the inside story: ge healthcare's industrial internet of things (iot) architecture

The Inside Story: GE Healthcare's Industrial Internet of Things (IIoT) Architecture

Matt Grubis, Chief Engineer, GE Healthcare's Life Care Solutions

Stan Schneider, CEO RTI

Digital Health… the future of Healthcare!

Matthew GrubisChief EngineerGE Healthcare –

Life Care Solutions

GE Healthcare Today • $18 billion: global business unit of GE

• 46,000: number of employees

worldwide

• $1 billion+ per year investment in R&D

• 35,800 patents filed by GE since 2000

• Core strengths in bio-sciences,

medical imaging & information

technologies

• Headquartered in Pollards Wood, UK

–President: John Flannery

BROAD SOLUTIONS FOR HEALTHCARECustomers

Healthcare IT

Healthcare systems

Life sciences

Surgery

Healthcare partners

Global services

CUSTOMERSOUR KEY CUSTOMERS

INCLUDE:

• Healthcare systems,

hospitals, and clinics

–Physicians

–Clinicians

–Nurses

–Executives and administrators

–IT managers

–Biomedical engineers

–Construction managers

• Government officials

• Pharmaceutical firms

• Genetics researchers

• Bio-science researchers

ANESTHESIA DIAGNOSTIC CARDIOLOGY

MATERNAL INFANT CARE

MONITORING SOLUTIONS

RESPIRATORY

Life Care Solutions Wherever there is a patient

JB32789US

The Things of Caregiving

Title or Job Number | XX Month 201X 7

1.5 GB of raw

physiological data

per day for the

“average”

monitored patient.

8

Global Healthcare themes

Life expectancy 6.7 years over last years, population

growing

15% of pop have asthma, hypertension or diabetes

100M hospital patients per year are monitored partially

Hospital acquired infections…sepsis number one “killer”

Adverse events…0.5M preventable deaths per year

Clinician “alarm fatigue” is at risk to every ICU’ patient every

day…ECRI #1 Hazard

Acute care: 5% of patients, 50% of care givers…80% of

resources

Length of stay, re-admissions, manual errors…costs

Pre-hospital/Sub-acute/Home: 95% of patients, 50% care

givers…20% of resources

9

Chronic disease … the “industry” future

35 million deaths from chronic disease

80% of chronic disease deaths occur in

low-mid income countries

1 billion people overweight in developed

& developing countries

U.S. cost of chronic disease on path to double by 2020

Diabetes set to double in 10 years,

stroke & heart disease rising

Cardio-

vascular

diseases

Cancer Chronic

respiratory

disease

Diabetes

17.5M

7.6M

4.1M1.4M

Chronic disease deaths

worldwide

Sources: WHO Preventing

Chronic Diseases, Milken

Institute Analysis

U.S. projected rise in chronic disease:

2000-2020

29%

Cance

r

62%

53%

42% 39%

31%

Diabete

s

Heart

disease

Hyper-

tensionPulmonary

Stroke

1

2

3

4

5

6

By 2020, 75% of all deaths and costs result from chronic disease

10

Industry productivity … or lack thereof

-0.8%

-0.7%

-0.3%

2.3%

2.5%

3.5%

4.0%

6.0%

7.2%

7.6%

Healthcare

Education

Mining

Transportation

Manufacturing

Utilities

Retail Trade

Telecom Services

Internet & Data Processing

Computers & Semiconductors

Productivity Improvement %, 1990-2010

Source: McKinsey & Company, “How US healthcare

companies can thrive amid disruption”, June 2014

11

Global Industrial Internet Themes

1 Internet of Things – A living network

of machines,

data and

people

2Intelligent Machines – Increasing system

intelligence through

embedded software

3Big Data – Transforming massive

volumes of information into

intelligence

4Analytics – Generating data-driven

insights, enhancing

performance

12

The value to customers is huge Connected machines could eliminate up to $150 billion in waste across

industries

13

Introducing the GE Software Center

Igniting the next industrial

revolution by connecting

minds and machines

$1B investment

over 3 years

•Launched in 2011

•Silicon Valley

location, expanding

•Strategy for talent

acquisition & growth

14

What is Digital Health?

15

What is Digital Health?

• Care delivered in an analog/paper way

• Physicians largely unaware of

patients’ health until:

-Annual checkups

-Emergency events

-Chronic disease follow up visits

Digital/networked tools of tomorrow enable:

• Real-time, continuous information across

care settings

• Comprehensive & relevant view of health

• Chronic disease management, wellness,

and prevention

Analog Digital & networked

Source: http://storyofdigitalhealth.com/

16

The promises of Digital Health

Digital technology will enable novel clinical applications and health delivery

models within and beyond the traditional care continuum

The convergence of hardware, software and services will

enable novel integrated healthcare solutions. Digital

technology is expected to drive structural changes.

Care will shift out of the hospital... …and focus more on prevention & management

Prevent Treat Manage

• Telemedicine

• Condition-specific solutions

• Patient-centric devices

• Consumer incentives & “gamification”

• Collaborative care

• Remote monitoring

Source: GE analysis

17

Vision: A complete “Life Care” Ecosystem

Source: GE analysis

18

Connectivity Critical for the Life Care Ecosystem

Connectivity that is:

• “Real-time” – less than a second to distribute

physiological information and events.

• Robust – overcomes faulty mediums (WLANs,

WANs)

• Durable – allows for loss of connectivity

• Secure – endpoint authentication, subscription

authentication, encryption, auditing

• Architected – fan-out is by design and not the

burden of the endpoint (weakest point in

network), or only a single infrastructure point

(choke point).

