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Eldercare as a Service
Dr. Marjorie Skubic
Professor, Electrical & Computer Engineering
Director, Center for Eldercare & Rehab Technology
University of Missouri, Columbia
Collaborators: Dr. Prasad Calyam, Dr. Carmen Abbott,
Dr. Marilyn Rantz, Greg Corpier, Katie Boyer
Students: Anup Mishra, Ronny Bazan Antequera, Dmitrii Chemodanov
www.eldertech.missouri.edu
Senior
Housing
Detection of
Falls and Health
Changes
Alert Manager
Web Portal
Internet
Senior
Housing
Integration
and Data
Storage
Early Detection of Health Changes
In-Home Health Monitoring System
Motion
Sensor
s
Bed
Sensor
s
Depth
Sensor
Motion
Sensor
s
Bed
Sensor
s
Depth
Sensor
Care
Coordinator
Health &
Fall Alerts
MU Hydraulic Bed Sensor
Captures the ballistocardiogram & respiration
Heise et al., EMBC, 2010, 2011
10 seconds
ECG
BCG
Heartbeats
detected with
Km algorithm
Ground truth
finger sensor
Beat to beat
interval
4
HBS GT
Rosales et al, EMBC 2012
Capturing Gait in the Home
Two clusters for
two residents
Grandchildren
Stone & Skubic, EMBC 2012; TBE 2013;
EMBC 2014; Gait & Posture, 2015
Actual resident fall captured in a TigerPlace apartment
Senior
Housing
Detection of
Falls and Health
Changes
Alert Manager
Web Portal
Internet
Senior
Housing
Integration
and Data
Storage
Early Detection of Health Changes
In-Home Health Monitoring System
Motion
Sensor
s
Bed
Sensor
s
Depth
Sensor
Motion
Sensor
s
Bed
Sensor
s
Depth
Sensor
Care
Coordinator
Health &
Fall Alerts
Sensors detect health changes before you do
• Early interventions
• Better health outcomes
• Preventable hospitalizations
• Huge savings in healthcare costs
Carmen the Physical Therapist
Dr. Carmen Abbott
“Synchronous” HD Video Conferencing with 3D Sensing
Kansas City
Home
Kinect
Physical Therapy
Clinic
Physical
Therapist
Software-
Defined
Networking
Remote Personalized Physical Therapy
Kinect
Senior at Home
In-Home
Interface
PT
Interface
Calyam et al., Pervasive & Mobile Computing, in review.
• More than video conferencing; Includes 3D sensing
• User-centered design for interface development
In-home “patient” view
Physical therapist view
Controlled by
voice commands
Home
Home
PT
PT
11
PT Interface Shows Movement Traces:
Single Let Stance
12
PT Interface Shows Movement Traces:
Tandem Walk
KC Homes
Rural Homes
Detection of
Falls and Health
Changes
Alert Manager
Web Portal
Internet
KC Homes
Rural Homes
Integration
and Data
Storage
Future Work: Integrate the 2 Systems
Care
Coordinator
Health &
Fall Alerts
Physical
TherapistSensors
Sensors
Sensors
Sensors
Sensors
Sensors
HD Video Conferencing with 3D Sensing
Video Conferencing
Acknowledgements:
Funded by the National Science Foundation
Thanks to the Mizzou Eldertech Team
Commercial Partners:
Foresite Healthcare
Keystone Technologies
Telecare Global
www.eldertech.missouri.edu
www.foresitehealthcare.com
www.keystone-technologies.com
www.i70aging.net
I-70 Corridor Network on Aging
Translational Research
• National Science Foundation
– ITR grant IIS-0428420
– HCC grant IIS-0703692
– CPS grant CNS-0931607
– HCC grant IIS-1017097
– US Ignite grant CNS-1237970
– SHB grant IIS-1115956
– US Ignite grant CNS-1237970
• NIH
– Grant 5R21AG026412-02
– Grant 1R21NR011197-01
– Grant 1R01NR014255
• AHRQ (5R01HS018477-02)
• Admin on Aging (90AM3013)
• RAND/Hartford (9920070003)
• Alzheimer’s Association
Getting it to the
people that need it
Even more companies involved…
And they are hiring our students
Sealtech
dms
????
How do we repeat this on a larger scale?
And compete for research funding with
big-name schools on the coasts?
