See R Felder Presentation Passive Home-Based Monitoring in ...€¦ · The WellAWARE™ solution...
Transcript of See R Felder Presentation Passive Home-Based Monitoring in ...€¦ · The WellAWARE™ solution...
Passive Home-based Monitoring in an Era of Telemedicine
http://medicalautomation.org
Robin A. Felder, Ph.D.The University of VirginiaProfessor of PathologyAssociate Director Clinical Chemistry
Market Opportunity
� Mobile health APPs market will grow 400% from $150 M in 2011 to $400M in 2016
� Initial market will be sports, fitness, and wellness
� Stimulated by wide availability of sensors, wireless transmission protocols, and ubiqitous mobile cellular infrastructure
ΑΒΙ Research, London, UK
Wellness
� State of complete physical, mental and social well-being
� Health results from primarily positive perspectives and choices by which to live
� Technology can provide information that facilitates positive choices
SocialPhysical
Cognitive
8.0
6.2 9.1
© Felder, 2011
Wellness
� Feeling well
� Achieving wellness
� Wellness strategies
� Denial or retraining
Wellness Support
� Growing need for new sources of data, and data interpretation
� Integration of multiple diagnostic sources (clinical, radiology, molecular biology, pharmacy, lifestyle)
� Integrated wellness and health record
� Ongoing information support for maintaining healthy lifestyles
Wellness Support
� Food coaching
� Exercise rewards
� Consequence reporting
� Consequence forecasting Overcome vicarious
goal fulfillment or, “exhaustion of self-control”
Home Health IT
� Integration of multiple information sources (wellness, socialization, medical)
� New revenue source: Medical Cloud coaching and Interpretations
Cloud Interpretations
Vogue 4-10
Example of Medical Cloud Interpretation� Hypogen-DX
(Hypertension/Salt Sensitivity Genomic Interpretation)
� 3 SNP test ($300)� Proprietary algorithms
� Determines probability of developing HT or SS
� 1st Example of Molecular Diagnostics for Chronic Disease
Wellness Technologies
� Nutrition� Exercise� Biometrics� Stress reduction� Mood enhancement� Pain reduction� Sleep improvement� Health and wellness monitoring
Social
Physical
Cognitive 8.0
6.2 9.1
New Communication Paradigms
Embedded Wellness Sensors� Instrument common
fixtures
� Wireless transmission of data
� Web based aggregation and interpretation
Action Inspired Instruction
� Real time coaching
� Medically approved content
� Tailored for the individual
尿糖尿蛋白
·Body temperature·Pulse·Blood Pressure·Body fat percentage
Vital Sensor
Data management PCUrine proteinUrine glucose
Urine analyzer
Home network
Healthcare providers
Passive Wellness Monitoring
Toilet Technology
� Wireless - low power
� Automatically activated
� Biometric identification
� Self calibrating and cleaning
The M.A.R.C. In-Home Health Monitoring Project
� Create a model where the impact of chronic disease is delayed or avoided
� Provide opportunity for medical intervention before a crisis occurs
� Minimize impact of chronic disease on the healthcare system
� Potentially delay admittance to a nursing home and reduce the cost of healthcare
Passive Wireless Sensor Systems
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� WellAWARE™, provides unobtrusive, highly accurate wellness monitoring services to allow individuals to age with options.
Passive Remote Sensing� The WellAWARE™ solution has three primary
elements that work together to provide passive, yet informative, monitoring of seniors:
� Wireless Sensor Array (WSA) – gathers data on daily activities
� Data Manager (DM) –transmits data to data analysis servers
� Capture Analysis & Reporting Engine (CARE) – captures potential problems and alerts caregiver
Sleep Monitoring� Sleep apnea affects more
than 40 million people in the United States alone of which 85% are currently undiagnosed
� sleep apnea testing and therapy market that is expected to reach more that $4 billion by 2012
Passive Vital Sign Bed Monitor
Mattress pad to measure:• Sleep quality• Pulse (and HRV)• Breathing
• Movement/ restlessness
• Bed exit
• Subject position/ turning
• Body temperature• Blood Pressure
Polysomnography
Passive Sensing
Restless Resident
Restful Resident
Sleep Quality Graphs
Remote Automated Triage
� Real time assessment of participant health status/well being
� Ability to drill down to specifics� Built in automated optimized dispatching� Manual override of dispatch event or
downstream processes
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One Click Trending
� Health
� Socialization
� System utilization
Telehome Monitoring Decreases Costs by 74%
N=21 in each group, P<0.05;Telemed J E Health, 2007 13(3):279−85
Overall Cost of Care Comparison
$67,757.88
$17,407.02
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Underwear That Measures Blood Pressure� Pulse wave velocity
correlates with blood pressure
� Tissue impedance shows passing pulses
� Pulse timing correlated with relative pressure
� Continuous blood pressure monitoring
Automated Pharmaceuticals� Automated Pill – iPill (Philips)
� Magnatrace™ System looks for pill ingestion
� Networked pills (Proteus Biomedical)� Instrumented Pills� Cost < $0.01
� Measure and send physiologic signals through body electrically
� Receiver is a patch worn on the body that also logs respiration, heart rate and body movement, sleep patterns
Automated Intestinal Biopsies
� Intestinal diagnostic imaging coupled with miniaturized biopsies
� Pillcams with intestinal “Velcro” to arrest the camera at a selective location
� Continuous monitoring
MIT Technology Lab
The Eye as the Window to Health
Univ. of MD, Baltimore
UCSC
Medical Robotics
Medical Robotics, LLC
� Real time glucose monitoring
� Alerts for low or high glucose concentrations
� Trending analysis
� Food coaching via telenutritionalmentoring
Receptivity
� Presenting health vs wellness to a patient
� Determining what information is TMI
� Optimizing the time for the presentation of wellness strategies “Wellformation”
Augmented Reality
� Projection of underlying anatomy on living tissue
� Relies on superimposition of reality and previously scanned animated image/data
Not for the Faint Hearted
Robotic Reality
HRP-4C National Institute of Advanced Industrial Science and Technology
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The Wellness Health Paradigm
EvaluationandReporting
Predictive Diagnostics
ContinuousMonitoring
A non-profit educational organization improving healthcare quality and efficiency through teaching automation principles and their application in health systems
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