The essential premise of the Internet of Things — that a device can pick up vital information and relay that for processing through a Wi-Fi connection — is systematically shaving off inefficiencies in healthcare. This is especially welcome news in the United States where healthcare spending rose to a crushing $3.6 trillion in 2018, which amounts to nearly 18% of the overall economy. 

IoT in healthcare roughly falls into two buckets: Data from patients and data from institutional assets. Here’s where judicious implementation of an IoT strategy helps:

Effective patient monitoring

Consumers are already familiar with the Apple Watch or FitBit to monitor physical activity, heart rate, sleep patterns and more. Physicians can rely on condition-specific monitors to deliver more relevant data. Monitoring of glucose levels from diabetics through an IoT-enabled wearable can help track insulin needs and gain a better handle on preventing complications. Such monitoring also empowers patients — they can read levels through a related mobile app — and gives them greater ability to participate in their healthcare strategy.

Decreases post-op costs

IoT-enabled wearables/sensors can monitor patient health after they have returned home from major surgeries and automatically alert the hospital if certain vitals look worrisome. Wearable and implantable stickers monitor heart rate. Smart bandages can keep an eye on wounds and watch for infection. Such remote monitoring of fairly routine vitals eliminates the need for the patient to be tethered to the hospital for extended periods after surgery. Remote IoT-enabled monitoring also enables tele-health where physicians can remotely work with patients who report problems. Pre-screening like this has the potential to decrease the need for readmission.

Tracking medical assets

IoT-enabled sensors on medical devices — and even staff — can help track assets more efficiently. Staff can bring X-ray machines and traveling IV units into service as needed, instead of wasting time tracking them down. Such data also helps hospitals forecast device utilization so they can better plan for need. Hospitals can also restrict access to specific drugs by allowing remote IoT-based monitoring of these medicines. Room sensors can read ID badges and only allow approved personnel into sensitive areas.

Predictive maintenance

IoT can spit out data not just about patient health — but also that of machines. If a refrigerator holding critical medicines is about to break down, a sensor connected to the unit can alert maintenance who can proactively attend to the machine before it goes out of order. Healthcare organizations must keep equipment running smoothly and IoT enables them to do so.

Reduce ER wait times

By IoT-enabled tracking of assets such as hospital beds and aligning them with patient needs healthcare organizations can dramatically decrease wait times in the emergency room. Mount Sinai Medical Center in New York City has used this strategy to cut wait times for half of its 59,000 annual ER patients.

While IoT is a powerful tool in healthcare, it must also play by the same rules that govern other devices and systems. IoT-enabled healthcare devices go through elaborate certification processes and conform to country-specific patient privacy laws. Since IoT in healthcare will often involve sharing and relaying of sensitive patient health information (PHI), organizations need to encrypt data and remove all identifiers before they can work with them at scale.

Skyrocketing healthcare costs demand efficiencies at scale. IoT and patient or asset data can deliver such prescriptive price reductions while still maintaining high care standards.

Do the words ‘command centre’ make you think of huge rooms with NASA scientists, expertly making sure a Mars rover lands safely on the Red Planet?

What if a command centre could revolutionize the patient experience in one of the busiest hospitals in North America, bringing a new standard of patient-centered, quality healthcare?

Combining Artificial Intelligence, Machine Learning, and professional expertise, Humber River Hospital in Toronto has launched the world’s first clinical analytic applications, in partnership with GE Healthcare Partners (GEHC). 

Displayed on large-screen monitors at HRH’s 4,500 square-foot Command Centre, these four new applications or analytic ’tiles’ use “standardized early warning systems, predictive analytics, real-time information from multiple digital systems,” alongside the professional expertise of experienced nurses.

Canadian Patient Safety Institute and Canadian Institute for Health Information data shows that 1 in 18 hospital stays in Canada involved at least one harmful event. This addition to the Command Centre means quicker alerts for clinical staff, and better protection for patients with conditions that make them vulnerable to risks of adverse events, or adverse outcomes.

The Humber River Hospital is the Greater Toronto Area’s (GTA) largest acute care centre, serving a catchment area of more than 850,000 in the city’s northwest. Opening in 2015, it was also North America’s first fully digital hospital. 

Just two years later, HRH opened the first generation of its Command Centre, a data-driven ‘mission control’ offering real-time insight on patient flow, via advanced algorithms and predictive analytics. As a result, the hospital has “unlocked” the equivalent of 35 additional beds — and the ability to treat thousands of additional patients.

Get an inside look at HRH’s Generation 2 Command Centre:

The U.K. National Health Service (NHS) is to partner with Amazon’s Alexa in order to provide health information. This is being piloted as an alternative to medical advice helplines and to reduce the number of medical appointments.

While the U.K. NHS is much admired around the world as a free-at-the-point-of-use healthcare system, health officials are always keen to find ways to reduce the strain on the systems, especially relating to medical visits where the process of booking appointments and waiting times for sessions with doctors can be lengthy. The average time to obtain a non-medical emergency appointment with a general medical practitioner is averaging around two weeks.

Although a non-emergency medical helpline is active (accessed by dialling 111), plus an online system, health officials are keen to explore other ways by which the U.K. population can access medical services. For this reason, NHS England is partnering with Amazon.

The use of Alexa voice technology not only offers an alternative service for digitally-savvy patients, it provides a potentially easier route for elderly and visually impaired citizens, as well as those who cannot access the Internet through a keyboard, to gain access to health information. This fits in with a new initiative from the U.K. Government called NHSX, which is about the NHS Long Term Plan intended to make more NHS services available digitally.

As PharmaPhorum reports, Alexa can now answer questions such as “Alexa, how do I treat a migraine?” and “Alexa, what are the symptoms of flu?”

Outside of the U.K., Amazon is working with several healthcare providers, including digital health coaching companies, in order to launch six new Alexa healthcare ‘skills’. According to Rachel Jiang, head of Alexa Health & Wellness: “Every day developers are inventing with voice to build helpful and convenient experiences for their customers. These new skills are designed to help customers manage a variety of healthcare needs at home simply using voice – whether it’s booking a medical appointment, accessing hospital post-discharge instructions, checking on the status of a prescription delivery and more.”