robotics and innovations for elder careceo & founder of raptech dr shinsuke muto medical...

Copyright of Tetsuyu Healthcare Holdings Pte Ltd. 2017. No dissemination and reproduction without prior permission 1

Robotics and Innovations For Elder Care

Ms Ng Li Lian, Tetsuyu Healthcare Holdings Pte Ltd (Singapore)25 Nov 2017, Hong Kong

Copyright of Tetsuyu Healthcare Holdings Pte Ltd. 2017. No dissemination and

reproduction without prior permission2

Proposed Sharing Today

1) Challenges of a Silver Tsunami 2) The Japanese Eco-System3) The Role of Technology4) Examples of Robots and Other Innovations- Productivity, Functional, Emotional, Social Robots- Wound Management

5) Considerations in applying technology6) Introduction to Tetsuyu7) Discussion

Source: UN, World Population Prospects : The 2010 Revision

Asia is aging much faster than the Rest of the

World

Changes in the aging rates of Asian countries


A Shrinking Population ↑Elderly Segment, ↓Caregiver Support

Challenges of a Super Aging Society- Shrinking Population and rising elderly segment

• By 2055, > 50% of population are elderly

• Support Ratio drops from 1.62 0.82


Living longer, alone and with dementia

http://www.japantimes.co.jp/opinion/2013/06/23/editorials/epidemic-of-dementia/#.WLy0K_mGM2w

33% 15%

15M pax

5 M pax

1 in 3 3 in 20

88.41 82.75

NOW

Yr 2030

82.6 79

Longevity (Years)长寿真的是福气？

DementedLive Alone

Copyright of Tetsuyu Healthcare Holdings Pte Ltd. 2017. No dissemination and reproduction without prior permission

6

Tackling The Silver Tsunami

7Copyright of Tetsuyu Healthcare Holdings Pte Ltd. 2017. No dissemination and reproduction without prior permission

凡能想像到的, 就是事实


Opportunities to apply Technology to tackle the Silver Tsunami


Funding & Policy

Caregiver Products and Services

Resources to Tackle the Silver Tsunami

Skill Sets, Process, Protocols, Standards

Mind Sets = Culture, Attitudes, Motivation, Inter-generational

Facilities

SUSTAINABLE ECOSYSTEM FOR ELDERCARE

Community

1

2

3

4

5


Funding & Policy

Caregiver

Products and Services

The Role of Technology in the Silver Tsunami

Skill Sets, Process, Protocols, Standards

Mind Sets = Culture, Attitudes, Motivation, Inter-generational

Facilities

TECHNOLOGY IS AN ENABLER FOR SUSTAINABLE ECOSYSTEM FOR ELDERCARE

Community

1

2

34

5

DATA / INTELLIGENCE FOR PERSONALIZED ELDERCARE


Productivity Functional Emotional Social


Copyright of Tetsuyu Healthcare Holdings Pte Ltd. 2017. No dissemination and reproduction without prior permission13


Japan Nursing Robot Portalhttp://robotcare.jp/?page_id=853

Functional Assistive Technology


14


Emotional / Mental : Assistive Technology for Therapy


15

The Role of Technology in the Silver Tsunami Assistive Technology for Dementia Therapy (VIDEO)


16


Assistive Technology for Productivity



Assistive Technology for Productivity (Tele-Presence)



Assistive Technology for Productivity in Eldercare Centres

Challenges for Wound Management in Community Setting

QualityProductivity


20

Inter and Intra Rater Variability

People + Process Standards+ Outcomes

Tools

New Possibilities for Wound Management


21

+ Process Standards+ Outcomes

Portable Tools

People

Clinical Workflow

Remote Monitoring

Skills Training

Roles Re-design Standardized Records

Automated Data Capture

Escalation Protocol Intelligence



Assistive Technology for Productivity in Wound Care

Considerations In Applying New Technology

23

People Process Standards Outcomes

The Role of Technology in Eldercare

Financial

- Funding & Policies

- Cost Impact- Savings- Revenue

- Fit for purpose(Solves Pain points)

- Workflow e.g.people/system

- Protocols- Training

Industry standards

System standards

etc

Productivity


CAREGIVER

Who is Tetsuyu?

24

1. Singapore based startup. Ambition to enter key Asian markets from next year.

2. Vision to transform delivery paradigms in long term eldercare through innovative care models and technology.

Drive new frontiers in productivity (labour), quality (patient care) and value (sustainability).

3. Co-founded by :• Dr Shinsuke Muto: Cardiologist. Homecare Expert and Owner. Health ICT Advisor to Government (Japan)• Ms Ng Li Lian: Senior Banking Professional (Singapore) • Dr Neo Ee Sian : System Information Expert specializing in Robotics

4. CapabilitiesEldercare Technology• Solve Pain Points in community care. Co-creation partners in hospitals, eldercare centres and home care • Proprietary Care Management Application. Eldercare technologies including robotic platforms

Home Care Service (Singapore)• Team of trained nurses leveraging and test bedding technology for 24/7 quality care.

