Connected Vitality and the Empowered Consumer

Connected Vitality - The Rise of the

Empowered Consumer

HealthCampRDU Durham, NC - May 14, 2010

Friday, May 14, 2010

Connected Vitality - The Rise of the

Empowered ConsumerMark Scrimshire

Director, Internet Channel Strategy

HealthCampRDU Durham, NC - May 14, 2010


@ekivemark #HealthCamp

http://healthca.mp

[email protected]


@ekivemark #HealthCamp

http://healthca.mp

@ekivemark

The views expressed here are my own and don't necessarily

represent the positions, strategies or opinions

of CareFirst


@ekivemark

Houston, we have a problem...

nasa.gov


@ekivemark

“NO ONE IS HAPPY WITH THE AMERICAN HEALTH-CARE

EXPERIENCE TODAY. IT IS AN EXPENSIVE, COMPLEX

SYSTEM TO WHICH PEOPLE RESORT ONLY WHEN A PROBLEM HAS GROWN

THREATENING.“BUSINESSWEEK


@ekivemark

We are not getting any youngerThe ChangingRegional AgeStructureThe term "demographictransition" refers to agradual processwhereby a societymoves from a situationof high rates of fertilityand mortality to one oflow rates. This transitionis characterized first bydeclines in infant andchildhood mortality asinfectious and parasiticdiseases are eradicated.Whole populationsbegin to age whenfertility rates declineand mortality rates atall ages improve.Successive birth cohortsmay eventually becomesmaller and smaller, asseen for North Americain 1980. If projecteddeclines in fertility andmortality throughout thehemisphere proceed asexpected, regionalpopulation agestructures will lose theirtriangular shape, andthe older portion of thepopulation will increase.

!"#!#"$! ! " #! #" $!

!"#!#"$! ! " #! #" $!

%!&'"(')'!('*+"(+)+!(+*""(")"!("**"(*)*!(**,"(,),!(,*$"($)$!($*#"(#)#!(#*"()!(*

! " #! #" $!!"#!#"$!

1980%!&

'"(')'!('*+"(+)+!(+*""(")"!("**"(*)*!(**,"(,),!(,*$"($)$!($*#"(#)#!(#*"()!(*

2025

!"#!#"$! ! " #! #" $!

%!&'"(')'!('*+"(+)+!(+*""(")"!("**"(*)*!(**,"(,),!(,*$"($)$!($*#"(#)#!(#*"()!(*

1980%!&

'"(')'!('*+"(+)+!(+*""(")"!("**"(*)*!(**,"(,),!(,*$"($)$!($*#"(#)#!(#*"()!(*

2025

!"#!#"$! ! " #! #" $!

%!&'"(')'!('*+"(+)+!(+*""(")"!("**"(*)*!(**,"(,),!(,*$"($)$!($*#"(#)#!(#*"()!(*

1980%!&

'"(')'!('*+"(+)+!(+*""(")"!("**"(*)*!(**,"(,),!(,*$"($)$!($*#"(#)#!(#*"()!(*

!"#!#"$! ! " #! #" $!

2025

South America

Male Female Male Female

North America


Central America and the Caribbean

Male Female

Age

Age

Age

AgeMale Female

Age Age

PopulationAgeStructure:1980 and2025(In millions)

Millions

Sour

ce: C

ensu

s Bu

reau

Changing age distribution drives up cost by 22% per personFriday, May 14, 2010

@ekivemark

We are not getting any younger

$0$1,500$3,000$4,500$6,000$7,500$9,000

Under 5 5 - 17 18 - 24 25 - 44 45 - 64 65+Annual Spend Per Person

Sour

ce: K

aise

r

The ChangingRegional AgeStructureThe term "demographictransition" refers to agradual processwhereby a societymoves from a situationof high rates of fertilityand mortality to one oflow rates. This transitionis characterized first bydeclines in infant andchildhood mortality asinfectious and parasiticdiseases are eradicated.Whole populationsbegin to age whenfertility rates declineand mortality rates atall ages improve.Successive birth cohortsmay eventually becomesmaller and smaller, asseen for North Americain 1980. If projecteddeclines in fertility andmortality throughout thehemisphere proceed asexpected, regionalpopulation agestructures will lose theirtriangular shape, andthe older portion of thepopulation will increase.

!"#!#"$! ! " #! #" $!

!"#!#"$! ! " #! #" $!

%!&'"(')'!('*+"(+)+!(+*""(")"!("**"(*)*!(**,"(,),!(,*$"($)$!($*#"(#)#!(#*"()!(*

! " #! #" $!!"#!#"$!

1980%!&

'"(')'!('*+"(+)+!(+*""(")"!("**"(*)*!(**,"(,),!(,*$"($)$!($*#"(#)#!(#*"()!(*

2025

!"#!#"$! ! " #! #" $!

%!&'"(')'!('*+"(+)+!(+*""(")"!("**"(*)*!(**,"(,),!(,*$"($)$!($*#"(#)#!(#*"()!(*

1980%!&

'"(')'!('*+"(+)+!(+*""(")"!("**"(*)*!(**,"(,),!(,*$"($)$!($*#"(#)#!(#*"()!(*

2025

!"#!#"$! ! " #! #" $!

