MobiHealth - Innovative GPRS / UMTS services for healthcare www.mobihealth.org
The MobiHealth Project IST 2001-36006 Overall objective The development and trialing of new services and applications in the area of mobile health, promoting the use and deployment of GPRS and UMTS.
Challenges in healthcare We have a growing number of chronic disease patients (diabetes, cardiovascular, asthma etc) National healthcare systems face increasing costs and serious financial and budgetary problems Patients (and healthy people) become proactive, health-conscious and seek individual, personalized healthcare Mobility of people in Europe is increasing
Wouldn t it be nice... To have the same level of healthcare while continuing a normal active life, instead of being stranded at the hospital? To maintain a high quality-of-life, inspite of having a chronic disease? To have your health status monitored without having to go to a health center? To be able to give patients the most (cost) efficient therapy and support?
With Mobile Internet it can be done! Mobility Transactions Personalization Always Online Location Based Services The Internet is anonymous and global. Mobile Internet is personal and local.
The dream... GPRS UMTS
Try to make the dream come true: MobiHealth targets Development of new m-health services and methodologies for their evaluation Integration of a generic m-health Body Area Network (BAN) Validation of GPRS and UMTS networks for m- health services via large scale trials Validation of the accuracy of measurements and data capture Validation of medical, social/ethical and economic advantages of the new m-health applications
Generic wireless BAN for multiple services Patient Care Emergency Sports Clin. Research Data Handling Wireless BAN Operating System 2.5G / 3 G / 4G Data Handling
MobiHealth BAN structure
MobiHealth operational overview UMTS Wireless Health Broker & Service Provid. Public Operator BAN Doctor Hospital
Trial scenarios Monitoring of early discharged patients. Monitoring of chronic patients. (Randomized controlled) Trials. (The Netherlands, Spain, Sweden, Germany) Acute and trauma care. Monitoring of high risk patients. (Primary endpoints: hospital and emergency room admission, mortality. Secondary endpoints: patient quality of life, satisfaction and functional performance, adherance to the treatment, cost analysis, usability)
Patient management leads to significant savings EXAMPLE : Percentage of yearly treatment costs per patient for Asthma, (100= 5,000) Cost Basis for Insurers 100 Savings in Treatment Costs 30-40 New claims due to PM 5-10 Costs of PM Program 5-10 Total Costs 70-90 Net Savings for Insurers 10-30 Source: BKK, Preussen Elektra, Hannover McKinsey
Potential number of users of mobile patient management Disease Prevalence Acceptance* 10% 20% Diabetes 5.000.000 500.000 1.000.000 Stroke 1.500.000 150.000 300.000 Asthma 4.000.000 400.000 800.000 Hypertension 17.600.000 1.760.000 3.520.000 CAD 1.500.000 150.000 300.000 Total potential users 2.960.000 5.920.000 * Estimated acceptance rates for mobile disease management programs
Important issues for MobiHealth to tackle Quality of service Network related issues: hand-over, interruption/delays in transmission, data loss bandwidth problems, etc. Social acceptance Health risks (cell phone usage), economic issues, ethical issues Legal issues Accreditation of the devices and applications Protection of health related data Privacy, security and encryption of data Medical responsibilities / liability
Project timetable First wireless BAN prototype Mid November 02 BAN final release End April 03 Final release of service applications End April 03 Start of field trials Beg. May 03 Evaluation of trial results July-Sept. 03 End of project End October 03
The MobiHealth consortium Ericsson (D) GesundheitScout 24 Telia (S) University of Lulea University of Twente (NL) MST, TMSI, Compaq, Yucat Telefonica Moviles (E) Corporacia Sanitari Clinic, Universitat Pompeu Fabra Phillips Research (UK) CMG Wireless Data Solutions (NL)
Summary
Contacts Ericsson GmbH University of Twente Rainer Herzog Senior Consultant Maximilianstr. 36/RG D-80539 München Germany Tel.: +49 89 25543715 Mobile.: +49 178 534 0067 mailto: rainer.herzog@ericsson.com Prof. Dimitri Konstantas Dr. Val Jones Mr. Richard Bults CTIT APS P.O.Box 217 NL-7500 AE Enschede The Netherlands Tel.: +31 53 489 3784 / 4018 mailto: dimiti@cs.utwente.nl mailto: jones@cs.utwente.nl mailto: bults@cs.utwente.nl Project Website: www.mobihealth.org