1
'
Release of ‘National Telecom M2M
Roadmap’
Smart Infrastructure: Supporting
policies and regulations’
Vigyan Bhawan, New Delhi
12th May, 2015
Rajendra Pratap Gupta
Chairman
Personal Connected Health Alliance – India
&
President & Board Member
Disease Management Association of India
© Rajendra Pratap Gupta . Email: ea2rajendragupta@gmail.com
M2M - Health
2
©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com
In Health , it is not just M2M, it is about
M2H ( Machine to Humans). And this
makes a big difference, as we are dealing
with serving and saving lives.
-Rajendra Pratap Gupta
3
©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com
4
Human Re-engineered !
© Rajendra Pratap Gupta . Email: ea2rajendragupta@gmail.com
Pic courtesy Logic PD Inc .
‘The transition from HUMAN being to ‘Hu-WAN being is now a
reality’ - Rajendra Pratap Gupta
©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com
Part Human – Part Machine
6
Artificial heart
Artificial
Pancreas
Artificial kidneys
Artificial limbs
By 2025, most of the organs could be replaced by machines ( M2M )
©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com
Future is NOW !
5
31%
Q. How important is a mobile application to manage your relationship with your
healthcare organization?
n = 1,226 (source: IDC Insights Cross Industry Consumer Experience Survey, 2014)
Patients
looking for a
mobile-enabled
relationship
Total = organizations investing in mobile apps for patients.
Correlation between providers investing in native mobile health apps and telemedicine: Pearson
Chi Square test, Asymp. Sig. (2-sided) = 0.57 %
n = 179 (source: IDC Insights Health Insights Survey, 2013/2014)
69%
Healthcare
organizations
investing in mobile
apps for patients
and telemedicine
Embedded
Accurate
Closer
Public Perception &
Usage
Reality check :
Status on ground ;
► Survey was conducted in Nov- Dec’ 2013
► Covered 12212 Households (HH)
► 58099 Individuals across 12 states
► Large number of HHs had Mobiles (80.80%),
► Only few (9.08%) had Smart Phones
► Access to Internet facilities was seen to be large
(32.59%)
©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com
Have mobile, don’t
use for healthcare
purposes,
50.92%
Follow up call on
your existing
treatment,
12.38%
Talking to your
doctor,
22.35%
Seeking
information on your
health problem,
14.35%
Have mobile, dont use
for healthcare
purposes
Follow up call on your
existing treatment
Talking to your doctor
Seeking information on
your health problem
Mobile phone usage for Healthcare :
80.80 % HHs have Mobile Phones, & 49.18 % used it for Healthcare purpose
Talking to your
doctor,
52.34%
Seeking
information on
your health
problem,
24.64%
Follow up call
on your
existing
treatment,
23.01%
Talking to your
doctor
Seeking
information on
your health
problem
Follow up call
on your existing
treatment
Smart phone Usage for Healthcare:
9.08 % HHs have smart phones, and 52.34 % used it for Healthcare
needs
Find out
complication,
8.53%
Knowing about
medicine
prescribed,
6.64%
Searching for
doctor HC facility,
6.94%
Self care,
12.88%
Do not use
internet for
healthcare,
78.14%
Other healtchare
uses,
0.20%
Find out
complication
Knowing about
medicine
prescribed
Searching for
doctor HC facility
Self care
Do not use
internet fror
healthcare
Other healtchare
uses
Internet Usage for Healthcare:
32.59 % HHs have access to Internet, & 21.86 % used it for Healthcare
World wide ….
14
► According to a report by research firm ON World, 18.2 million health and
wellness Wireless Sensor Networks (WSNs) will be shipped worldwide in
2017, generating $16.3 billion in annual revenue.
► In 2013, healthcare providers remotely monitored about 308,000 patients
worldwide
► By 2017 that number should spike to 1.8 million patients, the research
firm predicts. This growth in remote patient monitoring will save the
world's healthcare systems up to $36 billion by 2018, according to a
projection by Juniper Research[2].
