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Tufts University School Of Engineering Tufts Wireless Laboratory Connected Health Symposium Yuping Dong 10/26/2009 1

Tufts University School Of Engineering Tufts Wireless Laboratory Connected Health Symposium Yuping Dong 10/26/20091

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Tufts UniversitySchool Of Engineering

Tufts Wireless Laboratory

Connected Health Symposium

Yuping Dong

10/26/2009 1

Tufts UniversitySchool Of Engineering

Tufts Wireless Laboratory

Overview• How information technology can help people manage

chronic conditions, maintain health and wellness, and age with independence.

• Healthcare reform, payment reform.• The spread of health phenomena in social networks• Wireless tech and patient self-management.• Future healthcare: remote monitoring in 2014.

10/26/2009 2

Tufts UniversitySchool Of Engineering

Tufts Wireless Laboratory

Healthcare Reform• Dr. Altman: 7.5% of US GDP @ $75 billion in 1971, 17%

of GDP @ $2.5 trillion now Costs shift from federal spending to private spending

Altman’s Law: Most every powerful constituent group favors health reform – but if it is not their plan, they prefer the status quo.

• Congressman Edward Markey: Independence at Home 10% of the Medicare population has 5+ diseases which account for

50% of the costs. We have to manage that, preserve patient privacy.

10/26/2009 3

Tufts UniversitySchool Of Engineering

Tufts Wireless Laboratory

Wireless Tech and Patient Sef-Management

• Have payors reimburse, justified by economic savings.• Change behaviors and delivering information

wireless tech has to be affordable

blurred line between medical conditions and wellness makes cost savings hard to gauge.

• Delicate balance between wireless solutions and adoption by clinicians and end users.

• Deliver the right information at the right time is critical for motivating the patient to adopt it.

• Old people need simple devices.

10/26/2009 4

Tufts UniversitySchool Of Engineering

Tufts Wireless Laboratory

Remote Monitoring in 2014• Honeywell now serving elderly patients with very active

disease. In 2014, broader range of patients with centralize system and ubiquitous devices.

• Meridian Health: new classes of devices, biosensors of “band aid” type using wireless technology.

• Qualcomm: change behavior around chronic disease and use connectivity in social networking and via healthcare providers to facilitate.

• Pharos Innovations: change behavior with software, demonstrate value to consumer.

10/26/2009 5

Tufts UniversitySchool Of Engineering

Tufts Wireless Laboratory

Get (Your Home) Smart• Smart house is the nexus of innovation, hardware,

software and health information.• We are not good at assisting independent living.• System should include:

– Physiologic sensing– Activity monitoring– Social connectivity– Home automation

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Tufts UniversitySchool Of Engineering

Tufts Wireless Laboratory

Get (Your Home) Smart• More tightly connect the senior to others and to be safe.• Older people are interested in technology. 19% of 65+ have broadband access at home in 2008.

30% of 65+ have broadband access in 2009.

• Robots in smart home.• Activities of daily living monitoring is growing.• Homes need something extra to sell and older homes

need to upgrade.

09/28/2009 7

Tufts UniversitySchool Of Engineering

Tufts Wireless Laboratory

Home TeleHealth• Patient engagement can reduce # of doctor

visits. More information more confidence.• Home telehealth should:

– Reduce cost– Ease of use– Personality– Feasible for different OS.

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Tufts UniversitySchool Of Engineering

Tufts Wireless Laboratory

SentiCare Pill Station

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Tufts UniversitySchool Of Engineering

Tufts Wireless Laboratory

Nonin

10/26/200910Pulse Oximeter Multipurpose Device

PureLight Sensors

Tufts UniversitySchool Of Engineering

Tufts Wireless Laboratory

Cambridge Consultant

09/28/2009 11

Tufts UniversitySchool Of Engineering

Tufts Wireless Laboratory

RelayHealth• Intelligent network connects patients, provider,

pharmacies, payors, pharmaceutical manufacturers and financial institutions.

• For Patients:– Online connectivity to providers and pharmacies.

– Online access to lab test results.

– Online healthcare bill pay.

– Secure and actionable personal health records.

09/28/2009 12

Tufts UniversitySchool Of Engineering

Tufts Wireless Laboratory

RelayHealth• For Providers, Payors and Financial Institutions:

– Online business office.

– Real-time access to information.

– Remittance advice that saves time, prevents manual data entry error.

– Statement processing handles ~300 million patients anually.

• For Pharmaceutical Manufacturers:– Patient education.

– Adherence/Compliance.

– Virtual sampling programs.

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Tufts UniversitySchool Of Engineering

Tufts Wireless Laboratory

GlobalMedia

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Tufts UniversitySchool Of Engineering

Tufts Wireless Laboratory

ANT+• WSN protocol for ultra-low power networking applications in sport,

wellness, home and industrial automation.• Operates on licensed-free 2.4 GHz ISM band.• Micro-watt power consumption. • Self-adaptive network automatically adjusts and synchronizes network

nodes.• Peer-to-peer, star, tree, and mesh network topologies.• Inherent data security with 64 bit network key with additional

application layer security definable.• Immunity from cross-talk.

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