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THE MANY FACES 
OF 
IoT 
IN HEALTHCARE 
INTERNET 
OF 
THINGS
Machine to Machine 
(M2M) 
Hi, I’m... 
IoT 
Embedded 
Internet 
Web of 
Things 
A subset of IoT 
IPv6 may be adopted 
Machine-Type Communication 
(MTC) 
Internet of 
Things 
but my friends call me... 
but non-IP 
protocols 
are also 
used 
Intranet of 
Things 
Claro Partners 
Smart... 
SmartEnergy, SmartCity, 
SmartGrid, etc. 
Internet of 
Everything 
Cisco 
IoT evolving into WoT 
with integration 
into the 
Web 
Application layer 
using standard web 
protocols 
Industrial 
Internet 
GE... 
Replacement for 
SCADA & 
Telemetry 
...also Industrial 
Internet Consortium 
and others 
Industrial 
Internet of Things 
(IIoT) 
Includes people, computers 
and data 
Connected devices but 
within proprietary platforms 
Vehicle to... 
...Vehicle (V2V), ...Infrastructure (V2I), 
...Anything (V2x) 
Ubiquitous 
Things that think computing
Almost ‘anything’ 
—including ‘living things’— 
connected to the internet 
regardless of location or other 
physical restrictions. 
Source: Gareth Baxendale, Head of Technology Services at the NIHR Clinical Research Network, WiFi enabled cows and the Internet of Things
Monitor 
Analyse 
Process, analyse and 
communicate data 
Trigger Alert 
Action 
Collect and 
record data 
Required action taken 
by device or human 
The Internet of Things is 
process driven
Today, there are already more things 
connected to the internet than people 
26 billion 
50 billion 
75 billion 
200 billion 
Number of devices predicted to be connected to the internet by 2020 
The human brain has 86 billion neurons 
Flaming Lotus Girls Neuron by Ann Larie Valentine on Flickr https://flic.kr/p/75SmyS 
Cisco 
Morgan Stanley 
Intel 
Gartner
What does this 
look like in 
healthcare 
?
Source: The Internet of Things Architecture, IoT-A
Higher quality delivery 
Both little data... 
What can IoT do for healthcare? 
Ability to react with speed 
...and big data 
Ability to act at scale 
Can affect whole communities and cities
Broader 
model of 
healthcare 
Prevention & Wellness 
IoT has a far reaching 
impact across all 
determinants 
of health 
Figure Source: Dahlgren, G. & Whitehead, M. (1991) The main determinants of health in Policies and strategies to promote social equity in health: Background document to WHO—Strategy paper for Europe
Being able to monitor and support a person 
free from ‘physical constraints’ 
will change the way doctors deal with patients. 
Source: Gareth Baxendale, Head of Technology Services at the NIHR Clinical Research Network, WiFi enabled cows and the Internet of Things
30.3% 69.7% 
Percentage of IoT devices 
found in healthcare 
Percentage of IoT devices 
found elsewhere* 
* Business/Manufacturing, Retail, Security, Transportation 
The predicted global 
worth of IoT in healthcare 
in 2025 
$2.5 
trillion 
Deployment of the Industrial Internet can help to drive 
down costs from clinical and operations inefficiencies by 
roughly 25% or about $100 billion per year 
Sources: Intel, A guide to the Internet of Things & General Electric Company (2012) Industrial Internet: Pushing the boundaries of minds and machines
But is this just a 
utopian vision? 
Image: © 2014 Debbie Stocker
“Have I taken my medication?” 
Day 304: New Meds by kizzzbeth on Flickr https://flic.kr/p/bCBGFk Inyección de insulina by Sari Dennise on Flick https://flic.kr/p/7LNKnN; Lifeblood by Andrew Butitta on Flickr https://flic.kr/p/6g5zCD; Pills by David K on 
Flickr https://flic.kr/p/5Ya3x; By Alex on Flickr https://flic.kr/p/84G5UR; Pudge with his inhaler by Thomas Widmann on Flickr https://flic.kr/p/NiwcR
Available to buy or in development today... 
