Impact van Zorg 2.0 op                         onze samenleving                                    Frank Boermeester      ...
Digital Health               &          Health 2.0Impact of digital technologies on healthcare?
Frank     Bart     Leo@fboermeester @bart    @leoexter
What is Digital Health / Health 2.0?8 converging elements:– Wireless Sensors and Devices– Genomics (A, C, G, T = digital)–...
eHealth versus Digital Health / Health2.0?1. Heavy duty ERP & EHR vs light consumer   technologies (web & mobile) and web ...
Intense & focused programme                 1   theme                     high-potential                 7                ...
I    Brussels BE – Supply chain & AdminII    Antwerp BE – At-home careIII   Nijmegen NL – Big DataIV    London UK – Health...
Coming up:Heidelberg/Warsaw/Tallinn/Berlin
First, consider this...
(Whites Only) Class of ‘86, Kloof High School
This is how wecommunicated
For information we relied on each other orthis...
... it led to this wonderful story.
...but also probably prolonged Apartheid
Instant worldwide communication
Instant answers
Always on
Access to everything there is in the world
Instant decision support
Always with me
It is amazing!
But does it apply to healthcare?   Instant communication   Instant answers   Always on   Access to everything   Instant de...
No. In some way’s we’re still in 1985
Why the resistance?   Reimbursement models   Liability legislation   Legacy investments   Cultural – healthcare shouldn’t ...
Will the healthcare system cross its Rubicon?
Fortunately something is brewing
DigitalHealth isHOT !The startupfactorieshavearrived
In just two years, 15+ health startup accelerators &incubators were established...& 9 major digital health conferences& nu...
But will it help?
Because the reality is, the future of healthcare is notlooking so good...•Staffing shortages•Budgetting crises•R&D becomin...
What will be the impact of digital health?•On quality & outcomes?•On productivity & cost-efficiency?•On access to healthca...
Change begins with imagining a better future
A Digital Health ManifestoThe future of healthcare, possible today
A digital health manifesto1. I want access to a transparent   market for healthcare services,   based on cost, outcomes an...
Which hospital?           Ask your GP...           Ratings on ***** scale:           •Outcome:           •Quality:        ...
Which GP?Ask your pharmacist...
Compareratings & pickyourappointment
Ask aquestion,check outreputations,then book
From symptom toclinician
One towatch...$100 millionD roundfunding
Why it matters.
A digital health manifesto2. I want access to remote/mobile   health services   - Avoid travel & waiting rooms   - ‘Always...
Patient adjective. bearing provocation,annoyance, misfortune, delay, hardship, pain,etc., with fortitude and calm and with...
One to watch..Patient-Doctorcollaborationplatform & EHR
Instantconsult
What’s thatrash?
Otoscopeadd-on forsmartphone
Eye examadd-on forsmartphone
DiabetestelemonitoringAll-in-One:-insulan pump-activity monitor-glucose monitor-diet monitoring-secure communication
Telemonitoringpackages for:HypertensionChronic heart failureDiabetesObesityCOPDAsthma
On thecouch
A digital health manifesto3. I want access to (and I want my   clinician to have access to)   updated/complete medical   r...
This is troublingIn the age of DROPBOX....My (family’s) medical records are scattered at numerousinstitutions and clinicia...
But this is an OUTRAGEIn the age of Google, where the world’s information should beuniversally and instantly available...T...
And here’s another OUTRAGEIn an age where “zero tolerance for error” is possible (as innuclear power stations, airliners, ...
EHR in the cloud
Free EHR inthe cloud
EHR goingmobile
CollaborativeEHR
Big Data &Analytics.Makingsense of itall
Finding information outside theJournals pipeline
The story ofe-Patient Dave2007 diagnosed stage IV renalcancer, 24 weeks to liveVia his kidney patient communityhe found in...
Ask your patientcommunity what works...
Somethingfor everycondition
Doctors havecommunities too
Medical Search – publishers fightingback
Using information to makedecisions and control quality
I don’t trust opinion –I expect data-driven decisions
Show mehow
A digital health manifesto4. Empower me with technology to   take control over my health   - Doctor, take this seriously
Genomics   “Cheap genotyping...
...& real-time sequencing”                  Oxford Nanopore developed                  a disposable DNA                  s...
