mobihealth - innovative gprs / umts services for healthcare

MobiHealth - Innovative GPRS / UMTS services

for healthcare

www.mobihealth.org

© 2002 The MobiHealth Consortium

The MobiHealth ProjectIST 2001-36006

Overall objective

The development and trialing of new services and applications in the area of mobile health, promoting the use and deployment of GPRS and UMTS.


Challenges in healthcare

• We have a growing number of chronic disease patients (diabetes, cardiovascular, asthma etc)

• National healthcare systems face increasing costs and serious financial and budgetary problems

• Patients (and healthy people) become proactive, health-conscious and seek individual, personalized healthcare

• Mobility of people in Europe is increasing


Wouldn’t it be nice ...

• To have the same level of healthcare while continuing a normal active life, instead of being stranded at the hospital?

• To maintain a high quality-of-life, inspite of having a chronic disease?

• To have your health status monitored without having to go to a health center?

• To be able to give patients the most (cost) efficient therapy and support?


With Mobile Internet it can be

done!

The Internet is anonymous and global.

Mobile Internet is personal and local.

Always OnlineAlways Online

TransactionsTransactions

PersonalizationPersonalization

Location Based Services

Location Based Services

MobilityMobility


The dream ...

GPRS

UMTS


Try to make the dream come true: MobiHealth targets

• Development of new m-health services and methodologies for their evaluation

• Integration of a generic m-health Body Area Network (BAN)

• Validation of GPRS and UMTS networks for m-health services via large scale trials

• Validation of the accuracy of measurements and data capture

• Validation of medical, social/ethical and economic advantages of the new m-health applications


2.5G / 3 G / 4G

Pat

ien

t C

are

Em

erg

ency

Sp

ort

s

Cli

n.

Res

earc

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Wireless BAN Operating SystemData

Handling

DataHandling

Generic wireless BAN for multiple services


MobiHealth BAN structure


MobiHealth operational overview

Wireless Health Broker & Service Provid.

Public Operator

Hospital

UMTS

DoctorBAN


Trial scenarios

(Randomized controlled) Trials.

(The Netherlands, Spain, Sweden, Germany)

Monitoring of chronic patients.

Monitoring of early discharged patients.

Monitoring of high risk patients.

(Primary endpoints: hospital and emergency room admission, mortality. Secondary endpoints: patient quality of life, satisfaction and functional performance, adherance to the treatment, cost analysis, usability)

Acute and trauma care.


Patient management leads to significant savings

Source: BKK, Preussen Elektra, HannoverMcKinsey

Cost Basis forInsurers

Savings inTreatment

Costs

New claimsdue to PM

Costs of PMProgram

Total Costs

Net Savings forInsurers

30 - 40

100

5 -10

5 -10

70 - 90

10 - 30

EXAMPLE :Percentage of yearly treatment costs per patient for Asthma, (100=€5,000)


Diabetes 5.000.000 500.000 1.000.000

Stroke 1.500.000 150.000 300.000

Asthma 4.000.000 400.000 800.000

Hypertension 17.600.000 1.760.000 3.520.000

CAD 1.500.000 150.000 300.000

Total potential users 2.960.000 5.920.000

Disease Prevalence Acceptance*

10% 20%

* Estimated acceptance rates for mobile disease management programs

Potential number of users of mobile patient management


Important issues for MobiHealth to tackle• Quality of service

– Network related issues: hand-over, interruption/delays in transmission, data loss bandwidth problems, etc.

• Social acceptance

– Health risks (cell phone usage), economic issues, ethical issues

• Legal issues

– Accreditation of the devices and applications

– Protection of health related data

– Privacy, security and encryption of data

– Medical responsibilities / liability


Project timetable

• First wireless BAN prototype Mid November 02

• BAN final release End April 03

• Final release of service applications End April 03

• Start of field trials Beg. May 03

• Evaluation of trial results July-Sept. 03

• End of project End October 03


The MobiHealth consortium

• Ericsson (D)– GesundheitScout 24

• Telia (S)– University of Lulea

• University of Twente (NL)– MST, TMSI, Compaq, Yucat

• Telefonica Moviles (E)– Corporacia Sanitari Clinic, Universitat Pompeu Fabra

• Phillips Research (UK)• CMG Wireless Data Solutions (NL)


Summary


Contacts

Rainer HerzogSenior Consultant

Maximilianstr. 36/RGD-80539 MünchenGermanyTel.: +49 89 25543715Mobile.: +49 178 534 0067mailto: [email protected]

Ericsson GmbH University of Twente

Prof. Dimitri Konstantas Dr. Val JonesMr. Richard Bults

CTIT – APSP.O.Box 217 NL-7500 AE Enschede The NetherlandsTel.: +31 53 489 3784 / 4018mailto: [email protected]: [email protected]: [email protected]

Project Website: www.mobihealth.org