The Continua Health Alliance Making Personal Health Data Interoperable

1
The Continua Health AllianceMaking Personal
Health Data Interoperable
Frank Wartena - Research Scientist Continua Key
Contributor
Healthcare Systems Architecture
Philips Research Europe
November 14, 2007
2
Content

• Changing Demographics
• Philips Home Healthcare Solutions
• The Continua Health Alliance
• Personal Health Records
• Conclusion

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The World Is Changing

• More than 1 billion people in the world are
  overweight, and at least 300 million of those are
  clinically obese 1. Without action, more than
  1.5 billion people are expected to be overweight
  by 2015 2.
• Over 600 million people worldwide have chronic
  diseases, and the spending on chronic diseases is
  expected to increase 3. For example, in the US
  alone, spending is expected to increase from 500
  billion a year to 685 billion by 2020.
• Globally, the number of persons 60 and older was
  600 million in 2000. It is expected to double to
  1.2 billion by 2025 4.
• 1 World Health Organization. (2003). Obesity
  and Overweight Dr. P. Puska, Dr. C. Nishida, Mr
  D. Porter.
• 2 World Health Organization. (2005) Ten Facts
  About Chronic Disease.
• 3 Scaling Mount Proteome to Bring Down Chronic
  Disease. The Pfizer Journal, Global Edition
  Volume 1I, Number 2, 2001, 4-9.
• 4 World Health Organization. (2006, February
  13). The world is fast ageing - have we noticed?

4
Healthcare Unbound1

• Health care delivery must change in the future
  as
• patient demand increases and
• resources (physicians, nurses, money) shrink or
  remain limited
• Patient-centric care care to follow the patient,
  rather than vice versa
• Healthcare Unbound is disruptive, but the right
  thing to do
• Market segments
• Chronic disease management (incl. remote patient
  monitoring)
• Post acute care (including hospital-at-home)
• Assisted daily living (or elder care)
• 34 billion market forecast 2015 for Healthcare
  Unbound
• with rapid market growth 2009 (just 2 short years
  away...)
• assuming payor adoption (reimbursement) thru
  proven value
• To date, disappointing adoption, and no tipping
  point in sight
• 1) Forrester, Dec 2002 http//www.forrester.com/E
  R/Research/Brief/Excerpt/0,1317,15452,00.html

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34 B Market for Healthcare Unbound
TechnologiesForrester Research, Who Pays for
Healthcare Unbound (2004)http//www.forrester.com
/Research/Document/Excerpt/0,7211,16524,00.html
US (billions)
You are here
ADL/elder
0.35
0.37
0.47
0.59
0.73
0.98
1.2
1.6
2.0
2.4
3.0
3.7
Chronic
0.10
0.13
0.22
0.38
0.65
1.2
3.8
12.1
23.1
26.3
25.7
26.7
Acute
0.00
0.00
0.00
0.00
0.01
0.02
0.65
2.0
3.6
3.5
3.0
3.2
Total
0.45
0.50
0.69
0.97
1.4
2.1
5.7
15.7
28.7
32.3
31.7
33.6
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Philips Home Healthcare Solutions

• Philips Healthcare Home Healthcare Solutions

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The Continua Health Alliance

• A non-profit, open industry alliance of the
  finest healthcare and technology companies in the
  world joining together in collaboration to
  improve the quality of personal healthcare
• Enabling connected personal health for the world

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Continua Health Alliance Vision and Mission
Our Vision is that through the efforts of a
collaborative industry organization, we can
enable a personal telehealth eco-system where
many diverse vendors can combine their products
into new value propositions with significant
health benefits for people worldwide.
Our Mission is fostering independence through
establishing a system of interoperable personal
telehealth solutions that empowerpeople and
organizations to better manage health and
wellness
http//www.continuaalliance.org
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Continua Application Domains
Health Fitness
Disease Management
Aging Independently

• Chronic diseases
• Remote patient monitoring (RPM)
• Medication reminders
• Trend analysis
• Email, chat

• Basic Life Monitoring as appropriate
• Vital sign monitoring
• Medication reminders
• Trend analysis
• Email, chat
• Utilize networked sensors for automated daily
  living

• Weight loss
• Fitness
• Worried well vital sign monitoring
• Personal Health Records
• Trend analysis
• Email, chat

