John Sharp, Senior Manager
IoT and Personal
Connected Health
10/26/2016 Personal Connected Health Alliance
Personal Connected Health Alliance
• Division of HIMSS
• Originally focused on events
– mHealth Summit
• Now expanding to
• thought leadership
• convening stakeholders
• publishing technical guidelines
• promoting innovation and developing an evidence base
• on an international level
10/26/2016 Personal Connected Health Alliance
Defining Personal Connected Health
• Personal: unique to a specific person – different for every
individual, customized
• Connected: individual’s information flows seamlessly, with their
consent, to and from a clinician, caregiver or community
• Health: the state of a person’s physical, social and mental well-
being including but not limited to the absence or control of a
disease
10/26/2016 Personal Connected Health Alliance
State of Personal Connected Health
10/26/2016 Personal Connected Health Alliance
Consumer
Apps &
Devices
Mobile
phone
Cloud Interop
Consumerism
10/26/2016 Personal Connected Health Alliance
Consumerism and Health
• From Philips Future Health Index
10/26/2016 Personal Connected Health Alliance
Future of treatment
Connected health devices
(apps, wearables, biosensor devices) for
patients will form part of treatment plans in the
future
33%38%
27%37%
33%42%
• USA • UK
Physicians
Consumers
Diabetics
Consumer and Provider
•Seeing the same data –
displayed in ways that are
usable/actionable for each
•Participatory healthcare
•Partnership in care
10/26/2016 Personal Connected Health Alliance
Consumerism
• Dana Lewis
• Type 1 Diabetes
• Do It Yourself Artificial
Pancreas
10/26/2016 Personal Connected Health Alliance
Wearables and sensors
10/26/2016 Personal Connected Health Alliance
Wearable Market
• Fitness bands
• Smart watches
• Shoe devices and smart shoes
• Smart clothing
• Ear devices
• Headsets
• Glasses
10/26/2016 Personal Connected Health Alliance
Sensors
• Accelerometer
• Gyroscope
• Multi-touch display
• GPS
• Microphone
Can enable monitoring of
multiple actions:
• Gait and balance
• Fitness
• Timed walk
• Reaction time
• Hand dexterity
• Tone audiometry
10/26/2016 Personal Connected Health Alliance
Future Applications of Sensors
• Smartphones can be used to
identify atrial fibrillation with
existing hardware
• uses the phone's own
accelerometer and gyroscope
to check for atrial fibrillation
• http://www.news-medical.net/
• Wristband detects and alerts
for seizures
• http://news.mit.edu
10/26/2016 Personal Connected Health Alliance
New Devices
10/26/2016 Personal Connected Health Alliance
Smart Inhalers Medical smart tatoos
Robotics and
exoskeletons
medicalfuturist.com
Apps and devices
10/26/2016 Personal Connected Health Alliance
App and Device Market
10/26/2016 Personal Connected Health Alliance
• 78.5 million consumers using
home health technologies by
2020
Personal Health Dashboard
10/26/2016 Personal Connected Health Alliance Fitbit
Cloud enabled
• Data moves from the
personal health device or
app
• Through secure transmission
• To cloud storage
• For analysis and visualization
• Delivered to consumer and provider
10/26/2016 Personal Connected Health Alliance
Healthcare internet of things
10/26/2016 Personal Connected Health Alliance
Healthcare Internet of Things Categories
• Clinical efficiency
• Clinical grade biometric
sensors
• Consumer/home monitoring
• Infant monitoring
• Fitness wearables
• Advanced sports apps
• Brain sensors/
neurotechnology
• Sleep monitoring
10/26/2016 Personal Connected Health Alliance
Internet of Things (IoT)
10/26/2016 Personal Connected Health Alliance
10/26/2016 Personal Connected Health Alliance
“This caldron of innovation is
enough chaos to make many
companies
tentative about dipping their
toe in the water.”
interoperability
10/26/2016 Personal Connected Health Alliance
Interoperability,
wearables
and the EHRs
10/26/2016 Personal Connected Health Alliance
Interoperability
Personal
Health
Devices
• Personal
Health
Devices
Interface
Personal
Health
Gateway
• Services
interface
Health &
fitness
Service
• HIS
Interface
10/26/2016 Personal Connected Health Alliance
EHR
Design Guidelines
Integrating into Workflow
Data from devices,
questionnaires
Transmission Integration engine
Store in EMR
Algorithm
generates alert or
inbox to team
member
Take action
10/26/2016 Personal Connected Health Alliance
Integrating
Patient Generated Health Data
• Workflow options
• Alert about significant change in status
• Unusual reading which may indicate device malfunction
• Combination of data indicating risk for readmission
• Overall trends sent to inbox as a message
• To whom should each situation be routed?
