Slide 8-9: Google Glass Display, Touchpad, Camera, Microphone, Speaker, Battery

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slide09

The Glass headset itself consists of this micro display, which uses a prism to project an image on the retina of a 25 inch display floating about eight feet away. It is perhaps Glass’s most remarkable feature, this monitor appearing to float over someone else’s head. There’s a microphone, a pretty good one, as it filters out background noise well. In fact, its the only head mounted video camera I’ve tried, and I’ve tried several, which sounds great even when I’m biking. Its only when I turn my head does the rush of air become bothersome.

Then there’s the camera, about which much is made. The worry is that you’ll surreptitiously snap photos and take video and facial recognition will violate the privacy of passersby. It is true, one can snap a picture just by winking. Google has disallowed facial recognition is certain core applications, but ways are being found around it. One of the cleverest, but also potentially unsettling apps I know of would allow you to just look at someone in the workplace, and if you have the authorization, view their list of unfinished tasks floating over their head.

This touchpad on the temple is allows you to move backward and forward along the timeline, we’ll see a 68 second video tutorial in a moment. Pause on a card and tap will do what ever makes sense. If it’s a current weather cart it’ll show you the next few days of predicted weather. If it’s a photo just taken you can send it to someone or post it to social media.

This is a bone conductive speaker, meaning it transmits through your skull. There’s been one report of one previous deaf individual being able to hear via this speaker. However, the speaker isn’t loud enough in noisy environments, so there’s an optional ear piece that can be plugged into the microUSB port right about here.

Battery life is Glass’s biggest problem. I can get about 48 minutes of HD video before I run out of juice. And five or six hours of casual use, glancing at notifications, answering an email hands free now and then. I sometimes get around this by carrying around an external battery in a shirt pocket and keeping Glass plugged in. Which I admit is a bit dorky looking. But hey, dorky is the new black so I don’t much care. Alternatively, I have two Glass’s on the same Gmail account, I’ll just swap to the back up glass. I’m interested in seeing how Google fixes this. New battery tech? There are accessories that add an additional battery around the back of the heads, sort of like one of those things you wear to hold eyeglasses on you head during sports. And in the car, when using GPS, I keep it plugged into the cigarette lighter.

Let’s watch the video instruction on the user interface. Some people find glass easier to use than smartphones, others disagree. I think that’s because sometimes people try to do what they do on the smartphone only on Glass, such as surf the web. If can do this, but not well. It’s sort of like the joke about the dog playing chess. The owner says he he’s a lousy player, when the remarkable thing is it can play chess at all. Glass is to be used for different but complementary activities. I use Glass and my smartphone less than I use my smartphone if you understand the point I’m trying to make. Folks reach for their smartphone 150 times a day and spend more then two hours on non-voice interaction. Glass reduces that.

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Slide 7: Google Glass Is Wearable, Head-Mounted, Ubiquitous and Mass Market

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slide08

OK! Finally, what is Glass? This was simply my attempt to distill down to a description of Glass using a large font paragraph fitting on a slide. Glass is a wearable computer. Wearables include smartwatches, smart bracelets, smart rings, smart fobs, even smart jewelry. This is what makes glass ubiquitous. It’s always on you. However, in contrast to your smart phone it’s on your head where you can glance at its display any time you wish. By the way, if anyone here has done human factors and computer displays, Glass is head-mounted display, not a heads up display. HUDs superimpose a display in your line of vision to augment what you see. 99% of the time Glass is off. You hear a ding, and at your option, you may be busy and decide not to respond, you glance up and it turns on briefly, and then right back off.

As I said, Google is aiming for the mass market because I think they believe it will natural diffuse into vertical markets adopted and adaptive by people who really understand those vertical markets. And one of those markets is healthcare, for which reason I stand here today.

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Slide 6: Google Glass Explorer, 2000 #Google Glass Tweets, HIMSS Davies Award

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slide07

I’ll skip this slide (in the oral presentation). If you go to my Google Glass “iceberg” (the 90% of presentation-related content online), there are (these) speaker notes.

(Hello, did you arrive here due my presentation, and decided to drill down to my occasionally skipped over speaker notes? Welcome! If not, welcome too!

As I indicated earlier, I’m one to the first, early Google Glass Explorers. I took a train to NYC to Google’s headquarters. Truth be told, I didn’t initially like glass much, because they didn’t fit over my glasses well. But then I visited a dozen eyeglass shops, with Glass in hand, and got fit with these glasses that fit with Glass perfectly. Glass now has prescription options available but I actually continue to favor what I have. I can continue to take them off and hand them to folks and coach them through one of my hundreds of two-minute Glass demos.

I do think I have a unique perspective on Glass and healthcare workflow: degrees in Accountancy, Industrial Engineering, Artificial Intelligence/Cognitive Science, and, of course, Medicine. I tweet a lot about Glass and healthcare and workflow. In fact, I searched through those tweets in preparing these slides. During my Industrial Engineering degree I studied both workflow and human factors, relevant to EHRs, health IT, and Glass in healthcare. Finally, it may be a record, but I co-wrote three wining HIMSS Davies Awards applications for use of ambulatory EHR. These applications are still on line and include lots of workflow related content, some of which is relevant to the presentation.

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Slides 3-5: Google Glass Developers, Explorers, Consumers, Patients, Providers, You!

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slide04

Who is Glass?

For the purposes of this presentation, I’ll divide Glass users into six categories. The first category is developers. In the beginning, late last year, a couple thousand developers attended Google’s developer conference and had the privilege to cut Google a check for $1500 and get Glass. Google then had a Twitter contest. I, and over a hundred thousand tweeted the hashtag #IfIHadGlass and 8000 explorers not only had the privilege to pay 1500 but had to go to one of three google locations to be “fitted” for Glass.

