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Wireless Healthcare World
Marc Bage, Ph.D., ing.
International Institute of Telecommunications - Research
INET 2007Toronto, ON
20 June 2007
2International Institute of Telecommunications
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AgendaAgenda Technologies
Taxonomy Applications
Wireless Devices Consulting Diagnosis Monitoring
Systems Projects
Care Process Benefits
3 Points of View Challenges Conclusions
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Range
Taxonom
y of Wireless T
echnologiesT
axonomy of W
ireless Technologies
1cm
10cm
1m
10m
100m
1km
10km
100km
10kb/s
100kb/s
1Mb/s
10Mb/s
100Mb/s
1Gb/s
WANAccessLANBAN
Microwave& Satellite
ZigBee
ZigBee
Bluetooth
UWB
Mesh
WiFi
2.5G
3G
Rev.A/HSDPA
1xEV-DO
Rev. B WiMaxPassive
RFIDActive
RFIDIrDA
Capacity
Continuous Monitoring
IntensiveMonitoring,
EPR, Comm.
Process
Consultation, Diagnosis,Monitor in Remote AreasDiagnosis
EPR, Comm.Process,
WirelessDevices,Diagnosis, Process
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Wireless Monitoring DevicesWireless Monitoring Devices
Location
Stethoscope
Glucometer
ECG
Temperature
HeartRate
BloodPressure
Oxygen
Weight
Expect Increasing Integration
with Cell PhoneUsing Bluetooth and
RFID !!
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ConsultingConsulting
REACH (ON) Assertive Community Treatment (ACT) Medical Home Care Solution (Teleconference, Remote Vital
Sign Monitoring) Telesat, London Health Sciences Center Research + others
3GDoctor (UK) Cellular Form Filling Screening of Patient Based on Health-Related Questions
MyFoodPhone (Qc) 3G Imaging of Meal Dietician Feedback + …
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Telerobotic Devine-Tidewater Urology (Virginia) St-Joseph Mercy Oakland Hospital (Pontiac, Michigan) Physian Rounds Patient Length of Stay
Alzheimer's Disease Silverado Senior Living (Los Angeles)
InTouch Health Inc. (California) Qualcomm (San Diego)
Rev.A
ConsultingConsulting
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DiagnosisDiagnosis
Bravo Capsule Wireless pH-metry Medtronic (Minneapolis)
Gastroenterology Gastric Acid Reflux Detection
RFID impedance monitoring system that uses electrical impulses to detect oesophageal reflux
U of Texas Southwestern Medical Center doctors and UT Arlington engineers
Capsule Endoscopy PillCam = Two-Sided Camera + Light 2600 Color Pictures; 14 Frames per Second Given Imaging (Israel)
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Watch
-Like
Wire
less
Reader
Wireless Monitoring SystemsWireless Monitoring Systems Télémédic (Qc)
SpO2, Temperature, Heart Rate
AMON: Advanced care and alert portable telemedical MONitor (Israel)
Alive Technologies (Australia) SpO2 , ECG, GPS, accelerometer Sleep Apnea, Atrial Fibrillation
Medtronic (Minneapolis) Implantable Defibrillator Measures Pressure and Fluid inside a Patient's Heart
Sensor for Medicine and Science (Maryland) Glucose Sensor to be Implanted Under Skin of Forearm (in Development) Fluorescence-Based Oxygen Sensor
Medical Intelligence (Qc, Fr) Alzheimer Disease: Alarm when Crossing a Programmable Virtual Fence Urgentys: GPS- and WiFi-Based Location + Voice and Alerts
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Monitoring ProjectsMonitoring Projects MobiHelath
7 Sub-Pprojects : Home Monitoring, Trauma, Nurse Visits Risky pregnancies, Chronic Obstrusive Pulmonary Disease, Ventricular
Arrythmias U of Twente (NL), Germany, Spain, Sweden, Ericsson (Ge), Philips (NL)
IIT-R 3G-Based Proofs of Concept Biomonitoring (Contextual Analysis and Actions) Teletrauma (Ambulance to Hospital: Voice, EPR, ECG, Other Signs, Video,
Camera Remote Control, Image, Annotation)
WIISARD Monitoring in Disasters and Mass Casualties Communications Between First Responders Fault Tolerant Wireless Biomonitors in Mesh Ad-Hoc Networks UCSD
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Care ProcessCare Process
Communications Voice + Text Messaging
2-way handsfree voice-controlled wearable badge Kingston General Hospital and St-Thomas Elgin General Hospital Vocera Communications
Medication On Demand RFID Access to Drug Dispensing Box Avancen (Florida)
Logistics Outpatient Registration
Shorter and Fair Queuing Tongren Hospital, China
SMS Patient Reminder (UK) At some outpatient clinics, reduced’ DNA rate by 30% (with only 20%
uptake by patients)
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RFID in Care ProcessRFID in Care Process
Asset Management Up-to-Date-Inventory and Optimized Restocking Gurneys, Wheelchairs, Pacemakers, Stents, Mobile Lab Equipment Supply Chain Systems and Smart Shelving
