Pervasive Healthcare

Class 4

Agenda• 3:00-3:05 Announcement

• 3:05-3:15 Quiz 1

• 3:15-3:40 Example of Research Paper Presentation/Discussion

• 3:40-3:50 Questions about rubric, presentation, discussion

Announcements

• Readings posted by as soon as possible (usually be beginning of week)

• Research Paper Presentations– Rubric

AnnouncementsResearch Paper Presentation Rubric

• Organization– Logical sequence– Engaging beginning/middle/end– Smoothly move from one idea to the next

• Content Knowledge– Information correct– Can answer questions

• Style– Relevant information appropriate for class

• Delivery– Speak clearly with confidence and good eye contact

• Timeliness– Do not go under time

AnnouncementsResearch Paper Presentation Rubric for

CAETE

• Organization

• Content Knowledge

• Style

• Delivery

• Timeliness

Presentation or report you send me

Only considered if you are here

Quiz 1

1. Discuss the benefits and challenges of one pervasive healthcare service or application (Varshney paper).

2. What are some security and privacy issues associated with pervasive healthcare services and applications (Stanford paper)?

Where are we?

Topics in Medical Informatics

Techniques for MI Research

Synthesis Paper

Final Project

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Pervasive Healthcare

Varshney, U., "Pervasive Healthcare," Computer, vol.36, no.12pp. 138- 140, Dec. 2003

Presented by Katie Siek

Healthcare costs are expensive

• US healthcare costs grow by 3.6% per year - exceeds more than half of the world’s countries

$0

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

1970 1980 1990 2003

United StatesSwitzerlandFranceCanada

Total Health Expenditure Per Capita for Select Countries over Time

Organisation for Economic Co-operation and Development. OECD Health Data 2006, from the OECD Internet subscription database updated October 10, 2006. Copyright OECD 2006, http://www.oecd.org/health/healthdata.

Pervasive Technology can improve healthcare costs

• Decrease costs ($)

• Decrease workload (Wkld)

• Increase efficiency (Eff)

• Increase convenience (Con)

• Improve quality of service (QoS)

• Increase feelings of empowerment (MPwr)

$ Wkld Eff Con QoS MPwr P PatientC ClinicianS Staff

Mobile telecommunications gets information to places faster

$ Wkld Eff Con QoS MPwr

- +C,S +C +C +P +P

• Transmit critical information

• Decrease errors

• Enter information easier

• Share data easily

P PatientC ClinicianS Staff

Patient monitoring allows for automatic data collection

$ Wkld Eff Con QoS MPwr

+ +/-C +C +P,C +P +P

• Collect real-time data from anywhere

• Avoid false positives with context-aware applications

• Patients can be transferred sooner

Portable Telemedical Monitoring Using Wireless Sensors on the Edge of the Internet. Emil Jovanov, University of Alabama in Huntsville Electrical and Computer Engineering Dept. Huntsville, AL 35899

P PatientC ClinicianS Staff

Patient monitoring allows for automatic data collection

$ Wkld Eff Con QoS MPwr

+ +/-C +C +P,C +P +P

• Collect real-time data from anywhere

• Avoid false positives with context-aware applications

• Patients can be transferred sooner

Portable Telemedical Monitoring Using Wireless Sensors on the Edge of the Internet. Emil Jovanov, University of Alabama in Huntsville Electrical and Computer Engineering Dept. Huntsville, AL 35899

P PatientC ClinicianS Staff

Location-based services can help decision making for efficient care

$ Wkld Eff Con QoS MPwr

+/- +C +C +P,C ? ?

• Clinicians can locate people easier

• Eliminate redundant 911 calls

• Plan best emergency driving route

Applying Wearable Sensors to Avalanche Rescue: First Experiences with a Novel Avalanche Beacon. Florian Michahelles, Peter Matter, Albrecht Schmidt and Bernt Schiele, In Computers & Graphics, Vol. 27, No. 6, 2003.

P PatientC ClinicianS Staff

Location-based services can help decision making for efficient care

• Clinicians can locate people easier

• Eliminate redundant 911 calls

• Plan best emergency driving route

www.nextbus.com

$ Wkld Eff Con QoS MPwr

+/- +C +C +P,C ? ?

P PatientC ClinicianS Staff

Lifestyle incentive based care can improve general health

• Can help patients make better health decisions

• Reward instead of fat tax

S. S. Intille, "Ubiquitous Computing Technology for Just-in-Time Motivation of Behavior Change (Position Paper)," in Proceedings of the UbiHealth Workshop, 2003.

$ Wkld Eff Con QoS MPwr

+ ? ? ? ? ?

P PatientC ClinicianS Staff

Discussion: How to build an infrastructure?

Or do we have it already?

How will clinicians benefit?

How will clinicians benefit?

What rewards will we need for adoption?

• If patients have records; patients can change hospitals easily

• Doctors may have too much to evaluate based on their time

• Towns would need better infrastructure

• Patients would have to input a lot more into devices

Pervasive Technology can improve healthcare costs

• Decrease costs

• Decrease workload

• Increase efficiency

• Increase convenience

• Improve quality of service

• Increase feelings of empowerment

Must have reward structure clearly defined for all parties

Discussion about presentation/rubric

Looking forward• Week 2: Pervasive Healthcare

• Friday: Overview of PH; Meeting an expert• Week 3: Assistive Technologies

• Quiz: Friday – September 12• Week 4: Qualitative Field Methods

• September 17 NO CLASS – Field Exercises

Next Week• Sign up for your top three picks for class participation

presentations on the wiki if you have not already done so• Come to class prepared to discuss

• How do you find research papers?• What resources do you use?• Have you been to the library?

Ubiquitous/Pervasive Computing

Ubiquitous/Pervasive Computing

When computers become invisible

• we will focus on the task instead of the computer

• we will seamlessly interact with many computers at once

• we will live in a ubiquitous world

Mark Weiser, UbiComp, www.ubiq.com

Context Aware Computing

Context Aware Computing

Computers can sense and react based on the environment

How can we apply calm technology to healthcare?

WiFiSense by Milena Iossifova and Ahmi Wolf

Fluid Time by Michael Kieslinger

How can tabs, pads, and boards improve healthcare?

What is the role of context-aware computing in healthcare?

What are the potential challenges with pervasive healthcare?