PSFK The Future Of Health Report 2014

PSFK presents

THE FUTURE OF HEALTH

The Future Of Health 2014 www.psfk.com/future-of-health / #FutureOfHealth

A

Foreword

PIERS FAWKES

Founder & President,

PSFK Labs

labs.psfk.com

Imagine a future where wearable technologies track key areas of

your life to provide timely prompts about your health, and the

data gathered can be uploaded securely to the cloud. Instead of

going into the doctor’s office for a checkup, you would schedule

a video consultation to discuss your recent readings. In instances

when you need further care, your visits would be coordinated

by medical records that flow seamlessly between key members

of hospital staff and your care would be supported by relevant

information that prepares you for what’s next. Your surgeon

would be able to look at your results alongside the wider patient

population or seek advice from specialists around the world to

determine an optimal treatment plan; the effectiveness of which

would determine their compensation.

While the realities of the current model of healthcare tell a different

story, we’re beginning to see exciting signs of change against

daunting challenges. The World Economic Forum estimates that

unless current trends reverse, five common ‘lifestyle’ diseases—

cancer, diabetes, heart disease, lung disease and mental health

problems—will cost the world $47 trillion in treatments and lost

wages. Add that figure to a system that could see a shortage of

90,000 doctors in the US alone by the end of the decade, and the

picture becomes bleak.

Rather than view these as insurmountable obstacles, we choose

to see a landscape full of opportunity. Despite a slow regulatory

process a host of new mobile and social tools, sensor technologies

and devices are being developed for an industry in need of

change. These innovations are poised to improve health lifestyle

choices and change the way care is delivered. We’re excited to

share this patient-centered vision in our latest report.


B

Introduction

As a wide array of health innovations ranging from wearable trackers

to responsive algorithms enter the marketplace, we’re seeing the

emergence of a proactive and empowered patient who is more in control

of their health. These individuals have more information about their

lifestyle choices and conditions, and a desire to share it with the broader

community. Armed with this knowledge, they expect their relationships

with their doctors to be more personal and collaborative, where they

work together to achieve the best outcomes.

At the same time, the healthcare system is adopting better tools

to ensure streamlined communications and a more efficient use of

resources. Information silos are moving to the cloud for universal access

and sophisticated algorithms are making sense of this data to enable an

individualized level of treatment and care. The result is a new paradigm

that thinks about healthcare as an ongoing conversation between people

and their extended network, rather than something that happens when

someone gets sick.

In the following pages, PSFK Labs has summarized 13 trends related to

the Future of Health that fit within four larger themes: Behavioral Nudge,

Empowered Patient, Orchestrated Care and Augmented treatments. These

highlight how consumer technologies, data analytics and information

systems are changing the way healthcare is delivered both from a patient

and physician perspective. To support this vision, PSFK has described six

best-in-class examples to show how these ideas are manifesting within

the marketplace. Additionally, each trend page includes quotes from

experts who talk about the larger significance of these ideas, relevant

stats that convey potential for growth, plus implications that point to

what’s possible next.

We appreciate the opportunity to share what we hope is a compelling

story around the Future of Health and its impact. We look forward to

participating in the larger discussion as these new innovations reshape

the industry.

7 Lessons for Successful Healthcare Services

As people begin to generate a greater volume of personal health data

alongside their existing medical records, questions around ownership and

portability will loom large. People will want control over this information to

ensure that they receive the greatest benefit from shared access whether that

be through lower insurance premiums or personalized care.

DATA SYNERGY1

As more reliable medical information flows into the healthcare system from

patients, the data is added to aggregated research databases that can be

mined for deeper insights about individuals and communities. Doctors can

use these insides to support better assessments about conditions, treatment

effectiveness and warning signs.

LIVING HEALTH DATABASE2

Patients will demand the ability to connect with their doctors through a

wider variety of platforms and channels—video, online, mobile and social—to

receive care that is more personal, regular and convenient. This new level

of access will place the relationship between patients and physicians at the

center of the healthcare system.

INSTANT ACCESS3

As patients broaden their healthcare networks to include wellness experts

and patient communities, they’ll require access to personal medical results

and resources that are accurate, standardized and easily understood to

facilitate discussion and collaboration on treatment plans.

INFORMED CONVERSATIONS4

Digitally-savvy patients are looking to their doctors and healthcare providers

to be technology and information advisors in the medical space. Whether

curating trusted content or recommending relevant mobile apps and

wearable devices, these new resources will support a more continuous and

responsive model of healthcare.

PRESCRIPTION FOR TECHNOLOGY5

As sophisticated health monitoring and analysis technologies develop for

the consumer and professional marketplaces, we’ll see a transition to a more

responsive model of care that steps in to provide support at key moments.

These systems will of automate processes like appointment and medication

reminders, and provide prompts when human input is required, such as when

a patient is deviating from their treatment.

RESPONSIVE CARE SYSTEMS6

CONSUMER- DRIVEN MARKETPLACE

As patients take advantage of connected technologies, social tools and

information resources to become more knowledgeable about their health

and that of their families, there will be a subsequent push for healthcare

options that better fit their lifestyle choices. In order to compete in this new

marketplace, providers will rethink their offerings to consider plans that

include performance incentives, transparency and greater flexibility.

7


C

ORCHESTRATED CARE

25

28

31

AUGMENTED TREATMENT

39

42

45

34

REMOTE HOUSE CALLS

Sharp / TalkSession / HealthSpot /

Sherpaa / Grand Rounds /

Goderma

CLOUD-POWERED MEDICAL RECORDS

ZappRx / Tonic Health /

Mediview / Medlio / Drchrono /

MedChart

PHYSICIAN-TO-PHYSICIAN NETWORKS

Figure 1 / Doximity /

ECHO Project / CrowdMed /

Next Wave Connect / Careflow

DATA-DRIVEN TREATMENTS

Sage Bionetworks / Frame Health /

Collaborative Assessment and

Recommendation Engine /

CancerLinQ / IBM, Sutter Health &

Geisinger Health Systems /

New York City Mount Sinai

Medical Center

EMBEDDED VITAL MONITORS

University of Illinois & Maste /

University of California-San Diego /

The Ubicorp Lab / Google /

Ecole Polytechnique Fédéral de

Lausanne / Proteus Digital Health

OVERLAY OR

Sony / Fraunhofer Institute & Yokohama

City University Hospital / Pristine /

Dr. Rafael Grossman / RealView Imaging /

Anatomage

PRINTED PROCEDURES

Robohand & MakerBot /

Princeton University /

Cornell University /

Fripp Design & Research /

Handie / BioPen

Table Of ContentsThemes, Trends & Examples

Foreword

Introduction

Table Of Contents

Major Themes

Key Takeaways

About PSFK

About Our Sponsor Boehringer Intelheim

Experts Discuss The Future Of Health

About / Team

A

B

C

D

D

E

E

48

50

BEHAVIORAL NUDGE

03

06

09

EMPOWERED PATIENT

14

17

20

HOLISTIC TRACKING

Endotheliometer / Athos /

Airo / Ignite Pad / W/Me band /

MyBreath

INCENTIVIZED WELLNESS

Walgreens / FwdHealth /

The Vitality Group / Movimento /

DietBetter / Evolent

GAME THERAPY

/ MY ASICS / Re-Mission 2 /

Children’s National Medical Center /

mySugr / Stomps / PIP

DIY DIAGNOSIS

uChek / Health eHeart / Kinsa /

Scanadu Scout / Gene-RADAR /

Oxitone

CARE GUIDANCE

Seoul National University Bundang

Hospital / Touchsurgery / Medivizor /

Careport Health / Medeel / Wellframe

SOCIAL SUPPORT COMMUNITIES

Crohnology / Smart Patients /

Social Rehub / Cody /

IHadCancer /

Center for Behavioral and

Addiction Medicine at UCLA


D

Key Trends in the Future of Health

Holistic Tracking. Wearable

technologies are helping people

track and manage a wide variety

of health data, giving them a

clearer understanding of existing

conditions and preventative

techniques.

Incentivized Wellness. Emotional

and financial rewards are

motivating people to make

healthier lifestyle choices and

improve their behaviors.

Game Therapy. Games keep

patients engaged around

ongoing therapies to ensure

adherence, while adding a layer

of enjoyment to the process.

DIY Diagnosis. Simple to use

technologies offer a ‘good

enough’ level of diagnosis about

symptoms, helping people

determine if they need to seek

further medical care.

Care Guidance. Platforms are

arming patients with relevant

information and reminders at key

points as they interact with the

healthcare system.

Social Support Communities.

Patient communities are forming

around specific conditions to

share advice, experiences and

support, helping one another on

the path to better health.

Remote House Calls.

In-person checkups

are being supplemented

by telemedicine options

that allow patients to

remotely connect with

healthcare providers for

immediate advice

and care.

Cloud-Powered

Medical Records.

Digital platforms

are breaking down

communications

between providers,

streamlining the way

patient data and

records are accessed

and shared.

Physician-to-

Physician Networks.

Niche networks are

connecting doctors

with their peers,

offering a way to share

medical research and

treatment advice.

Data-Driven

Treatments. Patient

data is being analyzed

alongside various

treatment options

to better assess

possible outcomes

and offer individual

recommendations

around care.

Embedded Vital Monitors. Small

and flexible sensors are replacing

bulky patient monitors to collect

and stream biometric data to

physicians and nurses.

OVERLAY OR. Visualization

and information overlay tools

are being developed to assist

physicians during complex

procedures and supplement

current education techniques.

Printed Procedures. Advanced

3D printing and fabrication

techniques are improving

surgery outcomes and making

cost-effective prosthetics more

accessible.

Macro Themes Changing the Health Landscape

BEHAVIORAL NUDGENew tools and incentive systems are promoting a more proactive model of health by helping people better track and understand their behaviors and encouraging them to make healthier lifestyle choices. Wearable and mobile technologies are leveraging advanced sensors and algorithms to provide deeper insights and individualized coaching to activate users around their wellness. When paired with game mechanics offered by insurance companies, employers and providers, these feedback loops motivate users to make incremental changes over time. The net effect of this approach is a healthier population that is less reliant on the resources provided by the broader healthcare system.

EMPOWERED PATIENTArmed with a greater degree of knowledge about their lifestyles and conditions, consumers are taking a more central role in determining when they interact with the healthcare system and how their care is delivered. Patients are being empowered with technologies and participation in social communities that enable them to gather valuable advice or self-diagnose before visiting a medical professional. As a result, patients are better prepared to collaborate with their doctors during these consultations on the best course of action, which can be further supported by guidance around individual treatment plans to ensure optimal outcomes.

ORCHESTRATED CAREHealthcare providers are using new technologies, social platforms and data systems to streamline the way information is disseminated and accessed to deliver a more personalized and distributed model of care. Secure networks are offering a new ‘commons’ for doctors to share research and advice around conditions that fall outside of their expertise, while analytics tools interpret patient data to further support these decisions. Similarly, digital platforms have evolved to ease the communication between doctors, patients and different medical personnel to ensure that pertinent records, treatment plans and face-to-face guidance is readily accessible, cutting down inefficiencies and mistakes.

AUGMENTED TREATMENTDoctors are upgrading their medical toolkits with high tech visualization instruments, imperceptible monitoring devices and 3D printing techniques to improve the level of care they can provide to patients. Added biometrics from embedded sensors are aiding in patient diagnosis and tracking. Inside the examination and operating rooms, holographic projections and augmented reality overlays allow physicians and surgeons to offer less invasive and more effective treatments. At the same, 3D printers are enabling medical technicians to produce cost-effective prosthetics and implants that can be tailored to individual patients to ensure greater comfort and functionality and speed recovery times.


E

This report is kindly sponsored by Boehringer Ingelheim. Boehringer Ingelheim is a research-driven company dedicated to developing, manufacturing and marketing pharmaceuticals that improve health and quality of life. They focus on innovative drugs and treatments that represent major therapeutic advances.

Boehringer Ingelheim drives progress in the form of medicines, technologies and solutions that help people. They also evaluate innovative models of a healthcare provision and opportunities for cooperative innovation through pilot program, partnerships and investments in the field of integrated healthcare solutions that deliver greater health benefit for patients. Here they are always led by people’s medical needs. Boehringer Ingelheim believes that it is the patients’ partner that makes available innovative medicines for better health.

www.facebook.com/boehringeringelheim

“As a pharmaceutical company, innovation is a

crucial skill for us to nurture and develop. Innovation

means we can continue to positively contribute to the

health of patients and society at large. We constantly seek

to embrace innovation, inside and outside our company, in

order to add value for our customers.”

— Allan Hillgrove, Board Member.

Boehringer Ingelheim

About Our Sponsor Boehringer Ingelheim

About PSFK Labs

The researchers behind the Future of Health report applied the same rigorous process that they use to conduct projects for Apple, BMW, Google, Intel, Philips, Samsung, Target and UNICEF. The PSFK Labs’ Research & Strategy team conducted grounded theory analysis that leveraged thousands of data points and dozens of experts’ opinions to identify the micro and macro trends and develop the recommendations found in this report.

SCOTT LACHUT

Director, PSFK Labs

labs.psfk.com

www.psfk.com/future-of-health / #FutureOfHealth

BEHAVIORAL NUDGE

HolisticTracking

GameTherapy

IncentivizedWellness

The Future Of Health 2014

New tools and incentive systems are promoting a more proactive model of health by helping people better track and understand their behaviors and encouraging them to make healthier lifestyle choices. Wearable and mobile technologies are leveraging advanced sensors and algorithms to provide deeper insights and individualized coaching to activate users around their wellness.

When paired with game mechanics offered by insurance companies, employers and providers, these feedback loops motivate users to make incremental changes over time. The net effect of this approach is a healthier population that is less reliant on the resources provided by the broader healthcare system.

— Holistic Tracking

— Incentivized Wellness

— Game Therapy

BEHAVIORAL NUDGE

www.psfk.com/future-of-health / #FutureOfHealth The Future Of Health 2014

HOLISTIC TRACKING

HOLISTIC TRACKING

46%

of people who tracked their health

say that it has changed their

overall approach to maintaining

their health or the health of

someone for whom they provide

care.

— Pew Internet & American Life Project,

“Tracking for Health,” 2013

“The use of technology, although taking away

some of the human touch from what we do, is

actually going to bring us more personalized

medicine. These systems are going to change the

experience for the patient. The patient is going

to be monitored in a variety of ways, including

wearable devices that track how much they move,

what their temperature is, what their heart rate

is, including devices that are included within

the packaging of their medication, which will

indicate if they’ve taken their medication, or not.

But the important thing is not the information in

itself. The important thing is what we do, once we

have that information.”

Dr. David Medina Tato, Senior Manager,

Business Model &

Healthcare Innovation

at Boehringer

Ingelheim

A new class of wearable devices is entering the marketplace which enables people to capture a wider

range of biometric data that goes beyond fitness statistics. By visualizing the data captured in their

day-to-day lives, users are better prepared to make informed decisions about their health outcomes.

