Anton Ebert (Siemens Healthcare): Challenges on integrating technology



it's a pleasure to be here it's my fourth augmented World Expo now if I could have the clicker that would be great thank you it's my fourth augmented World Expo and but the first talk for me and for Siemens healthcare especially in a section which is pretty new to everyone which is education in health care and education overall so I think the education aspect and the education segment as they are pretty new to everyone it's always a bit of a hard challenge for everyone to understand what are the real challenges and the real approaches that you can head for when you're developing applications for this segment and as healthcare is especially a little bit regulated as everyone knows here and I don't know how many people here already developed applications for this but it's a highly regulated environment so before we go into the actual content and I just realized that I have a way darker voice than my previous speakers I'm sorry for that before we go into the actual content of the of the presentation today I want to just give you some some overview about what Siemens healthcare is doing and what we are heading for with the education business so who of you does not know Siemens healthcare thanks so much okay good just three numbers basically which I like to highlight on this on this slide there way too many on them the first one is that we have about 240,000 patient touch points every single hour on the day which means that 240 times an hour a patient is getting affected by our devices and by our modalities which help to provide better patient care and to heal diseases we have about 550 thousand employees at that point in time where more than 4,000 are currently working in the education business and we represented at more than 70 countries so I think for for also smaller companies which are which are approaching us and which are developing with us these representations in 70 countries is what an interesting aspect for working with Siemens healthcare now a bit background to what I'm doing I actually studied and did my research and still doing my research in human-computer interaction and with a dedicated focus on augmented and virtual reality since about five to six years now I had my own company before I joined Siemens healthcare in 2016 around so from a company perspective I'm a newbie I'm quite new to that business but this gives a bit of a possibility of bringing these new technologies to a business which is very regulated and very well known throughout a lot of years for building modalities another research focus of myself is in the educational sector itself so measuring education through different kinds of sensors technologies it could be haptics answers it could be virtual reality glasses eye tracking whatever so I'm extremely happy to talk to anyone here everyone here who's heading into that same direction now if we want to go into the analyzing why education is so important especially in the healthcare segment we were facing two major trends that came up within the last couple of years the first trend is that continuing education is extremely critical to attract retain and engage new talent that being said we this is this is a survey from 2018 already we can say that 87% of Millennials and I'm counting myself to one of them so I know what I'm talking about there and I think everyone else here also does our rating professional or career growth and development in their career and opportunities in their career as highly important when going for a new job and even fifty nine percent of them want this education opportunity in whatever kind of job they are going in whether it is a company like us whether it is any kind of other company or even the healthcare sector with us Cheng's nursing schools everywhere want opportunities to grow and to learn and to be educated in that environment where they are in the second trend is that investing into new technologies like whatever we're virtual reality augmented reality mixed reality and into education with these technologies reduces costs and could definitely increase revenues of different departments and usually I'm not the business person but I'm also happy to share that one and how do we try to go to that – to this – the second trend in the US and these numbers are now especially for the u.s. 25% of hospitalized patients are getting harmed by medical errors during their hospital stay which is quite a big number so one out of four patients has a problem during their procedures and that's just way too much and that's one aspect where education can really be of benefit for you right the second topic is there are twenty nine billion dollars of avoidable health care costs per year in the US and if we shrink that number down to a medium-size clinic Jen for example just one percent engagement an improvement into education would be worth two million dollars of saving and operating income which is quite a big number I guess if we sum that up – and this is really for for medium-sized companies right now if we sum that up and one argument to introduce also other people other hospitals and universities and schools to introducing education to them is it's especially and exactly that number here and most of the universities and hospitals and schools are doing education all their day right they're educating their staff they're educating everyone in their in their environments but no one really understands what value and what cost decreases and revenue increases you could potentially have when you're introducing new ways of educating staff and better ways of educating staff now that being said we can I think agree that there is there is a increasing need for continuous education in the in the healthcare sector and education does not necessarily come only with one form it like in the medical industry or even when you're studying and in a university want to become a doctor for example you're having a lot of exams you're having a lot of lessons you're going through a lot of exams throughout your whole career and