Biotechnology Council Presentation

Richard L. Doyle, PE

Chair, Biotech Council

5677 Soledad Rd.

La Jolla, CA 92037

Email: r.doyle@ieee.org

Web: http://www.laacn.org/firms/doyle

Biotechnology Council Presentation

o Richard L. Doyle

o The Hague, Netherlands

o 09:45 AM

o June 8, 2006

o ICMCC Conference

o Invited Speaker

• This Biotech Council presentation applies to a broad scope of Electronic Medical Records, E-Health Standards and Encouraging new Biomedical Technologies

Biotechnology Council Presentation

o ELECTRONIC MEDICAL RECORDS

o E-HEALTH STANDARDS

o DIAGNOSTICS AND HOME HEALTH CARE

o ENCOURGAGING NEW BIOMEDICAL TECHNOLOGIES

o COMPUTER AIDED HEALTH CARE

Introduction

• Before the presentation of the key points just mentioned the following will be provided.

• Brief History of our Biotech Council.

• Mission, Vision and Organization.

• Major areas of interests and how they relate to ICMCC.

Council History

• Biotechnology Council was Established in November 2004 at a Joint Meeting of 10 Societies (8 present) in San Antonio. IEEE (New Technology Directions Committee) was the host and sponsor.

MissionTo facilitate the advancement of biotechnology by the integration of engineering, medicine, and science for the benefit of humanity.

VisionA collaborative of biotechnology stakeholders working synergistically to promote development, adoption and deployment of technology and related processes.

Membership (May 2006)There are a total of 10 non-profit Engineering and Medical societies that presently form the Council

Members of each of these 10 societies are members of the Biotechnology Council.

Mission, Vision & Membership

Scientific and Medical Society Participants (10 Societies)

– American Institute of Chemical Engineers (AIChE), Society for Biotechnology

– American Medical Association (AMA)– American Medical Informatics Association (AMIA)– American Society of Mechanical Engineers (ASME)– Biomedical Engineering Society (BMES)– Healthcare Information and Management Systems

Society (HIMSS)– Institute of Electrical and Electronics Engineers (IEEE)– Radiological Society of North America (RSNA)– Society for Computer Applications in Radiology (SCAR) – Society for Biomaterials (SFB) Corresponding Only

Other Potential Council Members

• Biomedical Related Societies in Europe and Asia Are Potential Candidates for Our Council (we may also consider Bioelectronics and Nanotechnology)

Potential partners for collaboration

• Government Organizations:– DHHS (Department of Health and Human

Services)– EPA, DOE, USDA, VA, etc.

• Institutions:– Non-Profit Universities and Research Laboratories

• Other Organizations in Biotechnology:– Non-Profit and For-Profit Organizations

• Industry:– For-Profit Corporations & Laboratories

Areas of Interest

• MOST POPULAR AREAS OF INTEREST: • Implantable and wearable devices • Biotechnology sensors, circuits and systems • Electronic Medical Records • Medical Imaging• Healthcare Delivery• Bio-nanotechnology• Telemedicine• Medical Device ID and Tracking

Biotechnology Council Presentation

o ELECTRONIC MEDICAL RECORDS

o E-HEALTH STANDARDS

o DIAGNOSTICS AND HOME HEALTH CARE

o ENCOURGAGING NEW BIOMEDICAL TECHNOLOGIES

o COMPUTER AIDED HEALTH CARE

• Medical Records Security is Major Concern– Information Required– Health, Medical, and Implants History.– Psychological Records – Dreaded Diseases Records.

• OTHER AREAS OF INTEREST: – Privacy and security in health information– Geriatric Healthcare– Home Health, Global Health– Medical Errors– Interoperability

Electronic Medical Records and other Areas of Interests

Electronic Medical Records

• Must be implemented in 10 years in the US.

• Medical Records Security is Major Concern

Biotechnology Council (Nov 18, 05)

Institute of Information Security,

Workshop in Yokohama, Japan

By: Dick Doyle Chair, Biotech Council

Society (2005)

Medical Records Security

• Information Required

• Health, Medical, and Implants History.

• Psychological Records

• Dreaded Diseases Records

Medical Records Security

• Where and how do you store the data.

• What Health, Medical, and Implant History do you store.

• Who can read Psychological Records

• Who can read Dreaded Diseases Records

Medical Records Security Spread Sheet

• PUBLIC • PERSONAL• DOCTOR• HOSPITAL• INSURANCE• (list all above on Board and Work

Problem). Include: Visits, Symptoms, Diagnosis, Tests, Treatment, etc.

Biotechnology Council Presentation

o ELECTRONIC MEDICAL RECORDS

o E-HEALTH STANDARDS

o DIAGNOSTICS AND HOME HEALTH CARE

o ENCOURGAGING NEW BIOMEDICAL TECHNOLOGIES

o COMPUTER AIDED HEALTH CARE

06 December 2005

(From The Institute print edition) Medical Records: From Clipboard To Point-and-Click

BY TRUDY E. BELL

The Biotechnology Council’s primary goal is nothing less than standardizing everything from medical terminology to networking protocols so that medical records can be stored electronically and sent instantly anywhere in the world—with absolute privacy, security, and understandability.

06 December 2005

(From The Institute print edition) Medical Records: From Clipboard To Point-and-Click

BY TRUDY E. BELL

Call them electronic charts or electronic medical records: whatever the name, the days of patients’ medical conditions and diagnoses being written illegibly on paper and stored in manila folders are numbered. Medical records, according to plans under way, are going electronic.

