marjorie skubic, phd - eldercare as a service - digital health innovation forum 3
TRANSCRIPT
Eldercare as a ServiceDr. Marjorie Skubic
Professor, Electrical & Computer EngineeringDirector, Center for Eldercare & Rehab Technology
University of Missouri, Columbia
Collaborators: Dr. Prasad Calyam, Dr. Carmen Abbott, Dr. Marilyn Rantz, Greg Corpier, Katie Boyer
Students: Anup Mishra, Ronny Bazan Antequera, Dmitrii Chemodanov
www.eldertech.missouri.edu
Senior
Housing
Detection of
Falls and Health
Changes
Alert Manager
Web Portal
Inte
rnet
Senior
Housing
Integration
and Data
Storage
Early Detection of Health ChangesIn-Home Health Monitoring System
Motion
Sensor
sBed
Sensor
sDepth
Sensor
Motion
Sensor
s
Bed
Sensor
s
Depth
Sensor
Care
Coordinator
Health &
Fall Alerts
MU Hydraulic Bed SensorCaptures the ballistocardiogram & respiration
Heise et al., EMBC, 2010, 2011
10 secondsECG
BCG
Heartbeatsdetected with Km algorithm
Ground truthfinger sensor
Beat to beatinterval
4
HBS GT
Rosales et al, EMBC 2012
Capturing Gait in the Home
Two clusters for two residents
Grandchildren
Stone & Skubic, EMBC 2012; TBE 2013; EMBC 2014; Gait & Posture, 2015
Actual resident fall captured in a TigerPlace apartment
Senior
Housing
Detection of
Falls and Health
Changes
Alert Manager
Web Portal
Inte
rnet
Senior
Housing
Integration
and Data
Storage
Early Detection of Health ChangesIn-Home Health Monitoring System
Motion
Sensor
sBed
Sensor
sDepth
Sensor
Motion
Sensor
s
Bed
Sensor
s
Depth
Sensor
Care
Coordinator
Health &
Fall Alerts
Sensors detect health changes before you do
• Early interventions• Better health outcomes • Preventable hospitalizations• Huge savings in healthcare costs
Carmen the Physical Therapist
Dr. Carmen Abbott
“Synchronous” HD Video Conferencing with 3D Sensing
Kansas City
Home
Kinect
Physical Therapy
Clinic
Physical
Therapist
Software-
Defined
Networking
Remote Personalized Physical Therapy
Kinect
Senior at Home
In-Home Interface
PT Interface
Calyam et al., Pervasive & Mobile Computing, in review.
• More than video conferencing; Includes 3D sensing• User-centered design for interface development
In-home “patient” view
Physical therapist viewControlled by
voice commands
Home
Home
PT
PT
11
PT Interface Shows Movement Traces:Single Let Stance
12
PT Interface Shows Movement Traces:Tandem Walk
KC Homes
Rural Homes
Detection of
Falls and Health
Changes
Alert Manager
Web Portal
Inte
rnet
KC Homes
Rural Homes
Integration
and Data
Storage
Future Work: Integrate the 2 Systems
Care
Coordinator
Health &
Fall Alerts
Physical
TherapistSensorsSensorsSensors
SensorsSensorsSensors
HD Video Conferencing with 3D Sensing
Video Conferencing
Acknowledgements:
Funded by the National Science FoundationThanks to the Mizzou Eldertech Team
Commercial Partners:Foresite Healthcare
Keystone TechnologiesTelecare Global
www.eldertech.missouri.eduwww.foresitehealthcare.comwww.keystone-technologies.com
Translational Research• National Science Foundation
– ITR grant IIS-0428420 –HCC grant IIS-0703692– CPS grant CNS-0931607–HCC grant IIS-1017097–US Ignite grant CNS-1237970– SHB grant IIS-1115956–US Ignite grant CNS-1237970
• NIH–Grant 5R21AG026412-02–Grant 1R21NR011197-01–Grant 1R01NR014255
• AHRQ (5R01HS018477-02)• Admin on Aging (90AM3013)• RAND/Hartford (9920070003)• Alzheimer’s Association
Getting it to the people that need it
Even more companies involved…And they are hiring our students
Sealtech
dms
????
How do we repeat this on a larger scale?
And compete for research funding with big-name schools on the coasts?
• I-70 Corridor Network on Aging
www.i70aging.net
I-70 Corridor Network on Aging
Next conference: November 5-6, 2015 in Kansas CityIf interested, email [email protected]