mobile health & interoperability facilitating the ecosystem for personal connected health aehin-...
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Mobile Health & Interoperability
Facilitating the Ecosystem for Personal Connected Health
AeHIN- August,13 2013
Copyright © 2012 Continua Health Alliance ® All Rights Reserved2
What is Personal Connected Health?• Communications & health devices deployed or enabled by
healthcare organizations to collect/share individual patient physiologic & Quality of Life (QOL) data
• Unlike telehealth, allows providers & patients to employ data & communications independently, at their convenience
• Examples of PCH: Remote home monitoring programs in chronic disease or independent aging
• PCH allows providers and patients to:– Use technology to collect data conveniently and securely
– Communicate more frequently with little manual intervention
– Effectively monitor and better understand personal health data
Copyright © 2012 Continua Health Alliance ® All Rights Reserved3
Drivers for Personal Connected HealthPressure on Healthcare Require New Models of Care
Source: DB Research 2010
Aging population in industrial countries leads to increase of age-related diseases
Care of elder highly correlated to development of population
Demographic Change
Increase of Chronic Diseases
High Health Care Expenses
Provision of healthcare
Worldwide rise of chronic diseases
Compounding impact on expenses due to growing number of chronically ill children
Chronic and long-term illnesses account for 75% of health care expenses
Decreasing # of regional hospitals
Reduction in hospital beds
Declining care by general practitioners
Housing situation and lack of transportation affect access to careDeclining
access to quality care for many people with disease
Accelerated
increase of
chronic diseases
Continuous riseof health care cost for payers and patients
Insufficient number of working population to finance the health care system
Copyright © 2012 Continua Health Alliance ® All Rights Reserved4
Benefits of Personal Connected Health• Patient
– Remain/return to home – QOL, time & cost savings– New awareness of health status creates understanding &
engagement – Improved collaboration with health care provider – Avoidance of unnecessary office and/or ER visits
• Provider– Automatic updates & alerts on patient status – Improved triage capability & preservation of physician resources
for most serious cases– Maximal time for preventive action – Ideal for chronic diseases management
Copyright © 2012 Continua Health Alliance ® All Rights Reserved5
Example 1:
Example 2:
Cell phones and ATM networks use “interoperable” devices, systems and services–they are connected and capable of inter- communicating
Benefits:
• Ease of use• Freedom of choice• User satisfaction• Quality• Innovation• Differentiation• Scalability• Competitiveness • Cost (Development,
TCO, deployment)
Value of Interoperability
Copyright © 2012 Continua Health Alliance ® All Rights Reserved6
Continua Health AllianceThe Engine for a Plug-and-Play World
International non-profit industry organization enabling end-to-end, plug-and-play connectivity of personal health devices, systems and services in Personal Connected Health
200+ members: technology, medical device,telecom, health tech service & healthcareindustry leaders
Copyright © 2012 Continua Health Alliance ® All Rights Reserved7
What We Do
• Develop and publish Design Guidelines that combine & apply existing standards
• Certify products, systems and services for compliance with Continua’s Design Guidelines
• Promote favorable operating climate for PCH through advocacy & coordination
• Creating a global market for personal connected health
• Connect leading technology developers, innovators and healthcare organizations
Copyright © 2012 Continua Health Alliance ® All Rights Reserved8
Standards Incorporated in the Design Guidelines
Sensors
11073
PAN Transport EHRs
Continua End-to-End Architecture Includes these standards, and more
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Breaking Down an Interoperability Architecture Enabling PCH at the Interface
HealthRecordNetwork(HRN)
Interface
Personal Device
Weight Scale
Pulse Oximeter
Independent Living
Activity
Cardio / Strength
Medication
Adherence
Glucose Meter
Pulse /Blood
Pressure
Thermometer
Physical Activity
Peak Flow
Electrocardiogram
Insulin Pump
AggregationManager
PersonalArea
Network(PAN)
Interface
WideArea
Network(WAN)
Interface
TelehealthServiceCenter
HealthRecords/Networks
EHR
PHR
NHIN
HIE
WiFi, 2G, 3G & 4G
Copyright © 2012 Continua Health Alliance ® All Rights Reserved10
Why Interoperability?
