Blog Series: #IoT in Healthcare by Manishree Bhattacharya @ManishreeBhatt1


The opportunity for #IoT in Healthcare is estimated to be $2.5 trillion by 2025. How are we embracing this change? The Types of Opportunities that present themselves to the Startups, Healthcare IT organisations are tremendous.

During the #PhilipsChat, on the 10th April 2017, we asked the experts what they thought about the current trends and focus areas that the IT Industry, Medical Device Manufacturers, Hospitals and Start-ups will need to keep in view, in the near and short-term, while making their organisation ready for the Digital Transformation that can be and will be enabled by #IoT in Healthcare.  
Presenting the insights shared by Manishree Bhattacharya (@ManishreeBhatt1) on #IoT in Healthcare
Q1: In the near term (1-3 years), What are the top 3 innovations in IoT that can benefit healthcare?
Manishree Bhattacharya: 1. Remote monitoring of (cardiac disorders, COPD, Alzheimer’s, Parkinson’s, insomnia, diabetes, elderly, expecting mothers)
2. An integrated/connected surgical room, where devices are interoperable, regularly feeds in data into patient profile in EMR, to streamline post-operative care, both in the hospital and beyond, at patient homes
3. IoT for ensuring drug/treatment adherence, such as sensor-based pills
Q2. Do you see any device, connected via any protocol and with any cloud; as the future, if yes how will that be achieved? Standards?
Manishree Bhattacharya: Right now, developments are quite random and sporadic. To achieve larger goals, moving from connected devices to connected hospitals, some level of standardization and uniformity will be important to ensure an error-free, and secured transmission.
Q3: In India (or your country), what are the Digital Infrastructure requirements for enabling IoT based Innovations in Healthcare?
Manishree Bhattacharya: Seeing Digital Health take off in India in its full bloom is one of my wishes, and the preliminary requisite would be to encourage hospitals go paper-less – have EHR systems implemented, with a timeline set for nation-wide implementation. Just imagine how seamless healthcare delivery will be if primary, secondary and tertiary centres are integrated – data can seamlessly flow from one centre to another. Government has a very strong role to play here, that will help in creating the right infrastructure, timely adoption, establishing standards, lowering costs by promoting local manufacturing, and boosting HealthIT start-ups.
Q4. Please share use cases for Connected Care for: Healthy Living, Prevention, Diagnosis, Treatment, Homecare:
Manishree Bhattacharya:
Healthy Living – Most consumer IoT devices aim to do that – tracking exercise regimes, diet plans
Prevention – Say a heart patient puts on a wearable device that continuously monitors and sends signals to nurses/doctors for any aberration – this can ensure timely treatment and prevent a severe episode.
Homecare – A person who has just had a surgery, and is on homecare – his regular vitals, diet plan, outputs are remotely being tracked by the doctor/nurse – who can selectively revise the diet or post-surgery recovery plan. Same goes with elderly who are on home-care.
Treatment – A sensor-based pill that sends a signal to a care-giver on ingestion of the pill.
The bigger purpose – We know that not all medicines work on every patient. Regularly tracking patients not only help in timely interventions, and more personalized treatments, it also opens routes to more clinical research on personalized medicines.
Q5: What are the Healthcare based Smart City components? How can Local, State and National Government’s make #IoT solutions in healthcare economically viable?
Manishree Bhattacharya: Answering to how can government make IoT solutions viable, my thoughts would be:
  1. By promoting indigenous manufacturing to curb costs
  2. Incentivising IoT adoption in hospitals
  3. Prioritizing HealthIT in the overall start-up agenda
Q6: How can private hospitals justify the RoI’s of Smart Hospital Components?
Manishree Bhattacharya: By improving quality of care; reducing hospital re-admissions, yet prolonging the care process that extends to one’s home; and finally improving patient engagement/adherence. A patient is more likely to visit a doctor who can provide a more personalized treatment than the one who cannot. Important would be define these key metrics/KPIs right at the beginning of implementation.

Q7. Tell us a 5 Year view of IoT in Healthcare and what would a Patient Experience be in a Smart Hospital?
Manishree Bhattacharya: First, we have to understand the purpose of IoT in healthcare – it is not there just for the sake of it, but to truly enable a coordinated and long-term care, that would eventually reduce mortality, morbidity, and hospital re-admissions. Patient experience is bound to improve. A patient will not have to run from one department to another, narrating the whole problem and showing multiple reports. So when a cancer in-patient enters a psychologist’s office, and the doctor already knows the problem, and also has the latest vitals of the patient right in his tablet, he knows that the patient was not able to get any sleep the previous night and has a high BP right now. The doctor would hence probably choose to talk about things that can ease the patient’s current situation. Now, that is truly an enriching experience.

Looking ahead in the future, we may also have AI-enabled voice assistants that will make a patient more comfortable in hospital settings.
Q8. Finally: What areas of IoT based innovations are you looking to partner with Startups for? Can you give us two areas?
Manishree Bhattacharya: Would love to connect with any start-up that can provide meaningful solutions for the Indian healthcare landscape. What I would also like to see is how these start-ups are using the tonnes of data that IoT devices generate, in deriving meaningful analysis – big data, AI, and so on.