► Worldwide M2M connected healthcare service revenue totaled $533
million in 2013, an increase of 15 percent from the previous year
► [1] http://mobihealthnews.com/19963/report-about-300k-patients-were-remotely-monitored-in-2012/
► [2] http://mobihealthnews.com/27638/51-digital-health-metrics-in-2013/4/
©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com
NASA
Telehealth
System
©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com
Equipments
•Stethoscope
•Temperature monitor
•Blood Pressure monitor
•ECG
•SPO2 (opt)
©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com
17
Treatment in Action
• Biometric Screening
–SpO2
–Blood Pressure
–Blood Sugar
–Spirometry
–Total Cholesterol
–ECG
–Triglyceride
–Body Composition
©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com
Over the next one decade, we will move
from hospital based care to home based
care and finally , to wearables
-Rajendra Pratap Gupta
18
The Big Shift
©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com
19
Chronic Diseases / Risks / Age Groups 2011
Diabetes 65 million
CVD 64 million
Cancer 12.7 million
Hypertension 100+ million
Obesity incidence 60 million
Tuberculosis 2.2 million
Senior Citizens 103 million
Opportunity for M2M - India
©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com
M2M Health – Standards
20
©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com
International Organisations working on standards
WHO- World Health Organisation
ISO- International Standards Organisation
ITU- International Telecommunication Union
OneM2M – It is a partnership project created by 7 SDOs, that publish
telecom standards: TTC, ARIB (Japan), ATIS, TIA (USA), TTA (Korea)
CCSA (China), ETSI (Europe), to avoid creation of competing M2M
standards and are working to create standards for the common service
layer. It has 226 members.
IEEE- Institute of Electrical and Electronics Engineers
W3C (World Wide Web Consortium) - W3C is an industry consortium
which seeks to promote standards for the evolution of the Web and
interoperability between WWW products by producing specifications and
reference software.
1/5
©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com
International Organisations working on standards
 cen - European committee for standardization
 DICOM - The Digital Imaging and Communications in Medicine
(DICOM) standard is used for the exchange of images and related
information.
 GS1 - International organization that develops and maintains standards
for supply and demand chains across multiple sectors.
 epSOS - European electronic Health (e-health) interoperability project,
co-funded by the European Commission and 47 beneficiaries. It
focuses on improving medical treatment of citizens while abroad by
providing health professionals with the necessary patient data. epSOS
identifies several means of interoperability which shall enable the use of
cross-border services
2/5
©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com
International Organisations working on standards
 IHE (Integrating the health care enterprise) - It works to ensure
that all required information for medical decisions is accurate and
available to healthcare professionals. It defines a technical
framework for the implementation of established messaging
standards to achieve specific clinical goals
 Continua - International non-profit industry organization enabling
end-to-end, plug-and-play connectivity of personal health devices,
systems and services in Personal Connected Health
 HL7 - Health Level Seven, is a standard for exchanging
information between medical applications.
3/5
©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com
Standards Incorporated in Continua
Design Guidelines : approved by ITU
Sensors
11073
PAN Transport EHRs
4/5
http://www.itu.int/net/pressoffice/press_releases/2013/75.aspx#.UrMfKdJDuAg
Personal Health Devices : Interoperability Architecture
approved by ITU
Health
Record
Network
(HRN)
Interface
Personal Device
Weight Scale
Pulse Oximeter
Independent
Living Activity
Cardio / Strength
Medication
Adherence
Glucose Meter
Pulse /
Blood Pressure
Thermometer
Physical Activity
Peak Flow
Electrocardiogram
Insulin Pump
Aggregation
Manager
Personal
Area
Network
(PAN)
Interface
Wide
Area
Network
(WAN)
Interface
Telehealth
Service
Center
Health
Records/
Networks
EHR
PHR
NHIN
HIE
WiFi, 2G, 3G &
4G
5/5
Standardization - Right timing
• Make in India / Smart Cities
• Setting up of NeHA
• About 400 million at risk or chronic
disease patients
26
©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com
Time has come to develop ‘India class
standards for the world’, rather than just
blindly implementing ‘world class
standards in India’.
-Rajendra Pratap Gupta
27
©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com
28
Thank You !
Rajendra Pratap Gupta
office.rajendra@gmail.com
©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com
29
• Views presented are personal
• Presenter is associated with healthcare organizations across USA, Europe ,
U.K. & India .
• The figures and studies are indicative & for representational purpose only.
Utmost care has been taken to quote the data. Any inadvertent error is
regretted .
• Quotes used in the presentation are coined specially for this presentation &
are copyrighted by the author & presenter. Do not use any quote without
the written consent of the author
• The presentation has used many resources and acknowledges the
contributors with appreciation and thanks . Some of the trade names /
marks (if used ) may belong to third parties , and have been quoted just for
the sake of information to the audience
• Please do not copy or reproduce in whole or part thereof, the contents of
this presentation without the written permission from the presenter .
Disclosures &
Acknowledgements
© Rajendra Pratap Gupta . Email: ea2rajendragupta@gmail.com
©Rajendra Pratap Gupta . Email: office.rajendra@gmail.com

M2M Standards - Health

  • 1.
    1 ' Release of ‘NationalTelecom M2M Roadmap’ Smart Infrastructure: Supporting policies and regulations’ Vigyan Bhawan, New Delhi 12th May, 2015 Rajendra Pratap Gupta Chairman Personal Connected Health Alliance – India & President & Board Member Disease Management Association of India © Rajendra Pratap Gupta . Email: [email protected]
  • 2.