Heart rhythm,activity & sleepis covered…
The race for‘invisible’ &‘always on’
Going beyond heart rate &activity monitoring
Battle for the Starfleet ‘Tricorder’ (X-Prize)SCANADUHeart rateBlood pressureSaliva testing(Strep throat, etc)Urine testin...
The Vault
Records &communities
Digital coaching&wellness/fitnessprograms
Chronicillness self-management
A digital health manifesto5. All my anonymous health data   available to researchers
I’ve experienced thousands ofsymptoms, been diagnosedwith numerous medicalconditions, taken hundreds ofmedications, underg...
Portablelegal consent& the healthdatacommons
Releasingmobile data
Every heartbeat
Let’s look at the Belgian context...
A digital health manifesto1. I want access to a transparent   market for healthcare services,   based on cost, outcomes an...
BarriersCultural barrier? (is competition in  healthcare acceptable?)The data is out there, simply needs to  be made avail...
A digital health manifesto2. I want access to remote/mobile   health services   - Avoid travel & waiting rooms   - ‘Always...
BarriersBarriers:• Reimbursement models• Professional liabilityDriver:• International competition?
A digital health manifesto3. I want access to (and I want my   clinician to have access to)   updated/complete medical   r...
BarriersMedical records: a matter of timePersonal records: cultural? (driver will  be communities, collaborative  EHR, or ...
A digital health manifesto4. Empower me with technology to   take control over my health   - Doctor, take this seriously
BarriersCultural?Drivers will be networks effects and   development of Apple-like   products
A digital health manifesto5. All my anonymous health data   available to researchers
BarriersResearch benefit is too indirect…  hence informed consent needs to  be integrated in clinical process
Bringing it all together...Use your imagination…At birth – genome, PHR, tailored lifestyle    programs kick inAdult – cont...
So what?Consumers/patients - Start today
So what?Clinicians – don’t resist, use the   technologies to improve   care/service, differentiate
So what?Hospitals – differentiate on data and  accessibility
So what?Policy/government – enable new  business models by adapting  reimbursement & liability  legislation; and set commo...
So what?Entrepreneurs – there’s a huge  ecosystem out there, keen on  supporting you
Further reading
Thanks! Email frank@healthstartup.eu Twitter @fboermeester
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20130226 impact van zorg 2 0 op onze samenleving

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20130226 impact van zorg 2 0 op onze samenleving

  1. 1. Impact van Zorg 2.0 op onze samenleving Frank Boermeester MIConnect - 12 november 2013 – MIC KortrijkContacteer ons!Mail: info@micvlaanderen.be Etienne Sabbelaan 51, 8500 KortrijkTwitter: @MICVlaanderen Jaarbeurslaan 25, 3600 GenkLinkedIn group: Microsoft Innovation Center - VlaanderenNewsletter: http://www.micvlaanderen.be
  2. 2. Digital Health & Health 2.0Impact of digital technologies on healthcare?
  3. 3. Frank Bart Leo@fboermeester @bart @leoexter
  4. 4. What is Digital Health / Health 2.0?8 converging elements:– Wireless Sensors and Devices– Genomics (A, C, G, T = digital)– Social Networking– Mobile Connectivity and Bandwidth– Imaging– Health Information Systems– The Internet– Computing Power and the Data Universe
  5. 5. eHealth versus Digital Health / Health2.0?1. Heavy duty ERP & EHR vs light consumer technologies (web & mobile) and web 2.0 services (social networks)2. Technology & data for providers versus technology & data for consumers-patients as active participants in care3. Automating existing healthcare processes versus disrupting healthcare models4. Large technology companies vs lean startups
  6. 6. Intense & focused programme 1 theme high-potential 7 startups 70 hand-picked investors & decision makers
  7. 7. I Brussels BE – Supply chain & AdminII Antwerp BE – At-home careIII Nijmegen NL – Big DataIV London UK – Health data integration
  8. 8. Coming up:Heidelberg/Warsaw/Tallinn/Berlin
  9. 9. First, consider this...
  10. 10. (Whites Only) Class of ‘86, Kloof High School
  11. 11. This is how wecommunicated
  12. 12. For information we relied on each other orthis...
  13. 13. ... it led to this wonderful story.
  14. 14. ...but also probably prolonged Apartheid
  15. 15. Instant worldwide communication
  16. 16. Instant answers
  17. 17. Always on
  18. 18. Access to everything there is in the world
  19. 19. Instant decision support
  20. 20. Always with me
  21. 21. It is amazing!