References

  1. Here is the original Blog Post announcing the #PhilipsChat Tweetchat : http://blog.hcitexpert.com/2017/04/philipschat-on-iot-in-healthcare.html
  2. 3 ways in which Information Technology can improve healthcare in India by Manishree Bhattacharya (@ManishreeBhatt1) on NASSCOM Community
  1. IoT in India – The Next Big Wave by NASSCOM http://www.nasscom.in/iot-india-next-big-wave
  2. Curated list of Tweets from the #PhilipsChat: https://twitter.com/i/moments/852242427008233473
  3. Review the #PhilipsChat Transcript & analytics via @symplur here >> http://hcsm.io/2loNiv7
Stay tuned to the #IoT in Healthcare Blog series. Bookmark this link to follow on the insights being shared by the experts on the HCITExpert Blog:

http://blog.hcitexpert.com/search/label/IoT%20in%20Healthcare

Author
Manishree Bhattacharya

Manager – Research & Advisory at NASSCOM
Business professional with 7+ years of experience in research and advisory, across IT, healthcare, and medical technologies. At NASSCOM, responsible for identifying digital opportunities, driving thought leadership/innovation and delivering actionable insights for the Indian Technology Industry
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Blog Series: #IoT in Healthcare by Dave Brown (@QiiQHealthcare)


The opportunity #IoT in Healthcare is estimated to be $2.5 trillion by 2025. How are we embracing this change? The Types of Opportunities that present themselves to the Startups, Healthcare IT organisations are tremendous.

We asked experts what they thought about the current trends and focus areas that the IT Industry, Medical Device Manufacturers, Hospitals and Startups will need to keep in view in the near and short-term while making their organisation ready for the Digital Transformation that can be and will be enabled by #IoT in Healthcare.  

Presenting the insights shared by Dave Brown (@QiiQHealthcare) on #IoT in Healthcare.

Q1: In the near term (1-3 years), What are the top 3 innovations in IoT that can benefit healthcare?:

Dave Brown: Great user-centered design; cheaper sensors; integration-friendly cloud services (including ML and AI).

Q2: Is an IoT based system going to be a utility or a service?:
Dave Brown: The UI -where the rubber meets the road- is a service. The software behind it is also a service. I can see some of the hardware elements and networking tech’y being a utility.

Q3. Do you see any device, connected via any protocol and with any cloud; as the future, if yes how will that be achieved? Standards?:
Dave Brown: More public exposure of performance metrics will incentivize QI and therefore innovation. Free-market competition (between innovators) will drive down costs. With this accelerated change, risk will rise – this can’t be avoided. However, reliability and data security standards will stabilise risk.

Q4: In India (or your country), what are the Digital Infrastructure requirements for enabling IoT based Innovations in Healthcare?:
Dave Brown: Not sure.  But to my previous answer – system reliability and security standards will help confidence levels for healthcare providers who are frightened of change.

Q5. How can hospitals leverage #IoT based solutions for service delivery and patient care? :
Dave Brown: Start with the big picture in mind; begin with small, measured implementations, and look for IMPACT.  Advance quickly as success metrics show up.

Q6: What are the aspects of Connected Care for the Patient Care Continuum
Dave Brown: Healthy Living, Prevention, Diagnosis, Treatment & Home Care. THIS DOES NOT HAPPEN WITHOUT PROGRESSIVE APPROACHES TO INTEGRATION. The future = API’s.

Q7. Please share usecases for Connected Care for: Healthy Living, Prevention, Diagnosis, Treatment, Homecare:
Dave Brown: One simple picture: a FitBit user shares their data with their provider network; always-on data analysis (that also taps the user’s genomic data) triggers alerts when bad signs arise; then an automatic clinical response launches to address the issue before it becomes a serious problem. This process is AI-driven.

Q8: What are the Healthcare based Smart City components? How can Local, State and National Government’s make #IoT solutions in healthcare economically viable?:
Dave Brown: BIG question – hard to predict – creative and informed entrepreneurs will come up with many. I think these IoT solutions emerge from a vibrant startup community. Governments assist merely by creating incentives for the birth&growth of well-run startups, including spurring investment. They can also help round up healthcare executives and tech entrepreneurs to thoughtfully examine REAL problems and viable solutions (to save entrepreneurs from building solutions that no-one will buy and deploy).

Q9: How can private hospitals justify the RoI’s of Smart Hospital Components? :
Dave Brown: Similar answer as Q2a: start small and measure measure measure.

Q10: Give us a Buzzword we are going to be hearing regarding IoT based innovations in Healthcare.:
Dave Brown: Not sure.  How ’bout: “Smart API’s”

Q11. Tell us a 5 Year view of IoT in Healthcare and what would a Patient Experience in a Smart Hospital?:
Dave Brown: It’ll take more than 5 years for a real transformation to occur. But as I’ve already written, more good data (genomic + real-time consumer sensors) with strong AI will increase proactive community interventions, thus reducing the demand on urgent care.

Q12. Finally: What areas of IoT based innovations are you looking to partner with Startups for? Can you give us two areas?:
Dave Brown: We ARE a startup, committed to helping redesign workflow in urgent care.  We need to partner with companies contributing to acute care IT. We eventually need to integrate with community-care solutions to further improve the patient experience in moving from community care to acute care.

You can contact QiiQ Healthcare via their website: http://QiiQHealthcare.com
You can reach Dave via Twitter: @DaveBrutusBrown

References

  1. Here is the original Blog Post announcing the #PhilipsChat Tweetchat : http://blog.hcitexpert.com/2017/04/philipschat-on-iot-in-healthcare.html
  2. Curated list of Tweets from the #PhilipsChat: https://twitter.com/i/moments/852242427008233473
  3. Review the #PhilipsChat Transcript & analytics via @symplur here >> http://hcsm.io/2loNiv7

Stay tuned to the #IoT in Healthcare Blog series Bookmark this link to follow on the insights being shared by the experts on the HCITExpert Blog:

http://blog.hcitexpert.com/search/label/IoT%20in%20Healthcare

Author
Dave Brown

Co-Founder at QiiQ Healthcare, designer/engineer – perceptive, meticulous, smart and sensible
leader/entrepreneur – social, tenacious, visionary and realistic

With age, I’ve become a “big picture” guy, but I can and will roll up the sleeves….

I’ve led small and medium-sized user-facing technology projects: starting with strategy, and flowing right down to the detailed tactical level. I get the P&L picture, and am very comfortable driving execution.

Blog Series: #IoT in Healthcare by Srinivas Prasad M.R. @prsdsrnvs


The opportunity in #healthcare IoT is estimated to be $2.5 trillion by 2025. How are we embracing this change?

