Blood, then Californication. He also found he ate better when he slept better and slept better when air quality was better, so he changed the rugs near where his dogs come and go through their door dragging in dust. He says he lost 20 pounds simply by identifying such correlations and changing his behavior accordingly. From there it was a matter of setting rules: If he wanted fast food, for example, he had to walk to get it—until he was ready to adopt plain old exercise routines. 1. Step Detection An algorithm translates an accelerometer reading into distance traveled and helps estimate activity level and calories burned. Healthy Range: About 10,000 steps per day 2. Pulse A sensor opposite an LED monitors fluctuations in light transmitted through your finger. The rise and fall of light indicates heart rate. Healthy Range: 60 -- 100 beats per minute 3. Heart Rate Variability A heart rate monitor measures the variation of beat-to-beat intervals. High variability is indicative of good health and a high level of fitness. Healthy Range: 18 -- 44 percent variability while resting 4. Blood Oxygenation A pulse oximeter detects the light absorption of hemo-globin to see how much oxygen reaches your extremities. That data helps athletes determine whether they’ve recovered fully from a workout. Healthy Range: 95 -- 99 percent 5. Body Temperature A thermometer that sits against the skin assesses surface temperature. Abnormal spikes or drops are early warning signs of sickness. Healthy Range: 97.6 -- 99.6 degrees Fahrenheit 6. Sleep Sensitive 3-D accelerometers detect small body movement during the night. When paired with continuous heart rate monitoring, it offers a rough idea of sleep stages -- light, deep, and REM. Healthy Range: 7-- 9 hours of sleep 7. Blood Sugar Sensors measure glucose in skin fluid using infra-red light or low-power radio waves. For diabetics, it’s a pinprick alternative. For others, it’s a way to see how diet affects health. Healthy Range: 80 -- 140 milligrams per deciliter
- Leonard Kish Principal and Co-Founder at VivaPhi http://www.hl7standards.com/blog/2012/08/28/drug-of-the-century/ First, the evidence for blockbuster drugs. In Dr. Eric Topol’s book “The Creative Destruction of Medicine,” he takes a deep look at the evidence for statins, possibly the biggest group of blockbuster drugs over the last 20 years. Statins are a requirement of Meaningful Use Stage 1 clinical quality measures, as well as key measures for the CMS hospital quality measures used by many organizations, internal and external to the hospital, to grade the quality of care at a hospital. Prescribing statins, in many instances, is no longer optional. Topol states that “of every 100 patients taking Lipitor to prevent a heart attack one patient was helped, 99 were not.” These drugs cost $4 per day per patient and $1500 per year. While they are great at lowering cholesterol, it remains unclear that they do much to prevent heart attacks. Now let’s take a look at a 2009 Kaiser study of coordinated cardiac care. Compared to those not enrolled in the study, coordinated care “patients have an 88 percent reduced risk of dying of a cardiac-related cause when enrolled within 90 days of a heart attack, compared to those not in the program.” And, “clinical care teams reduced overall mortality by 76 percent and cardiac mortality by 73 percent.”