Technology's New Role in Healthcare

Technology’s New Role in Healthcare

FROM YOUR HOME TO THE WAITING ROOM

Better Health: Everyone’s Responsibility theprimacy.com 2

Hello!

Melissa Tait | VP Technology

Dagmara Scalise | AVP Healthcare Practice Lead


Who is Primacy? Full-service digital agency

Interactive focus for 16+ years

Digital experts who help companies succeed online

Independently-owned

90+ employees in CT, Boston and NYC

Healthcare is a key practice area


Healthcare is a Key Practice Area

Broad discipline: providers, insurers and health & wellness organizations

Consumer-facing patient portals

Website and intranet redesigns

Custom mobile and responsive solutions

Service line campaigns

Digital marketing and analytics

Cross industry know-how

Healthcare Experience and Expertise


EMERGING TECHNOLOGIES IN HEALTH CARE


What’s Impacting Health Care?

Search

Big Data

Indoor Mapping

Near Field Communication

Mobile Diagnostics

Connected Devices/M2M

Wearable & Embedded Technologies

Wellness Apps

Mood Detection

Gesture Recognition

3d Printing & Bio-printing


80 MillionWearable wireless sensors for fitness and wellbeing by 2016.

Adoption is driven by device availability & new social patterns that encourage people to record and share fitness data


Today, there are 15 million users of app-enabled mHealth and mobile-fitness hardware devices.

By 2018, it’ll be 96 million


23,728 HEALTHCARE & FITNESS APPS19,484 MEDICAL APPS


Connected Healthcare

60%

61 75

2011 2012

U.S. adults using mobile phones for health info & tools grew from 61 million in 2011 to 75 million in 2012

Patients and doctors are turning to a variety of products to aid in diagnosis, recovery, and preventive care

Of users who own a tablet, smartphone, and a desktop/laptop, access health information on all three devices


Series1

16%20%

23%27%

61%

Doctor’s office

Out of town

Visiting friends/family at

home

At work At home

People use their mobile devices to research hospitals while . . .


It’s Not Just Consumers. Mobile is in the Hospital

Meaningful Use

Physician Appetite

Consumer/Patient Appetite

ROI potential

Hospitals are adopting mobile devices for a variety of reasons:


SEARCH & MOBILE SEARCH


Search & Mobile Search

What is it?User-directed research via Google, Bing or other search engines

ProsEnhances learning, engages users to take a more active role in their health

ConsInformation overload, inability to discern between reliable and unreliable information, data capture

InspirationUbiquity of internet access; growing proliferation of smart phones and tablets


i’m looking for a doctor

Search Has Been Game Changing


Not Only Is Frequency On The Rise

2009 20132011

+20% y/y


But Key Decisions Are Made Online

54% of online consumers say online information or tools have influenced their choice of healthcare providers, treatments, and services

79% percent of online patients diagnosed with a chronic condition within the past three months (Q3 2012) said the Internet influenced their health choices


Are People Really Using Their Phones for Health Care?


Health Care Is Top Mobile Category


Smart Phones in the Exam Room

Physicians RNs APRNs Physcian Assistants

0%

10%

20%

30%

40%

50%

60%

70%

80%

Percentage of health care providers who use smart phones during patient consultations:

Source: Manhattan Research, “Taking the Pulse Nurses” as cited in press release, July 23, 2012.


What Does This Mean?

Health care is no longer limited to the physician’s office – consumers are connected nearly everywhere they go

Providers have many new avenues for communication

– Inspire, innovate, communicate

Being visible in search is extremely important

– Create consumer-friendly content (text, videos, images)

Driving consumers to your site should be a priority


Expect a Changing Landscape.

Groundbreaking insights powered by big data.

Improved patient experiences using mobile devices.

New medical devices, treatments & diagnostics.


BIG DATA


Big Data

What is it?Large-scale data collection and analysis

ProsPatterns can provide insights about health care consumption, treatments; help providers predict diseases and find new treatments

ConsConsumers feel it invades their privacy, worry about the impact of information sharing with insurers, employers, government

InspirationTreato; Hadoop


Treato is a consumer-oriented website that aggregates patient experiences from the internet and organizes them into usable insights for patients, physicians, and other healthcare professionals

Crawls the web for health-related content and has aggregated and analyzed 1.1 billion+ online posts about over 11,000 medications and over 13,000 conditions from thousands of English language websites. Can currently process 150-200 million user posts per day.

TREATO


Hadoop is a software that makes large scale computing and data analysis affordable.