During the #PhilipsChat, on the 10th April 2017, we asked questions related to the current trends and focus areas that the Healthcare IT Industry, Medical Device Manufacturers, Hospitals and Startups will need to keep in view in the near and short-term while making their organisation ready for the Digital Transformation that can be and will be enabled by #IoT in Healthcare.
A great discussion ensued that has spawned this blog series. Presenting the insights shared by M. R. Srinivas Prasad (@prsdsrnvs) on #IoT in Healthcare #PhilipsChat. (http://en.wikipedia.org/wiki/M._R._Srinivasaprasad)


Q1: In the near term (1-3 years), What are the top 3 innovations in IoT that can benefit healthcare?:
M. R. Srinivas Prasad: In the emerging markets the IOT devices that would play an important role in extending care to the homes and community, would be those that can enable remote monitoring of cardiac patients, COPD patients and pregnancy monitoring in the rural community. These devices could be devices like Connect diagnostic ECG, Low cost but reliable wearables to monitor basic vital signs and breathing patterns and connected intelligent fetal dopplers to help monitor the child during birth helped by midwives

Q2: Is an IoT based system going to be a utility or a service?:
M. R. Srinivas Prasad: This will be a mix of both. It can (also) be an Outcome-based pricing model which is a variant implementation of the Service Model.

Q3. Do you see any device, connected via any protocol and with any cloud; as the future, if yes how will that be achieved? Standards?:
M. R. Srinivas Prasad: Need to adhere to Continua standard for these devices for open connectivity but in the near term I see that cost will prevail over the interoperability standard if regulatory bodies don’t ensure conformance from the start.

Q4: In India (or your country), what are the Digital Infrastructure requirements for enabling IoT based Innovations in Healthcare?:
M. R. Srinivas Prasad: A change in the mindset of going from paper to paperless is needed. Then there is a need to educate hospitals “Software is not free”. In addition, enabling IoT will need reliable telecom networks, work with the ecosystem to set up datacenters. Maturity & innovation around commercial business models will be a need Supporting infrastructure like connected ambulances, trained paramedics & and efficient transportation system will help.

Q5. How can hospitals leverage #IoT based solutions for service delivery and patient care? :
M. R. Srinivas Prasad: Postoperative care can be shifted to the patient’s home. This can help free up beds in the hospital which can help in increase revenue to the hospital from a new patient. Hospital-acquired infections can be reduced and finally, in bringing down the cost of care, the benefit that can be extended to the patient.

Q6: What are the aspects of Connected Care for the Patient Care Continuum?
M. R. Srinivas Prasad: From Philips Healthcare point of view Connected care for the Patient Care Continuum comprises of Healthy Living, Prevention, Diagnosis, Treatment and Homecare. Here’s a video that explains these aspects https://www.youtube.com/watch?v=Xe-KxiiIyNI

Q7. Please share usecases for Connected Care for: Healthy Living, Prevention, Diagnosis, Treatment, Homecare:
M. R. Srinivas Prasad: (elaborated on each of the aspects of Connected Care for the Patient Care Continuum)
#HealthyLiving There are many in the market but it is important to choose the right one like the ones which are accurate e.g. Philips watch. Eating healthy food but tasty from an Indian cuisine context means fried food. Philips air fryer helps air fry tasty healthy food.

#Prevention Breathing Fresh & clean air is important for us to avoid pulmonary complications in countries like ours where pollution levels are high. #Philips Air Purifier helps address this issue

#Diagnosis Early diagnosis is critical to increase survival rate and reduce the cost of treatment. Use of AI in helping clinicians early diagnosis and also managing a larger population base can help solve the India challenges. Either for aiding in detection of infectious diseases like TB or identifying lesions from brain and breast scans.

#Treatment Minimally invasive devices are the key here . Low dose interventional X-ray systems or mobile surgery systems . Radiation planning systems which aid accurate and the right dose planning.

#HomeCare Monitoring of post cardiac patients and COPD patients at home. Philips Home Co business in india extends care into the home. This reduces cost of care and also helps the hospital to manage more new patients. Monitoring compliance to medication is another key aspect when extending care to home.

Q8: What are the Healthcare based Smart City components? How can Local, State and National Government’s make #IoT solutions in healthcare economically viable?:
M. R. Srinivas Prasad: Government should step in with policies that support in “giving the last mile connectivity” to decentralize healthcare (and) help in the convergence of Mobile technology, Consumer engagement and Payment reforms.
Additionally, Population management to understand disease profiling, to understand the spread of infectious diseases like malaria, typhoid etc. Smart ambulances. Garbage clearing monitoring. Air quality monitoring device across the city. Adequate availability of AED ‘s and accessible and connected. These are all related to health care.

Q9. How can private hospitals justify the RoI’s of Smart Hospital Components?
M. R. Srinivas Prasad: Demanding solutions from healthcare companies. Looking at OPEx models where the capex requirement is low. Productivity improvement from workflow efficiencies. Productivity gains or clinicians from using AI and smart tools. Better clinical decisions and patient re-admissions which will be enhance patient stickiness and also enhance the brand which will drive more patients to the hospital.

Q10. Tell us a 5 Year view of IoT in Healthcare and what would a Patient Experience in a Smart Hospital?M. R. Srinivas Prasad: A seamless experience which helps the hospital in its business, helps the clinicians make better decisions, helps patients by reducing their healthcare costs and the insurance providers become more efficient and manage their premiums better. A win win for all. Example from the onset of chest pain to early diagnosis, to emergency care, seamless patient data flow into the hospital EMR’s. Flow or patient context and information right through the various departments in the hospital including radiology, cardiology, critical care and also seamless extension of this care into home or the community post discharge and post operative care on remote care settings. A seamless experience in a distributed care environment

Q11. What areas of IoT based innovations are you looking to partner with Startups for? Can you give us two areas? M. R. Srinivas Prasad: Advanced AI models to aid early diagnosis of chronic diseases – Cardiac, COPD, Oncology and Mother and Child space. Smart IOT devices to support Monitoring of patients under various clinical conditions post discharge. Pregnancy monitoring and post natal care. Solutions in the healthcare informatics space and connect care solutions to help extend care into the community and homes

To one other question from Mr. NS Ramnath (@rmnth): On a scale of 1 to 10, where do you think the sensors in wearables in the market today stand?
M. R. Srinivas Prasad: It’s in a very nascent stage but with a huge potential and key to help solve our healthcare challenges.

