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Editor's Notes

• #2: Drucker said “culture will eat strategy” and now we now… digital will eat governance as we know it. ALONG WITH EDUCATION. IMPORTANT to acknowledge that there are many changes across healthcare systems. There is a movement towards bottom up innovation – ACOs in the US, the regional networks in France and you are going to see this in the UK as well.
• #3: Digital and healthcare never went swiftly. It was considered MAGIC BULLET FOR EFFICIENCY, MANAGED CARE Because of fragmentation, but also pouring down “innovation”.
• #4: What happened instead? “Over the last century, health care has morphed from a system valuing individual responsibility to one grounded in physician dependency.�� Patients are viewed as clients who ravenously consume scarce resources, while physicians dispense answers and guidance for a price deemed too high by bureaucrats to be sustainable.” Niran S Al-agba, MD http://linkis.com/www.kevinmd.com/blog/ISF1R
• #5: DEMOCRATIZATION = Medical Knowledge escaped and so did the Body – we can quantify it ourselves. We can only see the tip of the iceberg of what access to information will deliver. SCHUMPETERIAN VIEW ON INNOVATION - NOT ONLY a source of economic growth. An engine of social redesign all together. It challenges the established balance of power UBERIZATION - SUPEREFFICIENCY IT MAY SEEM COUNTERINTUITIVE, BUT MORE DISCUSSION ON MEANINGFUL CARE, FROM MANAGED CARE
• #6: Digital Health becomes a veritable melting pot of opportunities. At the core, we are witnessing the silent rise of the new, empowered patient - as a paradigm shift for a better, more convenient, more comprehensive healthcare. BUT I AM HERE TO TELL YOU THERE IS MORE TO THAT REALLY.
• #7: WE HAVE SEEN HOW PATIENT ASSOCIATIONS CAN PUSH CHANGE. OURDAYS, INDIVIDUAL PATIENTS CAN PUSH CHANGE. Emily turned to the upside of desperation. With only 30% of her lung capacity left, Emily is on a quest to find a cure for a cystic fibrosis rare mutation. Raise over 1.5 million dollars for research. Britt Johnson – a twitter firestorm at medx – the most negative feelings from people, due to the fact that Britt’s voice, the only patient voice, not being heard on a panel on opioids.
• #8: Nobody is waiting anymore – tech makes it possible to innovate on all ends – the democracy the mantra is It must be a better way.
• #9: This picture is very different from last year, the top 2 categories were not even there. Expect soon to see Virtual Reality, Serious Games.
• #10: Public – private partnerships for innovation, ECOSYSTEMS SOURCE PLEASE
• #11: Expect the unexpected! ATUL BUTTE – EXPECT THE GARRAGE BIOTECH
• #12: Greece, Romania and Latvia are ranked low. These countries offer below average market conditions for mHealth and have also a bad reputation among mHealth practitioners. (research2guidance 2015) Hm.
• #13: Wearenotwating in Romania either. change from the ground up is happening right here, in Romania, right now. And you will see more examples throughout the day, at ICEEhealth.
• #14: REMEMBER THESE NAMES, ROMANIAN DIGITAL HEALTH STARTUPS? SUCCESSFUL ABOARD? HOW DO WE ABSORB THIS INNOVATION? This startups are born here, and most successful abroad. How do you create a system which absorbs and breeds innovation? Remember these names, only a few
• #19: Bottom up, changing role of the regulator and regulator --- TO CREATE SPACE FOR INNOVATION (WHAT DID THE REGULATORS DID FOR US?) BTW. Where is the Chief Technical Innovator in the Ministry of Health? 2. All included. We can use technology as a Trojan horse for change. We say technology, but we mean innovation. We talk about interoperability, but we mean culture change in favour of openness. SF http://www.wsj.com/articles/technology-and-health-care-the-view-from-hhs-1474855381 THERE IS OPPORTUNITY HERE, FROM IT INFRASTRUCTURE, NOT YET A LOT OF LEGACY, BUT A LOT OF TALENT
• #20: #NHS – #Doctor’s prescription #All included Dave Chase: “I think that when you have the right processes in the right philosophy i think you will have the patient naturally participate in that as a team member. if you incentivize the right behaviors people naturally gravitate towards modern approaches”.
• #21: AGE OF MULTIASKING - All included: BUT Led doctors lead & Let patients help Flatten the HC culture – where are the NURSES – CONDUIT OF CHANGE? Don’t rush, don’t take it slow – IT IS A PROCESS, NOT AN END IN ITSELF Change HAS ALREADY BEGAN, THE REGULATOR HAS TO CHANGE TOO ”ALL parties must continue working together and providing opportunities in the form of policies, partnerships and information.” Dr. Karen DeSalvo – MAIN JOB – MAKE REPAIRS, TAKE A STEP BACK, EMPOWER COLLABORATION, RADICAL TRANSPERANCY AND ENSURE COMPETENCE FOCUSED ENVIRONMENT, WATCH OVER Interoperability – unique ID
• #22: Michael SereS In this day and age, with the explosion of app and tech, if you don’t walk in the shoes of the patient, you are going to fail, you are ABSOLUTELY GOING TO FAIL. BUT sometimes there is no substitute for the need for your doctor to take care of you. YOU NEED FIND THE RIGHT BALANCE BETWEEN TECH AND HUMAN TO OPTIMIZE THE RELATIONSHIP DOCTOR – NURSE -PATIENT. THE RELATIONSHIP MATTERS.WHATEVER YOU DO IN HEALTHCARE, CARING IN A STRATEGIC OPTION. AND I WILL LET DR. LUCY KALANITHI TELL YOU WHY THAT IS. SEE HOW CLEVELAND CLINIC WORK ON EMPATHY AND INNOVATION (DR. ADRIENNE BOISSY) OR WHAT MAYO CLINIC DOESWITH ONLINE COMMUNITIES "A 2012 study published in the journal Academic Medicine found that the rates of serious complications among diabetic patients were almost 50 percent lower among those whose��#doctors��had high empathy levels compared to those whose doctors had low levels. Improving physician#empathy��has been shown to help overweight individuals with��#diabetesdrop more weight,��#arthritis��patients experience less joint pain, and those with high blood pressure reduce it.”