ELECTRONIC 
PILL DISPENSERS 
Designed to remind 
individuals to take 
their medication at the 
right time and to ease 
the burden of 
complex medication 
regimens, electronic 
pill dispensers such as 
my uBox and 
MedMinder alert both 
the patient and their 
caregivers. 
SMART 
WATCHES 
Already designed to 
act as a health and 
fitness companion 
with all the 
capabilities of a 
fitness tracker, smart 
watches (such as 
Apple Watch) have 
the potential to 
integrate with 
multiple 
technologies, 
including those 
described here. 
ELECTRONIC 
BOTTLES, CAPS 
AND POUCHES 
Wireless smart pill 
bottles, such as 
Adheretech, measure the 
volume of tablets or 
liquid left in a bottle, 
while GlowCaps use light 
and sound to signal 
when it’s time to take 
your medication. Inhaler 
attachments, such as 
GeckoCap and 
Asthmapolis, monitor 
where and when an 
inhaler is used. 
‘PHARMACY ON A 
CHIP’ 
Currently undergoing 
clinical trials, microchips 
drug delivery 
technologies administer 
controlled doses of a 
drug at precisely the 
right time via a microchip 
inserted on the waist. 
Still in its infancy, the 
technology holds 
promise for improved 
patient adherence 
managed remotely. 
BIOMONITORING 
DRUGS 
Ingestible sensors as 
small as a grain of sand 
exist today. Helius by 
Proteus Digital Health is 
a digital health feedback 
system. Embedded in a 
tablet, sensors 
communicate with a 
patch worn on the 
stomach. This then relays 
information to your 
phone, and further to 
your support network 
and care providers.
“I want to track my own health and that of loved ones.” 
Pregnancy by Titiana Vdb on Flickr: https://flic.kr/p/e4nLge Image by Darran Baldwin: https://flic.kr/p/fff9ut 
Runner by Stuart Grout on Flickr: https://flic.kr/p/9HXRiX Bathroom scale by Magnus D on Flickr: https://flic.kr/p/8oDVuo
Available to buy or in development today... 
FITNESS 
Designed to provide 
insights into our own 
health and motivate us 
to increasing levels of 
fitness, many of us are 
no doubt familiar with 
wearables that track 
our activity, such as 
the Jawbone UP, Fitbit, 
or more recently, 
Misfit Wearables’ 
Shine. LG and Intel 
also both produce 
smart ear buds that 
monitor your pulse. 
HOME 
MONITORING 
Home monitoring 
matters to both 
families and care 
providers alike as it 
enables 
independence. 
Systems such as 
Sensormind, 
Sonamba, Numera 
Libris and Libris+ 
use sensors to 
detect activity, 
analyse behaviour 
and automatically 
detect problems. 
WELLBEING 
Psychological wellbeing is 
vitally important and IoT 
can help. From wearables 
focused on breath 
patterns and fitness, such 
as Spire and Lumafit, to 
stress mapping bicycle 
helmets, such as 
MindRider. Or what 
about Olive, an intelligent 
bracelet that monitors 
heart rate, skin 
conductance, ambient 
light, motion and skin 
temperature? 
FAMILY 
IoT knows few bounds 
when it comes to 
supporting our loved 
ones. From the virtually 
invisible electronics of 
MC10 (above) to Pixie 
Briefs smart nappies, 
which analyse urine, 
check hydration levels 
and identify signs of UTIs. 
Kolibree is a connected 
and gamified electric 
toothbrush, while other 
wearables help keep 
track of your pregnancy. 
CLINICAL 
SUPPORT 
AliveCor is a heart 
monitor that attaches to 
your smart phone and is 
capable of recording 
ECGs. Physicians can use 
the technology to detect 
arrhythmic cardiac 
disease, irregular 
heartbeat or abnormal 
heart rhythm. AliveCor 
ECGs can also be 
automaticallly uploaded 
into select Electronic 
Health Records (EHR).
“Can we get to the scene of an emergency faster?” 
