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Wireless Healthcare World
- 1. Wireless Healthcare World Marc Bage, Ph.D., ing. International Institute of Telecommunications - Research INET 2007 Toronto, ON 20 June 2007
- 2. Agenda Technologies Taxonomy Applications Wireless Devices Consulting Diagnosis Monitoring Systems Projects Care Process Benefits 3 Points of View Challenges Conclusions
- 3. Taxonomy of Wireless Technologies Range UWB WiMax IrDA C a p a c i t y 1 cm 10 cm 1 m 10 m 100 m 1 km 10 km 100 km 10 kb/s 100 kb/s 1 Mb/s 10 Mb/s 100 Mb/s 1 Gb/s WAN Access LAN BAN Microwave & Satellite ZigBee ZigBee Bluetooth Mesh WiFi 2.5G 3G Rev.A/HSDPA 1xEV-DO Rev. B Passive RFID Active RFID Continuous Monitoring Intensive Monitoring, EPR, Comm. Process Consultation, Diagnosis, Monitor in Remote Areas Diagnosis EPR, Comm. Process, Wireless Devices, Diagnosis, Process
- 4. Wireless Monitoring Devices Location Stethoscope Glucometer ECG Temperature Heart Rate Blood Pressure Oxygen Weight Expect Increasing Integration with Cell Phone Using Bluetooth and RFID !!
- 5. Consulting 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 + …
- 6. 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 Consulting
- 7. Diagnosis 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 = T wo-Sided Camera + Light 2600 Color Pictures; 14 Frames per Second Given Imaging (Israel)
- 8. Wireless Monitoring Systems Télémédic (Qc) SpO 2 , Temperature, Heart Rate AMON : Advanced care and alert portable telemedical MONitor (Israel) Alive Technologies (Australia) SpO 2 , 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 Watch-Like Wireless Reader
- 9. Monitoring 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
- 10. Care 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)
- 11. RFID 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
- 12. RFID 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
- 13. 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
- 14. Benefits 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 System University of Hull (UK) Swiss Institute of Medical Informatics
- 15. 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
- 16. Challenges (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
- 17. Conclusions 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 … W orld W ide W i reless Health is Progressing Fast.
- 18. 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 /