IIC Journal of Innovation 4th Edition | Page 17

How IoT Can Significanlty Improve Healthcare in the Context of Smart City o Lack of capabilities to capture and share centrally available clinical data in real time – Most medical devices are supported by proprietary communications protocols and therefore cannot send clinical data over Internet protocols (IP) to a server on a healthcare network. Ensuring that all the devices speak the same language, so that data collected can be read and understood, is becoming increasingly difficult due to the growing number of network proprietary devices. As a result, many healthcare facilities have "islands" of data that cannot be shared and stored in a centralized location in an automated fashion. for health monitoring purposes and not treatment, consuming a major share of available bandwidth 4 . o Gap between required and available medical workforce - With a growing aging population, the demand for physicians and nursing personnel has intensified around the world, which is already experiencing doctor shortages. A 2017 study conducted by IHS Inc., predicted that by the year 2030 the United States alone will face a shortage of at least 40 thousand physicians 5 . Even the available medical personnel are wholly engaged in compliance related tasks, which limits value for the end consumer, i.e., patients. According to a research report published by the American College of Physicians, Doctors are wasting over two-thirds of their time doing paperwork and spent only 27% of their time in their offices seeing patients, which drastically impacts their effective utilization rates 6 . Apart from this, there is little electronic information sharing among clinicians and hospital as there are still major dependencies on traditional means like phone, fax, mail, etc. For those who use Electronic Health Record (EHR), around 40% are not satisfied with the EHR system due to the huge amount of time consumed in manual data entry needed to push the data to the servers. This situation results in dramatic Similarly, reading and recording patient data from a medical device manually (through paper and pen) by nursing staff, results in a wastage of around 100 nursing hours daily with up to 24 data errors for a typical hospital. Saving or eliminating this wasted time and expertise could improve the quality of patient care 7 . 4http://www.corp.att.com/healthcare/docs/remote_patient_monitoring.pdf http://www.techmahindra.com/sites/ResourceCenter/Infographics/IES/Remote_Patient_Monitoring_Solution.pdf 5 https://news.aamc.org/for-the-media/article/gme-funding-doctor-shortage/ 6 https://www.forbes.com/sites/brucelee/2016/09/07/doctors-wasting-over-two-thirds-of-their-time-doing-paperwork/#57f6d3a05d7b 7 https://www.buildingbetterhealthcare.co.uk/technical/article_page/Comment_Hospitals_and_the_Internet_of_Things/97292 16 June 2016