using health information technology to connect the...

___________________________________________________________________________

2012/HWG/PD/002

Using Health Information Technology to Connect the Healthcare System and Improve Patient Care

Submitted by: Korea

Policy Dialogue on Using Health Information Technology to Connect and Strengthen the

Health Care SystemSt. Petersburg, Russia

26 June 2012

Using Health IT to Connect theHealthcare System andImprove Patient Care

2012 APEC Health Working GroupHealth Policy Dialogue(HWG-PD)

Prof. Myoungho Lee, Ph.D., Yonsei UniversityPresident, Korea e-Health Association

Republic of Korea

u-Health provides medical & health promotion services (prevention, diagnosis, treatment, post control and so on)

using ubiquitous IT

Source : Myoungho Lee, 2010 ICOST Smart Homes and Health Telematics, Seoul, Korea

Medicine

IT

Internet-Based

e-Health u-HealthTelemedicine

• Medical Treatment Using IT Network

•Transmission of Medical Information, Remote Healthcare

• Medical & Healthcare Services through Internet• A joint Use of Medical

Information, Remote Healthcare

• Medical & Healthcare Services Using

u-IT (Sensor Network)

• Intelligent Healthcare Services

Wired Network Communication

Definition of u-Health

2

Web-Based

Health Telematics

Republic of Korea


Clinical InformationEducation

Encompassing Term of

Telemedicine

Provision ofHealthcare Service

Informational, Educational, Commercial

Product

Internet-Based

Health CareDelivery

Incorporation ofTelecommunication

System

NetworkInternetMobile

Integration ofTelecommunication

System

Health InformaticsHealth Telematics

Telecare

Telehealth

1990~2000

Telemedicine

1970~1990

e-Health

2000~2008

Historical Transition of u-Health

Web- Based Health Care

Delivery

Informational, Educational, Commercial

ProductSensor

NetworkWeb

Mobile

u-Health2008 +

<M.H. Lee, 2009 WCID Conference, Beijing, China>3 Republic of Korea


HospitalDomain

PatientDomain Clinician

DomainConsumerDomain

Classical Health Service

Future Health Service

PharmacyDomain

PharmacyDomain

MedicalSupplierDomain

MedicalSupplierDomain

Changing Health Sector Domain U-Health

Republic of Korea


u-Health is Worldwide : e-Health is Worldwide Developed by Constructing e-Health Portal and Adopting National ‘e’ Policy in each economy.

EUROPEASIA

N. AMERICA

S. AMERICA

OCEANIA

AFRICA

e-Europe 2005

Health Connecte-Mexico

KeHA

e-Canada

e-Health Initiative

EU-CAN e-Health

JAHIS

UKeHA

Vision2020(MSC)

WHO

Republic of Korea


Configuration of u-Healthcare Service System

Republic of Korea


u-Health Medical Sensors

1. Glucose

2. Blood Pressure

3. Body Temperature

4. Respiration

5. ECG, EEG, EMG

6. HRV, PPG

7. SPO2

8. EtCO2

u-Health Medical Sensors

u-Health Medical Devices are based on Ubiquitous IT

77 Republic of Korea


8

Body Sensors, BAN

Republic of Korea


2nd TinyOS Technology Exchange

9

Ubiquitous Health Monitoring

Republic of Korea


10

Ubiquitous Personal Monitoring Systems Intelligent wireless sensors communicate with each other and

the personal serverPersonal Server

-Integrate information from different sensors

-Communicate with the

upper layer of the organizedm-Health system

BAN: Body Area Network

PAN: Personal Area Network

LAN: Local Area Network

Republic of Korea


Micro/Nano applied to Medical Devices

Taken from : http://mems.colorado.edu/c1.res.ppt/ppt/g.tutprial/ppt.htm




Taken from : www.heartcenteronline.com




An implantable blood pressure sensor

developed by CardioMEMS

Surgical microgripper actuated by SMA

Taken fromhttp://www.ee.ucla.edu/~jjudy/publications/conferen

ce/msc_2000_judy.pdf



Patient Friendly(u-Health) SensingDiagnostics

– Bioelectrical and physiological measurements (ECG, arrhythmia, other heart symptoms, EEG, EMG, blood pressure, ….)

– Biochemical assays (blood sugar, infarct markers, …)

Safety– Monitoring of chronically ill patients (heart diseases, diabetes, epileptic

events), alarms– Monitoring at home and in nursing homes (elderly and demented

people)

Sport, physical exercise, training– Monitoring of physical condition and efficiency– Control and feedback in training

Ambient intelligence, smart devices, security– Environment senses, recognizes and reacts (home, office, car)– Smart user interfaces (telephone, PC, multimedia devices, digital-TV,

games)14 Republic of Korea


ECG Sensing

15

• Most widely used ECG measurement setup in clinical environment

• Signal is measured non-invasively with 9 electrodes

• Lots of measurement data and international reference databases

• Well-known measurement and diagnosis practices

• This particular method was adopted due to historical reasons, now it is already rather obsolete1. Einthoven leads: I, II & III2. Goldberger augmented leads: VR, VL & VF3. Precordial leads: V1-V6

Patient Monitor 12Ch-ECG

U-health1-Lead ECG Sensor

Wearable ECG Sensor

Republic of Korea


Blood Pressure Sensing

16

• Blood pressure (BP) is the pressure exerted by circulating blood on the walls of blood vessels, and is one of the principal vital signs.

• During each heartbeat, BP varies between a maximum (systolic) and a minimum (diastolic) pressure.

