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Innovations in Wireless Technology
Richard AdlerPeople & Technology/Institute for the Future
Bradley KreitInstitute for the Future
Healthcare Unbound June 22, 2009
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T4H: mDiet
A randomized controlled trial of an SMS/MMS mobile phone application to improve dietary behaviors in overweight and moderately obese men and women age 25 through 55 years.
At the end of four months, the intervention group lost 4.25 lbs more than the control group
mobile Dietary Intervention Through Electronic Technology
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Future Advances
- Faster networks (3G...4G)
- Better sensors
- More elegant algorithms
- Improved engagement strategies
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Panelists
Jay CouseDiversinet Corp
Amy TingNetMotion Wireless
Clint McClellanQualcomm
Kendra MarkleKaiser Permanete
NetMotion Wireless Confidential
Innovations in Wireless Technologies: The NetMotion Wireless Perspective
Amy TingSr. Marketing ManagerNetMotion Wireless
June 22, 2009
6/23/200915
NetMotion Wireless Confidential
Increasing Need for Clinicians to Connect in Mobile Environments and Across Delivery Systems
6/23/200916
NetMotion Wireless Confidential
Top Five Challenges for Wireless Healthcare Deployments
Physical connectivity issues Wi-Fi: basements, elevators, older facilities, etc.
Cellular: coverage gaps, unfavorable terrain, “urban jungle”
Technology connectivity issues Available bandwidth
Meeting user demand Need for transparent systems & persistent applications
Security considerations How to secure the network, data and “rogue” devices
Network management Need for reliable networks and to minimize help desk calls
6/23/200917
NetMotion Wireless Confidential
Traditional VPNs Not designed for Wireless Networks or Dynamic, Mobile Workers
Complex to implement
Adds 30% overhead
Lack support for internetwork roaming
Lack support for application persistence
No bandwidth management
Limited visibility
Often results in need to reauthenticate and restart applications
“Not the right toolfor the job.”
NetMotion Wireless Confidential
6/23/200919
Solves key challenges faced by clinicians & health IT managers:
Application persistence - Persist applications through lost coverage
Security –AES Encryption to support HIPAA compliance
Roaming – Seamless movement through coverage gaps and between networks (Wi-Fi to cellular data)
Best bandwidth selection – Always selects fastest network
Data network optimization – Faster speeds across cellular data
Central management - Monitor and control deployment from web browser
Proactive notifications – Identify potential problems before they occur; dramatically reduce help desk calls
Mobile Virtual Private Network (VPN): New Category to Address Mobile Challenges
NetMotion Wireless Confidential
6/23/200920
Secure, turnkey client server software
Supports laptops, tablets & smart phones
Complements existing IT systems & mobile deployments
Mobility XE – Mobile VPN
NetMotion Wireless Confidential
Potential to Transform Healthcare with Mobile VPNsIncrease speed and quality of care Faster patient diagnosis and treatment
Better outcomes with real-time data Verify meds/blood type at point of care
First responders transmit data to ED
Enhance patient experience Reduce number of hospital/doctor visits
Bring care to patient: diagnostic tests, home monitoring
Improve bottom line Facilitate supply chain management, improve operations
Faster billing6/23/2009
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NetMotion Wireless Confidential
St. Luke’s Episcopal Health SystemSituation Magnet hospital known for innovation in medicine & health IT Staff use wireless laptops/tablet PCs/handhelds
Challenges Maintain secure connection to records Maximize ROI for medical equipment
Solution: Mobility XE VPN, mobile scanning units
Results HIPAA-compliant security for patient information Eliminates need to re-login/re-key data due to wireless coverage gaps Anywhere, anytime access to charting applications and patient records More secure, reliable blood management system Facilitates coordination of services and payment by insurers Faster room changes increased ICU bed availability by 400% Real time access to test results for faster patient diagnosis & treatment
6/23/200922
NetMotion Wireless Confidential
Marshfield ClinicSituation Needed access to imaging/EMRs at POC 5,600 employees, 800 physicians Staff moves between 40 clinics/hospitals/LTC
Challenges How to best secure the system Wanted to control customer and consultant access Needed freedom to move between home wireless systems, WANs and LANs
Solution: Mobility XE VPN, Tablet PCs running Windows XP
Results• Data stays secure as team moves between local and remote facilities• Phenomenal acceptance by clinicians – put data at POC and freed providers• Ability to save millions of dollars a year
6/23/200923