In use by hospitals such as Mount Sinai and Los Angeles Children’s Hospital, it allows researchers to access large amounts of data, including hospital patient data and data from around the world. Also used by private companies that develop new search capabilities for health care data.

Researchers use the data to find data sets on medication, trials, etc. The software also provides real-time feedback and guidance for treatment to improve patient outcomes.

HADOOP


MOBILE DIAGNOSTICS


Mobile Diagnostics

What is it?Mobile phones are enabling self-diagnostics, enabling patients to identify & manage health

ProsGives patients the tools they need to assess their health at a low cost

Brings health diagnostics & management to poverty nations and low-income patients

ConsPatients may use the tools in lieu of doctors, risking an inaccurate diagnosis

InspirationEyeNetra, Cellscope, AliveCor, Quanttus, Scanadu, iBGStar


Netra-G is a device created by EyeNetra that attaches to a smartphone and enables patients to perform their own eye test by measuring the refractive error of the eye – essentially replacing the autorefractor.

Individuals can then use those measurements to purchase glasses and contact lenses.

EYE EXAMS

http://eyenetra.com/


The device snaps onto your iPhone and wirelessly communicates between the app and your phone. Resting your fingers from each hand on the electrodes, the app recognizes skin contact and performs the ECG. While it records, it displays and saves your heartbeat.

HEART MONITORING


Cellscope converts your phone into a connected digital otoscope. It utilizes an attachment and the phone camera to view inside an individual’s ear.

Parents can view their child’s ear canal and eardrum, then share images & symptoms with their physician remotely.

EAR VIEW


A blood glucose meter that can be used on its own or connected to an iPhone to manage and communicate your diabetes information.

The meter will automatically sync data with the Diabetes Manager app – tracking glucose, insulin and carbs while also charting glucose patterns over time.

GLUCOSE MANAGEMENT


Used in conjunction, the Scanadu Tricorder is a small, handheld device that can measure vital statistics such as blood pressure, pulmonary function and body temperature. An onboard hyper-spectral camera and microfluidic lab-on-a-chip would also be able to analyze rashes and infections as well as process blood & saliva samples.

VITAL STATISTICS & TESTING

http://www.scanadu.com/

http://www.scanadu.com/


Researchers at UT Dallas have designed an imager chip that could turn mobile phones into devices that could see through walls, wood, plastics, paper, the body & other objects.

They tapped into an unused range in the electromagnetic spectrum which characterizes wavelengths of energy and are utilizing a new microchip technology.

TERAHERTZ IMAGING


NEAR FIELD COMMUNICATION (NFC)


Near Field Communication(NFC)

What is it?Wireless communication between a chip and devices that support NFC

ProsUtilized for secure communications

ConsPenetration is low & requires a device with an NFC reader and a native app

InspirationPatientID+, IMPAK, Google


Merchant360, Health Portal Solutions, & CliniCard created a patient id & payment system using NFC.

PatientID+ enables health care providers to quickly perform identity verification, eligibility screening, and payment at intake via their NFC-enabled card or phone.

The patient enters a PIN to access and transmit the information to the provider, who then authenticates to access the information.

PATIENT IDENTIFICATION VIA NFC


RhythmTrak is a handheld electrocardiogram device to track patients’ cardiovascular health at home and transmit the data to doctors via NFC enabled smartphones.

NFC HEART MONITORING


AMS unveiled a sensor-enabled NFC tag that could be used in a sub-dermal implant, enabling diabetes sufferers to read their glucose levels at any time by simply holding an NFC phone to a tiny device implanted under their skin — and replacing the need for finger pricking and dedicated glucose monitoring devices.

AMS NFC FOR MEDICAL IMPLANTS


INDOOR MAPPING


Indoor Mapping

What is it?Cartography of indoor institutions using a variety of technologies including WiFi, Bluetooth/BLE, magnetic fields, light wavelength.

ProsRace to deliver implementation for navigation and contextually-relevant content.

ConsTechnology & solutions are varied

Native apps are required

InspirationHere, ByteLight, Google, Apple iBeacon, ConnectQuest, Estimote


Google uses WiFi and floor plans to create indoor mapping solutions for Android and iOS apps. They now provide a SDK for integration with iOS & Android apps.

GOOGLE INDOOR MAPS


Microsoft partnered with then acquired Nokia to consolidate the features and data of Bing Maps with Nokia’s indoor mapping technology. It currently is supported by the Windows 8 Phone.

Claim they’re ready to give Google a run for their money…

HERE


iBeacons is a Bluetooth-based location positioning system that can identify the general area a user is in. iPhone 4S+ along many newer non-Apple devices support BLE.

