E-Health Technical Sub-TC Proposal May 20-21, 2008

							E-Health Technical Sub-TC
         Proposal
         May 20-21, 2008

         Tsong-Ho Wu
    twu@research.telcordia.com
    Healthcare as a National Priority
   Healthcare is becoming a significant socio-economic
    challenge around the globe
     • US alone spent about US$2 Trillion in 2006 with a
       significant increasing rate (6-8%) every year
     • Aging society is becoming a global trend, adding one
       more level of socio-economic complexity
     • A major factor for unsustainable high healthcare costs
       is due to inefficient healthcare management system and
       healthcare provision
   Primary concerns and uniqueness: Life & liability among
    many stakeholders
     • Stakeholders include patients, physician, healthcare
       professionals, hospitals, insurers, etc
     • High quality & reliable enterprise solutions using carrier
       or enterprise network infrastructure
Healthcare Trends & Major Government Initiatives
       Healthcare and healthcare management trends
         • Using emerging Information and Communication Technology
           (ICT) to help reduce costs and improve healthcare quality with
           governments being leading role
             – Enable new e-health and healthcare applications over the
               net previously impossible or unaffordable
         • Healthcare trend toward consumer-empowerment and
           information-rich “Smart Care” and “Smart Living” with
           ubiquitous care access from anywhere, at anytime, by any
           authorized person(s) when needed

       Major government initiatives around the globe
         • EU - i2010 Initiative (2006-2010) & Seventh Framework
           Programme (FP7) (2007-2013)
         • US – Healthcare Information Technology (Health-IT) Initiative
           (2004-2013)
         • Japan - U-Japan Initiative (2006-2010)
         • China - 11th Five-Year (11-5) Plan (2006-2010)

 ICT and Healthcare are top one and two funding categories, respectively, in EU FP7 Program
    Why e-Health Technical Sub-TC
        ICT is traditionally the ComSoc strengths
        However, no clear leadership of ComSoc exists to address e-
         health global challenges and collaboration with global e-health
         organizations to demonstrate impacts of ComSoc in this
         important domain
     •      ITU Study Group 16 (Telemedicine), ITU-D, NIH, ANSI HITSP
            (under National Health IT Initiative), TIA TR-49 (Healthcare ICT), Etc.
        E-Health related technical sessions have been sponsored by
         IEEE sister societies which, in some cases, have no ICT
         expertise
        ComSoc has already had a good foundation to leverage
     •      HealthCom, efforts in Enterprise Networking TC, …
     •      Collaboration with IEEE Special Group of Biology and Health
            Science and IEEE Biometrics Council
        E-Health may become a new growth and challenging area for
         ComSoc members
     •      Extend Communications Service Sector to Medical and Healthcare
            Service Sector
E-Health: High Quality Enterprise Solutions for Heath and Healthcare
                                          E-Infrastructure for e-Health
                                                                            Publishing Application
                                                            FIND                registers indexes
          Provider asks if                                                       of patient records
          there are
          records for
          his/her patient                 Responds with
   Diagnostic                             location of any Record Locator Service
                                                                                                             Diagnostic
      Services                         records of interest
                                                                                                             Services
  Hospitals                                     GET and EXCHANGE                                                 Hospitals
Providers      End-Point                                                                                          Providers
               Systems                                                                                  End-Point
Payors      Provider                                                                                     System        Payors
                            Health                                                                     Publishing
           Applications                                    Information                                                 Patients
                             Data                                                   Requeste          Applications &
                                        Application          Transfer                                  Repository
Patients                  Aggregator                                               d Records
                                           asks                                                               Public
                                                                                    are sent
       Public                             for and                                                             Health
                                                                              Publishing
       Health                            receives          SEND          Application may                      Providers
    Providers                            records                                                      De-Identified
                 De-Identified                                              push report-
                     Data                                                   specific data                 Data
                                                           End-Point
                                                            System
Public                                                     Reporting
Health           Public                                     Router
Authoritie       Health
s                                                                                                            QIOs
                                        De-Identified
Research
                                            Data:
                                           - Alerts         Claims
                                                                                                  Report
                                                                                                  Cards      Plans

                                                                                                             NCQA
                                                                                                                       $
                                         - Reports           Data
     Source: The Markle Foundation 2004.
                                                            CMS Plans
      Proposed Work Scope
    E-health multimedia-based information network infrastructure
     QoS, Security and Privacy, Reliability, Ubiquitous
         Communications,…
    Net-centric Health and Healthcare applications
    • Telemedicine, medical sensor-enabled information
         management, etc
    Net-centric Healthcare management
    • Electronic patient record exchange and delivery, medical
         multimedia searching and retrieval, etc
    Consumer-centric healthcare and management
    • Healthcare mobile ad-hoc communications and ubiquitous
         access, personalized health information management, etc
    Healthcare Information Grid and tools for data sharing and
     collaboration among medical institutions, researchers,
     physicians and other healthcare professionals
Proposed Activities (2008-9)
   Serve as a platform to form collaborative relationships with EU
    e-Health Organizations, ITU-T/ITU-D, NIH, Asia e-Health
    organizations, …
   Publish special issues in ComSoc magazines and technical
    journals to prompt and increase awareness of e-Health area
    among ComSoc members
     • May propose an e-Health Magazine under ComSoc, if
        justifiable
   Organize special sessions and workshops dedicated to e-Health
    in ComSoc’s major international conferences such as ICC and
    GLOBECOM, etc.
     • HealthCom (Prof. Pradeep Ray ), ENTNET (2009),..
   Other suggestions(?)
Supports
    Doug Zuckerman (Entnet Steering
     Committee)
    Andrzej Jajszczyk
    Dan Minoli (Entnet TC Chair)
    Shri Goyal (Entnet Steering Committee)
    Pradeep Ray (ITU-D)
    Gabe Jakobson (Entnet)
    …..