Laurence YudkovitchJuly 12, 2016

Capturing dataand improving outcomes

for Humans and Machinesusing the

Internet of Caring Things

Photo Credit: Vincent Laforet"The streets of New York had always looked like either brain synapses, computer chips or motherboards to me. From high up all these streets become a sort of pattern and almost like an organism.© Copyright 2016, Laurence Yudkovitch

Goals for tonight

How to sound smart in your TEDx Talk

Youtube: https://youtu.be/8S0FDjFBj8o

112000

GE Online Center

GE Online Center

Protecting MRI’s

Protecting MRI’s

Protecting MRI’s

Protecting MRI’s

Prevent a Quench

Dedicated Service called MagMon

1037# Error Messages when starting an MRI?

MRI Components

MRI Components

• Temperature• Voltage• Cycles

Benefits of Monitoring

• Pro-active maintenance

http://business.time.com/2011/12/19/stop-changing-the-oil-every-3000-miles-already/

http://CheckYourNumber.org

Benefits of Monitoring

• Pro-active maintenance• Reduced down time• Competitive intelligence

Anesthesia

GE Aisys Carestation

• Anesthesia• Patient Monitor• Decision Support

GE Aisys Carestation

Remote monitoring?

http://www.businesswire.com/news/home/20040203005752/en/GE-Healthcare-Selects-Questra-Provide-Next-Generation-Remote

GE Aisys Carestation

Remote monitoring?

http://www.prnewswire.com/news-releases/axeda-acquires-questra-65409312.html

GE Aisys Carestation

Remote monitoring?

http://www.ptc.com/news/2014/ptc-completes-acquisition-of-axeda

GE Aisys Carestation

Remote monitoring?

GE Aisys Carestation

Remote monitoring?

GE Aisys Carestation

Remote monitoring?• HIPAA Protection

Prediction

GE Navigator® Applications Suite

Historical Future

Summary

Summary

• Connectivity is key• Preventing and

Predicting MRI failures• Security risks

connecting to Anesthesia Systems

Cardiac Rehab

AACVPR Data RegistryAmerican Association for Cardiovascular and Pulmary Rehabilitation

By assisting in the collection, management, and interpretation of outcomes data, the registry can help your program enhance patient care, improve quality of life, and increase support from healthcare partners.

• Access program and patient data reports instantly, and benchmark your results against national averages.

• Implement quality improvement projects based on real data, and enhance documentation for administrators and referring physicians.

• Influence healthcare policy makers to utilize cardiac rehabilitation, and improve coverage and reimbursement rates for your program.

Senior Living

Longevity Revolution

By 2030, the proportion of the U.S. population aged 65 and older will double to about 71 million older adults, or 1 in 5 Americans.

Wisconsin Plan for Older People: http://cdm16119.contentdm.oclc.org/cdm/singleitem/collection/p267601coll4/id/2461/rec/11

Wisconsin’s“Elder Boom”

Projections for the Growing 65+ Population,

2005 to 2035WISCONSIN DEPARTMENT OF HEALTH SERVICESDivision of Long Term CareP-00138 (10/2009)

My Own Home:The #1 Choice for Long-Term Care

https://mlaem.fs.ml.com/content/dam/ML/Articles/pdf/AR6SX48F.pdf

Dr. Eric TopolScripps

• https://www.ted.com/talks/eric_topol_the_wireless_future_of_medicine

Why PERS alone doesn’t work

Start at 0:23

Dr. Eric TopolTake-aways

• Plenty of diseases that need to be monitored

• Benefit of monitoring reduces costly hospitalization by catching issues before they are serious

• Wireless technologies discussed in 2009 are now mainstream; but they are all individual

https://www.ted.com/talks/eric_topol_the_wireless_future_of_medicine/transcript?language=en

The Air Conditioner Story

http://www.bloomberg.com/news/2013-05-17/oregon-s-radical-health-overhaul-blazes-new-trail.html

Intel / Eric Dishman Ted TalkTake health care off the

mainframe

https://www.ted.com/talks/eric_dishman_take_health_care_off_the_mainframe#t-332933

Smoke Test

Health Sense

1. Passive check-in2. Out of bed3. In bed too long4. Front door open5. Bathroom activity6. Socialization7. Bed occupancy8. Bathroom usage9. Activity levels http://healthsense.com/solutions/health-and-safety-monitoring/

DIY - Staying at Home Longer

• 77-year-old in the middle stages of Alzheimer's. Lives on her own, monitored remotely by family.