  • 3.
    In Health ,it is not just M2M, it is about M2H ( Machine to Humans). And this makes a big difference, as we are dealing with serving and saving lives. -Rajendra Pratap Gupta 3 ©Rajendra Pratap Gupta . Email: [email protected]
  • 4.
    4 Human Re-engineered ! ©Rajendra Pratap Gupta . Email: [email protected]
  • 5.
    Pic courtesy LogicPD Inc . ‘The transition from HUMAN being to ‘Hu-WAN being is now a reality’ - Rajendra Pratap Gupta ©Rajendra Pratap Gupta . Email: [email protected]
  • 6.
    Part Human –Part Machine 6 Artificial heart Artificial Pancreas Artificial kidneys Artificial limbs By 2025, most of the organs could be replaced by machines ( M2M ) ©Rajendra Pratap Gupta . Email: [email protected]
  • 8.
    Future is NOW! 5 31% Q. How important is a mobile application to manage your relationship with your healthcare organization? n = 1,226 (source: IDC Insights Cross Industry Consumer Experience Survey, 2014) Patients looking for a mobile-enabled relationship Total = organizations investing in mobile apps for patients. Correlation between providers investing in native mobile health apps and telemedicine: Pearson Chi Square test, Asymp. Sig. (2-sided) = 0.57 % n = 179 (source: IDC Insights Health Insights Survey, 2013/2014) 69% Healthcare organizations investing in mobile apps for patients and telemedicine Embedded Accurate Closer
  • 9.
  • 10.
    Reality check : Statuson ground ; ► Survey was conducted in Nov- Dec’ 2013 ► Covered 12212 Households (HH) ► 58099 Individuals across 12 states ► Large number of HHs had Mobiles (80.80%), ► Only few (9.08%) had Smart Phones ► Access to Internet facilities was seen to be large (32.59%) ©Rajendra Pratap Gupta . Email: [email protected]
  • 11.
    Have mobile, don’t usefor healthcare purposes, 50.92% Follow up call on your existing treatment, 12.38% Talking to your doctor, 22.35% Seeking information on your health problem, 14.35% Have mobile, dont use for healthcare purposes Follow up call on your existing treatment Talking to your doctor Seeking information on your health problem Mobile phone usage for Healthcare : 80.80 % HHs have Mobile Phones, & 49.18 % used it for Healthcare purpose
  • 12.
    Talking to your doctor, 52.34% Seeking informationon your health problem, 24.64% Follow up call on your existing treatment, 23.01% Talking to your doctor Seeking information on your health problem Follow up call on your existing treatment Smart phone Usage for Healthcare: 9.08 % HHs have smart phones, and 52.34 % used it for Healthcare needs
  • 13.
    Find out complication, 8.53% Knowing about medicine prescribed, 6.64% Searchingfor doctor HC facility, 6.94% Self care, 12.88% Do not use internet for healthcare, 78.14% Other healtchare uses, 0.20% Find out complication Knowing about medicine prescribed Searching for doctor HC facility Self care Do not use internet fror healthcare Other healtchare uses Internet Usage for Healthcare: 32.59 % HHs have access to Internet, & 21.86 % used it for Healthcare
  • 14.
    World wide …. 14 ►According to a report by research firm ON World, 18.2 million health and wellness Wireless Sensor Networks (WSNs) will be shipped worldwide in 2017, generating $16.3 billion in annual revenue. ► In 2013, healthcare providers remotely monitored about 308,000 patients worldwide ► By 2017 that number should spike to 1.8 million patients, the research firm predicts. This growth in remote patient monitoring will save the world's healthcare systems up to $36 billion by 2018, according to a projection by Juniper Research[2]. ► Worldwide M2M connected healthcare service revenue totaled $533 million in 2013, an increase of 15 percent from the previous year ► [1] http://mobihealthnews.com/19963/report-about-300k-patients-were-remotely-monitored-in-2012/ ► [2] http://mobihealthnews.com/27638/51-digital-health-metrics-in-2013/4/ ©Rajendra Pratap Gupta . Email: [email protected]
  • 15.
  • 16.
    Equipments •Stethoscope •Temperature monitor •Blood Pressuremonitor •ECG •SPO2 (opt) ©Rajendra Pratap Gupta . Email: [email protected]
  • 17.
    17 Treatment in Action •Biometric Screening –SpO2 –Blood Pressure –Blood Sugar –Spirometry –Total Cholesterol –ECG –Triglyceride –Body Composition ©Rajendra Pratap Gupta . Email: [email protected]
  • 18.
