QF Health Assist System Project

Qualified and Facilitated health assistance for three Qualified and Facilitated health assistance for three damaged Tohoku Prefectures, Miyagi, Fukushima and Iwate

Feb, 2013Wakuya Medical and Welfare Center

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(Project management office: RIKEN Cell Tech)

About Wakuya town

（as of April 2012）Area ８２.０８ ㎢Population /household 17,584/5,878Aging ratio ２７．５％

Basic policyEach is responsible for its own health.Family members share the roles.

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Family members share the roles.Community acts hand in hand.である

Wakuya Medical and Welfare Center(WMWC) established in 1988 has been engaged in health promotion with mutual collaboration with town residents for 25 years.

航空写真Wakuya Medical and Welfare CenterActed as back-up hospital for Ishinomaki red-cross hospital at the time of the disaster.

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administrative area 39

Organization HR

Residents：17,584

Organization

Health promoter： 316Collaboration of public health activity and voluntary health promotion in community.Started in April 1989. 2,160 people experienced.

Resident,community member

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Started in April 1989. 2,160 people experienced.

Public health nurse

Mayor of town

Head of Center

Medical doctor

Nurse

WMWC

Public Health service

Role of health promoters

• Provide health related information to community member and gather the information.

• Support the aged and check their condition• Organize community health school voluntarily• Organize community health school voluntarily• Assist public health promotion by town and

annual medical checkup• Support child care

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Meeting of health promoters

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Seminar for health promoters

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国保１人当費用額の推移（全体）

200

300

400

全　国

宮城県

涌谷町

千円

病院

介護老人保健施設

療養型病床群共用施設

後期高齢者医療費制度

Performance of health assist activities（１）

average

With good effect from health guidance activities, the number of death by stroke was decreased since 1998.Based on TOHOKU Univ.researchNational average 1, Miyagi 1.17,Wakuya 0.70.

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S60

S61

S62

S63

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Ｈ７

Ｈ８

Ｈ９

Ｈ１０

Ｈ１１

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Ｈ１４

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Ｈ１６

Ｈ１７

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Ｈ２１

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院開設

設開設

設開設

度開始

Per head Cost of national insurance is far under average.

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wakuya

Performance of health assist activities（2）

Per head cost of nursing insurance.National average 188.5Wakua 149.1（thousand JPY）

High aging ratio, but low nursing insurance applied.average 22.7%－17.1%Wakuya 27.2%－16.0%

9Aging ratio

nursing insurance applied

Simulation of nursing insurance cost in 2025

Premise ：population 120 mio , aging ratio 27.2%http://www8.cao.go.jp/kourei/whitepaper/w-2011/zenbun/html/s1-1-1-02.htmlPer head cost of nursing insurance.• National average 188.5 Wakua 149.1 （thousand JPY）Aging －nursing insurance applied • National average 22.7%－17.1%(current) / 27.2%－20.5%• Wakuya model 27.2%－16.0%• Wakuya model 27.2%－16.0%

１．Status Quo（national average）：1261.3 Bio JPY２．Wakuya model： 778.7 Bio JPY

32% cost reduction

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Expand the model to the disaster damaged area

Subjects;

1. Systematization with "continuity and extensibility“

2. Defining the ideal model to expand other areas

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2. Defining the ideal model to expand other areas

Problems and solution

① Insufficient health assist in damage area

② Far from Doctor and Professional supporters

③ Unknown daily health condition

Michinoku Health Assist System:

・Lite equipment with wireless communication for healthcare

（Blood Pressure, Blood Glucose, ECG, Heart rate and Activity monitor）

・Low cost total scheme for remote monitoring and sharing healthcare

Problems Solution

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④ Shortage of Supporters

③ Unknown daily health condition and latent risks

⑤ Lack of sharing information between supporters

monitoring and sharing healthcare data

Taking a professional health assist

Easy to use

To be used in the long runFun to use

Low cost

administrative area 39

Full activation of current human resources and organization by introduction of tools (visualization, data sharing, long-time archive)

HR

Residents：17,584

Organization

Health promoter： 316

Resident,community member

Portable vital sensor

Data sharing device

Tools

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Public health nurse

Mayor of town

Head of Center

Medical doctor

Nurse

WMWC

Public Health service

device

Data sharing device

Health memoryData base

Internet VPN

Visit medical treatment support system (ASP)

“Timeline-Viewer”(Personal Health Record(PHR) in

Chronological Order)

residents

Data CenterMeeting place

Data Link

Sensor Devices

BG110

The person inputs health information and life log

i) Access controlii) Overlook PHR by Timeline-Vieweriii) Integrated management of Fixed-quantity information and qualitative information

Overview

Support center at WMWC(Wakuya)

Doctor

Home, Group Home(housing for the elderly), etc.

Hospital/Clinic

residents

Supporter(A person is in charge of health

promotion, local welfare officer, etc.)