DSC08469 by perthhdproductions on Flickr https://flic.kr/p/daiBwA; Ambulance in Motion by Benjamin Ellis on Flickr https://flic.kr/p/6qa5ym; 
Paramedic at Vauxhall Helicopter Crash by R4vi on Flickr https://flic.kr/p/dM8x4M; London Air Ambulance by Smudge 9000 on Flickr https://flic.kr/p/4UQzUK
eCall (an interoperable, harmonised in-vehicle emergency call system) 
will be mandatory in all new car and van models produced within 
the European Union by October 2015 
Sources: HeERO Harmonised eCall European Pilot & Daily Mail (2014) EU to bug every car in UK with tracker chips
“We want to prevent and control infections.” 
MCs Visit to the Hospital by kris krüg on Flickr https://flic.kr/p/cyVcQ; Washing hands (before shot)_0033 by James Emery on Flickr https://flic.kr/p/4xFfxG; 
Clean Hands by Arlington County on Flickr https://flic.kr/p/7zg6GJ; Poke by Thirteen of Clubs on Flickr https://flic.kr/p/9jfqsg
To reduce healthcare associated infections (HAIs), companies such as 
Intelligent M, HyGreen, IBM in collaboration with OhioHealth, and 
BIOVIGIL are creating sensor technologies and networks to monitor 
hand washing practices in real-time. 
Sources: Postscapes, Intelligent M: Reducing infection through RFID; Postscapes, Hand hygiene monitoring system: HyGreen; BIOVIGIL; 
eWeek (2014) IBM, OhioHealth use big data to prevent infections in hospitals
“Is it possible to develop a predictive lifesaving approach?” 
Inside the air ambulance on 17th from Rourkela to Bhubaneswar by Sadasiv Swain on Flickr: https://flic.kr/p/ovrc7s; EEG with sleeping boy by Jemaleddin Cole on Flickr https://flic.kr/p/d8szf; 
A mother’s hands by Cheryl on Flickr https://flic.kr/p/5QRFfo; Canberra Hospital Walk-in centre staff at work by DIBP images on Flickr https://flic.kr/p/9tTxUR
The LIFEPAK 15 portable heart 
monitor and defibrillator allows 
medics in the field to capture patient 
data and send this information directly 
to the hospital. Such M2M technology 
enables faster response times. It also 
ensures that patients are routed to 
the correct hospital for treatment, 
appropriate caregivers are notified 
and swift diagnosistic decisions are 
made. 
IBM are working on a host of 
predictive solutions designed to 
improve healthcare in real-time, 
enable faster interventions and save 
lives. 
Project Artemis, developed in 
collaboration with the University of 
Ontario Institute of Technology and 
the Toronto Sick Kids Hospital, allows 
subtle changes to be detected in 
nosocomial infected infants 12 to 24 
hours before any outward signs 
appear. 
Other projects aim to detect 
complications in brain injured 
patients, stroke victims and critical 
patients in ICU before they occur. 
Sources: PTC (2014) Saving lives: ambulances get connected to the IoT; M2MNow (2011) Multi-tech cellular development platform and Physio-Control combine to save lives; IBM Big data in healthcare: real-time 
health monitoring and intervention; IBM (2013) UCLA relies on breakthrough ‘big data’ technology from IBM to help patients with traumatic brain injuries; IBM (2010) IBM Analytics helps medical 
researchers detect complication in stroke patients; IBM (2013) Emory University Hospital explores ‘Intensive Care Unit of the Future’
“We want to increase medical device utilisation.” 
CT Scanner, Crash Cart by Civilian Scrabble on Flickr https://flic.kr/p/vUki6; 
treat2 by MilitaryHealth on Flickr https://flic.kr/p/cRK86s; Big MRI by liz west on Flickr https://flic.kr/p/kJ4Pa
There are 
105,000 CT scanners and MRI machines 
globally 
By connecting medical devices and machines to 
the internet it becomes possible to monitor in 
real-time, run remote diagnostics, provide virtual 
hands-on support, automate replenishment and 
analyse utilisation. 
Using IoT, Varian Medical Systems have seen a: 
50% reduction in mean time required to repair 
connected devices 
$2,000 reduction in service costs for each 
problem resolved remotely 
20% fewer technician dispatches worldwide 
Sources: Forbes (2014) 3 ways the Internet of Things is revolutionizing health care & General Electric Company (2013) The Industrial Internet @ Work
“As a nation, effective public health policy is important.” 
