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Digital Health Disruption –Consumerization Transforms Healthcare
Dirk Lammerts, CEO myNEXTAugust 2015
Increasing Percentage of GDP is Spent on Healthcare
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$2,000
$4,000
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$10,000
$12,000
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$16,000 U.S. National Health Expenditures per Capita 1990-2022
Source: Kaiser Family Foundation, March 2013
2© 2015 myNEXT LLC
Medical Knowledge Has Evolved –In Some Areas Behavior Has Changed for the Better
U.S. trend in adult cigarette smoking
1965: 42.4%1970: 37.4%1975: 37.1%1980: 33.2%1985: 30.1%1990: 25.5%1995: 24.7%2001: 22.8%2005: 20.9%2010: 19.3%
Source: CDC: Trends in Current Cigarette Smoking Among High School Students and Adults, United States, 1965–2011
3© 2015 myNEXT LLC
In Other Areas We Have Known Better for 50 Years: The Risks of Elevated Cholesterol
Source: TIME Magazine: Medicine: The Fat of the Land, January 13, 1961
“A remarkable substance,” says Dr. Keys, "quite apart from its tendency to be deposited in the walls of arteries.”
“Readings of the number of milligrams of cholesterol in the blood, which seem to have value in predicting heart attacks, are becoming as routine as the electrocardiogram, which can show that the heart has suffered a symptomatic attack.”
1961: Dr. Ancel Keys on cholesterol
4© 2015 myNEXT LLC
But Consumers/Patients Still Ignore the Facts
Source: Pittman DG et al.: Adherence to Statins, Subsequent Healthcare Cost, and Cardiovascular Hospitalization. Am. J. Cardiology March 2011 (epub)
2011: Reality check
32%Non-adherence to statins
$4.1 billionIncrease in U.S. healthcare cost from statin non-adherence nationwide
90,000Additional CV-related hospitalizationsfrom statin non-adherence in the U.S.
1961: Dr. Ancel Keys on cholesterol
5© 2015 myNEXT LLC
Heart Attacks Often Strike Without Warning
Jerry Garcia (musician)Age 53
During stay at a drug rehabclinic in Novato, CA
Not living the healthiest lifestyle
Tim Russert (journalist)Age 58
While working in his office at NBC News in Washington, D.C.
No warning signs in cardiac stress test two months earlier
James Gandolfini (actor)Age 51
In his hotel room during a vacation in Rome, Italy
No known cardiovascular history
6© 2015 myNEXT LLC
Digital Health – A New Paradigm After Decades of Biology-Driven Innovation
1920s
Antibiotics
1950s
Vaccines
2000s
Genomics
2010s
Digital health
7© 2015 myNEXT LLC
We Need to “Digitize the Body”
Car Phone Human
400+ on-board sensors750MB/s data processedin Google self-driving car
10+ on-board sensors*4 radios
0 on-board sensorsAnnual checkup (maybe)
*: iSight camera, FaceTime camera, Touch ID, Multi-Touch display, GPS, microphone, barometer, three-axis gyro, accelerometer, proximity, ambient light
8© 2015 myNEXT LLC
… and Complement Brick-and-Mortar Solutions Through Novel Sensor, Mobile, Analytical Technologies
Clinical ECG system Polysomnography machine
AliveCor ECG LARK sleep monitor
Brick-and-mortar solution
Consumer solution
• Expensive ($000s)• Expert use only• Stand-alone•Only at institutions•Only during “opening hours”
• Affordable ($99)• Consumer & expert use• Connected & integrated• Anywhere• Any time
9© 2015 myNEXT LLC
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… and Replace Outdated Technology: Last Industry Dominated by Fax Machines & Live Communication
Source: “2012 National Physicians Survey”, Little Blue Book/Sharecare
Physician-to-physician Physician-to-patient
10© 2015 myNEXT LLC
… and Bridge the Divide Between Consumers/Patients and Healthcare Systems
Physicians can’t monitor or manage patients at home• Physicians don’t have access to
patients’ data outside the hospital• Physicians don’t have efficient or
effective mechanisms to influence their patients at home
Consumers can’t play an active role in their health• Patients don’t have access to their
own medical data• Patients don’t have access to
devices to measure relevant data (with exception of glucose, BP)• Patients don’t have the knowledge
to choose the right level of medical specialization• Patients don’t have the tools to
transact healthcare services like for food, travel, or financial services
11© 2015 myNEXT LLC
Ice factory in town(put ice harvestersout of business)
Disruptive Innovation Consumerizes Industries –The Same is Happening in Healthcare Now
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Ice 1.0(1805)
Ice 2.0(1868)
Ice 3.0(1913)
Ice harvesting(winter months only –and you need a lake)
Refrigerator at home(put the ice factoryout of business)
Concept credit: Guy Kawasaki
© 2015 myNEXT LLC
Wireless BP monitor
Posture/back health device
Consumer Wearables & Devices Digitize the Body
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Glucose sensing contact lens
Personal ECG monitor
Smartwatch with HR sensor
Biometric sensor platform
Activity/sleep tracker
Continuous glucose monitor
Asthma inhaler monitor
Respiratory monitor & coach
Hydration sensor
© 2015 myNEXT LLC
Innovative Tools & Marketplaces Make Healthcare Directly Accessible for Consumers
14© 2015 myNEXT LLC
Even Medical Research Gets Consumerized
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• “Taking research out of the lab and into the real world”• Apple ResearchKit launched in March 2015 to recruit
iPhone users for medical research• Initial lineup of five apps (cardiovascular, diabetes,
Parkinson’s, asthma, breast cancer)• Stanford University researchers recruited 11,000
participants for their “MyHeart Counts” cardiovascular study within 24 hours – this would traditionally have taken 1 year and 50 medical centers
ResearchKit
© 2015 myNEXT LLC
A Vision for a Digital Future of Health
The Digitized BodyWhen every organ has an IP address and data is instantaneously sent to and processed in the cloud
Data AnalyticsWhen algorithms provide insights and guidance for maintaining and improving health and wellness
Consumerization of HealthcareWhen tools & information to manage their own health become accessible and affordable for consumersMarketplaces for HealthWhen a marketplace economy in healthcare empowers consumers to transact their own health
Effortless and meaningful engagementWhen technology disappears, our environment becomes intelligent, and push notifications alert us as needed
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© 2015 myNEXT LLC
Dirk LammertsCEO [email protected]@dlammerts
