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Personalize brain health combining new imaging
methods and human/ artificial intelligence
Personalize brain health combining new imaging
methods and human/ artificial intelligence
Nikhil Sriraman,
IP Analyst,
SharpBrains
Margaret Moore,
Co-Founder,
Institute of Coaching at McLean Hospital
Ruth Poliakine Baruchi,
Chief Executive Officer,
MyndYou
Ron Oberleitner,
Chief Executive Officer,
Behavior Imaging Solutions
Health & Wellness Coaching
Margaret Moore, MBA, aka Coach Meg
Institute of Coaching
Harvard University Extension School
Wellcoaches Corporation
National Consortium for Credentialing Health & Wellness Coaches
Harvard Health author
Why do we need coaches?
• 95% of adults not engaged in
top 3-5 health behaviors
• 65% are overweight or obese
• 70% aren’t engaged in work
80% of adults are not
thriving (mentally)
Moore (2014). From Surviving to Thriving. International Coach Federation Coaching World
health &
wellness
coaching
How Coaching Works, YouTube. Moore (2008)
future of
healthcare in
the US
population health
Health & Wellness Coaching
StandardsNational Consortium for Credentialing
Health & Wellness Coaches and the
National Board of Medical Examiners
are strategic partners…
….launching national standards for
training, education, and certification
of health & wellness coaches in 2017.
Coaching in Leadership & Healthcare Conference, Harvard Medical School,
Sep 2016
Health & Wellness Coaching Research
• ~200 empirical studies
• ~30 RCTs
• diabetes, cardiovascular
disease, obesity, non-
clinical
• large scale studies
• sustainability studies
Coaching in Leadership & Healthcare Conference, Harvard Medical School, Sep
2016
Professional coaches
Health & wellness coach – optimal health, wellness or well-
being (physical and mental)
Individual and group coaching
Supervising peer health/wellness coaches
Health and wellness professionals
Coaching skills for all allied health, healthcare/clinical, and
wellness providers
9
Coaching Mechanisms of Action
1. Growth-promoting Relationships
2. Motivation
3. Capacity to Change
4. Creativity
5. Process or Journey of Change
Moore, et al: Coaching Psychology Manual. Wolters Kluwer 2015
Motivation & Confidence are Co-Dependent
Precontemplation
Contemplation
Action
Preparation
Maintenance
210 3 4 5 6 7 8 9 10
0
1
2
3
4
5
6
7
8
9
10
CONFIDENCE
I M P O R T A N C E
Moore, 2008
creative process leads to insights
People are generally
better persuaded
by the reasons which
they have themselves
discovered, than by
those which have come
into the mind of others.
Pascal’s Pensees, 17th
century
Insight to action to insight
to action to insight…
Moore, et al: Coaching Psychology Manual. Wolters Kluwer 2015
Health & Wellness Coaching
Margaret Moore, MBA, aka Coach Meg
Institute of Coaching
Harvard University Extension School
Wellcoaches Corporation
National Consortium for Credentialing Health & Wellness
Coaches
Harvard Health author
Analytics for Better Cognitive Care
Ruth Poliakine Baruchi,
Chief Executive Officer
Assessing and treating
cognitive change through
analytics of day to day activity
Elderly population growth
People aged 65+
2010 46.2M
in the US only
524M
World wide
2060 100M 1.5B
Lack of cognitive data
leads to emotional load and limited treatment
“Each decision
is a source of
conflict..”
