1 Mobile Health Akihisa KODATE, Dr.-Eng. Visiting Associate Professor Global Information and Telecommunication Institute Waseda University, Japan Images of Hertz Handy of Vita phone, taken from Gesundheit Scout 24 Presentation: 24, October 2003 Thanks to MobiHealth, Kameda Medical Center and other UHWISG members at Waseda University for the materials provided and related discussions.
2 Evolution of Information Society!Coming of the Ubiquitous Information Society after the Mobile Information Society! Ubiquitous = anywhere, any time and for anybody! Prof. K. Sakamura (Univ. of Tokyo, YRP UNL)!Need for information management, leading to the emergence of Personal Information Services!Focus on the Health Sector in further studying the specific forms of Personal Information Services! Personal services are the most appropriate and needs are very individualized.! Growth is expected and financial constraints are of issue. 2
3 Growth per medical expenditure in relation to GDP Expenditure (%) Japan USA UK Germany France Year Source: OECD Health Data
4 Greying World : Future Prediction of the Aging of Population (Over 65 Year old) Remark. The rate of aging of population = Population of over 65 year old / Total population X 100 Source: United Nations, World Population Prospects, 200 Revision 4
5 ITU World Summit on the Information Society: Plan of Action (Document WSIS-03/GENEVA/DOC/5-e, 12 December 2003) creating a reliable, timely, high quality and affordable health care" "access to the world s medical knowledge and locallyrelevant content" "alert, monitor and control the spread of communicable diseases" "international standards for the exchange of health data" "encourage the adoption of ICT to improve and extend health care and health information systems" "medical and humanitarian assistance in disasters and emergencies" while respecting and protecting citizens right to privacy 5
6 Case 1: MobiHealth-project (Europe) Vital data monitoring via mobile handset " Funded by: the European Commission under the "Information Society Technologies" Programme " Running: in 4 countries (Germany, Netherlands, Spain, Sweden) " Initial Focus: development of generic BAN for a variety of health conditions, software & backend system to measure ECG, peak airflow, blood pressure, blood glucose, blood pressure, etc. " Current Trials Focus: 1) assess function of BAN and MobiHealth System 2) validate usability of GPRS &UMTS networks & the offered services " Trials Visited # Cardio Monitoring Trial in Duisburg, Germany # Pregnancy Trial in Enschede, the Netherlands More information available on the URL : 6
7 The MobiHealth BAN structure Image from Gesundheit Scout 24 Presentation: 24, October
8 MobiHealth : Generic BAN Wireless Health Broker & Service Provider UMTS Mobile Operator Local Display for Users BAN Bluetooth, JAVA, HTTP... Doctor Hospital Involved Players for multiple services : Patient Care, Emergency, Sports, Clinical Research Image from Gesundheit Scout 24 Presentation: 24, October
9 Factors for Success: - from the Interviews - " Besides Technical challenges: # Network support... GPRS or UMTS network service # Updating the generic BAN # Providing technical & medical support infrastructure for users. # the sensor data formats and protocols: Hope the VITAL (ISO ECG Standard) standard will be used. Not closed data format!!! # Development cost : Technically not difficult, but who will pay for the development? " Technology will not be the problem in the long-run... Within 2- years, will have a reliable system. Problem will be user-acceptance and getting someone who pays for it. 9
10 Case 2 : PLANET (Japan) Patient Centered Web-based EMR " Kameda Medical Center, Chiba, Japan " Kameda General Hospita(858 beds) Kameda Clinic(19 beds) " Staff: 1,839 persons(including 244 physicians) " IT Development started in 1977, EMR introduced in 1995, partially funded by METI, MHLW of Japan. " Totally paperless, filmless hospital. Wireless hubs added 1500 workstations. " Goal is to reduce costs of operation and set standard in Japan for EMR. " Staff not given option for paper solution. " Open records policy even to the patients. " New hospital under construction with VOD, EMR, e-commerce. 10
11 Background for the Development of Medical Information Network Systems Phase:1 Introduction of the electronic medical record Phase: Phase:3 Patient Centered Lifetime Anywhere on the Planet NETworking System Regional Medical Information Network with the telephone line based on the electronic medical record system Open and Secure Medical Information Network achieved with use of the web Phase:4 PLANET PLANET Patient Centered Medical Information Network 2002 Copyright by KAMEDA MEDICAL CENTER, All rights reserved 11
12 Mobile Health : Present Stream 1 Technical Developments, Pilots Plus (Wearable) Sensors More invasive Stream 2 Expansion of e-health Portable EMR More user Empowered Will be merged? Where will it flow? 12
13 Challenges for the Future Evolution of EMR: First to EHR and then is there a path to be EPLR(Electronic Personal Life Record)? *standards compliant Related Standards Bodies Personal Application Service Provider Personal Information Agent Personal Info Database *standards compliant DB Personal Data More Interactive Positive Loop? Info. Management Personal Info Database Ubiquitous Care Note Personal Info Database Admin. Support Log Personal Info Database Core Regional Medical Institution Visit Nursing aid Shopping Local Gov t. Offices Public facilities USER 13
Innovating care for people with multiple chronic conditions in Europe TeleRehabilitation programme, Cyprus Francesco Barbabella, Sanne Snoeijs, Sabrina Quattrini, Roberta Papa, Giovanni Lamura, Maria Gabriella
February 2012 Touching lives through mobile health Assessment of the global market opportunity 2 PwC Contents 06 Healthcare is a worldwide challenge 08 Mobile is poised to play a significant role in healthcare
Summary of Responses to an Industry RFI Regarding a Role for CMS with Personal Health Records Table of Contents EXECUTIVE SUMMARY... 4 1. INTRODUCTON... 7 2. CMS ROLE WITH PHRs... 9 What PHR functionalities
FEDERAL HEALTH IT STRATEGIC PLAN 2015 2020 Prepared by: The Office of the National Coordinator for Health Information Technology (ONC) Office of the Secretary, United States Department of Health and Human
Connecting Health and Care for the Nation A Shared Nationwide Interoperability Roadmap DRAFT Version 1.0 Table of Contents Letter from the National Coordinator... 4 Questions on the Roadmap... 6 Executive
Office of the National Coordinator for Health Information Technology (ONC) Federal Health Information Technology Strategic Plan 2011 2015 Table of Contents Introduction 3 Federal Health IT Vision and Mission
mhealth for Development The Opportunity of Mobile Technology for Healthcare in the Developing World 1 Author Vital Wave Consulting About The United Nations Foundation and Vodafone Foundation Technology
A Guide to Horizon 2020 Funding for the Creative Industries October 2014 Introduction This document is provided as a short guide to help you submit a proposal for the Horizon 2020 funding programme (H2020).