Since then the Glass explorer program has expanded dramatically. Early explorers were given options to distribute multiple invites in several waves. I’ve gave away 15 such invites.

The next categories are consumers. Glass will likely be available for retail consumer purchase sometime this year. Speculation about price ranges from $300 on the low end and $800 on the high end. Around $600 appears to be most frequently predicted. Google has an equity stake in the company that makes the little micro display making Glass possible. That company is reported to be able to product two to seven million of these displays a year. How will Glass be received by consumers? There’s a remarkable amount of disagreement among owners, reviewers, and analysts. Some predict it will be the Segway or Apple Newton of wearable or handheld computing. Others see Glass as transformational, transforming user experience, concepts of privacy, and face-to-face etiquette.

While Glass has remarkable potential in certain vertical markets, especially healthcare, which I’ll cover later in the presentation, I think Google is clearly targeting the consumer slash professional market. Ability to receive social updates on the go, to respond to them, and to share text and multimedia on the spot, without reaching in your pocket, without even breaking stride, will attract consumers. The same, focused on the professional job to be done, will attract the professional. I really didn’t appreciate Glass until I spent several weeks on the road, going to conference, finding hotels and airports, and networking with other health IT colleagues.

Here is the reason I think Google is targeting consumers. Non-consumer uses, in healthcare, government, security, hospitality, technical repair, etc. are extremely idiosyncratic. Google doesn’t know what’s going to work and what’s not going to work. So, I think Google is leveraging the “digital entertainment and consumer hardware drives technology which then diffuses into the vertical industries” model.

I’ll point out here, though, an intentional sequence of spectrum from developers to you. There’s overlap between developers and explorers, explorers and consumers, between consumers and patients, patients and provides, providers and you. You may not be a physician, though some of you might be, but you are part of the infrastructure supporting providers.

Which brings us to healthcare. I’ll focus on patients and provides, because their interaction is at the heart of healthcare workflow.

I suspect that most folks, on seeing the title of my talk, would think that I’m going to talk about surgeons using Glass hands-free and emergency personal streaming video to hospitals and such. And I will, but I’m actually of the opinion that while Glass may be extremely useful in certain healthcare provide contexts, Glass won’t be “transformation” due to use by healthcare providers. Perhaps we can offload some tasks from the EHR to Glass, one startup estimates 25% can be done so. But 25% isn’t transformational EHR experience, about which much is debated, whether its good enough or what can be done to improve it.

I’ve seen some remarkably emotional online debates about use of Glass in hospitals and clinics. Most of these debates are based on misunderstanding of how Glass works. Some patient advocates are angry at the prospect they might have to deal with a physician or clinician wearing glass. However, if there is an opportunity for a transformational moment, it is the patient showing up with Glass and how we, direct healthcare providers and indirect facilitators. I’ll get to that as well.

Finally, we get to you. The slides and presentation are really just a preamble to you putting on Glass and making of it what you will. Of course some of you may have already tried on Glass. How many have? If you have Glass, please participate in the demos in the second half of this presentation.

I was tempted to simply make this entire presentation a series personal demos while projecting the results for all to see. Ultimately I decide that was too untraditional, and I split the difference, first half slides, second half interactive demos (technically, interactive interactive demos, interaction about interaction with Glass)

slide05

slide06

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Slide 2: The Who, What, Why, Where, How of Google Glass

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slide03

The first part of this presentation follows Kipling’s six servants.

I keep six honest serving-men
(They taught me all I knew);
Their names are What and Why and When
And How and Where and Who.

Who, what, why, when, where, and how is Glass?

Note that I modeled these Power Point slides on Google Glass’s own user interface and user interface guidelines, which I’ll cover later. The emphasis in on minimalism, just the info and options you need when you need it, and never otherwise. In fact, this slide is busier than most Glass cards. A glass card is often just an image and a phrase, such as a music album cover and that name of a song. The home screen is just the time and “OK Glass” in quotes, meaning that is the command to initiate a conversation with Glass. The virtual dog ear in the upper right means that we can tap on this card and drill down to a bundle of cards.

In fact, I was tempted to do this presentation directly from Glass, using cards as slides. I create an Glassware app that even allowed me to point with a cursor controlled by head gestures. I ultimately decided too much could go wrong, not with Glass, but with the several video cables and video interfaces that’d be involved.

Where all of these slides have “Just Now” in the lower right Glass usually tells you how long ago the card was inserted into your timeline. Sweeping your finger along the temple touch pad moves card focus along the time line. The timeline even has momentum, as lists have on smartphones, so you can, in a couple quick swipes, move through hundreds of cards.

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Slide 1: Google Glass and Healthcare Information and Workflow

slide02

Thank you for attending this session on Google Glass and Healthcare Information and Workflow!

I’m Chuck Webster, I’ve had Glass since June, and I’m delighted to be here at the Society for Health Systems Healthcare Systems Process Improvement Conference.

By the way, this slide presentation is just the tip of an online iceberg you can get to via this short URL http:ehr.bz/glass14

The very best to way to understand Glass is to try it on and interact with it for a couple minutes. You’ll get more out of that than me showing and talking about slides for 50 minutes. Therefore, my slides are very high level and I will fly though them, so I can get to the important part, where I’m going to ask for folks to come up here and try out Glass, while the rest of us look on. Afterwards, I’ll hang around in the hall to continue the personal demos. And all through the rest of this conference, and for the HIMSS conference immediately on the heels of this conference. If you see me, please stop me and ask for a demo. While I don’t have a contractual obligation with Google, I do have an implicit understood obligation to educate everyone about Glass, and these two-minute personal demos, of which I’ve participated in several hundreds, really are the very best too educate, short of actually owning Glass.

Completely gratuitous, I know, but I’m a farm boy from Illinois…

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