mHealth: The Force Awakens
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Connected Health 2015 Conference keynote speech by Thomas Loarie, June 18. 2015, Mission Valley Hilton, San Diego, CA
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mHealth: The Force Awakens
- 1. mHealth The Force Awakens . Connected Healthcare Conference 2015 San Diego June 2015 Thomas M. Loarie, Executive Chairman
- 2. 1. My Path to Connected Health 2. Structural Change/Disruption 3. Learnings 4. Opportunities 5. What More Can You Do 2 6/29/2015 Road Map
- 3. 3 6/29/2015
- 4. 4 6/29/2015
- 5. 5 6/29/2015
- 6. 6 6/29/2015
- 7. 7 6/29/2015 DdGlobal Demographic Shift
- 8. 8 6/29/2015
- 9. Emerging Delivery Models 9 6/29/2015
- 10. 10 6/29/2015
- 11. Walgreens Goes Global 11 6/29/2015
- 12. High Value Accrues to Wellness & <Admissions 12 6/29/2015
- 13. 13 6/29/2015
- 14. • The Holy Grail – Behavior Change • Generating Evidence Not Hype • Data Alert Fatigue • Usability • Workflow 14 6/29/2015 Essentials
- 15. 15 6/29/2015
- 18. 18 6/29/2015
Editor's Notes
- Notes on card I am a member of Kaiser. Patient engagement emails, lab results, appointments digital doctor by Robert Wachter, chief of medical service, and chief of hospital medicine at UC SF Shifts underway acute to preventative specialist to self-care Hospital to lower-cost settings intuitive approaches to precision-based personalized medicine specialized silos to centralized knowledge centers
- Brought cutting edge technology to health care with the wave of engineers who were downsized in the early 1970s due to reductions in defense and aerospace. Laser cryo- materials automation
- Index card 40 years in devices and diagnostics and combination products worked with specialists to increase revenues which increased hospital revenues to improve health and save lives working today with doctors on the front lines to keep patients out of the hospital, reducing revenues to specialists and the hospital to improve health and save lives Pioneering Products I was involved in. Including: Red Dot – first personalized hearing aid FIRST WEARABLE Yellow Dot – left ventricular assist (successor to the artificial heart) Green Dot – first corneal implant for vision correction
- Seamless conductivity 95% compliance with 7 controlled studies symptoms reported alerts analytics
- Index card mobile is the exponential catalyst across all domains democratization of information creativity and information is bottoms up not top-down first we provided easy access to information (Google), now we are providing easy access to people all around the world increases probability of more frequent black swansMobile has been a catalyst for change across all industries. The democratization of information leading to crowdsourcing, crowdfunding allowing entrepreneurs world wide to build new legacies with on-line communities.
- Fewer than 20% of the world’s nations are experiencing growing population rates. The elderly population is ballooning in most every developed nation – higher pension, health care, and related costs. Experts believe that the world’s population will continue growing in the decades ahead, then stagnate and drop. (Global Warming is no longer an issue!) By 2030 Asia will have 50% of world’s elderly Asia will have 50% of noncomunnicable diseases – cancer, diabetes Extremely poor sub-Saharan African States have the highest birthrates
- 15% account for 50% of Medicare spent 66% of Medicare recipients have multiple conditions 27% have diabetes 2010 – just 10,000 people were responsible for 1 billion in medical treatment boomers are in much worse shape than their predecessors
- Major Access portal for health care 78% are within 3 miles of Walgreens XipDX Convenience and lower costs / Deductibles The decentralizatoin of Healthcare Concierge Medicine – One Medical Flu shots, shingle shots, now primary care clinics. CVS health – stopped selling cigarettes Target collaboration with Kaiser. Different metrics. Offers a wide range of medical services Lab testing School physicals Chronic condition management 70% of americans live within 3 miles of a drug store. Source: Novartis
- Implications best practices Global best practices connected health products both ways I am working with Chinese
- Alliance – Netherlands Boots - UK U.S. operation with 8,200 locations Global one, doing business in more than 10 countries with more than 11,000 total locations. Largest purchaser of prescription drugs in the world leverage with drug suppliers lower the costs of the hundreds of millions of prescriptions it fills annually.
- Northwestern readmissions/quality ratings my visits to CFOs – keep patients out of the hospital case managers – even if it adds labor front lines – primary care, chronic disease specialists, senior centers, retail pharmacies, the emergence of carveouts like Lovongo Hospital and ER admissions This is the battlefield
- Complex Eco-System Segmented wild West HIMMS – 1400 companies, 43,000 people who survives middleware – valid Dick and QUALCOMM
- Index card behavior three-legged stool – engagement equals autonomy, mastery plus purpose Barbara at Emad for 25 years evidence – providers will buy on evidence. Larry about implied savings alert fatigue – data deluge usability – across age, income, and education levels we are in a low income market at Einstein in Philadelphia workflow – increasing doctors load and disrupting flow – barrier to adoptionBehavior - How do you motivate the more critically ill, complex patients. The 3 legged stool Autonomy, Mastery, and Purpose eMed – 25 years working at this. Denise Parks, Distinguished Professor of Cognitive Science Evolution – globally, combining health plans and provider systems Market entry points, pain points shifting Payment revenue models Predicates Partnering
- Technology Regulations New Entrants Partnerships ACA implementation What’s getting funded