How will the future health care worker meet the future

patient?

Steinar.pedersen@telemedicineconsult.com

TTC

• Commisions in 70 municipalities

• Private – McKinsey– PWC– KPMG– Telenor– SOS International– LHL

• EU prodject. VictoryaHome

eHealthTelemedicineWellfare Technology

A little bit of history

• 1985: Internett

• 1991: WWW

1996

674

Larry Page og Sergey Brin

1998 2004

The convergence • eHealth

• mHealth

• Telemedicine

• Telehealth

• Smart house technology

• Wellfare technology

My picture of the future back in 2006

Driving forces

67-79 år

80-89 år

90 år og eldre

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The net

Departement of TelemedicineUniversity Hospital of Tromsø

Videoconferencing – first step

Videoconferencing – second step

Videoconferencing – third step

Videoconferencing – next step

2013 - IBM 5 in 5

• 5 in 5 in 2012• Tactile stimuli via phone• A pixel will be worth more than 1000 words• Computer will hear what is important• Digital tastebuds will help you to eat smarter• The computer will recognize the smell

Scotland and the safty alarm

• A national poicy• Govermental money• Good organizing of the

service

• Saved hospital beds: 109 398

• Saved nursing home beds: 545 943

• Saved home visits: 443 969

• Saved expences: 781 000 000 NOK/year

Telehealth in England

• Lower mortality

• Fewer emergencies

• Shorter hospital stays

• The financial savings are moderate

The road ahead

• From analog to digital• Start simple and build

on• 980 000 000 NOK over 8

years

Expand based on needs

• Fall detector

• Bed detector

• Pil box

• Sensors to detect movement

• GPS

• Smoke alarm

The App’s

Sound recognition

APPs for pictures

Image recognition

BP

EKG screening• Automated measurement

of heart rythems• The costs are reduced

dramatically• American Heart

Association : AliveCor is an ideal technology for undiagnosed cardiac arrhythmia and may reduce the number of strokes

Watson

Scroll with the eyes

Samsung healthphone

• Step converted to calories

• Supports sensors from their own and other manufacturers (cardiovascular measurements, body weight, blood glucose, blood pressure)

• Checks REM sleep

• MIT Human Dynamic Laboratory: Based on the collected data, they want to be able to tell when you're going to get sick

Access to own health informations

• When the government owns the data:

Sensitive information must not go astray

• When the patients own data, the patient will share information with anyone who can help– Decisions support

systems (Watson)– Patient will judge the

advice of health workers to the advice that comes from all available "channels"

New roles and responsibilities?

• Will health worker become more a counselor or a coach?

• Infomediarian

New ways of service deliverance

At the pharmacy

Remote monitoring of emergency departmentsNew forms of organization

The competence

• 62 international elite universities

• 3 million students in 220 countries

• Will the professors role changed from repeating their lectures to be mentors and coaches?

FOR LENGE SIDEN……

The Guardian

• Humanity increasingly stores it’s knowlegde virtually, in the cloud, making it vulnerable to catastropic loss

• Things we used to remember, quotations, phone numbers – we now outsource to machines. Why learn by heart when you can google it?

What we learn and what we remember

Information access at tip of your nose

Future access to procedures

The pilots

Finding your way in the dark

Sympathic ophthalmia

• A compendium written by MD Viggo Clemmesen

Collegial assistance

Some of the direction when everything converges

• The HCS must meet the patients as the banks meet their customers– Email, access to information, use of VC……

• The hospital must be a local government's extended arm to the municipality – The hospital must ensure that the fewest possible number of patients are

admitted to the hospital– Virtual Outpatient department ala Inverness– The hospital must extend into the patient's home

• The municipality must be the hospital's extended arm– Municipal alarm centrals "must be integrated" in the hospital

Diabetes as an example

Disruptive innovations

• A product or service takes root initially in simple applications at the bottom of a market and then relentlessly moves up market, eventually displacing established competitors

Virgin Air

My new – and final – conclusions

• Personal health care services will the driving force for the future development

• The development in the private marked will be fastest• The govermental health care system will not be the

frontrunner in the use of new technology• HCS in the municipalities will adapt faster to new

technology than will the hospitals • New players will develop new sensors and gadgets• New players,ala Virgin Air, will first adapt to new ways of

health care delivery