dice01 re life-ict-system-smartdiagn-pdw-27june2013
DESCRIPTION
TRANSCRIPT
7/2/2013
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/de With / SA Health Smart Diagnosis / 27 June 2013
TU/e SA Health – Smart Diagnosis
ICT System for Smart & Remote Diagnosis
Peter H.N. de WithProgram director Smart Diagnosis & C3TProfessor Imaging and AnalysisDICE – 2 July 2013
/de With / SA Health Smart Diagnosis / 27 June 2013
Smart Interventions
• Molecular, Cell and Tissue Engineering
• Minimal Invasive Image guided intervention
• Gas Plasma Medicine
• Virtual Physiologic Human
Smart Diagnosis
• Imaging, processing & diagnostics
• Diagnostic & sensing devices in home care ICT
architecture
• Nanotechnology diagnostics
Smart Environment
• Staying healthy
• Empowerment in daily life
• Making healthcare sustainable
Focus programs Health@TU/e
SA Health
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/de With / SA Health Smart Diagnosis / 27 June 2013
Drivers for Smart Diagnosis Roadmap
• Dutch industry has a few good positions
• Imaging, sensing, embedded systems, ICT
• Healthcare budgets are about to be limited/frozen
• Severe downscaling in EU, declining spending power
• Dutch Government spending on R&D lowered
• ‘Graying’ society
• Increase in age-related dysfunctions and chronic diseases
• Need for dedicated services, tools, training, … for elderly
• Intrinsic roadmap alignment
• Topsector HTSM Chapter Health, version 2012 & 2013
• 3TU ICT Roadmap 2012
- 3 -
/de With / SA Health Smart Diagnosis / 27 June 2013
Research objective: trend to home care
- 4 -
• Trend Northwest: lower costs for home care, even cost benefit
• ICT and Internet makes people more independent
• Technology for making this shift is there
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/de With / SA Health Smart Diagnosis / 27 June 2013
ICT/Internet : Trend to transformation economy
- 5 -
• People become
organized in
groups/communities
• Groups address
local issues
• Various groups or
communities share
larger global
issue(s).
/de With / SA Health Smart Diagnosis / 27 June 2013
Smart Diagnosis Roadmap vision
• Smart diagnosis aims for unobtrusive methods which enable
fast reliable outcome and a shift from hospital to primary care
and to self-care.
• ICT infrastructure, sensing, embedded systems, imaging are enabling technologies
- 6 -
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/de With / SA Health Smart Diagnosis / 27 June 2013
Smart Diagnosis fundamental issues
• Basic integrated ICT infrastructure for nomadic/home care is missing
• There is lack of control on data – personal privacy, security of data
• No integrated joint semantic models shared between institutions
• Citizens have to pay more themselves, want to be in control of data
• Connected to healthcare infrastructure, but person-centric
- 7 -
/de With / SA Health Smart Diagnosis / 27 June 2013
Conceptual person-centric infrastructure
• Individual persons
• Stakeholder of his own health and life processes
• Human empowerment with personal processes & applications
• Life management desktop with personal and business services
• Personal data store
• Health (service) providers
• Loss of personal data, but access to anonymous data and large-scale insight
• Possibility for intent casting, broad- or narrow-casting for services
• Health App Builders
• Registered in health eco system
• Support personal health plan, or clinical path ways
• Fit to ‘Myhealthplan’, work flows - 8 -
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/de With / SA Health Smart Diagnosis / 27 June 2013
ReLifE objectives
PAGE 9SA Health
• ReLifE is personal health eco-system
• Integration Project Health ICT infrastructure which is patient-centric
• Integrated patient & clinical pathways: personalized processes
• Detailed Clinical Models and modeled processes and DCM standards
• Patient empowerment
• Improved decision support through integrated data storage concepts
• Integrated care system for stakeholders
• Health eco system governance
/de With / SA Health Smart Diagnosis / 27 June 2013
Learning &KnowledgeRepository
SugarCRMCALL
CENTERCisco VOIP
routerEHR
Health Coach
My Devices
MyData
Patient
Specialist GP
AnalyticsFramework
Publishing
My Health PortalSocial
Publishing
DCM
My Health Tablet
Complex Event
Process’g
Nurse/Agent
Continua
Health
Alliance
social
care
MyHealthPlan
ReLifE Apps
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/de With / SA Health Smart Diagnosis / 27 June 2013
Conceptual person-centric infrastructure
• Individual persons
- 11 -
/de With / SA Health Smart Diagnosis / 27 June 2013
ICT Infrastructure – Trust is key…
- 12 -
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/de With / SA Health Smart Diagnosis / 27 June 2013
ReLifE / Personal Data Store
/de With / SA Health Smart Diagnosis / 27 June 2013
Personal Data Store and Applications – (1)
• Personal data Store and Personal application layer
• Apps are crucial for the citizen
• easy to use
• Application layer is a way to:
• Connect all stakeholders in one single chain
• Create uniform trustworthy Health ICT infrastructure
• Participation of 1st and 2nd line care institutes should be reached
• Participation in system and exploitation of patient data
• Large-scale apps: mental disorders, heart failure and revalidation, colon/prostate etc. cancer
- 14 -
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/de With / SA Health Smart Diagnosis / 27 June 2013
Personal Data Store and Applications – (2)
• Vision fully aligns with
• Slimmer Leven 2020 in Brainport region
• Provinciale Staten Brabant: Notitie breedband comm.
