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The Future
Belongs to the
Sharing Economy
Sharing Enables Global Reach
Sharing Demands Smart Partnership
Sharing Rewards Transparency
Share your thoughts with us…. Thank YOUFariba.Anderson@acutenet.com
Connected Care and the Patient Experience#OACON16
Nick van Terheyden, MD@drnic1
Chief Medical Officer, Dell HCLS
Nick van Terheyden, MD CMO, Dell Health and Life Sciences
Twitter http://twitter.com/drnic1
LinkedIn http://www.linkedin.com/in/nickvt
Blog http://drnick.vanterheyden.com/
FaceBook http://www.facebook.com/drnic1
E-Mail DrNick@dell.com, drnic1@gmail.com
AboutMe http://about.me/obiwan
Google Voice (301) 355-0877
Where you can find me
Medical Errors 3rd Leading Cause of Death
@drnic1 #OACON16
Consumer Statistics
387 Million globally live with diabetes
10 million live with Parkinson's
14 Million new cancer cases added each year
17 Million people will die annually from heart disease
@drnic1 #OACON16
Ageing is the Seminal Issue of Our Time
By 2050
• 40% of people will be over 60
• More people over 60 than under 14
In the United States
• 10,000 Baby Boomers turn 65 every day
• All Baby Boomers will be 65+
• 8 Million will be over 80
@drnic1 #OACON162009 Continua Health Alliance Brigitte Piniewski, MD
0 25 65Age
Illness
Pre-Illness
Wellness
Unpredictable Health
Predictable (Rules-based) Health
Death
60-80% Lifestyle
Modifiable Health
@drnic1 #OACON16
0 25 65Age
Illness
Pre-Illness
Wellness
Death
To put it another way….
Fun
No Fun
2009 Continua Health Alliance Brigitte Piniewski, MD
• Kilo
• Mega
• Giga
• Tera
• Peta
• Exa
• Zetta
• The Data Deluge Makes the Scientific Method Obsolete
The Data Deluge
@drnic1 #OACON169
Facts
per
Decis
ion
1000
10
100
5
Clinical decision-making is becoming more complicated.
2000 20101990 2020
Structural Genetics:
e.g. SNPs, haplotypes
Functional Genetics:
Gene expression
profiles
Proteomics and other
effector molecules
Decisions by Clinical
Phenotype
William W. Stead, M.D., 2007 AMIA Panel Presentation, “Why We Need Internal Development”, November 11, 2007
How can we expect health care professionals
to review 6 billion pieces of data in a 15 minute encounter?
@drnic1 #OACON16Source: Qmee July 2014, http://blog.qmee.com/online-in-
60-seconds-infographic-a-year-later/
Every minute of every day…
TeleHealth and TeleMedicine
The Continuum of Telehealth
• Home Monitoring
• Advanced Monitoring
• Advanced Monitoring Equipment
• Sensing Depression and Brain Injury
• Intelligent Assistants and Virtual Interactions
• RoboDoc/Nurse
Even Assisted Telehealth Intervention
14
TeleHealth
15
Wearable's and Internet of Things
Wearable's and Internet of Things will surpass smartphones and personal computers by 2018
Internet of Things
Tablets
Smartphone
Personal
Computers
The Quantified Self
Meet Chris Dancy and His 10 devices he wears or carries and 13 more in his home and car
Quantified Self
• Ubiquitous, low cost, always on sensors
• Seamless tracking with minimal friction and requiring no behavior change
• Generates interactive easy to understand data and influences behavior
• What Can you Track
– Activity and Weight
– Sleep, Mood
– Cardiac including Heart Rate, Blood Pressure and EKG
– Bloods including Glucose
– DNA and Your MicroBiome
• Incentives
Smartphone Driving Biggest Heart Health Study
http://singularityhub.com/2013/04/03/a-million-smartphones-will-drive-biggest-heart-health-study-in-history
Connected Medical Kit, CliniCloud
Playing doctor at home
Robotics and Automation
RP-VITA robots, iRobot Corp
Robotics
Robotics
Fully Autonomous Stitching Robot
Genomics and Precision Medicine
Genomics, Sequencing and Data
• Took $3 Billion and 10 years to sequence one genome
• Sequence in days even hours and for <$1,000
• Explosion of data just to sequence the genome
– Plans to sequence 14M new cancer patients every year which would generate 5.6 Exabytes of information.
• But there’s even more data in -omics
28
Global bioinformatics market to reach $13B by 2020
21% CAGR1
>5.6 Exabytesto sequence 14M new cancer patients worldwide per
year2
Sources:1. Allied Market Research, Global Bioinformatics Market, 2013-20202. http://www.cancerresearchuk.org/cancer-info/cancerstats/world/incidence/3. http://www.technologyreview.com/news/531091/emtech-illumina-says-228000-human-genomes-will-be-sequenced-this-
year/
228,000 whole human genomes sequenced in
2014
1.6M by 20173
Data, Data and More Data
Genomics and Preventative Care
• Washington University CardioGene Set
• Panel includes genes linked to 8 cardiac disorders including arrhythmias & cardiomyopathies
• Young Athletes and SCD
http://outlook.wustl.edu/2014/apr/gene-testing
Genapsys
DNA electronics
The era of Personal genome analyzers
A New and Exciting Future
Patient Engagement is the blockbuster drug of the century
Leonard Kish
Principal and Co-Founder at VivaPhi
Accelerating Pace of Change
34
• Agricultural Revolution – 8000 years
• Industrial Revolution – 120 Years
• Moon Landing – 22 years
• Genome Sequencing – 10 Years
Do more. Healthcare.
Are you ready to…Do more of what’s possible,
Do more of what matters,
Do more of what brings success?
Nick van Terheyden, MD CMO, Dell Health and Life Sciences
AboutMe http://about.me/obiwan
Twitter http://twitter.com/drnic1
LinkedIn http://www.linkedin.com/in/nickvt
Blog http://drnick.vanterheyden.com/
FaceBook http://profile.to/drnick
E-Mail DrNick@dell.com, drnic1@gmail.com
Google Voice (301) 355-0877
Questions
Connected Care and the Patient Experience#OACON16
Nick van Terheyden, MD@drnic1
Chief Medical Officer, Dell HCLS
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