The person inputs health information and life log

Benefits by the introduction of IT technology

It makes possible to;

1. Easily grasp formerly unrecognized Vital Information

2. Easily expand Human/Information Network

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3. Visualize the Personal Health Record

4. Provide Chronological Health Data Overview

The realization of the System with “Continuity and Extensibility“

Qualified and Facilitated health assistance for three damaged Tohoku Prefectures, Miyagi, Fukushima and Iwate

- To solve fundamental difficulty of local medication caused by two factors, 1) increase of aged people with disease, 2) deterioration of service level due to shortage of medical staff, QF-HAS is one solution to activate current potential staff ability.

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staff ability.- Personalized usage of devices and systems with consideration of each resident’s life stage and health condition raises awareness that importance of prevention, early detection and early treatment of disease. Finally it leads to decrease of social medical expense and resident’s satisfaction.

ReferenceReference

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Plan-（Monitor+Check)-Action basic cycle

Regular

Blood pressure, Blood Glucose, Weight（BMI）,SPO2

heartbeatActivity, sleep,

weight

ECG（24hour）

HeartbeatActivity,Sleep

（3day)

Blood pressureActivity, sleep

（3day）Weekly/daily

followedLow risk

Low risk

Low risk all

Meeting place

Home, Nursing Home

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Regular Medical

checkHospital

annual quarterly monthly Weekly/daily

all Medium riskMedium risk

PlanPersonalized

approach

Monitor＋Checkself monitor & self

check,butData shared

ActionProper advice and action recording

Semi-annual

Setting place, use place of the devices

Sensor devicesBlood pressure, blood glucose level, electro

cardiogram, heartbeat, active mass, the weight,

body composition

Life Log(exercise, sleep level, etc.)

Home, temporary houseMeeting place

Sensor devices : T.(Rental)

2CH Halter electrocardiograph for USB,“Wrist-Band Sensor” (for Heartbeat, body movement): I

Communicator: Data communications, information exchange

Data Storage

Data Analysis

PC ( interface)

: S

Data Center: SVisit medical treatment support system (ASP): S

“Timeline-Viewer”Personal Health Record(PHR) in Chronological Order: A

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PC(existing)

・A measurement position: under the arms・A measurement item: Temperature・Memory: More than 100 times・A battery: Exchangeable

ThermometerHemodynamo-

meter

・A measurement position: Upper arm・A measurement item: Systolic blood pressure, diastolicblood pressure, pulse rate

・Memory: More than 30 times・A battery: Exchangeable

・The measurement: Self-blood sugar ・A measurement position: Finger

Blood glucose meter

pulse oximeter

Sensor Devices: T

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・The measurement: Self-blood sugar・A measurement item: Blood sugar level, event after a meal・Memory: More than 100 times・A battery: Exchangeable

・A measurement position: Finger・A measurement item: Oxygen saturation,pulse rate

・Memory: More than 100 times・A battery: Exchangeable

Active mass meter Weight scale

・The measurement: Active mass・A measurement item:Steps, fast walking, distance, calorie, total consumption

・Memory: More than 30 days・A battery: Exchangeable

・The measurement: The weight・A measurement item: The weight・Memory: More than 100 times・A battery: Exchangeable

I: 2ch Holter ECG

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Size：5cmX5cm 20GramData transmission：Bluetooth、USBECG：2ms intervalBody position ：1ms intervalMemory：Max32GB

ScheduleMedical device approval：ClassⅡ (planned in June 2013)Start selling ：Aug 2013

I: Wristband type sensor

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Specification：・size of main part：1cmx3cm・heartbeat：10ms・body position：1ms intereval・data transmission：USB、Bluetooth

Schedule：・medical device approval ：Class Ⅱ (planned in Aug 2013)・start selling ：Sep 2013

Visit medical treatment support system (ASP*)

This system is the ICT solution that makes efficiency, high quality of the sphere of life care supports promotion mainly on the home medical care by the mutual cooperation between the various types of medical person such as a doctor, dentist, nurse, pharmacist, Care-manager, Physical therapist, and so on.

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User management screen

User data entry screen

Communication screen

*ASP: Application Service Provider

Kidney Biopsy

mPSL-pulse

Prednisolone

Cyclosporin

Cyclophosphamide

Minimal Change Nephrotic SyndromeRegular Name of Disease

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Cyclophosphamide

Dipyridamole

TP

Protein / Creatinine (Urine)

Urine General

Hypertension

“Health-Memory”:Quantitative & Qualitative Data Integration

• Chronological Health Data Overview • Past-Present-Future Transitions at a Glance• Time Scale can be Easily Selected from Minutes to

Decades• To Aggregate and Share Related Information e.g. • To Aggregate and Share Related Information e.g.

Weather, Life Events (Occupation, Move, Family, etc.), Meals and Physical Exercise

• To Easily Grasp formerly unrecognized Vital Information (Holter ECG, Sleep State, EEG, etc.) for the purpose of Prevention & Pre-Screening

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