Latest / Morning Medical with Dr. Chow / Mobile Healthcare Tech, Remote Monitoring, and AI Innovations in Nursing
Transcript
- 0:00Good morning, everyone, and welcome to another episode of Morning Medical with Dr.
- 0:04Chow.
- 0:05I am your host, Dr.
- 0:07Chi-Ming Chow, and today we're diving into the fascinating world of mobile healthcare
- 0:11technology and its impact on remote patient monitoring.
- 0:15This segment is inspired by an insightful article from Samsung Business Insights.
- 0:21So, let's get started!
- 0:25New mobile healthcare technology that enables at-home patient monitoring and treatments is
- 0:31transforming the industry.
- 0:33It allows medical teams to provide proactive and predictive care in between their patients’
- 0:39regular doctor visits.
- 0:40Healthcare providers are increasingly adopting remote patient monitoring initiatives and
- 0:45equipping patients with Bluetooth-enabled devices, such as consumer wearables, pulse
- 0:50oximeters, and blood pressure and glucose monitors, so they can check their vital signs
- 0:55at home.
- 0:56This allows clinicians to track their patients remotely and intervene if their health changes.
- 1:02Medical device manufacturers have also built implantable devices, including pacemakers, that
- 1:08enable continuous monitoring of patients’ vital signs.
- 1:12Meanwhile, neuromodulation devices implanted in the brain or spine can stimulate nerves and
- 1:18treat chronic pain, depression, Parkinson’s disease, and other conditions.
- 1:24Through real-time remote monitoring, doctors can supervise the care of patients with these
- 1:28implanted devices.
- 1:31Mobile devices for healthcare are essential because they serve as the mobile form factor
- 1:35that the software-as-a-service application is downloaded on to enable these at-home patient
- 1:41care capabilities.
- 1:42In fact, remote patient monitoring and implantable devices are often paired with
- 1:47mobile devices, which store patient data on the software-as-a-service application’s cloud.
- 1:54Through their cellular connections, the mobile device sends the data to patients’ electronic
- 1:59medical records or other health system apps.
- 2:01If abnormalities are detected, the software alerts clinicians to intervene and reach out to
- 2:06their patients.
- 2:08One notable example is the Samsung Galaxy A15 5G Healthcare Edition.
- 2:14This affordable mobile device and software bundle allows healthcare providers and medical
- 2:19manufacturers to easily configure, deploy, and secure devices in bulk.
- 2:25This is particularly useful for patients who use remote patient monitoring devices and other
- 2:30digital patient care technology.
- 2:34Remote patient monitoring enables more efficient, cost-effective care.
- 2:39Telehealth saw rapid adoption during the pandemic, and today, remote patient monitoring,
- 2:45which is a form of telehealth, continues to increase in popularity.
- 2:49By 2025, an estimated 70.6 million U.S.
- 2:54patients, or 26.2 percent of the population, will use remote patient monitoring tools,
- 2:59according to eMarketer.
- 3:02Remote patient monitoring peripherals, combined with mobile devices, help address the challenge
- 3:06of taking care of patients with chronic conditions, such as hypertension, diabetes, and
- 3:11heart disease.
- 3:13Studies show that preventative care and early intervention through remote patient monitoring
- 3:17not only enable more efficient and cost-effective care but also improve patient
- 3:22outcomes and reduce hospital readmissions.
- 3:26According to one analysis, remote monitoring resulted in 87 percent fewer hospitalizations,
- 3:3177 percent fewer deaths, and reduced per-patient costs, according to the Journal of
- 3:38the American Medical Association.
- 3:40For instance, UC San Diego Health’s remote patient monitoring efforts have helped patients
- 3:45with hypertension reduce their blood pressure.
- 3:49To address the needs of this market, Samsung recently unveiled the Galaxy A15 Healthcare
- 3:54Edition, which bundles Samsung’s affordable Galaxy A15 5G mobile device with the Samsung
- 4:00Knox cloud security and device management solution all in one package.
- 4:08The Galaxy A15 5G entry-level mobile device, which features a 6.5-inch display, offers a
- 4:14brighter screen, more storage, and longer battery life than its predecessor — and
- 4:20delivers the performance that healthcare providers and medical device makers need for
- 4:24their at-home patient care medical kits.