“if I could
help more
people
preserve
their
cognitive
abilities”
“if I could only
maintain my
independence
for longer
time…”
“if I could
know what
happens
outside the
clinic”
Brain imaging technologies –looking inside the brain
fMRI PET
CT MEG
Partial examples for existing cognitive assessment tools
Cognition - real life aspects
Walking
Talking
Driving
SlippingEating
Communicating
Shopping
Cooking
With today’s technology –
“continuous cognition imaging” becomes possible
Occupational Therapists Driving, cooking, socializing
Speech therapists Continuous speech parameters
Physiotherapists Activity volume and nature
Neurologists Treatment effect feedback
Family members Be aware and prepare for a
change
Creating insights to support improved care
Few examples:
Passive
Monitoring
Artificial
Intelligence
Cognition
Analytics
Targeted
therapy
/care
Passive
Monitoring
Artificial
Intelligence
Cognition
Analytics
Targeted
therapy
/care
Passive
Monitoring
Artificial
Intelligence
Cognition
Analytics
Targeted
therapy
/care
Passive
Monitoring
Artificial
Intelligence
Cognition
Analytics
Targeted
therapy
/care
Passive
Monitoring
Artificial
Intelligence
Cognition
Analytics
Targeted
therapy
/care
Analytics for Better Cognitive Care
Connecting treatment with sensitive data analytics
Call with Mr. Davis
Paragraph for
discussion:
SPORTSSports 3
Personal
preferences:
Cognitive
training level:
Notice:
Mr. Davis gets tired after 5-
7min. try to start training at the
beginning of the call
Closed loop treatment
Call with Mr. Davis
Ok, just remember not to use
the highway and close the
radio while driving – You need
to concentrate. Also – please
make sure you take your drug
today if you haven't yet.
Had a great day yesterday.
I am planning to go play with
grandchildren tomorrow
00:20
Remind to take MK-8931
- Increased number of
u-turns on highway
- Increase in number of
emergency stops
while driving and
listening to radio
Real Time
voice
analysis:
Tim
e
THANK YOU
ruth@myndyou.com
Analytics for Better Cognitive Care
Better Ways of
Assessing Brain Health
for People with Autism
SharpBrains Virtual Summit 2016
December 7, 2016
Ron Oberleitner – CEO / Co-founder
Lessons learned from ‘MedTech’
Surgery Portal
Image Guided
Surgery
Telemedicine with Operation
Smile
Robby regresses
into autism
Relative developed dementia
1990’s: ‘My Day Job’ 1990’s – 2016: ‘My Home Life and
Passion’
Challenge in Behavior and Mental Health Assessments
Medical Imaging Direct Observation,
“Phenomenology”
VS
‘Clinically-guided’ video capture of Behavior anywhere
How Behavior Imaging works
Record
Upload
Specialist
Online or Follow-
up
‘Prescribe video
capture(s)’
NODA
Capture
Behavior
Capture
Med
SmartCapture
(Autism) Diagnostic Assessment
Patient Apps Applications Clinician Portal(s)
• Behavior Assessment
• Remote Consultation
• Staff / Parent Training
• Progress Monitoring
• Accountable Care
• Medication Management
• Better Pharma Trials
• Dementia Assessment
• Seizures in home
Treatment
Diagnosis Easy as 1,2,3
2. Clinician analyzes videos & dev
history
3. ‘Physician’ renders diagnosis w/
report
1. Parents collect
Evidence
Validation Study: Sample Findings
Psychological Assessment
Investigating the Accuracy of a Novel Telehealth Diagnostic Approach for Autism Spectrum Disorder
Christopher J. Smith, Agata Rozga, Nicole Matthews, Ron Oberleitner, Nazneen, and Gregory Abowd
Publication, May 19, 2016.
Agreement between NODA and IPA: 88.2%
Kappa = .75 95% CI [.56, .94]
Sensitivity = .85 95% CI [.67, .94]
Specificity = .94 95% CI [.71, 1.00]
Next second Interrater reliability
Evidence-Supported Research
Diagnosis Treatment
> $6.0 Million
88.2%
%
Agreement to
In-person*
*Smith, CJ, Rozga, A., Matthews, N, Oberleitner, R,
Nazneen, Abowd, G. Accuracy of a Novel Telehealth
Approach… - May, 2016
*Nazneen F, etal, Remote Autism Telemedicine, Jnl
of Medical Internet Research, 2015
40 States, 7 Countries, 20+ Publications
> 1.2 million Behavior Images analyzed
Benefits when Behavior Imaging is Standard Care
Med Management (Research)
- reduce inperson Dr. visits, improve inter-visit
support
- Med mgmt. changes effectively done solely
on BI data
Autism Diagnosis
- ½ price of conventional assessment
- 1/3 the clinical time
- Expand clinicians’ geographical reach
(Autism) Behavior Assessment
- 42% less costly
- Eg. Saves $12,000 / year per client
- 43% less data collection errors
- Expand clinicians’ geographical reach
Compared to Best Practice
What Now, What’s Next?