BLE has the potential to replace NFC. BLE is more reliable, easier to use, and supported by iOS devices. Possible applications: monitoring, administration, prevention, data transfer between patients and care givers – pretty much anything NFC can do but better.

IBEACON


Estimote offers BLE beacons with an SDK for custom app development.

Apple, Google and Microsoft/Nokia have recently announced native support of BLE with their latest mobile operating systems.

ESTIMOTE


A Boston startup that is harnessing LED lighting to detect location. LED lights broadcast unique signals which can be received by mobile device cameras and compute positioning within one meter of accuracy in less than a second. They also offer real-time analytics of usage for optimization.

BYTELIGHT

http://youtu.be/Z3EnHi591Hs


M2M: MACHINE TO MACHINE


M2M: Machine to Machine

What is it?M2M uses a device (sensor or meter) to capture an event (temperature, inventory), which is relayed through a network (wired, wireless) to an application that translates the event into meaningful information.

ProsEnables efficiencies across our daily lives and digital experiences

ConsDepends on one’s perspective… more connectivity throughout life may deter those who fear technology

InspirationHealthcare, Fitness, Education


Colchester General Hospital in Essex, England, announced it is using real time location-tracking technology. With RFID (radio-frequency identification) tags affixed to various items such as wheelchairs, beds, cardiac monitors, etc., the staff can very quickly locate an item.

M2M: RFID IN HOSPITALS


With digital radiology, X-rays can appear instantly on a computer screen, resulting in staff no longer needing to manually download the information which saves time and reduces the backlog of patients.

M2M: DIGITAL X-RAYS IN THE ER


Novartis created "Smart Pills" that can wirelessly transmit data to a patch and from there to a smartphone or a doctor's computer. Sensors send a signal that is activated when the minerals interact with stomach acids. The signal is picked up by a microelectronic receiver worn by the patient. Information relayed directly to physicians and caregivers via text message, app or email. The pills are now FDA approved.

CONNECTED FROM WITHIN


CareLink Express Service is a new patient monitoring system which can communicate with implanted cardiac devices and distribute data to doctors and hospital’s EHR system. In pilot programs, hospitals were able to reduce patient wait times, allowing for quicker care.

CONNECTED CARE SERVICE


Instead of sending tissue to a lab and waiting 30 minutes before resuming surgery, surgeons hope the iKnife will let them know instantly whether something is malignant.

IKNIFE


WEARABLE & EMBEDDED DEVICES


Wearable & Embedded Devices

What is it?A device that users wear to record personal information and transmit it to an app for data management

ProsProvides users with an ability to visualize and manage personal activities that aren’t normally digital

ConsEmbedded devices are so new that the effects may not be defined

InspirationFitbit Flex, Jawbone UP, Nike Fuelband, Google Glass, BioSensor Tattoos


Jawbone Up, Fitbit Flex and Nike Fuelband all track your movement and sleep patterns to promote a healthier lifestyle. Users contribute additional data such as meals & moods. Data is transmitted to an app which helps you visualize and adjust your lifestyle.

FITNESS BANDS


Jawbone analyzes the data collected to provide predictive and personalized recommendations for healthier living.

JAWBONE’S UP


One doctor created a Google Glass CPR App. A user wearing the glasses can initiate the app by saying, “Ok Glass, CPR Glass.” From there, the app will walk through user through steps to identify the status of the victim and administer CPR.

GOOGLE GLASS


GOOGLE GLASS

Rafael Grossmann is a surgeon and Google Explorer. He streamed a surgery in a real-time to Google Hangout.

He emphasized patient safety and the importance of confidentiality, informed consent and no transmission of any patient identifying information.

“The entire procedure was unremarkable and Google Glass was unobtrusive and second nature”


Innovega prototyped and are trialing their iOptik AR contact lenses.

Pentagon officials have reportedly ordered prototypes that provide a wide field of vision while also allowing individuals to focus both on a specific image and on their environment at the same time.

2014 is the target date for consumers.

AR CONTACT LENSES


MC10 designed a microchip that can now be printed directly on the skin. The bond to the health sensor is formed with spray-on bandage material you might find in stores. It can detect things like the temperature of the wearer and hydration levels and can withstand activities like showering and swimming. The tiny mesh of circuits lasts on your skin for two weeks, until it's naturally exfoliated.

