20130226 impact van zorg 2 0 op onze samenleving
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1. The document summarizes Frank Boermeester's presentation on the impact of digital health/Health 2.0 on society. 2. It discusses how digital technologies like wireless sensors, genomics, social networking, mobile connectivity and computing power are converging to transform healthcare. 3. The presentation outlines barriers to digital health like reimbursement models, but argues drivers like international competition and patient demand will push the industry to provide more remote, personalized care through technologies that empower individuals.
20130226 impact van zorg 2 0 op onze samenleving
- 1. Impact van Zorg 2.0 op onze samenleving Frank Boermeester MIConnect - 12 november 2013 ¨C MIC Kortrijk Contacteer ons! Mail: info@micvlaanderen.be Etienne Sabbelaan 51, 8500 Kortrijk Twitter: @MICVlaanderen Jaarbeurslaan 25, 3600 Genk LinkedIn group: Microsoft Innovation Center - Vlaanderen Newsletter: http://www.micvlaanderen.be
- 2. Digital Health & Health 2.0 Impact of digital technologies on healthcare?
- 3. Frank Bart Leo @fboermeester @bart @leoexter
- 4. What is Digital Health / Health 2.0? 8 converging elements: ¨C Wireless Sensors and Devices ¨C Genomics (A, C, G, T = digital) ¨C Social Networking ¨C Mobile Connectivity and Bandwidth ¨C Imaging ¨C Health Information Systems ¨C The Internet ¨C Computing Power and the Data Universe
- 5. eHealth versus Digital Health / Health 2.0? 1. Heavy duty ERP & EHR vs light consumer technologies (web & mobile) and web 2.0 services (social networks) 2. Technology & data for providers versus technology & data for consumers-patients as active participants in care 3. Automating existing healthcare processes versus disrupting healthcare models 4. Large technology companies vs lean startups
- 6. Intense & focused programme 1 theme high-potential 7 startups 70 hand-picked investors & decision makers
- 7. I Brussels BE ¨C Supply chain & Admin II Antwerp BE ¨C At-home care III Nijmegen NL ¨C Big Data IV London UK ¨C Health data integration
- 10. (Whites Only) Class of ¡®86, Kloof High School
- 11. This is how we communicated
- 12. For information we relied on each other or this...
- 13. ... it led to this wonderful story.
- 14. ...but also probably prolonged Apartheid
- 16. Instant answers
- 17. Always on
- 18. Access to everything there is in the world
- 20. Always with me
- 21. It is amazing!
- 22. But does it apply to healthcare? Instant communication Instant answers Always on Access to everything Instant decision support Always with me
- 23. No. In some way¡¯s we¡¯re still in 1985
- 24. Why the resistance? Reimbursement models Liability legislation Legacy investments Cultural ¨C healthcare shouldn¡¯t be commercial Cultural/vested interests ¨C doctors don¡¯t want to lose control/authority (and patients aren¡¯t assertive)
- 25. Will the healthcare system cross its Rubicon?
- 26. Fortunately something is brewing
- 27. Digital Health is HOT ! The startup factories have arrived
- 28. In just two years, 15+ health startup accelerators & incubators were established... & 9 major digital health conferences & numerous hackathons, competitions and investor matchmaking events http://healthstartup.eu/the-ultimate-health- startup-resources-guide/ Spawning hundreds of new devices and apps touching all aspects of healthcare
- 29. But will it help?
- 30. Because the reality is, the future of healthcare is not looking so good... ?Staffing shortages ?Budgetting crises ?R&D becoming more costly
- 31. What will be the impact of digital health? ?On quality & outcomes? ?On productivity & cost-efficiency? ?On access to healthcare?
- 32. Change begins with imagining a better future
- 33. A Digital Health Manifesto The future of healthcare, possible today
- 34. A digital health manifesto 1. I want access to a transparent market for healthcare services, based on cost, outcomes and reputations - I have a right to choose the best (and know who the best are)
- 35. Which hospital? Ask your GP... Ratings on scale: ?Outcome: ?Quality: ?Price: ?Experience:
- 36. Which GP? Ask your pharmacist...
- 40. One to watch... $100 million D round funding
- 41. Why it matters.
- 42. A digital health manifesto 2. I want access to remote/mobile health services - Avoid travel & waiting rooms - ¡®Always on¡¯ monitoring (the doctor calls you)
- 43. Patient adjective. bearing provocation, annoyance, misfortune, delay, hardship, pain, etc., with fortitude and calm and without complaint, anger, or the like.