  22. 22. But does it apply to healthcare? Instant communication Instant answers Always on Access to everything Instant decision support Always with me
  23. 23. No. In some way’s we’re still in 1985
  24. 24. Why the resistance? Reimbursement models Liability legislation Legacy investments Cultural – healthcare shouldn’t be commercial Cultural/vested interests – doctors don’t want to lose control/authority (and patients aren’t assertive)
  25. 25. Will the healthcare system cross its Rubicon?
  26. 26. Fortunately something is brewing
  27. 27. DigitalHealth isHOT !The startupfactorieshavearrived
  28. 28. In just two years, 15+ health startup accelerators &incubators were established...& 9 major digital health conferences& numerous hackathons, competitions and investormatchmaking events http://healthstartup.eu/the-ultimate-health- startup-resources-guide/Spawning hundreds of new devices and appstouching all aspects of healthcare
  29. 29. But will it help?
  30. 30. Because the reality is, the future of healthcare is notlooking so good...•Staffing shortages•Budgetting crises•R&D becoming more costly
  31. 31. What will be the impact of digital health?•On quality & outcomes?•On productivity & cost-efficiency?•On access to healthcare?
  32. 32. Change begins with imagining a better future
  33. 33. A Digital Health ManifestoThe future of healthcare, possible today
  34. 34. A digital health manifesto1. I want access to a transparent market for healthcare services, based on cost, outcomes and reputations - I have a right to choose the best (and know who the best are)
  35. 35. Which hospital? Ask your GP... Ratings on ***** scale: •Outcome: •Quality: •Price: •Experience:
  36. 36. Which GP?Ask your pharmacist...
  37. 37. Compareratings & pickyourappointment
  38. 38. Ask aquestion,check outreputations,then book
  39. 39. From symptom toclinician
  40. 40. One towatch...$100 millionD roundfunding
  41. 41. Why it matters.
  42. 42. A digital health manifesto2. I want access to remote/mobile health services - Avoid travel & waiting rooms - ‘Always on’ monitoring (the doctor calls you)
  43. 43. Patient adjective. bearing provocation,annoyance, misfortune, delay, hardship, pain,etc., with fortitude and calm and withoutcomplaint, anger, or the like.
  44. 44. One to watch..Patient-Doctorcollaborationplatform & EHR
  45. 45. Instantconsult
  46. 46. What’s thatrash?
  47. 47. Otoscopeadd-on forsmartphone
  48. 48. Eye examadd-on forsmartphone
  49. 49. DiabetestelemonitoringAll-in-One:-insulan pump-activity monitor-glucose monitor-diet monitoring-secure communication
  50. 50. Telemonitoringpackages for:HypertensionChronic heart failureDiabetesObesityCOPDAsthma
  51. 51. On thecouch
  52. 52. A digital health manifesto3. I want access to (and I want my clinician to have access to) updated/complete medical records, medical knowledge & decision support tools
  53. 53. This is troublingIn the age of DROPBOX....My (family’s) medical records are scattered at numerousinstitutions and clinicians in Belgium, South Africa, New Zealandand the U.K.My new GP has no data. I have no data (except Kind & Gezinbooklets buried deep in a drawer)
  54. 54. But this is an OUTRAGEIn the age of Google, where the world’s information should beuniversally and instantly available...The world’s scientific community produces 1,5 new articles ayear. These are published by a small number of publishingcompanies, in journals which cost universities up to€20,000/yearLong peer review process, causes delay of 2-5 years beforepublication of resultsSmall wonder:13,300 researchers have signed up to a boycott of ElsevierUK Welcome Trust & Bill & Melinda Gates Foundation wantresearch results to be freely available within 6 months
  55. 55. And here’s another OUTRAGEIn an age where “zero tolerance for error” is possible (as innuclear power stations, airliners, etc) using decision supportsystems and quality control systems...Death due to medical error is a top ten cause of death
  56. 56. EHR in the cloud
  57. 57. Free EHR inthe cloud
  58. 58. EHR goingmobile
  59. 59. CollaborativeEHR
  60. 60. Big Data &Analytics.Makingsense of itall
  61. 61. Finding information outside theJournals pipeline
  62. 62. The story ofe-Patient Dave2007 diagnosed stage IV renalcancer, 24 weeks to liveVia his kidney patient communityhe found information outside the‘clinical information pipeline’ abouta promising experimental drugTook part in clinical trial,successful treatment..Today he’s a patient engagementadvocate
  63. 63. Ask your patientcommunity what works...
