This is an archived course. A more recent version may be available at ocw.mit.edu.

Lecture Notes

Special software is required to use some of the files in this section: .swf.

The files provided in the topics column are courtesy of the guest lecturers and are used with permission.

LEC # TOPICS HANDOUTS
1

Welcome and course introduction

In his talk, Dr. Slack will present a brief history cybermedicine, which he defines as the use of computing to enhance communication in the field of medicine-computing that can improve the quality of medical care while reducing the cost and serving to improve the relationship between doctor and patients. (PDF 1) (PDF 2)

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2

Telehealth: The future of healthcare

The concept of "connected health" extends healthcare beyond the traditional confines of hospitals and doctors' offices, bringing healthcare to our everyday surroundings. The availability of technology in the home, our aging population and the increase of patients with chronic diseases such as hypertension, diabetes and obesity, are some of the factors fueling increased interest and growth in connected health. Also, health care organizations face a changing reimbursement environment, provider shortages and increasing pressure to lower costs, all factors that contribute to interest in novel approaches to care delivery.

To achieve the vision of connected health, two challenges must be addressed: Providing patients with better tools for self care, and giving providers better tools for remote care. This insight has resulted in the planning and building of connected health platforms that are extensible across many chronically ill populations (e.g. adherence tools, e-visits, physiologic monitoring).

The most success in using connected health as a model of care delivery has been achieved in the management of congestive heart failure, where all participants can find benefit in using connected health tools to manage this population in the home setting. Other programs that will be highlighted include workplace hypertension management, the use of smart pill bottles to improve adherence and activity monitoring as a tool for overweight and diabetes. Lecture by Dr. Joseph Kvedar (PDF)

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3 Building the health informatics chunnel: The PHR meets the EHR. Lecture by Dr. Daniel Sands (PDF)

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4

The future of electronic health records

The U.S. National Healthcare IT program is comprised of many moving parts - standards harmonization, architecture, privacy and certification. This lecture will include a discussion of these national efforts from an insider who is responsible for many aspects of these efforts. Additionally, regional health IT activities are accelerating throughout the country. As CEO of the Massachusetts RHIO, the speaker will describe current challenges in clinical data sharing in New England. Lecture by Dr. John Halamka (PDF)

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5 Creating high impact social ventures for global health. Lecture by Dr. Jeff Blander.

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6

Convergence informatics: The future of clinical innovation

There is nothing modern about the divergence between research and clinical medicine, or the limitations in translating discoveries into practice. In the nineteenth century, as the art of anatomical dissection and discipline of pharmacology ripened, many prominent physicians considered medical research an impractical, if unethical use of time. Only through the daily "grind" of treating patients could the art of medicine evolve; laboratory research and clinical experimentation were viewed as distracting. While few physicians today would characterize the work of medical research as trivial, many are nevertheless disconnected from it and fail to practice what is referred to as "evidence-based medicine," which roughly translates into more research-based, less instinctually driven. Along with the molecularization of medicine is a quantum leap in the technology of medicine, especially with diagnostic platforms. As the pace of technological innovation increases, the gap is widening more quickly than ever between the art of the possible and what is actually practiced. Physicians have less time to keep up with an avalanche of information on diagnostic, prognostic and therapeutic advances. One component of the solution to the challenge of translational medicine is a convergence of informatics capabilities from the bench to the bedside. Also referred to as integrative informatics, providers and their organizations need to invest in a future state infrastructure that will do more than simply capture electronic orders, or clinical notations. Clinical innovation, in the future, if not the present, requires a more accelerated assimilation of information across the discovery continuum, organized and formatted for use at the point-of-treatment. In this lecture, we will review the basic issues of translational medicine, the emerging field of integrative informatics and ideas for accelerating the knowledge-to-practice continuum. Lecture by Keith Strier (PDF - 1.2 MB)


7

Biomimetics, robotics, and embedded systems in healthcare

The majority of computational power applied to healthcare is in the form of embedded systems, from microprocessor-controlled infusion pumps and self-diagnostic EKG machines to wireless patient tracking. More significantly, the technology has enabled profound progress in the area of medical robotics, from the surgical suite to the laboratory. Progress in medical robotics has leveraged the evolutionary development of life forms - biomimetics - as witnessed by the developments such as intestinal crawlers and closed surgical systems patterned after insects and nematodes. This session will explore the current state of the technology and examine the potential for growth in the area. Lecture by Dr. Bryan Bergeron.


8

The future of enterprise computing in healthcare

Information technology can provide significant leverage of the strategies of integrated healthcare delivery systems. This talk will discuss three critical areas of information technology: Electronic health records, remote provision of care and IT support for genome-based research and patient care. Lecture by Dr. John Glaser.


9 Developing your business plan. Lecture by Eugene Hill (PDF)
10

The future of disease management

Our health care "system" focuses too much on acute illness and neither rewards the prevention of illness nor aligns incentives to encourage better care of the growing numbers of persons with chronic medical conditions. As a result, we are witnessing rising health costs along with massive inefficiencies that contribute to the low rating of the health status of Americans relative to those living in other nations. In an effort to stem the rising cost while also improving quality of care, systematic efforts to organize care for the chronically ill has led to the evolution of a new sector in the health care industry: Disease management (or chronic condition management). This session will use an interactive problem-based teaching method to provide a simulation that teaches problem solving in population health, focusing on improving the care of patients with diabetes. Students will work in teams representing key stakeholders in either a resource-rich or resource-poor environment. Lecture by Dr. Locke.

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11

Interactive multimedia in healthcare

There is strong interest in the development of interactive media and Internet tools to help people improve health behaviors and manage their own behavioral health problems. However, few people have the skills to develop and evaluate these kinds of programs, combining the best practices of behavior change with the best practices of Web and interactive media design. This talk will demonstrate several computer-based behavior change programs and discuss ways to get these kinds of projects off the ground. Lecture by Dr. James Carter.


12 Entrepreneurs panel (PDF)
13-14 Presentations