5. Test Bed in Singapore. Explore overseas markets including Japan and China• Expand home care team of nurses and bring in-house doctors.• Accelerate robotic development by growing in-house robotic developers. • Build business development capabilities both for Singapore and overseas markets.• Test bed technology in Singapore in through POC and POV


• M.D. (the University of Tokyo), USMLE (California)• Ph. D. in internal medicine (the University of Tokyo)• Executive MBA (INSEAD)

• Board Certified Member of the Japanese Circulation Society• Board Certified Member of the Japanese Society of Internal Medicine

• Clinical Professor, Tokyo Medical and Dental University, Tokyo• Executive Advisor for Information Policy, Ministry of Health, Labor and

Welfare• Taskforce member at the Cabinet Secretariat IT Strategy Headquarters• Chairman, National Telehealth Guidelines Advisory Committee

• President, Tetsuyu Institute Medical Corporation, Tokyo• Co-Founder & Director, Tetsuyu Home Care, Singapore

Previous experienceConsultant, McKinsey & CompanyCourt Physician, Imperial Household Agency of Japan, Tokyo

Co-founder and Medical Director, Prof Shinsuke Muto

2

5Copyright of Tetsuyu Healthcare Holdings Pte Ltd. 2017. No dissemination and reproduction without prior permission

In Japan, we have successfully leveraged Technology for Connected

Home / Community Care and Higher Productivity

- 1200 patients, 100 doctors, 5 clinics

- Government Funded Projects with Tetsuyu’s Telehealth Systems

• Secured environment

• Multi-device enabled (PC,

smartphone & tablet)

• Linked with billing system

• Connected with 24/7 call

center

• Dictation center makes a

draft of medical record by

dictation of doctors’ voice

• Secured Environment

• Multi-Device enabled (PC, Smartphone

and Tablet)

• Connectivity within care team

• Case sharing (Information & Schedule)

• Vital Sign & Multidisciplinary Report

• Care Team Secured Messaging (text,

photo, video)

• Abnormal Results Alert

• Secured environment

• Multi-device enabled (PC,

smartphone and tablet)

• For clinic use

• Optimizes visit routes (milk

run system)

• Document Making

• Connected with data

analysis center

EMR & Billing Home Care Team Management System Home Medical Care System


Telehealth System

In Singapore, we have built strength in Community Care Technology Expertise and Partners

Co-creation Partners in the Community

Local In-House Expertise

Dr Neo Ee SianChief Innovation Officer - System Information Expert specializing in Robotics

Mr Ng Ban LooChief Technology OfficerCEO & Founder of Raptech

Dr Shinsuke MutoMedical Director and Co-founder- Cardiologist, Home Care Expert and Advisor to Japanese Government on Health ICT. Chairman of Telehealth Guidelines Committee, Japan

✓ ✓+

27

Ms Ng Li LianManaging Director & Co-Founder- Tetsuyu Home Care


Challenges we want to solve as Community Care Providers

Quality

Manual PaperworkTravel Time

Connectivity


Mega Trends that can transform the future of LTC

Collaborative Care Tele- Health

Data (Artificial Intelligence) Robotic Interfaces

1 2

3 4


30

Our Vision: Care Framework, enabled by a Care Management Application, that directs an ECO-SYSTEM of connected care from humans, sensors and robots.

Care Management Application

Aged Care Patients

Home Care/ Centre Based Care Team

Robot Platforms

Telemonitoring Devices / Sensors

Care & Monitoring Interfaces for Connected Care

Remote Monitoring & Response

Data Data

Care Framework, SOPs, Protocols, Knowledge & Content


Caregivers (Family and Domestic Helpers)


31

Our ApproachCARES Technology Framework to achieve vision

Core Care Management Application

Care Settings Module Telepresence + TelehealthModule

Wound Care Module Caregiver Module

For Clinicians

For Care Providers

How Humans Can Apply These Innovations: Work Flows & Work Roles Design + UX

1

2

3

How Data Can Impact Care

Dementia Module


https://www.cyberdyne.jp/english/

Japan Nursing Robot Portalhttp://robotcare.jp/?page_id=853

https://www.cyberdyne.jp/english/products/Lumbar_CareSupport.html

http://www.toto.co.jp/products/ud/index.htm http://www.toto.co.jp/products/ud/movie/movie3.htm

CCTV Robotics help ease burden in Japan's hospitalshttps://www.youtube.com/watch?v=blYeDzAxkDc

Financial Times – soft side of robotics https://www.youtube.com/watch?v=ppPLDEi82lg

Article : Global Investor - How Japan Copeshttps://www.theglobeandmail.com/globe-investor/retirement/retire-planning/how-japan-is-coping-with-a-rapidly-aging-population/article27259703/

Resources

NHK Night Shift Nurse Robothttps://www3.nhk.or.jp/nhkworld/en/news/editors/7/20160627/

Telepresence Robots (Doctors)https://www.youtube.com/watch?time_continue=6&v=GrBaHBSXdqk