3 BEHAVIORAL NUDGE


4

SCALE ANALYSES BEHAVIOR AND PROVIDES AN OVERALL HEALTH NUMBER

Ignite wellness in Silicon Valley created a health and wellness device ecosystem comprised of a mobile application and a digital scale that compiles a person’s weight and fitness records into one composite number that signals their overall health. When users stand on the IGNITE Pad device, a connected smartphone registers the person’s weight and inputs that data into the IGNITE mobile app, providing a tangible ‘Life Number’ which fluctuates according to the user’s activities, such as eating, exercise or smoking. Notifications about weight gain or losing their position on a socially-ranked leaderboard helps users stay on track with their goals. By seeing that every action taken affects their Life Number, IGNITE users can proactively take steps to improving their health and overall wellness.

www.lunar.com/work-ignite.shtml

WRISTBAND SCANS BLOOD AND TRACKS EXACTLY WHAT WEARERS EAT

Airo is a health and wellness wristband that captures a range of data points around exercise and stress, eating habits and sleep. Developed by Canadian company AIRO Wellness, the wristband projects LED light into the bloodstream to detect metabolites associated with carbohydrates, proteins, and fats. By scanning the nutrients in the bloodstream, Airo is able to give explicit feedback on how the body processes ‘good’ or ‘bad’ nutrients. In addition, AIRO tracks sleep and exercise by monitoring wrist movement patterns during sleep mode, and heart rate variability and motion when in exercise mode. All the data is collected and visualized on a mobile application, facilitating behavioral change over time using gentle nudges towards better outcomes.

www.getairo.com

HOLISTIC TRACKING

WORKOUT GEAR MEASURES MUSCLE EXERTION AND TRACKS DATA

Athletic clothing company Athos has created a full-body workout suit that is embedded with sensors to track a variety of fitness metrics during workouts. The brand’s compression workout apparel is lined with sensors that record heart rate and breathing information, while central ‘core’ units track muscle movement through built-in accelerometers. All of the information is broadcast to a smartphone application where users can see their total muscle effort, reps, and heart rate among eight other composite metrics from their workout.

www.liveathos.com

BLOOD CELL MONITORING DEVICE ALLOWS EARLY DISCOVERY OF CONDITIONS

The Endotheliometer measures key cell layers in blood cells to gather signals of ‘wear and tear’ and gages a person’s overall health as they age. Created by researchers at Lancaster University in the UK, the measurement device is worn on the wrist and examines cell cycle changes in the endothelium a layer of cells that coats the inside of the body’s blood vessels and lymphatic vessels. Due to its proximity to the circulatory and lymphatic systems, the endothelium offers a proxy to their overall health, giving insight into how a patient’s body is aging, particularly with individuals who are predisposed to cardiovascular diseases. This process offers a new approach in estimating a patient’s cardiovascular age which can be helpful when used in contrast with the patient’s overall health, allowing for early discovery of conditions and the ability to take necessary steps to avoid further complications.

www.lancaster.ac.uk

BEHAVIORAL NUDGE

HOLISTIC TRACKING


SUPPORTING DATA

IMPLICATIONS

The Future Of Health Video

vimeo.com/psfk/foh

3

5

_ What are the next wave of personal metrics that are

going to be essential for maintaing good health?

_ How do we move from historical tracking to

predictive warnings, and what lifestyle behaviors

should be the focus?

_ How do we standardize the data being gathered

and make it shareable with the wider healthcare

system?

_ As this data is shared with insurance companies

and providers, how do we ensure that consumers

maintain ownership and receive greater value?

_ What new services will be needed to connect and

analyze a wider range of data sources, and deliver

deeper meaning?

_ How can we tap into “in the moment” achievements

or long-term goals to support consumers on their

goal to better health?

“People want to have their own medical readings. They

want to keep their own medical records. They want

to talk about it with others. They want to share it.

They want to compare it. They want to have second

opinions.”

— Jared Heyman, Founder, Crowdmed

“Wearable technology has changed the way we think

about healthy living. With more efforts being put into

understanding how our bodies respond to exercise,

we’ll continue to see fitness technology educate all

of us on how to live a more active lifestyle and take

control of our own health. The technology won’t

make us fit on its own, but it can monitor our

efforts and motivate us to make better choices in our

everyday lives.”

— Shannon Miller, President, Shannon Miller Lifestyle

“Once you start to understand your biometrics and

understand that they enrich your daily life in some

way, you’ll start to expect that the experience gets

richer and richer the more data you have.”

— Dr. Leslie Saxon, Founder and Executive Director,

USC Center for Body Computing

60% of Americans and 53% of UK wearable tech survey

respondents said that wearable tech “helps them feel

more in control of their lives.”

— Centre for Creative and Social Technology at

Goldsmiths University of London, ‘The Human Cloud:

Wearable Technology from Novelty to Productivity,’ 2013

Nearly 50% adults in the UK who self-track with

mobile devices say they’ve experienced strong

behavior change.

— Fitbit, ‘Fitbit Healthy Futures Report,’ 2013

HOLISTIC TRACKINGBEHAVIORAL NUDGE

“We see this huge gap that exists between intention and action—what

people think they’re doing, and what they’re actually doing—and

I think that transparency of seeing that starts to help people

understand what are the patterns that they thought they were

doing, and where can they make adjustments to live the life that

they really want to.”

THE FUTURE OF HEALTH VIDEO

vimeo.com/psfk/foh

3

Travis Bogard, VP Product Management &

Strategy at Jawbone

PULSE SENSOR MONITORS STRESS FOR HOLISTIC HEALTH ANALYSES

California company Phyode launched the wearable W/Me band that lets users monitor their autonomic nervous system (ANS) for signs of illness or poor health devices and stress so that they can regulate their actions accordingly. When a user places their finger on the small metallic electrode plate on the band, a highly tuned pulse sensor can monitor the subtle involuntary, visceral actions of the internal organs, such as heartbeat and digestive processes. The band uses its ‘Life Spectrum Analyzer’ sensor to collect data and transmit it to the user’s smartphone. The data is compiled on the user’s smartphone and provides them three metrics: mental state, agility score, and ANS age. These scores reflect user’s heart and breathing rates and creates composite scores that reflect their emotional state, flexibility and perceived age due to stress.

www.phyode.com

HEADSET MONITORS BREATHING, TEACHES NEW WAYS TO EXHALE STRESS

BreathResearch is focused on helping people monitor their breathing as a way to reduce stress, optimize athletic performance, lose weight and improve sleep. The company has been working in California on research that analyzes ‘breath acoustics’, otherwise known as the quality of one’s breathing. Each breathing sample is compared against six different metrics as well as the overall quality of the user’s breathing cycle. Combined with a mobile app called MyBreath, the headset captures a user’s breathing, analyzes the patterns, generates a breathing score and provides recommendations on how to improve breathing habits. This technology capitalizes on recent studies suggesting that breath analysis can detect stress levels, bacterial infections, and other conditions, as well as alleviate stress, asthma and other conditions.

www.breathresearch.com

HOLISTIC TRACKING


6

25%

of adults aged 25 to 44 said

motivational prompts through

their smartphone would have a

huge effect on their health choices.

— Fitbit, ‘Fitbit Healthy Futures Report,’

2013

John Pugh, Global Innovation Leader at


“For people who choose to opt in and share

their privacy, there’s many different ways that

this data transaction could be seen. They open

the gate to that privacy and in return perhaps

they get lower insurance rates. They may get

access to preferential treatment or branded

medications rather than generic medications. As

you track more aspects of your life and these

transactions arise there could be a proliferation

of opportunities and options for you when it

comes to how you become insured.”

A reward-based model of preventative healthcare is emerging to reward people for leading healthier

lifestyles. By leveraging data that measures a person’s activity levels and other metrics, these services provide a general personal health ranking. This baseline is used to

lower insurance premiums or provide other social or emotional perks, all with the hope of cutting down

on the associated healthcare costs.


INCENTIVIZED WELLNESSBEHAVIORAL NUDGE


7

SERVICE PROVIDES PERKS FOR MAKING HEALTHIER CHOICES

The Vitality Group has a website for employers and their health insurance providers that uses a series of questions to recommend tasks to guide employees to better health, while supplying rewards. The Chicago-based company crafts health enhancement plans that members can access online in order to track their steps taken in a day, activities completed at the gym, and general daily activity. Each member can set health goals and work to achieve them using clinically tested and approved activities. When a member reaches a set goal, they are rewarded with incentives such as iTunes gift cards, movie tickets, and hotel stays. Rewarding healthy behavior defers the pleasure from unhealthy activities to positive, regenerative activities.

www.thevitalitygroup.com

DASHBOARD SYNCS WEARABLE DEVICE DATA FOR COMMUNITY GAMES

Movimento, a company from Silicon Valley is offering a mobile game for smartphone users that lets them view all of their fitness data and compete with friends as they work towards better health and lower health costs. Users can connect their Fitbit, Nike+ FuelBand or Jawbone UP bracelet to the app and view data, ranging from number of steps taken, miles walked or their average amount of sleep. Users can then set challenges for themselves or their peers using the app to hold each other accountable for achieving fitness goals. Movimento explores how doctors could challenge their patients to make life changes that will ultimately reduce their risk of health issues, in turn lowering their insurance rates. While the service has been using the metrics provided by wearable fitness devices, the company aims to include more metrics that can be used to incentivize users as they challenge themselves and friends to become healthier.

www.movimento.co


RETAILER LINKS FITNESS ACTIVITIES TO REWARDS, ENCOURAGING COMMUNITY HEALTH

Shoppers at U.S. pharmacy chain Walgreens can participate in an online and mobile community support platform that rewards physical activity with points towards Walgreens purchases. Members log their physical activities taken from fitness devices on Walgreens’ online Steps with Balance Rewards Program website and mobile application. In exchange for their physical activity, customers earn loyalty reward points that can shave dollars and cents off everyday Walgreens’ products. Since the end of 2013, there are over 1 million active ‘Steps’ members interacting with each other online, sharing stories and working towards badges around each individual’s goals.

www.walgreens.com/steps

DASHBOARD TRACKS EXERCISE REGIME FOR LOWER INSURANCE COSTS

A cloud-based health data dashboard platform from FwdHealth in Chattanooga, Tennessee allows workplace managers to review their employees’ exercise, diet and sleep patterns in the interest of lowering health costs. FwdHealth users can connect their various fitness apps to FwdHealth’s mobile application or website, and then forward their data to their employers, who confer with healthcare providers on how to provide the best, most affordable healthcare plan for both parties. Employers can keep track of progress using a dashboard to view their employees’ progress and determine who is on track to meet their goals. Using the data, employers can incentivize others to be healthier, and tailor healthcare plans that cut out unnecessary costs. Using the data collected, companies can submit the information to insurance companies to further demonstrate that their employees are at a lower health risk.

www.fwdhealth.co

BEHAVIORAL NUDGE




vimeo.com/psfk/foh

3

SUPPORTING DATA

IMPLICATIONS

“As a doctor, I have to do continual medical education.

I have to do 52 hours every year of reading and

studies and tests and quizzes. It’s a requirement.

I think patients should have a similar type of

requirement. Or it should be an opt in and if they do

that, their insurance rates go down. I think healthcare

needs to start educating people about what’s going

on with their diagnosis. What it means. In a more

systematic and thoughtful way.”

— Dr. Jordan Shlain, Founder, Healthloop

“Numerous studies demonstrate that extrinsic

motivators are not nearly as powerful or sustainable

as their intrinsic counterpart, so incentivized wellness

programs that leverage extrinsic motivators to

jumpstart intrinsic motivation tend to be more

successful in terms of long-term behavioral changes

and health outcomes.”

— Shayne Wood, CEO, FwdHealth

“The science of behavioral economics has found that

when people are offered immediate incentives and

penalties to do the healthy thing, they are more likely

to make the right decision, sort of like having a swear

jar for healthy living.”

— Dr. Celine Grounder, Internist and Infectious

Diseases Specialist, Spencer Cox Center for Health

25% of adults aged 25 to 44 said motivational prompts

through their smartphone would have a huge effect

on their health choices.

— Fitbit, “Fitbit Healthy Futures Report,” 2013

“In 2014, we should begin to see compensation systems

based on positive health outcomes, rather than

procedures. All of these changes are predicated on

engaging the consumer and the healthcare system—

sometimes individually and sometimes together.”

— Paul Slavin, Chief Operating Officer, Everyday Health

70% of people in 8 countries around the world would

be willing to share data from [a] smart toilet if it

would mean lower healthcare costs.

— Intel, “What Information Are We Willing To Share To Improve

Healthcare?”, 2013

75% would be comfortable giving up information

gathered by a health monitor they could swallow.

— Intel, “What Information Are We Willing To Share To Improve

Healthcare?”, 2013

_ Where can brands leverage positive health and

wellness outcomes by meeting people with rewards

and incentives?

_ How can we create a marketplace of non-monetary

or emotional benefits that motivates members to

engage in healthier behaviors?

_ Can we create programs that benefit the workplace

improvements as well as employees’ overall health?

_ How do we ensure that people feel supported rather

than hassled by these incentive programs?

_ How can we use personalized incentives to reduce

a patient’s risk of missing treatment and maintain

adherence ?

_ How should insurance and healthcare companies

redistribute the costs saved from healthier lifestyle

choices back to the wider population?


Halle Tecco Co-Founder & CEO.

Rock Health

“Patients have a lot more interest in being proactive about their own

care. One of the reasons, and one of the big drivers, is that we have

higher out-of-pocket costs. More of the burden is falling on the patient.

So they’re going to make sure that their biggest expense isn’t their

healthcare that year. They’re financially incentivized to stay healthy.”

COMMUNITY HAS MEMBERS PLACE BETS ON WEIGHT LOSS SUCCESS

DietBetter is a social dieting game that allows individuals to place bets on their weight loss, earning money if they win. There are two main weight-loss programs: the Kickstarter, where users pledge to lose 4% of their total weight in four weeks, and the Transformer, where users pledge to lose 10% in six months. Custom programs can be created and led by users themselves or by celebrity trainers, like Jillian Michaels of NBC’s ‘The Biggest Loser’. If a person fails, they must forfeit their money, with the largest pot reaching $315,825 and growing. The NYC startup hopes to simplify the motivations for people looking to lose weight by simply providing cash rewards for people’s efforts and gamifying the process. In 2013, $3 million was paid out to winners, a total of 500,000 pounds was dropped among all players, and 96% of them lost weight.

www.dietbetter.com

ALGORITHM DIAGNOSES POPULATION TO DETERMINE AT-RISK PATIENTS

Virginia-based population health management company Evolent has designed a system that analyzes patients’ information to determine high risk cases and recommend medical care that will lower costs and the chance return visits. By partnering up with hospitals, Evolent uses its Identifi technology to continually gather relevant patient records, demographic data and external sources of information, which are compiled into an algorithm that determines which patients in a population are most at risk. They can in turn support providers by sharing insights about patients’ behaviors, including data that ranges from vital signs to whether or not they processed their pharmacy orders.

www.evolenthealth.com

8 BEHAVIORAL NUDGE



9

GAME THERAPY

69%

John Pugh, Global Innovation Leader at


“One thing that wearable trackers can do is

change the way that we behave. Combine that

with gamification techniques and we can see

behavior changing towards a more positive

outcome. Applying motivational techniques to

mundane or ordinary processes to make them

more engaging, fulfilling and exciting, is a really

valid and interesting way of creating better

health outcomes.”

In a study examining the effects of

gaming on health outcomes, video

games improved

Gameplay and mechanics are being integrated into long term treatment and recovery plans as ways to ensure

patient motivation and adherence. These hybrid therapies are designed to turn repetitive, foreign and often difficult tasks into fun activities, while helping patients and their

caregivers track progress over time.

— American Journal of Preventative

Medicine, “Role of Video Games in

Improving Health-Related Outcomes,”

2012

59%

50%

46%

42%

42%

37%

of psychological

therapy outcomes,

of physical therapy

outcomes,

of physical activity

outcomes,

of clinician skills

outcomes,

of health education

outcomes,

of pain distraction

outcomes, and

of disease self-

management

outcomes.

