IE497B Biomedical Device Engineering Dr. Richard A. Wysk 222 Leonhard Building Spring 2008

Agenda Provide a brief view into Biomedicine Look at economics Look at trends Look at engineering practice

STATE OF EMERGENCY

Purpose To identify the opportunities and challenges for conducting IE research in healthcare.

“Drug-resistant infections kill more Americans than AIDS and breast cancer combined.” $30 billion Cost of hospital/health care associated infections. 1.7 million Patients get health care associated infections. 100,000 Annual deaths from hospital infections. June 19, 2006

Medical Devices and Applications March 24, 2006 (Chicago) -- The number of total knee replacements performed in the U.S. will leap by 673% -- reaching 3.48 million -- by the year 2030, according to a new study presented at the 73rd annual meeting of the American Academy of Orthopaedic Surgery in Chicago. Hip replacements will increase by 174% to 572,000 by 2030, according to the new findings, which are based on historical procedure rates from 1990 to 2003, and on population projections from the U.S. Census Bureau.

Veterinary Applications Kentucky Derby winner Barbaro suffers a fractured leg and develops a serious infection after surgery with implanted plate and screws. Fractured leg Implants that spawned infection

US Demographics Americans 60 or older constituted 16.7% of the population in This is projected to grow to 23.8% in Source: UN World Population Report

U.S. Healthcare Spending is “Booming.” 78 million baby boomers started turning 60 this year Armed with more information and “healthcare activism” Ads target lifestyle conditions, driving Rx Advanced technology costs $$$ and requires engineering (MRI, stenting, etc.) (innovator’s dilemma)

What U.S. healthcare network is the benchmark for patient safety and treatment?

Business Week

Health IndicatorVA Score National Sample Overall67%51% Chronic care7259 Lung disease6959 Diabetes7047 Preventive care6444 Source: Business Week , from Rand Corp. study of treatment provided against national standards.

Test Your Healthcare Knowledge Do the ABC News quiz http://abcnews.go.com/WNT/popup?id=

Note: First response is prechecked, but not necessarily correct.

True.

Summarizing the Sobering Stats. 46 million uninsured (1 in 6 Americans) Cost of $25+ billion/yr 100,000 die from medical error each year

U.S. vs. the World Of 25 industrialized countries –U.S. spends $6,100 per capita –Others average $2,500 per capita –U.S. is 25 th in life expectancy –Healthcare is 1/6 of GNP (4x defense) –Not correlated with income ABC News. “U.S. Healthcare Could Learn From Rest of World.” Report aired 9/21/06. (The Century Foundation citing a joint US-British study).

“ Some grocery stores have better technology than our hospitals and clinics.” —Tommy Thompson, former HHS Secretary Source: Special Report on technology in healthcare, U.S. News & World Report

Engineering and Medicine

How does this work?

Summary We are at a critical state for healthcare. Good engineering and business practice is required. Complex system. –Bio, mechanical, financial –Morale, religious, …