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Preparing
Healthcare
for
Wearables
Jeff Jenkins
Co-Founder
Why we’re here…
We’re going to talk about “the next big thing” in mobile enterprise
technology… Smart Glasses. We’ll talk about:
•  What smart glasses are
•  Where they came from
•  What they can do in healthcare
•  Pitfalls of leveraging these devices
What exactly makes glasses “smart”?
For all intents and purposes, think of smart glasses as having all of the
same capabilities as a smart phone. Instead of looking at a screen,
the user is simply looing through an optic.
Ba#ery	
  
CPU,	
  Memory,	
  Storage	
  
and	
  Sensors	
  
Camera	
  
Microprojector	
  
Op:c	
  
Shield	
  (Op:onal)	
  
How did we get here?
APX Labs was founded in 2010 when it began creating smart
glasses applications for the U.S. Army years before the
announcement of Google Glass.
Headquartered outside of Washington D.C
Developed the first facial biometric ID software
for U.S. Army smart glasses – “Terminator
Vision”
Created the first smart glasses-based field
medic solution for the U.S. Army’s
telemedicine research command
What Can Glasses Do in Healthcare?
Smart Glasses can provide a great deal of value wherever tasks
being performed by hand can be made more efficient by having
real-time, hands-free access to data that is contextually relevant.
Just a few examples include…
Messages,
Alerts,
Workflows and
Tasks
Data Integration
and Sensor
Monitoring
	
  
	
  
Live “See What
I See”
Telepresence
APX	
  Labs	
  proprietary	
  and	
  confiden4al	
  
Where’s the Catch?
It’s a no-brainer that smart glasses can be extremely effective in the
healthcare setting, but what are some of the challenges involved in
leveraging this technology and the data that comes from it?
•  Availability of software development talent
•  Lack of physical safeguards by default
•  New data means new security challenges
•  The ever-present camera
Development Talent
The Challenge
Developing software for smart glasses is intrinsically different than developing on
other mobile devices. Looking through rather than looking at the device creates
new UX challenges.
Making use of immersive glasses requires software development skills typically not
present in the enterprise (3D Graphics Programming, Computer Vision, etc…)
HIPAA Compliance
The Challenge
The out of the box API’s used with smart glasses like Google Glass won’t meet
HIPAA and other regulatory standards. Having your data leave your network and go
to a publically used cloud infrastructure via the Mirror API or using Hangouts to
stream video isn’t an option in healthcare.
New Data
The Challenge
The sensors on wearable devices like smart glasses can be used to gain new
insight into the user’s action and the world around them, but this comes with a need
to make sure that this data is captured and handled securely and appropriately.
The Camera
The Challenge
The cameras on smart glasses unlock powerful new uses for technology in
healthcare, but also expose new surface area for potential links between PHI and
identity.
Thank You
Questions?
Throughout the day, please feel free to follow me on twitter, ask questions, and
engage in the conversation about smart glasses in healthcare.
@JeffEJenkins
Skylight
A hardware-agnostic software platform that unlocks the power of smart
glasses for desk-less workers who can benefit from access to real-time,
contextually-relevant information that can be accessed hands-free.
Skylight enables:
Real-­‐:me,	
  hands-­‐on	
  collabora:on	
  
through	
  “See	
  What	
  I	
  See”	
  
technology.	
  
Quick	
  and	
  efficient	
  loca:on	
  of	
  
people,	
  places,	
  and	
  things	
  in	
  the	
  
user’s	
  environment.	
  
Access	
  to	
  workflow-­‐driven	
  alerts,	
  
messages,	
  media,	
  and	
  reference	
  
material.	
  
Integra:on	
  with	
  any	
  and	
  all	
  exis:ng	
  
back-­‐end	
  systems	
  through	
  a	
  rich	
  
and	
  powerful	
  add-­‐in	
  API.	
  