Crowds by H. Michael Miley on Flickr https://flic.kr/p/f9Jjxv; Driving Cars in a Traffic Jam by epSos.de on Flickr https://flic.kr/p/9w8eWL; 
Map of London sewers Westminster by Matt Brown on Flickr https://flic.kr/p/83ZKDt; GWU School of Public Health Building 42840 by Ted Eytan on Flickr https://flic.kr/p/nUc1et
Underworlds: smart sewage system 
Examining aggregated wastewater 
across several cities, the Underworlds 
project is designed to establish the 
techniques and technologies required 
to deploy a near-real-time network 
of biosensors, automata and 
purpose-built labs. 
Once realised, this will enable real-time public health 
strategies, inform policy, and provide greater insight into 
urban health. 
Source: Wired UK (2014) ‘Smart toilets and sewer sensors are coming’ 
Decorated sewer cover by Chris Schrier on Flickr https://flic.kr/p/9jVFCd
Sparks to ignite a flame 
Tea candle in the dark by Markus Grossalber on Flickr https://flic.kr/p/du6AgS
Healthcare is a late and slow 
adopter of technology 
Reputedly one of the 
slowest adopters 
—second only to shipping 
The bow of Majestic Maersk by teralaser on Flickr https://flic.kr/p/gbi4Kg 
Sources: The Healthcare Industries Task Force (2004) 
& Tim Jones, Board Member West Midlands AHSN (2013)
An unofficial online survey of WiFi availability 
for frontline NHS staff found 
only 23% 
had access to free WiFi 
Others were denied access 
even where WiFi was available 
or had to pay for it 
Source: Professor Jonathan Kay, Clinical Informatics Director, NHS England (2013) 
Survey run by NHS Hack Day community with support from HANDI Health, 
Tactix4 and openGPSoC; 650 respondents Free WiFi by Sébastien Bertrand on Flickr https://flic.kr/p/juq2v
Information governance 
challenges are significant 
Interoperability | Data integrity 
Access control | Data quality | Security 
and Compliance 
Back to Work by Death to the Stock Photo
Source: Almost Human, ‘Arrhythmia’, Season 1, Episode 6
Source: Wired (2014) It’s insanely easy to hack hospital equipment 
2 year study 
All medical equipment: radiology, MRI, ultrasound, mammography systems, 
cardiology, oncology, lab systems, surgical robots, fetal monitors, ventilators, anesthesia 
It was possible to deliver random shocks to a patient’s heart, 
remotely manipulate drug dosages, change radiation exposure limits in 
CT scanners and alter digital medical records
Reimbursement for digital health 
interventions is still a work in progress. 
Steve Blank 
The stakeholder landscape is challenging—more often than 
not, the economic buyers and end users are not the same 
but both need to be convinced! 
WBS International Healthcare Case Competition 2014 
Sources: Rock Health (2014) 
Reinventing Life Science Startups Part II: 
The rise of digital health & WBS 
International Healthcare Case 
Competition Participant Briefing: Part 1 
Business Model Canvas: Business Model Generation
How will change happen?
Adoption of 
industrial 
internet by 
healthcare 
How will change happen?
Adoption of 
industrial 
internet by 
healthcare 
How will change happen? 
Consumer 
adoption and 
demand
Adoption of 
industrial 
internet by 
healthcare 
Change is inevitable 
Consumer 
adoption and 
demand
Make your own healthcare role 
IoT enabled 
Lobby for change and access to IoT 
in your healthcare environment 
Educate yourself on what’s 
available. There’s usually a tech 
solution out there somewhere! 
Recommend IoT solutions to patients 
Use IoT for your own benefit 
Find an executive sponsor or 
innovation champion to support you 
Make a note of patient 
recommendations and share these 
with your colleagues 
I’m a healthcare 
professional. 
What can I do? 
1 
2 
3 
4 
5 
6 
7
Use Google to learn about 
Healthcare IoT solutions 
Lobby for change with your 
doctor and consultant 
Recommend IoT solutions 
I don’t work in to friends 
healthcare. 
What can I do? 
