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Discovery and Innovation in Smart and Pervasive Health


   Workshop Report   

December 5-6, 2016

Washington D.C.
Fairmont Washington D.C., Georgetown, M Street Northwest, Washington, DC, United States



Event Contact

Ann Drobnis
adrobnis@cra.org
2022662936


Event Type

2016 Events, 2016 Visioning Activities


Event Category

CCC


Tags

analytics, big data, healthcare, smart health

Overview

This workshop brought together leading researchers and policymakers to generate a white paper on the successes of Smart and Pervasive Health research activities, the evolution of relevant computing capabilities (sensing, advanced analytics, networks, data infrastructure, advanced imaging, cyber-physical systems in health, privacy and security of health data and systems), the application of these technical innovations across a range of wellness and healthcare needs (aging, disabilities, chronic disease management and prevention, prosthetics and rehabilitation) and emerging paradigms (e.g., precision medicine and personalized treatment).

The workshop was held in Washington, DC on Monday and Tuesday, December 5th and December 6th. Participants represented academia, industry, and government. Over 1.5 days, participants answered key questions such as what are the indicators and examples of success in Smart and Pervasive Health? What are the key scientific challenges? How can these challenges be addressed in a 3, 5, and 10 year time frame? The results will inform both policymakers and the research community on opportunities for research and development in Smart and Pervasive Health going forward.

Workshop discussions explored the following themes:

Supporting Healthy Communities through Physiological, Behavioral, and Environmental Sensing

Always available remote physiologic and behavioral monitoring brings the transformational possibility of health care that is bound by neither space nor time. It enables observations of dynamic changes in each individual’s health state as well as key physical, biological, behavioral, social, and environmental factors that contribute to health and disease risk, anytime and anywhere that have not been possible in the past. The goal of this panel is to examine where we are as a field with physiological and behavior sensing capabilities, to identify opportunities for platforms that efficiently fuse multi-modal sensing, and how those advances impact the future of personalized and context-adaptive diagnosis, interventions, and treatment, and population health.

Closing the Loop in Real-Time Smart Health Systems  

Advances in sensing and data capture allows a coupling between sensing, actuation and control to effectively close the loop in real-time and invoke the need for various safety critical CPS technologies. In addition, these closed- or human-in-the-loop solutions will require real-time modeling to realize individualized and personalized interaction and interventions. These feedback loops go well beyond classic supervisory control and can build upon past work that provided feedback to people, devices and systems. This new generation of data and sensing in closed loop systems has the potential for a revolution in smart health.

Contextually-Aware Analysis, Decision-Support, and Informed Response

Rapidly expanding data acquisition by mobile phones, wearables, intelligent vehicles, smart homes and offices is leading to increasing availability of data and information in various forms, including text, images, audio, video, motion, gesture, physiology, and geoexposure, among several others. Diversity, density, and depth of these data necessitate new algorithms and techniques for data analytics and visualization, computational intelligence, machine perception, and human-centric computing that can provide personalized diagnosis and treatment plans, offer better contextual information to healthcare providers and physicians to make more informed decision and more rapid response, and enable the discovery of new knowledge about health at system and community scale. In addition to supporting individualized healthcare and (tele-)medicine, novel methods are also needed to analyze, visualize, and present interpreted data back to patients, so to better engage them in managing their own health and wellness.

Connected Context-Aware Distributed Care: Advancing Effectiveness For All Stakeholders

Health is moving outside the traditional “box” of the clinic, hospital, or rehab facility while at the same time emerging mobile and networking capabilities have the potential to change the paradigm of health. New sensing  and  real-time access to high bandwidth data across a distributed care network can enable new models for monitoring, discovery, clinical decision support and population health. Health systems and communities will have new opportunities and challenges to manage and monitor health and healthcare services and to better manage the health of the population under their care (with potential revenue implications). Likewise people will have new ways to capture data on wellness and disease management with a constant coach or companion to support health. For all stakeholders, these systems will rely on critical context-aware capabilities to manage timely information delivery and combat information overload. This panel will talk about the challenges to develop high bandwidth, highly connected and distributed capabilities to revolutionize health.

With these four themes as a foundation, the workshop participants also discussed cross-cutting challenges in security, privacy, deployment and sustainability issues, and multidisciplinary collaboration needs and barriers.

All participants were asked to create a one pager that addresses the following three items:

  • A computing grand challenge in smart health.
  • Open research areas in your field of study.
  • Questions for the broader community.