Mr. M.R. Srinivas Prasad, signed-off from the chat by urging the participants, “let’s define the future of healthcare for a better India and a better world. Technology is key! Cheers

References

  1. Here is the original Blog Post announcing the #PhilipsChat Tweetchat : http://blog.hcitexpert.com/2017/04/philipschat-on-iot-in-healthcare.html
  2. #IoT and #AI: Potent combo redefining healthcare by M. R Srinivas Prasad @prsdsrnvs on Livemint http://www.livemint.com/Opinion/iuOHAO5UCn1qzH2q5JwJvL/IoT-and-artificial-intelligence-Potent-combO-redefining-hea.html
  3. Curated list of Tweets from the #PhilipsChat: https://twitter.com/i/moments/852242427008233473
  4. Review the #PhilipsChat Transcript & analytics via @symplur here >> http://hcsm.io/2loNiv7
Author
M. R. Srinivas Prasad

CEO, Philips Innovation Campus, India

Blog Series: #IoT in Healthcare by Dr. Vikram @drvikram

The opportunity in #healthcare IoT is estimated to be $2.5 trillion by 2025. How are we embracing this change? The Types of Opportunities that present themselves to the Startups, Healthcare IT and Healthcare organisations are tremendous


During the #PhilipsChat, on the 10th April 2017, we asked the experts what they thought about the current trends and focus areas that the IT Industry, Medical Device Manufacturers, Hospitals and Startups will need to keep in view in the near and short-term while making their organisation ready for the Digital Transformation that can be and will be enabled by #IoT in Healthcare.

A great discussion ensued and that has spawned this blog series. Presenting the insights shared by Dr Vikram Venkateswaran (@drvikram) on #IoT in Healthcare #PhilipsChat.

Q1: In the near term (1-3 years), What are the top 3 innovations in IoT that can benefit healthcare?:
Dr Vikram Venkateswaran:
In my opinion, the immediate benefits are in areas where other industries have made progress: cheaper rates for Sensors, Increased security at device and sensor level. Additionally, an Increased integration of sensors and devices with EMR allowing for proactive interventions and remote monitoring for Chronic diseases.
Another aspect is Managing inventory and tagging assets are key for more hospitals, and i think that is an immediate benefit that will accrue.
To the question of, Do you think India will benefit from cheaper portable diagnostic devices or remote treatment a better stead ? asked by Divye Marwah; I would say, both patients and the hospitals will benefit.
Sukesh Kumar: Do you think #AI will help in taking healthcare to the next level?
Dr Vikram Venkateswaran: Its already happening in certain specialties like Oncology
Q2: Is an IoT based system going to be a utility or a service?
Dr Vikram Venkateswaran: Tricky one but I would say a service, with elements of a utility.

Ms. Manishree Bhattachar (@ManishreeBhatt1), Analyst with NASSCOM, “Do you think EHR implementation is a requisite, to go for a full bloom service+utility models for IoT devices?”

Dr Vikram Venkateswaran: I think so personally, without the full view of patient history, proactive intervention; depends on the care priorities for the Hospital.

Q3. Do you see any device, connected via any protocol and with any cloud; as the future, if yes how will that be achieved? Standards?:

Dr Vikram Venkateswaran: That is one of the biggest challenges today, EMR integration with IoT devices for example Wearables, remote pacemakers, Bionic Limbs, lenses with ability to monitor sugar levels and Blood Pressure.

Q4: In India (or your country), what are the Digital Infrastructure requirements for enabling IoT based Innovations in Healthcare?:

Dr Vikram Venkateswaran: Network connectivity and availability of LE sensors is the key, Most healthcare systems are still on paper records, Patient education is the key as well, massive change in perception is required.

Q5. How can hospitals leverage #IoT based solutions for service delivery and patient care? :
Dr Vikram Venkateswaran: Health Checks, remote health monitoring as a service, pro active intervention as a service

Q6: What are the aspects of Connected Care for the Patient Care Continuum?
Dr Vikram Venkateswaran: Interoperability and adherence of standards, increased communication, Change in perception of patients and hospitals

Q7. Please share usecases for Connected Care for: Healthy Living, Prevention, Diagnosis, Treatment, Homecare:
Dr Vikram Venkateswaran: Remote monitoring of cardiac pacemakers,  monitoring of blood glucose, Sweat analysis for athletes, Sleep monitoring for patients and athletes

Q8: What are the Healthcare based Smart City components? How can Local, State and National Government’s make #IoT solutions in healthcare economically viable?:
Dr Vikram Venkateswaran: Disease Surveillance, Leveraging weather data to predict disease patterns, Population health management

Q9: How can private hospitals justify the RoI’s of Smart Hospital Components? :
Dr Vikram Venkateswaran: Hospitals can prioritise understanding disease patterns

Q10: Give us a Buzzword we are going to be hearing regarding IoT based innovations in Healthcare.:
Dr Vikram Venkateswaran: Smart Care, Home Healthcare, Remote Health Monitoring, Home Health, Connected care, Connected Health

Q11. Tell us a 5 Year view of IoT in Healthcare and what would a Patient Experience in a Smart Hospital?:
Dr Vikram Venkateswaran: Hospitals to focus on critical care, emergencies and palliative care. Regular check ups and follow ups to be conducted leveraging IoT

