EMPOWERING Health Transform the Care Continuum with IoT IOT Health Slam December 2 nd , 2016 Stefan Wijnen Industry Solution Manager – Worldwide health
Gartner, G00291977, Jan 2016 Gartner, Business Drivers for Healthcare Provider Information Technology Decisions, 2016, Laura Craft | Vi Shaffer | Steven Lefebure| Richard Gibson, M.D | Thomas J. Handler, M.D. | Barry Runyon, January 2016
Health th indust stry y challe llenges Needs are infinite resources are finite Growing Cyber population threats Compliance Longer life spans Chronic Medical disease burden advances T echnology Strained silos budgets
Evolu lutio ion of Health th Solutio tions Systems of Systems of Systems of Record Insight Engagement
Digital T ransformation in the Health Industry OPTIMIZE YOUR ENGAGE YOUR EMPOWER YOUR TRANSFORM CLINICAL & PATIENTS CARE TEAMS THE CARE OPERATIONAL CONTINUUM to improve to be more EFFECTIVENESS experiences & productive & by tapping intelligent by using data outcomes efficient devices analytics
FLEXIBLE INTEGRATED TRUSTWORTHY
Transfor orm m the Care Contin inuum by tapping intelligent devices Remote patient Precision Managing devices monitoring health & facilities
MONITOR patient vital signs ANALYZE data for patterns and warning signs REMOTE PATIENT MONITORING identify OPTIMAL treatment options PREVENT hospital readmissions
Azure IOT suite components needed for remote patient monitoring Devices Azure IoT Suite Components Back end systems and processes Web/ Mobile App Power BI Storage blobs DocumentDB Logic Apps IoT Hub Stream Event Hub Web Jobs Analytics Notification hubs
“If we can keep a diabetic’s blood glucose level steady, that is a huge value to the patient as well as to those who pay COLLECT patient for that patient’s care.” data on tablets or Kumar Subramaniam smartphones Care Innovations Chief Information and Technology Officer MONITOR patient activities via motion sensors REMOTE PATIENT MONITORING COLLECT billions of data points PROVIDE treatment recommendations
“We’re building a sustainable health system, not a health care system. ImagineCare is about helping people to COLLECT stay healthy and helping patients to ‘get well’ faster.” patient data via Dr. Jim Weinstein, Dartmouth-Hitchcock devices CEO & President COMPARE measurements to thresholds & generate ALERTS REMOTE PATIENT MONITORING CONTACT patient or family member feed data into MACHINE LEARNING for predictive analysis
ANALYZE patient symptoms & attributes COMPARE patient with similar patients REMOTE PATIENT PRECISION MONITORING HEALTH DETERMINE best treatment options TRACK treatment outcomes
Azure IOT suite components needed for personalized health Devices Azure IoT Suite Components Back end systems and processes Web/ Mobile App Power BI Storage blobs DocumentDB Logic Apps IoT Hub Stream Event Hub Web Jobs Analytics Notification hubs Azure ML
“This technology can help us identify patterns of stress, behavior, lifestyle, and other factors that contribute to seizure risk. That will help us deliver more effective care.” Microsoft Band Dr. Rupert Page COLLECTS data Chief Clinical Information Officer & Consultant Neurologist Poole Hospital NHS Foundation Trust patient ENTERS data via mobile portal & social media PRECISION HEALTH combined data is STORED in the cloud doctors ANALYZE data to optimize care plan
TRACK devices & supplies adjust devices to OPTIMIZE energy usage and uptime MANAGING PRECISION DEVICES & HEALTH FACILITIES MONITOR & ADJUST device health indicators set up ALERTS for preventative maintenance
“The GOJO SMARTLINK solution has not only become the global leader in hand hygiene compliance monitoring but also delivers a higher standard of care activity counter through providing better insights as well as increasing TRACKS flow of patient safety. Sometimes it’s the simplest things that traffic in healthcare can save a life.” settings Jeff Hall, VP of Business Development, GOJO Industries sensor in Purell dispenser TRACKS use MANAGING DEVICES & FACILITIES app AGGREGATES data to determine compliance REPORTS are viewed via the web or a mobile device
“We wanted to go beyond the industry standard of preventative maintenance, to offer predictive and even preemptive maintenance so we can SENSORS capture guarantee a higher uptime percentage on our data about elevator elevators.” components Andreas Schierenbeck, ThyssenKrupp Elevator CEO system extracts and VISUALIZES data from the cloud MANAGING DEVICES & FACILITIES technicians view alarms and events via DASHBOARD elevators identify likely error causes based on MACHINE LEARNING
