Healthcare Receptivity for IOT and Other New Technologies of Medical things.pdfon IoT topics. 3. USC Hospital-based champions can help to design a needs-focused application of IoT

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Healthcare Receptivity for IOT and Other New Technologies

George Tolomiczenko, Ph.D., M.P.H., M.B.A.

Department of Biomedical Engineering

EHR Workshops & D-Health

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IoMT Workshop (Feb. 2018)

Observations and Recommendations1. IoT technologies are available and mature enough for adoption in areas such as

environmental data gathering, education and low resource settings.2. USC has many Masters’-level EE and CS students motivated to join project teams

on IoT topics.3. USC Hospital-based champions can help to design a needs-focused application of

IoT to develop helpful use cases for IoMT. Recommend an incentive system based on the shift toward value-based care reimbursement.

4. USC can be a leader in developing a connected infrastructure of medical devices and software applications that can communicate with various healthcare software systems or a web of digitally-connected physical objects — wearables, smartphones, patient rooms. Working together to ensure patients are cared for better, healthcare costs are reduced significantly and treatment outcomes are improved.

Industrial IoT Medical IoT

IoT Applications

Different Use Cases – Similar Architecture

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Healthcare Opportunities

Flexibility Remote Maintenance

According to an IDC 2017 study, 72.7% of healthcare providers have deployed IoT, while 27.2% say they plan to launch in the next 12 to 24 months.

In the IoMT, almost any object can be a source of information: a heart monitor,a medication, a wheelchair, a doctor, or even a patient. In the last case, a continuous stream of patient-generated data (PGD) tells clinicians far more than a series of intermittent office visits.

IoMT Readiness

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Personal blood pressure monitoring

Defining hypertension: One sitting, three readings very different interpretations

Accuracy and calibration of devices: Office vs. Home

Currently, most IoMT is deployed on the operational side of healthcare: Facility security, workflow optimization, and medication tracking.

Start simply?

IoMT: Enabling real-world, clinically relevant data collectionMonitoring chronic conditions• 75 to 85% of total national healthcare spending goes to treat chronic conditions.• Remote monitoring devices such as remote glucometers and fall detection devices tap

patient-generated data (PGD) to enable attentive clinical in-home care.

Lowering hospital readmission rates• Remote monitoring devices provide the constant PGD to support patient care after

discharge, identify those patients most at risk for readmission, and help clinicians intervene before readmission becomes necessary.

Improving medication adherence rates• Non-adherence costs anywhere between $100 to $289 billion every year, cause nearly

125,000 deaths and 10% of all hospitalizations (2017 IDC study). • Smart pill boxes? • Smartwatch apps? • Activity trackers?

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IoMT uptake: Blockers & EnablersRegulation• Protecting patients from potential harm• Approving the marketing and sales of effective system solutions is not what the FDA

was designed to do• Gate keeper systems: hospitals, HMOs and Group Purchasing Associations

Reimbursement• Lowered rates of readmission translates into dollars for hospitals• Outcomes-based reimbursement including patient satisfaction

Security Concerns • Privacy : Your information shared between devices and derivable between devices• Vulnerability of systems at various levels

• Hacking a closed-loop system that controls arrhythmias• Impact on individual clinician uptake of new technology

Current Procedural Terminology: CPT Code