Capability study: Mobile Health at NIBEC Philip Catherwood (B.Eng.(Hons), MSc, PGCFHE).
m-Health has the potential to revolutionise affordable healthcare delivery by alleviating the systemic pressures on the healthcare industry * * http://connectedplanetonline.com
Why m-health promises to be a winning solution Low network maintenance Remote monitoring in rural areas Phones are always on, computers are not Carrying a Phone/Tablet is part of a modern lifestyle Using a small portable multi-communication computing device is convenient, economical, practical and personal
m-health as a developing world solution Examples of m-health initiatives – Argentina, Botswana, China, Guatemala, India, Indonesia, Kenya, Mozambique, Nigeria, Pakistan, Peru, Philippines, Rwanda, South Africa, Tanzania, Uganda, Zambia Issues include: Dealing with epidemics and a shortage of healthcare workers Largest killer diseases - malaria and AIDS Opportunities: explosive growth of mobile communications over the past decade offers a new hope for the promotion of quality healthcare Phones offer a management platform for administration and monitoring of anti-retroviral treatment programs Foundations to address the developing worlds health crisis set up by such philanthropists as Bill Gates
m-health goals Develop patient-centered healthcare delivery Increased self-management of illness Alleviate the systemic pressures on the healthcare industry Reduced number of hospital beds occupied Remote monitoring and smart diagnosis Improved disease management Improved compliance with treatment regimes
m-health at NIBEC Path of development includes: Select the wireless technology (e.g. Bluetooth, Wi-Fi, ZigBee). For telemetry solutions, connect Bluetooth (e.g. EBWT12-A), Wi-Fi (e.g. WiFly GSX 802.11b/g), ANT Ultra Low Power Wireless (e.g. Nordic Semiconductors) and/or ZigBee (e.g. CC2530ZDK) to microcontroller evaluation board or prototype device. For stand-alone solutions, choose suitable target smartphone and install necessary memory storage to meet the needs of the activity. Develop specification for the data capture, graphical user interface, plug- in hardware and back-end network topology. Design and test software to meet the specification. Trial m-health solution based on quality of service requirements, customer specification and end-user ergonomics.
Phones We use a number of development phones; Those running Microsoft Windows Mobile for Pocket PC 2003 T-mobile MDA PH20B PocketPC HP iPAQ H5550 PocketPC Dell Axim X50 PocketPC -The above have SD slots, Bluetooth, IEEE802.11b, CPU Intel PXA263 400MHz, RAM 128MB. Those running Microsoft Windows Mobile for 6.5 Professional HTC HD2 T8585 Smartphone -The above has SD slots, Bluetooth, IEEE802.11b/g, GPS, CPU Qualcomm QSD8250 GHz, RAM 578MB.
Tablet PCs Latest developments in computing technology have allowed clinicians to have the processing power of a desktop PC in a handheld mobile device. Platform boasts Bluetooth, Wi-Fi & LAN connectivity. Next generation will include 4G networking for synchronised rural roaming.
Wi-Fi Bluetooth mobile Labview Radio module telemetry solution Wi-Fi mobile Labview Wi-Fi mobile Labview Bluetooth mobile Labview Protocol stack design TCP/IP connectivity design
Programming & GUI There are a number of ways to program phones & Tablets Windows mobile SDK (.NET using Visual C#) – professional programming activities for Windows mobile suite to generate commercial products Java mobile SDK (Java code, converted to JVM sitting on Linux kernel) – professional programming activities for Android mobile OS to generate commercial products Labview (G-programming) – rapid prototyping of concepts
Modify and test embedded software on the hardware platform (add communication protocol). Alter the LabVIEW code (serial port information and wireless technology-specific protocols). Re-configure the LabVIEW code for the implementation of National Instruments LabVIEW Mobile 2009. Execute new software on mobile device and test functional operation. Past – ECG onto portable device
Current – Smartphone/Ambulatory patient monitoring device integration
Future – Many projects planned. A small selection include: Developing world solutions (HIV testing, data collection, mobile medical centre devices, etc). Future Point of Care devices (Glucose monitoring, Asthma monitoring, etc).
Continua Certification Growing Continua Alliance membership, with a focus on mobile communication for medicine. Increased integration due to wireless medical standardisation.
Quality of Service and network integration (clinical trials) m-health solutions must provide a robust always-up service. When the wireless connection is not available, the onboard memory must record and store the vital medical data and forward it at a time when connectivity is restored. m-health solutions must be suitably flexible to be integrate with current hospital technologies.