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Technology Infrastructure in Health Services

Technology Infrastructure in Health Services. April 28th, 2009. Luis Molero Castro Sales Manager for Multimedia Solutions Ericsson Spain. Setting the Scene Pain points of the healthcare sector. Costs, budget deficits rise and can’t be controlled. What keeps healthcare managers awake?.

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Technology Infrastructure in Health Services

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  1. Technology Infrastructure in Health Services April 28th, 2009 Luis Molero Castro Sales Manager for Multimedia Solutions Ericsson Spain

  2. Setting the ScenePain points of the healthcare sector Costs, budget deficits rise and can’t becontrolled What keeps healthcaremanagers awake? We are getting older, chronic diseases areon the increase Research for new drugs becomes very expensive Patientempowerment Outdated and not-integrated ICT systems e-health and m-health services can contribute to solving the challenges of the healthcare sector

  3. ServiceLayer ControlLayer ConnectivityLayer DeviceLayer Technology InfrastructureDomains for e-Health and m-Health Services Devices, Bandwidth, QoS, and User Friendly Services

  4. 1. Device LayerMore connected devices Any device that will benefit from a connection will have one Source:ABI research

  5. 1. Device LayerSensors for e-Health and m-Health Services Pulse Oximeter Pulse Oximeter and Capnograph ECG 3 Lead Sensor Weight Scale Blood Pressure Monitor ECG Chest Strap PEF Meter

  6. 2. Connectivity Layer Fixed and mobile broadband subscriptions 3500 3000 2500 2000 Subscriptions (million) 1500 1000 500 0 2009 2010 2011 2012 2013 2014 Fixed Mobile Source: Ericsson Market Outlook, April 2008 Capacity increase is required to match the forecast

  7. 2. Connectivity Layer More broadband capacity Fixed broadband FTTP (GPON & PTP) VDSL2 ADSL2+ ADSL 8 Mbps up to 24 Mbps ~20-100 Mbps 100-2 500 Mbps Mobile broadband LTE HSPA Evolution 3G/HSPA 3G 21/28/42 Mbps 3.6-7/14 Mpbs > 150 Mbps 384 kbps Speed and capacity increase

  8. 3. Control LayerBenefits of IP Multimedia Subsystem (IMS) • Quality-of-Service control • Not only Best Effort • Service Aware QoS • Standardized open interfaces • Multiple IMS service providers • Developer’s echosystem and culture of innovation • Critical mass of users • No isolated communities

  9. 3. Control LayerTraffic not Evenly Distributed Between Subscribers 4% of the subscribers – 94% of the traffic 60% 50% 40% 30% 20% 10% 0% Traffic < 1 MB 1-10 MB Subscribers 10-100 MB 1-10 GB 100 MB – 1 GB 10-100 GB 100 GB – 1 TB

  10. 3. Control LayerGeneric Architecture for m-Health Services E-Health Data Management/Processing e-Health Management Platform (Monitoring, Alerting, Updating, Dispatching) M2M Platform Wireless Module Sensors (temperature, oximetry, ECG, etc)

  11. The EMH Solution EMH Core System Patient Units GPRS/UMTS Mobile Networks - Objective Vital Values- Subjective Diary Data- Messaging Patient Feedback Loop in Real-Time 4. Service LayerEricsson Mobile Health: Mobile Monitoring and Patient Diary Ericsson Mobile Health ensures that a better quality of life is only a heartbeat away

  12. Service A Home Management Fixed Monitoring Service B AmiVital Platform Monitoring Tele Assistance Home Management Localization Service C Localization Mobile Monitoring Service D 4. Service LayerAmIVital: Technology Applied to Wellbeing • CENIT 2007 Project • Its goal is to create a global platform oriented to the improvement of independence and wellbeing of end users • Three work areas: • Platform: user frienly, context based interactive services with home integration • Communications: Bandwidth, mobility, localization • Sensor networks • Partners: • Univ. de Granada • Univ. de Málaga • Univ. Politécnica de Madrid • Univ. de Zaragoza • Asociación ITACA • Clínica Puerta de Hierro • Instituto de Salud Carlos III • Fundación Rioja Salud • Fundación CARTIF

  13. 4. Service LayerGramjyoti Project Project Description • Ericsson built India’s first HSPA-powered rural broadband network to deliver the benefits of 3G across 18 villages and 15 towns • The experience to the rural areas include: • E-education: live interactive educational classes • Telemedicine: live interactive checkups and reporting • E-governance: online government applications • Online local information: local rates of agri-products • Entertainment: live television • Video-conferencing and Surveillance • POTS: Voice delivered over FWT • Goal: to make healthcare easily accessible to any Indian in any part of the country • Partners:

  14. 4. Service LayerVehicle Monitoring & Safety Vehicle Safety Monitoring Terminal Commercial mobile Radio coverage Monitoring Center M2M PLATFORM

  15. Benefits of e-Health and m-Health (I/III) To Patients: • Peace of mind and better quality of life. • Access to anytime, anywhere quality treatment and care. • Security and comfort in acquiring immediate support. • Ability to live as normally as possible. • Assurance of treatment based on valid, authentic data. • Relevant therapy and care through continuous monitoring. To Healthcare Providers: • Reductions in treatment and management costs. • Real-time, effective patient management, monitoring and therapy. • Illness prevention through timely, accurate diagnosis. • Quality care without pressures on healthcare staff. • Increased efficiency through remote diagnosis and treatment.

  16. Benefits of e-Health and m-Health (II/III)Sweden – Patients with Foot and Leg Ulcer Replace patient travel with bit travel -> Reduction of 63 Kg CO2 /year per patient

  17. Benefits of e-Health and m-Health (III/III)CO2 Emissions per Mobile Subscriber About 20-25 Kg CO2 per year – Same as driving a car for 1 hour

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