GAME THERAPYBEHAVIORAL NUDGE


10

EXERCISE EFFECTIVENESS MONITORED BY GAME CONSOLES

The Pain Medicine Care Complex of the Children’s National Medical Center in Washington, D.C. is looking to streamline care by incorporating interactive games played on motion sensing game consoles like Xbox Kinect and Nintendo Wii into patient care. By playing interactive games that use motion-reading sensors, doctors are able to track up to 24 points on a patient’s body. While gathering data on patients’ movements, providers can review progress and monitor data trends in real-time. The information gathered from playing these games can effectively gauge specific exercises’ effectiveness, allowing therapists to tailor activities and eventually let patients guide their own therapy remotely, thus lowering the costs of care while increasing the benefit. The simple motion tracking technology can help to expedite the correct diagnoses of the difficult to identify Chronic Pain Syndrome, as well as spawn games that are designed to offer new treatments and can be performed in patients’ homes.

bit.ly/1bUHfGn

DIABETES TREATED AS A GAME MONSTER NEEDING TO BE TAMED

mySugr is a mobile app from Austria that helps individuals living with diabetes manage their condition by engaging in a game. Similar to the daily logbook already kept by many diabetes patients, the game portrays diabetes as a monster that can be tamed simply by logging their blood sugar data at regular intervals. When a patient logs their levels, they receive points, which help tame the diabetes monster. The goal is to tame the monster every day, thus instilling habitual positive behaviors for the rest of the user’s life. The app also has a photo-uploading capability and search functionality so users can refer back to previous meals to see how to make better eating decisions. There is a companion app geared towards children with diabetes, which allows parents to follow along and monitor their child’s progress using their smartphones.

www.mysugr.com

GAME THERAPY

MOBILE MONITOR PERSONALIZES RUNS BASED ON CURRENT STAMINA

MY ASICS is a mobile application for running that generates adaptive workouts based on the users’ stamina and offers tailored exercise routines as they progress towards their running goals. MY ASICS logs run time, distance, pace and gear, and represents the data in a dashboard on the go and online, allowing the user to plan future runs and improve their time. The runner can either carry their phone with them as they run, or log the data manually. Based on seven years of training research at the ASICS Institute of Sport Science in Kobe, Japan, the app uses a network of algorithms that track improvements or setbacks in order to customize workouts for each user’s abilities. Using the MY ASICS app, 78% of runners were able to achieve their goals, and 91% of professional runners were able to improve their times.

www.myasics.us

GAME HELPS PATIENTS BRING THE FIGHT TO CANCER, SPAWNING IMPROVED OUTCOMES

Re-Mission 2 is the second installation of a web-based game where cancer patients can take part in fighting virtual cancer cells, engaging them to form positive associations with the real world treatments that they undergo. Players diagnosed with cancer can compete in six free online missions that pit patients against different types of body-invading cancer cells. The missions parallel medical treatments that patients typically undergo in their fight against cancer. The game leverages recent research showing that the rewards gamers get for killing the cancer invaders increase positive associations and emotions tied to chemotherapy and antibiotic treatments all while increasing a player’s adherence to treatment plans. The original Re-Mission, first launched in 2006, reached almost 250,000 people, and the new Re-Mission 2, released in April 2013, has already reached more than 50,000 people worldwide

www.re-mission2.org

BEHAVIORAL NUDGE

GAME THERAPY


SUPPORTING DATA

IMPLICATIONS


vimeo.com/psfk/foh

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11

“People play games because they are engaging. We are

now starting to understand how games motivate us,

and how to use this motivation to change healthcare.”

— Roger Alitzer, Professor, University of Utah

“Even relatively short play experiences could motivate

healthy behavior change by making young cancer

patients feel more capable of fighting their cancer.

Based on these insights, HopeLab developed a “recipe”

for positive health behavior change through games:

boost positive emotion, increase self-efficacy, and shift

attitudes about cancer treatments.”

— Richard Tate, VP Communications & Marketing, HopeLab Inc.

_ What mental states are important for patients

to maintain during treatment, how can they be

supported in game play?

_ How can daily chronic care activities be made fun

using game mechanics?

_ Are there unhealthy behaviors that can be offset by

daily game usage, which in turn reinforce positive

actions?

_ How can personal profiles and data help to inform

personalized programs?

_ What entertaining activities can be repackaged for

patients and recovering survivors to alleviate their

discomfort and deliver a dose of enjoyment?

_ Can you incorporate social elements to help further

engage patients in treatment adherence or fitness

activities?

GAME THERAPY

“We see this huge gap that exists between intention and action—

what people think they’re doing, and what they’re actually doing—

and I think that transparency of seeing that starts to help people

understand what are the patterns that they thought they were doing,

and where can they make adjustments to live the life that they really

want to.”

PAINT PROGRAM GIVES DISABLED CHILDREN A CHANCE TO EXPRESS THEMSELVES

The Kinect Virtual Art Program at Flinders University in Australia helps disabled children improve their ability to express themselves while simultaneously increasing their mobility. The unique art therapy program used Microsoft Kinect’s motion sensing technology to create a responsive video game for children between the ages of 5 and 10 who cannot communicate verbally. By moving their limbs in front of the Kinect Sensor they were able to project simple color line drawings and express themselves using movement. Different colors correspond to each limb, allowing researchers to track and study movement over the course of subsequent sessions. 80% of the study’s participants showed increased movement and increased enjoyment after using the game.

www.flinders.edu.au

www.hollandbloorview.ca

bit.ly/1bUOVIO

HAND-HELD SENSOR DETECTS STRESS AND TEACHES USERS HOW TO CONTROL IT

The PIP, is a hand-held device that lets users compete with one another in games geared toward reducing stress and increasing relaxation. Irish company Galvanic Ltd. created the small device that when gripped between the thumb and forefinger, measures the sweat triggered by the body in stressful situations. This data is relayed via Bluetooth to the PIP mobile application, where users are prompted to play a short game on their device in order to relax. The app houses a series of games that challenge users to master their relaxation by learning to be calm in stressful situations. One such game, called Relax & Race, can be played between two players and is won by whomever relaxes the most. The device hopes to help users quickly understand when they are stressed and give them tools to realx.

kck.st/1bMlZ0i

www.galvanic.ie

BEHAVIORAL NUDGE

GAME THERAPY

Dr. Samir Damani Founder & CEO at MD

Revolution Inc.

www.psfk.com/future-of-health / #FutureOfHealth

EMPOWEREDPATIENT

DIY DIAGNOSIS

CARE GUIDANCE


Armed with a greater degree of knowledge about their lifestyles and conditions, people are taking a more central role in determining when they interact with the healthcare system and how their care is delivered. Patients are being empowered with technologies and social communities that enable them to gather valuable advice or self-diagnose before visiting a medical professional. As a result, patients are better prepared to collaborate with their doctors during these consultations which can be further supported by guidance around individual treatment plans to ensure optimal outcomes.

EMPOWEREDPATIENT— DIY Diagnosis

— Care Guidance

— Social Support Communities


14

DIY DIAGNOSIS

of respondents said they used

[health information] websites or

technology as often as they visit

their doctor and about the same

number said they used it instead

of visiting their doctor.

— Royal Philips Electronics, “Consumer

Attitudes Toward HealthCare

Technology,” 2012

25%“What happens when we don’t need the doctor anymore? What happens when it can be self-diagnosis, when a machine can diagnose us or when a program can detect things and say, ‘Do you know what? You’ve got high blood pressure. You need to take this product here or this medication here or make this lifestyle change there.’”

John Pugh Global Innovation Leader at


Consumer facing health technologies, are enabling people to analyze their symptoms or conditions to ascertain diagnoses. This information, which combines sensor

technologies with mobile applications, can be used to determine the best treatment options or whether a doctor’s

visit is required.

DIY DIAGNOSISEMPOWERED PATIENT


15

THERMOMETER SYNCS WITH LOCAL ILLNESS MAP

NYC company Kinsa has developed an oral thermometer that connects to the user’s smartphone, capturing their temperature and mapping out other recorded symptoms and illnesses nearby. The device is like a regular thermometer using the headphone jack of an iPhone to transmit the temperature data to the mobile application. The application is able to compile a personal illness history as well as see the local ‘health weather’ that show user what illnesses are in the area that may be afflicting them too. Users are able to create groups based on close-knit friends, family and co-workers to keep track on their health or track the origin of sickness. When used in scale the device can give a greater level of certainty of what illness they may have, and can guide users to a doctor or self-medicate for less severe illnesses.

www.kinsahealth.com

MICRO DEVICE OFFERS ALWAYS-ON HEALTH TRACKING

The Scanadu Scout from Silicon Valley is a handheld device that can capture vital signs and relay them to a mobile phone for tracking and monitoring. By holding the Scout device to a temple with forefinger and thumb, users can scan for body temperature, oxygen levels and heartbeat, with EKGs, EEGs, and blood-pressure measurements among other health telltales. Since the round plastic handheld scanner does not have a screen, it relates data to its companion mobile app to visualize the measurements. The creators hope that the device’s small size will increase the tracking of health in such a way that anyone can use it to notice trends on a daily basis. Medical professionals and nonprofessionals could also use the tool to regularly check vitals during illnesses.

www.scanadu.com/scout

DIY DIAGNOSIS

APP SCANS URINE TO DETECT A MULTITUDE OF DISEASES

uChek is a mobile application that allows anyone to easily check their urine for signs of a number of diseases. Created by Mumbai-based Myshkin Ingawale, the app aims to replace invasive blood tests and the large, expensive machines are currently used to scan urine samples, putting the power of diagnosis in the hands of consumers. For $20, patients can download the app and receive a pack of chemical strips that change color when dipped into a urine sample. After a picture of the strip is taken with a smartphone, the app quickly analyzes the results based on the color of the strip, producing accurate and easy-to-understand results. The process is capable of detecting 10 different key parameters and levels of glucose, proteins and nitrites, that can indicate the presence of 25 different medical conditions. Mobile urine checking could facilitate medical help in regions where on-site testing resources are limited, as well as allow patients to accurately diagnose themselves.

www.uchek.in

CHECK-UP BY SMARTPHONE AIMS TO ESTABLISH REMOTE DIAGNOSISING

The Health eHeart is a University of California a study investigating how mobile technology can track and detect cardiovascular disease more easily. The study offers participants a range of smartphone enabled devices that can easily track blood pressure, heart rate, ECG, sleep patterns, and irregular heartbeats while leveraging the GPS, camera and other capabilities on users’ phones. Researchers receive participant information on their screens, which allows for more frequent data collection and remote real-time analysis to quickly generate insights from doctors and patients themselves. The study hopes to validate the functionality of using digital phones and connected commercial devices for remote diagnosis.

www.health-eheartstudy.org

EMPOWERED PATIENT

DIY DIAGNOSIS


SUPPORTING DATA

IMPLICATIONS


vimeo.com/psfk/foh

3

16

_ What are the next wave of simple diagnostics tools

and tests that people will come to expect?

_ What are the best methods for guiding people

through medical diagnosis processes?

_ How do these technologies connect with verified

information sources to help alleviate concern about

conditions?

_ Can you create an all-in-one resource for your

customers around common conditions?

_ How can features from consumer technologies be

adapted to offer a ‘good enough’ level of diagnosis?

_ How can you connect appropriate healthcare

providers with the information patients collect

during their self-diagnosis?

“Hacked by evolution, healthcare it will become a

more efficient version of itself, one where the patient

will be discovered as the most underused resource.

The grand theory of diagnosis will welcome new

players next to doctors: machines, algorithms, patient

advocacy communities and the crowd. For centuries

we have been reading our health, now we will start

writing it; changing it in real time, with mobile input.

This Cambrian Revolution of medical devices and

apps is the straw that will break the camel’s back.

Instead of us watching our health all the time, it will

be watching us.”

— Walter De Brouwer, Founder and CEO, Scanadu

“We are really moving from a doctor-centric

society to a patient-centric society. We are trying

to give people control.”

— Samir Damani, Founder, MD Revolution Inc.

“There is a huge appetite for self-diagnostics. It has

the potential to reduce the cost of care and make

healthcare more effective.”

— Alan Hirzel, London Partner, Bain & Co.

1 in 10 Americans (11%) surveyed believe that if it were

not for web-based health information, ‘they might

already be dead or severely incapacitated.’

— Royal Philips Electronics, “Consumer Attitudes Toward Health

Care Technology,” 2012

“For years now, industry stakeholders have

championed the notion of managing their patient

population. As a patient, you were just along for

the ride when it came to having 24/7 access to your

personal health data. But recently, we have begun

to see a seismic shift from this school of thought.

Patients now demand to be empowered and a part of

the process.”

— Shayne Wood, CEO, FwdHealth

DIY DIAGNOSIS

“The data that’s being produced is data about what we do -- how

we sleep, how we eat, how exercise. We need to invite the scientific

world and the medical world to look at this data and give

meaning to the data that individuals are producing. If somebody’s

been less active, telling them they need to be more active. Not just

saying, “Walk more steps,” but how many more steps, and why.

Furthermore, the data needs to come into a platform that can give

meaning to the person with personalized coaching, based on that

data coming in.”

NANO-CHIP OFFERS DIAGNOSES IN UNDER AN HOUR

Nanobiosym in Cambridge, MA created a disease detection gadget called Gene-RADAR that delivers diagnoses directly to patients in under an hour. To initiate the test, users can place a sample of their blood, saliva, or other bodily fluid on a nano-chip and insert it into the book-sized device. The device’s customizable sensing technology identifies a variety of pathogens, and is capable of detecting HIV/AIDS in under an hour. The device does not require a connected electricity source or running water to function, meaning that it could be used by anyone at home or in developing countries where infrastructure cannot otherwise support this type of analysis. In the future, founder Anita Goel hopes that the device would not only determine disease in a fraction of the time, but would also be available for many areas in need.

www.nanobiosym.com

WATCH ALERTS WEARER’S DOCTOR OF IMMINENT HEART ATTACKS

Tel Aviv company Oxitone created a blood oxygen rate monitor that tracks oxygen saturation in the blood as a means of predicting heart attacks. Extreme changes in oxygen levels may cause organ failure and cardiac arrest, especially in older and at-risk patients. The Oxitone monitor can be worn like a wristwatch and comes with a Bluetooth-enabled mobile application that analyzes blood oxygen levels and pulse rate, feeding it back to the patient’s doctor, allowing both parties to prepare in case of an emergency. Unlike the finger clamp, which is usually used to monitor blood oxygen levels, the Oxitone band fits unobtrusively into the wearer’s life while providing a constant stream of data. The form and location of the device could help patients monitor their health more frequently and notice changes that add stress to their cardiovascular system.

www.oxitone.com

EMPOWERED PATIENT

DIY DIAGNOSIS

Jared Heyman Founder. Crowdmed


17

CARE GUIDANCE

“Care delivery will become increasingly dependent upon the preference of patients as models evolve to deliver integrated health information across markets, devices and network systems. This will transform point of care experience, and enable various paths within the patient journey. Opportunities will grow within alternative self care and tele care as compliance and regulation evolve. Patients will have a choice beyond and in addition to the face to face experience.”

of seniors say they want to com-

municate with their doctors by

e-mail, but only 15% say they can.

— Accenture, “Silver Surfers are

Catching the eHealth Wave,” 2013

Sanskriti Thakur, Director, US

Marketing Innovation

& Operations at


58%

Patient-centered services are helping individuals better navigate through the healthcare system before, during and after their treatments. These personalized tools are designed to provide people with the right information

as they need it, explaining available options, preparing them for upcoming procedures and ensuring adherence to necessary steps afterwards to ensure a better

end-to-end experience.

