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Keynote presentation, Cardiac Surgery Specialists, Bon Secours Richmond Health System. October 25, 2013.
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Hugo Campos @hugooc
!!!!!
Bon Secours October 25, 2013
The ePatient
“
”Adrian Gropper, MD Health Informatics Entrepreneur, Developer and Consultant
Implants are the most personal of personal devices. They should answer first to us, then to our doctors and finally, maybe, to a particular vendor in the cloud. Right now that sequence is reversed.
Syncope
Hypertrophic Cardiomyopathy
HCM
Normal
1:500
Sudden Cardiac Arrest kills 350,000 people
each year.
Source: Heart Rhythm Society
Cuser JP, Connelly DT. Implantable defibrillators for life threatening ventricular arrhythmias. Are more effective than antiarrhythmic drugs in selected high risk patients [editorial]. BMJ 1998;317:762–3.
ICD
Data is not made available to the patient who
originates it.
Clinic Manufacturer
REPORTS
Patient
DATA
Doctor Experience
Patient Experience
Industry:“It does not fit our business
model.”
Data is too complex
Generate anxiety
Overwhelm clinics with calls
Cut doctors out of the care circle
empowered equipped engaged enabled
ePatients
Patients have to engage in the co-production
of health intelligence.
Activity
$99
Blood Pressure
$129
Weight
$159
Sleep Quality
$149
free
$30,000
No data.
AliveCorECG Heart Monitor
• HR Variability • Arrhythmia logs • Device integrity
• Sleep patterns • Exercise • Nutrition • Mood
•Post-market • surveillance
Whose data is it?
“As a patient myself, I view the data on me as my data.” — Dr. Jeff Shuren, CDRH
Accenture Survey
Believe patients should have full access to their EHR
Believe patients should have limited access to their EHR
Believe patients should have no access to their EHR
65% 4%31%
Only a third of U.S. doctors think patients should have full access to their electronic health records. These findings were consistent among 3,700 doctors surveyed by Accenture in eight countries: Australia, Canada, England, France, Germany, Singapore, Spain and the United States.
Patient Portals
• Thank you • @hugooc