- 4:28With this solution, Samsung is bundling hardware and software for the first time to
- 4:32make it simpler and more cost-effective for providers and device makers to configure,
- 4:37manage, and secure a large fleet of devices.
- 4:41For that reason, Samsung has expanded the lifecycle of the Galaxy A15 from one year to
- 4:46three years for the healthcare market.
- 4:48Samsung has traditionally given A Series phones a one-year lifecycle in the consumer market.
- 4:54Now, healthcare organizations and companies that invest in the Galaxy A15 Healthcare
- 5:00Edition can standardize on the same device for three years, enabling them to have a stable
- 5:05hardware and software platform.
- 5:08To that end, the Galaxy A15 Healthcare Edition maintains the Android 14 operating system out
- 5:14of the factory throughout the mobile device’s lifecycle.
- 5:19At the same time, it provides flexibility for customers upgrading their operating system when
- 5:24their applications are ready and certified using Samsung Knox Enterprise Firmware
- 5:29Over-the-Air.
- 5:31Samsung provides software maintenance support for five years and includes a two-year
- 5:36subscription to two Samsung Knox components: Knox Configure Dynamic allows IT administrators
- 5:43to remotely configure, secure, and lock down the mobile device in bulk.
- 5:49Knox Enterprise Firmware Over-the-Air is used to schedule device updates and ensure every
- 5:55device is using the correct version of the Android operating system and has all the
- 6:00required firmware updates.
- 6:02After two years, organizations can renew the Samsung Knox licenses.
- 6:09“When our healthcare customers buy the new device, they not only have the hardware, they
- 6:13will have the security solution and the ability to deploy applications on the device and lock
- 6:18them down in kiosk mode,” said Abhay Ganesh, a B2B category management lead at Samsung.
- 6:26Maintaining the base software allows health systems and companies to remain compliant with
- 6:31country regulations.
- 6:33In fact, the Samsung Galaxy A15 Healthcare Edition has already received certifications for
- 6:40voice and data from the Federal Communications Commission in the United States, Innovation,
- 6:46Science and Economic Development in Canada, and regulatory bodies in the European Union and the
- 6:52United Kingdom for data.
- 6:55To recap, healthcare organizations are increasingly adopting remote monitoring and
- 7:00other at-home digital care services to improve patient care while optimizing workflows and
- 7:05improving efficiencies.
- 7:08Samsung Galaxy A15 Healthcare Edition, with its integrated hardware and software bundle,
- 7:13enables healthcare organizations and medical device makers to scale the delivery of these
- 7:19digital services to patients.
- 7:21Security is baked into the hardware and starts at the kernel level — and is not simply a
- 7:28security overlay.
- 7:30It is also a cost-effective solution because it simplifies software compliance needs and
- 7:36reduces device, implementation, maintenance, and regulatory costs.
- 7:42The nursing workflow is unique, and any solutions developed for nurses must be
- 7:46purpose-built to integrate with the way they work.
- 7:50That is why we placed the voice of nurses at the center of our ongoing work to design and
- 7:55develop a solution that augments nurses’ daily workflows and is now in the hands of nurses
- 8:00across multiple provider organizations.
- 8:03Growing demand, excessive documentation requirements, and inefficient workflows are all
- 8:08contributing to nurses’ exhaustion, feelings of burnout, and high turnover rates.
- 8:15Based on recent conversations I have had with nursing executives, one thing is crystal clear:
- 8:21to make a real difference for patients and clinicians, innovation needs to flow throughout
- 8:26the care continuum—and the nursing workflow is no exception.
- 8:30It is the most ubiquitous given nurses comprise the largest workforce in healthcare.
- 8:35With thirty-two percent of nurses planning to exit the United States workforce this year and
- 8:40the World Health Organization predicting a shortage of four-and-a-half million nurses by
- 8:452030, the urgency to deliver technology to support the nursing profession is felt more
- 8:51than ever.
- 8:53The people who truly understand the intricacies and challenges of nursing workflows are those
- 8:57who live and breathe it every day.
- 9:00To build an innovative solution that is impactful, nurses and their leadership need to
- 9:05be the guiding light of the process, from design to launch and all the way through to
- 9:09successful adoption by the workforce.
