1	A Rigorous Way To Develop and Deploy Wireless Healthcare Programs Steve Goldberg Partner INET International Inc., Research Associate for the Center for the Management of Medical Technology (CMMT), Stuart Graduate School of Business, Illinois Institute of Technology (IIT). October 2005
2	ABOUT INET In 1998 INET International Inc. was founded as an Information and Communication Technology (ICT) firm. Current services: Produce conferences on wireless healthcare Field local & international online market research studies INET work is peer reviewed and published in international academic journals, conference proceedings and books. CMMT and INET collaboration on an Wi-INET model to close the gap between research and commercialization.
3	INET DELIVERY PRACTICE
4	INET MOBILE E-HEALTH PROJECT EVOLUTION
5	Wi-INET MODEL: CMMT-INET COLLABORATION
6	DR. SILVER-INET COLLABORATION
7	INET WIRELESS DIABETES PROGRAM
8	IMPROVE PATIENT CARE
9	REDUCE HEALTHCARE COSTS
10	DIABETES IN CANADA EVALLUTATION (DICE)* GLYCEMIC CONTROL: DICE shows one in two Canadians with type 2 diabetes does not have their blood sugar under control. Control is worse the longer patients have Diabetes. PREVALENCE OF COMPLICATIONS: DICE demonstrates that the majority of patients experience health conditions associated with the disease. The prevalence of co-morbidities and complications are higher the longer a person has had the disease. DISEASE MANAGEMENT: DICE suggest that physicians need to get patient blood sugar levels to target as quickly as possible after diagnosis to reduce the risk of serious and deadly complications. This will require more intensive and aggressive treatment. BARRIERS TO ACHIEVING TREATMENT TARGETS: DICE suggest there is a gap between knowledge and practice.
11	INET PILOT PROJECT Approximately 5 patients, enrolled and followed by their Family Physician - Dr. Silver for a period of ~3 months; determining whether the “INET Wireless Diabetes Program” can enhance diabetic care. Completed June 2005 Pre and post pilot project HA1C tests were taken to follow the patient’s progress and success. Bell Canada contributed cell-phones, PDA handhelds and wireless usage for the duration of the pilot project. Application installation and support conducted remotely using telephone and e-mail
12	PROJECT SCOPE
13	PROJECT SCOPE
14	PROJECT SCOPE
15	PATIENT APPLICATION SUPPORT
16	"Patient’s phone is loaded with..." Patient’s phone is loaded with a program & ID#. Enter blood sugar readings.
17	PATIENT PROTOCOL The data is sent back electronically and wirelessly to their MD Data consists of only an ID# and blood sugar as well as date and time of reading. No identifying data; privacy is protected. Avoids hoarding of data.
18	PHYSICIAN PROTOCOL MD monitors data on Palm / RIM / PC. Action plan sent back to patient. Excellent MD – patient relationship. Linkages with Diabetes Educational / Management Centers & Community Care Access Centers.
19	PRELIMINARY FINDINGS
20	PATIENTS’ FEEDBACK
21	NEW FEATURES Access application using PCs and the Internet. Automatic alerts based on guidelines. Diabetes management systems integration. Reporting – secure distribution of patient history: Lab work, diabetes diary, chart (graph), medication, and action request logs.
22	"Deploy INET Pilot Projects" Deploy INET Pilot Projects To Validate Preliminary Findings N=200 :Engage in 4 pilot projects with ~ 50 patients/project. Involve patients in northern (aboriginal), urban and rural settings. Expand to other healthcare delivery settings: Nurses, Dietitians, Nurse Practitioners, Endocrinologists Community Care, Diabetes Center, Additional Family physicians, and integrate with diabetes ICT management systems
23	INET DELIVERY PRACTICE
24	Thank You!