Q12. Finally: What areas of IoT based innovations are you looking to partner with Startups for? Can you give us two areas?:
Dr Vikram Venkateswaran: Disease Surveillance, Home Healthcare

References

  1. Here is the original Blog Post announcing the #PhilipsChat Tweetchat : http://blog.hcitexpert.com/2017/04/philipschat-on-iot-in-healthcare.html
  2. #IoT and #AI: Potent combo redefining healthcare by M. R Srinivas Prasad @prsdsrnvs on Livemint http://www.livemint.com/Opinion/iuOHAO5UCn1qzH2q5JwJvL/IoT-and-artificial-intelligence-Potent-combO-redefining-hea.html
  3. Join the #Philipschat on Twitter #IoT in #Healthcare on Monday 10th April 2017, 3 PM – Health Care in India http://healthcare-in-india.net/healthcare-technology/join-the-philipschat-on-twitter-iot-in-healthcare-on-monday-10th-april-2017-3-pm/
  4. Curated list of Tweets from the #PhilipsChat: https://twitter.com/i/moments/852242427008233473
  5. Review the #PhilipsChat Transcript & analytics via @symplur here >> http://hcsm.io/2loNiv7
  6. #IoT & #AI – A potent combination redefining healthcare event by @PhilipsBlore moderated by @drvikram https://youtu.be/6cpeICKV9Fw

Stay tuned to the #IoT in Healthcare Blog Series Bookmark this link to follow on the insights being shared by the experts on the HCITExpert Blog:


Team @HCITExperts [Updated: 29th May 2016]
Author

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[content title=”About Dr. Vikram Venkateswaran”]

Dr. Vikram Venkateswaran

Dr Vikram Venkateswaran is a healthcare thought leader who writes and speaks about the emerging healthcare models in India and the role technology plays in them.
Connect with me

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#PhilipsChat on #IoT in Healthcare with @prsdsrnvs and @drvikram

87% of healthcare organizations will have adopted Internet of Things technology


Internet of Things (IoT) in Healthcare, or Internet of Medical Things (IoMT) are seeing an increasing adoption rate in Healthcare Organisations. In a recent study the following statistics were part of the report: [1]

1. 60% of healthcare organizations have already introduced IoT into their infrastructure 

2. In just two years, 87% of healthcare organizations will have adopted Internet of Things technology.

3. The most common area where IoT is being utilized is for patient monitoring and maintenance. 73% of surveyed healthcare executives said they used IoT in this area, while 42% said this was the main use for IoT

4. 64% of respondents said they use IoT for patient monitors, 56% use IoT for energy meters, and 33% use IoT for imaging devices.

5. 80% of healthcare executives said IoT has improved innovation

6. 76% said visibility across their organization has improved, while 73% said they have enjoyed cost savings following the introduction of IoT.

7. 57% of respondents believe workflow productivity will improve as a result of the adoption of IoT, resulting in considerable cost savings

8. 36% believe IoT will create new business models, while 27% said the use of IoT technology would improve collaboration with colleagues and patients.

And here is an #Infographic: IoT in Healthcare: Types of Opportunities, I think it will be apt to share the same with you at this time to review the market opportunity. 

The study however also highlighted the disadvantages to introducing IoT. Such as security risks, with healthcare organisations facing many cases of breaches in the past year. 


The report pointed out, 89% of healthcare organizations that have adopted IoT said they have suffered a security breach as a result, while 49% said malware was an issue.

Coming to the Tweetchat!! I am honored to be considered for hosting the tweetchat with Mr. Srinivas Prasad, CEO, Philips Innovation Campus, in India and Dr. Vikram, Founder and Editor of Healthcare India.

//platform.twitter.com/widgets.js



Mr. Srinivas Prasad (@prsdsrnvs), has over 3 decades of experience with various Technology companies. Prior to his current assignment, Prasad was Vice President-IT at FMR India, a leading US Multinational in Bangalore. He has also established and served as General Manager for the Software Architecture Division of Sony in India.

Earlier in his career Prasad worked for Alcatel Business Systems in France and Indian Telephone Industries in various capacities, leading teams in developing telecom products for the Indian and Global markets. Before his current role as CEO-PIC, he headed the Healthcare division at PIC as Sr. Director.

Prasad has an outstanding academic record and holds a Bachelor of Engineering degree in Electronics and Communication and a Masters in Business Administration.

Having a unique distinction of being a Hindu Hitachi Scholar, he has published papers at the Telecom IEEE conferences. Prasad has worked in Japan and France earlier in his career. He has been part of several national committees in India including the CII taskforce to drive Broadband adoption in India.

An ardent cricket enthusiast he has played for Karnataka state, South Zone and represented the Country earlier in his career. Read more about Prasad and his achievements at http://en.wikipedia.org/wiki/M._R._Srinivasaprasad.


Dr. Vikram Venkateswaran
(@drvikram)
Dr. Vikram Venkateswaran is a healthcare management thinker, speaker and author. He is also the founding editor of Healthcare India. He started his career as a dental surgeon running a chain of dental clinics in New Delhi. He has an MBA from IMT Ghaziabad and has worked with healthcare systems in India, US and Europe.

On April 10th, 2017 between 3 – 4pm IST, I would like to welcome all experts to share their thoughts and insights with Mr. Srinivas Prasad and Dr. Vikram  on how to leverage IoT in Healthcare.

Agenda for #PhilipsChat : #IoT for Healthcare

Q1: In the near term (1-3 years), What are the top 3 innovations in IoT that can benefit healthcare?

Q2: Is an IoT based system going to be a utility or a service?

Q3. Do you see any device, connected via any protocol and with any cloud as the future, if yes how will that be achieved? Standards?

Q4: In India, what are the Digital Infrastructure requirements for enabling IoT based Innovations in Healthcare? 