• I-70 Corridor Network on Aging
www.i70aging.net
I-70 Corridor Network on Aging
Next conference: November 5-6, 2015 in Kansas City
If interested, email SkubicM@missouri.edu

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Marjorie Skubic, PhD - Eldercare as a Service - Digital Health Innovation Forum 3

  • 1. Eldercare as a Service Dr. Marjorie Skubic Professor, Electrical & Computer Engineering Director, Center for Eldercare & Rehab Technology University of Missouri, Columbia Collaborators: Dr. Prasad Calyam, Dr. Carmen Abbott, Dr. Marilyn Rantz, Greg Corpier, Katie Boyer Students: Anup Mishra, Ronny Bazan Antequera, Dmitrii Chemodanov www.eldertech.missouri.edu
  • 2. Senior Housing Detection of Falls and Health Changes Alert Manager Web Portal Internet Senior Housing Integration and Data Storage Early Detection of Health Changes In-Home Health Monitoring System Motion Sensor s Bed Sensor s Depth Sensor Motion Sensor s Bed Sensor s Depth Sensor Care Coordinator Health & Fall Alerts
  • 3. MU Hydraulic Bed Sensor Captures the ballistocardiogram & respiration Heise et al., EMBC, 2010, 2011 10 seconds ECG BCG
  • 4. Heartbeats detected with Km algorithm Ground truth finger sensor Beat to beat interval 4 HBS GT Rosales et al, EMBC 2012
  • 5. Capturing Gait in the Home Two clusters for two residents Grandchildren Stone & Skubic, EMBC 2012; TBE 2013; EMBC 2014; Gait & Posture, 2015
  • 6. Actual resident fall captured in a TigerPlace apartment
  • 7. Senior Housing Detection of Falls and Health Changes Alert Manager Web Portal Internet Senior Housing Integration and Data Storage Early Detection of Health Changes In-Home Health Monitoring System Motion Sensor s Bed Sensor s Depth Sensor Motion Sensor s Bed Sensor s Depth Sensor Care Coordinator Health & Fall Alerts Sensors detect health changes before you do • Early interventions • Better health outcomes • Preventable hospitalizations • Huge savings in healthcare costs
  • 8. Carmen the Physical Therapist Dr. Carmen Abbott
  • 9. “Synchronous” HD Video Conferencing with 3D Sensing Kansas City Home Kinect Physical Therapy Clinic Physical Therapist Software- Defined Networking Remote Personalized Physical Therapy Kinect Senior at Home In-Home Interface PT Interface Calyam et al., Pervasive & Mobile Computing, in review.
  • 10. • More than video conferencing; Includes 3D sensing • User-centered design for interface development In-home “patient” view Physical therapist view Controlled by voice commands Home Home PT PT
  • 11. 11 PT Interface Shows Movement Traces: Single Let Stance
  • 12. 12 PT Interface Shows Movement Traces: Tandem Walk
  • 13. KC Homes Rural Homes Detection of Falls and Health Changes Alert Manager Web Portal Internet KC Homes Rural Homes Integration and Data Storage Future Work: Integrate the 2 Systems Care Coordinator Health & Fall Alerts Physical TherapistSensors Sensors Sensors Sensors Sensors Sensors HD Video Conferencing with 3D Sensing Video Conferencing
  • 14. Acknowledgements: Funded by the National Science Foundation Thanks to the Mizzou Eldertech Team Commercial Partners: Foresite Healthcare Keystone Technologies Telecare Global www.eldertech.missouri.edu www.foresitehealthcare.com www.keystone-technologies.com
  • 16. Translational Research • National Science Foundation – ITR grant IIS-0428420 – HCC grant IIS-0703692 – CPS grant CNS-0931607 – HCC grant IIS-1017097 – US Ignite grant CNS-1237970 – SHB grant IIS-1115956 – US Ignite grant CNS-1237970 • NIH – Grant 5R21AG026412-02 – Grant 1R21NR011197-01 – Grant 1R01NR014255 • AHRQ (5R01HS018477-02) • Admin on Aging (90AM3013) • RAND/Hartford (9920070003) • Alzheimer’s Association Getting it to the people that need it
  • 17. Even more companies involved… And they are hiring our students Sealtech dms ????
  • 18. How do we repeat this on a larger scale? And compete for research funding with big-name schools on the coasts? • I-70 Corridor Network on Aging
  • 19. www.i70aging.net I-70 Corridor Network on Aging Next conference: November 5-6, 2015 in Kansas City If interested, email SkubicM@missouri.edu