Clinic Without Walls Rick Cnossen- Intel, Worldwide Director of Health IT
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Agenda
Intel in Healthcare?
Clinic Without Walls
Four Recommendations
Intel's Vision
This decade we will create and extend computing technology to connect and enrich
the lives of every person on earth
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Intel in Healthcare
Research & Innovation Health IT Solutions Health Initiatives Trusted Advisor Standards & Policy
Desktops Laptops Wearables Smartphones Ultrabook™ Tablets
Single Architecture from Hospital to Home Secure, High Performance, and Consistent User Experience
Cloud/Datacenter
NEW IMAGE NEW IMAGE 4
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Agenda
Intel in Healthcare?
Clinic Without Walls
Four Recommendations
Hope or Hype
These new technologies will change
everything and usher in the electronic
revolution in medicine… putting real
time information at the doctor’s
fingertips and ushering in the
era of the paperless office
Recent Article:
The Advent of Electronic
Medicine, …EHRs will be
widespread in just a few years
Clinical Futures 1984:
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Home Care
Chiropractor
Public Library
Long Term Care Facility Pharmacy
Employer
Bold Proposal Shift50%
of care to a
Clinic Without Walls
in 10 years
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Main Hospital
Fitness Center
Church
Home Care
Retail Pharmacy
Chiropractor
Public Library
Favorite Restaurant
Therapist
Long Term Care Facility
Primary Care Office
Neighbor Caregiver
Patient’s House
Pharmacy
Employer
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Primary Care
Office
Work
Place
Home
Car
Distributed: from campus to community care
Disruptive technologies—
mobile, social, analytics—on
top of global megatrends are
nudging the world in this
direction.
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Not a tech problem Garage innovation Relationships
Summary
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Agenda
Intel in Healthcare?
Clinic Without Walls
Four Recommendations
Lessons from the EHR Revolution that wasn’t
Holistic User
Centered
Standards
Based
Virtual
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What’s making this all possible?
Social Mobile
Analytics Cloud
The
SMAC
Stack
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Common View Across the IT Ecosystem
* Other names and brands may be claimed as the property of others 17
Mobile Workflow: Doctor App Subscriptions
http://www.pcmag.com/slideshow/story/309765/doctor-recommended-7-top-health-apps
PC Magazine, April 7, 2013
Allergist AllergyCast (Zyrtec)
4 day pollen forecast
Cardiologist Quit Smoking (NHS)
Support Messages, Tips, Helpline
Dentist Time2Brush (Aquafresh)
Where, Timer, Points
Dermatologist LoveMySkin Mole Map
Track Moles, Education
Nutritionist Glucose Buddy
Track, Trend, Reminders
Pregnancy My Pregnancy Today
Education, Checklists, Birth Clubs
Pediatrician Baby Connect
Monitor Activity (sleep, eating)
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Holistic User
Centered
Standards
Based
Virtual
Recommendations
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Intel Global Innovation Survey
Objective
Evaluate consumer perceptions
of technology innovations and
various ways that it is expected
to impact daily life.
Methodology
Penn Schoen Berland conducted
a quantitative poll with over
12,000 interviews, spanning
8 countries in Q3, 2013.
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Objective
Evaluate consumer perceptions
of technology innovations and
various ways that it is expected
to impact daily life.
Methodology
Penn Schoen Berland conducted
a quantitative poll with over
12,000 interviews, spanning
8 countries in Q3, 2013.
Intel Global Innovation Survey
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Intel Global Innovation Survey
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Intel Global Innovation Survey
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Intel Global Innovation Survey
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Intel Global Innovation Survey
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End User Research
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Battery Life
Rugged
Ease of Use
Complexity
Holistic User
Centered
Standards
Based
Virtual
Recommendations
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Continua End-End mHealth Architecture
Personal Device
Weight Scale
Pulse Oximeter
Independent Living Activity
Cardio / Strength
Medication Adherence
Glucose Meter
Pulse / Blood
Pressure
Thermometer
Physical Activity
Peak Flow
Electrocardiogram Insulin Pump
Mobile Apps
Aggregation Manager
Telehealth Service Center
Health Records
Health Record Network (HRN) Interface
Personal Area Network (PAN) Interface
Wide Area Network (WAN) Interface
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Personal Connected Health Alliance (PCHA)
An alliance and collaboration focused on the vision of person-centered health and health care with a mission to deliver interoperable personal health solutions that foster independence and empower people to better manage their health and wellness from anywhere; at anytime.
Empowering individuals to better manage their health.
Interoperability & Eco System Enablement
Thought Leadership & Industry Connection
Global Access & Leadership
Holistic User
Centered
Standards
Based
Virtual
Recommendations
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0
200
400
600
800
1,000
1,200
1,400
1,600
1,800
2,000
2010 2011 2012 2013 2014 2015 2016 2017
Others
Mental Health
Hypertension
Diabetes
COPD
CHF
Worldwide Telehealth Patients (thousands)
Growing to 1.7 Million Visits by 2017
The World Market for Telehealth – An Analysis of Demand Dynamics – 2012 INMedica, IMS Research 31
Online Applications:
Viewing Lab Results
e-mail Providers securely
Rx refills
Booking appointments
In-Person And Virtual Patient-Physician Visits
Health Affairs, Pearl R Health Aff 2014;33:251-257 ©2014 by Project HOPE - The People-to-People Health Foundation, Inc
Kaiser Permanente Northern California, 2008–13.
0
5
10
15
20
2008 2009 2010 2011 2012 2013
office visits Virtual visits (telephone and secure e-mail)
Kaiser Permanente Northern California, 2008–13.
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Pascal Example- mobile prescription, order and renewal
Experiences from the first mobile users
Evaluation Areas: User Acceptance, Patient Safety, Usage Model, Authentication with SMS
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Pascal Example- Survey Findings
68% percieves that they have better access to information with a mobile device than without.
76% percieves that their work have improved with the use of tablets.
80% percieves that they can provide better help to their patients.
60% state that the patient becomes more engaged in the precription.
92% percieves that the tablet has fulfilled their expectations.
84% would recommend their colleagues to use Pascal on a tablet.
A Wide Array of mHealth IoT Wearables
Person to Person Person to Computer Person as Computer
Data Streamed Care
Emotional Mirror
Biometrically Attuned
Responsive Coaching
Authenticated Self
Cloud Memory
Long Distance Togetherness
Bespoke Biotech
Augmented Sensory Perception
On-board Interface
Hug Simulation Jacket Lets Parents Calm Kids Via
Mobile Devices
Printed Prosthetic Offers The Functionality Of A
Human Hand
Biohacked, Implanted Headphones Allow User
To Echolocate
Electronic Make Up Lets You Activate Gadgets
By Blinking
Smartphone Provider Introduces Ingestible
Password Pill For Devices
Wearable Camera Life Blogs By Snapping Photos
Throughout The Day
Responsive Bracelet Sends Thermoelectric Pulses To Heat Or Cool A Person’s Entire Body
Running App Personalizes Workouts Based On Current
Stamina
Tooth Embedded Sensor Relays Eating Habits
To Dentist
Workout Gear Visualizes Activity Levels Of Wearer
In Real-Time
Sleep Monitoring
A Kimono* with sensors monitors the baby's temperature, breathing and communicates with parents.
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Video- IoT Limbs
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Intel Across Healthcare: Learn More
www.intel.com/healthcare
Policy and Standards
Mobile Healthcare Care Coordination Secure Cloud Devices and Imaging
Performance Big Data Aging
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