Use IoT for your own benefit 
Buy IoT presents for people 
Join a patient group 
Become politically active 
1 
2 
3 
4 
5 
6 
7 
8 
Start an IoT business
If you would like support to develop your 
Internet of Things strategy or would like to 
understand the disruptive nature of these new 
technologies and business models, contact the 
Stocker Partnership and get started today! 
+44 (0)24 76 100 193 
hello@stockerpartnership.com
STOCKER 
PARTNERSHIP 
The Stocker Partnership 
is a strategic innovation 
consultancy 
We help organisations to 
create and exploit new 
opportunities 
024 76 100 193 
hello@stockerpartnership.com 
Matt Stocker 
Debbie Stocker 
www.stockerpartnership.com 
Follow us on LinkedIn 
Subscribe to our blog 
Sign up to our newsletter 
WE’RE NOT 
BIG 
BUT WE ARE 
CLEVER 
@mattstocker 
@debbiestocker 
Illustrations by Stina Jones (stinajones.co.uk), and Matt Stocker

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The many faces of IoT (Internet of Things) in Healthcare

  • 1. Image credits included in presentation THE MANY FACES OF IoT IN HEALTHCARE INTERNET OF THINGS
  • 2. Machine to Machine (M2M) Hi, I’m... IoT Embedded Internet Web of Things A subset of IoT IPv6 may be adopted Machine-Type Communication (MTC) Internet of Things but my friends call me... but non-IP protocols are also used Intranet of Things Claro Partners Smart... SmartEnergy, SmartCity, SmartGrid, etc. Internet of Everything Cisco IoT evolving into WoT with integration into the Web Application layer using standard web protocols Industrial Internet GE... Replacement for SCADA & Telemetry ...also Industrial Internet Consortium and others Industrial Internet of Things (IIoT) Includes people, computers and data Connected devices but within proprietary platforms Vehicle to... ...Vehicle (V2V), ...Infrastructure (V2I), ...Anything (V2x) Ubiquitous Things that think computing
  • 3. Almost ‘anything’ —including ‘living things’— connected to the internet regardless of location or other physical restrictions. Source: Gareth Baxendale, Head of Technology Services at the NIHR Clinical Research Network, WiFi enabled cows and the Internet of Things
  • 4. Monitor Analyse Process, analyse and communicate data Trigger Alert Action Collect and record data Required action taken by device or human The Internet of Things is process driven
  • 5. Today, there are already more things connected to the internet than people 26 billion 50 billion 75 billion 200 billion Number of devices predicted to be connected to the internet by 2020 The human brain has 86 billion neurons Flaming Lotus Girls Neuron by Ann Larie Valentine on Flickr https://flic.kr/p/75SmyS Cisco Morgan Stanley Intel Gartner
  • 6. What does this look like in healthcare ?
  • 7. Source: The Internet of Things Architecture, IoT-A
  • 8. Higher quality delivery Both little data... What can IoT do for healthcare? Ability to react with speed ...and big data Ability to act at scale Can affect whole communities and cities
  • 9. Broader model of healthcare Prevention & Wellness IoT has a far reaching impact across all determinants of health Figure Source: Dahlgren, G. & Whitehead, M. (1991) The main determinants of health in Policies and strategies to promote social equity in health: Background document to WHO—Strategy paper for Europe
  • 10. Being able to monitor and support a person free from ‘physical constraints’ will change the way doctors deal with patients. Source: Gareth Baxendale, Head of Technology Services at the NIHR Clinical Research Network, WiFi enabled cows and the Internet of Things
  • 11. 30.3% 69.7% Percentage of IoT devices found in healthcare Percentage of IoT devices found elsewhere* * Business/Manufacturing, Retail, Security, Transportation The predicted global worth of IoT in healthcare in 2025 $2.5 trillion Deployment of the Industrial Internet can help to drive down costs from clinical and operations inefficiencies by roughly 25% or about $100 billion per year Sources: Intel, A guide to the Internet of Things & General Electric Company (2012) Industrial Internet: Pushing the boundaries of minds and machines