• “It's kept her to the point where we haven't even had to have in-home care yet. Our goal is to keep her in her home for as long as possible,” said her daughter Cathy Johnson

http://www.cnn.com/2014/08/25/tech/innovation/alzheimers-smart-home/index.html?iref=allsearch

SmartThingsNo Monthly Fee

SmartThings looks for specific triggers, and sends alerts (by text) to her two daughters:• Silent sensor on her front door

detects if she leaves between 9 pm and 6 am.

• Key chain sensors detect when she goes outside her condo's grounds.

• A motion sensor in the kitchen helps monitor her eating habits

• Another in the bedroom notes when she wakes up in the morning and catches any sleeping issues.

• There is even a flood sensor in the laundry room.

http://smarthings.com

KemuriHelp your loved ones keep their independence

Installation• KemuriSense® smart power sockets are

professionally installed in the kitchen. There’s no change in lifestyle, nothing to remember and no intrusive monitoring. It works like a standard double power socket.

• Smart software checks activity every hour, identifies changes and keeps everybody informed via the Internet. Nothing could be simpler.

• The product is most suitable for people who do not wish to be reminded of their increasing frailty by wearing an alarm pendant. They have to appoint a trusted person, or organisation, who can share the data with family members, friends or carers. No data will be shared without full consent.

http://www.kemuri.org.uk/

Smart Wireless Pill Bottles

• Determines when bottle is opened

• Counts how many pills are removed

• Transmits data wirelessly over 3G connection

• No setup!

http://adheretech.com/ http://medcitynews.com/2014/12/10-approaches-companies-taking-create-better-pill-takers/

$300 billion market opportunity of medication adherence

https://clinicaltrials.gov/ct2/show/NCT02222103 http://rhythmdiagnosticsystems.com/

MultiSenseTM sensor is a self-contained, reusable, rechargeable, battery-powered, flexible strip, measuring 4 X 1.2 inches that simultaneously tracks and records a number of physiological health related parameters such as ECG, heart rate, pulse synchronized oxygen saturation, temperature, respiratory rate, depth of respiration and motion/position. One advantage of this device over current home diagnostic systems is the capability for recording over several nights

QuietymeUsing its intelligent sensor and analytics platform, Quietyme provides streaming solutions that prevent costly damage and disturbances in hospitals, hotels, apartments and homes.

• ZigBee sensors monitor noise, temp, humidity

• Analytics s/w learns, recommends change, and then monitors (cheaper)

• Hospitality Solutions: Stop relying on complaints to identify problems.

http://quietyme.com/

Pixie Briefs

http://www.ericsson.com/thinkingahead/networked_society/stories/#/film/pixie-smart-diapers

Pixie BriefsAny physician will tell you that human waste can tell you a lot about physical health. A used diaper, for example, contains valuable data about the health of the baby. So what if a baby’s diaper could alert parents to potential health risks?Parents can then scan the QR code on the diaper to receive information about their child's health on an app.

http://www.ericsson.com/thinkingahead/networked_society/stories/#/film/pixie-smart-diapers

Pixie Briefs – It gets better!

https://www.youtube.com/watch?v=OifRYoH6OUA

Disposable adult briefs to monitor hydration and

infection

http://www.pixiescientific.com/

MC10 Biostamps

http://www.ericsson.com/thinkingahead/networked_society/stories/#/film/mc10-biostamp

http://www.ericsson.com/thinkingahead/networked_society/stories/#/film/mc10-biostamp

Number of births: 3,932,181Deaths from SIDS: 0.1%

http://www.mc10inc.com/company-information/technology/

Conclusion

• Decreasing cost of sensors

• Increased connectivity

• Incredible computing power

What’s Changed?

Questions?