- 9:12As Lea Ann Arnold, Director of Nursing Informatics at Northwestern Medicine, explains:
- 9:19“Nurses need to be at the table.
- 9:22They need to be a voice; they need to be able to help technology teams figure out you cannot
- 9:27just put a solution out there.
- 9:29You must get into the actual workflows and understand how nurses work.”
- 9:34Terry McDonnell, Senior Vice President and Chief Nursing Executive at Duke Health, agrees:
- 9:40“The number one key in ensuring that any technology is going to be successful or useful
- 9:45for nurses is to really involve nurses in the design.”
- 9:50“Setting nurses up for success and making sure that they are part of the solution is crucial.
- 9:56We cannot expect them to accept a solution just because we think it is the way to do it.
- 10:02We need to bring nurses along with the decision and make sure they feel that they understand
- 10:07how to use the technology,” said Tammy Daniel, Senior Vice President and Chief Nursing Officer
- 10:13at Baptist Health of Northeast Florida.
- 10:16Artificial intelligence is rapidly evolving technology, and it is crucial that its powers
- 10:21are extended to nursing workflows.
- 10:24Nurses need to manage their workloads in a way that does not lead to increased stress and
- 10:29burnout, allowing nurses to focus their energy on patient care.
- 10:33“It is so critical for our nurses to understand artificial intelligence,” says Arnold.
- 10:39“Then they start to realize that that adding artificial intelligence is not meant to replace
- 10:45the human factor, but it is really meant to augment and take off that work that could be
- 10:50done by a machine.”
- 10:52Microsoft is committed to empowering customers with cutting-edge tools designed to harness the
- 10:58power of generative artificial intelligence.
- 11:01Our dedication to innovation continues in our latest investment in industry-specific
- 11:06solutions that enable businesses to adopt and integrate artificial intelligence technologies
- 11:12swiftly and efficiently.
- 11:14We are seizing the remarkable opportunity that artificial intelligence presents in healthcare,
- 11:20propelling the industry towards a transformative future.
- 11:25Though physicians and nurses work closely together to treat and care for patients, the
- 11:29working day of a nurse looks very different to that of a physician, and nursing documentation
- 11:35workflow is likewise separate and distinct.
- 11:38Nurses are mobile during their shift, moving between rooms to see their patients.
- 11:43They have bedside conversations and capture patient information in highly structured
- 11:48formats such as flowsheets.
- 11:51Microsoft has been on a multi-year journey to address the challenge of nursing documentation
- 11:55and complex workflows with sophisticated artificial intelligence to build a solution we
- 12:01have deployed at multiple customers.
- 12:03We gathered feedback from hundreds of frontline nurses, nurse managers, and executives.
- 12:10Our team has spent hours shadowing nurses during their shifts to see how they carry out
- 12:15their tasks and to discover where the greatest points of friction exist throughout their day.
- 12:22We established the ambient category five years ago for physician documentation and now
- 12:27hundreds of organizations use our artificial intelligence capabilities for clinical
- 12:32workflow.
- 12:34We are building on that success and defining the standard for artificial intelligence in
- 12:39nursing.
- 12:41“Patients are complex, and we need to think about how we are going to document
- 12:45differently—because ultimately the value of nursing is back at the bedside, it is not the
- 12:51taxing work of documenting in a flowsheet.
- 12:54With the work that Microsoft has done with providers, I was very excited to be chosen as
- 13:00one of the pilot sites to truly inform that roadmap,” says Gretchen Brown, Chief Nursing
- 13:06Information Officer at Stanford Health Care.
- 13:09We are actively collaborating with several leading healthcare organizations—including
- 13:13Advocate Health, Baptist Health of Northeast Florida, Duke Health, Intermountain Health,
- 13:18Saint Joseph Hospital, Mercy, Northwestern Medicine, New York University Langone Health,
- 13:25Stanford Health Care, and Tampa General Hospital—and building an artificial
- 13:30intelligence solution that addresses nursing documentation by completing flowsheets
- 13:35supported by ambient technology, allowing nurses to focus less on paperwork and more on
- 13:40their patients.
- 13:42Many of these organizations have already deployed a preview version as we further
- 13:47optimize the capabilities before making them generally available.
