2011Tech Venture Series<br />Manchester<br />Brigitte Piniewski, MD Chief Medical Officer<br />PeaceHealth Laboratories, O...
Overview:<br />Problem state: Out dated man-made constructs<br />Centralized Currency, Traditional Medical model, concept ...
2011 PeaceHealth Laboratories<br />3<br /> Outdated Man-made constructs: Failure to predict or prevent the human performan...
1964 Thinking…<br />Medical costs are skyrocketing.<br />Doctors are often scarce.<br />Hospitals are misused.<br />The Me...
2011 PeaceHealth Laboratories<br />5<br />Low expectations for American students.<br />America’s top math students rank 25...
Fall from freedom…<br />6<br />5-6 Million Years<br />30-40 Years<br />The Economist 2003<br />One billion adults overweig...
Key Problem:<br />Ignoring biologically-mediated constraints is not without consequence <br />Our pure pursuit of profit v...
Wayne Gretzky<br />2011 PeaceHealth Laboratories<br />8<br />“You miss 100% of the shots<br /> you don’t take.”<br />“You ...
Out dated Medical model<br />“Traditional acute care model is a relic of a by-gone era.”<br />“Normal is of low utility in...
10<br />Actual<br />Goal<br />Non-modifiable Contributors to Disease (Age, Gender, Genes)<br />Modifiable Contributors to ...
Modifiable contributors<br />2011 PeaceHealth Laboratories<br />11<br /><ul><li>58% Reduction in Diabetes with lifestyle m...
Tuomilehto, 2001 NEJM 344(18): 1343-50
60% Less Cancer
De Lorgeril, Arch Int Med 1998;158:1181-87
83%less Heart Disease
91%less Diabetes
Nurses Health Study, NEJM 2000;343:16-22, NEJM 2001;345:790-97
73% less CHD
69% less Cancer
HALE Project. Knoops JAMA 2004;292:1433-1439
60% Fewer Cardiac Events
Hambrecht Circulation 2004;109:1371-78
44% Reduction in total mortality (NNT=16)
Lyon Heart Study, Circulation 1999;99:779-85
45% Reduction in total mortality (NNT=2.4)
Indian Heart Study, BMJ 1992;304:1015-19
40% Mortality Reduction
GISSI-Prevenzione, Med.Diet AHA11/01: Marchioli
67% Mortality Reduction
Indo-Med Study, Lancet 2002;360:1455-61]</li></li></ul><li>2011 PeaceHealth Laboratories<br />12<br />Modern Crowd health ...
“Normal” means prevalent not “Optimal”<br />Age<br />0		       25			    65<br />Illness		Pre-Illness	Wellness<br />Death<b...
Transforming Health Cost Landscape<br />“Is there a reciprocal relationship between Health value efficiency and health dol...
2011 PeaceHealth Laboratories<br />15<br />Health Cost Landscape<br />Age<br />0		       25			    65<br />$ $ $<br />60-80...
2011 PeaceHealth Laboratories<br />16<br />Business Model Landscape<br />Age<br />0		       25			    65<br />60-80% Lifest...
2011 PeaceHealth Laboratories<br />17<br />$ $ $<br />Evidence-based Medicine<br />Age<br />0		       25			    65<br />$ $...
2011 PeaceHealth Laboratories<br />18<br />High definition living<br />Age<br />0		       25			    65<br />Illness		Pre-Il...
New Currency models:<br />2011 PeaceHealth Laboratories<br />19<br />Money is a narrow expression of wealth<br />Gaming ex...
Modern Health Intelligence Procurement Engines<br />“Household and individual data trumps institutional data”<br />“Commun...
2011 PeaceHealth Laboratories<br />21<br />Modern Knowledge procurement<br />Age<br />0		       25			    65<br />Crowd-acc...
 New Knowledge Paradigm<br />2011 PeaceHealth Laboratories<br />22<br />Historical data<br />“Old stuff”<br />Continua Lin...
2011 PeaceHealth Laboratories<br />23<br />“Powered” to affect Reachability<br />Reachability Gap<br /><ul><li>High Yield ...