Pediatric / Child / Teen
applications
Adult
Applications
Dad, Mom & Robby (21 y.o.)
Today
Tomorrow
Q
&
A Ron Oberleitner
ron.oberleitner@behaviorimaging.com
Is B.I. applicable to you?
Q&A
Thank you to all Participants!
Sponsors
Thank you to all Speakers & Sponsors!
To learn more, visit sharpbrains.com

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Personalize brain health and enhancement combining new imaging methods and human/ artificial intelligence

  • 1. Personalize brain health combining new imaging methods and human/ artificial intelligence
  • 2. Personalize brain health combining new imaging methods and human/ artificial intelligence Nikhil Sriraman, IP Analyst, SharpBrains Margaret Moore, Co-Founder, Institute of Coaching at McLean Hospital Ruth Poliakine Baruchi, Chief Executive Officer, MyndYou Ron Oberleitner, Chief Executive Officer, Behavior Imaging Solutions
  • 3. Health & Wellness Coaching Margaret Moore, MBA, aka Coach Meg Institute of Coaching Harvard University Extension School Wellcoaches Corporation National Consortium for Credentialing Health & Wellness Coaches Harvard Health author
  • 4. Why do we need coaches? • 95% of adults not engaged in top 3-5 health behaviors • 65% are overweight or obese • 70% aren’t engaged in work 80% of adults are not thriving (mentally) Moore (2014). From Surviving to Thriving. International Coach Federation Coaching World
  • 5. health & wellness coaching How Coaching Works, YouTube. Moore (2008)
  • 6. future of healthcare in the US population health
  • 7. Health & Wellness Coaching StandardsNational Consortium for Credentialing Health & Wellness Coaches and the National Board of Medical Examiners are strategic partners… ….launching national standards for training, education, and certification of health & wellness coaches in 2017. Coaching in Leadership & Healthcare Conference, Harvard Medical School, Sep 2016
  • 8. Health & Wellness Coaching Research • ~200 empirical studies • ~30 RCTs • diabetes, cardiovascular disease, obesity, non- clinical • large scale studies • sustainability studies Coaching in Leadership & Healthcare Conference, Harvard Medical School, Sep 2016
  • 9. Professional coaches Health & wellness coach – optimal health, wellness or well- being (physical and mental) Individual and group coaching Supervising peer health/wellness coaches Health and wellness professionals Coaching skills for all allied health, healthcare/clinical, and wellness providers 9
  • 10. Coaching Mechanisms of Action 1. Growth-promoting Relationships 2. Motivation 3. Capacity to Change 4. Creativity 5. Process or Journey of Change Moore, et al: Coaching Psychology Manual. Wolters Kluwer 2015
  • 11. Motivation & Confidence are Co-Dependent Precontemplation Contemplation Action Preparation Maintenance 210 3 4 5 6 7 8 9 10 0 1 2 3 4 5 6 7 8 9 10 CONFIDENCE I M P O R T A N C E Moore, 2008
  • 12. creative process leads to insights People are generally better persuaded by the reasons which they have themselves discovered, than by those which have come into the mind of others. Pascal’s Pensees, 17th century
  • 13. Insight to action to insight to action to insight… Moore, et al: Coaching Psychology Manual. Wolters Kluwer 2015
  • 14. Health & Wellness Coaching Margaret Moore, MBA, aka Coach Meg Institute of Coaching Harvard University Extension School Wellcoaches Corporation National Consortium for Credentialing Health & Wellness Coaches Harvard Health author
  • 15. Analytics for Better Cognitive Care Ruth Poliakine Baruchi, Chief Executive Officer
  • 16. Assessing and treating cognitive change through analytics of day to day activity
  • 17. Elderly population growth People aged 65+ 2010 46.2M in the US only 524M World wide 2060 100M 1.5B
  • 18. Lack of cognitive data leads to emotional load and limited treatment “Each decision is a source of conflict..” “if I could help more people preserve their cognitive abilities” “if I could only maintain my independence for longer time…” “if I could know what happens outside the clinic”
