Life expectancy is increasing and what used to kill humans 100 years ago is very different than what kills humans today and that patients need to be empowered more to improve their own health. This talk was given at the IEEE Baltimore Section EMB Society

1. How Wireless Networks
Empower Patients
Shahid N. Shah
CEO

2. Who is Shahid?
• 20+ years of software engineering and
multi-site healthcare system deployment
experience
• 12+ years of healthcare IT and medical
devices experience (blog at
http://healthcareguy.com)
• 15+ years of technology management
experience (regulated systems,
government, non-profit, commercial)
• 10+ years as architect, engineer, and
implementation manager on various EMR
and EHR initiatives (commercial and nonprofit)
www.netspective.com
Author of Chapter 13,
“You’re the CIO of your Own
2
Office”

3. Life expectancy is increasing…
…but the rate of growth is slowing
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4. Bacteria used to kill us the most…
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Per 100k population, Historical Statistics of the United States, Millennial Edition
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5. We’ve got most infections beat…
…except the flu and pneumonia
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Per 100k population, Historical Statistics of the United States, Millennial Edition
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6. Infectious diseases used to kill us…
…but what’s left seem only to be “manageable” not easily “curable”
Top killers in 1900
Pneumonia
and influenza
TB
Diarrhea and
enteritis
Top killers today
Heart disease
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Cancer
Chronic lower
respiratory
diseases
Per 100k population, Historical Statistics of the United States, Millennial Edition
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7. From cures to management…
…young people don’t dye of diseases often now
Death by age group, 1900
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Death by age group, Today
http://siteresources.worldbank.org/INTHSD/Resources/topics/Health-Financing/HFRChap1.pdf
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8. Chronic Conditions
Almost half the U.S. population needs chronic disease management
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Source: NCQA State of Healthcare Quality Report 2007 & Wellpoint
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9. Medicine has accepted lack of cures…
…we’re now focused on prevention and wellness (below is CDC’s framework)
Objectives:
• Keep people out of the hospital ($$$)
• Keep people from their docs ($$)
• Keep people off drugs ($)
• Keep people at home
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http://www.cdc.gov/chronicdisease/resources/publications/AAG/chronic.htm
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10. Keep patients away from hospitals
Hospitalization, physician and clinical services total more than $1.2 Trillion today
$800
Hospital care, total
$700
Physician and clinical services, total
$600
Nursing care facilities and continuing care
retirement communities, total
Prescription drugs, total
$500
$400
$300
$200
$100
$0
1990
1991
1992
1993
1994
1995
1996
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1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
http://www.census.gov/compendia/statab/cats/health_nutrition/health_expenditures.html
2009
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11. Health services centralization tried
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Source: Jason Hwang, Innosight, via Jeff Selberg of IHI
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12. …now comes decentralization and
disruptive innovation
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Source: Jason Hwang, Innosight, via Jeff Selberg of IHI
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13. Consumers will need do/pay more…
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14. The new world order
General
Wellness
Specific
Prevention
Self Service
Physiologics
Self Service
Monitoring
Healthcare
Professional
Monitoring
Care Team
Diagnostics
Care Team
Monitoring
Self Service
Diagnostics
Healthcare
Professional
Diagnostics
Hospital
Monitoring
Hospital
Diagnostics
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15. Consumerization of physiologics….
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16. Consumerization of labs / genes
Labs on chips
Personal Genomics
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17. Consumerization of monitoring
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18. Wireless Body Area Network (BAN)
The cornerstone of mHealth
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19. Wireless BAN Ecosystem
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Source: Qualcomm
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20. Wireless Protocols Comparison
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http://acamp.ca/alberta-micro-nano/images/docs/Technology-Presentations/Ken-Fyfe-HealthMedical-Dec09.pdf
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21. ANT+ is winning ULP protocol battle
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http://acamp.ca/alberta-micro-nano/images/docs/Technology-Presentations/Ken-Fyfe-HealthMedical-Dec09.pdf
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22. Needed: diagnostic quality mHealth
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23. Needed: sophisticated analytics
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24. Needed: care team involvement
PATIENT/
CONSUMER
HEALTHCARE
PROVIDER
Care Team
FAMILY
CAREGIVER
CALL CENTERS AND
REMOTE SUPPORT
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HOSPITAL
ALTERNATE
SITE OF CARE
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25. Needed: automated diagnostics
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26. Data changes the questions we ask
Simple visual facts
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Complex visual facts
Complex computable
facts
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27. Implications for scientific discovery
The old way
The new way
Identify problem
Identify data
Ask questions
Generate questions
Collect data
Mine data
Answer questions
Answer questions
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28. http://healthcareguy.com
Shahid.Shah@netspective.com
Questions?
Thank you