GLOBAL HEALTHDRIVES DESIGN NOW

ZEN CHUHACKINGMEDICINE.MIT.EDU

HEALTH EXPERIENCE DESIGN CONFERENCE

MARCH 25, 2013

© ZEN CHU 2010

CHINA + INDIA DRIVING HEALTHCARE INNOVATION

NOW

MAJOR SYSTEMIC DIFFERENCES

MASSIVE DESIGN OPPORTUNITY

© ZEN CHU 2010

• MOBILE + SMARTPHONE PENETRATION

• EMERGING MIDDLE CLASS

• DISEASES OF AFFLUENCE ACCELERATING

• BIG DIFFERENCES BETWEEN CHINA, INDIA, OTHER EMERGING MARKETS

• AGING DEMOGRAPHICS

• ONE-CHILD POLICY

• PUBLIC HEALTH PRIORITIES

MACRO TRENDSDRIVING GLOBAL HEALTHCARE GROWTH

© ZEN CHU 2010

MULTINATIONAL COMPANIES ALREADY FOCUSED ON HUGE GROWTH IN CHINA + INDIA

MASSIVE HIGH-VOLUME TOP TIER HOSPITALS© ZEN CHU 2010

MASSIVE PATIENT LOAD > EXTREME DOCTOR SHORTAGE© ZEN CHU 2010

3 MIN CONSULT: CLINICAL ALGORITHMS MUST BE DIFFERENT© ZEN CHU 2010

NO HIPAA PRIVACY RULES TO IMPEDE WORKFLOW + ENGAGEMENT

LAB R

ESULTS

© ZEN CHU 2010

HUGE SPECTRUM OF QUALITY + COSTS

FORTIS PREMIUM HOSPITAL RURAL CLINIC LAB

SOME NEXT TO ONE ANOTHER

© ZEN CHU 2010

DRIVING DOWN / UP HEALTH PYRAMID

TOWNSHIP

HOSPTIER 1 CITIES

RURAL

SMALL

HOSPITA

L SIZE >

500 B

EDS

LARGE CITY SIZE SMALL

VILLAGE

TIER 1

HOSP

?

?

REGIONAL + RACIAL/GENETIC DIFFERENCES© ZEN CHU 2010

SCALING MEDICINEENABLED BY TECHNOLOGY + DESIGN

VIPs

PREMIUM

MIDDLE CLASS

COVERED BY BASICINSURANCE

1.3B PATIENTS 1.4M DOCS >> 3M BY 2020

DEMAND

SUPPLY

PAIN + MORTALITY MUCH GREATER SCARCITY IN EMERGING MARKETS

© ZEN CHU 2010

HEALTHCARE METRICS

CHEAP IS NOT ENOUGH!

FASTERCHEAPER

BETTER

© ZEN CHU 2010

HEALTHCARE METRICS

CAPACITY

TRUST + WORKFLOW ESSENTIAL

CONVENIENCE

TRUST

FASTERCHEAPER

BETTER

© ZEN CHU 2010

TECHNIQUES FOR SCALING MEDICINE

• CREATE NEW EXPERIENCE

• INCREASE CAPACITY

• FIND PROVIDER with EXTRA CAPACITY

• CREATE NEW PLACE or NEW SERVICE

• DE-SKILL COMPLEX DIAGNOSTIC

• PATIENT SELF-SERVICE

© ZEN CHU 2010

CULTURE OF CONSUMER-PAY HEALTHCARE

CASH MACHINES

© ZEN CHU 2010

PRIVATE-PAY CONSUMER-DRIVEN HEALTHCARE IN MALLS© ZEN CHU 2010

• HOSPITAL FACILITIES

• DIAGNOSTIC IMAGING + TESTS

• DRUG FORMULARY + INVENTORY

• SURGICAL TOOLS + IMPLANTS

• UNEVENLY DISTRIBUTED

THEY HAVE HARDWARE...

© ZEN CHU 2010

• PRIMARY CARE PROVIDERS

• CONTINUITY OF CARE

• CONTINUING EDUCATION ACCESS

PATIENTS + PROVIDERS

• EVIDENCE-BASED PROTOCOLS

• DISTRIBUTION INFRASTRUCTURE

• OFTEN MISALIGNED INCENTIVES OF DOCTORS + HOSPITALS

...BUT LACK “SOFTWARE”

© ZEN CHU 2010

USER-CENTRIC DESIGN THINKING IS REVOLUTIONARY

FASTER + CHEAPER PRODUCT LAUNCHES

MASSIVE DESIGN OPPORTUNITYBUT MUST USE

LOCAL KNOWLEDGE© ZEN CHU 2010

BASIC HEALTH LITERACY: CHANGE NAME FROM CARDIOLOGY

NOT CARDIOLOGY!

© ZEN CHU 2010

DESIGN THINKING OVERCOMES CULTURE

WOMEN SCIENTISTS WERE BETTER AT USER DESIGN + STORYTELLING

© ZEN CHU 2010

MEDICAL DEVICE RAPID PROTOTYPING

© ZEN CHU 2010

• MASSIVE OPPORTUNITY + MISSION

• INNOVATION + DATA THERE FIRST

• MULTINATIONAL COMPANIES THERE NOW

• ENTREPRENEURS ARE HEADING THERE

• LOWER REGULATION, NO HIPAA

• MORE CLINICAL DATA DRIVEN THERE

• US/EU DESIGNS NOT APPROPRIATE

CHINA + INDIA WILL LEAD

© ZEN CHU 2010

H@CK + DESIGN FOR GLOBAL HEALTH!

OBSERVE + DESIGN IN EMERGING MKTS... THEN... NEW DISRUPTIVE PRODUCTS BOOMERANG BACK TO US/EU

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© ZEN CHU 2010