    Over the nextone decade, we will move from hospital based care to home based care and finally , to wearables -Rajendra Pratap Gupta 18 The Big Shift ©Rajendra Pratap Gupta . Email: [email protected]
  • 19.
    19 Chronic Diseases /Risks / Age Groups 2011 Diabetes 65 million CVD 64 million Cancer 12.7 million Hypertension 100+ million Obesity incidence 60 million Tuberculosis 2.2 million Senior Citizens 103 million Opportunity for M2M - India ©Rajendra Pratap Gupta . Email: [email protected]
  • 20.
    M2M Health –Standards 20 ©Rajendra Pratap Gupta . Email: [email protected]
  • 21.
    International Organisations workingon standards WHO- World Health Organisation ISO- International Standards Organisation ITU- International Telecommunication Union OneM2M – It is a partnership project created by 7 SDOs, that publish telecom standards: TTC, ARIB (Japan), ATIS, TIA (USA), TTA (Korea) CCSA (China), ETSI (Europe), to avoid creation of competing M2M standards and are working to create standards for the common service layer. It has 226 members. IEEE- Institute of Electrical and Electronics Engineers W3C (World Wide Web Consortium) - W3C is an industry consortium which seeks to promote standards for the evolution of the Web and interoperability between WWW products by producing specifications and reference software. 1/5 ©Rajendra Pratap Gupta . Email: [email protected]
  • 22.
    International Organisations workingon standards  cen - European committee for standardization  DICOM - The Digital Imaging and Communications in Medicine (DICOM) standard is used for the exchange of images and related information.  GS1 - International organization that develops and maintains standards for supply and demand chains across multiple sectors.  epSOS - European electronic Health (e-health) interoperability project, co-funded by the European Commission and 47 beneficiaries. It focuses on improving medical treatment of citizens while abroad by providing health professionals with the necessary patient data. epSOS identifies several means of interoperability which shall enable the use of cross-border services 2/5 ©Rajendra Pratap Gupta . Email: [email protected]
  • 23.
    International Organisations workingon standards  IHE (Integrating the health care enterprise) - It works to ensure that all required information for medical decisions is accurate and available to healthcare professionals. It defines a technical framework for the implementation of established messaging standards to achieve specific clinical goals  Continua - International non-profit industry organization enabling end-to-end, plug-and-play connectivity of personal health devices, systems and services in Personal Connected Health  HL7 - Health Level Seven, is a standard for exchanging information between medical applications. 3/5 ©Rajendra Pratap Gupta . Email: [email protected]
  • 24.
    Standards Incorporated inContinua Design Guidelines : approved by ITU Sensors 11073 PAN Transport EHRs 4/5 http://www.itu.int/net/pressoffice/press_releases/2013/75.aspx#.UrMfKdJDuAg
  • 25.
    Personal Health Devices: Interoperability Architecture approved by ITU Health Record Network (HRN) Interface Personal Device Weight Scale Pulse Oximeter Independent Living Activity Cardio / Strength Medication Adherence Glucose Meter Pulse / Blood Pressure Thermometer Physical Activity Peak Flow Electrocardiogram Insulin Pump Aggregation Manager Personal Area Network (PAN) Interface Wide Area Network (WAN) Interface Telehealth Service Center Health Records/ Networks EHR PHR NHIN HIE WiFi, 2G, 3G & 4G 5/5
  • 26.
    Standardization - Righttiming • Make in India / Smart Cities • Setting up of NeHA • About 400 million at risk or chronic disease patients 26 ©Rajendra Pratap Gupta . Email: [email protected]
  • 27.
    Time has cometo develop ‘India class standards for the world’, rather than just blindly implementing ‘world class standards in India’. -Rajendra Pratap Gupta 27 ©Rajendra Pratap Gupta . Email: [email protected]
  • 28.
    28 Thank You ! RajendraPratap Gupta [email protected] ©Rajendra Pratap Gupta . Email: [email protected]
  • 29.
    29 • Views presentedare personal • Presenter is associated with healthcare organizations across USA, Europe , U.K. & India . • The figures and studies are indicative & for representational purpose only. Utmost care has been taken to quote the data. Any inadvertent error is regretted . • Quotes used in the presentation are coined specially for this presentation & are copyrighted by the author & presenter. Do not use any quote without the written consent of the author • The presentation has used many resources and acknowledges the contributors with appreciation and thanks . Some of the trade names / marks (if used ) may belong to third parties , and have been quoted just for the sake of information to the audience • Please do not copy or reproduce in whole or part thereof, the contents of this presentation without the written permission from the presenter . Disclosures & Acknowledgements © Rajendra Pratap Gupta . Email: [email protected] ©Rajendra Pratap Gupta . Email: [email protected]