People Management (Doctors, Nurses, Patients) Access Control and Security Patient Flow Management Outpatient Tracking
waiting time, EPR, billing RFID in Patient ID Wrist Bracelet
saved lives, improved workflow efficiency, reduced cost of care correct medication and surgical procedures Siemens (Germany)
Bhagwan Mahaveer Jain Heart Center in Bangalore, India
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RFID ImplantsRFID Implants Size of Rice Grain Implanted Under Skin of Upper Arm
Surgical or Syringe
Secure Access Amal Graafstra, Washington, DC
Electronic Patient Record
Medical Implants Alzheimer, diabetes, chronic diseases Mexico City
Animal Control Government initiative to control rabies all Portuguese dogs must be RFID tagged by 2007. Similarly in Serbia
dog's history owner's information
Verichip by Applied Digital Solutions + Digital Angel (Glucose monitor) Patient Identification FDA 2004
PHOTO: Amal Graafstra
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Care Process (more)Care Process (more)
Closing the Gap Healthcare Group Telus + HealthPhone (NZ) + Microsoft Community Care Management Solution
Optimize direct patient care time Increase patient safety through one-time recording of clinical notes at the Point of
Care Improve patient outcomes by facilitating sharing of healthcare information across
the continuum of care
Taiwan Mobile Healthcare Services M-Taiwan Initiative Chunghwa Telecom + Nortel (WiMax)
Mobile Nurse Outpatient Registration
Treatment Assistant Access to EPR
Wireless Care Genie Bluetooth monitoring of patients
Health Care Guru Virtual Information center
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Benefits of Wireless HealthcareBenefits of Wireless Healthcare Patient’s Quality of Life
Mobility (Tetherless / Cordless, Ambulatory, Vehicular) Home Treatment vs Hospital Treatment Reduced Waiting Time, Travel Time and Travel Costs
Medical and Professional Point of View Early Detection of Upcoming Health Problem More Sophisticated Healthcare
Increasing Bandwidth Imaging, X-Ray ECG
Better Prognosis ECG Door to Needle/Balloon :
1 min saved = +11 days for patient Saving of 20 to 55 min = + ?? days for patient
Home Monitoring Increases Survival Rate by 15% in Post-Hospitalization Care + 26% Reduction in Hospital Days per Patient Compared to Nurse Telephone Support.
Access to the Most Up-to-Date and Complete EPR
System Improvements Reduced Bed Blocking Reduced Nosocomial Infections Single Data Entry (Resulting in Reduced Errors) Reduction in Duplication of Tests and Analysis ($$$) Inventory Control
TEN-HMS
Philips Medical SystemUniversity of Hull (UK)
Swiss Institute of Medical
Informatics
TEN-HMS
Philips Medical SystemUniversity of Hull (UK)
Swiss Institute of Medical
Informatics
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Challenges of Wireless Healthcare (1) Challenges of Wireless Healthcare (1) Technical Issues
Radiation Level Fœtal FDA Testing of RFID Effects on Drugs
Power Supply Battery Life Range Bandwidth Environmentally-Save
Financial Model Role of Cellular Operators Payer: Patient, Government, Insurance
Logistics Issues How to Work Differently
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Challenges (2): Patient ConcernsChallenges (2): Patient Concerns Product and Service Features
Accuracy and Radiation BUPT (Beijing University of
Post and Telecom)
Ethical Acceptability Human-Chipping Presentation, March, Prayer Vigil,
West Palm Beach, Florida, May 12, 2007
CASPIAN: Customers Against Supermarket Privacy Invasion And Numbering
Acceptability of Wireless Healthcare
0% 10% 20% 30% 40% 50% 60% 70%
Accuracy
Radiation
Timeliness
Price
Confidentiality
Ergonomy
Willingness
Co
nc
ern
adapted from G.Kang, BUPT, "Attitude tow ards Wireless Applications in Healthcare Industry in China"
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ConclusionsConclusions
Healthcare Providers Are Pushing Care Elements at the Edge of the Healthcare Network. This is Where Wireless Access Networking Can Help.
Remote Care Also Needs Remote DiagnosTICs Demonstrated Technical Feasibility Economic Viability Yet To Be Proven
Look at the Big Picture
Challenge: How to Work Differently … World Wide Wireless Health is Progressing Fast.
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Thank You for your attention!
Vendors, products and services named in this presentation are for illustration purposes only without any implied endorsement by IIT. Trademarks belong to their respective owners.
Dr Marc Bage, Researcher, 1.514.395.8018 / [email protected]