• The mean BP decreases as the circulating blood moves away from the heart through arteries, has its greatest decrease in the small arteries and arterioles,

• has its greatest decrease in the small arteries and arterioles, and continues to decrease as the blood moves through the capillaries and back to the heart through veins

U-health

Classic type of Blood Pressure Measurement Method

Continuous Non-InvasiveBlood Pressuremeasurement devicefor u-Health system.

Source: H,Harry ASADA, Journal of Wearable technology“Mobile Monitor ing with Wearable PhotoplethysmographicBiosensors”



Photo-Plethysmogram(PPG) Sensing

17

• A photoplethysmograph (PPG) is an optically obtained plethysmograph, a volumetric measurement of an organ.

• A PPG is often obtained by using a pulse oximeter which illuminates the skinand measures changes in light absorption (Shelley and Shelley, 2001).

• A conventional pulse oximeter monitors the perfusion of blood to the dermis and subcutaneous tissue of the skin.

U-health

Republic of Korea


SpO2 Sensing

18

Saturation of peripheral oxygen (SpO2) tells the observer or clinician how much oxygen is dissolved in the blood of the subject under observation. And SpO2 is of vital interest as it can alert medical professionals to conditions underlying illness or disease in a patient.

The normal range result of a pulse oximeter is 95% to 100%. Anything lower than that means there's not enough oxygen getting to your body.

U-health

Republic of Korea


Body Temperature Sensing

19

Sensing Chip

Contact or Noncontact Measurement

2.45GHz ActiveRFID Temperature Sensor Tag

Applitation

thermometer

Republic of Korea


• Sensor physics and new sensing materials

• Modelling and simulation • Focus in microsensors,

biosensors and wireless sensors

• Applications of commercialsensors

20

Patient Friendly Sensing Systems

Republic of Korea


21

UWB Radar Sensor for u-Health Service System

What is the UWB?

1. Ultra-Wide-Band spread transmitting energy across a wide spectrum of frequency, such that the energy in any frequency band is below the noise floor

2. Short duration pulses in the picoseconds or subnanosecond range resulting in several GHz bandwidth.

3. The UWB signal can be transmitted with no carrier with a low power.4. Promising technology for many aspects of biomedical applications.

Republic of Korea


22

Medical Application of UWB

1) Breathing Detecting2) Noninvasive Glucose

detecting

4) Straight forward hearts and breath activities Monitoring3) Fetal monitoring

Republic of Korea


23

Infineon : Electronic Textile Sensors

Republic of Korea


Examples of u-Health Products

e-He(alth Products

24

Sensatex –Smart Shirt: Electronic Textile Sensors

Republic of Korea



25

Vivometrics : Life Shirt

Republic of Korea



e-Health Products

26

Phillips : Electronic Textile Sensors

Republic of Korea



e-Health Products

27


Republic of Korea



e-Health Products

28

Polar/Adidas : Electronic Textile Sensors

Republic of Korea



e-Health Products

29


Republic of Korea



e-Health Products

30

Phillips : HeartCare Telemedicine Services

Republic of Korea



e-Health Products

31

Phillips : Cardiac Telemonitoring System

Republic of Korea



– 1 and 12-lead ECG event recorder– Blood pressure– Glucometer – Thermometer– Spirometer – Sp02

32

Card Guard Health Mobile Phones(Israel)

Republic of Korea



e-Health Products

33

CardioNet: Mobile Cardiac Telemetry

Republic of Korea



e-Health Products

34

Qualcomm’s Personal Health MVNO , LifeComm

Republic of Korea



e-Health Products

35

Debiotech: Subcutaneous Infusion of Insulin for Diabetes

Republic of Korea



e-Health Products

36

Gulucose Sensing Contact Lenses

Republic of Korea



37

Pendrgon Medical System

Republic of Korea



EHREHR

SliplessSeoul Nat’l Hospital

Paperless

Filmless

Chartless

Samsung/LG/TeleComUnification of the HIS

of Grand Hospital

Cooperate with Hospital Market

Seoul St. Mary’s Hospital

Samsung HospitalApply to EHR of Inpatient

Apply to EHR of Outpatient

Inha HospitalEHR of Outpatient

the EHR of Outpatient is extending more

Severance HospitalCooperate with IT company

Electronic Image Data& EHR

Asan Hyundai HospitalCooperate with IT Company

Unification of Hospital Information System (OCS, PACS, EHR)

EHR

38

Apply to EHR of Inpatient

Apply to EHR of Outpatient

Public/Private Health Sectors Innovation 3.1 EHR Construction <---- PHR


Republic of Korea

○ : 100 % △ : 50-80 %

○○○○○○PACS

○○△△○○EHR

○○○○○○OCS

39 billion

30 billion14 billion3

billion200

billion30 billionIT Fund(won)

Giga-bit100MPS

FDDI-Giga-

bitATMGigabitNetwork

-OracleCacheDG SQLOracleMS SQLDBMS

2,1391,2261,0701,0501,5461,470Bed

Asan-HyundaeHospital

SamsungHospital

KyoungheeU. Hospital

Korea U. Hospita

l

Seoul NU.Hospital

Yonsei U.Severance

[ Source : Datanet, Fit Hospitals Website, 2008 ]

u-Health Hospitals in Korea

39

Public/Private Health Sectors Innovation u-Health Hospital Construction


Republic of Korea

40

Conclusions• New wireless technology ( ambulatory or implantable

wireless sensors) will dramatically change the way we understand healthcare today

• This development provides the enabling technology for real long term monitoring of physiological functions

in sports, home health care as well as in hospital environment• The healthcare system will become more mobile, demand

driven, efficient, and person/patient friendly• New wireless sensors and measurement systems have a huge

market potential

Republic of Korea


Republic of Korea

Thank you for your attention !!


using health information technology to connect the...

Documents