Q5. How can hospitals leverage IoT based solutions for service delivery and patient care? 

Q6: What are the aspects of Connected Care for the Patient Care Continuum (tell us about one solution each that can benefit consumers)

> Healthy Living
> Prevention
> Diagnosis
> Treatment
> Homecare


Q7: What are the Healthcare based Smart City components? How can Local, State and Indian Government’s make IoT solutions in healthcare economically viable?

Q8: How can private hospitals justify the RoI’s of Smart Hospital Components? 

Q9: Give us a Buzzword we are going to be hearing regarding IoT based innovations in Healthcare.

CT: (Closing Thoughts) Tell us a 5 Year view of IoT in Healthcare and what would a Patient Experience in a Smart Hospital?

Signoff: And everyone’s favourite question of the Tweetchat, What areas of IoT based innovations are you looking to partner with Startups for? Can you give us two areas?

To participate, just log onto your twitter account on mobile, web or tablet on 10th April Between 3-4pm, as mentioned earlier and tweet with the hashtag: #PhilipsChat 

Transcript of the #PhilipsChat

References

  1. 87pc Healthcare Organisations to Adopt Internet of Things Technology by 2019
  1. #Infographic: IoT in Healthcare, Types of Opportunities http://blog.hcitexpert.com/2016/05/infographic-iot-in-healthcare-opportunities.html
  2. The Current Status of 8 Future Technologies on Healthcare by @msharmas http://blog.hcitexpert.com/2016/09/the-current-status-of-8-future-technologies.html


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The Current Status of 8 Future Technologies on Healthcare by @msharmas

It’s mid-2016, and here is a look at the current status of 8 Future Technologies that might be having a significant impact on Healthcare


Most if not all these technologies will make an impact on Healthcare, and hence it is important to understand the various scenarios and the stories detailing how the experts from across the world are incorporating these technologies in healthcare

1 Internet of Things

By 2020, there are expected to be 50B IoT devices with a total economic impact of $3.9Trillion – $11.0Trillion across all the industries, out of which $1.6 trillion impact in the “Human” segment.

Experts have identified the various areas in Healthcare, where IoT-based solutions can be implemented in healthcare. 

  • IoT refers to any physical object embedded with technology capable of exchanging data and is pegged to create a more efficient healthcare system in terms of time, energy and cost.
  • Dr. Vikram in his article on how IoT can transform healthcare opined the benefits of remote patient monitoring in emergency cases
  • Dr. Pankaj Gupta, noted in his article for IoT-based solutions to be aggregators of healthcare data from primary, secondary and supporting care market will begin to be aggregated. It will be in the interest of Insurance, Pharma and Govt to support IoT driven Healthcare Market Aggregation
Digital Health startups are working on the following categories as showcased in The Map of Healthcare IoT

  • Clinical efficiency, 
  • clinical grade biometric sensors/ wearables, 
  • consumer home monitoring, 
  • brain sensors/ neurotechnology, 
  • fitness wearables, 
  • sleep monitoring and infant monitoring

IoT platforms need to be created to ensure the utilization of data being generated by the IoT devices deployed in healthcare. Absence of platforms to aggregate IoT device data will result in loss of meaningful and contextual insights being drawn for the patients’ conditions.
 
Here is an Infographic, by Team HCITExperts, IoT in Healthcare, Types of Opportunities

2 Augmented Reality

Pokemon Go happened and augmented reality has triggered the imaginations of the innovators to work on bringing the technology to Healthcare

By 2020, an IDC report states AR – VR revenue will hit $162Billion by offering major applications for healthcare and product design.

In a recently concluded Intel developer conference, Microsoft’s Windows chief Terry Myerson announced a partnership with the chip maker that will make all future Windows 10 PCs able to support mixed reality applications.

For instance, Live 3D imaging is one of the hottest topics in optics today, transforming medical imaging capabilities and delivering the immersive experience behind augmented and virtual reality.  

Tim Cook in a recent interview indicated Augmented Reality to be a bigger market than virtual reality.

3 Virtual Reality

With VR technology projections reaching $3.8Billion by 2020, there will be an increase in the use of VR technologies in Healthcare

Virtual reality has an increasing number of implementation opportunities in Healthcare for education, training and patient treatment.

While the cost of using VR in healthcare is still something that needs to be dealt with, partnerships like the one with Intel and Microsoft only bodes well for bringing the technology mainstream and be cost effective.

VR tech is currently being used to 

  • virtually zoom around the patient’s brain to pinpoint an aneurism before the operation. 
  • 3D virtual renderings of the patient’s anatomy lets physicians get a very real experience before operating on the patient
  • the Virtual Reality is being used to present the patient a virtual human agent that replicates a Doctor & Patient communication, where patients can get their questions answered in an environment free from judgement
  • train surgeons how to use new or unfamiliar devices
  • presenting medical images such CT-Scans and MRIs as 3D renderings for improved accuracy of diagnosis 
  • and as an alternative treatment for seniors

4 Blockchain 
Interoperability in Healthcare is a big topic for debate and a sore unsolved puzzle. With the US HHS and ONC seeking research on Blockchain for Healthcare, there seems to be growing interest in the technology. 

For instance, “By combining the blockchain with the peer-to-peer business model, this creates the potential for a near-autonomous self-regulated insurance business model for managing policy and claims. No single entity would control the network. Policyholders could “equally” control the network on a pro-rata basis” 
– Cyrus Maaghul in Why out of hospital Blockchains matter

Blockchain technology is being researched to be the super secure healthcare data aggregator of EHR data and IoT devices data

Blockchain technology is supposed to benefit healthcare 

  • in population health and clinical studies, 
  • interoperability, 
  • patient centricity, 
  • security,
  • supply chain management 
  • Merck has already announced its exploring the use of Blockchain technology for clinical trials. For instance, if a patient is enrolled for multiple clinical trials, a single blood test common to all the clinical trials needs to be done only once and can be shared across the clinical trial studies the patient has enrolled for.
  • In a recently concluded challenge, ONC in the US announced 15 winners for the use of Blockchain in Healthcare

5 Artificial Intelligence
Artificial Intelligence has been a topic of research all these years, but with the advent of the Data Age, Artificial Intelligence is fast moving mainstream and presents a viable business opportunity. 