• Medical home team member
10/26/2016 Personal Connected Health Alliance
Incentives and barriers
10/26/2016 Personal Connected Health Alliance
Provider Incentives
• Readmission penalties
• Diabetes Prevention Programs
• Accountable Care Organizations
– pay for value
• Chronic Care Management
• Comprehensive Primary Care Plus
• Care bundles – joint replacement, cardiac
10/26/2016 Personal Connected Health Alliance
Barriers to Connected Health
10/26/2016 Personal Connected Health Alliance
Behavior Change and Coaching
• Devices and apps alone cannot create real change
JAMA Internal Medicine study
• Need strategy and coaching to enable health behavior
change
• Example
– Diabetes Prevention Programs
10/26/2016 Personal Connected Health Alliance
Evidence and innovation
10/26/2016 Personal Connected Health Alliance
Evidence
10/26/2016 Personal Connected Health Alliance
propellerhealth.com
Evidence
•Text 2 Move: Diabetes Care
– Partners Healthcare
• Personalized text messages encouraged physical
activity
• Significant lowering of HbA1c levels
10/26/2016 Personal Connected Health Alliance
Evidence
• NODE Health – Network of Digital Evidence
• From the Sinai App Lab
• Newsletter includes
• Initiatives
• Publications
• Resources
10/26/2016 Personal Connected Health Alliance
Innovation – Venture Funding
10/26/2016 Personal Connected Health Alliance
2015 – 4.5 Billion
Tracking toward
$4B for 3rd year
in a row
Innovation – Venture Funding
10/26/2016 Personal Connected Health Alliance
10/26/2016 Personal Connected Health Alliance
Future of the
Internet of Things
Smart
Home
AgingLighting
Motion
sensors
Memory Loss Alarms
Climate Vital signsAppliances
State of Personal Connected Health
10/26/2016 Personal Connected Health Alliance
Consumer
Apps &
Devices
Mobile
phone
Cloud Interop
Personal Connected Health Alliance
• December 11-14, 2016
• Gaylord National | Washington, DC Area
• PCHAconference.org
10/26/2016 Personal Connected Health Alliance
Contact Me
• jsharp@pchalliance.org
• @JohnSharp
• Linkedin.com/in/johnsharp
• Recent blogs: http://www.pchaconference.org/blogs
10/26/2016 Personal Connected Health Alliance

Summit @ HIMSS- IoT and Personal Connected Health

  • 1.
    John Sharp, SeniorManager IoT and Personal Connected Health 10/26/2016 Personal Connected Health Alliance
  • 2.
    Personal Connected HealthAlliance • Division of HIMSS • Originally focused on events – mHealth Summit • Now expanding to • thought leadership • convening stakeholders • publishing technical guidelines • promoting innovation and developing an evidence base • on an international level 10/26/2016 Personal Connected Health Alliance
  • 3.
    Defining Personal ConnectedHealth • Personal: unique to a specific person – different for every individual, customized • Connected: individual’s information flows seamlessly, with their consent, to and from a clinician, caregiver or community • Health: the state of a person’s physical, social and mental well- being including but not limited to the absence or control of a disease 10/26/2016 Personal Connected Health Alliance
  • 4.
    State of PersonalConnected Health 10/26/2016 Personal Connected Health Alliance Consumer Apps & Devices Mobile phone Cloud Interop
  • 5.
  • 6.
    Consumerism and Health •From Philips Future Health Index 10/26/2016 Personal Connected Health Alliance
  • 7.
    Future of treatment Connectedhealth devices (apps, wearables, biosensor devices) for patients will form part of treatment plans in the future 33%38% 27%37% 33%42% • USA • UK Physicians Consumers Diabetics
  • 8.
    Consumer and Provider •Seeingthe same data – displayed in ways that are usable/actionable for each •Participatory healthcare •Partnership in care 10/26/2016 Personal Connected Health Alliance
  • 9.
    Consumerism • Dana Lewis •Type 1 Diabetes • Do It Yourself Artificial Pancreas 10/26/2016 Personal Connected Health Alliance
  • 10.
    Wearables and sensors 10/26/2016Personal Connected Health Alliance
  • 11.
    Wearable Market • Fitnessbands • Smart watches • Shoe devices and smart shoes • Smart clothing • Ear devices • Headsets • Glasses 10/26/2016 Personal Connected Health Alliance
  • 12.
    Sensors • Accelerometer • Gyroscope •Multi-touch display • GPS • Microphone Can enable monitoring of multiple actions: • Gait and balance • Fitness • Timed walk • Reaction time • Hand dexterity • Tone audiometry 10/26/2016 Personal Connected Health Alliance
  • 13.
    Future Applications ofSensors • Smartphones can be used to identify atrial fibrillation with existing hardware • uses the phone's own accelerometer and gyroscope to check for atrial fibrillation • http://www.news-medical.net/ • Wristband detects and alerts for seizures • http://news.mit.edu 10/26/2016 Personal Connected Health Alliance
  • 14.