  • 12. But is this just a utopian vision? Image: © 2014 Debbie Stocker
  • 13. “Have I taken my medication?” Day 304: New Meds by kizzzbeth on Flickr https://flic.kr/p/bCBGFk Inyección de insulina by Sari Dennise on Flick https://flic.kr/p/7LNKnN; Lifeblood by Andrew Butitta on Flickr https://flic.kr/p/6g5zCD; Pills by David K on Flickr https://flic.kr/p/5Ya3x; By Alex on Flickr https://flic.kr/p/84G5UR; Pudge with his inhaler by Thomas Widmann on Flickr https://flic.kr/p/NiwcR
  • 14. Available to buy or in development today... ELECTRONIC PILL DISPENSERS Designed to remind individuals to take their medication at the right time and to ease the burden of complex medication regimens, electronic pill dispensers such as my uBox and MedMinder alert both the patient and their caregivers. SMART WATCHES Already designed to act as a health and fitness companion with all the capabilities of a fitness tracker, smart watches (such as Apple Watch) have the potential to integrate with multiple technologies, including those described here. ELECTRONIC BOTTLES, CAPS AND POUCHES Wireless smart pill bottles, such as Adheretech, measure the volume of tablets or liquid left in a bottle, while GlowCaps use light and sound to signal when it’s time to take your medication. Inhaler attachments, such as GeckoCap and Asthmapolis, monitor where and when an inhaler is used. ‘PHARMACY ON A CHIP’ Currently undergoing clinical trials, microchips drug delivery technologies administer controlled doses of a drug at precisely the right time via a microchip inserted on the waist. Still in its infancy, the technology holds promise for improved patient adherence managed remotely. BIOMONITORING DRUGS Ingestible sensors as small as a grain of sand exist today. Helius by Proteus Digital Health is a digital health feedback system. Embedded in a tablet, sensors communicate with a patch worn on the stomach. This then relays information to your phone, and further to your support network and care providers.
  • 15. “I want to track my own health and that of loved ones.” Pregnancy by Titiana Vdb on Flickr: https://flic.kr/p/e4nLge Image by Darran Baldwin: https://flic.kr/p/fff9ut Runner by Stuart Grout on Flickr: https://flic.kr/p/9HXRiX Bathroom scale by Magnus D on Flickr: https://flic.kr/p/8oDVuo
  • 16. Available to buy or in development today... FITNESS Designed to provide insights into our own health and motivate us to increasing levels of fitness, many of us are no doubt familiar with wearables that track our activity, such as the Jawbone UP, Fitbit, or more recently, Misfit Wearables’ Shine. LG and Intel also both produce smart ear buds that monitor your pulse. HOME MONITORING Home monitoring matters to both families and care providers alike as it enables independence. Systems such as Sensormind, Sonamba, Numera Libris and Libris+ use sensors to detect activity, analyse behaviour and automatically detect problems. WELLBEING Psychological wellbeing is vitally important and IoT can help. From wearables focused on breath patterns and fitness, such as Spire and Lumafit, to stress mapping bicycle helmets, such as MindRider. Or what about Olive, an intelligent bracelet that monitors heart rate, skin conductance, ambient light, motion and skin temperature? FAMILY IoT knows few bounds when it comes to supporting our loved ones. From the virtually invisible electronics of MC10 (above) to Pixie Briefs smart nappies, which analyse urine, check hydration levels and identify signs of UTIs. Kolibree is a connected and gamified electric toothbrush, while other wearables help keep track of your pregnancy. CLINICAL SUPPORT AliveCor is a heart monitor that attaches to your smart phone and is capable of recording ECGs. Physicians can use the technology to detect arrhythmic cardiac disease, irregular heartbeat or abnormal heart rhythm. AliveCor ECGs can also be automaticallly uploaded into select Electronic Health Records (EHR).
