Summit @ HIMSS- IoT and Personal Connected Health

Personal Connected Health Alliance

John Sharp, Senior Manager

IoT and Personal Connected Health

10/26/2016



• Division of HIMSS• Originally focused on events

– mHealth Summit• Now expanding to • thought leadership• convening stakeholders• publishing technical guidelines• promoting innovation and developing an evidence base • on an international level

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Defining Personal Connected Health

• Personal: unique to a specific person – different for every individual, customized• Connected: individual’s information flows seamlessly, with their

consent, to and from a clinician, caregiver or community• Health: the state of a person’s physical, social and mental well-

being including but not limited to the absence or control of a disease

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State of Personal Connected Health

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ConsumerApps & Device

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Mobile phone Cloud Intero

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Consumerism

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Consumerism and Health

• From Philips Future Health Index

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Future of treatment

Connected health devices (apps, wearables, biosensor devices) for patients will form part of treatment plans in the future

33%38%

27%37%

33%42%

• USA • UK

Physicians

Consumers

Diabetics


Consumer and Provider• Seeing the same data –

displayed in ways that are usable/actionable for each•Participatory healthcare•Partnership in care

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Consumerism

• Dana Lewis• Type 1 Diabetes• Do It Yourself Artificial

Pancreas

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Wearables and sensors

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Wearable Market• Fitness bands• Smart watches• Shoe devices and smart shoes• Smart clothing• Ear devices• Headsets• Glasses

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Sensors• Accelerometer• Gyroscope• Multi-touch display• GPS• Microphone

Can enable monitoring of multiple actions:• Gait and balance• Fitness• Timed walk• Reaction time• Hand dexterity• Tone audiometry

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Future Applications of Sensors

• Smartphones can be used to identify atrial fibrillation with existing hardware• uses the phone's own

accelerometer and gyroscope to check for atrial fibrillation• http://www.news-medical.net/

• Wristband detects and alerts for seizures• http://news.mit.edu

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New Devices

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Smart Inhalers Medical smart tatoosRobotics and exoskeletons

medicalfuturist.com


Apps and devices

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App and Device Market

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• 78.5 million consumers using home health technologies by 2020


Personal Health Dashboard

10/26/2016 Fitbit


Cloud enabled• Data moves from the

personal health device orapp• Through secure transmission• To cloud storage• For analysis and visualization• Delivered to consumer and provider

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Healthcare internet of things

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Healthcare Internet of Things Categories

• Clinical efficiency• Clinical grade biometric

sensors• Consumer/home monitoring• Infant monitoring

• Fitness wearables• Advanced sports apps• Brain sensors/

neurotechnology• Sleep monitoring

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Internet of Things (IoT)

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Personal Connected Health Alliance10/26/2016

“This caldron of innovation is enough chaos to make many companies tentative about dipping their toe in the water.”


interoperability

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Interoperability,wearables and the EHRs

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InteroperabilityPersonal HealthDevices

• Personal Health Devices Interface

Personal Health

Gateway

• Services interface

Health & fitness

Service

• HIS Interface

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EHR

Design Guidelines


Integrating into Workflow

Data from devices, questionnaires Transmission Integration engine

Store in EMR

Algorithm generates alert or

inbox to team member

Take action

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Integrating Patient Generated Health Data•Workflow options• Alert about significant change in status• Unusual reading which may indicate device malfunction• Combination of data indicating risk for readmission• Overall trends sent to inbox as a message

• To whom should each situation be routed?• Medical home team member

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Incentives and barriers

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Provider Incentives

• Readmission penalties• Diabetes Prevention Programs• Accountable Care Organizations

– pay for value• Chronic Care Management• Comprehensive Primary Care Plus • Care bundles – joint replacement, cardiac

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Barriers to Connected Health

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Behavior Change and Coaching

• Devices and apps alone cannot create real changeJAMA Internal Medicine study• Need strategy and coaching to enable health behavior

change • Example

– Diabetes Prevention Programs

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Evidence and innovation

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Evidence

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propellerhealth.com


Evidence

• Text 2 Move: Diabetes Care – Partners Healthcare• Personalized text messages encouraged physical

activity• Significant lowering of HbA1c levels

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Evidence• NODE Health – Network of Digital Evidence• From the Sinai App Lab

• Newsletter includes • Initiatives• Publications• Resources

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Innovation – Venture Funding

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2015 – 4.5 BillionTracking toward $4B for 3rd year in a row


Innovation – Venture Funding

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Personal Connected Health Alliance10/26/2016

Future of the Internet of Things

Smart Home AgingLighting

Motion sensorsMemory Loss Alarms

Climate Vital signsAppliances


State of Personal Connected Health

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ConsumerApps & Device

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Mobile phone Cloud Intero

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• December 11-14, 2016• Gaylord National | Washington, DC Area• PCHAconference.org

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Contact Me

• [email protected]• @JohnSharp• Linkedin.com/in/johnsharp• Recent blogs: http://www.pchaconference.org/blogs

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