Posts Tagged ‘future’

The Internet of Things: Prediction

The Internet of Things

Le Web Paris (see video) explores a future of technology that connects everyday devices all the time, often described as The Internet of Things.

This story and video from Reuters and the Huffington Post form the basis of my own observations and developer recommendations as a 30-year IBM technologist, futurist and Digital Home consultant. Included at the end are four interesting infographics from Cisco, Intel, Casaleggio Associati, and Beecham Research. Read the rest of this entry »

The Smartphone Physical: Checkup of the Future?

Based almost entirely on an article by Stacy Lu, Freelance Writer and TEDMED.com Blog Editor

Imagine a comprehensive, clinically relevant well-patient checkup using only smartphone-based devices. The data is immediately readable and fully uploadable to an electronic health record. The patient understands — and even participates — in the interaction far beyond faking a cough and gulping a deep breath. For real?

Johns Hopkins medical student and Medgadgeteditor Shiv Gaglani says it is not only possible, but may in fact be the checkup of the future. Gaglani and a team of current and future physicians will do a first-of-its kind demo of a “smartphone physical” for hundreds of attendees at TEDMED 2013 on April 16 to 19 in Washington, D.C.

The checkup will capture quantitative and qualitative data, ranging from simple readings of weight and blood pressure to more complex readings such as heart rhythm strips and optic discs. Measurements and instruments will include: Read the rest of this entry »

Innovating Healthcare is Hard

 

I added this comment to Innovating Healthcare is Hard, an article on MedCrunch by Eugene Borukhovich.

Healthcare Innovation shows a stethoscope on a lightbulbDISRUPTIVE innovation is especially hard, because entrenched stakeholders stand to lose lots of money if things change. Even though there’s plenty of opportunity in healthcare innovation, resistance to real change is the biggest obstacle developers face.

Our nation wastes well over a trillion dollars each year, because we pretend to have a healthcare system but actually have an insurance-based, fee-for-service Disease Management system with perverse incentives (and a legal requirement) to maximize corporate profits for shareholders rather than serve society.

Follow the money, and you’ll see that our “system” doesn’t want you to die but doesn’t profit when you get well either, or when you are healthy and don’t need care. So, we treat symptoms and view patients as paying customers with the real objective of keeping them paying.

To implement disruptive change in this broken system, we should start with the most important stakeholder, the patient, and get them engaged in (1) managing their own health and (2) pressuring elected representatives to change policies that benefit corporations over individual citizens.

Wayne Caswell, Founder & Senior Editor, Modern Health Talk

Please browse our other articles on the Future of Healthcare and Health Reform and share your own perspectives below. You’ll see byline articles from many different perspectives (doctors, nurses, hospital administrators, public policy experts & pundents, and futurists).

Under Skin Blood Test Sends Lab Results to Phone

Under-skin Lab-on-a-Chip has 7 sensors to detect blood compoundsSwiss researchers have unveiled a prototype “lab on a chip” that is surgically implanted in the interstitial tissue just beneath the skin, where it analyzes compounds in the blood, and sends results to a phone or tablet through wireless radio connections.

How does it work? The microchip has seven chemical & molecular sensors and gets inductive power from a patch worn on top of the skin. Every 10 minutes the collected data is sent through the patch and a Bluetooth connection to a patient or doctor via smartphone or tablet.

Although the device will not be widely available for at least a few years, its potential practical applications are widespread and include:

  • Glucose monitoring in diabetics, more frequently and without a finger prick.
  • Post surgery patient monitoring
  • Facilitate predictive medicine, including a pending heart attack
  • Measure metabolism and drug absorption
  • Athletes monitoring fluids & nutrition

Video:  Read the rest of this entry »

The Future of Medicine and Virtual Assistants

Virtual Assistants help Doctors Increase ProductivityIn Will Mobile ‘Virtual Assistants’ Propel the Future of Medicine?, the author portrays mHealth and virtual assistants as time savers for practitioners, but I take a different view and commented on his article, mentioning an important new documentary (see below).

