2016 02 - promises, pitfalls, and pathways for effortless streams of flowing data and knowledge from...

8/15/2019 2016 02 - Promises, pitfalls, and pathways for effortless streams of flowing data and knowledge from wearables

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Daniel J. Vreeman, PT, DPT, MScAssociate Research Professor

, Indiana University School of Medicine

Associate Director for Terminology Services, Regenstrief Institute, Inc

@djvreeman

© 2016

Practicality of Wearable Technology

in Physical Therapy

CSM 2016 | Anaheim, CA

Promises, pitfalls, and pathways for effortless streams of flowing data and knowledge from wearables


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danielvreeman.com/csm2016

http://danielvreeman.com/csm2016


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Promises

Everyone has great expectations…

photo via peter trimming

https://www.flickr.com/photos/peter-trimming/6941676872/in/photostream/


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A comprehensive

picture of a patient’s

health


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Efficient, accurate,

real-world data

capture


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Smart systems thathelp clinicians turn

data into actionable,

patient-specificknowledge


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The secret sauce of theHealth IT chicken soup

photo via liberphoto via liber

http://www.flickr.com/photos/liberhttp://www.flickr.com/photos/liber


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PitfallsDanger Will Robinson!


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photo via duncan

https://www.flickr.com/photos/duncan/


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Hype Cycle for Emerging Technologies, 2015. Source: Gartner (August 2015)

http://www.gartner.com/newsroom/id/3114217


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Hype Cycle for Emerging Technologies, 2015. Source: Gartner (August 2015)

Wearables

http://www.gartner.com/newsroom/id/3114217


14/56“Rookie” informatics mistakes


15/56photo via [credit]


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Validic API

https://docs.validic.com/docs/data-retrieval



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Validic API


“Flat” data modelProprietary names Bound units…



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Validic API


“Flat” data modelProprietary names Bound units…

4 standardization

protocols exist today…which one do I have?



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Tracking devicesusers may not

appreciate issues of

privacy, data sharing,and data control


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Bietz MJ, Bloss CS et al. Opportunities and challenges in the use of personal health data for health research. J Am Med Inform Assoc. 2015 Sep 2. pii: ocv1 18. doi: 10.1093/jamia/

ocv118. [Epub ahead of print] PubMed PMID: 26335984.


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Bietz MJ, Bloss CS et al. Opportunities and challenges in the use of personal health data for health research. J Am Med Inform Assoc. 2015 Sep 2. pii: ocv1 18. doi: 10.1093/jamia/

ocv118. [Epub ahead of print] PubMed PMID: 26335984.

Importantly, many {users}

thought that they actually didown these data, even though

many have almost certainlyentered into “click-through”agreements in which they

have given those rights awayto companies.


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Most of the focus

has been on the

wellness market


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Most of the focus

has been on the

wellness marketHow do gamification effects differ across populations?


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Drowning in the“datanami”


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PathwaysGetting from here to there

photo via sherifx

https://www.flickr.com/photos/sherifx/13972959685/


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Capitalize on thealignment of

individual, corporate,

and governmentmomentum


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Integrating and

interfacing theplethora of devices

producing data


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Cerner, Meditech, Intersystems,

Phillips, Allscripts, etc…


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Apple Health Export in C-CDA Format


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Apple Health Export in C-CDA Format

LOINC codes! Oh snap!


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Extracting and using

knowledge from theproliferating data

sources


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Understanding what

works and whatbenefits we can

really achieve


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photo via karen_d

https://www.flickr.com/photos/karen_d/4360240756/


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1. Push Button

photo via karen_d



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1. Push Button

2. Get Bacon

photo via karen_d



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Topol study

Bloss CS, Wineinger NE, Peters M et al. A prospective randomized trial examining health care utilization in individuals using multiple smartphone-enabled biosensors. PeerJ. 2016

Jan 14;4:e1554. doi: 10.7717/peerj.1554. eCollection 2016. PubMed PMID: 26788432;


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Topol study

Bloss CS, Wineinger NE, Peters M et al. A prospective randomized trial examining health care utilization in individuals using multiple smartphone-enabled biosensors. PeerJ. 2016

Jan 14;4:e1554. doi: 10.7717/peerj.1554. eCollection 2016. PubMed PMID: 26788432;

Measurement alonewon’t change much


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Tone is in your fingers


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photo via [credit]photo via scragz

http://www.flickr.com/photos/scragz/109426798/


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Though Wooten's basses

receive much attention, hismost frequent and consistent

response when asked by hisfans about his equipment is

that "the instrument doesn'tmake the music ... you do".



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photo via ewwhite

Why shouldn’t physical therapists

lead on this path?

slides available at:

https://www.flickr.com/photos/ewwhite/8241256119/in/photostream/https://danielvreeman.com/csm2016


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danielvreeman.com/csm2016
https://danielvreeman.com/csm2016

2016 02 - promises, pitfalls, and pathways for effortless streams of flowing data and knowledge from...

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