that meaning six years right but how could we and every one of us here increase the continuous education approach with our customers one of the first things we're looking in is how could we close knowledge gaps so when you're having a procedure being done for yourself or someone else and I mean having procedures done always means that there's something wrong with your body closing these knowledge gaps definitely leads to an improvement in diagnostic accuracy the second aspect is by avoiding these unnecessary risk ends and just imagine you're you're having a CT scan of your hat we had an accident hopefully you don't of course but you're having a CT scan of your head what happens there is radiation gets emitted you're getting radiated by that device which is good I mean it's necessary but let's try to avoid having that a second time for example you do not want to over radiate the patients and no one wants to get over radiated so we want to ensure a perfect a patient experience within these new educational approaches and finally if you're looking to the workforce and the way the universe Linux and the hospitals are working under utilized clinical capabilities are a huge problem for Hospital chains for example and I just want to bring up one example that I was astonished about basically which is here from California a standard average operating rooms or a surgical room where you get your surgical procedure done with the basic equipment costs about $40 a minute just a real basic equipment you put stuff costs on top if you have a high-end room you can get even up to 40,000 bucks an hour which is quite a good number and imagine every single minute that one person in a noir cannot work because of someone else not being educated well enough or just not being educated on a certain procedure for example if you are if you are a surgeon and you are working in a and in orthopedics so you're doing a lot of different procedures on the on the patient's body you're working with rotating nurses so every nurse that comes in has been assisting in another oor before it could even happen that during a night shift when there is a lack of staff available that a certain person does not even know about the procedure that has been done and has to learn it right from scratch just before going into that operation and I think none of the patients want that and I think also the improvement for the workforce productivity in the clinic itself and for the for the surgeons are one of the real critical values there and how should we approach it and that's basically the last thing on this one here we need to adapt to different kinds of learning styles some people prefer and I don't want to bring that age thing up here but some people prefer reading material is the way they want to learn some other people prefer having everything on your mobile device again other people prefer going to a lecture and having everything explained by certain other people who are really experienced so adding new technologies here opens up the variety of possibilities when you're delivering education to your staff in to your colleagues and to the rest of the organization but how does education actually work here whom of you is in the education business okay that's very good so you will know that slide I guess it's from 1969 so it's pretty old but not too many things on there changed and it's basically about how do people actually learn I've just said and you can take a picture at the end when it's full there are passive and active ways of learning the passive ways you read you hear you see and you combine these two senses so with reading material and reading newspapers reading articles you only retain 10% of what you're actually learning there some do more some do less but 10 is the average in there you retain 20% of what you hear so when you're talking to someone else only 20% of what you're talking to that person is retained in their brain and they keep remembering it 30% of what you see so what do you do you start combining senses and by combining seeing and hearing you can reach up to 50% of knowledge retention throughout your conversation or throughout what you're trying to learn but then there's also the active way and the active way is what we're all looking in here right we're saying things out loud imagine when you were back in your in your curriculum everyone said you have to listen you have to read but you also have to talk about what you're doing so interaction is highly important and ideally if you have the chance you need to talk to the people and you need to help them and support them and do actual actual real work on for example patients and on the right side there you just you just have a couple of technologies I'm still calling a book a technology as a couple of technologies that are being attached to the different ways of learning you're reading books you're listening to lectures you're integrating all these learning objectives into a learning management system you'd sometimes even use flashcards but the way where you really are and where you retain your knowledge is in real-life jobs that you shadow in for example or actually providing care to patients so the earlier we can move that step from actual contact to a patient the earlier we can deliver a better and more attainable way of Education to the people who are being educated now when you look at the education path and we're slowly but constantly coming to the technical points the education path starts pretty early right you're being educated from really early childhood on even before birth you're listening you're feeling and these two senses are the senses that are mostly being affected when you're still not born after you born your main sense of absorbing information and of learning is through your visual impression so you're looking at everything you're trying to feel everything you're trying to grab everything you're trying to listen a lot that's also how you learn for example to speak when we're moving ahead in the education in school that's basically the first time when someone else you