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In-Home Health Care: research and practice

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In-Home Health Care: research and practiceTariq Samad, Ph.D.Honeywell LabsMinneapolis, [email protected] NumberOutline• Research project: NIST ATP Independent Lifestyle Assistant (ILSA)• Commercial business: Honeywell HomMed3File NumberThe VisionLois is fine.Lois is doing fine.I’ll check on her againthis afternoon.Lois is in theliving room.10:00 A.M.Time for medicineLois ate breakfastat 8:20.Mom’s havinga good day!It’s time to takeyour medicine!4File Number2003 Field Trials5File Number6File Number7File NumberSome Conclusions from Field Trials• Sensor placement concerns necessitate an experienced installer- installation and configuration of activity sensors is a significant barrier to cost-effective application• False alerts are a major problem- machine learning appears to hold promise for alleviating it• Most clients showed a reduction in missed medications while using ILSA- disliked telephone reminders; worked to avoid them• Elders more interested in an interactive system than expected- but subjects were more computer-literate than general elder population• Initial concerns about privacy were forgotten within a day or soof installation- but privacy was number one barrier to finding willing participants• Family/caregiver participation very important8File NumberOutline• Research project: NIST ATP Independent Lifestyle Assistant (ILSA)• Commercial business: Honeywell HomMed9File NumberHoneywell HomMed• Telemonitoring systems for healthcare• Over 15,000 systems currently in use; over 300,000 patients monitored—more than all other providers of home telemonitoring combined• Customers include managed care organizations, disease management organizations, hospital specialty clinics, home healthcare agencies, senior and assisted living facilities- ROI within 6 months typically• 40-67% reduction in hospitalizations and 40-65% decrease in ER visits for patients with CHF, diabetes, COPD, CAD- HomMed monitored patients versus matched nonmonitored cohort• Other benefits: patients can live in their homes, clinical personnel can make in-home visits only when required, greater nursing efficiencies10File NumberTelemonitoring Unit and Parameters• Five key parameters monitored- blood pressure- heart rate- weight- oxygen saturation- temperature• Additional medical peripheral devices can be added - glucose meter- pocket size ECG device- spirometer- peak flow meter/FEV1- PT/INR device• Plus yes/no questions- “Are you feeling any dizziness?”• 3-5 mins, once or twice a day• The Honeywell HomMed Health Monitoring System has two main components.- telemonitoring unit: in home or clinical environment; collects and transmits health status information- central station: receives data and presents it to clinical personnel for monitoring and tracking- both FDA Class II medical devices (hospital grade)11File NumberClinical Oversight• Nationwide network of selected home healthcare agencies and skilled clinicians- covers 95% of the US population- agencies undergo extensive training• Several reports and applications available at central station• Capabilities to track and trend data, record and view nursing / physician notes, generate printed or faxed reports, etc.12File Number“Health and Wellness Kiosk”• Targeted to corporations, health clubs, senior living communities, etc.• Allows multiple users to securely monitor their health in less than three minutes. • HIPAA compliant. Information sent securely over telephone lines. No user identifiers attached to data. • Local healthcare agency reviews the healthcare data and communicates any changes to pre-set levels to the individual and their physician.13File NumberConclusions• Healthcare monitoring: exciting area for research ... with the promise of societal impact in both the near and long term• Government, academe, industry cooperation required- several universities leading the charge: UC Berkeley, Penn, Carnegie Mellon, ...• Industry involvement beyond R&D labs possible- potential for pilot applications and test beds- commercial offerings can provide foundation for applications of new research• Today’s commercial systems are not highly sophisticated- innovations in business model and delivery, not principally in technology ... many opportunities for R&D• Multihorizon roadmaps and funding initiatives needed- industry should be better engaged in longer-term research- academe can help by understanding market economics and related


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