- 45. Instant consult
- 49. Diabetes telemonitoring All-in-One: -insulan pump -activity monitor -glucose monitor -diet monitoring -secure communication
- 50. Telemonitoring packages for: Hypertension Chronic heart failure Diabetes Obesity COPD Asthma
- 51. On the couch
- 52. A digital health manifesto 3. I want access to (and I want my clinician to have access to) updated/complete medical records, medical knowledge & decision support tools
- 53. This is troubling In the age of DROPBOX.... My (family¡¯s) medical records are scattered at numerous institutions and clinicians in Belgium, South Africa, New Zealand and the U.K. My new GP has no data. I have no data (except Kind & Gezin booklets buried deep in a drawer)
- 54. But this is an OUTRAGE In the age of Google, where the world¡¯s information should be universally and instantly available... The world¡¯s scientific community produces 1,5 new articles a year. These are published by a small number of publishing companies, in journals which cost universities up to €20,000/year Long peer review process, causes delay of 2-5 years before publication of results Small wonder: 13,300 researchers have signed up to a boycott of Elsevier UK Welcome Trust & Bill & Melinda Gates Foundation want research results to be freely available within 6 months
- 55. And here¡¯s another OUTRAGE In an age where ¡°zero tolerance for error¡± is possible (as in nuclear power stations, airliners, etc) using decision support systems and quality control systems... Death due to medical error is a top ten cause of death
- 56. EHR in the cloud
- 57. Free EHR in the cloud
- 58. EHR going mobile
- 60. Big Data & Analytics. Making sense of it all
- 61. Finding information outside the Journals pipeline
- 62. The story of e-Patient Dave 2007 diagnosed stage IV renal cancer, 24 weeks to live Via his kidney patient community he found information outside the ¡®clinical information pipeline¡¯ about a promising experimental drug Took part in clinical trial, successful treatment.. Today he¡¯s a patient engagement advocate
- 63. Ask your patient community what works...
- 66. Medical Search ¨C publishers fighting back
- 67. Using information to make decisions and control quality
- 68. I don¡¯t trust opinion ¨C I expect data-driven decisions
- 69. Show me how
- 70. A digital health manifesto 4. Empower me with technology to take control over my health - Doctor, take this seriously
- 71. Genomics ¡°Cheap genotyping...
- 72. ...& real-time sequencing¡± Oxford Nanopore developed a disposable DNA sequencing device the size of a USB memory stick whose low cost, portability and ease of use are designed to make DNA sequencing universally accessible. A single MinION is expected to retail at less than $900
- 73. Heart rhythm, activity & sleep is covered¡
- 74. The race for ¡®invisible¡¯ & ¡®always on¡¯
- 75. Going beyond heart rate & activity monitoring
- 76. Battle for the Starfleet ¡®Tricorder¡¯ (X- Prize) SCANADU Heart rate Blood pressure Saliva testing (Strep throat, etc) Urine testing (pregnancy, dehydration, etc)
- 77. The Vault
- 81. A digital health manifesto 5. All my anonymous health data available to researchers
- 82. I¡¯ve experienced thousands of symptoms, been diagnosed with numerous medical conditions, taken hundreds of medications, undergone many scans and had many many blood tests... Yet, I haven¡¯t contributed one bit of data to medical research
- 83. Portable legal consent & the health data commons
- 85. Every heart beat
- 86. Let¡¯s look at the Belgian context...
- 87. A digital health manifesto 1. I want access to a transparent market for healthcare services, based on cost, outcomes and reputations - I have a right to choose the best (and know who the best are)
- 88. Barriers Cultural barrier? (is competition in healthcare acceptable?) The data is out there, simply needs to be made available If institutions & doctors don¡¯t release it, patients-consumers will gather it themselves¡ the writing is on the wall
- 89. A digital health manifesto 2. I want access to remote/mobile health services - Avoid travel & waiting rooms - ¡®Always on¡¯ monitoring (the doctor calls you)
- 90. Barriers Barriers: ? Reimbursement models ? Professional liability Driver: ? International competition?
- 91. A digital health manifesto 3. I want access to (and I want my clinician to have access to) updated/complete medical records, medical knowledge & decision support tools
- 92. Barriers Medical records: a matter of time Personal records: cultural? (driver will be communities, collaborative EHR, or coaching) Medical knowledge: IP, clinical trials, peer review process Decision support: cultural? (driver will be outcomes-based competition)
- 93. A digital health manifesto 4. Empower me with technology to take control over my health - Doctor, take this seriously
- 94. Barriers Cultural? Drivers will be networks effects and development of Apple-like products
- 95. A digital health manifesto 5. All my anonymous health data available to researchers
- 96. Barriers Research benefit is too indirect¡ hence informed consent needs to be integrated in clinical process
- 97. Bringing it all together... Use your imagination¡ At birth ¨C genome, PHR, tailored lifestyle programs kick in Adult ¨C continuous monitoring of risk indicators, setting personal goals, more coaching programs, choosing providers in transparent market, sharing data with patient communities and researchers Elderly ¨C at-home monitoring, DIY emergency care (devices, instruction kits)
- 98. So what? Consumers/patients - Start today
- 99. So what? Clinicians ¨C don¡¯t resist, use the technologies to improve care/service, differentiate
- 100. So what? Hospitals ¨C differentiate on data and accessibility
- 101. So what? Policy/government ¨C enable new business models by adapting reimbursement & liability legislation; and set common standards for interoperability and security
- 102. So what? Entrepreneurs ¨C there¡¯s a huge ecosystem out there, keen on supporting you
- 103. Further reading
- 104. Thanks! Email frank@healthstartup.eu Twitter @fboermeester