- 13:52Tapping into our proven track record with Dragon Medical and electronic health record
- 13:55embedded workflows, our initial work in this space builds on a longstanding strategic
- 14:00relationship and joint development collaboration with Epic.
- 14:04Nursing is on the brink of significant innovation.
- 14:08We see this with the momentum of virtual nursing, where health systems are investing in
- 14:14technologies focused on supporting nursing care teams.
- 14:18We aim to meet the immediate pain point of documentation and, in time, fundamentally
- 14:24reshape the experience of nurses, helping to evolve that experience into something intuitive
- 14:29and efficient, where the non-patient care work can be facilitated by cutting-edge technologies
- 14:36working in the backdrop, returning the human connection of patient and nurse to the
- 14:40forefront.
- 14:42As I engage in the dialogue between nursing leaders and industry innovators, I have no
- 14:47doubt the future will be transformed.
- 14:51Collectively, we have the ambition and the conviction to point these breakthrough
- 14:55technologies at our most critical problems, in support of some of the most essential members
- 15:00of the healthcare industry: our nurses!
- 15:04In other news, the Food and Drug Administration is challenging the food industry to take up new
- 15:09sodium reduction targets.
- 15:12The agency hopes that by doing so, the mean sodium intake among Americans will drop to
- 15:17approximately two thousand seven hundred and fifty milligrams per day.
- 15:22This is a substantial decrease from the three thousand four hundred milligrams daily average
- 15:26intake recorded prior to two thousand twenty-one.
- 15:30The Food and Drug Administration has released draft guidance on phase two sodium goals for
- 15:35each food category, as part of its overall initiative to reduce sodium consumption on a
- 15:40population level.
- 15:41If finalized, these new voluntary targets would help bring Americans' average individual sodium
- 15:47intake closer to the recommended levels.
- 15:50It is important to note that these recommendations are voluntary and not legally
- 15:55enforceable requirements.
- 15:57However, the Food and Drug Administration estimates that a reduction in mean population
- 16:03intake to near two thousand seven hundred and fifty milligrams per day could be attainable
- 16:08within three years if the food industry achieves these phase two goals.
- 16:13The agency's draft document suggests that these targets are within the range of concentrations
- 16:18found in currently marketed foods and are feasible using existing technical strategies.
- 16:24Current Dietary Guidelines for Americans advise individuals aged fourteen years and older to
- 16:29limit their sodium consumption to two thousand three hundred milligrams daily.
- 16:34Sodium intake is known to raise blood pressure and increase the risk of heart disease and
- 16:39stroke.
- 16:40Estimates suggest that over seventy percent of total sodium intake comes from sodium added
- 16:45during food manufacturing and commercial food preparation.
- 16:50The Food and Drug Administration's new sodium targets would follow initial phase one targets
- 16:55issued to the industry in October two thousand twenty-one.
- 16:58Preliminary data indicates that about forty percent of those phase one targets were very
- 17:03close to or had already been reached as of two thousand twenty-two.
- 17:08Jim Jones, the Food and Drug Administration Deputy Commissioner for Human Foods, stated,
- 17:14"Reducing sodium in the food supply has the potential to be one of the most important
- 17:19public health initiatives in a generation.
- 17:22The early successes we are seeing with sodium level reduction in certain foods are
- 17:26encouraging and indicative of the impact we believe our overall nutrition approach can have
- 17:31on the well-being of society."
- 17:34Jones also mentioned that the Food and Drug Administration is working on a forthcoming
- 17:39final rule updating the definition of 'healthy' in marketing claims and a proposed rule for
- 17:45front-of-package nutrition labeling.
- 17:47Reducing the consumption of added sugars is another nutrition initiative the agency is
- 17:53focusing on.
- 17:55That wraps up today's episode of Morning Medical with Dr.
- 17:58Chow.
- 17:59Thank you for joining me as we explored the latest advancements in mobile healthcare
- 18:02technology, the innovative use of ambient voice and artificial intelligence in nursing
- 18:07workflows, and the Food and Drug Administration's new sodium reduction targets.
- 18:12Stay tuned for more insightful discussions on the future of healthcare.
- 18:17Until next time, take care and stay healthy.