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@2013 Mehran Mehregany, Ph.D.
Mehran Mehregany, Ph.D. Goodrich Professor of Engineering Innova3on
Director, Wireless Health Program Director, Case School of Engineering San Diego Programs
Wireless Health: Remaking of Medicine by Pervasive Technologies
@2013 Mehran Mehregany, Ph.D.
Enabling diagnosis, therapy and monitoring of health-‐related condi;ons by tracking relevant biomarkers, managing treatment regimen and monitoring progress…while the pa;ent goes about his/her daily life.
Wireless Health
Febr
uary
201
3 R
elea
se
@2013 Mehran Mehregany, Ph.D.
Digital health is mostly a concept at this time, but a remarkably powerful and rich one that enables effective and efficient ways to collect, forward and process medical data and information within the health care ecosystem.
Digital Health
@2013 Mehran Mehregany, Ph.D.
Convergence of Pervasive Technologies
ubiquitous sensing
wireless connectivity
cloud computing
social networks
@2013 Mehran Mehregany, Ph.D.
Nonintrusive Monitoring
The market for wearable wi
reless
sensors is predicted to
grow to
400 million devices by 2014
.
Graphic from Don Jones (Qualcomm Life)
@2013 Mehran Mehregany, Ph.D.
Medicine Will Change
clinic/hospital
appointment
popula?on
reac?ve
anywhere
any?me
individualized
preventa?ve
Individualized, preventa?ve medicine that is ?me and place independent
@2013 Mehran Mehregany, Ph.D.
Ubiquitous connectivity and computing are bringing about unprecedented mobility…working, entertainment, shopping, socializing, gaming, etc., anytime, anywhere.
This trend is also infiltrating health care, promising significant improvements in quality, convenience, reach and cost of care through “wireless health” solutions.
What Is the Big Opportunity?
@2013 Mehran Mehregany, Ph.D.
How big is it?
$0$500,000
$1,000,000$1,500,000$2,000,000$2,500,000$3,000,000$3,500,000$4,000,000$4,500,000$5,000,000
1980 1990 2000 2010 2020
Private Medicare Medicaid Out-‐of-‐Pocket Other
Mill
ion
($1,
000,
000
is $
1 Tr
illio
n)
Year
Centers for Medicare & Medicaid Services, Office of the Actuary.
National Health Expenditures, $2.6 Trillion in 2010
@2013 Mehran Mehregany, Ph.D.
NaIonal Health Expenditures
31.4%
26.6%
10.0%
32.0%
Hospital care
Professional services
PrescripIon drugs
Other
Other: Nursing facilities & continuing care retirement communities (5.5%), medical devices & hospital supplies (3.2%), home health care (2.7%), government administration (1.7%), net cost of health insurance (5.6%), residential & personal care (5.0%), government public health activities (3.2%), investment (5.7%).
Centers for Medicare & Medicaid Services, Office of the Actuary.
@2013 Mehran Mehregany, Ph.D.
Total Health Expenditures, 2008
GDP Per Capita
Per C
apita
Hea
lth S
pend
ing
“Health Care Spending in the United States and Selected OECD Countries”, April 2011. http://facts.kff.org/chart.aspx?ch=1952
@2013 Mehran Mehregany, Ph.D.
Chronic Diseases 75% of the Cost
Disease # in U.S.
Wireless Solu?ons
Alzheimer’s 5 M Vital signs, loca?on, ac?vity, balance Asthma 23 M RR, FEV1, Air quality, oximetry, pollen count
Breast cancer 3 M Ultrasound self-‐exam COPD 10 M RR, FEV1, air quality, oximetry Depression/ Mood Disorders
21 M Med compliance, ac?vity, communica?on
Diabetes 24 M Glucose, hemoglobin A1C Heart Failure 5 M Cardiac pressures, weight, BP, fluid status
Hypertension 74 M Con?nuous BP, med compliance Obesity 80 M Smart scales, caloric in/out, ac?vity Sleep Disorders 40 M Sleep phases, quality, apnea, vital signs
Table from Eric Topol, M.D.
@2013 Mehran Mehregany, Ph.D.
Enhancing quality Targeted care, at the right ;me, based on collec;on and/or communica;on of relevant health data and informa;on. New care possibili;es that are enabled through con;nuous monitoring, wireless communica;on and/or rich new databases of disease condi;ons.
Improving convenience By the mobility afforded the pa;ents and the care providers.