How: Extending Physicians’ Reach
The Problem
A highly skilled physician’s time is extremely valuable. Unnecessary travel incurs
more than the cost of fuel, airfare, or hotel accommodation. Needlessly moving
doctors carries a massive opportunity cost as well.
A Solution
Keep physicians where their most effective and valuable, in other situations where
their expertise is needed for rounds or consults, use smart glasses and Skylight’s
“See What I See” technology to allow other doctors and nurses to proxy for the
remote physician from the next room, across the city, or across the world.
How: Reduce Avoidable Readmissions
The Problem
Patients discharged from a medical facility are often confused about how to care for
themselves at home. They fail to check in for required follow-ups and when
something goes wrong, they come back to the hospital resulting in costly penalties
for readmission under new healthcare regulations.
A Solution
Use Skylight’s “See What I See” technology on smart glasses to connect nurses
with doctors during home visits, allowing the nurse to act as proxy for the doctor to
assess the patient’s situation and aid in care.
Leverage Skylight’s workflow-driven alerts and messaging to provide checks and
balances to avoid mistakes at the original point of care that can result in later
readmission.
How: Revolutionize Training
The Problem
Details of complex training scenarios are rarely retained in one pass and require
later reference and practice in order to perfect.
A Solution
Use Skylight’s “See What I See” technology to:
•  Record training experiences, from the trainee’s point of view for later playback
and reference when they return to their institution.
•  Provide remote training sessions where trainee’s can log into the instructor’s
point of view to watch a procedure unfold.
Use Skylight’s tasking, messaging, and media functionality to provide trainees with
step-by-step instruction during training in a hands-on procedure.
How: Keep Doctors Hands-Free and Heads-Up
The Problem
In the course of performing their duties nurses, doctors, and surgeons are
constantly referring to information presented on documentation and monitors
surrounding the patient, but doing so requires them to take their eyes off the patient
in the process.
A Solution
Use Skylight’s information panels to:
•  Stream data from patient monitors directly into the caregiver’s line of sight
•  Monitor patients more effectively by providing real-time access to monitor and
camera feeds from anywhere
Summary
Smart glasses enable hands-free access to relevant information that can help desk-less
workers like doctors and nurses improve efficiency.
Skylight enables smart glasses to talk with other software systems and provides
valuable core functionality to form the foundation of an enterprise’s wearable technology
ecosystem.
Paired with the highly capable smart glasses platforms available today, Skylight can
dramatically improve the quality of patient care and provide benefits like:
•  Expansion of Physician’s Reach
•  Reduction of Avoidable Readmissions
•  Revolutionary Training Techniques
•  Keeping Doctors Hands-Free and Heads-
Up
How: Maximize Revenue
The Problem
With the caregiver laser-focused on the patient, services can often go under or un-
coded and result in lost revenue for the institution.
A Solution
Use Skylight’s add-in API paired with tasking and messaging functionality to cross-
reference services being provided with a patient’s EMR to highlight errors and
provide real-time coding guidance at the point of care.

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HxRefactored - APX Labs - Jeff Jenkins