BIOSENSOR TATTOOS


WELLNESS APPS

MealSnap

MyNetDiary

MyFitnessPal

MyPlate Livestrong

Nike+


Wellness Apps & Digital Experiences

What is it?A set of applications to enable users to proactively track and manage their health

ProsRaises awareness and fosters better health habits

ConsYou’re connected more frequently

InspirationJawbone, Human, Journal of Better Medical Research, Beddit


Aiming to make people “healthier and happier,” Human launch iOS app to help users track their outdoor activities and ensure they’re moving for 30 minutes or more. Rather than using a wearable device, the app tracks your movements with your mobile phone. It also incorporates Gamification to keep users engaged.

HUMAN


The Journal of Better Medical Research ran a study where adults used Twitter to capture food consumption & diet behavior. Participants tweeted food and drink intake over three days with hashtags -- #mood, #protein, #convenience -- to convey foods & context.

TWEETING BETTER HEALTH


The Beddit sleep and wellness device tracks your heart rate, breathing, snoring, movements, environment and sleep patterns. The sensor tracks all your sleep information and transmits that data via Bluetooth to an iOS or Android smartphone. The mobile app will show the stats and will provide personalized coaching tips for improving sleep.

BEDDIT SLEEP TRACKER

http://mashable.com/2013/08/28/beddit-sleep-tracker/


FACIAL RECOGNITION & DIGITAL MOOD DETECTION


Facial Recognition & Digital Mood Detection

What is it?The study and development of systems and devices that can recognize, interpret, process, and simulate human affects. Digital experiences could then leverage facial & gesture recognition to display relevant content.

ProsContextual digital experiences and ads for increased conversions

ConsBig Brother or Minority Report?

Google raises privacy concerns but warns regulators about stifling innovation

InspirationMicrosoft (Kinect), Intel, Immersive Labs


Microsoft registered a patent for “a computer-implemented method to determine emotional states of users that receive advertisements on client devices” through a monitoring of online activities.

Kinect will have improved voice recognition and motion sensing – tracking facial expressions and the pitch of volume of voices to measure different emotional states. This fall they will release Kinect “NuAds” which will leverage the new technology.

MOOD DETECTION


GESTURE RECOGNITION


Gesture Recognition: Kinect Effect

What is it?Kinect is being used in creative new ways – from using the skeletal sensors for physical therapy to referencing patient information during surgery.

ProsUtilizes motion sensors, skeletal tracking, facial recognition & voice recognition to deliver interactive experiences real-time

USB connection & Microsoft code library opens the door to new, creative executions

ConsKinect technology is associated with XBOX and gaming

InspirationTedesys & Sunnybrook Hospitals, Avatar Patient Groups


Sunnybrook Hospital utilizes Kinect cameras to control MRI, CAT & CT scan imagery during surgery.

Tedesys, a hospital in Spain, utilizes motion sensors & voice detection in surgery.

KINECT IN SURGERY

http://www.youtube.com/watch?v=f5Ep3oqicVU


Leap Motion’s gesture-tracking system is more powerful, more accurate, smaller and cheaper than Kinect. It uses a number of camera sensors to map out a 3D and contains almost none of the Kinect's angle and distance restrictions.

LEAP MOTION

http://www.youtube.com/watch?v=N6hCwjwzUHg

http://www.youtube.com/watch?v=N6hCwjwzUHg


3D PRINTING & BIO-PRINTING


3D Printing & Bio-Printing

What is it?Process of layering materials – resin, glass, metals, cell tissue – into objects defined by a digital model

ProsEnables rapid prototyping

Opening the door for new research and opportunities in healthcare

ConsPrinters, particularly 3D bio-printers, are costly

InspirationChildren’s National Medical Center, 3D Printed Kidneys


A 3D printer uses data from individual patients to replicate the organs of those individuals, reflecting their particular intricacies and deformities. The device synthesizes images from CT scans or ultrasounds, translating that information into thin layers of plastic that are stacked until they form a three-dimensional object.

CHILDREN’S NATIONAL MEDICAL CENTER


Bioprinting technology will allow doctors and scientists to print synthetic tissue and entire human organs. They’ll be loaded with cartridges of primary or other living human cells and move in three planes allowing it to fashion 3-D tissues and organs. Cells will be laid into a protective gel and objects built up one cell at a time.

Earlier in March, a US man had 75% of his skull replaced with a 3D-printed plastic prosthetic, the first-known operation of it’s kind.

3D BIO-PRINTING


In China, researchers printed a miniature 3D kidney which can live up to four months and can function the same as human kidneys. One challenge for 3D bio-printing is leaving enough space for the cells to grow.

3D BIO-PRINTING: KIDNEY


QUESTIONS AND DISCUSSION


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