• Conservative – with bandwidth (end-point

filtering), with memory, with CPU… especially on

battery operated wearable devices

• Scalable – from 2 devices to 200,000 devices –

keeping burden on client level while maintaining

robustness

• “Internet Friendly” - Supports NATs and

Firewalls

19

GE HealthCare is Using DDS Provided by Real-time Innovations

• Proven vendor of DDS

technology stack in

multiple segments

• End-point support for

multiple operating

systems

• Full and robust security

solution

• Additional OOB services

for routing and discovery

• Outstanding set of design,

troubleshooting and

monitoring tools

• Very capable and

responsive support staff

• Experience in mission-

critical systems

The Industrial IoT & RTI Connext DDS

Stan Schneider, RTI CEO

IIC Steering Committee Member

The smart machine era will be the most disruptive in the history of IT-- Gartner 2015

©2015 Real-Time Innovations, Inc.

The IIoT Disruption


The real value is a common architecture that

connects sensor to cloud, interoperates

between vendors, and spans industries

Common technology that spans industries brings bold new approaches and enables fast change

200+ companies strong

Goal: build and prove a common architecture that spans sensor to cloud, interoperates between vendors, and works across industries

200+ Companies, 27 Countries

RTI’s Experience

• Over $1T of IIoT designs– Healthcare– Transportation– Communications– Energy– Industrial– Defense

• 15+ Standards & Consortia Efforts

– Interoperability– Multi-vendor ecosystems

• “Most Influential” IIoT vendor


Provide a Common Platform


Revolution®

"GE Healthcare chose the DDS standard because it can handle many classes of intelligent machines.

RTI Connext DDS satisfies the demanding requirements of our devices and supports standardization on a single communications platform across product lines."

-- J Gustavo Perez, General Manager for

MI&CT Engineering

GE Healthcare's IIoT Architecture


"GE Healthcare is leveraging the GE

Digital Predix architecture to connect

medical devices, cloud-based analytics,

and mobile and wearable instruments.

The future communication fabric of its

monitoring technology is based on

RTI's data-centric Connext DDS

platform.”-- Matt Grubis, Chief Engineer, GE

Healthcare's Life Care Solutions

http://www.rti.com/mk/webinars.html#GEHEALTHCARE

http://www.rti.com/mk/webinars.html#GEHEALTHCARE

Connect Vehicle/Cloud/Infrastructure Systems

Physio-Control supplies emergency response medical equipment to 60% of the world’s emergency vehicles

"Physio-Control is utilizing RTI Connext DDS to exchange critical patient care information throughout the system of care.“

-- Dale Pearson, VP Data Solutions

©2015 Real-Time Innovations, Inc. Permission to distribute pdf granted to IoT SWC

We envision a society in which no person dies from acute, treatable medical events

DDS is Different!


Data-Centric

DDS

Shared Data Model

DataBus

Point-to-Point

TCP Sockets

Client/Server

MQTTXMPPOPCCORBA

BrokeredESB

Daemon

Publish/Subscribe

FieldbusCANbusZeroMQJMS

Queuing

AMQPActive MQ

Data Centric is the Opposite of OO

Object Oriented• Encapsulate data• Expose methods

Data Centric• Encapsulate methods• Expose data

ExplicitShared

Data Model

Data Centricity Directly Controls Flow

• Global Data Space– Automatic

discovery– Read & write data

in any OS, language, transport

– Type Aware– Redundant

sources/sinks/nets

• No Servers!• QoS control

– Timing, Reliability, Redundancy, Ordering, Filtering, Security


Shared Global Data Space

DDS DataBus

Patient Hx

Device Identity

Devices

Sup

ervi

sory

CD

S

Physiologic State

Nu

rsin

g St

atio

n

Cloud

Offer: Write this 1000x/sec

Reliable for 10 secs

Request: Read this 10x/secIf patient = “Joe”

Why Choose RTI Connext DDS?

• Reliability: Severe consequences if offline for 5 minutes?

• Performance/scale:

– Measure in ms or µs?

– Or scale > 20+ applications or 10+ teams?

– Or 10k+ data values?

• Architecture: Code active lifetime >3 yrs?


2 or 3 Checks?

Dataflow-Level Security

• Dataflow-Level Security– Control r,w access to each

data item for each function– Ensures proper dataflow

operation

• Complete Protection– Discovery authentication– Data-centric access control– Cryptography– Tagging & logging– Non-repudiation– Secure multicast

• No code changes!• Plugin architecture for

advanced uses

• Topic Security model:– PMU: State(w)– CBM: State(r); Alarms(w)– Control: State(r), SetPoint(w)– Operator: *(r), Setpoint(w)

CBM AnalysisPMU Control Operator

State Alarms SetPoint


Safety-Critical Components

• Connext DDS Micro Cert– Stringent SWaP requirements– Complete certification

evidence– Full interoperability with DDS

product line

• DO-178C Level A– Flight management systems

• ISO 26262– Road vehicle functional safety

• IEC 60601 class 3– Medical devices


Available

Soon

Soon

The Network is the Healthcare


The Network is the Future

• The IIoT will soon be as well defined as The Internet is today• Common technology will replace special solutions • The IIoT will inspire entire ecosystems


For More Information

• RTI site: www.rti.com

• Examples, forum, papers: community.rti.com

• IIC website: www.iiconsortium.org

• Email: [email protected]

• Connect on LinkedIn

• TSN and DDS March 23 @11am PT– GE Transportation & RTI

• Free RTI Connext DDS Pro: www.rti.com/downloads


http://www.rti.com/

http://community.rti.com/

http://www.iiconsortium.org/

mailto:[email protected]

http://www.rti.com/downloads