As technology stands poised to transform our lives, Self Health emerges as a vital innovation for the future, especially in key areas like chronic diseases, mental, and geriatric health care. Utilizing natural language processing and empathy, it provides trusted, perpetual health information and guidance tailored to each individual. Amidst a backdrop of modern disinformation, this conversational approach becomes a reliable source, considering genetic, lifestyle, and psychological factors. It revolutionizes chronic and geriatric disease management while enhancing mental well-being. By empowering individuals to take proactive health measures, Self Health not only elevates personal lives but also contributes to global health improvements. It signifies a future where healthcare is personalized, trusted, empathetic, and universally impactful.

1. Self Health: A Catalyst for Transforming
Individual and Global Health
R A M E S H J A I N
J A I N @ I C S . U C I . E D U

2. Health is the most important factor
in every life.
However,
Healthcare is broken.
In Every Country.
Every country is working on
reviving their healthcare.

3. When do people get best healthcare?
3
When they are about to die – in ICU.

4. When do people get best healthcare?
4
• All Biomarkers measured and monitored continuously.
• One or more nurses take required actions in the given situation.
• Doctor is available to make ‘right’ decisions.

5. Current Status of Personal Health Care

6. Obvious is usually not Obvious!
6

7. What is Health?
• https://capture.dropbox.com/HI8Usl6C4FezlJQ6
• Health is a state of complete physical, mental and social well-being
and not merely the absence of disease or infirmity.
• The enjoyment of the highest attainable standard of health is one of
the fundamental rights of every human being without distinction of
race, religion, political belief, economic or social condition.

8. After 75+ Years: Current Healthcare
Which Disease? Prescriptio
n
Influence and
Compliance
Measure
Collect all
Relevant data
How can I get
more
attention?
8

9. 9
Current Healthcare: Repair Model
Which Disease? Prescriptio
n
Measure
Collect all
Relevant data
Healthcare = Repair Model - (cost estimates +
Guarantees)

10. Why Self Health?
What is it?
How do we do it?
When should we do it?

11. Self Health:
Empower individuals to be responsible for their
health.

12. Individual to Society to Planet
12
Planet
Society
Individual
Society exists only as a mental
concept; in the real world
there are only individuals.
-- Oscar Wilde

13. All Healths are Intertwined.
13
Everything is connected to
everything else. We need to
understand and build this
interconnected world.

14. EMPOWER people to find their own way and support
them when they need it.

15. A serious disease is a serious disaster.
Credit: DOI:10.1108/DPM-03-2021-0071
Disease
Management
Cycle
• Disease destroys a person.
• Shatters a family.
• Disrupts life in a country.
• May become a global disaster.

16. Health is more than an event (disease).
Health is a continuously working dynamic system.

17. Homeostasis is Nature’s Engineering
Homeostasis: any self-regulating process by which biological systems tend to maintain stability while
adjusting to conditions that are optimal for survival.
17

18. Augmenting Homeostasis: Help yourself!
18

19. Health is Navigation in a Multidimensional Space
Heart
Failure
Olympic
Athlete
Coronary
Disease
High Blood
Pressure
Good
Hiker
Diabetes
Cancer
Covid
Desired State
Current State
19
Health State is what really matters.

20. Trusted
Accessible
Health
Info
Personal
Health
Navigator
Disease
Mgmt
Empowering Self Health
Using Responsible
Technology
What do we need to do?

21. Accessible Trusted
Health Information As
Needed
Accessible Trusted Health Information
As Needed

22. Need Health Information Access ALWAYS
• Reliable: The information should come from a trusted source, such as a health
agency, a medical school, or a reputable health organization.
• Up-to-date: The information should be current and based on the latest scientific
evidence.
• Easy to understand: The information should be written in clear and concise
language that is easy for people to understand.
• Unbiased: The information should be presented without any bias or commercial
interests.

23. I had a Pre-Smart-Phone dream –
can be realized for health and more NOW.
• Generative AI (LLMs)
• Multimodal computing
• Universality of Mobile Computing

24. Folk Computing is Essential for Accessing Health Info

25. When trusted information is accessible to everyone, individuals
can take ownership of their health.

26. Health Navigation

27. Personal health navigators should be as easy to use and
navigate as mobile map apps.

28. Perpetual Augmentation of Homeostasis:
Personal Health Navigator
• Guides you to better health.
• Uses real-time information to redirect you around a
disease.
• Provides step-by-step directions to get you to your
optimal health state, whether you’re a professional
athlete or a taxi driver.
28

29. Navigating the complex and ever-changing world of health requires solving a
similar but thousand-dimensional puzzle many times a day.