    New Devices 10/26/2016 PersonalConnected Health Alliance Smart Inhalers Medical smart tatoos Robotics and exoskeletons medicalfuturist.com
  • 15.
    Apps and devices 10/26/2016Personal Connected Health Alliance
  • 16.
    App and DeviceMarket 10/26/2016 Personal Connected Health Alliance • 78.5 million consumers using home health technologies by 2020
  • 17.
    Personal Health Dashboard 10/26/2016Personal Connected Health Alliance Fitbit
  • 18.
    Cloud enabled • Datamoves from the personal health device or app • Through secure transmission • To cloud storage • For analysis and visualization • Delivered to consumer and provider 10/26/2016 Personal Connected Health Alliance
  • 19.
    Healthcare internet ofthings 10/26/2016 Personal Connected Health Alliance
  • 20.
    Healthcare Internet ofThings Categories • Clinical efficiency • Clinical grade biometric sensors • Consumer/home monitoring • Infant monitoring • Fitness wearables • Advanced sports apps • Brain sensors/ neurotechnology • Sleep monitoring 10/26/2016 Personal Connected Health Alliance
  • 21.
    Internet of Things(IoT) 10/26/2016 Personal Connected Health Alliance
  • 22.
    10/26/2016 Personal ConnectedHealth Alliance “This caldron of innovation is enough chaos to make many companies tentative about dipping their toe in the water.”
  • 23.
  • 24.
    Interoperability, wearables and the EHRs 10/26/2016Personal Connected Health Alliance
  • 25.
    Interoperability Personal Health Devices • Personal Health Devices Interface Personal Health Gateway • Services interface Health& fitness Service • HIS Interface 10/26/2016 Personal Connected Health Alliance EHR Design Guidelines
  • 26.
    Integrating into Workflow Datafrom devices, questionnaires Transmission Integration engine Store in EMR Algorithm generates alert or inbox to team member Take action 10/26/2016 Personal Connected Health Alliance
  • 27.
    Integrating Patient Generated HealthData • Workflow options • Alert about significant change in status • Unusual reading which may indicate device malfunction • Combination of data indicating risk for readmission • Overall trends sent to inbox as a message • To whom should each situation be routed? • Medical home team member 10/26/2016 Personal Connected Health Alliance
  • 28.
    Incentives and barriers 10/26/2016Personal Connected Health Alliance
  • 29.
    Provider Incentives • Readmissionpenalties • Diabetes Prevention Programs • Accountable Care Organizations – pay for value • Chronic Care Management • Comprehensive Primary Care Plus • Care bundles – joint replacement, cardiac 10/26/2016 Personal Connected Health Alliance
  • 30.
    Barriers to ConnectedHealth 10/26/2016 Personal Connected Health Alliance
  • 31.
    Behavior Change andCoaching • Devices and apps alone cannot create real change JAMA Internal Medicine study • Need strategy and coaching to enable health behavior change • Example – Diabetes Prevention Programs 10/26/2016 Personal Connected Health Alliance
  • 32.
    Evidence and innovation 10/26/2016Personal Connected Health Alliance
  • 33.
    Evidence 10/26/2016 Personal ConnectedHealth Alliance propellerhealth.com
  • 34.
    Evidence •Text 2 Move:Diabetes Care – Partners Healthcare • Personalized text messages encouraged physical activity • Significant lowering of HbA1c levels 10/26/2016 Personal Connected Health Alliance
  • 35.
    Evidence • NODE Health– Network of Digital Evidence • From the Sinai App Lab • Newsletter includes • Initiatives • Publications • Resources 10/26/2016 Personal Connected Health Alliance
  • 36.
    Innovation – VentureFunding 10/26/2016 Personal Connected Health Alliance 2015 – 4.5 Billion Tracking toward $4B for 3rd year in a row
  • 37.
    Innovation – VentureFunding 10/26/2016 Personal Connected Health Alliance
  • 38.
    10/26/2016 Personal ConnectedHealth Alliance Future of the Internet of Things Smart Home AgingLighting Motion sensors Memory Loss Alarms Climate Vital signsAppliances
  • 39.
    State of PersonalConnected Health 10/26/2016 Personal Connected Health Alliance Consumer Apps & Devices Mobile phone Cloud Interop
  • 40.
    Personal Connected HealthAlliance • December 11-14, 2016 • Gaylord National | Washington, DC Area • PCHAconference.org 10/26/2016 Personal Connected Health Alliance
  • 41.
    Contact Me • [email protected]@JohnSharp • Linkedin.com/in/johnsharp • Recent blogs: http://www.pchaconference.org/blogs 10/26/2016 Personal Connected Health Alliance