This document summarizes the work of Dr. Kevin Patrick and the Center for Wireless and Population Health Systems at UC San Diego. The center conducts research using wireless technologies to measure health behaviors and exposures in various populations. This includes projects funded by NIH on personal activity and location tracking, comparative effectiveness research, and text message interventions for obesity. The center collaborates with other UCSD departments as well as external partners. Dr. Patrick is also the co-founder of a company that licenses technologies developed at the center to deliver health programs and services. The document argues that new technologies now enable more integrated, systems-level approaches to health that consider multiple ecological factors simultaneously.

1. CommNexus Healthcare Communications SIG:
Revolutionizing the Practice of Medicine
Kevin
Patrick
MD,
MS
Professor,
Family
and
Preven9ve
Medicine
Director,
Center
for
Wireless
and
Popula9on
Health
Systems,
Calit2
Editor-­‐in-­‐Chief,
American
Journal
of
Preven9ve
Medicine
Co-­‐Founder,
Santech,
Inc.
June
19,
2012

2. California Institute for
Telecommunications
and Information
Technology
University of California
San Diego
2

3. Center for Wireless and Population Health Systems
Research on systems of wireless, clinical, and
home technologies to measure and improve health-
related exposures and behaviors in:
-- Healthy adolescents
-- Overweight and obese children and adults
-- Depressed adults
-- Adolescents risk for type 2 diabetes
-- Adolescents with chronic disease
-- Older adults to promote successful aging
-- Adolescents recovering from leukemia
-- Young adults to prevent weight gain
-- Adults with schizophrenia
-- Exposure biology research
-- Cancer comparative effectiveness research

4. Collaborating Investigators & Partners
UCSD School of Medicine
Kevin Patrick, MD, MS, Greg Norman, PhD, Fred Raab, Linda Hill, MD, MPH
Jacqueline Kerr, PhD, Jeannie Huang, MD, MPH, Cheryl Rock, PhD,
James Sallis, PhD, Simon Marshall, PhD, James Fowler, PhD, Richard Garfein, PhD
UCSD Jacobs School of Engineering
Bill Griswold, PhD, Ingolf Krueger, PhD, Tajana Rosing, PhD, Sanjoy Dasgupta, PhD
San Diego Supercomputer Center
Chaitan Baru, PhD
SDSU School of Public Health
Elva Arredondo, PhD
Scripps Research Institute
Jill Waalen, MD, MPH
PhD students and Post-doctoral Fellows (current)
Jordan Carlson, Barry Demchak, Laura Pina, Ernesto Ramirez, Celal Zifti, Wanmin Wu,
Julia Kolodziejczyk

5. 2-year Impact Factor: 4.110
5-year Impact Factor: 4.987
In Top 7% of 140 Journals in
Public, Environmental &
Occupational Health
In Top 12% of 151 Journals in
General & Internal Medicine
Leading journal that is ranked
in both categories
Source: Thomson Reuters, 2011
5

6.
Santech,
Inc.
Co-­‐Founded
by
UCSD
Professors
-­‐
Karen
Calfas,
PhD
Kevin
Patrick,
MD,
MS
James
Sallis,
PhD
CEO
–
John
Fessler
Licensed
IP
from
UCSD
&
Internally
developed
programs
&
services

7. Annual expenditures on Health Care in US
?
?
$4.0 Trillion
(20% GDP)*
Current prediction
Recent health care insurance reform
$2.6 Trillion
= $1.3 Trillion ~ Total cost
$2.2 Trillion of Iraq and Afghanistan wars
(16% GDP)
2010
2007 (CMS.gov, 2012) 2015 2020+
2007, Health Affairs

8. Rearranging the chairs?

9. Annual expenditures on Health Care in US
?
?
$4.0 Trillion
(20% GDP)*
Current prediction
How do we bend the curve?
Where we really need
$2.2 Trillion to be headed…
(16% GDP)
2007 2015 2020+

10. We are now in an era of full acknowledgement of ecological models of health

11. T.A. Glass, M.J. McAtee / Social Science & Medicine 62 (2006) 1650–1671 11

12. Ecologies are “systems of systems” with multiple components, levels,
dimensions and essential interdependencies from the micro to macro scale

13. We typically consider elements of this ecosystem in reductionist and
isolated ways that leave us unable to weave together even some (let alone all)
of its elements to build systems-level approaches to understanding
or intervening on health
T.A. Glass, M.J. McAtee / Social Science & Medicine 62 (2006) 1650–1671

14. Because of this reductionism we develop & offer health interventions for
highly complex issues in isolation – as if they are a single medication,
device or time-limited and context-free artifact

15. Technologies such as ubiquitous computing, sensors, wireless networks and
devices, social media, cloud computing and machine learning now support
the integration of highly complex health systems inputs and
outputs – increasingly continuously and in real time

16. New technologies permit – indeed mandate – doing less deployment of
single interventions to address isolated health factors and doing more
to concurrently build and continually improve complete systems for health

17. Systems for health measurement and intervention
using mobile and social technologies
PALMS: Personal Activity Location Measurement System
Exposure Biology Program, NIH/NCI
NIH/NCI U01 CA130771 & R01 CA167693; Patrick, PI
CYCORE: Cyberinfrastructure for
Comparative Effectiveness Research
NIH/NCI RC2 CA148263; Peterson (MDACC) & Patrick (UCSD), Co-PIs
CitiSense: Always on Participatory Sensing for Air Quality
Cyber-Physical Systems Program, NSF, 0932403; Griswold PI; Patrick Co-PI
mDiet & ConTxt: Text Message Interventions for Obesity
NIH/NCI R01 CA138730; Patrick, PI
SMART: Social/Mobile Approach to Reduce Weight
EARLY Trials, NIH/NHLBI, U01 HL096715; Patrick, PI

18. Needs:
Transdisciplinary research merging medicine, behavioral and
social science, engineering, public health, computer science
and many others.
New methods of medical practice that bring together all elements
that are important to health: genomic, physiological, behavioral,
environmental/social
New generation of medical practitioners skilled in true
preventive medicine
New approaches to financing health care delivery that reward health
outcomes of wellness and improved quality of life

19. Thank You!
cwphs.ucsd.edu 19