Technology’s New Role in Healthcare FROM YOUR HOME TO THE WAITING ROOM
May 07, 2015
Technology’s New Role in Healthcare
FROM YOUR HOME TO THE WAITING ROOM
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Hello!
Melissa Tait | VP Technology
Dagmara Scalise | AVP Healthcare Practice Lead
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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
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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
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EMERGING TECHNOLOGIES IN HEALTH CARE
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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
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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
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Today, there are 15 million users of app-enabled mHealth and mobile-fitness hardware devices.
By 2018, it’ll be 96 million
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23,728 HEALTHCARE & FITNESS APPS19,484 MEDICAL APPS
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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
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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 . . .
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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:
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SEARCH & MOBILE SEARCH
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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
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i’m looking for a doctor
Search Has Been Game Changing
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Not Only Is Frequency On The Rise
2009 20132011
+20% y/y
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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
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Are People Really Using Their Phones for Health Care?
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Health Care Is Top Mobile Category
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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.
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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
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Expect a Changing Landscape.
Groundbreaking insights powered by big data.
Improved patient experiences using mobile devices.
New medical devices, treatments & diagnostics.
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BIG DATA
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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
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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
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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
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MOBILE DIAGNOSTICS
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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
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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
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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
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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
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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
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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
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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
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NEAR FIELD COMMUNICATION (NFC)
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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
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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
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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
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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
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INDOOR MAPPING
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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
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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
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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
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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
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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
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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
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M2M: MACHINE TO MACHINE
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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
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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
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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
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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
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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
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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
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WEARABLE & EMBEDDED DEVICES
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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
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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
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Jawbone analyzes the data collected to provide predictive and personalized recommendations for healthier living.
JAWBONE’S UP
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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
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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”
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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
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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
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WELLNESS APPS
MealSnap
MyNetDiary
MyFitnessPal
MyPlate Livestrong
Nike+
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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
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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
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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
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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
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FACIAL RECOGNITION & DIGITAL MOOD DETECTION
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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
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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
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GESTURE RECOGNITION
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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
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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
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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
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3D PRINTING & BIO-PRINTING
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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
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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
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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
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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
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QUESTIONS AND DISCUSSION
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THANK YOU