leveraging technology to transform health care | kws montréal
DESCRIPTION
Shivani Goyal is a Clinical Engineering PhD research fellow from the Institute of Biomaterials and Biomedical Engineering at the University of Toronto, conducting her research at the Centre for Global eHealth Innovation.TRANSCRIPT
Shivani Goyal, B.Eng, MASc!
60% of spending on chronic disease!
Diabetes!
Lung Disease!
Hypertension! Heart Failure!
Kidney Failure! Mental Health!
Cost of Care!
Qual
ity o
f Life
!
$1! $10! $100! $1,000! $10,000!
100%!
0%!
Specialty Clinical!Community Hospital!
ICU!
Assisted Living!Skilled Nursing !
Facility!
Healthy Independent Living!Community Clinic!
Chronic Disease Management!Doctors Office!
Acute Care!
Home Care!
Patient Self-Care!
From Intel & Center for Aging Services Technologies (CAST)!
mHealth!Cell phones vs. smartphone!
15,000 + health and wellness apps!
!
Remote Patient Monitoring!
Highly Automated!
Congestive Heart Failure RCT Results!
150 pg/mL!BNP Horomone!
7.4%!Left Ventricular Ejection Fraction!
7 Points!Self-Care!
NO CHANGE in the control group!
Hypertension & Type 2 Diabetes!
20% Drop in risk of heart attack or stroke!NO CHANGE!
NO ADDITIONAL MEDS OR OFFICE VISITS!
Type 1 Diabetes!
Its not working…!
Mobile!!Encourage Self-monitoring!!Teachable Moments!!Allow Communication With Parents and Providers!!Fast & Discrete!!Promote Positive Health Behaviors!!Be wireless!
The Pilot Study!
49.6% Daily average frequency of
blood glucose measurements!
0! 10! 20! 30! 40!
Russia!Australia!
United Kingdom!Spain!
Mexico!France!Brazil!China!Italia!
Canada!Korea!
United States!
Percentage!
>55,000 Downloads!8,000 Daily Active Users!
11 Languages!
Type 2 Diabetes
Asthma
Its not working…!
What about everyone else?
Invincible)18,35)years)old) Little)disease)burden)
Stressed,out)middle)aged)adults) Medium)disease)burden)
Older)adults) Heavy)disease)burden)
Remote Patient Monitoring!
Tone%is%playful%and%unique%%
Awards%are%progressive%%
Social%interac8on%through%Facebook,%Twi>er%or%email%
Encouragement)
So)much)data!)%
September%19th,%2012%to%February%27th,%2013%
74,$396$total%downloads%%
69,952%users%%
Female)>)Male)
Promotions)work!)
Engagement)levels)
Approach)was)successful)
Poor communication is one of the most common underlying causes of medical error.!
Complex patients are particularly vulnerable!
Evidence BasedRigoursly Designed
Patient Focused Social
Consumer Initiated!