NetMotion Wireless Confidential
Visiting Nurse Service of New YorkSituation 2,500+ home health clinicians. Deployed tablet PCs for real time access to patient data Spikes in data transmissions interrupted access to server
Challenges Need secure, mobile access to EMRs & patient data Wireless access created device complexity for clinicians How to push anti‐virus updates to remote client devices
Solution: Mobility XE VPN & cellular data cardsResults Roam between networks without intervention Secure access to EMRs & point-of-care applications Control access to Internet sites; protect against viruses Freed clinicians to focus on patient care Real-time data entry facilitates faster billing
6/23/200924
NetMotion Wireless Confidential
6/23/200925
How to Overcome Key Challenges
Challenge Solution1. Unaware solution exists Spread the word2. “It’s too expensive” ROIs quickly cost justify purchase3. How to teach “old dogs”
new tricksAdopt best practices for change management
4. Still on paper system Use ARRA funds to exit middle ages
750+ million 3G mobile broadband subscribers today
Qualcomm Incorporated Proprietary & Confidential 30
Source: Wireless Intelligence
Forecasted to Grow to 1.6B+ 3G Subscribers by 2012
3G
Wireless health market development
Innovative Business
Development Opportunities
Qualcomm Wireless Health
Initiatives
Ecosystem of Partners &
Organizations
Technology Incubations &
Spinouts
Qualcomm Incorporated Proprietary & Confidential 31
mHealth Alliance
Qualcomm Research and Development
Qualcomm Ventures
BAN 3GWWAN
Phone is the most personal device
4.0 billion cell phones Over 3 Billion More Than Any Other Computing or Consumer Electronics Device
• Security/access control • Increased Mobility• Realtime data streaming
Qualcomm Incorporated Proprietary & Confidential 32
BAN
Phone reminds patients
Qualcomm Incorporated Proprietary & Confidential33
Innovative Business
Opportunities
Confirms Compliance with Loved Ones
Survey Surveillance Features
Drug-to- Drug Interactions
Convenient Medication List Management
Innovative Business Development Opportunities
A Wireless Patch Drug Delivery system delivers specific medication doses, and sensors transmit data for monitoring and therapy management.
• Control Patch Activation• Monitor Use• Monitor Therapy• Adjust Drug Delivery• Monitor Patient Physiology
Smart Band-Aidssm enable people to measure information while exercising for personal performance.
Health maintenance• Heart Rate• Respiratory Rate• Distance/Steps taken/Relative motion• Speed• Elevation• Calories Burned & Calories Consumed
Qualcomm Incorporated Proprietary & Confidential 34
SMART Band-Aids
Innovative Business
Opportunities
Innovative Business Development Opportunities
MicroCHIPS’ implantable devices monitor and dispense the amount of medication the body needs.
• Osteoporosis• Diabetes• Cardiology• Ophthalmology
Qualcomm Incorporated Proprietary & Confidential 35
Proteus Biomedical develops products that integrates electronics into existing pharmaceuticals to improve therapeutic outcomes. Embedded transmitters in pills are activated when patients digest them.
• Measures Compliance• Improves Therapeutics
Innovative Business
Opportunities
Innovative Business Development Opportunities
Qualcomm Incorporated Proprietary & Confidential 36
Smart Band-Aidssm are merging wireless body-area network communications (WBAN) with improved biosensors and continuous blood pressure.
• Continuous Blood Pressure• Heart Rate• SP02• Other Key Vital Signs
Home Health Hubs enable people to capture and wirelessly transmit vital signs, improving health, and fitness maintenance.
Remote Care• Caregiver Connections• Diagnostics• Monitoring
Health Maintenance• Coaching• Diary Functions
Omron Pedometer
Omron Body Composition Meter
Omron Blood Pressure Monitor
Johnson & Johnson Glucose Meter
Healthcare Devices
Cellular Network
Technology Spinouts
Transforming Healthcare
Qualcomm Incorporated Proprietary & Confidential 37
Diabetes ManagementMobile Personal Emergency ResponseElderly Users
Technology Spinouts
Consumer ‘Health Phones’ & Carrier ‘Health Network’
The intelligent connection to health
• Multimedia connections between patients and their physician by mobile phone video chat, instant messaging, email and text messaging
• Health Consultation-Any network, any device, anywhere
The Doctor is In.
Qualcomm Incorporated Proprietary & Confidential 38
Technology Spinouts
I’m sorry to detect you’re in traffic. Would you like to:
• Listen to relaxing music• Practice mindfulness
Your meeting with your boss begins in 5 minutes. For the next 30 seconds, imagine yourself relaxing at a warm, sunny beach..
Proximity Alert:It’s almost lunchtime and you’re passing a healthy
restaurant.
• See healthy menu items• Get directions Todd is now at the gym.
You need 45 more minutes of exercise to meet your weekly goal.
11 of 15 of your teammates have already met their weekly goal.
• Alert Todd that I’m on my way