The Inside Story: GE Healthcare's Industrial Internet of Things (IoT) Architecture
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Originally Aired December 17, 2015: http://ecast.opensystemsmedia.com/609
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The Inside Story: GE Healthcare's Industrial Internet of Things (IoT) Architecture
- 1. The Inside Story: GE Healthcare's Industrial Internet of Things (IIoT) Architecture Matt Grubis, Chief Engineer, GE Healthcare's Life Care Solutions Stan Schneider, CEO RTI
- 2. Digital Health… the future of Healthcare! Matthew Grubis Chief Engineer GE Healthcare – Life Care Solutions
- 3. GE Healthcare Today • $18 billion: global business unit of GE • 46,000: number of employees worldwide • $1 billion+ per year investment in R&D • 35,800 patents filed by GE since 2000 • Core strengths in bio-sciences, medical imaging & information technologies • Headquartered in Pollards Wood, UK –President: John Flannery
- 4. BROAD SOLUTIONS FOR HEALTHCARE Customers Healthcare IT Healthcare systems Life sciences Surgery Healthcare partners Global services
- 5. CUSTOMERS OUR KEY CUSTOMERS INCLUDE: • Healthcare systems, hospitals, and clinics –Physicians –Clinicians –Nurses –Executives and administrators –IT managers –Biomedical engineers –Construction managers • Government officials • Pharmaceutical firms • Genetics researchers • Bio-science researchers
- 6. ANESTHESIA DIAGNOSTIC CARDIOLOGY MATERNAL INFANT CARE MONITORING SOLUTIONS RESPIRATORY Life Care Solutions Wherever there is a patient JB32789US
- 7. The Things of Caregiving Title or Job Number | XX Month 201X 7 1.5 GB of raw physiological data per day for the “average” monitored patient.
- 8. 8 Global Healthcare themes Life expectancy 6.7 years over last years, population growing 15% of pop have asthma, hypertension or diabetes 100M hospital patients per year are monitored partially Hospital acquired infections…sepsis number one “killer” Adverse events…0.5M preventable deaths per year Clinician “alarm fatigue” is at risk to every ICU’ patient every day…ECRI #1 Hazard Acute care: 5% of patients, 50% of care givers…80% of resources Length of stay, re-admissions, manual errors…costs Pre-hospital/Sub-acute/Home: 95% of patients, 50% care givers…20% of resources
- 9. 9 Chronic disease … the “industry” future 35 million deaths from chronic disease 80% of chronic disease deaths occur in low-mid income countries 1 billion people overweight in developed & developing countries U.S. cost of chronic disease on path to double by 2020 Diabetes set to double in 10 years, stroke & heart disease rising Cardio- vascular diseases Cancer Chronic respiratory disease Diabetes 17.5M 7.6M 4.1M 1.4M Chronic disease deaths worldwide Sources: WHO Preventing Chronic Diseases, Milken Institute Analysis U.S. projected rise in chronic disease: 2000-2020 29% Cance r 62% 53% 42% 39% 31% Diabete s Heart disease Hyper- tension Pulmonary Stroke 1 2 3 4 5 6 By 2020, 75% of all deaths and costs result from chronic disease
- 10. 10 Industry productivity … or lack thereof -0.8% -0.7% -0.3% 2.3% 2.5% 3.5% 4.0% 6.0% 7.2% 7.6% Healthcare Education Mining Transportation Manufacturing Utilities Retail Trade Telecom Services Internet & Data Processing Computers & Semiconductors Productivity Improvement %, 1990-2010 Source: McKinsey & Company, “How US healthcare companies can thrive amid disruption”, June 2014
- 11. 11 Global Industrial Internet Themes 1 Internet of Things – A living network of machines, data and people 2 Intelligent Machines – Increasing system intelligence through embedded software 3 Big Data – Transforming massive volumes of information into intelligence 4 Analytics – Generating data-driven insights, enhancing performance
- 12. 12 The value to customers is huge Connected machines could eliminate up to $150 billion in waste across industries
- 13. 13 Introducing the GE Software Center Igniting the next industrial revolution by connecting minds and machines $1B investment over 3 years •Launched in 2011 •Silicon Valley location, expanding •Strategy for talent acquisition & growth
- 14. 14 What is Digital Health?
- 15. 15 What is Digital Health? • Care delivered in an analog/paper way • Physicians largely unaware of patients’ health until: -Annual checkups -Emergency events -Chronic disease follow up visits Digital/networked tools of tomorrow enable: • Real-time, continuous information across care settings • Comprehensive & relevant view of health • Chronic disease management, wellness, and prevention Analog Digital & networked Source: http://storyofdigitalhealth.com/
- 16. 16 The promises of Digital Health Digital technology will enable novel clinical applications and health delivery models within and beyond the traditional care continuum The convergence of hardware, software and services will enable novel integrated healthcare solutions. Digital technology is expected to drive structural changes. Care will shift out of the hospital... …and focus more on prevention & management Prevent Treat Manage • Telemedicine • Condition-specific solutions • Patient-centric devices • Consumer incentives & “gamification” • Collaborative care • Remote monitoring Source: GE analysis
- 17. 17 Vision: A complete “Life Care” Ecosystem Source: GE analysis
- 18. 18 Connectivity Critical for the Life Care Ecosystem Connectivity that is: • “Real-time” – less than a second to distribute physiological information and events. • Robust – overcomes faulty mediums (WLANs, WANs) • Durable – allows for loss of connectivity • Secure – endpoint authentication, subscription authentication, encryption, auditing • Architected – fan-out is by design and not the burden of the endpoint (weakest point in network), or only a single infrastructure point (choke point). • Conservative – with bandwidth (end-point filtering), with memory, with CPU… especially on battery operated wearable devices • Scalable – from 2 devices to 200,000 devices – keeping burden on client level while maintaining robustness • “Internet Friendly” - Supports NATs and Firewalls
- 19. 19 GE HealthCare is Using DDS Provided by Real-time Innovations • Proven vendor of DDS technology stack in multiple segments • End-point support for multiple operating systems • Full and robust security solution • Additional OOB services for routing and discovery • Outstanding set of design, troubleshooting and monitoring tools • Very capable and responsive support staff • Experience in mission- critical systems
- 20. The Industrial IoT & RTI Connext DDS Stan Schneider, RTI CEO IIC Steering Committee Member
- 21. The smart machine era will be the most disruptive in the history of IT -- Gartner 2015 ©2015 Real-Time Innovations, Inc.
