Everyone of at a healthcare facility. IoT HEALTHCARE

Everyone is agreed on one statement, that
IoT is transforming the society.  IoT is bringing new concept, applications
and working approach at one platform that are not only providing better
patient care and treatment, but are also bringing new proficiencies that are minimizing
cost of healthcare. The IoT has been used inside healthcare facilities for
quite some time, and the list of application is continuously growing. It’s the
use of IoT that hospitals and doctor can monitor their remote patient outside
hospital. This recent approach is getting a lot of attraction. The concept of “Connected
@ 24*7” turn into reality when patients are being monitored to their home continuously.
These remote monitoring devices are very much user-friendly and it looks more as the
wearable technology than medical devices. Patients are more likely to wear it
because it doesn’t look like a heavy medical device. There is important use of
medical grade wearables, which includes smart fabric, glucose monitoring
devices, electrocardiogram patches, pulse oximeters and other devices that
untether patients from healthcare facilities. The main target of companies is
to make device more user-friendly so that remote monitoring is possible for
healthcare providers and their patients. Visiting hospital or doctor’s office,
its better that patient monitors themselves by taking their own blood pressure,
or measuring glucose or oxygen levels and other important test at their home environment.
These wearable devices report automatically to the healthcare centers using
Wi-Fi connection. Another application of IoT in healthcare is Clinical Drug
Trials and improved patient engagement. In this case, connected devices are
playing an important role in providing accurate readings of vital stats during
the trail period and allowing patient to remain at home instead of at a healthcare
facility. IoT HEALTHCARE APPLICATIONS: IoT applications are directly used by
user and patients. Various gadgets, wearables, and other healthcare devices
currently available in the market. In this section ,application of IoT is
discussed.

1.        
Glucose Level Sensing – Diabetes is a
group of metabolism disease in whichthere are high blood sugar
glucose(sugar) levels over a prolonged period. Blood glucose monitoring
reveals individual patterns of blood glucose changes andhelps
in the planning of meals, activities and medication times.An
m-IoT configuration method for non-invasive glucose sensing on
a real-time basis. In this method, sensors from patients are linked through IPv6
connectively to relevant healthcare providers. This device includes a
blood glucose collector, a mobile phone or a computer and a background
processor. A IoT based medical acquisition detector that can be used to
monitor the glucose level.

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2.        
 Electrocardiogram Monitoring –  The monitoring of the
electrocardiogram (ECG) ,that is , the electrical activity of
the heart    recorded by electrocardiography, includes
the measurement of the simple heart rate and the
determination of the basic rhythm as well as the diagnosis of multifaced
arrhythmias ,myocardial ischemia, and prolonged QT intervals. The application
of the IoT to ECG monitoring has the potential to give maximum
information and can be used to its fullest extent. An IoT- based
ECG monitoring system composed of a portable wireless
acquisition transmitter and a wireless receiving processor.
The system integrates a search automation method to detect abnormal data such
that cardiac function can be identified on a real-time basis.  

 

3.        
Blood Pressure Monitoring – The question
is has the combination of a KIT blood pressure(BP) meter and an
NFC-enabled KIT mobile phone becomes part of BP monitoring based
on the IoT is addressed. A motivating scenario in which BP must be
regularly controlled remotely is presented by showing the communications
structure between a health post and the health center. The question of how the
Withings BP device operates depends on the connection to an Apple
mobile computing device. A device is needed for BP data collection and
transmission over an IoT network. This device is composed of a
BP apparatus body with a communication module.  
4.     Body Temperature Monitoring – Body
temperature monitoring is an essential part of health-care
services because bodytemperature is a decisive vital sign in the
maintenance of homeostasis. The m-IoT concept is verified using a body
temperature sensor that is embedded in the TelosB mote, and a typical sample of
attained body temperature variations showing the successful operation of the
developed m-IoT system is presented. The temperature measurement system based
on a home gateway over the IoT. The home gateway transmits the user’s body
temperature with the help of infrared detection. The main
system components responsible for temperature recording and transmission
are the RFID module and the module for monitoring body temperature.
  5.     Healthcare Solutions using Smartphones –
Recent years have witnessed the emergence of electronic
devices with a smartphone- controlled sensor, which highlights the rise of
smartphones as a driver of the IoT. Various hardware and software products have
been designed to make smartphones a versatile healthcare device. An extensive
review of healthcare apps for smartphones is systematically
provided, including a discussion on apps for patients and general healthcare
apps as well as medical education, training, information search apps.
Few apps are available for general healthcare :  
·       Diagnostic
apps       
      –        It
is used to access diagnostic and treatment information.
·       Drug Reference apps
     –        It
provides name of drug, their indications, dosage costs and                                                    
identifying features. ·       Medical Education
apps –   It deals with tutorials, training, various
surgical demonstration,
                                            Color illustrations
of different images and medical books.
·       Calculator
apps                –
It hasvarious medical formulas as well as
equations and calculate 
                                       