30. Ramesh
Jain
@
PCEMS
2023
Health Factors
30
Lifestyle:
Food
Activities
Stress
Rest/Relaxation
…

31. Estimate Current
Health State Guidance
Influence and Compliance
Measure:
Collect all
Relevant
data
Goal
Personal
Model
Cybernetic Personal Health Navigation Model
31

32. Person :== Genome + Lifestyle + Exposome
‘Omics’
Personal
Model
Exposome
Personicle
AI + Learning
• Propensity to
diseases
• Rule Based
Health Behavior
• Your behavior
and health
profile
Could be for
Whole Life
Recent Past
After a particular health Condition
(such as heart attack)
32

34. Goal
Components of a Personal Health Navigator
Knowledge
3600
Personal
Data
Food
Activity
Stress reduction
Sleep
Medicine
Current State
Goal
34

35. Goal
AI in Building a Personal Health Navigator
Knowledge
3600
Personal
Data
Food
Activity
Stress reduction
Sleep
Medicine
Current State
Goal
35
A.I. G.A.I.
A.I.
G.A.I.
LLM
A.I.

36. Disease Management

37. Digital Health: AI has revolutionized Diagnosis
• In Imaging
• Pathology
• Augmented technology for surgery

38. Digital Health Needs Human Element
• Empathy and Human Touch
• Trust
• Follow Up
Human touch and empathy are important part of effective healthcare.

39. Trusted and Responsible Tech

40. Foundation Metrics for
Healthcare
● Accuracy
- Grounded
- Up-to-date
- Multimodal
● Trustworthiness
- Explainability
- Interpretability
● Empathy
- Personalization
- Emotional support

41. Conversational Health Agents

42. Building Open Platform: CHA

43. Orchestrator
- Healthcare problems need
- Multi-step decision making
- Multi-step action taking using personalized data
- Multimodal data analysis
- Health knowledge retrieval

44. Stress Level Estimation
CHA

45. Stress Level Estimation
CHA

46. Stress Level Estmation
CHA

47. Food Recommendations
CHA

48. Food Recommendations
CHA

49. Food Recommendations
CHA

50. Food Recommendations
CHA

51. Current Interest Areas:
• Metabolic Diseases
• Mental Health
• Helping Seniors
• Food and Nutrition

52. CONFIDENTIAL
User Modeling Engine
CONFIDENTIAL
Deeply personalized and holistic model of lifestyle vs. outcomes for each user.
Every user has a completely different model.

53. CONFIDENTIAL
User 768 is middle-aged, female, type 2 diabetes, obese user struggling with
stress and poor sleep. Should she get more steps in throughout her day?
CONFIDENTIAL
Vicara Case Study: User 768
Clinical guideline: Of course! She should be doing at
least 150 minutes of walking per week.
Vicara AI: NO! Walking is a waste of time for User 768’s
overall health right now. Stop the evening walks and
redirect that precious motivation to something actually
effective.

54. CONFIDENTIAL
Glucose Performance
CONFIDENTIAL
Lifestyle Impact
More Daily Steps Very Strong Positive Impact
Longer Exercise Moderate Positive Impact
Sleep Later Moderate Positive Impact
Sleeping Longer Moderate Negative Impact
More Intense Exercise Strong Negative Impact
Lifestyle Impact
Stress Moderate Positive Impact
More Morning Steps Mild Positive Impact
More Daily Steps Moderate Negative Impact
More Steps Previous Day Moderate Negative Impact
More Evening Steps Moderate Negative Impact
Nutrition Performance
Lifestyle Impact
Eat More Carbs Strong Positive Impact
More Intense Exercise Moderate Positive Impact
Longer Exercise Prior Day Moderate Positive Impact
More Morning Steps Moderate Negative Impact
More Daily Steps Moderate Negative Impact
Sleep Quality Stress
Lifestyle Impact
More Early Morning Steps Strong Positive Impact
Sleeping In Later Strong Positive Impact
More Intense Exercise Prior Day Moderate Positive Impact
Eat More Moderate Positive Impact
More Evening Steps
Moderate Negative
Impact
More Steps Prior Day Strong Negative Impact
More Intense Exercise Strong Negative Impact
Case Study: User 768 – Lifestyle Impact Model

55. CONFIDENTIAL
Prioritization Engine
CONFIDENTIAL
Glucose Performance
Lifestyle Impact
More Daily Steps
Very Strong Positive
Impact
Longer Exercise Moderate Positive Impact
Sleep Later Moderate Positive Impact
Sleeping Longer Moderate Negative Impact
More Intense Exercise Strong Negative Impact
Identifies the most impactful lifestyle action for each user at that point
in time for a given goal.
Guidance completely depends on user objectives.
Lifestyle Impact
Eat More Carbs Strong Positive Impact
More Intense Exercise Moderate Positive Impact
Longer Exercise Prior
Day
Moderate Positive Impact
More Morning Steps Moderate Negative Impact
More Daily Steps Moderate Negative Impact
Sleep Quality

56. Care-State
Augmented
Guidance
Observation
s
(Situation-Aware)
Personal
Model
Compliance
Care Givers
Dementia Care Navigator Platform
Daily
Routine
Navigator’s human-in-the-loop augmented intelligence
Specialists
Patient
Pattern
Changes

57. Mental Health Navigator

58. Challenge:
Food Recommendations/Guidance/Advice
Food
Recommendatio
n System
List and
volumes
of Food
Items
and How
to get
them.
58
Ramesh
Jain
@
Zepp
April
13,
2023

59. Thanks.
J A I N @ I C S . U C I . E D U
Empowerment and
Democratization