1. Pervasive Healthcare Class 4

2. Agenda 3:00-3:05 Announcement 3:05-3:15 Quiz 1 3:15-3:40 Example of Research Paper Presentation/Discussion 3:40-3:50 Questions about rubric, presentation, discussion

3. Announcements Readings posted by as soon as possible (usually be beginning of week) Research Paper Presentations –Rubric

4. Announcements Research Paper Presentation Rubric Organization –Logical sequence –Engaging beginning/middle/end –Smoothly move from one idea to the next Content Knowledge –Information correct –Can answer questions Style –Relevant information appropriate for class Delivery –Speak clearly with confidence and good eye contact Timeliness –Do not go under time

5. Announcements Research Paper Presentation Rubric for CAETE Organization Content Knowledge Style Delivery Timeliness Presentation or report you send me Only considered if you are here

6. Quiz 1 1.Discuss the benefits and challenges of one pervasive healthcare service or application (Varshney paper). 2.What are some security and privacy issues associated with pervasive healthcare services and applications (Stanford paper)?

7. Where are we? Topics in Medical Informatics Techniques for MI Research Synthesis Paper Final Project Performance Support Systems Assistive Technology Emergency Response Medical Records (HER,PHR) Information Systems & Standards Stationary Ubiquitous Interdisc. Research Ethics (IRB) Interviewing Prototyping Data Analysis Ethnography

8. Pervasive Healthcare Varshney, U., "Pervasive Healthcare," Computer, vol.36, no.12pp. 138- 140, Dec. 2003 Presented by Katie Siek

9. Healthcare costs are expensive US healthcare costs grow by 3.6% per year - exceeds more than half of the world’s countries Total Health Expenditure Per Capita for Select Countries over Time Organisation for Economic Co-operation and Development. OECD Health Data 2006, from the OECD Internet subscription database updated October 10, 2006. Copyright OECD 2006, http://www.oecd.org/health/healthdata.

10. Pervasive Technology can improve healthcare costs Decrease costs ($) Decrease workload (Wkld) Increase efficiency (Eff) Increase convenience (Con) Improve quality of service (QoS) Increase feelings of empowerment (MPwr) $WkldEffConQoSMPwr P Patient C Clinician S Staff

11. Mobile telecommunications gets information to places faster $WkldEffConQoSMPwr -+C,S+C +P Transmit critical information Decrease errors Enter information easier Share data easily P Patient C Clinician S Staff

12. Patient monitoring allows for automatic data collection $WkldEffConQoSMPwr ++/-C+C+P,C+P Collect real-time data from anywhere Avoid false positives with context-aware applications Patients can be transferred sooner Portable Telemedical Monitoring Using Wireless Sensors on the Edge of the Internet. Emil Jovanov, University of Alabama in Huntsville Electrical and Computer Engineering Dept. Huntsville, AL 35899 P Patient C Clinician S Staff

13. Patient monitoring allows for automatic data collection $WkldEffConQoSMPwr ++/-C+C+P,C+P Collect real-time data from anywhere Avoid false positives with context-aware applications Patients can be transferred sooner Portable Telemedical Monitoring Using Wireless Sensors on the Edge of the Internet. Emil Jovanov, University of Alabama in Huntsville Electrical and Computer Engineering Dept. Huntsville, AL 35899 P Patient C Clinician S Staff

14. Location-based services can help decision making for efficient care $WkldEffConQoSMPwr +/-+C +P,C?? Clinicians can locate people easier Eliminate redundant 911 calls Plan best emergency driving route Applying Wearable Sensors to Avalanche Rescue: First Experiences with a Novel Avalanche Beacon. Florian Michahelles, Peter Matter, Albrecht Schmidt and Bernt Schiele, In Computers & Graphics, Vol. 27, No. 6, 2003. P Patient C Clinician S Staff

15. Location-based services can help decision making for efficient care Clinicians can locate people easier Eliminate redundant 911 calls Plan best emergency driving route www.nextbus.com $WkldEffConQoSMPwr +/-+C +P,C?? P Patient C Clinician S Staff

16. Lifestyle incentive based care can improve general health Can help patients make better health decisions Reward instead of fat tax S. S. Intille, "Ubiquitous Computing Technology for Just-in-Time Motivation of Behavior Change (Position Paper)," in Proceedings of the UbiHealth Workshop, 2003. $WkldEffConQoSMPwr +????? P Patient C Clinician S Staff

17. Discussion: How to build an infrastructure? Or do we have it already?

18. How will clinicians benefit?

20. What rewards will we need for adoption? If patients have records; patients can change hospitals easily Doctors may have too much to evaluate based on their time Towns would need better infrastructure Patients would have to input a lot more into devices

21. Pervasive Technology can improve healthcare costs Decrease costs Decrease workload Increase efficiency Increase convenience Improve quality of service Increase feelings of empowerment Must have reward structure clearly defined for all parties

22. Discussion about presentation/rubric

23. Looking forward Week 2: Pervasive Healthcare Friday: Overview of PH; Meeting an expert Week 3: Assistive Technologies Quiz: Friday – September 12 Week 4: Qualitative Field Methods September 17 NO CLASS – Field Exercises

24. Next Week Sign up for your top three picks for class participation presentations on the wiki if you have not already done so Come to class prepared to discuss How do you find research papers? What resources do you use? Have you been to the library?

25. Ubiquitous/Pervasive Computing

27. When computers become invisible we will focus on the task instead of the computer we will seamlessly interact with many computers at once we will live in a ubiquitous world Mark Weiser, UbiComp, www.ubiq.com

28. Context Aware Computing

29. Computers can sense and react based on the environment

30. How can we apply calm technology to healthcare? WiFiSense by Milena Iossifova and Ahmi Wolf Fluid Time by Michael Kieslinger

31. How can tabs, pads, and boards improve healthcare?

32. What is the role of context-aware computing in healthcare?

33. What are the potential challenges with pervasive healthcare?