He said …

With this evolution of mobility in mind, I’ve been thinking a lot about what a mobile “virtual assistant” could mean for clinicians. In today’s health care setting, far too much clinician time is spent on administrative tasks that, while important, pales in comparison to the significance of their main job duty — ensuring the health and well-being of actual people. But what if we could help clinicians tackle administrative and other day-to-day duties by enlisting the power of a fleet of mobile virtual assistants that: help clinicians simplify interactions and address data-entry headaches with electronic health records (EHRs); provide real-time insight on the next patient, including vital signs and medications; or even prompt them for more information when the record does not contain the level of detail needed to ensure first-rate care?

(Jonathon Dryer is Director of Mobile Marketing for Nuance Communications).

Read the rest of this entry »

mHealth — What does it mean and what’s included

What is mHealth, and does the term stand for Mobile Health or Modern Health?
That’s the subject of a an online discussion started by David Doherty, moderator of a LinkedIn group interested in using mobile technologies to improve health. He started the discussion to support my view that any definition of mHealth that only includes smartphones is both limiting and arrogant. This article supports that discussion by expanding the definition of mHealth and what’s included.

Much of this article builds on an earlier article that I wrote in May 2012, where I addressed confusion among syllogisms, using the analogy that Lions & Tigers are both Animals, but not all Animals are Lions or Tigers. Likewise, there are some confusing overlaps among the terms mHealth, eHealth, Wireless Health, Telehealth, and  Modern Health. And the devices that serve these market segments overlap too, so I must discuss them collectively.

Syllogism examples in healthcare Read the rest of this entry »

Printing Your Own Medicine… and Organs

Chemist Lee Cronin is working on a 3-D printer that, instead of objects, is able to print molecules. It has exciting long-term potential: printing your own personalized medicine using chemical inks. The 3-minute TED talk below paints a fascinating view of the , but a great many issues remain. Following the video are two related TED talks with more near-term impact.

My reaction

I was amused at the comments on TED.com and had to add my own…

So will the use of illegal narcotics and abuse of prescription drugs explode? Where will we buy the “ink,” and can it be ordered online? Will the cartridges be refillable? Will we need a new constitutional amendment to ensure “the right to bear printers” or the “right to buy ink?” Who will profit from this new industry and lobby for the new laws and regulatory oversight (or lack of it)? As with any disruptive technology, there are many new questions, and there will be many incumbents fighting to preserve the status quo. Read the rest of this entry »

Not Enough Doctors for Baby Boomers

With over 10,000 baby boomers turning 65 every day, there may not be enough doctors to care for them as they age. As Seth Doane reports in this CBS News report, over the next ten years there may be 40,000 fewer doctors than needed. Will technology take up the slack? It may have to, and that’s one reason I started Modern Health Talk – to discuss those technologies.

The two-minute video is filled with lots of new statistics that I added to
our growing list about the Healthcare Problem & Opportunity.

Health Benefits of High Definition Videoconferencing

Lev Gonick discusses innovations using HD videoconferencing.

Next Generation High Definition Video Conferencing Will Provide Immediate Public Benefits

Researchers expect it to revolutionize health care delivery and STEM education

By Marlene Cimons, National Science Foundation, January 31, 2013

The patient, who sees her neurologist regularly for “memory coaching” to counter the effects of short-term memory loss, never has to leave home for her appointments. The doctor, who is 40 minutes away, never has to leave his office. They “meet” by video.

“There is nothing she needs to do, as long as the system is on,” says Lev Gonick, vice president for information technology services and chief information officer at Case Western Reserve University. “She just needs to be in the right place at the right time.”

In some ways, it’s almost better than meeting in person, since this is not just any standard video system.

Read the rest of this entry »

Does AI provide a Competitive Advantage?

Machine Learning & Artificial Intelligence

As smartphones get smarter and speech recognition apps like SIRI and Google Now learn more about you personally and start acting on your behalf, offering information or suggestions before you even think to ask, what will that learned knowledge be worth? What if the knowledge is about you personally — your health needs and medications, your personal traits and preferences and habits, what makes you happy and makes you feel good, or what makes you money? Will AI developers be able to build new barriers-to-entry and gain a significant competitive advantage by treating collected knowledge as proprietary, making it hard to justify a shift to competing products?

Read the rest of this entry »

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