  • 19. Brain imaging technologies –looking inside the brain fMRI PET CT MEG
  • 20. Partial examples for existing cognitive assessment tools
  • 21. Cognition - real life aspects Walking Talking Driving SlippingEating Communicating Shopping Cooking
  • 22. With today’s technology – “continuous cognition imaging” becomes possible
  • 23. Occupational Therapists Driving, cooking, socializing Speech therapists Continuous speech parameters Physiotherapists Activity volume and nature Neurologists Treatment effect feedback Family members Be aware and prepare for a change Creating insights to support improved care Few examples:
  • 25. Connecting treatment with sensitive data analytics Call with Mr. Davis Paragraph for discussion: SPORTSSports 3 Personal preferences: Cognitive training level: Notice: Mr. Davis gets tired after 5- 7min. try to start training at the beginning of the call
  • 26. Closed loop treatment Call with Mr. Davis Ok, just remember not to use the highway and close the radio while driving – You need to concentrate. Also – please make sure you take your drug today if you haven't yet. Had a great day yesterday. I am planning to go play with grandchildren tomorrow 00:20 Remind to take MK-8931 - Increased number of u-turns on highway - Increase in number of emergency stops while driving and listening to radio Real Time voice analysis: Tim e
  • 28. Better Ways of Assessing Brain Health for People with Autism SharpBrains Virtual Summit 2016 December 7, 2016 Ron Oberleitner – CEO / Co-founder
  • 29. Lessons learned from ‘MedTech’ Surgery Portal Image Guided Surgery Telemedicine with Operation Smile Robby regresses into autism Relative developed dementia 1990’s: ‘My Day Job’ 1990’s – 2016: ‘My Home Life and Passion’
  • 30. Challenge in Behavior and Mental Health Assessments Medical Imaging Direct Observation, “Phenomenology” VS
  • 32. How Behavior Imaging works Record Upload Specialist Online or Follow- up ‘Prescribe video capture(s)’
  • 33. NODA Capture Behavior Capture Med SmartCapture (Autism) Diagnostic Assessment Patient Apps Applications Clinician Portal(s) • Behavior Assessment • Remote Consultation • Staff / Parent Training • Progress Monitoring • Accountable Care • Medication Management • Better Pharma Trials • Dementia Assessment • Seizures in home Treatment
  • 34. Diagnosis Easy as 1,2,3 2. Clinician analyzes videos & dev history 3. ‘Physician’ renders diagnosis w/ report 1. Parents collect Evidence
  • 35. Validation Study: Sample Findings Psychological Assessment Investigating the Accuracy of a Novel Telehealth Diagnostic Approach for Autism Spectrum Disorder Christopher J. Smith, Agata Rozga, Nicole Matthews, Ron Oberleitner, Nazneen, and Gregory Abowd Publication, May 19, 2016. Agreement between NODA and IPA: 88.2% Kappa = .75 95% CI [.56, .94] Sensitivity = .85 95% CI [.67, .94] Specificity = .94 95% CI [.71, 1.00] Next second Interrater reliability
  • 36. Evidence-Supported Research Diagnosis Treatment > $6.0 Million 88.2% % Agreement to In-person* *Smith, CJ, Rozga, A., Matthews, N, Oberleitner, R, Nazneen, Abowd, G. Accuracy of a Novel Telehealth Approach… - May, 2016 *Nazneen F, etal, Remote Autism Telemedicine, Jnl of Medical Internet Research, 2015 40 States, 7 Countries, 20+ Publications > 1.2 million Behavior Images analyzed
  • 37. Benefits when Behavior Imaging is Standard Care Med Management (Research) - reduce inperson Dr. visits, improve inter-visit support - Med mgmt. changes effectively done solely on BI data Autism Diagnosis - ½ price of conventional assessment - 1/3 the clinical time - Expand clinicians’ geographical reach (Autism) Behavior Assessment - 42% less costly - Eg. Saves $12,000 / year per client - 43% less data collection errors - Expand clinicians’ geographical reach Compared to Best Practice
  • 38. What Now, What’s Next? Pediatric / Child / Teen applications Adult Applications Dad, Mom & Robby (21 y.o.) Today Tomorrow
  • 40. Q&A
  • 41. Thank you to all Participants!
  • 42. Sponsors Thank you to all Speakers & Sponsors!
  • 43. To learn more, visit sharpbrains.com