“Our goal is to provide real -time dispensing data, so we can let distributors and manufacturers know if there may be upcoming vaccine scripts automatically shortages at specific clinics or in certain areas. ” CONFIGURE new refrigerator kiosk Alan Lowenstein, COO, Weka Health Solutions INVENTORY updates when smart fridge dispenses or accepts vaccines MANAGING DEVICES & proactive ALERTS FACILITIES notify employees if fridge temperatures change DASHBOARD shows temperature, inventory & events
“The impending health care transformation to value-based care requires connectivity of the diagnostics and the connectivity of the Use connected BD therapeutics, and tying those two together. ” Veritor device for flu DIAGNOSIS David Feygin VP of Health IT Innovation & Integration Becton Dickinson and Company “De - identify” data collected from devices MANAGING DEVICES & Send data to Cloud FACILITIES & hospital IT AUTOMATICALLY & SECURELY ALERT hospitals to increase staffing & medicine supply if flu outbreak is detected
T rusted Cloud Principles Our commitments to your organization SECURITY PRIVACY & CONTROL TRANSPARENCY COMPLIANCE We will provide you with We will explain what We will help you meet We will implement strong control over your data to we do with your data in your specific compliance security measures to help keep it private clear, plain language needs safeguard your data
Microsoft Certifications & Compliance Programs in Health PAYER PROVIDER PUBLIC HEALTH LIFE SCIENCES & SOCIAL SERVICES & PHARMACEUTICALS ISO 27001/ISO 27018 ISO 27001/ISO 27018 HIPAA BAA HIPAA BAA ISO 27001/ISO 27018 ISO 27001/ISO 27018 FedRAMP EU Model Clause HIPAA BAA HIPAA BAA EU Model Clause EU Model Clause FDA Title 21 CFR Part 11 FDA 510 (k) GXP – announcement next week Australia IRAP | UK BS1596 | Article 29 WP | Singapore MTCS
Cloud Services Security is a Shared Responsibility Managed by Customer On Premises IaaS PaaS SaaS Managed by Service Provider Microsoft You Administration Applications Microsoft cloud The You own your data Data services are built security and identities and on a foundation of of your the responsibility for Runtime trust and security. Microsoft protecting them, the Microsoft provides cloud service security of your on- Middleware you security controls is a partnership premises resources, and capabilities to between and the security of O/S help you protect your you and cloud components data and applications. Microsoft. you control Virtualization (varies by service) Servers Storage Networking
How should you determine what data lives in the cloud? Understanding the risk of unintended disclosure of data and safeguards DATA SENSITIVITY LEVELS & VOLUMES DEFINITION TECHNICAL SAFEGUARDS Level Publically available data, Suitable for public cloud 1 with no restrictions on use Aggregated and trend data sets Level Suitable for public cloud (aggregated population, weather, 2 with some security controls health trends, etc.) Suitable for public could with robust Level Shared within the government by security controls on underlying data 3 default, but rarely shared outside and redaction >10x Cost Suitable for government cloud or Level Restricted by default and shared with public cloud with robust security 4 individuals on a need-to-know basis controls Level Data that is critical to national Secure government cloud 5 and economic security or on-premises storage Disclaimer: If you have a country standard, use it; if not, consider this approach.
Use of IOT in the cloud is a progressive journey Begin with projects that fit your needs today and allow you to follow a transformational path and pace to the cloud that fits your organization. Predictive Integrated maintenance of Remote patient Personalized health personalized health medical equipment monitoring based on IOT data and precision medicine Optimization of energy consumption Medical Device OPPORTUNITIES tracking Start here Long term bets Quick wins Pursue later Connected hand sanitizers Patient tracking Specific legacy devices without decent sensor Warehouse technology optimization – supply tracking COMPLEXITY This graph is a sample. Opportunities versus complexities are unique to each organization.
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