“By 2025, AI systems could be involved in everything from population health management, to digital avatars capable of answering specific patient queries.” — Harpreet Singh Buttar, analyst at Frost & Sullivan.

In a recently published report, AI adoption by enterprises is imminent. 38% of respondents are already using AI, another 28% will adopt it by 2018. 

The AI ecosystem is projected to be worth $5.5Billion by 2020

Artificial Intelligence ecosystem consists of:

  • Deep Learning
  • Evidence Based
  • Machine Learning Systems
  • Prescriptive Analytics
  • Natural Language Generation
  • NLP/ Text Mining
  • Predictive Analytics
  • Recommendation Engines

Artificial Intelligence has already started making its way into healthcare, with 90+ AI startups getting funding to deliver solutions like; 

  • helping the oncologist define the best treatment plan specific to each patient
  • a virtual nursing assistants, to follow-up with patients post discharge
  • drug discovery platforms, for new therapies
  • Medical Imaging and diagnostics 
  • The use of AI in diagnosing diseases, patient education and reducing hospital costs
  • You can also find a great discussion on machine learning, wherein how machine learning could replace/ augment doctors via the health standards podcast with Fred Trotter.

Some of the other areas where AI is being implemented in Healthcare. Microsoft, Apple, IBM and other major players are all looking to AI help in curing people. And they are forming a group that creates the standard of ethics for the development of AI.

Finally have a look at the AI in healthcare: Category Heatmap

Source: CBINSIGHTS


6 3D Printing 
3D Printing in Healthcare is making fast inroads in many disruptive ways. The projected market size for 3D Printing in Healthcare as suggested in the IDC report:

“Global revenues for the 3D printing market are expected to reach $US35.4 Billion by 2020, more than double the %US15.9 Billion in revenues forecast for 2016.

This represents a compound annual growth rate (CAGR) of 24.1 percent over the 2015-2020 forecast period, IDC research reports that while 3D printers and materials will represent nearly half the total worldwide revenues throughout the forecast, software and related services will also experience significant growth”

Gartner expanded the number of profiles from 16 in 2014, to 37 technology and service profiles in their latest Hype Cycle for 3D Printing 

3D Printing in Healthcare is being used in the following ways: 

  • 3D Printing and Surgery. All surgical and interventional procedures with complex pathology, extensive resection and/or extensive reconstructions could benefit from this technology: Orthopedics, Cardiovascular, Otorhinolaryngology, Abdominal, Oncology and Neurosurgery.
  • A bespoke 3D Printed model of the patient’s forearm changed the standard course of a 4 hour surgery to a 30 min less evasive soft tissue procedure
  • Affordable prosthetics
  • the FDA has touted the use of 3D Printing in personalised medicine, ans has already cleared 85 medical devices and one prescription drug manufactured by 3D Printing.

Researchers are also exploring the use of 3D Printing which could come mainstream in the future such as Printing prescription drugs at home, Synthetic skin, 3D Printing and replacing body parts.

7 Drones

Last year in a conference a researcher proposed the use of Drones for delivering healthcare in much the same way Katniss receives medicine in the Hunger Games movie or for that matter in the movie Bourne Legacy, UAVs are shown to retrieve the blood samples of Jeremy Renner.

The worldwide market for drones is $6.8 billion anticipated to reach $36.9 billion by 2022

Similarly, there is an active interest in the use of drones to be monitoring traffic, to delivering pizza and products ordered online. 

In context of Healthcare, UAVs are being field tested for transporting samples and blood supplies, medical drone manufacturer Vayu is using UAVs to deliver cutting edge medical technology in Madagascar. In Rwanda, estimated 325 pregnant women per 100,000 die each year, often from postpartum hemorrhage. Many of these deaths are preventable if they receive transfusion via drone delivery in a timely manner. 

In India, Fortis hospital plans on using drones during Heart Transplants, to cut the travel time and save lives. An estimated 500, 000 are in need for organ transplants in a year in India.

Drones & UAVs are also being tested for delivering emergency medical supplies during accidents and natural disasters.

8 Robotics

Robotics in healthcare has been used for sometime now, for instance the Da Vinci surgery system is being used for a myriad of surgeries. 

Just the other day i came across an article on robots being used for some of the tasks at the reception of the hospital.

“Cloud robotics can be viewed as a convergence of information, learned processes, and intelligent motion or activities with the help of the cloud,” the report explains. “It allows to move the locus of ‘intelligence’ from onboard to a remote service.”Frost and Sullivan report on Cloud Robotics.

The overall world market for robotics in healthcare will reach $3,058m in 2015, and expand further to 2025.

The global robotics industry will expand from $34.1 billion in 2016 to $226.2 billion by 2021, representing a compound annual growth rate (CAGR) of 46%.

I was reviewing the articles on Robotics in Healthcare and came across this very comprehensive article Robots/ Robotics in Healthcare by Dr. Bernadette Keefe, MD which provides a comprehensive look at the current and future trends.

Other areas robots are being used in healthcare in addition to the above scenarios are: 

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Forrester’s Top Emerging Technologies To Watch: 2017-2021 http://bit.ly/2dmVRkZ  via @GilPress

And there you go, we look forward to you sharing your experiences and thoughts regarding these Future Technologies and share them with our community of readers. 