don't know that well like a teacher like a professor later in the university for example it's starting to deliver education to you where someone else things you need that education and you're starting to go into a certain career path for example so you're starting your professional career somewhere in the education in school and in high school or in university and I'm from Germany it's a bit different there but I'm more talking about the universities now and you're coming to a certain point when you reach your professional career and then the professional career education just does not stop even if everyone says yes I'm now not being educated anymore in school but your education moves on throughout your whole professional career and you're basically learning until the end you're absorbing information you're trying to build up on that information and you're trying to retain that information all the time to keep up and running and to learn more things but also to retain what you have learned before if we would put that in a diagram and that's basically where our challenges start and as the talk said I I'm trying to put some challenges and approaches on solutions to these challenges I've separated it down there into these three segments here so you have your preschool segment you have your undergraduate segment and you have your professional career which is usually the longest time hopefully throughout these career paths and times you have these two major milestones when you are going to school going away from home spending more time in school and when you're going to prove to your professional career when entering these certain milestones the amount of information that you can share with people and the amount of information that will be consumed by the people is getting less and less because the people need more professional and more dedicated information and education throughout their time so a super trivial picture basically but that's one of the most critical challenges currently which segments do you want to face with the product that you're targeting for education that you're targeting maybe for the for there for the healthcare sector or even for other sectors at which point in time do you want to deliver that education to the actual trainee most of the applications I'm now I'm confronted with in an AR and VR are also targeting the undergraduate segments a lot of them are going into into the student segments trying to educate students trying to educate in schools and nursing schools the variety of applications there is still relatively big but the later you get into the professional segment and now if we're talking about surgery for example which is one of the most critical and most interesting and amazing things in healthcare where you can deliver education to there are not too many surgeons and these surgeons need a very very specific way of Education to improve their knowledge even further because they are so highly specialized in what they're doing that the education they get delivered and we saw the example of also we are before where a needle is placed into a knee for a knee fracture replacement and a knee fracture reconstruction these are highly specific use cases and in these highly specific use cases certain technologies can make sense and now the question is which technologies do make sense there and I think every single presentation has to contain at least one slide with big buzzwords so that's my big buzzword slide and I will not go to every one of them but the technology challenge is always which kind of technology do you use but especially which kind of use case do I want to refer it to also a lot of companies I've talked to so far some still exist some don't unfortunately they had a very blurry use case for their application and for their usage of technology the better you can define your use case and the better you can define the path and the point in the path of the education of a certain person the better you can adapt the technologies to it and the better you can also argument why these technologies are really fitting to this and here I just want to give you some some examples I'll just do them by word because my colleagues were struggling giving me the slides for this but for example in the in the technical training section now we heard a lot about technical training about technical onboarding technical support and these and this conference already we can or we are already using technologies for technical trainings for example on our equipment so simulating a CT scanner for example putting a virtual reality headset on your head channeling the people through a simulation of the CT scanner and training them on for example how to disassemble and reassemble this device for a technical support there the use case is our staff our educate our technical support staff has to be educated that well that they can respond within 24 hours for any kind of any kind of demolition on the on the device for example so if there is a cube defect in one of our devices the person who has to repair it has to precisely know what the error is of course as well as in other industries but also has to be there on in a certain time and one of the parts we can deliver this education to and we can do it globally so we do not have to put all the people to a training center for example like we do it at the moment we have three global training centers one is in how long and Shanghai and one more here in the US where we bring all the people there educate them further educate them on the actual physical equipment but how could we deliver that education also in a virtual reality space there are a lot of use cases for this then if we're talking about remote guidance there we're currently setting up a project with with the support of help lightning I think someone is here they are delivering a super simple and easy-to-use application for remote assistance and there the challenge is do we really need all mounted reality from the first beginning on other technicians able to absorb this information and to handle this kind of a