- 22. The IIoT Disruption ©2015 Real-Time Innovations, Inc. The real value is a common architecture that connects sensor to cloud, interoperates between vendors, and spans industries Common technology that spans industries brings bold new approaches and enables fast change
- 23. 200+ companies strong Goal: build and prove a common architecture that spans sensor to cloud, interoperates between vendors, and works across industries
- 24. 200+ Companies, 27 Countries
- 25. RTI’s Experience • Over $1T of IIoT designs – Healthcare – Transportation – Communications – Energy – Industrial – Defense • 15+ Standards & Consortia Efforts – Interoperability – Multi-vendor ecosystems • “Most Influential” IIoT vendor ©2015 Real-Time Innovations, Inc.
- 26. Provide a Common Platform ©2015 Real-Time Innovations, Inc. Revolution® "GE Healthcare chose the DDS standard because it can handle many classes of intelligent machines. RTI Connext DDS satisfies the demanding requirements of our devices and supports standardization on a single communications platform across product lines." -- J Gustavo Perez, General Manager for MI&CT Engineering
- 27. GE Healthcare's IIoT Architecture ©2015 Real-Time Innovations, Inc. "GE Healthcare is leveraging the GE Digital Predix architecture to connect medical devices, cloud-based analytics, and mobile and wearable instruments. The future communication fabric of its monitoring technology is based on RTI's data-centric Connext DDS platform.” -- Matt Grubis, Chief Engineer, GE Healthcare's Life Care Solutions http://www.rti.com/mk/webinars.html#GEHEALTHCARE
- 28. Connect Vehicle/Cloud/Infrastructure Systems Physio-Control supplies emergency response medical equipment to 60% of the world’s emergency vehicles "Physio-Control is utilizing RTI Connext DDS to exchange critical patient care information throughout the system of care.“ -- Dale Pearson, VP Data Solutions ©2015 Real-Time Innovations, Inc. Permission to distribute pdf granted to IoT SWC We envision a society in which no person dies from acute, treatable medical events
- 29. DDS is Different! ©2015 Real-Time Innovations, Inc. Data-Centric DDS Shared Data Model DataBus Point-to-Point TCP Sockets Client/Server MQTT XMPP OPC CORBA Brokered ESB Daemon Publish/Subscribe Fieldbus CANbus ZeroMQ JMS Queuing AMQP Active MQ
- 30. Data Centric is the Opposite of OO Object Oriented • Encapsulate data • Expose methods Data Centric • Encapsulate methods • Expose data Explicit Shared Data Model
- 31. Data Centricity Directly Controls Flow • Global Data Space – Automatic discovery – Read & write data in any OS, language, transport – Type Aware – Redundant sources/sinks/nets • No Servers! • QoS control – Timing, Reliability, Redundancy, Ordering, Filtering, Security ©2015 Real-Time Innovations, Inc. Shared Global Data Space DDS DataBus Patient Hx Device Identity Devices SupervisoryCDS Physiologic State NursingStation Clou d Offer: Write this 1000x/sec Reliable for 10 secs Request: Read this 10x/sec If patient = “Joe”
- 32. Why Choose RTI Connext DDS? • Reliability: Severe consequences if offline for 5 minutes? • Performance/scale: – Measure in ms or µs? – Or scale > 20+ applications or 10+ teams? – Or 10k+ data values? • Architecture: Code active lifetime >3 yrs? ©2015 Real-Time Innovations, Inc. 2 or 3 Checks?
- 33. Dataflow-Level Security • Dataflow-Level Security – Control r,w access to each data item for each function – Ensures proper dataflow operation • Complete Protection – Discovery authentication – Data-centric access control – Cryptography – Tagging & logging – Non-repudiation – Secure multicast • No code changes! • Plugin architecture for advanced uses • Topic Security model: – PMU: State(w) – CBM: State(r); Alarms(w) – Control: State(r), SetPoint(w) – Operator: *(r), Setpoint(w) CBM AnalysisPMU Control Operator State Alarms SetPoint ©2015 Real-Time Innovations, Inc.
- 34. Safety-Critical Components • Connext DDS Micro Cert – Stringent SWaP requirements – Complete certification evidence – Full interoperability with DDS product line • DO-178C Level A – Flight management systems • ISO 26262 – Road vehicle functional safety • IEC 60601 class 3 – Medical devices ©2015 Real-Time Innovations, Inc. Available Soon Soon
- 35. The Network is the Healthcare ©2015 Real-Time Innovations, Inc.
- 36. The Network is the Future • The IIoT will soon be as well defined as The Internet is today • Common technology will replace special solutions • The IIoT will inspire entire ecosystems ©2015 Real-Time Innovations, Inc.
- 37. For More Information • RTI site: www.rti.com • Examples, forum, papers: community.rti.com • IIC website: www.iiconsortium.org • Email: stan@rti.com • Connect on LinkedIn • TSN and DDS March 23 @11am PT – GE Transportation & RTI • Free RTI Connext DDS Pro: www.rti.com/downloads ©2015 Real-Time Innovations, Inc.