  • 17. “Can we get to the scene of an emergency faster?” DSC08469 by perthhdproductions on Flickr https://flic.kr/p/daiBwA; Ambulance in Motion by Benjamin Ellis on Flickr https://flic.kr/p/6qa5ym; Paramedic at Vauxhall Helicopter Crash by R4vi on Flickr https://flic.kr/p/dM8x4M; London Air Ambulance by Smudge 9000 on Flickr https://flic.kr/p/4UQzUK
  • 18. eCall (an interoperable, harmonised in-vehicle emergency call system) will be mandatory in all new car and van models produced within the European Union by October 2015 Sources: HeERO Harmonised eCall European Pilot & Daily Mail (2014) EU to bug every car in UK with tracker chips
  • 19. “We want to prevent and control infections.” MCs Visit to the Hospital by kris krüg on Flickr https://flic.kr/p/cyVcQ; Washing hands (before shot)_0033 by James Emery on Flickr https://flic.kr/p/4xFfxG; Clean Hands by Arlington County on Flickr https://flic.kr/p/7zg6GJ; Poke by Thirteen of Clubs on Flickr https://flic.kr/p/9jfqsg
  • 20. To reduce healthcare associated infections (HAIs), companies such as Intelligent M, HyGreen, IBM in collaboration with OhioHealth, and BIOVIGIL are creating sensor technologies and networks to monitor hand washing practices in real-time. Sources: Postscapes, Intelligent M: Reducing infection through RFID; Postscapes, Hand hygiene monitoring system: HyGreen; BIOVIGIL; eWeek (2014) IBM, OhioHealth use big data to prevent infections in hospitals
  • 21. “Is it possible to develop a predictive lifesaving approach?” Inside the air ambulance on 17th from Rourkela to Bhubaneswar by Sadasiv Swain on Flickr: https://flic.kr/p/ovrc7s; EEG with sleeping boy by Jemaleddin Cole on Flickr https://flic.kr/p/d8szf; A mother’s hands by Cheryl on Flickr https://flic.kr/p/5QRFfo; Canberra Hospital Walk-in centre staff at work by DIBP images on Flickr https://flic.kr/p/9tTxUR
  • 22. The LIFEPAK 15 portable heart monitor and defibrillator allows medics in the field to capture patient data and send this information directly to the hospital. Such M2M technology enables faster response times. It also ensures that patients are routed to the correct hospital for treatment, appropriate caregivers are notified and swift diagnosistic decisions are made. IBM are working on a host of predictive solutions designed to improve healthcare in real-time, enable faster interventions and save lives. Project Artemis, developed in collaboration with the University of Ontario Institute of Technology and the Toronto Sick Kids Hospital, allows subtle changes to be detected in nosocomial infected infants 12 to 24 hours before any outward signs appear. Other projects aim to detect complications in brain injured patients, stroke victims and critical patients in ICU before they occur. Sources: PTC (2014) Saving lives: ambulances get connected to the IoT; M2MNow (2011) Multi-tech cellular development platform and Physio-Control combine to save lives; IBM Big data in healthcare: real-time health monitoring and intervention; IBM (2013) UCLA relies on breakthrough ‘big data’ technology from IBM to help patients with traumatic brain injuries; IBM (2010) IBM Analytics helps medical researchers detect complication in stroke patients; IBM (2013) Emory University Hospital explores ‘Intensive Care Unit of the Future’
  • 23. “We want to increase medical device utilisation.” CT Scanner, Crash Cart by Civilian Scrabble on Flickr https://flic.kr/p/vUki6; treat2 by MilitaryHealth on Flickr https://flic.kr/p/cRK86s; Big MRI by liz west on Flickr https://flic.kr/p/kJ4Pa
  • 24. There are 105,000 CT scanners and MRI machines globally By connecting medical devices and machines to the internet it becomes possible to monitor in real-time, run remote diagnostics, provide virtual hands-on support, automate replenishment and analyse utilisation. Using IoT, Varian Medical Systems have seen a: 50% reduction in mean time required to repair connected devices $2,000 reduction in service costs for each problem resolved remotely 20% fewer technician dispatches worldwide Sources: Forbes (2014) 3 ways the Internet of Things is revolutionizing health care & General Electric Company (2013) The Industrial Internet @ Work
  • 25. “As a nation, effective public health policy is important.” Crowds by H. Michael Miley on Flickr https://flic.kr/p/f9Jjxv; Driving Cars in a Traffic Jam by epSos.de on Flickr https://flic.kr/p/9w8eWL; Map of London sewers Westminster by Matt Brown on Flickr https://flic.kr/p/83ZKDt; GWU School of Public Health Building 42840 by Ted Eytan on Flickr https://flic.kr/p/nUc1et
