Putting the Power in the Patient’s Hands:

Digital Health Trends

Diane Brodalski

@DanyaIntl

Topics

• Shift in healthcare trends

– Patients taking their healthcare into their own hands

• Increased amount of online information

• Social Networks

• Technology

Empowered patient

“The concept of the patient taking an active role in his own disease

management, and supporting that participation by learning all he can

about his disease or condition and treatment options.”

“Taking health care into their own hands by leveraging new

technologies, devices to access anytime anywhere health information.”

Shift in healthcare trends

Patient power

• Empowered patients are:– Responsible – seek knowledge for better treatment

decisions

– Collaborative – are active participants with their healthcare team

– Resourceful – gather evidence, symptoms and family history

– Smart consumers

– Understand & support patient advocacy

Learn from those who came before you and help those who come after you for better medical outcomes.

Team connections

How did we get here?

• Growth of online health information

– WebMD

• Found in 1996

• Leading health portal in the US

• Average of 156 million unique visitors per month

– The introduction of many more health sites – Mayo

Clinic, National Institutes of Health, Yahoo Health,

Everyday Health

• One in three American adults have gone online

to figure out a medical condition

Source: Pew Research Internet and American Life Project

How did we get here?

Growth of online health information

• “Online diagnosers” are

– Mostly women

– Younger adults

– White

– From households of < $75K

– College or advanced degrees

– 39% are looking for information on someone else’s

condition.

How did we get here?

Source: Pew Research Internet and American Life Project

Growth of online health information

How did we get here?

• Growth and acceptance of social networks that

create a sharing environment

• Shift in behavior

– People have become more accustomed to sharing

personal information

• Consumers have become more active in health-

data sharing platforms like PatientsLikeMe.

How did we get here?

• 250,000+ members

• 2,000+ conditions

• 50+ published research

studies

• 22 million data points about

disease

• PatientsLikeMe health data sharing platform

How did we get here?

• Technology

– Information flow

– Speed

– Access

– Devices

Trends defining the future

• Continued access to information

• Engaged patients

• Technology and innovation

ACCESS TO INFORMATION

Trends

Access to information

“Over the span of a few years, patients have come to have

access to more medical information on their smartphones

that late twentieth-century Surgeons General had available

to them from all their health information resources.”

• Consumers are constantly connected

– Half of smartphone owners have used their phone to look up

health information

Source: A Model for the Future of Healthcare

Source: Pew Research Internet and American Life Project

ENGAGED PATIENTS

Trends

Engaged patients

• Transition from mere passengers to responsible

drivers of their health

Engaged patients

• Access and utilization of health apps

– Exercise

– Nutrition

– Monitoring of chronic conditions

– Assist with smoking cessation

• Success:

– MyFitness Pal users lost 100 million pounds

• Counts calories, track progress and get support

– RunKeeper’s users have moved 783.3 million miles

There are now over 40,000 Health Apps available

Source: Forrester Research

Engaged patients

• Participation in wellness programs

– Available to 55 million American workers

– Utilize techniques like gamification, social sharing and

digital coaching

Engaged patients

Source: 2013 Alfac Workforces Report

Wellness Program Components

TECHNOLOGY AND

INNOVATION

Trends

Technology and Innovation

• Electronic Medical Records

– Patients have access to records

– Physicians share educational information

– Increased use of patient portals

• Adoption is slow

• Lack of promotion to patients

• Low use for follow-ups

Technology and Innovation

Wellness platforms for patients

– Patients can self-manage their health and wellness

once they leave the office

– Tools to improve the doctor patient relationship

EducatePoint-of-care education

CollaborateSharing of patient friendly care plans

MotivatePersonal health coaching

Technology and Innovation

Preferred Wearable Device Locations

69 percent of physicians think patients should use tech to assist in diagnosis.Source: WebMD survey

Technology and Innovation

• Wearable Technology– Provide tracking and insight for:

• Activity – how far, how intense, how many calories

(Nike Plus, FuelBand)

• Sleep – duration and quality of sleep

(Fitbit, Jawbone and Basis)

• Heart rate – detect heart patterns

(Basis Band)

• Nutrition – tracking calories and activity

(Fitbit Flex)

• Coaching – Changing behavior via online coaching

(Jawbone Up24)

Technology and Innovation

• Wearable Technology

– Beyond simple fitness

• Baby monitoring - Sproutling

– Alerts when child stops breathing

– Track baby’s heart rate, ambient light level

baby’s temperature

– Information accessed on phone

Technology and Innovation

• Wearable Technology

– Beyond simple fitness

• Posture correction

Technology and Innovation

• Wearable Technology

– Beyond simple fitness

• Concussion Detection - ShockBox

– Sensor detects player hit counts and head

impacts that could result in a concussion

– Immediate wireless transmission sent to

Smartphone

– Designed for football, lacrosse, hockey and

snow sports

Challenges to Address

• Removal of social stigma

– Geekiness factor

• Lack of actionable context

– “I took 7500 steps today, so what?”

• Usage vs interest

– 5% of US online consumer use a wearable device for

daily tracking, 25% express interest at the right price.”Source: Forrester North American Technographics Consumer Technology Survey

Partnership and integration efforts

• Key players: corporations, insurers and wellness providers

• Need to address chronic disease, have a more productive workforce and lower healthcare costs

• Fitlinxx enterprise solution– Incorporation of

• Fitness wearable

• Health monitoring devices (blood pressure monitors, bathroom scale and employee kiosks)

• Software and services

• Partner branding/white labeling

Big data

• Can information gathered from wearables

transform medical care?

– How to adapt consumer gadgets for clinical use

• Concerns about reliability

• Technical hurdles of collecting and analyzing data

• Privacy concerns

– Reluctance is lessening:

• Consumers are willing to share personal health

care data if there are obvious benefits –

improvement in care or treatment options or if

helps researchers understand a disease.

Source: Makovsky Health/Kelton Survey

Major players

• Philips– eCare Coordinator – Continuum of care solutions

– 510(k) FDA clearance

– Created in collaboration with Salesforce

– For clinicians: Better access and analysis of patient data

– For patients: Direct access to care team

• Apple HealthKit– Designed to work with electronic health records

– Integration with Epic, Cerner, and Athenahealth

• Unite medical records with day-to-day health data.

What to expect

• Increased adoption of electronic options

• Care anywhere model

• More online processes:

– Routine follow up

– Medication refills

– Blood pressure review

• Less office visits – only needed when a hands-

on examination is required

• Web-based secured messaging, email, video

conferencing,

What to expect

• Sharing of research findings discovered through

online research and interactions with other

patients and patient groups

• Interactive physician practice websites

Results

• More cost effective

• More patient centered

• More convenient

• Lower barriers to care

• Don’t forget Fido!

– GPS trackers

– Petcams

– Activity

Thank you!

Diane Brodalski Danya International

danya.com

dbrodalski@danya.com

@djdowski@DanyaIntl

Facebook.com/DanyaInternational

Linkedin.com/company/Danya-International