CARE GUIDANCE17EMPOWERED PATIENT


18

FREE ONLINE SERVICE DELIVERS PERSONALIZED MEDICAL INFORMATION

Medivizor is a digital service that provides chronic illness patients and caregivers with information updates tailored to their specific need. After patients complete the registration and describe their condition, the service promises to deliver curated news about clinical trials, treatment providers, research studies, and lifestyle tips, that are relevant, understandable, and actionable to enable patients to create their own treatment plans. The service currently offers information on 373 medical conditions, covering 88% of cancer incidents, all of diabetes incidents, and 75% of cardiovascular disease incidents. The New York based company hopes to cut down some of the legwork for patients and caretakers who must wade through a daunting sea of resources to find the right care information. Having an automated service with tailored updates eases stresses, empowers decision-making, and saves subscribers massive amounts of time and energy, which can be used to concentrate on recovery. A few thousand people have signed up for Medivizor, which has been in public beta since 2013; of those signed up, 94% of users recommended Medivizor to a sick family member or friend.

www.medivizor.com

OUTPATIENT SERVICE MATCHES PATIENTS WITH AFTERCARE

Careport is a web-based tool that helps patients find quality post-acute care that suits their needs as they are released from hospitalization. As many patients discharged from hospitals still require a number of specific rehabilitation and treatment services, they often have difficulty finding the right provider in the short amount of time allowed. The Careport platform connects with hospitals so that patients can easily search for and compare care providers, relaying information between the hospital and post-care center to ensure proper care. The centralized service opens up communication between the hospitals, care providers, and patients, simplifying an otherwise complicated and confusing process. With the provider fitted to their care needs, patients will have less chance of complications and expensive hospital readmission.

www.careporthealth.com

CARE GUIDANCE

PATIENTS FAMILIARIZE THEMSELVES WITH SURGERY THROUGH VIRTUAL PROCEDURES

UK-based company Kinosis created the Touchsurgery mobile app, which walks patients through their procedures with interactive 3D visualization, easing pre-op anxiety. The developers, surgical residents themselves, initially intended the app as an educa-tional tool for other surgeons-in-training. The app is free to download for patients curious about what they will be facing. Patients choose their procedure, bringing them to an extremely detailed simulation, where they are free to use virtual surgical tools to poke and cut their way through organs with the app providing feedback. Because most patients are unfamiliar with surgical procedures, and people generally experience stress going into unknown and risky situations, the app aims to calm their fears through desensitization. The app could make patients feel more confident, retain a healthier mental state, and even recover faster.

www.touch-surgery.com

HOSPITAL HANDLES PATIENTS’ VISITS WITH MOBILE PATIENT GUIDE

The Seoul National University Bundang Hospital is a “smart hospital” offering a companion mobile app called ‘Patient Guide’ to visitors upon entry. The app was created in collaboration with SK Telecom to provide patients access to a multitude of IT-based medical services throughout their visit. As the patient enters the hospital, the app will handle the check-in process by pulling up patient records, scheduled appointments, expected waiting time, and costs. A GPS-based 3D map is also available to guide the patient to their appointment or next point-of-care. At the end of their visit, patients can pay their bill with the app as well. By incorporating familiar consumer technology with the patient support experience, the hospital wants to help patients gather more information on their visits, creating a more pleasant, empowered experience.

www.snubh.org

EMPOWERED PATIENT

CARE GUIDANCE


IMPLICATIONS

19

SUPPORTING DATA

“You can go into a hospital and now your smartphone

is going to say turn right or turn left or you’re

supposed to go to this appointment. By the time

you sit down with your doctor, he will have all the

information in front of him and he will be able to

make your time more valuable. All of this will have

significant impact on the way that people experience

healthcare.”

— David Medina, Senior Manager, Business Model & HealthCare

Innovation at Boehringer Ingelheim

“The most extraordinary change we are living through

in healthcare is the role of the patient in healthcare.

The patient is empowered with information and

can have tools to access that information anytime,

anywhere, and share it with their physician. They

are overcoming the silos we have in healthcare; the

patient can now be providing critical information

to their providers for the right diagnosis, the right

treatment and doing so with no errors.”

— Dr. Bettina Experton. President & CEO, Humetrix

“The trend in contextualized care has been driven

by patients empowered with greater access to

information through ubiquitous devices and online

patient services. Research studies have shown that

patients want more information from their healthcare

provider and physician.”

— Jean Nehme, CEO & Founder, Touch Surgery

“Information empowers the patient to better

understand their disease, operation and reduce

their anxiety. We believe this is linked to improved

compliance and ultimately better outcomes.”

— Jean Nheme, CEO & Founder, Touch Surgery

“Current healthcare reform is driving demand for

innovative products and services that people can

manage themselves. Consumer electronics companies

are paying close attention to the rise of a young,

dynamic market for connected health and wellness

devices. As a result, these products allow healthcare

providers to engage with their patients more

effectively and help consumers better self-manage their

own care needs.”

— Gary Shapiro, President and CEO, CEA

“Although a personal wearable device is certainly

a trend, it does not necessarily replace good old

fashioned face-to-face meetings. We see it as a way to

augment care.”

— Nick Martin, VP Innovation and Research,

UnitedHealth Group Inc.

_ At what points during a person’s day can you

meet them with relevant questions and advice to

help them better manage ongoing symptoms and

conditions?

_ How can you further personalize this information

to ensure that every individual is receiving the most

relevant information?

_ How can you relay this information in a way that

is both actionable and easy to understand?

_ Are their opportunities to connect patients with

live support to have their questions and concerns

answered?

_ How can these platforms be used to facilitate

feedback between patients and key stakeholders in

their care?

CARE GUIDANCE

ONLINE PLATFORM LETS PATIENTS COMPARE AND SHOP FOR HOSPITAL PROCEDURES

Indian company Medeel is providing a digital service that allows patients in need of surgical procedures to choose the best package from different hospitals. After registering on Medeel, patients their request specific treatment upload medical documentation. In a few days, hospitals will respond with their treatment offers with details and pricing. Once the patient accepts an offer, they will be directly connected with the hospital and make an appointment. Medeel partners with hospitals so they can approach patients with tailored, priced procedure packages, allowing patients to get a scope of their realistic options and make empowered, cost-effective decisions. The company hopes that by offering a comparison model of care that not only rewards transparency but also price competition among hospitals, patients will benefit from lower prices and receive better quality care.

www.medeel.com

DOCTORS SEND TO-DOS TO PATIENTS’ SMARTPHONES FOR HOME RECOVERY

Wellframe is a mobile app that allows doctors to remotely track and help chronic illness patients’ recovery at home. Once a patient is discharged from the hospital, they will continue to engage with their doctor by checking off daily, personalized to-do lists sent to their smartphone. The doctor receives the patient’s information on a digital dashboard, and can provide feedback accordingly. This way, the doctor saves time in instructing and monitoring the patient’s adherence between visits, and the patient can independently and accurately follow their after-care regime.

www.wellfra.me

EMPOWERED PATIENT

CARE GUIDANCE


20

SOCIAL SUPPORTCOMMUNITIES

37

“The patient experience will change as we become

more connected, even on a more fundamental

level. In sharing this information people will

have a significant impact on how things are

approached and how we do things. The fact that

we can share information, that we can connect

online and talk about what people think about a

doctor, or what they think about a hospital will

all affect our decisions and thought process.”

of consumers have used social me-

dia to access health-related con-

sumer reviews (e.g. of treatments

or physicians). Nearly 30% have

supported a health cause, 25% have

posted about their health experi-

ence, and 20% have joined a health

forum or community.

— PWC Health Research Institute,

“Social Media ‘Likes’ Healthcare,” 2012

Dr. David Medina Tato Senior Manager,

Business Model &

HealthCare Innovation

at Boehringer Ingelheim

42%

Patients are using niche social networks for those with similar health-related conditions as a way to

share treatment advice and emotional support. Beyond supporting one another, these communities can serve as a valuable resource for medical professionals

looking to understand the effectiveness of therapies and medications on a wider population as many of these issues only impact a small number of people who are

geographically dispersed.

SOCIAL SUPPORT COMMUNITIESEMPOWERED PATIENT


21

CANCER SUFFERERS FIND OTHERS LIKE THEM FOR SUPPORT

IHadCancer.com is a peer-to-peer cancer support community based in NYC aiming to combat the feeling of isolation that comes with a cancer diagnosis. The site features a search engine where patients and their loved ones can browse others’ profiles and filter by traits such as age, year diagnosed, type of cancer, and location to find people with similar experiences. As cancer patients may often feel misunderstood, sometimes even by other cancer patients and caring friends and family, they are much more likely to experience emotional instability, exacerbating the effects of their cancer. To make the search easier, users identify themselves with one of three statuses: Fighter—patient diagnosed with cancer, Survivor—person who overcame their cancer, or Supporter—caregiver of someone with cancer.

www.ihadcancer.com

SOCIAL MEDIA PLATFORM OVERCOMES STIGMATIZATION OF DISEASES WHILE ENCOURAGING SHARING AND FUELING DISCUSSIONS

Researchers at the Center for Behavioral and Addiction Medicine at UCLA conducted studies to examine whether gay African-American and Latino men would use social media groups to get more information about HIV. Study participants were divided into two Facebook groups, one for general health information, and another for HIV prevention education. The HIV prevention group fostered more actionable results for the members, while the general health group was a way to share stories and experiences. The study achieved its goal of encouraging the men to take action and order an at-home HIV testing kit, with members in the prevention group having an 11-times higher likelihood of requesting a testing kit.

www.uclahealth.org


PEOPLE MAKE PACTS IN MOBILE GAME TO HOLD EACH OTHER ACCOUNTABLE FOR BAD HABITS

Social Rehub, a Romanian startup, has a mobile gaming application that incentivizes friends to kick bad habits by making them pay when they backslide. Users download the app, input their bad habit, and invite their friends to join them as they collectively keep their respective habits in check. Each time a person engages in their bad habit the app charges them money that is placed in a ‘tip jar’. The money can then be used by the offender’s friends for a treat or be given to a charity. When they do not partake in their habit, the tip jar amount remains the same. Friends are encouraged to take a picture when they catch one another in the act and share with the group as proof and further disincentive.

www.socialrehub.com

A SOCIAL NETWORK FOR FITNESS CONNECTS MEMBERS THROUGH EXPERIENCES

Cody is a mobile fitness app that takes an experience-based, social approach to help users reach their goals. Unlike most popular fitness apps that focus on metrics and measured tracking for fitness fanatics, Cody opens up opportunities for discovery, community, and enjoyment for the average person. Users can share their goals, connect with other users for encouragement, choose workout plans with groups, as well as post their workout status, photos, and locations. Developers also hope to analyze user activity to push personalized content down the road. While there are many fitness apps that help users gauge their exercise with numbers, Cody will allow users to bank on the psychological rewards of a connected workout lifestyle. Since there is no pressure to make numbers, users are free to self-motivate by simply enjoying the fitness experience.

www.codyapp.com

EMPOWERED PATIENT



IMPLICATIONS


vimeo.com/psfk/foh

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SUPPORTING DATA

“In the generation of Facebook, Twitter, social media,

and blogs, patients expect to be able to tap into

knowledge from a broader range of sources. Whereas

in years prior, a patient might just view their doctor

as the sole source of information. But now, people

expect to have lots of sources of information, and less

reliance on individual experts. The physician, now,

is more of a partner with the patient, and it’s less

top-down than it was in the past.”


“‘I think that the biggest benefit for the health industry

is that gathering data on large populations, data that

is collected in the same manner but for everybody,

will help find new cures and new solutions—only by

analyzing that data, by crowdsourcing solutions. The

fact that you are not relying on subjective expression

of individual problems, but measuring it in the same

way for a large population is a means for creating

really a collective intelligence which could change lots

of things in the way to solve problems.”

— Rafi Hadajilan, Founder & CEO, Sen.se

“Patient-to-patient relationships can break down a

lot of those formal barriers that exist in healthcare.

They understand each other better, and feel more

comfortable asking more questions. I believe that

online communities create 24/7 healthcare, and

really give the patients the opportunity to become

empowered.”

— Faith Busch, Manager, Global Digital Innovation at


“I think that ‘social support’ only scratches the surface.

I think mobile and peer-to-peer technology can allow

us to fundamentally change what it means to be a

patient. Living with an incurable condition means

you have to become an experimenter—an experimenter

in learning what treatments work for you.”

— Sean Ahrens, Founder, Crohnology

“‘Crowds’ are much wiser than individual experts,

and intellectually diverse crowds tend to be wiser

than intellectually homogeneous ones.”


About one-third of Americans who go online to

research their health currently use social networks to

find fellow patients and discuss their conditions.

— iCrossing, “How America Searches: Health and Wellness,”

2008

_ How can providers connect patients to others with

similar conditions?

_ What existing social matchmaking services could

be used?

_ What questions can peers and social communities

answer to alleviate demand for care from

healthcare providers?

_ How can mobile phones be used to help track both

good and bad behaviors, and to keep patients

accountable for their actions?

_ What tools can be added to these platforms to

ensure confidentiality and security around shared

data?

_ How can these platforms further act as a resource

for the healthcare community?

_ How can insurance companies connect with

communities to offer incentives that reduce the

overall number of doctor visits?


“I think innovation will certainly come from the people themselves.

Give them medical devices and give them access to medical

literature and their own body. They will probably rewrite the map

of the territory that is medicine. We’ll have an all different sort of

medicine, where you can ask your neighbor and your friend about

what you should do, and who’s the best doctor, and what did you

do when you did this. My trust is in the wisdom of the crowd to

make an alternative form of what we now have as medicine in

healthcare.”

PATIENTS CONNECT AROUND CHRONIC DISEASE TO SHARE EFFECTIVE TREATMENTS

Crohnology.com is a social network started by Healthy Labs in San Francisco that helps individuals living with Crohn’s disease, a chronic inflammation of the bowels, better manage their own care while sharing best practices. Anyone managing Crohn’s, colitis, or other types of inflammatory bowel conditions can join the site to track their day-to-day conditions and recount solutions that have worked for them. Users enter their medical histories on the site and track them hour by hour via text. Patient data is compiled and then visualized as a graph that can be easily understood. In addition to being a supportive community, Crohnology could help Crohn’s and colitis patients lower their medical costs by empowering them with the knowledge of what treatment is best for them. Patients can also earn ‘karma points’ for answering surveys and initiating polls on the website that provide valuable feedback for healthcare providers and medical companies.

www.crohnology.com

ONLINE COMMUNITY AMPLIFIES PATIENT-TO-PATIENT CONNECTIONS

Smart Patients Inc. out of Silicon Valley has created an online community and information database for cancer patients and their caregivers. By signing up for free on the website and joining the community, patients can use the search engine to find the latest clinical trials, treatment plans, or existing research on their condition, regardless of the cancer they have been diagnosed with. The site hopes to empower its users about their condition and a support network to help them face the challenges of treatment as they try to find a path to being a cancer survivor.

www.smartpatients.com

22 EMPOWERED PATIENT


Walter DeBrowouer CEO, Scanadu

ORCHESTRATEDCARE

REMOTE HOUSE CALLS

DATA-DRIVENTREATMENTS

PHYSCIAN-TO-PHYSCIAN

NETWORK

CLOUD-POWEREDMEDICAL RECORDS

Healthcare providers are using new technologies, social platforms and data systems to streamline the way information is disseminated and accessed to deliver a more personalized and distributed model of care.

Secure networks are offering a new ‘commons’ for doctors to share research and advice around conditions that fall outside of their expertise, while analytics tools interpret patient data to further support these decisions.

Similarly, digital platforms have evolved to ease the communication between doctors, patients and different medical personnel to ensure that records, treatment plans and face-to-face guidance is readily accessible, cutting down inefficiencies and mistakes.

ORCHESTRATEDCARE— Remote House Calls

— Cloud-Powered Medical Records

— Physician-to-Physician Networks

— Data-Driven Treatments


25

REMOTE HOUSE CALLS

160 million“With the emergence of a virtual relationship with

a physician, it means that we’re going to be able

to have a relationship with a physician which is

more regular, it’s more consistent, but it’s much

more resource friendly. From the patient’s point

of view it’s going to be more convenient. It’s going

to be much more timely. From the healthcare

system it’s going to be cheaper. It’s going to be

more accurate as we have more decision making

resources behind it. It should eventually lead to

better outcomes, better health.”

patients in the U.S. will be moni-

tored and treated remotely for at

least one chronic condition by 2020.

— Kelly Outsourcing & Consulting Group,

“Medical Devices Begin to Drift Into

Cloud,” 2011

John Pugh Global Innovation

Leader at


Remote communications platforms are offering more ways for patients to get in touch with physicians and other healthcare experts for medical advice and checkups. When paired with video and other connected technologies, these appointments can offer a ‘good enough’ level of care, which

can lead to in-person visits if required.