  • 26. Underworlds: smart sewage system Examining aggregated wastewater across several cities, the Underworlds project is designed to establish the techniques and technologies required to deploy a near-real-time network of biosensors, automata and purpose-built labs. Once realised, this will enable real-time public health strategies, inform policy, and provide greater insight into urban health. Source: Wired UK (2014) ‘Smart toilets and sewer sensors are coming’ Decorated sewer cover by Chris Schrier on Flickr https://flic.kr/p/9jVFCd
  • 27. Sparks to ignite a flame Tea candle in the dark by Markus Grossalber on Flickr https://flic.kr/p/du6AgS
  • 28. Healthcare is a late and slow adopter of technology Reputedly one of the slowest adopters —second only to shipping The bow of Majestic Maersk by teralaser on Flickr https://flic.kr/p/gbi4Kg Sources: The Healthcare Industries Task Force (2004) & Tim Jones, Board Member West Midlands AHSN (2013)
  • 29. An unofficial online survey of WiFi availability for frontline NHS staff found only 23% had access to free WiFi Others were denied access even where WiFi was available or had to pay for it Source: Professor Jonathan Kay, Clinical Informatics Director, NHS England (2013) Survey run by NHS Hack Day community with support from HANDI Health, Tactix4 and openGPSoC; 650 respondents Free WiFi by Sébastien Bertrand on Flickr https://flic.kr/p/juq2v
  • 30. Information governance challenges are significant Interoperability | Data integrity Access control | Data quality | Security and Compliance Back to Work by Death to the Stock Photo
  • 31. Source: Almost Human, ‘Arrhythmia’, Season 1, Episode 6
  • 32. Source: Wired (2014) It’s insanely easy to hack hospital equipment 2 year study All medical equipment: radiology, MRI, ultrasound, mammography systems, cardiology, oncology, lab systems, surgical robots, fetal monitors, ventilators, anesthesia It was possible to deliver random shocks to a patient’s heart, remotely manipulate drug dosages, change radiation exposure limits in CT scanners and alter digital medical records
  • 33. Reimbursement for digital health interventions is still a work in progress. Steve Blank The stakeholder landscape is challenging—more often than not, the economic buyers and end users are not the same but both need to be convinced! WBS International Healthcare Case Competition 2014 Sources: Rock Health (2014) Reinventing Life Science Startups Part II: The rise of digital health & WBS International Healthcare Case Competition Participant Briefing: Part 1 Business Model Canvas: Business Model Generation
  • 34. How will change happen?
  • 35. Adoption of industrial internet by healthcare How will change happen?
  • 36. Adoption of industrial internet by healthcare How will change happen? Consumer adoption and demand
  • 37. Adoption of industrial internet by healthcare Change is inevitable Consumer adoption and demand
  • 38. Make your own healthcare role IoT enabled Lobby for change and access to IoT in your healthcare environment Educate yourself on what’s available. There’s usually a tech solution out there somewhere! Recommend IoT solutions to patients Use IoT for your own benefit Find an executive sponsor or innovation champion to support you Make a note of patient recommendations and share these with your colleagues I’m a healthcare professional. What can I do? 1 2 3 4 5 6 7
  • 39. Use Google to learn about Healthcare IoT solutions Lobby for change with your doctor and consultant Recommend IoT solutions I don’t work in to friends healthcare. What can I do? Use IoT for your own benefit Buy IoT presents for people Join a patient group Become politically active 1 2 3 4 5 6 7 8 Start an IoT business
  • 40. If you would like support to develop your Internet of Things strategy or would like to understand the disruptive nature of these new technologies and business models, contact the Stocker Partnership and get started today! +44 (0)24 76 100 193 hello@stockerpartnership.com
  • 41. STOCKER PARTNERSHIP The Stocker Partnership is a strategic innovation consultancy We help organisations to create and exploit new opportunities 024 76 100 193 hello@stockerpartnership.com Matt Stocker Debbie Stocker www.stockerpartnership.com Follow us on LinkedIn Subscribe to our blog Sign up to our newsletter WE’RE NOT BIG BUT WE ARE CLEVER @mattstocker @debbiestocker Illustrations by Stina Jones (stinajones.co.uk), and Matt Stocker