mHealth services in Japan - Services provided by NTTDATA -

Tokyo, Japan, 4-5 February 2013

mHealth services in Japan- Services provided by NTTDATA -

Shigeru Tomita,Head of Strategy Planning Office

NTTDATA CORPORATION [email protected]

ITU Workshop on “E-health services in low-resource settings:

Requirements and ITU role”(Tokyo, Japan, 4-5 February 2013)

Session 1: Setting the context: e-health implementation in low-resource settings

Contents

Introduction mHealth Services

PHR: Creative Health Next 　Emergency Medical Service

with Digital PenMobile Healthcare for post disaster

Conclusions and Recommendations

Tokyo, Japan, 4-5 February 2013 2

　　 The Change of Disease Trend- Increasing NCDs

Tokyo, Japan, 4-5 February 2013

3WHO Factsheets 　　 http://www.who.int/mediacentre/factsheets/fs297/en/index.html

Introduction

CANCER ：・ 7.6 million people died.

COPD・ 3 million people died・ 90% of COPD deaths occur in LMIC

CVD・ 17.3 million people died.・ Over 80% of CVD deaths occur in LMIC

Diabetes ：・ 3.4 million people died. ・ More than 80% of deaths occur in LMIC

LMIC: Low-middle income countries

The number of patients with NCDs is increasing Prevention is more important in LMIC

The change of Communication Infrastructure

The number of Mobile-Cellular telephone subscriptions is growing. 　Active mobile-broadband subscriptions is also increasing, expecting the growth in the future

Tokyo, Japan, 4-5 February 2013 4http://www.itu.int/dms_pub/itu-d/opb/ind/D-IND-ICTOI-2012-SUM-PDF-E.pdf

Introduction

Global ICT developments, 2001-2011


The number of Mobile cellular subscriptions is increasing in developing countries as well as in developed countries.

　　　　 The Growing of Mobile cellular subscriptions

http://www.itu.int/dms_pub/itu-d/opb/ind/D-IND-ICTOI-2012-SUM-PDF-E.pdf

Introduction

Mobile-cellular subscriptions, 2001-2011, world and by level of development

mHealth service implementation is spreading

mHealth initiatives are reported world-wide


http://www.who.int/goe/publications/goe_mhealth_web.pdf

mHealth is a range of healthcare services provided by using mobile terminals 、 such as mobile celluler phones, smart phones and tablet terminals

Introduction






PurposePHR：Personal Health Record managementProvide individuals with Personalized Healthcare Program

ServiceData Management; Personal Health Data, Medical HistoryData Referal; Health check-up data, Medical Fee, Drug intake

TechnologyNear Field CommunicationM2M


PHR: Creative Health NEXTmHealth Services

PHR Cloud Service

Hospital

予防　Prevention

PHR: Creative Health NEXT

Health check-up

Healthcare Insurer

mHealth Services

Medical History

Drug Intake

Allergies

PHR:Creative Health NEXT- Self management

Immunization Shots

Life style Memo

mHealth Services


PHR: Creative Health NEXT- Health check-up Data Information

mHealth Services

Date, Age, Name of Healthcare center Health check-up result・ General comments・ Health Risks・ Health Level・ Metabolic syndrome assessment・ eye sight test・ audiometry・ Height 、 Weight,・ Blood Pressure ・ Blood test

PHR: Creative Health NEXT- Personal Health Data Management

※画面デザインは変更されます。

mHealth Services

•Weight•Blood Pressure•BMI•Calories burned per day•Sleeping hours

Chart

　　　 PHR: Creative Health NEXT- Medical Fee Information

Total Medical Fee per month

mHealth Services

Detailed Medical fee・ Hospital Name 　・ Date・ Treatment term・ Total Fee・ Fee paid by Insurer・ Fee paid by Insured


　　　 PHR: Creative Health NEXT- Walking Program

Weekly ChartAchievmentper day

mHealth Services

Walking route






Emergency Medical Service with Digital Pen


PurposePatients data sharing between an ambulance and a hospital for better and seamless emergency medical service

ServicePatients observation data sharing

written with a digital penMeasured by vital sensors

Data sharing between ambulance and hospitalsTechnology

Digital Pen, Tablet terminal, Vital sensorsM2M

mHealth Services

17

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Emergency staffs at hospital receive the data and prepare for the arrival

Emergency Medical System at Kagawa Prefecture

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　　　　 Emergency Medical Service with Digital Pen

Patient observation sheet

mHealth Services

Patient observation data written with a digital penThen shared with the hospital




Conclusion 　


Mobile Healthcare for post disaster


PurposeProvide better healthcare service at the shelters after the earthquake

ServiceSharing medical records with doctors in some Medical Service Teams

TechnologyOnDemand VPM 、 IPSec+IKE 、 HL7

mHealth Services

20

　　 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 DatabaseScanner

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

mHealth Services




Conclusions and Recommendations　


Conclusions and Recommendations-Positive Impact of mHealth

mHealth enable doctors and patients to interact wherever and whenever

“m” in mHealth shouldn’t stand for “mobile”, but for “me”

Tokyo, Japan, 4-5 February 2013 222012 mHealth Summit Insider December 2012

Conclusions and Recommendations-Issues to be solved

Adapt to the regulations and laws of each countrySecurity and Privacy to protect the personal

informationTechnical solutions are needed

To prevent data from leaking and spreading over the InternetTo delete leaked and spread data

Rules, system and technical solutions for long term data storage



Thank you for Listening!

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