REMOTE HOUSE CALLSORCHESTRATED CARE


26

PRIVATE PODS OFFER ON-DEMAND CARE

Ohio healthcare innovation company HealthSpot has created kiosks that are private, walk-in pods that offer a range of primary care options without an appointment. All a patient must do is input their personal information into a digital clipboard, answer preliminary questions, and then they can speak to a doctor over video chat. The kiosks have high-definition video and audio technology to increase diagnostic abilities. The doctor can provide advice and even write prescriptions, which can be sent to a pharmacy of the patient’s choice. The closed-roof kiosks are enabled with diagnostic tools, from tongue depressors to odometers, and have the capacity to stream information to doctors immediately for no cost and a minimum wait time.

www.healthspot.net

DOCTORS CONNECT TO EMPLOYEES WITH APPOINTMENTS ARRANGED ANYWHERE

Employees can now locate and consult with a doctor about their symptoms or healthcare plans anytime —on a platform hosted by NYC-based company Sherpaa. Employers contract Sherpaa’s service to allow their employees to communicate with doctors 24/7, either via text or email. Employees can also upload images of their conditions or briefly describe their problems on Sherpaa.com, and a doctor will respond with advice and/or a prescription. Doctors can even meet individuals wherever most convenient, be it their home, office, or even their local coffee shop. Sherpaa also offers employers on-the-spot advice and consultation when an employee gets sick or injured on the job that can reduce costs and ensure quicker treatment.

www.sherpaa.com

REMOTE HOUSE CALLS

CHAIR MONITORS HEALTH AND SENDS VITAL STATISTICS TO DOCTORS

Electronics manufacturer Sharp has created a healthcare support chair that allows for remote counseling from healthcare providers. Using compact health measurement devices, the chair can record weight, blood pressure, temperature and other health measurements for users. The chair is surrounded by three video screen displays that show health statistics or can be connected to remote healthcare professionals for video consultation sessions. Although the chair is designed for people who aren’t necessarily ill, but are interested in maintaining their health, the chair can securely store health statistics in the cloud to note health changes over time. Sharp believes that the chairs could be placed at frequently visited sites for people to quickly check their health and get advice on staying healthy, rather than only visiting a doctor’s office when they are in need of help.

www.sharp.co.jp

MENTAL HEALTH PROFESSIONALS MEET REMOTE PATIENTS

TalkSession is a NYC-based company that connects people online who are struggling with psychiatric issues to professionals who can help, no matter where the patient is located. Individuals who cannot easily find help due to their location or condition can sign up on TalkSession and start looking for an appropriate medical professional according to location, insurance, and availability. Similar to a regular doctor’s office, patients fill a simple form and answer questions, and are quickly matched to treatment in their area, saving them from having to spend time searching or traveling long distances. Additionally, patients can access professionals online while remaining anonymous, should they want on-demand access or to maintain their privacy. By October 2013, over 1000 professionals have applied to the TalkSession network, and over 5000 users have ‘reserved’ a therapist.

www.talksession.com

ORCHESTRATED CARE

REMOTE HOUSE CALLS


IMPLICATIONS


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3

27

SUPPORTING DATA

“I think in the future, there may come a point where

you can actually have a video appointment with a

patient, rather than them driving an hour, coming

into your office, sitting for an hour, and then seeing

you for five minutes. If it’s something that’s relatively

simple, combined with other technologies, you could

have a mobile monitor to get vitals, heart rates and

other data points that you need, and just have a

video call with your patient. Seeing what’s going on,

adjusting their medications, looking at their insulin

pump and making changes that you really don’t need

to have them physically in the office for in order to

make.”

— Dr. Tracy-Ann Moo, MD, Weill Cornell Medical College

“We believe [telemedicine] is the future of healthcare.

There’s a hunger for technology on the part of

patients. They want to have care givers at their

fingertips.”

— Corky Davis, COO, HealthNetConnect

In 2020, at least 160 million patients in the U.S. will

be monitored and treated remotely for at least one

chronic condition.

— Kelly Outsourcing & Consulting Group, “Medical Devices Begin

to Drift Into Cloud,” 2011

“2014 will be a year when doctors and patients begin to

embrace the efficiencies and viability of telemedicine

for the management of both acute and chronic illness.”

— Dr. Travis Stork, Chairman of the Medical Advisory

Board, MDLIVE

“Remote house calls create the opportunity to provide

patients with care at the time and place they need

it most, and further mitigates the risk of lack of

adherence, not seeking help at all, recall bias and

worsening of conditions.”

— Melissa Thompson, CEO & Founder, TalkSession

One in five Americans will suffer from a mental

health challenge or neurological disorder at some

point in their lives, but two-thirds of those people

will never seek treatment.

— Substance Abuse and Mental Health Services Administration,

“Results from the 2010 National Survey on Drug Use and

Health: Mental Health Findings,” 2010

_ How can medical professionals use existing

communication channels to help provide care to

underserved areas?

_ Can consumer technologies be used to connect

general practice technicians with both patients and

specialists to enable a more distributed model of

care?

_ How do emerging diagnostics and monitoring

technologies fit within this remote system of

healthcare?

_ What impact does this have on environments like

pharmacies and other where patients can go to

receive care?

_ How can healthcare companies organize a range of

on-demand providers to enable them to deliver an

accurate and timely level of remote care?

_ What impact do these virtual check-ins in have on

current healthcare plans in terms of pricing and

access?

REMOTE HOUSE CALLS

“Right now, the traditional model is: you see a doctor three times a year, and communication with your doctor is confined to those little exam room visits. It’s nonsense. Healthcare is a conversation. It’s not just an exam room. If we can say all right, the conversation can happen on your own terms and on your own time throughout the year, then that totally, fundamentally changes everything.”Dr. Jay Parkinson,

Co-Founder & CEO.

Sherpaa

HEALTHCARE WEBSITE CLOSES THE GAP BETWEEN PATIENTS AND SPECIALISTS

San Francisco-based Grand Rounds Inc. is offering a fee-for-service healthcare platform that connects people suffering from difficult diseases to medical specialists, regardless of their location or time zone. Companies can contract the service for their employees, or individuals can sign up online for either a remote consultation or an in-person visit, then a physician will respond with advice based on the latest scientific research. Once signed up, both individuals and employees will receive expert opinions and guidance on over 5,000 conditions, including but not limited to different types of cancers. By seeking help from experts in the early stages of an issue, individuals are immediately directed to specialized care, avoiding potentially expensive middlemen.

www.grandroundshealth.com

SITE LETS PATIENTS ANONYMOUSLY CONNECT WITH A DERMATOLOGIST

German company Goderma lets people consult doctors on skin conditions quickly and anonymously without ever having to wait for an appointment. For $39, users answer a series of questions and upload images of their skin problem to the Goderma website, then within 48 hours, a certified dermatologist responds with a diagnosis and advice on next steps. Armed with this information, patients can make an appointment with their dermatologist or decide to wait, if they feel reassured. The process can help people avoid any possible embarrassment they might feel when visiting the doctor along with long wait times for appointments. In the dermatology field, up to 90% of skin problems can be successfully diagnosed via photo analysis by a trained dermatologist. In Germany, the average waiting time for an appointment at the dermatologist is 30 days, while patients in rural areas can expect waiting times of over 3 months.

www.goderma.de

ORCHESTRATED CARE

REMOTE HOUSE CALLS


28

CLOUD-POWEREDMEDICAL RECORDS

“The transparency of information to patient is

of greatest importance. With mobile and digital

health technology, patients’ power to learn

about their disease evolve perceptions and make

choices increases. It’s an opportunity for this new

healthcare environment to leverage.”

of consumers say that they should

have at least some access to their

health records. 61% currently have

no access to their records at all.

— Accenture, “The Virtual Waiting

Room,” 2013

Sanskriti Thakur Director, US

Marketing Innovation

& Operations at


95%

Hospitals are adopting networked information systems to streamline the way they manage and distribute patient files, diagnoses and other medical records. These digital

platforms are designed to cut down on mistakes and redundancies, while ensuring that important information can

quickly get into the hands of physicians and key members of staff during emergency situations.

CLOUD-POWERED MEDICAL RECORDSORCHESTRATED CARE


29

DIGITAL PLATFORM CONNECTS FIRST RESPONDERS AND HOSPITALS

Mediview is a tablet app and system from Beyond Lucid Technologies in California that aids first responders on the scene as they communicate with doctors in hospitals. The application contains hospital records for frequently occurring transports and is able to incorporate updates with a patient’s condition before they arrive at the hospital. Doctors can track incoming patients’ locations, give guidance to first responders with complex issues, and begin readying triage units for the patient’s arrival. The platform can function without an Internet connection, making Mediview ideal for rural locations where the closest medical help is often far away. The connected stream of information aids in the integration of first responders with hospital staff, while offering patient centered care that is contiguous from on-scene to surgery. Mediview can also be used in large-scale disasters such as severe weather emergencies and mass casualty events.

www.beyondlucid.com

DIGITAL INSURANCE CARD CENTRALIZES CARE RECORDS FOR PROVIDERS AND PATIENTS

US-based digital healthcare company Medlio has created a mobile app and cloud-based insurance care management system that allows patients to oversee all of their care and easily share medical records with healthcare providers. After downloading the application patients can upload their insurance information and be able to review the benefits that they are eligible for, find a provider, explore the costs per treatment before a visit and check in to a specific providers office. Using the application as a central source of information, patients can receive and send medical records to their chosen healthcare providers with the touch of a button. When a patient’s care history or general information changes, updates are pushed out to all of their care providers. Additionally, patients can easily pay with HSA credit cards for treatment received using their phone.

www.medl.io


PRESCRIPTION SERVICE PRE-PROCESSES APPLICATIONS AT THE PHARMACIST

ZappRx is an e-prescription and mobile healthcare application company working to streamline the prescription filling process with a digital system that connects doctors, pharmacies and patients. A doctor can introduce patients to the system, which enables them to track their medications while storing all of their relevant payment and insurance information on their phone. Once patients are enrolled, affiliated ZappRx pharmacies can pre-process patients’ information and orders so that when patients pick-up new medications, they can simply show their app to the pharmacist. The app also lets patients set reminders and track when they take their medication. Similarly, doctors are informed of medication pick-ups so that they are able to support patients in their adherence to treatment plans.

www.zapprx.com

TABLET QUESTIONNAIRE IMPROVES COLLECTION, REDUCES DATA ERROR

A startup from Menlo Park, CA called Tonic Health has developed a medical data collection platform that enables healthcare providers to make their own custom questionnaires, screeners, surveys and intake forms, easily deploying them on iPads. Patients can pick up an iPad to fill out any form needed. Once a form is completed, all of their digital information is sent securely to an existing Electronic Health Record (EHR) database. Switching from paper forms to an iPad interface can reduce question duplication, ensure higher response rates, collect more accurate data, reduce data input errors and create a more enjoyable intake process for patients all around. The platform is currently being implemented across University of California’s medical centers. Tonic found that 96% of patients prefer using tablet questionnaires over pen-and-paper, resulting in a 100% higher completion rate of forms and questionnaires, especially for follow up surveys that are completed after a visit. The system also decreases data error by 50%, making health decisions significantly more accurate and improving patient care across the enterprise.

www.tonicforhealth.com

ORCHESTRATED CARE



SUPPORTING DATA

IMPLICATIONS


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30

“If you think about wearables and remote monitoring

devices that now measure how much medication we

take while we’re at home or how a patient is behaving,

that information will eventually feed into physicians

or into the healthcare system. Instead of a physician

getting a snapshot of you from the five minutes you’re

in their office, they can actually print out a report or

see on their screen how you have been behaving for

the last three months, for the last six months, since

the last time they saw you. All of these technologies

will actually be providing the system with a lot more

information.”

— Dr. David Medina Tato, Senior Manager, Business Model &

HealthCare Innovation at Boehringer Ingelheim

“We’re moving along the lines of giving patients

more control and having devices develop that give

them that control. Eventually, we’ll move to a

system that allows patients to enter data into their

electronic medical record, whether it’s directly from

a device that’s attached to them or it’s basically them

providing their input. In the future, we’ll actually be

importing data more directly from the patient into

the system than through the provider.”

— Dr. Tracy-Ann Moo, Weill Cornell Medical College

“The cloud can make a huge difference because it

unshackles providers from the tyranny of a closed

system and allows them to find best-in-class solutions

to finally make coordinated patient care a reality.”

— Sterling Lanier, CEO, Tonic for Health

Just over half of consumers with providers who do

not provide access to medical records say they would

consider switching to one who does.

— Accenture, “The Virtual Waiting Room,” 2013

50% U.S. population that had medical information

recorded in electronic health records in some form

in 2010

— National Center for Health Statistics, “Division of HealthCare

Statistics Electronic Medical Record/Electronic Health

Record Systems of Office-based Physicians: United States,

2009 and Preliminary 2010 State Estimates,” 2010

_ Are there frequently occurring processes

during a visit or procedure that can be

streamlined through the use of digital

technology?

_ What passive information systems can be

used to collect patient information in order to

reduce intake times and provide verified data

about patients?

_ What protocols need to be in place to ensure

that patient information is private and

secure?

_ What platforms can hospitals and insurance

companies create to better connect disparate

teams and help them communicate more

efficiently?

_ With clear communication channels, how can

teams be organized to better provide patient

care?

_ How can contextual information be used

to guide patients throughout their care

experiences?


“As a doctor who diagnoses and sends someone out of my office, I’m more intersested in what’s happening. Most doctors know what that journey should look like, but we don’t know what happens until either the wheels come off and they wind up in the ditch, or they do fine and we never hear from them. There’s so much friction and so much ridiculousness in communication technology in healthcare.”

Dr. Jordan Shlain, Founder, Healthloop

DOCTORS CAN SHARE INFORMATION WITH ONE-TOUCH SYSTEM

Drchrono is an electronic health record app that employs Apple software features to easily and safely share medical documents between doctors and patients. Using Drchrono, doctors can share medical records or educational materials with each other or share materials with patients ahead of an appointment. Apple users can share files with fellow users over Wi-Fi or Bluetooth. Doctors can quickly share test results, such as an X-ray or an EKG, with the tap of a button while respecting HIPAA (Health Insurance Portability and Accountability Act) regulations on patient privacy. Patients are not required to download the Drchrono app to view the information. Removing barriers around the free flow of information allows patients to be more aware of their health and easily get second opinions without additional steps.

www.drchrono.com

DIGITAL RECORDS SAFEGUARD PATIENT PRIVACY WHILE LETTING DOCTORS BRAINSTORM PATIENT SOLUTIONS

The mobile application medical chart can securely capture the range of documents and information that doctors use on a daily basis. Any information a doctor collects from a patient goes directly to Apricot Forest’s MedChart service, which is stored in the cloud. Chinese mobile health technology company Apricot Forest aids doctors in sharing information with colleagues after verifying their medical status and agreeing to keep the information confidential. After capturing patient information the application allows doctors to easily block or redact patient information, enabling doctors to still be respectful when sharing cases and getting advice from peers and specialists. MedChart hopes to become a daily tool that replaces physical notebooks, X-ray image print outs and expensive cameras by using the iPhone’s built-in capabilities.

www.xingshulin.com

ORCHESTRATED CARE



31

PHYSICIAN-TO-PHYSICIANNETWORKS

“We’re on a really exciting part of the curve when it comes to innovation and healthcare and the convergence of the two. The big kind of change that we’ve experienced recently, is the explosion of social. That’s had massive implications upon healthcare and how people connect, not just in the wider context but as doctors connect with each other, as patients connect to each other, and as patients connect to doctors.”

John Pugh, Global Innovation

Leader, Boehringer

Ingelheim

Physicians and researchers are tapping into the expertise of their peers through niche networks that enable them to seek and share advice. These secure platforms allow medical professionals to solve difficult cases and review

effective treatments, adding to the collective knowledge in the healthcare industry, while improving the level of care

they can offer to patients.

