Connected Care and the Patient ExperienceOACCAC

Nick van Terheyden, MD @drnic1Chief Medical Officer, Dell HCLS

Nick van Terheyden, MD CMO, Dell Health and Life SciencesTwitter http://twitter.com/drnic1LinkedIn http://www.linkedin.com/in/nickvtBlog http://drnick.vanterheyden.com/FaceBook http://www.facebook.com/drnic1E-Mail DrNick@dell.com, drnic1@gmail.comAboutMe http://about.me/obiwanGoogle Voice (301) 355-0877

Where you can find me

Medical Errors 3rd Leading Cause of Death

Consumer Statistics

387 Million globally live with diabetes10 million live with Parkinson's14 Million new cancer cases added each year17 Million people will die annually from heart disease

Ageing is the Seminal Issue of Our Time

By 2050• 40% of people will

be over 60• More people over

60 than under 14

In the United States• 10,000 Baby Boomers

turn 65 every day• All Baby Boomers will

be 65+• 8 Million will be over

80

2009 Continua Health Alliance Brigitte Piniewski, MD

0 25 65AgeIll

ness

Pre-

Illne

ss

Wel

lnes

s

Unpredictable HealthPredictable (Rules-based) Health Deat

h

60-80% Lifestyle

Modifiable Health

Graphic Source: ClinicalTrials.gov, accessed June 6, 2014 at http://clinicaltrials.gov/ct2/resources/trends

Complexity of Modern Medicine

“The complexity of modern medicine

exceeds the inherent limitations of the

unaided human mind” – David Eddy, 1990

8

Fact

s pe

r Dec

isio

n1000

10

100

5

Clinical decision-making is becoming more complicated.

2000 20101990 2020

Structural Genetics: e.g. SNPs, haplotypes

Functional Genetics: Gene expression

profiles

Proteomics and othereffector molecules

Decisions by Clinical Phenotype

William W. Stead, M.D., 2007 AMIA Panel Presentation, “Why We Need Internal Development”, November 11, 2007

How can we expect health care professionals

to review 6 billion pieces of data in a 15 minute encounter?

• Kilo• Mega• Giga• Tera• Peta• Exa• Zetta• The Data Deluge Makes the

Scientific Method Obsolete

The Data Deluge

Source: Qmee July 2014, http://blog.qmee.com/online-in-60-seconds-infographic-a-year-later/

Every minute of every day…

TeleHealth and TeleMedicine

The Continuum of Telehealth

• Home Monitoring• Advanced Monitoring• Advanced Monitoring Equipment• HealthSpot• Sensing Depression and Brain Injury• Intelligent Assistants and Virtual Interactions• RoboDoc/Nurse

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Even Assisted Telehealth Intervention

Wearable's and Internet of Things

Wearable's and Internet of Things will surpass smartphones and personal computers by 2018

Internet of Things

Tablets

SmartphonePersonal Computers

The Quantified SelfMeet Chris Dancy and His 10 devices he wears or carries and 13 more in his home and car

Quantified Self

• Ubiquitous, low cost, always on sensors• Seamless tracking with minimal friction and requiring no behavior change• Generates interactive easy to understand data and influences behavior• What Can you Track

– Activity and Weight– Sleep, Mood– Cardiac including Heart Rate, Blood Pressure and EKG– Bloods including Glucose– DNA and Your MicroBiome

• Incentives

Smartphone Driving Biggest Heart Health Study

http://singularityhub.com/2013/04/03/a-million-smartphones-will-drive-biggest-heart-health-study-in-history

Connected Medical Kit, CliniCloud

Playing doctor at home

Robotics and Automation

RP-VITA robots, iRobot Corp

Robotics

Robotics

Genomics and Precision Medicine

25

Genomics, Sequencing and Data• Took $3 Billion and 10 years to sequence

one genome• Sequence in days even hours and for

<$1,000• Explosion of data just to sequence the

genome– Plans to sequence 14M new cancer patients

every year which would generate 5.6 Exabytes of information.

• But there’s even more data in -omics

Global bioinformatics market to reach $13B by 2020

21% CAGR1

>5.6 Exabytesto sequence 14M new cancer patients

worldwide per year2

Sources:1. Allied Market Research, Global Bioinformatics Market, 2013-20202. http://www.cancerresearchuk.org/cancer-info/cancerstats/world/incidence/3. http://www.technologyreview.com/news/531091/emtech-illumina-says-228000-human-genomes-will-

be-sequenced-this-year/

228,000 whole human genomes sequenced in 20141.6M by 20173

• High Level Trends– Data, data and more Data

Topics

Genomics and Preventative Care

• Washington University CardioGene Set

• Panel includes genes linked to 8 cardiac disorders including arrhythmias & cardiomyopathies

• Young Athletes and SCD

http://outlook.wustl.edu/2014/apr/gene-testing

Genapsys

DNA electronics

The era of Personal genome analyzers

Hi Tech Medicine

Patient Engagement is the blockbuster drug of the century

Leonard KishPrincipal and Co-Founder at VivaPhi

31

Accelerating Pace of Change

• Fear of the New• Agricultural Revolution – 8000 years• Industrial Revolution – 120 Years• Moon Landing – 22 years• Genome Sequencing – 10 Years

Connected Care and the Patient ExperienceOACCAC

Nick van Terheyden, MD @drnic1Chief Medical Officer, Dell HCLS

Nick van Terheyden, MD CMO, Dell Health and Life SciencesAboutMe http://about.me/obiwanTwitter http://twitter.com/drnic1LinkedIn http://www.linkedin.com/in/nickvtBlog http://drnick.vanterheyden.com/FaceBook http://profile.to/drnickE-Mail DrNick@dell.com, drnic1@gmail.comGoogle Voice (301) 355-0877

Questions

Do more. Healthcare.

Are you ready to…Do more of what’s possible,Do more of what matters,Do more of what brings success?