Compliance with global industry standards is proven to decrease time to market and reduce development costs:
• Lower Design Costs: saves US$ 40,000-$80,000 in development costs per device*
• Faster to Market: decreases integration time from three months to just three weeks
• Increased Efficiency: quicker, less expensive integration to EMR or HIE platforms
• Forward/backward compatibility: longevity of devices
• Easy to expand or add new programs/products with plug-and-play
*Source: PricewaterhouseCoopers
Copyright © 2012 Continua Health Alliance ® All Rights Reserved11
Development Life Cycle 1. Submission of ideas
2. Use Case development
3. Balloting
4. Use Case sponsorship
5. Decomposition into Work Items
6. Gap Analysis
7. Guidelines Development
8. Balloting
9. Approval
10. Testing
11. Public Release & Comment Period
Use Cases
Requirements
Standards
Guidelines
Open Process: Developing Design Guidelines
Copyright © 2012 Continua Health Alliance ® All Rights Reserved12
How Does Interoperability Support mHealth?• Enables convenient, robust data exchange • Facilitates large-scale data sharing – simplifies
consolidation of health data from different sources• Promotes positive user experience (providers,
patients, administrators)• Introduces new flexibility for launching & maintaining
home health, consumer PCH – Devices guaranteed for forward/backward compatibility with
all Continua-ready products– Same-use devices interchangeable– Easy to expand or add new programs with plug-and-play
Copyright © 2012 Continua Health Alliance ® All Rights Reserved13
Where We’re Going: Globally Scalable Products and Services in PCH
• National adoptions by Denmark, Singapore• Regional adoptions by Abu Dhabi, NHS• Driving government adoption
– Ex: Continua Connects showcase events• Expanding presence: China, India, Australia• Developing new regional Work Groups:
Brazil, Southeast Asia, Middle East• Increasing reach: global standards
coordinating bodies; trade, adoption & standards development organizations
Copyright © 2012 Continua Health Alliance ® All Rights Reserved14
Continua Design Guidelines on Track to Become Global Health Standard in the ITU
• The International Telecommunications Union (ITU) is the oldest United Nations organization– ITU-T is dedicated to produce timely, stable, worldwide standards
• The ITU-T is comprised of 200 national governments and 700 private companies and organizations
• Continua Design Guidelines accepted as ITU-T SG16 Work Item – Approval: start in Nov 2013 & complete in early 2014
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Open Source Initiative:Assisting to Develop the PCH ecosystem
• The Alliance is working with OpenHealthTools.org to publish Open Source code covering all Continua end-to-end interfaces
• The Open Health Personal Connected Health Project will become a hub for the software and tools used to build the ecosystem and stimulate innovation among entrepreneurs and students
• Several Continua components already available on OpenHealthTools.org
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VALUE OF CONTINUA GUIDELINES
Source: PricewaterhouseCoopers*Figures based on actual experience, **Estimates
Time 12 weeks**incl. 30 days for connectivity
Man-weeks(1 FTE per company)
72**
Non-Continua
2 weeks*incl. 3 days for connectivity
12*
Continua
Bring down deployment time
down to 1/6
60 man-weeks or $139k saved
Interoperability assured quality because each company could focus on their module in D-CAP
$166k** $27k**
DISASTER CARDIOVASCULAR PREVENTION NETWORK (D-CAP)
• Target: 1,500 survivors of Great East Japan earthquake living in evacuee camps, two conditions that put them at risk for cardiac events
• Tech Objectives: Determine comparative time/cost of implementing Continua-certified devices• Method: RPM for pts identified as high risk (400 pt), using devices previously certified by Continua • Tech Providers: A&D (Automatic blood pressure monitors), Alive Inc. (Gateway firmware), Ryoto
Electro Corp. (data server), Panasonic (PC), Toppan Forms (Patient ID Cards), Intel (Project coordination)
Case Study: Time-to-Market Advantages Using Continua DGs: Japan Disaster Cardiovascular Prevention Network (DCAPS)
Copyright © 2012 Continua Health Alliance ® All Rights Reserved17
International Activity Hubs: Adoption & Work Groups
UK (NHSWorcestershire)
Japan WG
Denmark
Singapore
SE Asia WG
Australia WG
India WG
Brazil WG
Abu Dhabi
= Adopting Continua
= Continua Work Group
US Veterans Administration
& US Department
of Defense
US WG
Japan
EU WG
UAE WG
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Activity in Asia
• Interest and cooperation by major companies: Spice Global, China Mobile, Fujitsu, OMRON, etc.
• Continua Working Groups in Japan, Southeast Asia
• Leading examples of mhealth cooperation in the market:
Ex: DCAP - Disaster Cardiovascular Prevention Network - Established to remotely monitor survivors of Great East Japan earthquake who were at high risk for a cardiovascular event
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Joining Continua: Benefits to Asian Nations
• Guidelines, code and test tools worth more than USD $2M– Creates cost savings and simplifies challenges of
end-to-end, plug-and-play design• Access to Continua and health ministry experts
with experience in regional or national rollouts• Support for market development
– Regional test labs: Taiwan, Seoul, Beijing– Continua Certified Experts: Seoul, Beijing– Continua Working Group support & participation– Continua Connects events
Copyright © 2012 Continua Health Alliance ® All Rights Reserved20
Synergy with AeHIN
• Shared interests with regard to:– Regional and national adoption of health IT– Dedication to interoperability as a means to
improved healthcare– Interest in policy and regulation to support
market development– Commitment to open standards– Strategy to promote stakeholder collaboration
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Continua Health AllianceThe Engine for a Plug and Play World
Chuck Parker
Email: [email protected]
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