%!&'"(')'!('*+"(+)+!(+*""(")"!("**"(*)*!(**,"(,),!(,*$"($)$!($*#"(#)#!(#*"()!(*

1980%!&

'"(')'!('*+"(+)+!(+*""(")"!("**"(*)*!(**,"(,),!(,*$"($)$!($*#"(#)#!(#*"()!(*

!"#!#"$! ! " #! #" $!

2025

South America


North America


Central America and the Caribbean

Male Female

Age

Age

Age

AgeMale Female

Age Age

PopulationAgeStructure:1980 and2025(In millions)

Millions

Sour

ce: C

ensu

s Bu

reau

Changing age distribution drives up cost by 22% per personFriday, May 14, 2010

@ekivemark

$3,000

$6,000

$9,000

$12,000

1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

Actual Health Expenditure Per CapitaProjected Health Expenditure Per Capita

Rising Health Care Costs

Source: Centers for Medicare and Medicaid Services, Office of the Actuary, National Health Statistics Group

Actual Health Expenditure as percentage of Gross Domestic Product

13.0%

14.0%

15.0%

16.0%

17.0%

18.0%

$11,907

$ 7,421

%GDP

... But this is only half the story


@ekivemark

Population

Wellness Pyramid


@ekivemark

SpendingPopulation

Wellness Pyramid

Care

Manage

Prevent


@ekivemark

Does this look like home?

Is the Patient Centered Medical Home

a misnomer?

@ekivemark


@ekivemark

Consumer Care Continuum



a misnomer?

@ekivemark


@ekivemark

Consumer Care Continuum



a misnomer?

@ekivemark

Self Managed

Am

bulatory

Inpatient


Welcome to thePrimary Care

Medical Home


@ekivemark

Consumers are still kept in the dark

Joachim @ daysoff.wordpress.com

@ekivemark

http://healthca.mpFriday, May 14, 2010

@ekivemark

HIPAA is a challenge

@ekivemark


@ekivemark

“Find the Crack”

@ekivemark


@ekivemark

Y O U

Check out http://bit.ly/fightDPS

It is up to...


http://bit.ly/fightDPS

http://bit.ly/fightDPS

“Your Medical Information

is Currency You Can Trade With”


@ekivemark

We have toempower vitality

Closing

the Loop

in a world where the Patient is the IntegratorFriday, May 14, 2010

@ekivemark@ekivemark

How Do We Trigger That Leap of Engagement?

Baldface Lodge


@ekivemark

An ultra compact Web 2.0 definition....

Web 2.0 = (Me + Youn)US


@ekivemark

Laziness

@ekivemark


@ekivemark http://healthca.mpWIFM

@ekivemark


@ekivemark http://healthca.mpCompetitiveness

@ekivemark


@ekivemark

Health 2.0 = (Me + MD10)US


@ekivemark


@ekivemark

Take advantage of the growing PHR ecosystem


@ekivemark

Technology is evolving quickly

O.D.L.

Observations of Daily Living


@ekivemark

Personalized Sensors,

Filters and Semantics

PHR ODL

API

The Future is a world of


@ekivemark

“Use simple tools to do great things”


@ekivemark

The future is mobile

@ekivemark


@ekivemark

Don’t underestimate the power of a simple text...


@ekivemark


BP 135/83-62Feeling Good


@ekivemark



Did you take your medication?

Reply Y or N


@ekivemark



Did you take your medication?

Reply Y or N

Open MobileHealth Exchange

(OMHE)


@ekivemark

Everything is becoming connected


@ekivemark

IndependentlyAging in Place

• Ingestible Sensors

• Personal Monitoring Services

• Online Care


@ekivemark

EMR

Monitors

EHR

HealthApplications

Facebook

MobileDevices

HealthApplications

HealthApplications

HealthApplications

Twitter

HealthApplications

HealthApplications

HealthApplications

Expect an explosion of solutions


@ekivemark

EMR

Monitors

EHR

HealthApplications

Facebook

MobileDevices

HealthApplications

HealthApplications

HealthApplications

Twitter

HealthApplications

HealthApplications

HealthApplications

Untethered PHRs willbe a data conduit


@ekivemark

“D keasODL swam 2 miles in 60 minutes”

“#mydiet food spaghetti pasta with sauce lunch small homemade #keas”

40404

“D keasODL 120/80 p60”

Patients are doing it for themselves


@ekivemark

Inpatient

Am

bulatory

Self Managed

Tap in to HealthSelf Management


@ekivemark

Inpatient

Am

bulatory

Self Managed

Tap in to HealthSelf Management

EHR PHR

MobileDevices

ODLs

Reminders


@ekivemark

Openness is the new tie-in

and must be bi-directionalFriday, May 14, 2010

A light at the end of the tunnel

estaesmivida.net/

• Embrace the PHR

• Engage the Patient

• Use their measurements

• Bi-directional data flowsFriday, May 14, 2010

http://healthca.mp

e: [email protected]: +1.410.998.4857 t/a/s: @ekivemark

Mark ScrimshireDirector, Internet Channel Strategy

http://www.slideshare.net/ekivemark




Health & Medicine

Connected Vitality and the Empowered Consumer