respective parameters of interest (e.g. the body surfaceburn                                                                         
percentage)   ·       Clinical
communication apps –   It simplifies communication between clinicians within a                                                      
hospital.   BENEFITS OF HEALTHCARE IoT:  
1.     Reduced Healthcare Cost –  Remote
monitoring of patients become possible because of real time data
and wearable devices. Doctors and healthcare centers can take better care
of their patients remotely. It also helps them in minimizing
the overall healthcare cost, as doctors do not require to meet
patients at the regular basis. IoT has reduced the healthcare cost and also
helped in speeding the delivery of care.   2.    
Better Result of Treatment –  Connectivity of healthcare to cloud
computing or other virtual infrastructure gives healthcare the ability to access
real time data that provides informed decisions as well as offer treatment that
is evidence based. This enables healthcare provision is timely and treatment
outcomes are improved.   3.     Improved Disease Management
– In this technique, patients are continuously monitored and
healthcare centers are able to access real time data. With the
help IoT disease are treated before they get out of hand.
  4.     Reduced Errors – Accurate collection of
data, automated workflows combined with data driven decisions
are an excellent way of cutting down the costs. Reducing system costs
helps in minimizing on errors.   5.     Better Patient
Engagement – Healthcare is transforming from fee for service to value-based
care. Effective patient engagement plays a key role
in the implementation of value-based care program. With the help of
IoT, patients can use apps and software which help in
accessing their own health data. In this way patient can be sure about the
progress in healthcare management. Doctors and patients both can keep their eyes on their
daily routine and diet chart. For old age patients, this
app is a good engagement and through this they can
monitor their health record.   6.     Real-Time Data
and Information for Care Managers –  With the advent of IoT in healthcare,
care managers can get access to the real-time data of
patients. There are so many health apps withthe integration to
wearable devices such as Apple Watch and other health bands;
these apps can send patient’s real-time data to the care managers
and care managers can use this data to create 
a better care management program for patients.  
7.     Increased Interest Level of Patients
–  There is a sharp increase in the population of fitness
freak people as healthcare apps with wearable devices (such as Apple
watch, fitness band etc.)  have been launched. People has increased
interest in healthcare matter which results in more educated
patient population. Educated patients understands the importance of good
health.   8.     Meaningful & Timely Health Alerts
–  With the use of IoT care managers can get the access
to real-time data and thus can send more meaningful health alerts
to patients. Real -time data access can get the attention of
care manager whenever particular health parameters go beyond the
ideal limit and healthcare can send alerts immediately. This
technique can save lives of critical care
patients.   9.     Helping Differently Able
People – The greatest benefit of IoT in
healthcare is its ability to help differently abled people. IoT enabled
wheelchair, hearing devices, eye glasses etc, which are helping the many needy
people. The combination of mobile apps and IoT has given
birth to the stream gadgets that help differently abled
people.     CHALLENGES OF HEALTHCARE IoT:  
1.     LACK OF EHR (ELECTRONIC HEALTH RECORD)
SYSTEM INTEGRATION When data is collected from IoT device, it can save
patient’s important information, daily physical routine or glucose level. This information not automatically
go to an EHR system until it is centralized. Some EHR
systems allow patients to import data into their
records. But still this remains relatively limited to a few dominant EHR
players. Stillmany providers are uncertain of how to handle
information that lives outside of their record system.                                 
2.      LACK OF INTEROPERABILITYWITH EHR
(ELECTRONIC HEALTH RECORD) SYSTEM –  
                      Patients
are likely to collect different sets of data when using
different medical devices depending on each device’s purpose and, in some
cases, the ordering physician. A patient with diabetes may
frequently collect glucose levels and report them back to their
primary care physician while also potentially capturing data related to their
asthma on a separate device, which may be going to their asthma and allergy
care provider.  In many cases, the information that the patient captures
stays within the boundaries of each of the systems and IoT vendors and is not
visible to other systems. Unfortunately, with the lack of wider
adoption of adequate interoperability, data from different
IoT devices may remain locked in each individual system and
lose its potential value to the rest of a patient’s care
team.     3.     NEED OF FULL HEALTH RECORD OFPATIENT –
  IoT data alone may not be meaningful if it is not within
the context of a full health record. Many service providers support the
collection of meaningful patient data between every visit, but this
data is only valuable within the context of a full patient chart
and timeline. There are still many cases where the data collected
from wearables and other medical devices stays locked
in the IoT vendor repository or apps. For a doctor, that
data may not be useful until patient’s full record is visible.
    4.     DATA SECURITY –   Data
security causes concern in the implementation of IoT in healthcare.
From the time that the data is collected at the device level to the point that
it is transmitted over to its final destination. But with the
lack of common security standards andpractices, many health IoT
professionals have concern about the risks associated with IoT
device. FUTURE OF HEALTHCARE IoT: There are countless
applications for the IoT in healthcare, but the technology is
still evolving . One of the challenges of healthcare IoT is how to
manage all of the data it collects, the future of IoT will
depend on the ability of healthcare organization to turn that
data into the meaningful insights. 

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