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Couchbase Mobile and digital health: connecting patient and clinician – Couchbase Connect New York 2017

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Healthcare today goes far beyond the clinic. Patients, doctors, and healthcare providers are always connected and expect health data in real time through dozens of channels. Managing the amount of data generated by patients, clinicians, and consumers to drive informed decisions and better experiences, creating and securing “connected health” data, enabling and educating patients to manage their own health through digital apps and devices, and staying HIPAA compliant in a fast-moving, digital world are all challenges for today’s digital health enterprises.
In this session, we’ll show you how the Couchbase Data Platform addresses these digital health challenges for today’s leading healthcare companies, including a deep dive into the BD use case, a system built on the Couchbase Data Platform to tackle Type 2 Diabetes using connected medical devices, a patient app, and clinician portal.

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Couchbase Mobile and digital health: connecting patient and clinician – Couchbase Connect New York 2017

  1. 1. ©2017 Couchbase Inc. Couchbase Mobile and digital health: connecting patient and clinician Ali LeClerc, Product Marketing Manager FujioTurner, Mobile Solutions Architect 1
  2. 2. ©2017 Couchbase Inc. Agenda • What’s going on in the Digital Health space? • Where Couchbase Mobile fits in • Real digital health customers doing real things • Q&A 2
  3. 3. ©2017 Couchbase Inc.©2017 Couchbase Inc. 3 Digital Challenges in Healthcare
  4. 4. ©2017 Couchbase Inc. Managing the large amounts of data, creating & securing “connected health” data across multiple devices including IoT devices and improving clinician/patient experience in collaborative environments are the key challenges facing Digital Health today. Digital Challenges in Healthcare
  5. 5. ©2017 Couchbase Inc. Extending the traditional doctor/patient relationship • Doctors moving to tablets, allowing more face time with patients • Nurses extending the hospital to the home with mobile • Real-time diagnoses and care via IoT and mobile devices • Internet of MedicalThings (IoMT) gaining more popularity 5
  6. 6. ©2017 Couchbase Inc.©2017 Couchbase Inc. 6 Digital Health and the two big mobile myths
  7. 7. Try again later. No Internet please wait… The network is always available
  8. 8. The network is always high performing
  9. 9. ©2017 Couchbase Inc.©2017 Couchbase Inc. 9 How do I give my users a better experience and know, see and control my operations and data?
  10. 10. ©2017 Couchbase Inc. Addressing HIPPA in the digital era
  11. 11. ©2017 Couchbase Inc. Requirements for digital health operations and data 11 1 Operate quickly and develop with agility 2 3 4 5 Control & Security Reliable Getting critical data to & from users 6 NO losing data“Correct” data to users
  12. 12. ©2017 Couchbase Inc. Messaging System 2 13 2 13 Data from Switch to Bulb
  13. 13. ©2017 Couchbase Inc. Messaging System 2 13 2 13 Data from Switch to Bulb & Disconnection
  14. 14. ©2017 Couchbase Inc. Messaging System 2 13 12 She should have gotten ”3” not “2”. Data from Switch to Bulb
  15. 15. The solution: Remote & Local Data + Sync
  16. 16. ©2017 Couchbase Inc.©2017 Couchbase Inc. 16 How does Couchbase Mobile solve these challenges?
  17. 17. ©2017 Couchbase Inc. 17 Couchbase Mobile:The Full-Stack Mobile Data Platform Lightweight embedded NoSQL database with full CRUD and query functionality. Secure web gateway with synchronization, data access, and data integration APIs for accessing, integrating, and synchronizing data over the web. Highly scalable, highly available, high performance NoSQL database server. Built-in enterprise level security throughout the entire stack includes user authentication, user and role based data access control (RBAC), secure transport (TLS), and 256-bit AES full database encryption. Couchbase Lite Sync Gateway Couchbase Server SECURITY EMBEDDED DATABASE SYNCHRONIZATION DATABASE SERVER CLIENT WEB TIER DATABASEinternet intranet
  18. 18. ©2017 Couchbase Inc. How Couchbase Mobile solves for Digital Health challenges 18 1 A single data platform to deliver relevant & simplified experiences 2 3 4 5 Access to healthcare information anywhere, anytime Manage data throughout the network Reduce cost of operations 6 Scale infrastructure easily Improves member/patient retention
  19. 19. ©2017 Couchbase Inc. Health Activity Logging & Tracking Apps Internet of Medical Things (wearables) Digitization, management, and analysis of electronic medical records Interoperability between medical centers On-demand and proactive patient care Track and trace drug monitoring Couchbase Mobile for Digital Health
  20. 20. ©2017 Couchbase Inc.©2017 Couchbase Inc. 20 How BD is using Couchbase Mobile to radically change the traditional doctor/patient experience
  21. 21. ©2017 Couchbase Inc.
  22. 22. www.bd.com © 2016 BD. All Rights Reserved. 22 DSL and rules engine for precision user engagement CYRANO Data visualization and patient management CLINICIAN PORTAL Patient support and cloud connectivity NATIVE MOBILE APP Transparently and automatically connect patient data HARDWARE DEVICES Scalable database + mobile synchronization COUCHBASE + MOBILE FHIR Based REST API for CLINICIAN PORTAL WEB SERVER Solution Components C o n d u i t
  23. 23. www.bd.com © 2016 BD. All Rights Reserved. 23 System Architecture Couchbase Cluster FHIR Server Clinician Portal Mobile App Sync Gateway BGM Conduit Smart Cap MS Bot Cyrano RX + Scheduled Twilio 3rd Party Auth
  24. 24. www.bd.com © 2016 BD. All Rights Reserved. 24 Automatically collect and display blood glucose readings from off-the-shelf BG meter. Maintain BG Record Bluetooth LE Enabled Authored in C# for significant code reuse & long- term maintainability in a healthcare environment. Always available for offline use. Xamarin Native + Offline Continuously connected to the cloud for caregiver and clinician access. Cloud Connected Transparently collect insulin usage and display to user answering the age-old question: “Did I take my medication” Maintain Insulin Record Enable user to explore the effect of food on the body. Give clinicians tangible starting point for conversations about food. Meal Vignette Connects to BG and Insulin devices
  25. 25. www.bd.com © 2016 BD. All Rights Reserved. 25 Sample Screens C o n d u i t M o b i l e
  26. 26. www.bd.com © 2016 BD. All Rights Reserved. 26 All out-of-range events in one place Each Meal + Paired Test + Insulin Serves as a conversation starter MEAL VIGNETTE BROWSER Fasting BG Insulin Adherence Per-Meal BG Trends DATA DASHBOARD ALERTS Insulin Regimen Personal Goals PATIENT REGISTRATION + SETTINGS Clinical Portal C o n d u i t
  27. 27. www.bd.com © 2016 BD. All Rights Reserved. 27 Clinical Portal C o n d u i t
  28. 28. www.bd.com © 2016 BD. All Rights Reserved. 28 D E M O
  29. 29. ©2017 Couchbase Inc.©2017 Couchbase Inc. Questions 29
  30. 30. ©2017 Couchbase Inc. 30 The CouchbaseConnect mobile app Take our in-app survey!
  31. 31. ©2017 Couchbase Inc. 31 Share your opinion on Couchbase 1. Go here: http://gtnr.it/2eRxYWn 2. Create a profile 3. Provide feedback (~15 minutes)
  32. 32. ©2017 Couchbase Inc.©2017 Couchbase Inc. Follow us on social media Twitter @couchbase Facebook /couchbase Instagram @couchbase Linkedin /company/couchbase