Disclosures HOW WEARABLE TECHNOLOGY AND TELEMEDICINE WILL CHANGE YOUR PRACTICE. Learning Objectives. Are you prepared. Why the growth?

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1 Disclosures HOW WEARABLE TECHNOLOGY AND TELEMEDICINE WILL CHANGE YOUR PRACTICE I wish I had some! Renee P. McLeod PhD, APRN, CPNP, FAANP Dean, College of Nursing United States University [email protected] Learning Objectives Upon Completion of this session the participant will be able to: 1. Discuss the wearable wireless medical device revolution 2. Provide 2 examples of applications of these devices as they apply to a pediatric practice in both the ambulatory or in-patient setting. 3. Discuss how telemedicine may impact their practice. Are you prepared To deal with a continuous flow of data from your patients 24 hours a day in real time? To understand how to manage devices that are using predictive algorithms? To have clothes that are sending information about you out to others? The growth of wearable technology ABI Research has projected that by 2016 wearable wireless medical device sales will reach more than 100 million devices annually and to exceed $ 2.9 billion in sales. The market for wearable sports and fitnessrelated monitoring devices is projected to grow as well, reaching 80 million device sales by Why the growth? There is increasing clinical evidence of the value of continuous physiological data in managing chronic diseases and monitoring patients' post hospitalization, as a result, a growing number of medical devices are becoming wearable, including glucose monitors, ECG monitors, pulse oximeters, and blood pressure monitors." 1

2 Metria wearable sensor Shift to prevention BODYTEL PRODUCTS Better access for patients with chronic illnessesor who are not able to travel easily Alert s in real time for the provider so intervention can be immediat Improved patient outcomes Options for family members at a distance to follow medical issues DANFOSS POLYPOWER A/S Innovative strechsensors have many applications for the inpatient setting Excellent application for sports industries Highly accurate 2

3 IMEC S WEARABLE EEG HEADSET AND PATCH MOTICON INTEGRATED INSOLE NUUBO WIRELESS AND REMOTE CARDIAC MONITORING Many applications for rehabilitation, sports medicine, and training analysis Easy to use Does not require special training TMG-BMC MUSCLE FATIGUE MONITOR PREVENTICE BODYGUARDIAN REMOTE 3

4 WEARABLE TECHNOLOGY: A NEW LAYER OF SECURITY? Technology in clothing or on an ID badge will play a big role in security, surveillance, and disaster-relief operations in the future ID badges are available to keep track of military or first responders by transmitting location and identifying information to a central database "Wearables will be the single most controversial technology in the next decade." After all, wearables integrate technology with the one thing most of us never leave home without: clothing What about ethics and privacy? Are we prepared as a society to have our data out there for anyone to access? These are questions that are just now being asked in a world of Google (that just turned in a child pornographer), Facebook and Instagram DEVICES IN USE NOW FOR THE INPATIENT SETTING SAVE TIME, MONEY AND PROVIDE BETTER PATIENT OUTCOMES INTELLIVUE MX40 DEVICES FOR USE BY THE PUBLIC NOW 4

5 NUMERA HANDS FREE DEVICE BIOHARNESS BT DISPOSABLE BODY MOTION PATCH The patch, which is worn on the back of the left tricep, can remain in place for up to seven days, including while showering. Future applications are expected to include corporate wellness programs, remote elder care and safety, and monitoring of vital signs for a variety of health conditions. WHAT OTHER USES CAN YOU IMAGINE FOR THESE PRODUCTS FOR A PEDIATRIC POPULATION? ZOLL LIFE VEST WEARABLE DEFIBRILLATOR 5

6 THE RAPIDLY DEVELOPING MARKET FOR WEARABLE DEVICES FOR THE CONSUMER: HOW WILL THEY BE ADAPTED FOR CLINICAL USE? SENSORIA FITNESS SOCKS COST $ TRACK YOUR VITAL SIGNS THROUGH YOUR FEET RECORD PODIATRIC DATA AND OVER TIME LEARN THE CADENCE, FOOT-LANDING HABITS AND WEIGHT DISTRIBUTION OF THEIR OWNER MONEUAL SMART WRISTBAND AND BABY MONITOR This device vibrates and flashes when your baby cries. Developed for hearing impaired parents, but certainly has uses for hearing parents who want only one parent to wake up at night! REST MIRNO MONITOR BASIS BI WRIST BAND NIKE FUELBAND MEASURES HEART RATE MOVEMENT BODY TEMPERATURE AMBIENT TEMPERATURE SWEAT OUTPUT MEASURES TIME CALORIES STEPS NIKEFUEL BASED ON OXYGEN KINETICS 6

7 Fitbit ultra VOYCE: SOMETHING EVEN FOR YOUR DOG This is a high tech dog collar that can track Fido s vital signs and chart how active your pet is while you are away Data will sync with your computer or tablet OTHER DEVICES IN DEVELOPMENT Smart contact lenses that measure pressure of the eye in glaucoma patients Wetsuit sensor can detect ocean contamination or explosives Temporary tattoo-like sensor measures muscle fatigue during a workout A medication and symptom tracking sensor receives information sent from an ingestible pill which records data when patient takes a med. TELEMEDICINE: KAISER, RITEAID, CVS ARE ALL DOING IT! NURSES ARE LEADING THE WAY! TELEMEDICINE REGULATIONS States are starting to define: Telehealth Asynchronous store and forward Distant Site Health care provider Originating site Synchronous interaction HOW WILL THIS EFFECT YOUR ABILITY TO PRACTICE IN THIS ENVIRONMENT? What about your license? What do you need to tell patients? What needs to be in the patient s chart? What is our obligation to the children in our practice? The parents? Advantages and Disadvantages? 7

8 Questions? So are you prepared for how wearable technology is going to change healhcare delivery? How do you think it is going to change? Dr. Renee P. McLeod, PhD, APRN, CPNP, FAANP Dean, College of Nursing X 2036 [email protected] REFERENCES Bresnick, J. (2014) Mayo uses ehealth to reduce cardiac readmissions by 40%. HER Intelligence, April. Milenkovic, A. & Otto, C. (2006). Wireless sensor networks for personal health monitoring: Issues and Implementation. Computer Communications, 29, Mottl, J. (2014). Mobile video pilot aims to reduce ambulance, hospital admissions costs. FierceHealthcare, March. Roebuck et al, (2011). Medication Adherence Leads to Lower Health Care Use and Costs Despite Increased Drug Spending. Health Affairs, January. The $300 billion elephant: Strategies for addressing patient nonadherence. Decision Resources, November,