How To Get A Better Health Care System

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Med-e-Tel 2015

Luxembourg, 22-24 april 2015.

Prof.Dr.O.Ferrer-Roca MD PhD

HFOG.

Small versus Big Data

Med-e-Te-2015. O.Ferrer-Roca.

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Prof. Dr. O. Ferrer-Roca

Ings. D.Roca & M.Nemirowsky

CS. Rodolfo Milito

3718 m

Med-e-Te-2015. O.Ferrer-Roca. Luxembourg

R-Innov

3rd

Volcano

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HEALTHCARE now a days

1. “OWERWHELMED” HEALTHWORKERS

2. SHORTAGE OF HEALTHWORKERS

3. PATIENT INSATISFACTION

4. “FLAWS” LINKED TO BAD-DESIGNED DIGITAL HEALTH

5. NO FUTURE IF WEARABLES PERSONAL DATA IF CONTROL BY DOCTORS.

6. NO PROVISION FOR HCSP = HUMAN CYBER PHYSICAL SYSTEMS

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Owerwhelmed

Luxembourg

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Patients insatisfaction

• TIME-SPEND drastically reduced. Lack personal

relationships and confidence.

d2p

• EHRs-MACHINE DIAGNOSIS 

p2p

• PERVERSE CARE FLOW: Doctors/specialists

d2d

communication Machine analysis/exploration

Ma/e



appointment  wait 

Ma/e



appointment  

visit

one by one

specialist



appointment  

prescription (non-coordinated)  cross-effects.

Luxembourg

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“Flaws” in the EHRs

1. EHRs are not build by doctors

e-Health & Telemedicine no in carrier

2. No

AI selflearning

nodes in EHRs.

3. Rigid &

not adaptable

to circunstance.

4. Updating is complex

since the majority are not in the Cloud.

5. Erroneous security that

destroy the “common sense”

of health workers

6. Interfere face-to-face

discussion with patients.

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• PATIENT AUTONOMOUS

PATIENT CONNECTED

with

HEALTH PROVIDER & MDs ???

vs

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SMALL DATA = user data

OWNER

: The patient. Must control of

WHAT

is shared, with

WHOM

, for what

PURPOSE

, for

HOW LONG

.

ORIGIN

: Devices (medical or not) connected to Internet as part of the

IoT

(Internet of the Things).

WEARABLES

.

ROLE

: Provide information to supports data of interest conductive to a

HEALTHY

LIFE

.

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Luminic contamination

Streaming data

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Sea of clouds prevent thermic aberrations.

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“Milky way” without distorsion

Because THE FOG is there.

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VALUE-BASED-HEALTHCARE (VBH)

H2H

H-CPSs

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HUMANIZATION OF HEALTH CARE

®

• 1.-

PERSONAL RELATIONSHIPS



PHAs = Personal Health Assistant



PHRs = Personal Health Robot

• 2.-

INTEGRATED DEVICES- HEALTHY LIFE

• 3.-

LOW MEDICATION

POSSIBLE- ASSURE ADHERANCE

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A Lot Of Tapping, Not Much

Action

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HEALTH 4.0

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Small Data in The Fog

Luxembourg

BIG DATA

SMALL DATA

Belongs to

Government/State Individuals/Patient

Anonymized

YES NO

Encrypted

NO YES

Processed

in

The Cloud

The Fog

Response

Months / Years

Minutes / On time

Obtained

from

Institutions/EHRs

Sensors / At home

/ PHR

a

Processed

by

DB tools-DBaaS

Parallel

C/e-Agents

Stored

By

Govern/Distributed

By Individuals/

PHAs

Useful

for Decision

makers

for Individuals

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Pool of Nurses

YOUR PHA

• Highly qualify

• 24/7 for you

• Know you

• Support @ distance

• Administrative help

• Acompany you

• Coach you

• Help you

• Talk your language

• Visit you with HPRs

PHA

DECISIONS TREES - Protocols School Nurses

• Marchovian trees.

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e-PHAs

• Behind The HFOG

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Smart-agents app level FOG

BACK-END

AGENT

SENSOR

AGENT

SENSOR

AGENT

ACTUATOR

PHA

USER

PROTOCOLS &

POLICIES

_PROCESSING

STREAM-REAL-TIME

PARALLEL

PROCESSING

DISTRUBUTED

COMPUTING

LEARNING

MACHINE

Small

Data

nurses

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SMALL Data

1. Received in

STREAMING

.

2. PROCESSED in

The FOG

on time.

3. NEVER STORED

4. STORED when:

a)

In the FOG the ePHAs detect an alarm event that is sent to the PHA.

b)

If the user wants to store it. Max storage period  1 week.

5. ALARM EVENT PROCESSING:

a)

The PHA call the HPR to talk face-to-face with the user.

b)

The PHA process the data to coach the user in a precise moment.

c)

Both.

d)

Inform MDs if it is required

e)

Start administrative issues or ambulance call/emergency call.

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Health Fog = HFog

AT THE EDGE OF THE NETWORK COLLECTING

PERSONAL HEALTH SMALL

DATA

(pHSD) FROM USERs.

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Global health 2035: a world converging within a generation. The Lancet,

Volume 382, Issue 9908

, Pages 1898 - 1955, 7 December 2013

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www.teide.net/catai

catai@teide.net

THANKS.

Med-e-Te-2015. O.Ferrer-Roca. Luxembourg http://www.huffingtonpost.es/2014/10/04/animales-simen-johan_n_5913474.html