Tetsuyu CARES@HOMEhttps://www.youtube.com/watch?v=5T3OgwNhCMk

Tetsuyu CARES4WOUNDShttps://www.youtube.com/watch?v=4Fh6yNOooLU&t=46s

Tetsuyu Engaging the Elderlyhttps://www.youtube.com/watch?v=5Zforagz59s&t=1s

Straits Times Articlehttp://www.straitstimes.com/singapore/japans-rich-diversity-of-services-for-seniors-5-things-singapore-can-learn-from-its

https://www3.nhk.or.jp/nhkworld/en/news/editors/7/20160627/

https://www.youtube.com/watch?time_continue=6&v=GrBaHBSXdqk

https://www.youtube.com/watch?v=5T3OgwNhCMk

https://www.youtube.com/watch?v=4Fh6yNOooLU&t=46s

https://www.youtube.com/watch?v=5Zforagz59s&t=1s

Thank You


[email protected]

mailto:[email protected]

Spare Slides



Yadoc Service

OnlineMonitoring

Logging daily vital data at ease

Displaying historical graph in real time

Online Medical Check

Checking patent’s condition in accordance

with medical guideline

Automatically calculating the score and

displaying historical graph

Telemedicine Reserving an appointment online

Video chatting with primary care doctor

YaDoc

Case Study Pilot in Fukuoka

Online Monitoring

Doctor can grasp patient’s condition more accurately, and support better diagnosis and treatment

Online Questionnaire

Patients aware and report the symptoms by themselves

Doctors can easily capture the symptom with visualized graphs

Patients can consult doctors in-person or online.

Online video chat


39

http://opengovasia.com/articles/7358-addressing-eldercare-challenges-at-mit-hacking-medicine-robotics-singapore-2017

The winning team

developed an

autonomous system for

transporting elderly

patients and residents at

nursing homes and

extended-care facilities.

This was the first hackathon in Asia focused

on social use of robotics for eldercare. The

event was organised by SGInnovate over the

past weekend, from February 10 - 12, 2017.

It called upon developers, clinicians,

engineers, designers, researchers and

business managers to build software and

hardware applications on the Segway Robot

platform. The Segway Robot is an open platform project.

autonomous mobility for healthcare

The system utilises facial recognition algorithms to identify patients, then connects with their wheelchair using a custom-designed electromagnetic coupling, allowing the robot, Loomo to move wheelchair-bound patients to and from activities such as meals and medical appointments. This also frees up manpower, enabling caregivers to focus on more critical care and medical tasks and provide higher quality care.

http://robot.segway.com/developer



http://www.channelnewsasia.com/news/singapore/personal-robotics-the-next-technological-revolution-dr-vivian-ba-7598832


Called Robocoach, it is a robot that uses motion-sensor technology to ensure its elderly students do their exercise routines correctly.

Originally developed by students from Ngee Ann Polytechnic, Robocoach is already available at the Lions Befrienders seniors' activity centre in Mei Ling Street. The Infocomm Development Authority (IDA) hopes to roll it out to five seniors' activity centres by the end of the year. Twenty other centres will get an elderly-friendly tablet or NeuroAtHome, a device that uses motion-sensor-activated exercises to provide physical and cognitive therapy to seniors who have suffered strokes or have disorders suchas Alzheimer's or Parkinson's.

http://www.straitstimes.com/tech/robots-to-lead-fitness-lessons-for-the-elderly


42

http://www.straitstimes.com/asia/singapore-can-learn-from-japans-use-of-robotics-technology-vivian-balakrishnan


43

How can we provide quality care to address this array of needs? Many experts think an answer could be robots.Nadine is being developed by a team led by Prof Nadia Thalmann. They have been working on virtual human research for years; Nadine has existed for three."She has human-like capacity to recognise people, emotions, and at the same time to remember them," says Prof Thalmann.Nadine will automatically adapt to the person and situation she deals with, making her ideally suited to looking after the elderly, Prof Thalmann says.The robot can monitor a patient's wellbeing, call for help in an emergency, chat, read stories or play games. "The humanoid is never tired or bored," says Prof Thalmann. "It will just do what it is dedicated for."Nadine isn't perfect, though. She has trouble understanding accents, and her hand co-ordination isn't the best. But Prof Thalmann says robots could be caring for the elderly within 10 years.



http://www.straitstimes.com/singapore/health/patients-can-do-physiotherapy-at-home-using-new-telerehab-system

SINGAPORE - It is a Friday afternoon and Mr Chin Tian Loke, 72, is watching a video on an iPad Air in his five-room flat in Jurong West. He mimics the movements of the person on screen, lifting his arm, which has a sensor attached to it at a 90-degree angle. A voice from the iPad then congratulates him: "Spectacular!"

It appears as though Mr Chin, a retired odd-job worker, is playing a game. But he is actually undergoing rehabilitation therapy, to help him gain strength in his limbs after he fell and broke his spinal tail bone in November last year.

Under a nationwide pilot of tele-rehabilitation involving 14 institutions, this option will be rolled out by the Integrated Health Information Systems (IHiS), the IT arm of the Ministry of Health.NTUC Health and TOUCH Home Care have already implemented such sessions while various hospitals as well as SPD, an organisation that helps those with physical disabilities, will do so by the end of the year.

robotics and innovations for elder careceo & founder of raptech dr shinsuke muto medical...

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