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Joint ITU-WHO Workshop on e-Health Standards and Interoperability (Geneva, Switzerland, 26-27 April 2012). Remote Healthcare ICT and Mobile Healthcare ICT -Model Project in Japan by Ministry of Internal Affairs and Communications-. Shigeru Tomita Head of Strategy Planning Office - PowerPoint PPT Presentation
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Geneva, Switzerland, 26-27 April 2012
Remote Healthcare ICT and Mobile Healthcare ICT -Model Project in Japan
by Ministry of Internal Affairs and Communications-
Shigeru TomitaHead of Strategy Planning Office
NTTDATA CORPORATION [email protected]
Joint ITU-WHO Workshop on e-Health Standards and Interoperability
(Geneva, Switzerland, 26-27 April 2012)
2
Agenda
Geneva, Switzerland, 26-27 April 2012
Introduction
3 cases of Remote Healthcare ICT and Mobile Healthcare ICT
Conclusion and Recommendation
3Geneva, Switzerland, 26-27 April 2012
Introduction Current Healthcare status in Japan
Super aging society23.1% is over 65 years old20% of households are elderly only
Increasing of medical expenditure36.6 Trillion Yen ( 2011FY Approximation ) http://www.mhlw.go.jp/topics/medias/year/10/
With the advancing aging society
Increasing of life style related diseases
4
IntroductionGlobal population ageing and policy trends of Japan
■ Global comparison of the elderly ratio
■ The policy trends of Japan ○ Putting the model projects into practice and collect the evidences in order to promote remote healthcare. ○ Cooperating with in-home patients as well as medical care after hospital discharge, promote efforts to improve regional medical care system.
Ratio
of t
he e
lder
ly① The present Japan outweighs all other nations with the highest proportion of elderly citizens. Rapid demographic shift towards elderly.
② 10 years after The elderly ratio of other Asian nations, such as South Korea and Singapore, follows closely behind Japan. Speed of population aging is) more rapid than Japan.
③ 20 years after The elderly ratio of high-population countries, such as China and India willshift from 10% to 20%.
①
②
③
JapanKoreaSingapore
SwedenAustraliaChinaUSAIndia
Geneva, Switzerland, 26-27 April 2012
Ref: Nikkei Electronics 11/29/2011, pp33-34
5
3 cases
1.Remote Healthcare for Monitoring after discharging (for “cure” and “care”)
-MIC Project
2.Remote Health promotion for elderly( for “prevention” )
-MIC Project
3.Mobile Healthcare for Post DisasterGeneva, Switzerland, 26-27 April 2012
6Geneva, Switzerland, 26-27 April 2012
1.Remote Healthcare for Monitoring after discharging -MIC Project
Purpose: Provide Healthcare service for Homecare Patients after their discharges
Service:Remote data monitoring using vital sensorsRemote consultations over video phone
TechnologyAuthentication by PKI for HealthcareContinua Health Alliance based video phone
cure & care
7
1.Remote Healthcare for Monitoring after discharging -MIC Project-System Image
Doctor (remote place) - Tono Hospital - Sakakibara Memorial Hospital
fixed/mobile network
In-home patient
Perform remote re-examinations for in-home patients or elderly with an automated monitoring with the vital sensors and the video conference system. Medical relief and safety are ensured. Workload reduction for patients and co-medicals is proven and evaluated.
Server
Healthcare network
Videoconferencesystem
Re-examination record
Health record
Remotere-
examination
Doctor
Video conferenceregister/refer the re-examination record or health record
heart rate meter
scale
sphygmomanometer
pedometerIn-home patient
PC for data access
HPKICertificateauthority
No need for frequent hospital visits.Instant diagnosis allows early detection of illness.Easy communication between doctors, co-medicals and subjects . cure & care
8Geneva, Switzerland, 26-27 April 2012
2.Remote Health promotion for elderly-MIC Project
Purpose:Health Promotion for elderly in Rural area
Service:Sharing vital data and consultation with health professionals
Technology: Authentication by PKI for HealthcareContinua Health Alliance based video phone
prevention
9
The internet
Subject ( Tono city )Doctor ( remote place ) Utilizing for communication between doctors, co-medicals, and subjects.
Server
■Information shared by the medical specialists of a remote place and the co-medical in the local area.■Based on the test result, the doctor of the remote place carried out advice and health instruction, etc. by
practical use of a videoconference etc. for a circulatory organs, a lifestyles, etc. Activities based on 17 city areas including the district center, with the participation of approximately 400 residents mainly the elderly.
TV phone
PC for accessing medical data
Vital data, Blood data, etc.
コメディカル
Data communicat
ion
Consulting
1st measurement※ 2nd measurement ※ improvement (% )
Belong to four groups 6 1 83.3Belong to three groups 17 6 64.7Belong to two groups 36 19 47.2Belong to one group 13 9 30.8
□Subjects’ disease are classified into 4 groups: Hypertension group, Diabetes group, Hyperlipemia group and Hepatic dysfunction group. ※ 1st measurement: 02/2009 2nd measurement: 08/2009□Blood pressure improvement 62.7 % , LDL cholesterol improvement 47.1 %
TV phone
subject
Transmitting the data of blood pressure, pulse rate, blood sugar level. Real time communication with the video conference system.
Assisting him/her in
measurementsCo-medical
2.Remote Health promotion for elderly-MIC Project-System Image
Sphygmomano-meter
pedometer
prevention
10
Purpose:Provide better healthcare service at the shelters after the earthquake
Service:Sharing medical records with doctors in some Medical Service Teams
Technology: OnDemand VPN IPSec + IKEHL7
Geneva, Switzerland, 26-27 April 2012
3.Mobile Healthcare for post disaster
11
3.Mobile Healthcare for post disaster -System Image
Doctors refer to patients’ medical record by using Tablet terminals
Geneva, Switzerland, 26-27 April 2012
Healthcare information exchange Platform
Mobile Medical Service Support System
Clinical Record Database
Scanner
PCODVPN Rooter
Inernet( I PSec+IKE)
Shelters
Tablet terminalDoctor
reffer Commercial Closed Network
Shelters in Fukushima
Patients
Upload
Clinical Recored (Paper Documents)
Fukushima Pref. Med Univ. Hospital
Shelters
Conclusions and Recommendations ~ Easy start-up of Remote Healthcare/Health Consultation
~① Medical examinations are realized by patients inputting required information and
communicating with doctors through mobile devices and networks.② Doctors can directly check patients’ condition with TV phone over the internet at
community centers. (if no TV phone is available, co-medicals can substitute).
TV phone
• tape measure• body temperature• weight
tablet / mobile phone(input an access key)
<Home>
<Community Center>
Healthcare for pregnant women for children
Mobile Network
Internet • tape measure• body temperature• weight• blood pressure• the number of steps
tablet / mobile phone(input an access key)
co-medical
TV phonefor health consultationfor triage
<Doctor>
TabletMobile phone
or
13Geneva, Switzerland, 26-27 April 2012
Conclusions and RecommendationsRemote/Mobile Healthcare by using ICT is
effectiveIssues to be discussed
Security Interoperability
Recommendations:We need to discuss the standardization in ITU workshops
(considering of unique colors and real-time capability in medical services)
On demand VPNContinua Health Alliance