Value beyond the pill The possibilities that technology offers healthcare By Marc Southern June 2013

                         

F o c u s i n g o n t h e P r o a c t i v e m i t i g a t i o n o f d i s e a s e r i s k w i l l d r i v e r e a l h e a l t h v a l u e

Value Cost

Healthy/ low risk

At risk High risk

Chronic disease

early stage

Acute disease

Chronic disease

progression

End of life care

20% of population generate 80% of the costs

Adapted from George Poste concept

Current area of focus

V a l u e b e y o n d t h e p i l l

Healthcare companies can extend their value proposition, providing services beyond the pill

Creating solutions, not only products providing healthcare stakeholders, including patients, with more knowledge, freedom and power to improve health outcomes

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5  Novartis

t h r e e p r o m i s i n g a r e a s ‘ B e y o n d t h e p i l l ’ t h a t m a y I M P R O V E H E A L T H O U T C O M E S *

1. Quantified self –use technology to track body measurements to share knowledge, experiences, and discover resources

2. Big data – analyse very large amounts of data to detect healthcare trends that can lead to reducing risks and health improvements

3. Health apps– mobile apps online services that help people manage their disease

*Caveat –The following slides cover a few of the many interesting examples in these emerging areas of healthcare

1 . Q u a n t i f i e d s e l f , s o m e e x a m p l e s …

Activity wristbands to monitor and record physical activity. They work along side apps to demonstrate progress and motivate the individual to reach goals. e.g. Nike fuel band, Fitbit, Misfit shine, Jawbone UP

Mood tracking to monitor and record mental wellbeing. Capture mood in a variety of ways and connect with peers as a support mechanism. e.g. Moodscope & Mood Panda

Medication tracking to monitor and record when and where certain medicines are used e.g. asthma inhalers to track possible environmental triggers, or identify those not taking their medication correctly e.g. Geckocap & Vitality Glow caps

Disease/risk factor tracking to monitor and record symptoms and their change over time. e.g. Ginger.io, Podimetrics, Withings scales

My health benefit score for these technologies:  

3/5 – if tied to an overall health and wellness programme and show tangible changes in behaviour.

3/5 – increased awareness of mood and sharing this data with peers may improve prognosis.

4/5 – help understand what can cause acute conditions, and improve adherence.

4/5 – large benefit, dependent upon systems existing that can recognise changes and determine action.

2 . B i g d a t a , s o m e e x a m p l e s …

Recording vital signs/tracking symptoms - analysing large data sets to identify patterns / trends and attempt to solve health problems. e.g. everyheartbeat.org, patientslikeme, Curetogether, UCB & IBM in Epilepsy

Open health data - anonymised paper free health records to be used alongside observational health data speed up research into disease and new interventions. e.g. HSCIC & Consent to Research

Disease forecasting – using social media to identify outbreaks of disease in your region, including forecasting various conditions. e.g. Sickweather,Healthmap, Google Flu trends

Genomic databases – Merging genomic datasets together to enable new treatment discoveries. e.g. NextBio, DIYGenomics

My health benefit score for these technologies:  4/5 – assuming all related data sets are made available ethically and in the correct format.

2/5 – relies upon social media reports of sickness. Has potential, but not robust enough to be used as a credible forecasting tool yet, without the full signal we will make assumptions see Google flu trends article in Nature.

4/5 – ability to combine numerous datasets to uncover links between data otherwise unseen.

5/5 – potential to significantly improve healthcare if they are combined with other datasets.

3 . M o b i l e a p p s , s o m e e x a m p l e s …

Patient education apps to allow healthcare professionals to interact with patients even highlighting and annotating educational materials for the patient. e.g. Wristrepair, Knee Decide, Shoulder Decide, drawMD

App prescription systems to electronically prescribe medicine/ health and fitness apps to patients. e.g. Happitque, WellDoc, NHS Health Apps Library

Symptom trackers to easily record symptoms and keep a diary so they can be shared with healthcare professionals and other patients like them. e.g. T2 Mood Tracker, Diabetes UK tracker, uMotif

Ongoing disease management to provide tools, guides that provide ongoing support of a disease and to encourage a healthy lifestyle e.g. Go meals, HemaGo, Toilet finder, Pain coach

My health benefit score for these technologies:  4/5 – if it can improve the understanding and management of diseases.

3/5 – requires further validation, but could be powerful as it empowers the patient.

3/5 – can help better understand disease and ultimately generate useful real world data.

4/5 – massive benefits for people with chronic disease looking for support, knowledge from peers and experts.

Google+: John Butterill's Virtual Photo Walks Taking people with disability/ mobility issues into the world through “video walks” using Google hangouts

I t ’ s n o t o n l y a b o u t t h e t e c h n o l o g y i t s a b o u t t h e b e n e f i t s i t c a n h a v e o n p e o p l e

Video on next slide

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C h a n g i n g t h e r u l e s i n t h e h e a l t h c a r e i n d u s t r y

Companies are getting more involved in shaping the nature of the health sector. They will be focused on delivering better health outcomes in a broader way that encompasses products and services beyond the pill. The new winners will be the companies that manage to position themselves as valuable partners, open to collaboration. In every industry, success flows from the ability to adapt to (or reshape) industry architecture and your role within it.

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