Extending reach Possibili;es in diagnosis, therapy and monitoring at a distance and/or in places otherwise difficult to reach.
Reducing cost Keeping pa;ents out of care facili;es through preventa;ve care solu;ons and ;mely diagnosis. Reducing errors and amplifying the produc;vity of the health care providers.
Wireless Health Value ProposiIon
@2013 Mehran Mehregany, Ph.D.
Diabetes
@2013 Mehran Mehregany, Ph.D.
Heart Rate Fluid Status Ac;vity Level Posture Respiratory Rate Arrhythmia Detec;on Temperature ECG
Heart Failure
@2013 Mehran Mehregany, Ph.D.
Energy Intake and Expenditure
@2013 Mehran Mehregany, Ph.D.
Sleep Quality
@2013 Mehran Mehregany, Ph.D.
Zeo Sleep Data
@2013 Mehran Mehregany, Ph.D.
Fetal Monitoring: Sense4Baby
@2013 Mehran Mehregany, Ph.D.
Measurement Provisioning
Unobtrusive -‐ Measurement devices must be small
Power and data rate
-‐ Ultra low power for ba[ery to last -‐ High rate for real-‐;ne, data-‐intensive applica;ons
Security
-‐ Data must remain private Smart nodes
-‐ IP transport and protocols from sensor to servers Flexible deployment topologies
-‐ Star or mesh -‐ Scalability
@2013 Mehran Mehregany, Ph.D.
Compliance
@2013 Mehran Mehregany, Ph.D.
Seamless Data Transfer ConnecIn
g medica
l device data to paI
ents
and clinicia
ns wire
lessly.
@2013 Mehran Mehregany, Ph.D.
In-‐PaIent Data Directly to the Doc
@2013 Mehran Mehregany, Ph.D.
ECG-‐in-‐the-‐Pocket
@2013 Mehran Mehregany, Ph.D.
Technology availability The extent and richness of solu;ons possible to a wide range of health problems.
Acquisi;on and ownership cost Costs associated with purchasing the solu;ons and opera;ng/maintaining them, respec;vely.
Regulatory efficiency The ;me and cost associated with obtaining approval for specific solu;ons to par;cular health problems.
Reimbursement policy Covering the cost of u;lizing wireless health solu;ons, including when used for preven;on, which is a great applica;on opportunity for wireless health but not reimbursable for the most part today.
Obstacles
@2013 Mehran Mehregany, Ph.D.
Clinical and health educa;on The need for the health providers to adopt wireless health solu;ons and know when/how to deploy them. Teaching pa;ents about preventa;ve and self-‐management prac;ces.
Demonstrated outcomes Clinical or field studies that show the efficacy of wireless health solu;ons.
Pa;ent awareness Visibility of pa;ents into wireless health solu;ons in order to promote their own interests.
Interstate medical prac;ce Ability to prac;ce medicine across state lines.
Obstacles
@2013 Mehran Mehregany, Ph.D.
Wireless Health Graduate EducaIon
Master of Science & Graduate Cer;ficate § Electrical or Biomedical Engineering § Apply now for Fall 2014
Se`ng the standard for wireless health educa;on § First ever curriculum designed specifically for wireless
health and comprised of en;rely new courses tuned accordingly
Onsite in San Diego because of the city’s wireless health leadership. Available worldwide online.
Connected to the main campus in Cleveland
@2013 Mehran Mehregany, Ph.D.
Wireless Health Curriculum
@2013 Mehran Mehregany, Ph.D.
Ubiquitous connectivity and computing are bringing about unprecedented mobility…working, entertainment, shopping, socializing, gaming, etc., anytime, anywhere.
This trend is also infiltrating health care, promising significant improvements in quality, convenience, reach and cost of care through “wireless health” solutions.
What Is the Big Opportunity?
@2013 Mehran Mehregany, Ph.D.
Health care is a critical global issue, for example
Obesity: 400,000,000
Chronic disease: 860,000,000
Aging: 600,000,000
Compliance: $300,000,000,000
How Big Is It?
PE
OP
LE
@2013 Mehran Mehregany, Ph.D.
Thank You!
Mehran Mehregany, Ph.D. Director, Wireless Health Program
Director, Case School of Engineering San Diego Programs 216-368-0755 (tel) [email protected] (e-mail) http://engineering.case.edu/wireless_health
Our Wireless Health Program is San Diego Based, Cleveland Connected
