himss nca iot_9 17 2015_final
TRANSCRIPT
For Internal VA Use Only
Strategies for Leveraging the IOT with Social Media in Health ITHIMSS National Capital Area (NCA) Chapter Event17 September 2015
For Internal VA Use Only
Providers and developers looking for population health management solutions and better strategies for chronic
disease care are turning to wearables (Fitbit, Apple Watch, etc.), smartphones, tablets, and home
monitoring devices to better engage with patients, solve specific problems and answer the call for better care
coordination through enhanced data analytics.
For Internal VA Use Only
Patient-Generated Health Data Fills in the Gaps
• Providers are overwhelmed…• Critical for better care
coordination• Improves patient engagement
and satisfaction• Integrates new objective data
sources• Requires strong data
management and machine automated learningHow can we leverage this data to improve care?
For Internal VA Use Only
Use Case #1: Leveraging Wearable Technology
Cardiac Care Wireless blood pressure
measurement Wearable device to track
activity and continuously monitor heart rate
Internet-connected pill w/ camera and/or pillbox Out of range numbers
initiate SMS text messages (possibly via Connected Health tools like Annie) and automatic appointment
Chronic conditions under control
For Internal VA Use Only
Use Case #2: Leveraging Wearable TechnologyDiabetes Wireless glucometer Wearable device to track
activity and continuously monitor heart rate
Calorie consumption monitor Sleep tracker
Out of range numbers initiate SMS text messages (e.g., Annie) and automatic appointments
Chronic conditions under control
For Internal VA Use Only
Demographic Snapshot*
• 92% of internet users aged 18–29• 73% of internet users aged 30–49• 57% of internet users aged 50–64
• 38% of internet users aged 65+
* 2012 Pew Internet Survey
For Internal VA Use Only
Social Media Improves Predictive Analytics, Launches Suicide Prevention
Patients can provide a great deal of information into their health and wellness through social media and online search.
Social media can provide a range of alerts and supportive services.
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Internet Sharing Sites: New Data Sources & Support
PatientsLikeMe is an online patient network whose goal is to connect patients, improve outcomes, and enable research.
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Sept 10: FBI Issues Alert for IOT Device SecurityWhat are the Risks?• An exploitation of the Universal Plug and Play protocol
(UPnP) to gain access to many IOT devices. – Cyber actors can change the configuration, and run
commands on the devices, potentially enabling the devices to harvest sensitive information or conduct attacks against homes and businesses, or engage in digital eavesdropping;
• An exploitation of default passwords to send malicious and spam e-mails, or steal personally identifiable or credit card information;
• Compromising the IOT device to cause physical harm;• Overloading the devices to render the device inoperable;• Interfering with business transactions.
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Security in the IOT
• The IOT is redrawing the lines of IT responsibilities for the enterprise
• IOT objects possess the ability to change the state of the environment around them, or even their own state; for example, raising or lowering the temperature of a room or adjusting the flow of fluids to a patient in a hospital bed
• Securing the IOT expands the responsibility of the traditional IT security practice with every new identifying, sensing and communicating device added for each new business use case
• Gartner concluded that by 2020, a staggering 26 billion devices will be installed worldwide and connecting with each other
For Internal VA Use Only
Security Considerations• Human interaction is the weakest link in the security
process• VA’s policy for Veteran participation requires “opt in”• Provisioning of secure access methods and procedures
discourages the user community from leveraging alternative, less secure practices and methods
• Determine methodology and practices to secure, integrate, and use data interactions from mobile and stationary medical devices• Develop and enforce strong policies • Presence, footprint, standards, process
For Internal VA Use Only
An Example: Enterprise Messaging Infrastructure (eMI) Serves…
…VeteransVeterans will have the opportunity to access VA information and services at any time because eMI provides an efficient way to coordinate secure and reliable data exchanges.
…VAeMI directly aligns with the VA’s strategic plan of interoperability and reuse.
eMI delivers reliable, secure, high-performance, worldwide scalable service-oriented architecture based
services.
For Internal VA Use Only
References
• www.pewinternet.org/Commentary/2012/March/Pew-Internet-Social-Networkingfull-detail.aspx
• http://healthitsecurity.com/news/top-tips-on-healthcare-byod-best-practices-mobile-security?__hstc=33802686.98285844d3ef657079a1ce1fe9b2ceaf.1441808593469.1441808593469.1441808593469.1&__hssc=33802686.1.1441808593469&__hsfp=3443386125
• http://www.npr.org/sections/alltechconsidered/2015/03/17/391056271/fighting-stigma-against-privacy-facebook-s-new-suicide-resources
• http://cache.freescale.com/files/corporate/doc/white_paper/IOTREVHEALCARWP.pdf
• http://healthitanalytics.com/news/five-population-health-use-cases-for-the-internet-of-things
• VistA Evolution eMI Tech Sheet