  64. 64. Somethingfor everycondition
  65. 65. Doctors havecommunities too
  66. 66. Medical Search – publishers fightingback
  67. 67. Using information to makedecisions and control quality
  68. 68. I don’t trust opinion –I expect data-driven decisions
  69. 69. Show mehow
  70. 70. A digital health manifesto4. Empower me with technology to take control over my health - Doctor, take this seriously
  71. 71. Genomics “Cheap genotyping...
  72. 72. ...& real-time sequencing” Oxford Nanopore developed a disposable DNA sequencing device the size of a USB memory stick whose low cost, portability and ease of use are designed to make DNA sequencing universally accessible. A single MinION is expected to retail at less than $900
  73. 73. Heart rhythm,activity & sleepis covered…
  74. 74. The race for‘invisible’ &‘always on’
  75. 75. Going beyond heart rate &activity monitoring
  76. 76. Battle for the Starfleet ‘Tricorder’ (X-Prize)SCANADUHeart rateBlood pressureSaliva testing(Strep throat, etc)Urine testing(pregnancy,dehydration, etc)
  77. 77. The Vault
  78. 78. Records &communities
  79. 79. Digital coaching&wellness/fitnessprograms
  80. 80. Chronicillness self-management
  81. 81. A digital health manifesto5. All my anonymous health data available to researchers
  82. 82. I’ve experienced thousands ofsymptoms, been diagnosedwith numerous medicalconditions, taken hundreds ofmedications, undergone manyscans and had many manyblood tests...Yet, I haven’t contributed onebit of data to medical research
  83. 83. Portablelegal consent& the healthdatacommons
  84. 84. Releasingmobile data
  85. 85. Every heartbeat
  86. 86. Let’s look at the Belgian context...
  87. 87. A digital health manifesto1. I want access to a transparent market for healthcare services, based on cost, outcomes and reputations - I have a right to choose the best (and know who the best are)
  88. 88. BarriersCultural barrier? (is competition in healthcare acceptable?)The data is out there, simply needs to be made availableIf institutions & doctors don’t release it, patients-consumers will gather it themselves… the writing is on the wall
  89. 89. A digital health manifesto2. I want access to remote/mobile health services - Avoid travel & waiting rooms - ‘Always on’ monitoring (the doctor calls you)
  90. 90. BarriersBarriers:• Reimbursement models• Professional liabilityDriver:• International competition?
  91. 91. A digital health manifesto3. I want access to (and I want my clinician to have access to) updated/complete medical records, medical knowledge & decision support tools
  92. 92. BarriersMedical records: a matter of timePersonal records: cultural? (driver will be communities, collaborative EHR, or coaching)Medical knowledge: IP, clinical trials, peer review processDecision support: cultural? (driver will be outcomes-based competition)
  93. 93. A digital health manifesto4. Empower me with technology to take control over my health - Doctor, take this seriously
  94. 94. BarriersCultural?Drivers will be networks effects and development of Apple-like products
  95. 95. A digital health manifesto5. All my anonymous health data available to researchers
  96. 96. BarriersResearch benefit is too indirect… hence informed consent needs to be integrated in clinical process
  97. 97. Bringing it all together...Use your imagination…At birth – genome, PHR, tailored lifestyle programs kick inAdult – continuous monitoring of risk indicators, setting personal goals, more coaching programs, choosing providers in transparent market, sharing data with patient communities and researchersElderly – at-home monitoring, DIY emergency care (devices, instruction kits)
  98. 98. So what?Consumers/patients - Start today
  99. 99. So what?Clinicians – don’t resist, use the technologies to improve care/service, differentiate
  100. 100. So what?Hospitals – differentiate on data and accessibility
  101. 101. So what?Policy/government – enable new business models by adapting reimbursement & liability legislation; and set common standards for interoperability and security
  102. 102. So what?Entrepreneurs – there’s a huge ecosystem out there, keen on supporting you
  103. 103. Further reading
  104. 104. Thanks! Email frank@healthstartup.eu Twitter @fboermeester
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