The days are numbered for storing medical records in paper folders, thanks partly to the IEEE’s work on e-medical systems

Biotechnology Council Presentation

o ELECTRONIC MEDICAL RECORDS

o E-HEALTH STANDARDS

o DIAGNOSTICS AND HOME HEALTH CARE

o ENCOURGAGING NEW BIOMEDICAL TECHNOLOGIES

o COMPUTER AIDED HEALTH CARE

D2H2 CONFERENCE

2ND – 4TH APRIL 06

Distributed Diagnosis and Home Healthcare (D2H2)

Decentralization of Healthcare via

Distributed Diagnosis and Home Healthcare (D2H2)

The healthcare systems in most developed countries are facing serious challenges from multiple fronts, and are in need of significant transformations. Decentralization of healthcare via Distributed Diagnosis and Home Healthcare (D2H2) is designed to tackle the current problems in

healthcare and to accommodate future changes and trends by transforming the delivery of healthcare from a central, hospital-based system to one that is more patient-centered, distributed and home-based. D2H2 will benefit patients by

improving the quality and convenience of care, controlling healthcare cost, and preventing medical errors, thus leading to increased access to affordable and effective healthcare.

Healthcare Delivery Processes:Levels of Technology Adoption & Integration

Improved Healthcare Quality, Safety, Availability & Reduced Costthrough Technology Adoption, Standardization & Integration

Technology Integrated Diagnosis, Interpretation & Therapy technology enhanced diagnostic systems

supply data to info processing (expert systems)

info processing (expert systems) analyze, interpret and deliver therapy through technology enhanced treatment systems

Technology Assisted Diagnosis, Interpretation & Therapy technology assisted diagnosis provider’s use of info processing (decision

support & expert systems) to help interpret diagnostic data and provide guidance in treatment

technology assisted treatment

Technology Assisted Diagnosis & Therapy technology assisted diagnosis providers micro-manage care technology assisted treatment

Unassisted Diagnosis & Therapy diagnosis by direct observation providers micro-manage care direct treatment

3

2

1

0

Healthcare Delivery Processes:Levels of Technology Adoption & Integration

Level 0

Level 1

Level 2

Level 3

Flow of Information

InformationProcessing

Decision Support

&Expert

Systems

Practitioner’sRole

ProcessLevels

Elements ofTechnology

Diagnostic systems

Therapeutic/Treatment

systems

Patient

© slgrimes

Healthcare Technology for 21st Century Leadership

American College of Clinical EngineeringJ. Michael Fitzmaurice, Ph.D.

Agency for Healthcare Research and QualityU.S. Department of Health and Human Services

February 8, 2006

Biotechnology Council Presentation

o ELECTRONIC MEDICAL RECORDS

o E-HEALTH STANDARDS

o DIAGNOSTICS AND HOME HEALTH CARE

o ENCOURGAGING NEW BIOMEDICAL TECHNOLOGIES

o COMPUTER AIDED HEALTH CARE

Biotechnology & the Engineer’s Role Considered in “Context”

Biotechnology & the Engineer’s Future role in healthcare can only be predicted by understanding

The future developments in healthcare … and the forces likely to bring that future about

Engineering’s ability to contribute to future needs with respect to these developmentsSlide from Steve Grimes (HIMSS)

Four Primary Forces Affecting Future of Healthcare Industry

• Technological

• Economic

• Regulatory

• Social

Slide from Steve Grimes (HIMSS)

Technological Forces

• Mapping the human genome• Micro- and Nano- Technology• Proliferation of computers in medicine

– Knowledge-based, expert systems– Autonomic systems

• Connectivity … synergistic effect of interconnecting computers & other medical technology

Slide from Steve Grimes (HIMSS)

Economic Forces• Total US Healthcare industry expenditures

Year 2001 ~ $1.4 trillion (14% of GDP) Year 2012 ~ $3.1 trillion (18% of GDP)

• Health insurance premiums from $177 billion in 1991 to $252 billion in 1996 increased by 11% in 2001

• Administrative costs takes 19 to 24¢ out of every $1 spent on US healthcare

• New medical technology accounts for 19% of inpatient healthcare spending between 1998-2002 Total Cost of Ownership (TCO) over first 3 years

represents 3.6 to 18.5 times initial technology costSlide from Steve Grimes (HIMSS)

Regulatory Forces

• HIPAA’s Administrative Simplification Reduce costs by adopting EDI & encourage

electronic medical record Implement security

• IOM reports on Quality, Safety and Engineering Partnerships in Healthcare

• Industry efforts Integrating the Healthcare Environment (IHE) Leapfrog

Slide from Steve Grimes (HIMSS)

Sociological Forces

• US Population over 65, between 2011 and 2030, will jump from 13% to over 20%

• Shifting demographics will cause nation’s healthcare to shift from acute, episodic to chronic conditions– Now 100 million have chronic conditions accounting

for 60% of nation’s medical costs– In 2020, 157 million will have chronic conditions

accounting for 80% of nation’s medical costs• A generation of better informed healthcare

consumers will demand effective & affordable care ~ a quality of life issue

Slide from Steve Grimes (HIMSS)

• Bioeconomics Workshop

• IEEE, AMA and AIMBE Co-Sponsors

• Biotechnology and its impact in the economy

• Biotechnology Innovation

• Present status of biotechnology

• Comments and Suggestions.

Biotechnology Council “Bioeconomics”

CONCLUSION - Agree To Work Together

• Our group Agrees to work together in the field of Biotechnology:

– Develop an Organizational Structure that can grow and Prosper.

– Develop Conferences, Workshops and Educational Programs

– Provide Newsletters, Web Pages, and Publications.

Agree To Work Together (Continued)

• Our group Agrees to support the field of Biotechnology by:

– Developing complementary Standards.– Promoting common technology positions.– Sharing Membership products and

materials at Member Prices.– Developing a Working Relationship through

mutual understanding