This workshop is part of a series of workshops to inform computing research investments and priorities for Health IT, Smart and Pervasive Health and related health and healthcare priorities.  CCC workshops in 2009 and 2012 resulted in two white papers that informed programs such as the joint NSF and NIH Smart and Connected Health research program. Since then additional workshops have focused on the Brain research initiative (2014) and articulated a research agenda for Aging in Place (2014) and Inclusive Access to Rich Online Content and Services (2015). Healthcare was also called out as a critical research area in PCAST’s 2015 review of NITRD.

Agenda

December 5, 2016 (Monday)

10:30 AM Welcome | Roosevelt Room
11:00 AM Participant Introductions | Roosevelt Room
11:30 AM Panel 1: Supporting Healthy Communities through Physiological, Behavioral, and Environmental Sensing | Roosevelt Room

Chair: Santosh Kumar

Speakers:

  • Shwetak Patel
  • Munmum De Chuodhury
  • Emre Ertrin
  • Donna Sprujit-Metz
12:15 PM LUNCH | Latrobe Room
01:00 PM Panel 2: Contextually-Aware Analysis, Decision-Support, and Informed Response | Roosevelt Room

Chair: Ming C. Lin

Speakers:

  • Jim Rehg
  • Noémie Elhaddad
  • Scott Levin
  • Ida Sim
01:45 PM BREAK | Roosevelt Foyer
02:00 PM Breakout Groups | John Adams Boardroom, Woodrow Wilson Boardroom, Thomas Jefferson Room
02:45 PM Panel 3: Connected Context-Aware Distributed Care: Advancing Effectiveness for All Stakeholders | Roosevelt Room

Chair: Beth Mynatt

Speakers:

  • Lena Mamykina
  • Katie Siek
  • Laurel Riek
  • Bonnie Spring
03:30 PM Panel 4: Closing the Loop in Real-Time Smart Health Systems | Roosevelt Room

Chair: Greg Hager

Speakers:

  • John Lach
  • Christian Poellabauer
  • Anind Dey
04:15 PM BREAK | Roosevelt Foyer
04:30 PM Breakout Groups | John Adams Boardroom, Woodrow Wilson Boardroom, Thomas Jefferson Room
05:15 PM Breakout Group Reports | Roosevelt Room
06:30 PM Dinner | Latrobe Room

December 6, 2016 (Tuesday)

07:30 AM Breakfast Available | Latrobe Room
08:15 AM Rapid Assessment: Day 1 | Roosevelt Room
09:00 AM Breakout Groups | Imperial I Room, Imperial II Room, John Adams Boardroom
10:00 AM BREAK | Roosevelt Foyer
10:30 AM Breakout Groups: Cross Cutting Themes | Imperial I Room, Imperial II Room, John Adams Boardroom
  • Infrastructure for Health (deployment, testbed, metadata, standards, barriers, and community)
  • Safety and Regulation/Security and Privacy
  • Collaboration Challenges: Access to data, expertise, interventions
  • Healthcare Disparities 
11:30 AM Breakout Group Reports | Roosevelt Room
12:30 PM LUNCH | Latrobe Room
01:30 PM Writing Groups | Roosevelt Room
03:00 PM Report Back / Next Steps
Organizers

Organizers:

Greg Hager, Johns Hopkins

Santosh Kumar, University of Memphis

Ming Lin, University of North Carolina

Elizabeth Mynatt, Georgia Tech

Shwetak Patel, University of Washington

Jack Stankovic, University of Virginia

 

Logistics

The workshop will begin on Monday, December 5 at 10:30 am and conclude on Tuesday, December 6 at 4:00 pm.  Please make your travel arrangements accordingly, adhering to the guidelines below.

The Computing Community Consortium (CCC) will cover travel expenses for all participants who desire it. Participants are asked to make their own travel arrangements to get to the workshop, including purchasing airline tickets. Following the symposium, CCC will circulate a reimbursement form that participants will need to complete and submit, along with copies of receipts for amounts exceeding $75.

In general, standard Federal travel policies apply: CCC will reimburse for non-refundable economy airfare on U.S. Flag carriers; and no alcohol will be covered.

For more information, please see the Guidelines for Participant Reimbursements from CCC.

Additional questions about the reimbursement policy should be directed to Ann Drobnis, CCC Director (adrobnis [at] cra.org).

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