20130226 impact van zorg 2 0 op onze samenleving
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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 Presentation Transcript

  • 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. Digital Health & Health 2.0Impact of digital technologies on healthcare?
  • 3. Frank Bart Leo@fboermeester @bart @leoexter
  • 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. 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. Intense & focused programme 1 theme high-potential 7 startups 70 hand-picked investors & decision makers
  • 7. I Brussels BE – Supply chain & AdminII Antwerp BE – At-home careIII Nijmegen NL – Big DataIV London UK – Health data integration
  • 8. Coming up:Heidelberg/Warsaw/Tallinn/Berlin
  • 9. First, consider this...
  • 10. (Whites Only) Class of ‘86, Kloof High School
  • 11. This is how wecommunicated
  • 12. For information we relied on each other orthis...
  • 13. ... it led to this wonderful story.
  • 14. ...but also probably prolonged Apartheid
  • 15. Instant worldwide communication
  • 16. Instant answers
  • 17. Always on
  • 18. Access to everything there is in the world
  • 19. Instant decision support
  • 20. Always with me
  • 21. It is amazing!
  • 22. But does it apply to healthcare? Instant communication Instant answers Always on Access to everything Instant decision support Always with me
  • 23. No. In some way’s we’re still in 1985
  • 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. Will the healthcare system cross its Rubicon?
  • 26. Fortunately something is brewing
  • 27. DigitalHealth isHOT !The startupfactorieshavearrived
  • 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. But will it help?
  • 30. Because the reality is, the future of healthcare is notlooking so good...•Staffing shortages•Budgetting crises•R&D becoming more costly
  • 31. What will be the impact of digital health?•On quality & outcomes?•On productivity & cost-efficiency?•On access to healthcare?
  • 32. Change begins with imagining a better future
  • 33. A Digital Health ManifestoThe future of healthcare, possible today
  • 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. Which hospital? Ask your GP... Ratings on ***** scale: •Outcome: •Quality: •Price: •Experience:
  • 36. Which GP?Ask your pharmacist...
  • 37. Compareratings & pickyourappointment
  • 38. Ask aquestion,check outreputations,then book
  • 39. From symptom toclinician
  • 40. One towatch...$100 millionD roundfunding
  • 41. Why it matters.
  • 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. Patient adjective. bearing provocation,annoyance, misfortune, delay, hardship, pain,etc., with fortitude and calm and withoutcomplaint, anger, or the like.
  • 44. One to watch..Patient-Doctorcollaborationplatform & EHR
  • 45. Instantconsult
  • 46. What’s thatrash?
  • 47. Otoscopeadd-on forsmartphone
  • 48. Eye examadd-on forsmartphone
  • 49. DiabetestelemonitoringAll-in-One:-insulan pump-activity monitor-glucose monitor-diet monitoring-secure communication
  • 50. Telemonitoringpackages for:HypertensionChronic heart failureDiabetesObesityCOPDAsthma
  • 51. On thecouch
  • 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. 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. 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. 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. EHR in the cloud
  • 57. Free EHR inthe cloud
  • 58. EHR goingmobile
  • 59. CollaborativeEHR
  • 60. Big Data &Analytics.Makingsense of itall
  • 61. Finding information outside theJournals pipeline
  • 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. Ask your patientcommunity what works...
  • 64. Somethingfor everycondition
  • 65. Doctors havecommunities too
  • 66. Medical Search – publishers fightingback
  • 67. Using information to makedecisions and control quality
  • 68. I don’t trust opinion –I expect data-driven decisions
  • 69. Show mehow
  • 70. A digital health manifesto4. Empower me with technology to take control over my health - Doctor, take this seriously
  • 71. Genomics “Cheap genotyping...
  • 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. Heart rhythm,activity & sleepis covered…
  • 74. The race for‘invisible’ &‘always on’
  • 75. Going beyond heart rate &activity monitoring
  • 76. Battle for the Starfleet ‘Tricorder’ (X-Prize)SCANADUHeart rateBlood pressureSaliva testing(Strep throat, etc)Urine testing(pregnancy,dehydration, etc)
  • 77. The Vault
  • 78. Records &communities
  • 79. Digital coaching&wellness/fitnessprograms
  • 80. Chronicillness self-management
  • 81. A digital health manifesto5. All my anonymous health data available to researchers
  • 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. Portablelegal consent& the healthdatacommons
  • 84. Releasingmobile data
  • 85. Every heartbeat
  • 86. Let’s look at the Belgian context...
  • 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. 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. A digital health manifesto2. I want access to remote/mobile health services - Avoid travel & waiting rooms - ‘Always on’ monitoring (the doctor calls you)
  • 90. BarriersBarriers:• Reimbursement models• Professional liabilityDriver:• International competition?
  • 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. 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. A digital health manifesto4. Empower me with technology to take control over my health - Doctor, take this seriously
  • 94. BarriersCultural?Drivers will be networks effects and development of Apple-like products
  • 95. A digital health manifesto5. All my anonymous health data available to researchers
  • 96. BarriersResearch benefit is too indirect… hence informed consent needs to be integrated in clinical process
  • 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. So what?Consumers/patients - Start today
  • 99. So what?Clinicians – don’t resist, use the technologies to improve care/service, differentiate
  • 100. So what?Hospitals – differentiate on data and accessibility
  • 101. So what?Policy/government – enable new business models by adapting reimbursement & liability legislation; and set common standards for interoperability and security
  • 102. So what?Entrepreneurs – there’s a huge ecosystem out there, keen on supporting you
  • 103. Further reading
  • 104. Thanks! Email frank@healthstartup.eu Twitter @fboermeester