This document discusses pervasive health monitoring through the use of sensors and information networks. It proposes a model where consumers become eHealth customers who self-manage their health. The document outlines how health and wellness services could be distributed through retailers by bundling hardware, technology, and connectivity controlled by eHealthConnect. Customers would receive benefits like lower insurance premiums for regularly monitoring their health data. Examples of sensor applications that could remotely monitor vital signs and detect health issues are also provided.

1. eHealth & Digitally signed by Michel
Oosterhof
DN: cn=Michel Oosterhof,
o=eHealthConnect,
ou=ResearchDevelopmen
Wellness t,
email=ehealthconnect@g
mail.com, c=SG
Date: 2011.04.20 10:24:00
+08'00'
go Retail March 2011
Michel Oosterhof
Iván Llorens
eHealth Connect Pte Ltd

2. Introduction
Pervasive health monitoring
• Pervasive health monitoring presents a shift from the traditional
event-driven model (i.e. go to doctor when sick) to one where we
are continuously monitor our “well-being” through the use of
sensors, smart-home technologies, and information networks.
• This allows us to be more proactive in health & wellness
maintenance, as well as allowing the health care provider to make
more informed decisions with a greater wealth of accurate data.
• Patients become eHealth consumers who self manage and -guide
through service offerings by healthcare and wellness providers, and
stay healthy through simplified communications via their mobile,
wellness programs and improved healthcare delivery.
Introduction

3. Why relevant?
• Tools that allow patients to take personal readings at home and
then submit the data electronically to their doctor or medical
case manager are gaining popularity among several health
insurance companies as a way to cut costs, the Wall Street
Journal reports.
• Use economical benefits to
deploy eHealth tools with
General Practioners.
The Do-It-Yourself House Call
Insurer-Endorsed Remote-Monitoring Technology Leads Heart Patients to Take Their Readings at Home
http://online.wsj.com/article/SB10001424052748704700404575391262635170370.html
Relevance

4. Health goes retail
1. Patients become Health & wellness consumers. Get financially
rewarded for maintaining your health;
2. Insurance, banks, unions, telecomm offer ‘Health=Wealth’ economical
benefits, as part of their customer loyalty strategy;
3. Clinicians distribute Health & wellness tools
that enable remote care;
4. Consumers receive support/benefits via
mobile, interactive TV & Health portals;
5. All hardware, technology, connectivity is
controlled by eHealthConnect (end-to-end).
Deal

5. Typical benefits
“Get rewarded, maintain your Health with your bank!”
 Lower premiums on Health/Life insurances, if you ‘check in daily’
 Discount on medical costs, provided sensors help with your treatment
 Subsidized eHealth kits & budgeting to treat your Chronic Disease
 Get a Second opinion or quotes from other clinics with 1 mouse click
 Reduce doctor visits & off work. Ask specialists to monitor your health
 Enjoy health & wellness related promotions, via your GP & local bank
Benefits

6. eHC Consumer Health Portal
Detail

7. eHC Retail Health Portal
Detail

8. Implementation Overview
Detail

9. Web services
Detail

10. Application example I
Parameters Monitored
Pulse Oximeters
•Measure percentage of blood oxygenation
•Correlate breathing and heart beating
•Detect hypo / hypervolemia
•Detect range of cardiac problems
3-Axis Accelerometer
•Orientation (Sleeping on back / standing)
•Activity levels (sedentary or jogging)
•Detect acute event (Falling)
Health Checkup Support
• Your “well-being” is remotely monitored by your healthcare professional of
choice. Through the use of sensor devices selected with your specialist. E.g.
a blood pressure meter + pedometer that you take with you, even when
travel abroad. All you need to do is use the devices and read the reports
your specialist sends to your phone.
Applications

11. Application example II
Parameters Monitored
AUDIO
•Record breathing sounds
•Record heart beating sounds
•Detect asthmatic events through
frequency domain analysis
VIDEO
•Skin Temperature
•Coloration with internal body
temperature
•Long term trending, ability to correlate
with other physical parameters
Visiting care & health alerts
• Stay home while on Medical leave. Your healthcare professional already
knows about your condition (from your sensor readings this morning) and
prepared a digital consultation that can be retrieved via your eHC eHealth
hub. Are you travelling? The eHC hub will connect itself to any signal
available and offers you 2-way communication with your specialist through
secure VOIP .
Applications

12. Application example III
Parameters Monitored
EMG/GSR “Stress” Detection
•Measures muscle tension (EMG)
on back which is indicative of
“stress”
•Measures “skin resistance” (GSR)
which varies with the involuntary
production of sweat as a result of
stress/emotion
Public prevention campaigns & Clinical trials
• Collect mass data from users trying out new ways of improving health &
wellness, e.g. home use of fitness equipment. Allow people to participate
in public prevention campaigns, e.g. quit smoking and track their
improvements.
Applications

13. Application example IV
Parameters Monitored
EMG/GSR Detection
•Detect transient cardiac events for
diagnostic purposes
•Detect acute (life-threatening) events
and alert
•Correlate cardiac events with activity
levels, or other parameters
• Monitor variations in rhythm induced by
medications
Telecare and remote diagnosis
• Patients overseas can now enjoy Singapore
standard healthcare. Connect to healthcare
professionals at your convenience, reduce
medical travel expenses.
Applications

14. Thank You!
Special thanks to:
Reza Naima (UC Berkely) for
describing Parameters Monitored
25 years experience in marketing and business
development. Has been involved in 7 successful start-
ups and launched over twenty products and online
services responsible for more than $746 million in
revenue. Reinvented the presence of 2 major
Government departments in the Netherlands and has
consulted several market leaders among which
Europe’s market leader in financial agent services.
http://www.bluezones.asia Michel Oosterhof (Singapore)
15 years experience in Design, Website development
& Brand Management. Concept development &
Implementation of Web Services for several market
leaders such as TUI Travel, EasyJetHotels &
BBVAHoteles.
http://www.tuitravelplc.com
http://www.easyhotel.com
http://www.bbvavacaciones.com Iván Llorens (Valencia)