Telemedicine: The way to the future for healthcare management

Transcription

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2 Telemedicine: The way to the future for healthcare management Mario El-Khoury Vice-President Systems Engineering

3 Outline Introduction CSEM contribution Perspectives Conclusion Mario El-Khoury :: 25/09/2003 :: Page 3

4 Introduction Definition of Telemedicine... the use of electronic, information and communication technologies to provide and support health care when distance separates the participants... The use of telecommunications technology to provide, enhance, or expedite health care services Mario El-Khoury :: 25/09/2003 :: Page 4

5 Introduction Applications Real emergency telemedicine Intensive care telemetry Tele-consultation Home care monitoring Mario El-Khoury :: 25/09/2003 :: Page 5

6 Introduction Drivers Aging population Demand for end-of-life care at home Weakening family links % of population aged 65+ years France Switzerland Europe Mario El-Khoury :: 25/09/2003 :: Page 6

7 Introduction Drivers Aging population Demand for end-of-life care at home Weakening family links Average length of stay, all hospitals France Switzerland Europe Shorter hospital stays thanks to medical techniques Mario El-Khoury :: 25/09/2003 :: Page 7

8 Introduction Drivers Aging population Demand for end-of-life care at home Weakening family links Total health expenditure as % of GDP Shorter hospital stays thanks to medical techniques 7 6 France Switzerland Europe Rising healthcare expenditures Mario El-Khoury :: 25/09/2003 :: Page 8

9 Introduction Need Intelligent tele-alarms and continuous monitoring of medical parameters Technological enablers at CSEM miniaturization long autonomy smart sensors and reliable diagnosis total connectivity system design Mario El-Khoury :: 25/09/2003 :: Page 9

10 CSEM contribution Intelligent tele-alarm system Objective development of an automatic and reliable fall detector Features Activity monitoring Detection rate of 95% Interactive functionality RF alarm transmission Interface with base station Mario El-Khoury :: 25/09/2003 :: Page 10

11 CSEM contribution Fully mobile tele-alarm system Objective Help social inclusion by extending services to outside Features Integration of GPS localisation module RF transceiver at MHz for local sensor units (fall detector, ECG, SpO2, ) GSM communication to transmit physiological data to public network Mario El-Khoury :: 25/09/2003 :: Page 11

12 CSEM Contribution Interactive medication dispenser Objective Assist elderly in medicines taking management and monitoring Features Programmable medication intake reminder and event data logger Medication container with locking of compartments Container identification Wireless communication with home base unit Mario El-Khoury :: 25/09/2003 :: Page 12

13 CSEM contribution Pacemaker algorithm design Objective Prediction and detection of cardiovascular events Optimal pacing strategies Features Non-invasive estimation of autonomous nervous profile using BP and HR Successful prediction of vasovagal syncope Determination of cardiac origin of epilepsy Mario El-Khoury :: 25/09/2003 :: Page 13

14 CSEM contribution Communication SoC combine sensing, signal processing, control and short-range wireless communication capabilities sensor actuator Sensor interface Actuator interface System on Chip (SoC) Signal processing RF transceiver for the monitoring and the control for home, office, clinic, factory, vehicle, metropolitan area, and the global environment Mario El-Khoury :: 25/09/2003 :: Page 14

15 CSEM contribution CSEM added value Vision of technological trends and future markets Multi-disciplinarity in house and with LETI Customized communication devices Miniaturization and development of low-power electronics Experience in sensor development and application Biomedical signal processing Wide range of sensors Communication Biomedical sensing Signal processing Low-power electronics Systems engineering and integration management Proven development experience in biomedical domain Mario El-Khoury :: 25/09/2003 :: Page 15

16 Perspectives The future Public network From portable to Wearable in everyday life Communication Gateway Texture embedded energy-source and communication network Mario El-Khoury :: 25/09/2003 :: Page 16

17 Perspectives The future From portable to Wearable in everyday life Nano devices to swallow "swallow the surgeon" Source : microtec smart pill Mario El-Khoury :: 25/09/2003 :: Page 17

18 Perspectives The future From portable to Wearable in everyday life Nano devices to swallow "swallow the surgeon" From monitoring to preventing From low-cost to ultra-low-cost Mario El-Khoury :: 25/09/2003 :: Page 18

19 Conclusion Summary By allowing elderly people to stay at home longer and convalescent patients to leave hospitals earlier Telemedicine provides potential solutions to improve quality of life and control healthcare expenditures Mario El-Khoury :: 25/09/2003 :: Page 19

20 Conclusion Evolution Forty years ago Today Tomorrow What about the human contact! Mario El-Khoury :: 25/09/2003 :: Page 20

21 T h a n k y o u f o r y o u r a t t e n t i o n.

22 Introduction Business opportunity USA industry size $40 Billion in 2000 less than 3% of national health expenditures 8 millions individuals receiving homecare annually By 2010, home health expected to reach $87 billion 160% increase over the $33.1 billion spent in 1999 Mario El-Khoury :: 25/09/2003 :: Page 22