• Smart Diagnosis wants to emphasize
• Large-scale health applications
• Create breakthrough in Health ICT infrastructure deployment
- 15 -
/de With / SA Health Smart Diagnosis / 27 June 2013
ReLifE / Horizontal & vertical integration
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/de With / SA Health Smart Diagnosis / 27 June 2013
Catharin
a
Hospital
Maxima
Medical
Centre
GGD
GGzE
LHV
(national
GPs)
DOH
regional
GPs
Patient
commun.
Patient
/citizen@
home
Diagn4U
centre
Pharma-
cies
Example / Eindhoven care chain cardio case …
ReLifE involves 3 cases in 4 regions (Ehv, Waterford,
Copenhagen, Oslo): COPD, Heart, Mental/Epilepsy
ReLifE integrates all stakeholders into the system…
ReLiFE also integrates data of those stakeholders…• Eindhoven cardio case involves CZH, MMC, RZCC, GPs, Patient
communities and at home…
/de With / SA Health Smart Diagnosis / 27 June 2013
Sensing devices home & nom. monitoring
• Use low-cost devices for diagnosis, support, monitoring
• Wearable
• Integrated services
• Build living lab conditions
• Examples
• Clinical decision support, automatic data gathering & models
• Sensors for life patterns and revalidation training
• Personal feedback
• Perfect area for the Brainport region
• World-class strength in Embedded Systems and emb. SW & ICT
• Fertile breeding place for SMEs and further stimulation
• Good fit between Companies and University
- 18 -
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/de With / SA Health Smart Diagnosis / 27 June 2013
Imaging for embedded applications & home care
2-7-2013 - 19
• Specific imaging at home & embedded
• Nomadic monitoring and diagnostics
• behavior & training, coaching
• Important focus areas
• Mental disorders (stress, dementia)
• Heart failure and cardio diseases
• Premature cancer detection (prostate, colon)
Concentrate on early stage diagnosis
• Chances for the Brainport region…
• TU/e is strong in multidisciplinary R&D
• Can be used for large-scale disease appli-cations supporting gen. health infrastructure
• Possible SME spin-off creation
/de With / SA Health Smart Diagnosis / 27 June 2013
Health Eco System – Maturity growth
- 20 -
Healthcare services grow mature over time: the patient
becomes stakeholder…
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/de With / SA Health Smart Diagnosis / 27 June 2013
Health Eco System – Conditions & Services
- 21 -
• Individual persons
• Owner health and life processes
• Personal processes and applications
• Life management
• Personal data store
• Match to the actual personal status
• Every citizen a Personal Health Plan
/de With / SA Health Smart Diagnosis / 27 June 2013
Care communities are growing now ….
• RZCC: 4 hospitals, 80 pharmacies, 600 specialists, 400 medical doctors, 3 Million care messages/year…
- 22 -
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/de With / SA Health Smart Diagnosis / 27 June 2013
ReLifE / Possible operational structure t.b.d.
Advisory Board
ReLifE JV
company
SME app. 1
SME app. 2
SME
technol. 1
Certifi-
cation
process
Brainport
Eindhov.
TU/e,
SyngtRZCC
Govern
mt. etc.
Board of
Commissioners
ReLifE
archi-
tecture
Indep. Q Control
Certifitic.
InstituteTU/e
Certific.
company
System Design is R&D, the operation becomes a
regional company pps, with quality control & certification
/de With / SA Health Smart Diagnosis / 27 June 2013
ReLifE conclusions
PAGE 24SA Health
• ReLifE is personal health eco-system for all citizens, patient-centric setup
• ICT infrastructure is a backbone, open architecture connects third parties (standard interfaces & quality
• Integrates all stakeholders: hospitals, practitioners, local carers, joint data platform
• Patient empowerment: control of own data store, personalized processes
• ReLifE does not build EPDs, but integrates good proposals of stakeholders
• Trustworthy and secure data storage
• Connects patient at home…