webrtc and telehealth
TRANSCRIPT
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Telehealth and WebRTC
Arin Sime, WebRTC.venturesDr. Marty Brewster, Wellbeing Consult
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Agenda
@ArinSime, [email protected], +1.434.996.5226
Arin SimeFounder/CEO
WebRTC.ventures
Dr. Marty BrewsterFounder/CEO
Wellbeing Consult
A recording of this will be posted to WebRTC.ventures
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The case for Telehealth• Aging Populations means more care
necessary• Preventative care can reduce long
term medical system costs• Remote or underserved populations
don’t have equal access to quality or specialized care
• Increased patient access to mobile devices and internet makes it viable to serve wide populations
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WebRTC is an HTML5 “standard” for video communications in the browser
Look Mom! No plugins!
I know honey, it’s
like Skype for your
browser!
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Walgreens adds virtual consultations
“The platform enables users to consult virtually with MDLIVE board-certified physicians … these physicians can e-prescribe medications .... Visits are only $49.”
Currently available in Colorado, Washington, Illinois – 25 more states by end of the year
Source: Walgreens Press Release
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Improved pregnancy care in Georgia• Underserved populations have higher
rates of pre-term babies, and associated health problems
• 18.2% had pre-term births in Atlanta area of case study
• Remote group consultations were held with mothers who had due dates in the same month
• Mothers did not need to get child care or buy transportation to get to the appointments
• Rate of pre-term births dropped to 8.1%
Source: American Telemedicine Organization
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Core WebRTC Architecture
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Applications of WebRTC• Video conferencing• Contact Centers• Telemedicine• Insurance claims• In-context communications• Dating/Social Media• Gaming• P2P Data Transfer
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Wellbeing Consult
• Search for therapist
• Schedule consultation
• 1-1 Video Chat• Invoice
patients
Developed by WebRTC.ventures using TokBox’s WebRTC platform
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Maven App• A network of medical
care for women• Specialization is a solid
strategy to consider• Add value beyond just
video chat
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WebRTC and Telehealth• All Traffic is encrypted –
required for HIPAA compliance• Peer to Peer means there is no
intermediary server to hack• No plugins required* - allows
for quick, in-context communications
* Chrome, Firefox, Opera, and soon Microsoft Edge do not require plugins for video. Plugins always required for screen sharing in WebRTC apps.
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Security in WebRTC• Video/Audio/Data encrypted in-
transit• Permissions required for
Video/Audio• Under SSL, those permissions
are only required once• The DataChannel alone does not
require permissions (currently)• Screen sharing requires a
browser plugin
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Other technical HIPAA considerations
• Data Encryption at rest• Encryption of data in
transit (WebRTC + SSL)• Access controls• Automatic log-offs• Auditing measures• PII protected
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Negatives of WebRTC
• IE/Safari Not supported • Mobile browser support
is poor, need native apps
• Doesn’t scale to large conversations
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• TokBox provides:– Mobile API’s– Global infrastructure– Automatic quality controls– Encrypted media &
signaling– Firewall Traversal– Video archiving
• HIPAA compliance is possible on top of TokBox, but requires good practices
• TokBox has released best practices (we will link to those after the call)
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The Data Channel
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Data Channel Use Cases• Text Chat• File Transfer• Real-time data
communications for Sensors, Data Dashboards, etc
• Gaming• Content Delivery Networks
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Sensors in Telehealth• Telehealth is about more
than video consultations• Remote sensors can add
data to a consultation, or provide remote monitoring
• WebRTC’s Data Channel one option to transport this data securely
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Heart Rate Monitoring/Notification• App we built at TADHack• If heart attack is
detected, sends SMS and calls your loved ones automatically
• Could be used to trigger video or send data as well
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Questions?
@ArinSime, [email protected], +1.434.996.5226
Arin SimeFounder/CEO
WebRTC.ventures
Marty BrewsterFounder/CEO
Wellbeing Consult
A recording of this will be posted to WebRTC.ventures