74%

— Kantar Media, “Sources and

Interactions Study - Medical/Surgical

Edition,” 2013

38%

of the physicians

surveyed use a smart-

phone for professional

purposes, a 9% increase

year on year.

use both a smartphone

and a tablet for profes-

sional purposes.

PHYSCIAN-TO-PHYSCIAN NETWORKSORCHESTRATED CARE


32

PEER REVIEWS AND WORKSHOPS SUPPORT REMOTE RURAL CLINICS WITH SPECIALIST CARE AND KNOWLEDGE

Dr. Sanjeev Arora has lead the ECHO Project at the University of New Mexico to create a decentralized practice model that guides rural clinicians in providing care to underserved patients with chronic issues. Leveraging his specialist knowledge in treating Hepatitis C, he spends two hours per day with a team of fellow specialists to co-manage patient cases that remote doctors, nurse practitioners and other healthcare providers are treating across the state. Each session consists of a teleconference with 8-10 local healthcare providers that split the time sharing cases they are working on with specialists and their peers, as well as receiving educational workshops from the specialists. These trusted local clinicians are able to relay lengthy and otherwise difficult to access treatments to patients, often improving outcomes due to the lowered stress derived from the convenience. Starting in 2003 providers have gained a no-cost education, and have received over 57,000 credit hours of education as of September 2013.

echo.unm.edu

KNOWLEDGE AGGREGATOR REWARDS MEDICAL WISDOM WITH PRIZES

CrowdMed from San Francisco is a website where doctors can attempt to solve real-life medical mysteries and win money for their efforts. A doctor, or Medical Detectives as CrowdMed calls them, can locate a case that matches their expertise, review the patient’s medical history and compare other diagnoses before submitting their own diagnosis and treatment plan. After a case has been live on CrowdMed for a certain amount of time, the results are sent to the patient to be reviewed with their own doctor. The doctor who wagered on the best solution will be rewarded for their opinion with money, which they can either keep for themselves or donated to charity. This program creates opportunities for doctors to compare possible treatment plans recommended by their peers and receive added exposure to unique cases, all while providing patients with a range of second opinions that would take much longer to accrue. Since launching publicly in April 2013, CrowdMed has solved over 120 real-world medical cases and registered over 5,000 volunteer Medical Detectives.

www.crowdmed.com

PHYSCIAN-TO-PHYSCIAN NETWORKS

DOCTORS TAG AND COMPARE IMAGES OF MEDICAL CONDITIONS

Canadian-based Figure 1 is a photo-sharing platform that enables medical professionals to continue learning about medical conditions using reference images from their peers and other healthcare professionals. Developed by the healthcare-focused mobile development company Movable Science, users can add pointers and annotations that direct peers to specific areas of focus. Photos can be tagged with relevant terms that allow others to search for conditions or symptoms. Peers can comment on images, fostering discussion among members. Images can also be starred, enabling users to save useful images for later reference. In order to protect patients’ identities, the app uses facial recognition to block out faces, and users can edit images to further remove identifying marks and protect their patients’ identity. The platform provides a tool that helps doctors and students share their knowledge and learn from others in an engaging way.

www.figure1.com

SOCIAL NETWORK FOR DOCTORS IMPROVES CROSS-SPECIALTY COLLABORATION

Doximity is a specialized social network for healthcare professionals, which allows doctors to tap into an online web of physicians to securely discuss patients’ treatment options. By engaging with the platform, primary care providers and healthcare teams have been able to easily get on the same page regarding patients that they are seeing and more effectively collaborate by sharing notes, records and other information. Similarly, healthcare professionals can research common symptoms or look for specialists and experts that may have more experience with certain cases. The California-based service has become a new source of information and platform for over 100,000 specialists to exchange information, producing over 1,000 referrals and expert searches per day.

www.doximity.com

ORCHESTRATED CARE



SUPPORTING DATA

IMPLICATIONS

33

Pagers and other outdated communications systems

cost hospitals $8.3 billion annually in lost productivity

and increased patient discharge times.

— Ponemon Institute, “The Economic and Productivity Impact of

IT Security on Healthcare,” 2013

Deficiencies in communications lengthen patient

discharge time, which currently averages about 101

minutes. 65% of survey respondents believe that secure

text messaging can cut discharge time by 50 minutes,

which could generate more than $3.1 billion in revenue

per year across the healthcare industry.

— Ponemon Institute, “The Economic and Productivity

Impact of IT Security on Healthcare,” 2013

Clinicians estimate that 45% of their time—or about

27 minutes for every hour—is spent with patients

while the remaining 55% is spent communicating and

collaborating with other clinicians, or using electronic

medical records and other clinical IT systems.

— Ponemon Institute, “The Economic and Productivity

Impact of IT Security on Healthcare,” 2013

“Strict information security and regulatory compliance

hampers the adoption of modern technology by IT

departments to the extent that clinicians have started

using non-compliant workarounds.”

— Dr. Jon Shaw, CEO, Careflow

_ How can these networks be leveraged to

share research and diagnoses with a wider

community of medical professionals?

_ How can this research sync with data systems

for aggregation and analysis?

_ What regulations and procedures can you

implement to best help protect patients’ rights

under HIPAA?

_ How can you connect providers with trusted

peers to access real-time resources and advice

around patient care?

_ How can you help connect highly specialized

healthcare providers to spread their

knowledge and share best practices with

professionals outside of their expertise?

_ What additional training can you offer

through these platforms to expand medical

knowledge?

PHYSCIAN-TO-PHYSCIAN NETWORKS

SOCIAL SITE AIMS TO CONNECT HEALTHCARE WORKER COMMUNITIES

US-based Next Wave Connect is a social network for healthcare providers to discuss industry wide changes. The platform is designed for enterprise use in hospitals, allowing employees to participate in conversations focused by topics that overlap with peers outside of their own organization. Topics range from regulatory and legislative changes to educational and specialist focused information. Each topic and the connected community following the topic has access to Community Advisors and Advisory Council Experts, that interpret and focus the information for healthcare providers that are faced with staying up to date with an overwhelming amount of information. The platform aims to be a utility and base of discussion for healthcare professionals looking to stay on top of their industry.

www.nextwaveconnect.com

NETWORK LETS MEDICAL PROFESSIONALS CONNECT AND COLLABORATE

UK-based Careflow is a social networking website and accompanying app with secure Facebook-like and text message functionalities, respectively, that are geared towards the needs of medical professionals. The online utility allows doctors to find colleagues, connect with them, collaborate on cases, and share medical information in a secure online environment. Doctors can use the accompanying mobile app to contact each other on the Careflow platform while they are on the go or in between patient visits. The application allows professionals to see when colleagues have read messages and ensuring receipt of information. The company hopes to provide a secure communication platform that can update hospitals and healthcare companies that rely in pagers for verified communications while leaving the remainder of communication to new insecure and unregulated technologies.

www.careflowapp.com

ORCHESTRATED CARE



34

DATA-DRIVENTREATMENT PLANS

“If we now can look in a systematic way into

this data and not only from one hospital but

from several hospitals in several countries, we

can detect special patterns that we would never

have seen elsewhere or that we never could see

before launch. That’s really interesting. The

more we know about the genes, about specific

comorbidities, different treatment patterns they

have, we can really personalize the treatment

more and more. It’s not that you have one patient

and one drug, but you have several or you have a

smaller patient population for a specific drug.”

Dr. Michael Busse Head of Global

Medicine Coordination,


Hospitals and physicians are leveraging treatment results from sophisticated data systems to help determine the most effective diagnosis and treatments for their patients. These

platforms are able to consider a wider range of criteria from aggregated success rates to individual medical history, helping augment doctors’ decision-making as they optimize

the overall cost of healthcare and eventually predict diseases before they strike.

Mount Sinai Hospital has reduced

its 30- day readmissions rate by

— Elissa Levin, Head of Genomics and

Integrative Health Innovations, Mount

Sinai Hospital

56%

by detecting those most at risk

and taking special measures and

precautions.

DATA-DRIVEN TREATMENT PLANSORCHESTRATED CARE


35

TREATMENT OUTCOME DATABASE PUSHES DATA TO DOCTORS AND EDUCATES PATIENTS

Researchers at the University of Notre Dame have built a recommendation engine for doctors to use as they craft disease prevention and well-being plans for their patients. The aptly named Collaborative Assessment and Recommendation Engine (CARE) uses collaborative filtering to find analogous patient cases and identifies treatment plans that may work for similar patients. Doctors can input a patient’s information and are provided with questions that may have been overlooked, possible tests for early detection of conditions, as well as compatible treatment plans. By collecting a range of information about patient communities doctors are able to review a broader sample of possible diagnoses and share this information with patients. The hope for this program is to bring down the costs of healthcare through lowering admissions and creating more patient centered outcomes that result in healthier lifestyles.

www.nd.edu

WHITE HOUSE INVESTS IN BIG DATA TO IMPROVE CANCER TREATMENTS

The American Society of Clinical Oncology has created CancerLinQ, a ‘learning health system’ that collects and analyzes patient information collected by physicians in order to recommend possible treatment outcomes. As part of the 2012 approved US healthcare legislation and connected funding, the system collects real-time data directly from Electronic Health Records, including lab tests and doctors’ notes. By tapping into data from millions of patients around the nation, it works to pinpoint a patient’s characteristics, treatments and possible outcomes to provide physician suggestions based on similar cases. The CancerLinQ prototype currently focuses on breast cancer with “de-identified” data from 100,000 patients.

www.asco.org

DATA-DRIVEN TREATMENT PLANS

DATA PORTAL STREAMLINES ANALYSIS AND DELIVERY OF LIFE-SAVING RESEARCH PROJECTS

Sage Bionetworks is a medical research institute that collects genomic data from patients who can donate them through an online platform, called Synapse, and then shares the data with healthcare providers for further research and treatment recommendations. The patient-facing component is called BRIDGE, where patients can login to the site and donate their data and track its use through the Synapse system. The platform is free to use for scientists, offering them opportunity to access to ongoing research studies, contribute their own research data, review analysis, and share expertise. Research groups can analyze and collaborate directly from the data, rather than making inferences based on existing research. Synapse can also integrate into researchers’ API tools if they have pre-existing data that they want to open up to colleagues or other specialists. Patients can also receive information from researchers and doctors on the latest developments in their conditions.

www.sagebase.org

PERSONALITY TEST CONNECTS PATIENTS TO TREATMENTS MATCHING

Frame Health is a personality assessment platform that connects psychographic profiles to healthcare providers in order to better understand patients ensure that they follow treatment recommendations. Patients begin by entering into a six-minute session where the software assesses key psychological triggers that could assist healthcare providers in prescribing treatment. Based on the already existing behavioral habits of each patient and by tapping into the world’s largest psychographic database, Frame Health has been able to craft patient profiles that best match up with specific treatment programs. With over 75% of all healthcare expenditure originating from patients with one or more chronic conditions, ensuring treatment adherence could greatly reduce the cost of treatment lapses.

www.framehealth.com

ORCHESTRATED CARE



IMPLICATIONS


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3

SUPPORTING DATA

In the future, your doctor is not going to rely only on

what you tell him, but you could go to your doctor

with actual figures and quantify things of your life.

He will make decisions based on actual facts, and

not just on how good or bad you remember actually

how you were doing. This is, I think, the actual real

change. Making sensors that will make all things

knowable.”

— Rafi Haladijan, Founder & CEO, Sen.se

“The ability to correlate a person’s DNA against the

results of treatment with a certain protocol could be

a huge breakthrough. You’ll be able to look at your

DNA and find out if there are magic bullet treatments

that will address your particular ailment.”

— Bernie Meyerson, VP Innovation, IBM

A survey of 1,000 U.S. residents in 2010 found that

public support for personalized medicine remains

strong. About 58% of respondents saw the value in

using genetic information to help identify which

drugs would work best for them during treatment,

and 65 percent would like to use genetic data to

determine whether they might suffer unwanted

adverse reactions to a drug.

— Cogent Research, “Gogent Genomics, Attitudes & Trends

Study,” 2010

“Today we know very little about the experiences of

most people with cancer because their information is

locked away in unconnected servers and paper files.

Only the 3% of patients who participate in clinical

trials are able to contribute to advances in treatment.”

— Sandra M. Swain, President, American Society

Clinical Oncology

“During the next era of personal computing, the

biologic problem shifts to a computational problem

in the treatment of cancer. Computing doesn’t get

any more personal than when it saves your life.”

— Renee James, President, Intel

_ How can doctors leverage patient medical

history, alongside current symptoms to arrive

at more effective diagnoses and treatment

plans?

_ What additional information can be collected

during patient intake to aid in creating a

more robust patient profile?

_ What patient data can be shared with doctors

on a regular basis to move towards a more

responsive model of diagnosis and care?

_ How do you demonstrate the value of sharing

this information?

_ How can patients be given ownership

over their data? How is it regulated and

standardized?

_ How can patients be incentivized to donate

their data to ongoing research projects?

_ How insurance and healthcare companies

contribute to the development of smarter data

systems that inform better treatment options?


“There are huge benefits and great byproducts of having a more data-driven system. If we’re able to make better treatment decisions, if we’re able to better diagnose diseases earlier because we have the technology or the data to do so, then we’re ultimately driving down costs, because we’re taking care of people sooner rather than later.”

BIG DATA UTILIZED TO PREDICT HEART DISEASE LONG BEFORE IT STRIKES

IBM, Sutter Health and Geisinger Health Systems have partnered with the goal of using big data analytics as a tool to uncover early warning signs of heart disease years before irreversible damage is done. The two doctor networks and the computing company are looking to apply grant money to research focused on patients’ Electronic Health Records (EHR) using data such as demographics, medical history, and medications taken to find precursor signals of heart disease. Cardiovascular conditions in general are becoming increasingly common in the United States. The insights from the analysis will eventually be integrated into primary care, which will make it easier for doctors to predict which patients are at highest risk for the disease and thus recommend care that limits complications down the road.

www.sutterhealth.org

www.geisinger.org

www.ibm.com

HOSPITAL USES BIG DATA TO HELP MAKE PERSONALIZED DIAGNOSES

New York City Mount Sinai Medical Center is using patient data gathered from its own hospital records to inform doctor guidelines and help predict patient needs. By coupling informatics, patient data input systems, processing power from a $3 million supercomputer led by an ex-Facebook data scientist, they hope to better collect and understand the information that surrounds the half a million patients that Mount Sinai treats every year. Mount Sinai hopes to expand their network of patient information and capitalize on the $3 trillion spent every year on healthcare in the US. The hospital has reduced 30-day readmission rates for patients by 56% by detecting those most at risk and taking special measures and precautions.

www.mountsinai.org

ORCHESTRATED CARE


Halle Tecco Co-Founder & CEO.

Rock Health

36

AUGMENTED TREATMENT


PRINTED PROCEDURES

OR OVERLAY

Doctors are upgrading their medical toolkits with high tech visualization instruments, imperceptible monitoring devices and 3D printing techniques to improve the level of care they can provide to patients.

Inside the examination and operating rooms, holographic projections and augmented reality overlays allow physicians and surgeons to offer less invasive and more effective treatments.

At the same, 3D printers are enabling medical technicians to produce cost-effective prosthetics and implants that can be tailored to individual patients to ensure greater comfort and functionality and speed recovery times.

AUGMENTED TREATMENT— Embedded Vital Monitors

— Overlay OR

— Printed Procedures


39

EMBEDDED VITALMONITORS

“We’ve already seen doctors prescribing apps in some countries, eventually we’ll get to the point where you’ll get prescribed a diagnostic device, the equivalent of a Fuel band. We will have more data coming back into the system, real-life data at that. This data can replace clinical data that are proxy for otherwise unattainable real-life data. When this data is common place we can be much more informed about the decisions that we make as healthcare providers.”