HEALTH SYSTEMS AND POLICY ANALYSIS POLICY BRIEF 13 How can telehealth help in the provision of integrated care? Karl A. Stroetmann, Lutz Kubitschke Simon Robinson, Veli Stroetmann Kevin Cullen, David McDaid
ISO Action Plan for developing countries 2011-2015 ISO the International Organization for Standardization ISO has a membership of 163* national standards bodies from countries large and small, industrialized,
FRAMEWORK FOR A SET OF E GOVERNMENT CORE INDICATORS December 2011 ESCWA Preface Globally comparative e government indicators can assist users to understand the status of e government, both nationally and
ericsson white paper 284 23-3149 Uen February 2011 more than 50 billion connected devices More than 50 billion connected devices taking connected devices to mass market and profitability Everything that
URBACT III OPERATIONAL PROGRAMME (2014-2020) CALL FOR PROPOSALS FOR THE CREATION OF 20 ACTION-PLANNING NETWORKS Open 30 March 2015 16 June 2015 1 TABLE OF CONTENT INTRODUCTION... 3 SECTION 1 - ABOUT URBACT
European Scaling-up Strategy in Active and Healthy Ageing Contents 1. Introduction... 2 The EIP on AHA... 2 Definition of scaling up... 3 2. What to scale-up... 5 Step 1 - Building a database of good practices...
An Evaluation of the Information Systems Management and Technologies in Hospitals: The Region of the Technical University of Liberec, Czech Republic (Research report of the GESITI Project) Doc. Ing. Klara
INVESTING IN HEALTH Commission Staff Working Document Social Investment Package February 2013 Health and Consumers Introduction This document complements the Commission Communication Towards Social Investment
Declaration to be the World s Most Advanced IT Nation June 14, 2013 Strategic Headquarters for the Promotion of an Advanced Information and Telecommunications Network Society Contents I. Basic Principles...
SCALING UP MOBILE HEALTH ELEMENTS NECESSARY FOR THE SUCCESSFUL SCALE UP OF mhealth IN DEVELOPING COUNTRIES WHITE PAPER COMMISSIONED BY ADVANCED DEVELOPMENT FOR AFRICA Prepared by Actevis Consulting Group
BRUEGEL WORKING PAPER 2014/14 AGING AND THE GOVERNANCE OF THE HEALTHCARE SYSTEM IN JAPAN YUKIHIRO MATSUYAMA Highlights Japan is the most rapidly aging country in the world. This is evidence that the social
Deze scriptie is aangemeld voor de Scriptieprijs Online Hulp 2011. Een overzicht van alle scripties over hulpverlening via internet is te vinden op http://www.e-hulp.nl/scriptieprijs. Wij wensen u veel
Achieving full participation through Universal Design Achieving full participation through Universal Design Report drawn up by Mr Søren Ginnerup, Consultant In co-operation with the Committee of Experts
The Way Forward: Strategic clinical networks The Way Forward Strategic clinical networks First published: 26 July 2012 Prepared by NHS Commissioning Board, a special health authority Contents Foreword...
CompuGroup Medical AG Annual Report 2013 Our vision CompuGroup Medical stands for the best possible healthcare. Our vision is the best support for healthcare through intelligent IT. We facilitate diagnosis
G20 PLAN TO FACILITATE REMITTANCE FLOWS G20 plan to facilitate remittance flows 2 G20 plan to facilitate remittance flows INTRODUCTION The Group of Twenty (G20) recognises the value of remittance flows
National Housing Strategy for People with a Disability 2011-2016 Department of the Environment, Community & Local Government October 2011 Contents Foreword 4 Executive Summary 7 Chapter 1: Introduction