signal technology at the moment maybe they are some are not but how could we deliver this way of new technical support to every single one of them and that could be for example through a screen sharing application kind of a Skype like application with with little Marco voice over certain areas where you can draw in where you can point information to and some augmented reality features we're going into the sales and sales enablement and planning for example this is one of the most amazing topics for me and this was already released on on the last RS name which is the biggest conference for us it is a tool where you can plan customer sites in so it's a unity developed tool we have all our modalities in there and you can adjust all the modalities to walls up set doors and everything and you can measure distances between certain areas in this environment and you can then visualize it in virtual reality which isn't there a feature currently but this is what really affects the people because the customers are for the first time able to see their their building before it's actually assembled and this is also what we call education one last example here is about simulating Radiology training environments this I'm not able to show here but I can talk a little bit about it so imagine a scenario where a radiologist or a technician who is supporting in in our environment is not only learning the way the equipment works and not only learning the way you handle a patient but also learning all the single workflow steps in between so in virtual reality or with the use of virtual reality and one back-end system and a bit of elearning activities we can now deliver this education in a full-blown package with all the different modules to the actual user and enable them to go through a full path of education within that virtual environment and now basically coming to the last challenge which is one of the most challenging ones actually is how do we scale that whole thing up so once we have developed or someone else has developed an application with us for us for someone else how do we actually scale it and scaling meaning in a global pace when we are trying to adopt a new technology or a new use case and we try to scale it we have these seventy country organizations which are active in each of the different regions how do you bring an educational piece that is for example developed in Germany or in the US for a certain education curriculum how do you bring that one to other education sections on the whole globe we have a couple of challenges here for one of them is for example the the educational system is varying a lot across the globe if you're educating in Germany we have a pretty pretty straight education system like it is also in the u.s. here but if you want to bring that same educational value to a region like Deep India for example China somewhere else you will face challenges because of certifications because of the actual educational system because of a shorter duration on the active educational time a person spends in education and in school and you have to adapt your product to this so you finally do not have three years duration curriculum like in Germany but you only have one year how do you fit all that all that contents that you want to deliver in three years in Germany how do you fit in into a one-year curriculum in another country theoretically it's possible but that's one of the largest challenges we're talking about individual certification requirements in different countries here we have the FDA in Germany we have the truth in other countries we have other regulation environments and regulatories where we have to follow that are providing the necessary security for everyone who is using the software and if we are providing for example training to a medical equipment we're also the training is a medical equipment you have different job definitions in the countries but also the cultural differences and that's again one point I want to really highlight here when you're talking to to some western country you're having some completely different understanding on on the on the technology for example if you were bringing a virtual reality headset with a high-end computer which is about worth two thousand five hundred bucks maybe if you're bringing that to a country which usually cannot afford this how can you ensure that they even know how to use it maybe you can maybe you can't but that's one of the other challenges Plus and that ones I like the most we have to enable our own organization when you're talking to an organization which is usually selling equipment which is in the areas of millions usually how do you enable an organization to sell educational pieces and educational software which are the size of maybe $500 a user how do you enable the sales that are in the different regions how do you enable your integrate individual countries on really selling and pitching these products also to potential customers and also to potential users that being said I have 20 seconds left I hope still 10 minutes to go I hope I could give you a little bit of an insight on what we're thinking this kind of education brings to us and we could also bring to the to our customers and also to the patient and I mean our goal is to enable and to extend the experience as much as possible from a technology point of view my goal is I want to bring these technologies into the healthcare sector and for that one I'm happy to connect to everyone here know my there it is I'm happy to connect you everyone here and the good thing is whenever you have a question or a product or some aspect that you might think that are necessary for the healthcare sector and then you want to bring in here it's not only me in there we have a whole community which we call the all sorts of reality community where we have representatives of each single business line Mrs CT all the modalities all the service infrastructure so we will definitely find a peer to talk to in our organization thank you very much [Applause]

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