  • 2. Why we’re here… We’re going to talk about “the next big thing” in mobile enterprise technology… Smart Glasses. We’ll talk about: •  What smart glasses are •  Where they came from •  What they can do in healthcare •  Pitfalls of leveraging these devices
  • 3. What exactly makes glasses “smart”? For all intents and purposes, think of smart glasses as having all of the same capabilities as a smart phone. Instead of looking at a screen, the user is simply looing through an optic. Ba#ery   CPU,  Memory,  Storage   and  Sensors   Camera   Microprojector   Op:c   Shield  (Op:onal)  
  • 4. How did we get here? APX Labs was founded in 2010 when it began creating smart glasses applications for the U.S. Army years before the announcement of Google Glass. Headquartered outside of Washington D.C Developed the first facial biometric ID software for U.S. Army smart glasses – “Terminator Vision” Created the first smart glasses-based field medic solution for the U.S. Army’s telemedicine research command
  • 5. What Can Glasses Do in Healthcare? Smart Glasses can provide a great deal of value wherever tasks being performed by hand can be made more efficient by having real-time, hands-free access to data that is contextually relevant. Just a few examples include…
  • 8. Live “See What I See” Telepresence APX  Labs  proprietary  and  confiden4al  
  • 9. Where’s the Catch? It’s a no-brainer that smart glasses can be extremely effective in the healthcare setting, but what are some of the challenges involved in leveraging this technology and the data that comes from it? •  Availability of software development talent •  Lack of physical safeguards by default •  New data means new security challenges •  The ever-present camera
  • 10. Development Talent The Challenge Developing software for smart glasses is intrinsically different than developing on other mobile devices. Looking through rather than looking at the device creates new UX challenges. Making use of immersive glasses requires software development skills typically not present in the enterprise (3D Graphics Programming, Computer Vision, etc…)
  • 11. HIPAA Compliance The Challenge The out of the box API’s used with smart glasses like Google Glass won’t meet HIPAA and other regulatory standards. Having your data leave your network and go to a publically used cloud infrastructure via the Mirror API or using Hangouts to stream video isn’t an option in healthcare.
  • 12. New Data The Challenge The sensors on wearable devices like smart glasses can be used to gain new insight into the user’s action and the world around them, but this comes with a need to make sure that this data is captured and handled securely and appropriately.
  • 13. The Camera The Challenge The cameras on smart glasses unlock powerful new uses for technology in healthcare, but also expose new surface area for potential links between PHI and identity.
  • 14. Thank You Questions? Throughout the day, please feel free to follow me on twitter, ask questions, and engage in the conversation about smart glasses in healthcare. @JeffEJenkins
  • 15. Skylight A hardware-agnostic software platform that unlocks the power of smart glasses for desk-less workers who can benefit from access to real-time, contextually-relevant information that can be accessed hands-free. Skylight enables: Real-­‐:me,  hands-­‐on  collabora:on   through  “See  What  I  See”   technology.   Quick  and  efficient  loca:on  of   people,  places,  and  things  in  the   user’s  environment.   Access  to  workflow-­‐driven  alerts,   messages,  media,  and  reference   material.   Integra:on  with  any  and  all  exis:ng   back-­‐end  systems  through  a  rich   and  powerful  add-­‐in  API.  
  • 16. How: Extending Physicians’ Reach The Problem A highly skilled physician’s time is extremely valuable. Unnecessary travel incurs more than the cost of fuel, airfare, or hotel accommodation. Needlessly moving doctors carries a massive opportunity cost as well. A Solution Keep physicians where their most effective and valuable, in other situations where their expertise is needed for rounds or consults, use smart glasses and Skylight’s “See What I See” technology to allow other doctors and nurses to proxy for the remote physician from the next room, across the city, or across the world.
  • 17. How: Reduce Avoidable Readmissions The Problem Patients discharged from a medical facility are often confused about how to care for themselves at home. They fail to check in for required follow-ups and when something goes wrong, they come back to the hospital resulting in costly penalties for readmission under new healthcare regulations. A Solution Use Skylight’s “See What I See” technology on smart glasses to connect nurses with doctors during home visits, allowing the nurse to act as proxy for the doctor to assess the patient’s situation and aid in care. Leverage Skylight’s workflow-driven alerts and messaging to provide checks and balances to avoid mistakes at the original point of care that can result in later readmission.
  • 18. How: Revolutionize Training The Problem Details of complex training scenarios are rarely retained in one pass and require later reference and practice in order to perfect. A Solution Use Skylight’s “See What I See” technology to: •  Record training experiences, from the trainee’s point of view for later playback and reference when they return to their institution. •  Provide remote training sessions where trainee’s can log into the instructor’s point of view to watch a procedure unfold. Use Skylight’s tasking, messaging, and media functionality to provide trainees with step-by-step instruction during training in a hands-on procedure.
  • 19. How: Keep Doctors Hands-Free and Heads-Up The Problem In the course of performing their duties nurses, doctors, and surgeons are constantly referring to information presented on documentation and monitors surrounding the patient, but doing so requires them to take their eyes off the patient in the process. A Solution Use Skylight’s information panels to: •  Stream data from patient monitors directly into the caregiver’s line of sight •  Monitor patients more effectively by providing real-time access to monitor and camera feeds from anywhere
  • 20. Summary Smart glasses enable hands-free access to relevant information that can help desk-less workers like doctors and nurses improve efficiency. Skylight enables smart glasses to talk with other software systems and provides valuable core functionality to form the foundation of an enterprise’s wearable technology ecosystem. Paired with the highly capable smart glasses platforms available today, Skylight can dramatically improve the quality of patient care and provide benefits like: •  Expansion of Physician’s Reach •  Reduction of Avoidable Readmissions •  Revolutionary Training Techniques •  Keeping Doctors Hands-Free and Heads- Up
  • 21. How: Maximize Revenue The Problem With the caregiver laser-focused on the patient, services can often go under or un- coded and result in lost revenue for the institution. A Solution Use Skylight’s add-in API paired with tasking and messaging functionality to cross- reference services being provided with a patient’s EMR to highlight errors and provide real-time coding guidance at the point of care.