John Pugh, Global Innovation

Leader at


170 million

As sensor technologies and circuitry become smaller and more reliable, physicians and researchers are using them to create increasingly body-complementary devices for

continuous monitoring. These near-imperceptible devices are being embedded directly onto the skin or even ingested,

to record and communicate a variety of biometrics that can be used to track general health and improve diagnosis

speed.

Estimates predict that the global

market for wearables in health

and fitness could reach

— GigaOm Research, “The Wearable

Computing Market: A Global

Analysis”, 2012

devices by 2017.

EMBEDDED VITAL MONITORSAUGMENTED TREATMENT


40

TOOTH-EMBEDDED SENSOR RELAYS EATING HABITS TO DENTISTS

The Ubicorp Lab at the National Taiwan University has created a sensor that can be planted inside an artificial tooth and is able to relay patients’ oral activity to a dentist using Wi-Fi signals. A small motion sensing accelerometer is placed inside the dental implant and a patient’s speaking coughing, chewing, drinking and other daily activities are recorded. Through the unique oral motion of each activity healthcare providers can identify with a 94% accuracy what the patient is doing. The device could be used to track a patient’s activity between visits to ensure that they are carrying out instructions by simply monitoring activities during the long periods between appointments. The research team hopes to further shrink the implant, allowing it to be placed in between teeth, on braces or be seamlessly attached to other oral implants.

www.mll.csie.ntu.edu.tw

CONTACT LENS MEASURES BLOOD SUGAR IN TEARS

Silicon Valley tech giant Google has stepped into the healthcare arena and is now testing a contact lens that offers diabetes patients a less invasive way of monitoring glucose levels. So far, all diabetes patients must endure intrusive routines of pricking their fingers to test drops of blood to avoid sudden spikes and drops in their glucose. The contact lens being developed will contain near-invisible sensors that measure blood sugar levels in tears, negating the need for painful pinpricks. Google’s developers are currently working on technology that will let the contact lens warn the wearer when their glucose levels pass certain thresholds. The special contact lens may take away some of the stress of dealing with an ever-present illness that requires constant monitoring, and could fix issues some patients have with adherence.

www.gv.com


FLEXIBLE THERMOMETER BONDS TO SKIN FOR CONTINUOUS TEMPERATURE MONITORING

Scientists from the University of Illinois have manufactured a wearable sensor that can be adhered to people’s skin and monitor their temperature, hydration levels and circulatory system changes. The flexible sensor is a composite of gold and silicon and is attached to a person’s limbs using a light adhesive that laminates it. Once in place, the thermal conductive natures of the materials make it easy to monitor skin temperature (within a thousandth of a degree), cognitive state, and thermal conductivity (which is a telltale for hydration). Researchers are looking to add a power source that would increase functionality and enable better tracking of wearers’ vital signs over time.

www.matse.illinois.edu

www.mc10inc.com

TEMPORARY TATTOO MEASURES ATHLETE EXHAUSTION

Researchers at the University of California-San Diego have developed a temporary tattoo-like sensor that can gauge athletes’ physical exertion. The stick-on patch monitors chemicals in the wearer’s sweat by calculating the existence of key compounds, such as lactate, that denote levels of exercise. Initially it was designed with the school’s mascot covering the sensor, but it could easily be customized. The patch attempts to replace previous methods that require collecting a blood sample through multiple pinpricks to an athlete’s finger. The patch could be a much less invasive way to collect data on athletes’ training, serving as a highly practical advancement in wearable technology and could aid in pushing athletes to new limits.

www.ucsd.edu

www.electrozyme.com

AUGMENTED TREATMENT



SUPPORTING DATA

IMPLICATIONS


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3

“We’ll see a dramatically shift over the next five years

where sensors are becoming commonplace and

allowing people to take charge of their own health.

People are being asked to do more with their own

health. Namely to be accountable for the monitoring

of it and share the responsibility of outcomes between

themselves and their family or their network of

support.”

— Amy McDonough, Director of Business Development, Fitbit

“The core problem that has frustrated skin integration

of advanced semiconductor devices for the last 50

years is that silicon wafers are flat, hard, rigid and

brittle; the skin is curvilinear and textured, soft,

stretchy and physically tough. By constructing devices

that behave, in a physical sense, like the skin, we

can achieve highly functional, intimate modes of

integration.”

— John Rogers, Professor, University of Illinois

“Continuous monitoring of key physiological

parameters, combined with appropriate informatics,

will change the way that healthcare is done.”


“Beyond monitoring, we see intervention and therapies

delivered by the devices, i.e. controlled heating,

drug delivery, electrical stimulation, etc., all done

in a minimally invasive way, transcutaneously. By

constructing devices that behave, in a physical

sense, like the skin, we can achieve highly functional,

intimate modes of integration, in a manner that is

completely ‘invisible’ to the person wearing the device.”


Three-quarters of American healthcare spending goes

toward treating chronic problems like diabetes and

hypertension, and 45% of Americans have a chronic

health condition.

— Robert Wood Johnson Foundation, “Return on Investments in

Public Health: Saving Lives and Money,” 2013

_ What information would be useful to have

regularly tracked in order to monitor patient care

and how can this data collection be streamlined to

alleviate support staff’s workload?

_ Are there diseases or conditions that could benefit

from early warning signals provided by embedded

monitors, reducing demand for care caused by

delayed identification?

_ What chronic conditions could benefit from regular

monitoring, both for a patient’s general awareness

and healthcare providers to ensure the best care?

_ Are there sensitive signals that otherwise

would be altered by using large or disruptive

monitors that could be easily tracked by

devices that are re-engineered using flexible

conductors and technology?

_ What additional sensors could be designed to offer

patients a sixth sense for otherwise imperceivable

changes happening in their bodies?

_ Can patients more easily manage their care

aided by subtle signals or prompts to gently

nudge those who need assistance in monitoring

their conditions?


“We had procedures. We had medications. Now, we have tools

like apps to help you understand your disease and also give us a

little data. If you can come in and give us information about your

headache and what’s going on for them the past month, we can be

better doctors. It is really a new toolkit for us.”

INJECTABLE BLUETOOTH ENABLED CHIP COULD PREDICT HEART ATTACKS

Engineers at Ecole Polytechnique Fédéral de Lausanne in Switzerland have developed a Bluetooth-enabled blood monitoring device that can be inserted under the skin for up-to-the-minute monitoring of common blood based substances, and may even being able to predict heart attacks hours before occurring. Using a needle, the monitor can be implanted into the patient’s leg, abdomen or arm, where it can be left for months. Once inserted, the device can track up to five chemical health indicators simultaneously, including proteins, pharmaceuticals, and cholesterol. The collected data can be broadcast to a nearby device using Bluetooth technology which enables easy tracking for patients with smartphones, or it can be relayed to healthcare providers for remote monitoring. Its long-term monitoring capabilities could be a boon for patients living with diabetes and other chronic conditions, who regularly need to check their blood using the painful pinprick methods.

lsi.epfl.ch

STOMACH ACID-POWERED PILL COLLECTS PATIENT DATA

Northern California company Proteus Digital Health has created a self-powered ingestible computer in the form of a pill that could help doctors better diagnose patients. The pills are tiny robots that travel through the digestive system and monitor everything from vital signs to blood flow. The pill can wirelessly transmit results back to a cell phone app, a connected body patch or to a website. By removing the power module and replacing it with a simple chemical reaction that utilizes the acids in the stomach to power its functions, the nano-computer could be slimmed down to the size of a typical vitamin.

www.proteusdigitalhealth.com

41 AUGMENTED TREATMENT


Dr. Jay Parkinson Co-Founder & CEO.

Sherpaa


42

OVERLAY OR

Dr. Jordan Shlain, Founder, Healthloop

“So broadly speaking, I think that all doctors in training, at the medical school and residency level, should be learning about how technology can make them provide better care. Not look at this new electronic medical record. Right now, doctors spend 40 percent of their time with a patient looking at a screen. I’d like that to go to zero. I think with voice and natural language processing, I think that we’ll go to a place where everything will be in a watch. The patient will talk. It will transcribe it and respond in kind. There’ll be no more screens.”

Physicians are experimenting with the use of heads-up displays and augmented visualizations to assist them

during complex surgeries. These technologies offer a more complete view inside their patients, improving surgeons’

ability to map out their procedures and avoid life-threatening complications.

The mobile Augmented Reality

market is set to increase dramati-

cally from

— Juniper Research, “Mobile Augmented

Reality: Smartphones, Tablets and

Smart Glasses,” 2013

60

200

million unique users

in 2013 to nearly

million in 2018.

OVERLAY ORAUGMENTED TREATMENT


43

MEDICAL TEAM STREAMS VIDEO AND ACCOMPLISHES CHECKLIST FASTER

Pristine is a remote healthcare technology company that has developed apps through which disparate team members can easily communicate using the head-up display and wearable device Google Glass to accomplish the range of medical tasks. The EyeSight and CheckLists apps allow wearers to stream video to fellow team members and create collaborative voice-generated to-do lists, respectively. These apps allow teams to work more efficiently with a range of specialists and healthcare providers, whether or not the team is spread throughout a specific hospital or across the globe. Similarly, shared checklists help team members to reduce double work and overlap in responsibilities without missing out on necessary services, from patient intake to post-op care. For example, community health specialists could confer with team members across a region, exchange images of patients’ symptoms in real-time and create lists of unique traits to check for at other sites.

www.pristine.io

GOOGLE GLASS PIONEERS TELEMEDICINE WITH FIRST LIVE STREAMED SURGERY

US-based Dr. Rafael Grossman performed the first surgery streamed live via Google Glass to show that it would be an improved tool in the future of telemedicine without infringing upon patients’ right to privacy. In 2013 using the heads-up display and wearable device Google Glass, Grossman streamed video of the simple endoscopic procedure of inserting a feeding tube via a private Google Hangout attended by fellow doctors. The hangout service showed that the doctor was able to perform the surgery without revealing any identifying marks or revealing the patient’s identity in any way, while still being able to share images taken from inside the patient’s abdomen using the video captured from the endoscope. Grossman hoped to show that doctors could use Glass while still preserving patients’ rights by collecting an informed consent agreement. Glass, estimated to retail for approximately $600, would be relatively inexpensive in comparison to current telemedicine solutions, which can cost tens of thousands of dollars.

bit.ly/1bZpXI7

OVERLAY OR

HEAD-MOUNTED 3D VIDEO DISPLAY GIVES SURGEONS A SHARED VIEW INSIDE PATIENTS

The HMZ-T2 from Sony is a head-mounted display unit that gives surgeons virtual X-ray vision using relayed images from an endoscopic surgical camera that is inserted through keyhole incisions. Each eye is independently shown a colorful 1280 x 720 pixel high-resolution image on a pair of miniature OLED panels. The brain combines the images to create a 3D effect. A team of surgeons can see shared images and work together on a less invasive laparoscopic surgery rather than performing traumatic open thoracic surgery. Each team member can flip an image relay so that the person working across from them can see their teammate’s point of view in their own headset and better assist them, as well as being able to view picture-in-picture relays from other internal camera angles.

www.sony.net

AUGMENTED REALITY MAP GUIDES SURGEONS AROUND HIDDEN VEINS

The Munich-based Fraunhofer Institute and a team of surgeons from Yokohama City University Hospital in Japan have developed an augmented reality iPad app that allows surgeons to reveal hidden vessels inside organs while operating. In preparation for a tumor removal surgery, a CT scan is performed which allows the team to map out the network of veins and arteries inside the organ being operated on. The visual information captured is converted into a detailed 3D image of the organ that surgeons can review on the iPad to plan possible approaches to the surgery. Using the camera view during the surgery, the tablet can be held up and pointed at the exposed area, revealing vessels overlaid in the proper positions and orientation to the patient’s body, regardless of the surgeon’s perspective. The simple interface of the iPad allows surgeons to easily pivot perspectives or change transparency without having to capture new images or slow down the procedure.

www.mevis.fraunhofer.de

bit.ly/1bZeatt

AUGMENTED TREATMENT

OVERLAY OR


SUPPORTING DATA

IMPLICATIONS


vimeo.com/psfk/foh

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“We believe there will come a time, as technology

evolves, when physicians, general practitioners,

will be able to not only quickly see remote images

or information, but be able to view connected

information sources together. Where diagnostics

will be completed and beamed to the physician

with remote visuals.”

— Frank Ball, CEO, Evena Medical

“The biggest challenge isn’t the regulatory environment

or the tech...Technology needs to demonstrate clinical

outcomes and it needs to be adopted by surgeons. I

think it will be adopted because surgeons coming out

of school have spent life on PlayStations and Wiis, so

the novel UI is familiar to them.”

— Simon Karger, Associate Director of Surgical,

Cambridge Consultants

_ What imaging tools can be implemented at scale to

aid doctors in examining remote patients?

_ How can augmented reality be used to enrich

the learning experience for healthcare students

and professionals?

_ What onsite initiatives can insurance companies

implement to ensure healthcare providers are

performing to their best abilities using new visual

imaging or augmented reality?

_ How can shared viewing displays aid healthcare

teams and remote medical providers in delivering

better care by collaborating or by communicating

over vast distances?

_ Can healthcare providers use holographic

imagery to help better prepare, practice or

even perform surgeries?

_ Where can healthcare providers share innovative

practices, research or procedures with their peers

for feedback, input or added perspective?

OVERLAY OR

“What the computer definitely will take over is to help in the

diagnosis and to help in the treatment selection. This is where we

have more and more options in the future and where it’s more

and more difficult and challenging for physicians to find the best

solution for patients.”

3D HOLOGRAMS LETS SURGEONS BE HANDS ON DURING SURGERY

Surgeons in Israel have used 3D imaging technology to create holograms of the heart for surgeons to manipulate. Eight patients in the 2013 clinical pilot underwent minimally invasive surgeries where doctors were able to examine virtual representations of the patients’ hearts while in surgery. Surgeons were able to tag, mark, zoom, reveal different layers and otherwise manipulate the virtual heart in any way they wanted using their hands or a scalpel-like tool before the surgery. The technology is a combination of RealView Imaging holographic technology that recreates the virtual heart image and Philips’ clinical imaging systems that captures the medical imagery needed. This process aims to replace the cumbersome use of X-rays or ultrasound renderings of the heart. It allows surgeons to better visualize a critical organ in a non-invasive fashion and perhaps reduce operation time.

www.realviewimaging.com

STUDENTS LEARN AND DISSECT HUMAN-SCALE VIRTUAL CADAVERS

California company Anatomage has a table that is a 3D interactive dissection table with a digital interface that allows students and doctors to manipulate and cut away different elements of a virtual cadaver’s organs, skin, and bones. The table consists of two adjoining high-resolution screens and has three viewing modes: photorealistic, X-ray and opaque hard tissue, all represented in real-life scale. Users can annotate or cut away any point of the body and still be able to easily move the virtual body through a multitude of angles that enable students to isolate and examine all of the internal systems of the body. MRI and CT scans of real patients can also be uploaded to the table’s screen and viewed as a 3D rendering.

www.anatomage.com

44 AUGMENTED TREATMENT

OVERLAY OR

Dr. Michael Busse Head of Global

Medicine Coordination.



45

PRINTED PROCEDURES

“No longer will you have to go to a physician or to a hospital to have access to healthcare. You will be able to can actually access a lot of healthcare and a lot of healthcare information today from the comfort of your home. If you think about 3D printing, you’re not even going to have to go out of your house to get something. You can download something onto your computer and then print it out and it could be a device. It could be a tool that could help you achieve a variety of things, including things in health. These are the sort of technologies that are really going to revolutionize the world moving forward.”