We appreciate you considering sharing your knowledge via The HCITExpert Blog

Suggested Reading

  1. The Future of Healthcare Is Arriving—8 Exciting Areas to Watch | Daniel Kraft, MD | Pulse | LinkedIn http://ow.ly/KrGS304kGjs
  2. Why the A.I. euphoria is doomed to fail | VentureBeat | Bots | by Evgeny Chereshnev, Kaspersky Lab http://ow.ly/CMKu304kGyU
  3. Looking Back At Today’s Healthcare In 2050The Medical Futurist http://ow.ly/4Dl6304kVZZ
  4. Incisionless robotic surgery offers cancer patients better chances of survival: StudyTech2 http://ow.ly/gpMS304l3wq 
  5. Robots/Robotics in Healthcare | Bernadette Keefe MD http://ow.ly/wRbb304lz44
  6. By 2020, 43% of IT budgets will be spent on #IoT: Jim Morrish, Machina ResearchThe Economic Times http://ow.ly/VKuT304lFi9  
  7. Forrester’s Top Emerging Technologies To Watch: 2017-2021 http://bit.ly/2dmVRkZ  via @GilPress
  8. Are killer bots about to do away with smartphone apps? – http://www.bbc.com/news/technology-37154519 
  9. Where machines could replace humans–and where they can’t (yet) | McKinsey & Company http://ow.ly/v9BY100dNn6 
  10. 2016’s hottest emerging technologies | World Economic Forum http://ow.ly/Jq2R100m4AS 
  11. The Top 10 Emerging Technologies 2016list, compiled by the Forum and published in collaboration with Scientific Americanhttp://www3.weforum.org/docs/GAC16_Top10_Emerging_Technologies_2016_report.pdf 
  12. Rwanda’s hospitals will use drones to deliver medical supplies http://money.cnn.com/2016/10/13/technology/rwanda-drone-hospital/index.html?iid=hp-toplead-intl 
  13. 4 Trends Shaping The Future Of Medical Events https://t.co/rUUUJ7oqkK #digitalhealth #hcsm https://t.co/KuPgGW4k9Z 
  14. Post-PC Tech Rules at Intel Developer Forum 2016 https://lnkd.in/fKux3Ek 
  15. House MD vs Doctor #AI- Who will turn out to be the better by @RoshiniBR http://ow.ly/elXy304mYpv

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    #Interoperability the Missing Link for #DigitalHealth Apps by @msharmas


    In India we have 204.1 million smartphone users in 2016 [ http://www.statista.com/statistics/467163/forecast-of-smartphone-users-in-india/ ], it’s only natural to find startups using the mobile as the way to acquire customers by providing mobile Health based products and services.

    While it is a great way to provide accessibility and affordability of healthcare services via mobile health solutions, it is also important to understand the need to ensure interoperability of the healthcare data being captured in these apps.

    Today we have apps for Diabetes Management, Appointments Scheduling, Continuous Monitoring, Remote monitoring, Activity monitoring linked with wearables, women and child health, cardiology, telemedicine, secure messaging apps, etc. The list in the past couple of years has really grown exponentially. And that is great, since the mobile phone has become the centerpiece device for most people.

    One aspect seems to be missing in the Go-to-Market rush,
    >>  INTEROPERABILITY !!

    It reminds me of the scenario in healthcare regarding medical devices, which traditionally were never developed for the purpose of sharing data with other systems or outside the location they were placed. It just sufficed that they were connected to the patients and displayed the readings the doctor viewed during her rounds.

    And I find the same happening with the DigitalHealth Apps.

    I have been following some of the DigitalHealth Startups that have developed apps that cater to one specialty or another, and I have come across most of these mHealth apps to be trying to build in the feature-set, i.e., to be a patient’s one stop shop for healthcare related data. In doing this they are duplicating the patient health record and there is a speciality-specific personal health record in each mHealth App (just like the medical device).

    Since, each of the mHealth apps’ provides a feature for the patient to upload and store their records, soon we will have more “silos of information” than ever before. Multiply that with the number of apps a single user might have on her phone for capturing one or the other healthcare related parameter, the problem compounds.

    The problem of solving the interoperability of patient information will continue to be an area of concern.

    Its therefore very important for the startups developing mHealth apps, to start the app development process by incorporating the Interoperability Standards in healthcare. I think this should be the first step in the app development process and in fact patients and the healthcare VCs, investors should demand the app to have the ability to generate interoperable medical records out-of-the-box. The question that one should ask before downloading and using an app should be, “Will I be able to share my medical data between apps, in a Standard and interoperable form?”

    Quality & Interoperability

    Just as there is no compromise on quality, there should be no compromise on interoperability

    Take for instance the medical devices, no one insisted on interoperability, or the cost of enabling interoperability was perhaps higher than the cost of the machine, that no one went for it. It was perhaps thought, its OK, anyways the doctor goes on her rounds she will see the information

    Similarly, today if we take a ‘share-it via app way’ out to interoperability, we will not have demanded for the “right way” of doing things, we would simply have been taking the same approach as before.

    Interoperability should be a plug’n’play option and not a separate service that the vendor chooses to provide, if paid for. It should not be a “Optional”, or paid add-on.

    Last i checked there were 100,000+ “medical apps” on the various app stores. How many of these are interoperable? If earlier we had to contend with medical devices that were not plug’n’play interoperable, today we have siloed data being created by mHealth apps.

    Solutions to the Problem

    The EHRs should have the ability to “add” apps data to the patient EHR allowing for incorporating the mHealth App Data into the patient’s longitudinal record.

    The app developers should consult doctors and capture “contextual” healthcare data of the patient. The app should have the ability to share this data via the HL7 certified, interoperable document.


    Additionally, when a mobile user deletes a mHealth app from her device, any data stored for the patient should automatically be sent to the patient’s registered email as a HL7 enabled document. Providing a summary and detailed medical record information of the patient. These should be downloadable into any EHR or another app. 

    And there you go, its fairly simple and we look forward to you sharing your experiences with our community of readers. We appreciate you considering sharing your knowledge via The HCITExpert Blog
    Team @HCITExperts [Updated: 29th May 2016]
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