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Personal Telehealth
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Personal Telehealth Eco-system
AGGREGATIONCOMPUTATION
CONNECTIVITY
SENSORS
SERVICES
N E T W O R K (POTS,
Cellular, BB)
Weight Scale
Cholesterol Monitor
Healthcare Provider Service
Blood-pressure
Home sensing control
PC
Glucose Meter
Disease Management Service
Thermometer
Bed / Chair Sensors
Personal Health System
Pulse Oximeter
Implant Monitors
Diet or Fitness Service
Spirometer
Cell Phone
Baby Monitors
Ethernet
Personal Health Record Service
MedicationTracking
Consumer Electronics
Pedometer
Set Top Box
Implant Monitoring Service
Fitness equipment
Aggregator
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Continua Members (147 today)
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Continua Consortium Objectives

• Interoperability Guidelines Develop design
  guidelines that will provide vendors with the
  information needed to build interoperable
  sensors, home networks, telehealth platforms, and
  health wellness services.
• Certification Logo Establish a product
  certification program with a consumer
  recognizable logo signifying the promise of
  interoperability with other certified products.
• Health Safety Regulations Collaborate with
  government regulatory agencies to provide methods
  for safely and effectively managing diverse
  vendor solutions.
• Reimbursement Work with leaders in the
  healthcare industries to develop new ways of
  addressing the costs of providing personal
  telehealth systems.

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Continua Version One Guidelines

• The Continua Version One Interoperability
  Guidelines will be completed in Q1 2008
• It addresses
• in-home connectivity between sensors and an
  application hosting device
• integration with electronic and personal health
  records
• HL7 Continuity of Care Document
• Developments have been started to work towards
  guidelines for the remaining parts of the
  eco-system

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Personal Health Records

• Patient-oriented repository of health information
• 2 models of PHRs
• Stand alone
• Tethered typically to a health plan, provider,
  employer
• The populating the PHR with data problem
• gt200 PHRs on the market
• Generations of PHRs
• 1st generation PHR as APPLICATION an online
  repository of personal health information (PHI)
• N ext generation PHR as PLATFORM a personal
  health information platform to build services on
  top

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PHR as a Platform
Source Markle Foundaton A Common Framework for
Networked Personal Health Information, 2006. See
also RWJF Project HealthDesign A New Vision for
Personal Health Records, May 2007
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Microsoft HealthVault

• Getting data in
• Manually from the user
• From the users measurement devices
• From the Hospital (Electronic Health Record)
• From partner services (gt40 partners at the
  launch)
• Building services on top
• Partners can build services on top of the
  HealthVault
• Offering a search engine specific to Health
• HealthVault Search

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Security and Privacy

• Microsoft HealthVault Privacy Statement
• Microsoft collects and uses your information to
  display content and advertising that are
  customized to your interests and preferences.
• Microsoft is committed to protecting the
  security of your personal information. We use a
  variety of security technologies and procedures
  to help protect your personal information from
  unauthorized access, use, or disclosure.

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Audit Logs

• Every action in the system is logged and easily
  accessible for the user

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HealthVault Sharing your data with others
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Searching for health information
Health-Related Content Disclaimer DO NOT RELY ON
the HealthVault Search Web site OR ANY CONTENT
ACCESSED ON OR THROUGH IT FOR MEDICAL ADVICE
CONSULT YOUR PHYSICIAN. The content on
HealthVault Search such as text, graphics,
images, information obtained from Microsofts
content providers, and other material ("Content")
and services are for informational purposes only
and are not intended to be, or serve as a
substitute for, professional medical advice,
examination, diagnosis or treatment. Always seek
the advice of your physician or other qualified
health provider with any questions you may have
regarding a medical condition. Never disregard
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it because of information you accessed on or
through any portion of the HealthVault Search Web
site.
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Conclusion

• The way Healthcare is currently delivered is not
  sustainable in a changing world. A shift in
  paradigm is needed.
• Healthcare Unbound is certainly gaining traction,
  however the market size of 34 B in 2015 might be
  too optimistic.
• Philips is changing into a Healthcare Unbound
  company.
• The Continua Health Alliance is aiming to lower
  the adoption barriers
• the lack of reimbursement and government
  policies.
• the lack of interoperability between different
  systems and devices.
• The attention from huge consumer IT companies
  like Google and Microsoft will hopefully help to
  take Healthcare Unbound to the next level.
• The issue isnt whether Healthcare Unbound
  succeeds, its when!

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Questions