Dr. David Medina Tato, Senior Manager,

Business Model &

Healthcare Innovation at


Advanced 3D printing and new cell generation techniques are enabling healthcare professionals to experiment

with the manufacture of skin, bone and organs for use in surgeries and other medical implant procedures. These

artificially created body parts cut down on the need for long wait times on donor lists, often carry lower risk of rejection

and are progressing towards being able to enhanced or tailored implants that suit the specific

needs of a patient.

By 2019, sales of 3D printed prod-

ucts for the medical and dental

markets will reach

— SmarTech Markets Publishing, “3D

Printing in Medical and Dental

Markets: An Opportunity Analysis and

Ten Year Forecast,” 2013

$2.8 billion

PRINTED PROCEDURESAUGMENTED TREATMENT


46

SPINAL DISCS FABRICATED FROM STEM CELLS IMPROVE SPINAL SURGERY

Researchers at Cornell University have created a spinal surgery technique that uses a 3D printer to fabricate new spinal discs from stem cells. Once a patient is prepped for surgery, the printer begins printing strings of stem cells in the highly specific proportions of a patient’s spinal disc. In surgery, the disc is placed in the appropriate location and the stem cells begin to enact a pre-designed ‘biological programming’ that replicates new spinal disc tissue for the following two weeks. By using stem cells, implants can be created based on the patient’s specific needs. With 30 million Americans suffering from Degenerative Disc Disease this technology has the potential to provide a major breakthrough for spinal procedures that otherwise decrease patient mobility.

www.cornell.edu

SOFT TISSUE AND 3D PRINTING TECHNIQUES PRODUCE AFFORDABLE PROSTHETICS RAPIDLY

A new technique called Picsima 3D Printing produces 3D-printed prosthetics within 48 hours akin to human skin. The technique uses soft tissue-like materials and 3D color printing to create prostheses for people with missing ears, noses or other facial regions. The designs are printed with biocompatible starch and silicone that match the wearer’s skin tone. The UK-based product design, research and business consultancy Fripp Design & Research has developed this quick and relatively affordable method that can help a wide range of patients, especially those in the developing world who can’t afford typical prosthetics that can be 400 times more expensive. The speed of printing and lower cost could also open up new cosmetic design opportunities for elective surgeries.

www.frippdesign.co.uk

PRINTED PROCEDURES

3D-PRINTED PROSTHETIC HAND GRANTS ACCESS TO THOSE IN NEED

Created by an international team of designers, Robohand, a 3D-printed mechanical hand, can be created with under US$3 worth of materials. Using a 3D printer, the team created a prosthetics model that would work as effectively as a current medical prosthesis that typically cost approximately $10,000 per finger. The team paired up with 3D printer manufacturer MakerBot to 3D-print components at scale, which dramatically sped up the process of creating a prosthetic as well as being able to lower the production costs. While offering a completely functioning mechanical hand, the accessible manufacturing method and lowered cost of the prosthesis can dramatically increase the availability of prosthetics to those in need.

www.robohand.net

www.makerbot.com

3D-PRINTED EAR CAN HEAR BEYOND NORMAL HUMAN ABILITY

Scientists at Princeton University in New Jersey have designed a 3D-printed bionic ear that augments normal human hearing. To build the device, researchers 3D-printed cells and nanoparticles in the shape and comparable texture of an ear, and then combined a small coil antenna with cartilage to create a bionic version of the human ear that could be connected to a patient’s nerve endings. With the hopes of making an approachable and human-like technology which extends normal human abilities the team decided to use materials that are more natural than the hard casings and electronic components typically used. The result was a fully functional organ that could hear frequencies a million times higher than the typical human ear.

www.princeton.edu

AUGMENTED TREATMENT

PRINTED PROCEDURES


SUPPORTING DATA

IMPLICATIONS


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47

The price of a new prosthetic leg can cost anywhere

from $5,000 to $50,000.

— Hospital For Special Surgery,

“The Cost of a New Limb Can Add up Over a Lifetime,” 2013

A home 3D printer can provide a return on investment

of 200% to 40% and can save the average home up to

$2,000 in avoided purchase costs.

— Department of Materials Science & Engineering,

Michigan Technological University, “Life Cycle Economic

Analysis of Distributed Manufacturing with Open Source

3 D Printers,” 2013

“We’re not waiting for a new breakthrough.

We are waiting for [a] cost breakthrough.”

— SmarTech Markets Publishing, “3D Printing in Medical and

Dental Markets: An Opportunity Analysis and Ten-Year

Forecast,” 2013

_ What materials can be used to print new implants

and prosthesis that help match with a person’s skin

tone or style?

_ In what procedures can healthcare providers print

stem cells that use patients’ DNA to help expedite

lengthy recovery processes?

_ With lower cost materials, how can more

personalized designs be implemented to aid with

greater functionality in everyday use or to improve

overall appearance?

_ How can open source communities and open

source design techniques be used to create a new

range of prosthetic parts for patients?

_ Where could on-demand prosthesis be used to

help everyday people as well as patients access

printed enhancements?

_ How can healthcare providers use existing

DNA data or other personal information to

create implants and prostheses ahead of time

or for on-demand use in emergencies?

PRINTED PROCEDURES

“What happens when I get my prescription and I have a biological

replicator in the back? I don’t need to go out for it anymore. I just

get the prescription, feed the code in, and it’s there. We’re moving to

a really distributed model of healthcare.”

AFFORDABLE BIONIC HAND IS 3D-PRINTED AND SYNCS TO SMARTPHONES

Handie is an artificial hand that offers much of the same functionality as a prosthesis but has a greater range of customization options, can easily be integrated with mobile phones and is considerably cheaper. The prosthetic hand has been manufactured using mostly 3D-printed parts. This process means that customization, design improvements and repairs would be dramatically cheaper. Handie is powered in part by a companion app that can be downloaded onto the user’s smartphone, which also cuts costs from the design itself and allows for increased connectivity and tracking for users. Handie costs under US$400, while traditional artificial hands can currently cost around US$11,000.

bit.ly/1hNht9b

3D PRINTING PEN LETS SURGEONS DRAW STEM CELLS

The BioPen, developed by the University of Wollongong in Australia, is a handheld 3D printer capable of generating functioning bio-tissue that will improve precision and save time during surgical procedures. The pen shaped device uses ink made of a combination of cell material, biopolymer growth-factor gel, and protective outer-layer gel. UV light is attached to the pen to harden the material as it is dispensed layer by layer onto the wound site. Once the material settles in its environment, it will begin to multiply and differentiate into genuine nerve, bone, or muscle cells. The BioPen is a simple tool for surgeons to make customized repairs that can cut down on surgery length and recovery time.

www.uow.edu.au

AUGMENTED TREATMENT

PRINTED PROCEDURES

John Pugh Global Innovation

Leader. Boehringer

Ingelheim


Experts Discuss The Future Of Health

During the research process, we had the opportunity to speak

with a diverse panel of healthcare experts who generously shared

their vision for the Future Of Health. These interviews with startup

founders, device creators, doctors and brand innovators were

edited into a short video to provide a compelling perspective on

the trends covered in this report. A collection of their insights have

been shared throughout the report, the full video is available to

watch at www.psfk.com/future-of-health.

Travis Bogard VP of Product Management &

Strategy at Jawbone

@TravisBogard

www.jawbone.com

3

“We see this huge gap that exists between intention and

action —what people think they’re doing, and what

they’re actually doing—and I think that transparency

of seeing that starts to help people understand what

are the patterns that they thought they were doing,

and where can they make adjustments to live the life

that they really want to.”

Travis Bogard has scaled Jawbone’s product offering from a

single in-market wireless headset to a portfolio of human-

centered products designed to make everyday life better

through a combination of hardware, software, and data.

Dr. Michael Busse Head of Global Medicine

Coordination at Boehringer

Ingelheim

www.boehringer-ingelheim.com

“What the computer definitely will take over is to help

in the diagnosis and to help in the treatment selection.

This is where we have more and more options in the

future and where it’s more and more difficult and

challenging for physicians to find the best solution

for patients.”

Dr. Busse has served on the Advisory Boards of Altana,

Centocor, Dynavax, Genentech/Novartis, GlaxoSmithKline,

Isis, Merck, Pfizer, Schering, and Wyeth. Dr. Busse also has

research support from the NIH.


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Dr. Samir Damani Founder & CEO at MD

Revolution Inc.

@DamaniMD

www.mdrevolution.com

“The data that’s being produced is data about what we

do—how we sleep, how we eat, how exercise. We need

to invite the scientific world and the medical world to

look at this data and give meaning to the data that

individuals are producing. If somebody’s been less

active, telling them they need to be more active. Not

just saying, “Walk more steps,” but how many more

steps, and why. Furthermore, the data needs to come

into a platform that can give meaning to the person

with personalized coaching, based on that data

coming in.”

Dr. Samir Damani has been a ‘change agent’ in healthcare

because of his emphasis on more individualized approaches

to therapy. In addition to serving as CEO of MD Revolution,

he is a practicing cardiologist for Scripps Clinic—a top 50

ranked heart hospital by US News and World Report.

Walter De Brouwer Founder & CEO at Scanadu

@walterdebrouwer

www.scanadu.com

“Healthcare is going to mutate; hacked by evolution

it will become a more efficient version of itself, one

where the patient will be discovered as the most

underused resource. The grand theory of diagnosis

will welcome new players next to doctors: machines,

algorithms, patient advocacy communities and the

crowd. For centuries we have been reading our health,

now we will start writing it; changing it in real time,

with mobile input. This Cambrian Revolution of

medical devices and apps is the straw that will break

the camel’s back. Instead of us watching our health

all the time, it will be watching us.”

Walter De Brouwer is a Belgian internet and technology

entrepreneur, futurist and semiotician currently developing

hand-held health diagnostic devices, similar to the tricorder

from Star Trek at Scanadu. Previously he served as the CEO

Europe at OLPC (One Laptop Per Child) Foundation and is a

Founding Member of TEDGlobal.

Rafi Haladjian Founder & CEO at Sen.se

@rafigaro

sen.se

“I think that the biggest benefit for the health

industry is that gathering data on large populations,

data that is collected in the same manner but

for everybody, will help find new cures and

new solutions—only by analyzing that data, by

crowdsourcing solutions. The fact that you are

not relying on subjective expression of individual

problems, but measuring it in the same way for a

large population is a means for creating really a

collective intelligence which could change lots of

things in the way to solve problems.”

Lebanese-born French serial entrepreneur of Armenian origin,

Rafi Haladjian is the founder of numerous technology and

telecom companies. Among others, he is known as the co-

creator of the wireless-connected rabbit Nabaztag one of the

pioneering icons of the Internet of Things.

Jared Heyman Founder at Crowdmed

@jaredheyman

www.crowdmed.com

“I think people want to know more about it, they

want to have their own medical readings. They

want to keep their own medical records. They want

to talk about it with others. They want to share it.

They want to compare it. They want to have second

opinions.”

Jared is the founder of CrowdMed, an online healthcare

startup harnessing crowd wisdom to solve even the world’s

most difficult medical cases. He is also the chairman of

Infosurv, an online survey company with $20M in cumulative

revenue. Jared has been featured in Inc, WSJ, CNN,

Entrepreneur


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Dr. David Medina Tato Senior Manager, Business Model

& Healthcare Innovation at



“The use of technology, although taking away some

of the human touch from what we do, is actually

going to bring us more personalized medicine. These

systems are going to change the experience for the

patient. The patient is going to be monitored in a

variety of ways, including wearable devices that

track how much they move, what their temperature

is, what their heart rate is, including devices that are

included within the packaging of their medication,

which will indicate if they’ve taken their medication,

or not. But the important thing is not the information

in itself. The important thing is what we do, once we

have that information.”

David obtained his MD in Mexico, with his PhD studies

in Pharmacology completed at the University of Bath in the

UK. In his professional career, David has worked for several

years in different positions within the Business Development

arena, specifically within clinical research and now in

healthcare innovation.

Halle Tecco Co-Founder and CEO at

Rock Health

@halletecco

www.rockhealth.com

“Patients have a lot more interest in being proactive

about their own care. One of the reasons, and one of

the big drivers, is that we have higher out-of pocket

costs. More of the burden is falling on the patient. So

they’re going to make sure that their biggest expense

isn’t their healthcare that year. They’re financially

incentivized to stay healthy.”

Halle is responsible for building partnerships and overseeing

Rock Health’s strategic direction. She previously worked in

finance and business development roles for Intel and Apple.

She earned a BS at Case Western Reserve University and an

MBA at Harvard Business School. Halle was named one of

CNN’s ‘2 Entrepreneurs Reinventing Healthcare’ and Forbes

‘30 under 30’.

“Care will be delivered based on the preferences of

the patients. I think that’s very important. Because

as people begin to care about the preferences of

the patient, and models will evolve to deliver that

preference within a compliant regulated fashion,

it will evolve to where it’s the market need. Those

patients that are comfortable with the telemedicine

approach will entertain that market, and those

patients that continue to want a face-to-face, one-on-

one feeling will entertain that.”

The transparency of this information to the patient is of

greatest importance. With mobile health and digital health

technology, I think that patients are showing power to learn

about their disease states and what’s available to them. It’s an

opportunity for this new health care environment to leverage.

Sanskriti Thakur Director, US Marketing Innovation

& Operations at Boehringer

Ingelheim


Dr. Tracy-Ann Moo MD at Weill Cornell Medical

College

www.cornellphysicians.com

“We’re moving along the lines of giving patients

more control and having devices develop that give

them that control. Eventually, we’ll move to a

system that allows patients to enter data into their

electronic medical record, whether it’s directly from

a device that’s attached to them or it’s basically them

providing their input. In the future, we’ll actually be

importing data more directly from the patient into

the system than through the provider.”

Tracy-Ann Moo, MD is an Assistant Professor of Surgery

and Assistant Program Director of Surgical Education at

Weill Cornell Medical College. She is an Assistant Attending

Surgeon at NewYork-Presbyterian/Weill Cornell Medical

Center. An experienced board-certified surgeon, Dr. Moo

specializes in the most advanced, minimally-invasive

treatment of breast cancer and melanoma.

Dr. Jay Parkinson MD, MPH and Co-Founder at

Sherpaa

@jayparkinson

sherpaa.com

“We had procedures. We had medications. Now, we

have tools like apps to help you understand your

disease and also give us a little data. If you can come

in and give us information about your headache and

what’s going on for them the past month, we can be

better doctors. It is really a new toolkit for us.”

Billed as the Doctor of the Future by Fast Company, Jay the

is co-founder and CEO of Sherpaa, a streamlined model for

healthcare and The Future Well, a creative consultancy that

specialized in healthcare for clients such as Sanofi, Planned

Parenthood, and the National Health Service in the UK.

John Pugh Global Innovation Leader at


@JohnPugh


“What happens when we don’t need the doctor

anymore? What happens when it can be self-diagnosis,

when a machine can diagnose us or when a program

can detect things and say, Do you know what? You’ve

got high blood pressure. You need to take this product

here or this medication here or make this lifestyle

change there.”

With a background as a journalist and Internet start-up

entrepreneur, he has over 18 year’s media experience, 12 of

them in digital and is regularly cited as a global thought

leader in his field. His most recent venture is called Syrum,

a social game which educates players on the spread of

deadly disease.

Dr. Jordan Shlain Physician, Founder at

HealthLoop

@DrShlain

www.healthloop.com

“As a doctor, I have to do continual medical education.

I have to do 52 hours every year of reading and

studies and tests and quizzes. It’s a requirement.

I think patients should have a similar type of

requirement. Or it should be an opt in and if they

do that, their insurance rates go down. I think

healthcare needs to start educating people about

what’s going on with their diagnosis. What it means.

In a more systematic and thoughtful way.”

Jordan Shlain MD is the founder of Healthloop, a practicing

Internal medicine doctor, advisor to the Aspen Institute and

Health Commissioner for the City & County of San Francisco.

He has recently been listed as a healthcare innovator in the

HealthSpottr Top 100 list and is actively involved with digital

health and healthcare policy.


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