Crowd sourcing
Crowd sharing
Modern Knowledge Systems
Abundance Models</li></ul> modernization<br />Good<br />Crowd Performance <br />Poor<br />Time = 1980’s<br />
Reachability Gap Management<br />Radical transformation in how we create our information environment or knowledge engines<...
2011 PeaceHealth Laboratories<br />25<br />Data Aggregation & AnalyticsNew knowledge engines: University of Oregon, Kent S...
Re-writing history using crowd-based approaches<br />“Light instrumentation of the crowd tracking high yield health adjust...
2011 PeaceHealth Laboratories<br />High Yield health data… <br /><ul><li>Weight change
Activity change
Response to </li></ul>nutrition<br />27<br />
28<br />Sync up the biological space with the digital space<br />Old segmentation models:<br />New segmentation models: Di...
Pediatrics
Adult care
Wellness
Chronic  disease
Elder care
End of life care</li></ul>Young<br />Modifiable <br />Health<br />60-80%<br />Old<br />Un-modifiable health<br />(Everythi...
29<br />DNA<br />DNA<br />DNA<br />DNA<br />DNA<br />DNA<br />IR as a common metabolic portal<br />Obesity<br />Diabetes T...
n = 1 vs. n = many<br />Larger group of people<br />Sally<br />Insulin <br />resistance= X<br />Insulin <br />resistance= ...
2011 PeaceHealth Laboratories<br />31<br />Crowd Data Lowering the barriers to participate<br />Device Interface<br />XHR ...
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High Performing Crowds in Healthcare

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  • This is a multi-purpose slide with the circle representing visually the phenomenon that require crowd sourced approaches to predicting and preventing the broken symmetry of the previous relationship.Example: China a nation of white rice eaters seemed immune to the effects of highly refined CHOs yet as they moved from 80% activity based employment to 80% knowledge-based employment the activity level of the nation plummeted and the expected CHO response was exposed in this population. China now the highest rate of DMII conversion on the globe…biggest population.Consistently high yield health behaviors…refined CHO exposure and low activity levels.1980’s in the US, trans fats on the rise, increasing sedentary behavior and a crowd shift towards refined CHO’s fueling the 66% overweight or obese. Free living systems do not follow the simple laws of thermodynamics…energy in vs. energy out. Difficult to track but clinical practice would suggest that environmentally induced altered gene expression is a fundamental mediator of these free living systems outcomes.
  • [1] Strong American Schools analysis of data from the Organization for Economic Cooperation and Development. Based on data from Volume 2, table 6.2a (p. 227). Rank is based on students performing at Level 6 in each country on the 2006 PISA math assessment.[2] Schmidt, W. (2003, February 4). “Presentation to Mathematics and Science Initiative.”
  • This is a multi-purpose slide with the circle representing visually the phenomenon that require crowd sourced approaches to predicting and preventing the broken symmetry of the previous relationship.Example: China a nation of white rice eaters seemed immune to the effects of highly refined CHOs yet as they moved from 80% activity based employment to 80% knowledge-based employment the activity level of the nation plummeted and the expected CHO response was exposed in this population. China now the highest rate of DMII conversion on the globe…biggest population.Consistently high yield health behaviors…refined CHO exposure and low activity levels.1980’s in the US, trans fats on the rise, increasing sedentary behavior and a crowd shift towards refined CHO’s fueling the 66% overweight or obese. Free living systems do not follow the simple laws of thermodynamics…energy in vs. energy out. Difficult to track but clinical practice would suggest that environmentally induced altered gene expression is a fundamental mediator of these free living systems outcomes.
  • # of friends vs. retention rate
  • # of friends vs. retention rate
  • Transcript of "High Performing Crowds in Healthcare"

    1. 1. 2011Tech Venture Series<br />Manchester<br />Brigitte Piniewski, MD Chief Medical Officer<br />PeaceHealth Laboratories, OregonVice Chair MAWG<br />Continua Health Alliance<br />2011 PeaceHealth Laboratories<br />1<br />Enabling high performance crowds <br />with innovative business models <br />
    2. 2. Overview:<br />Problem state: Out dated man-made constructs<br />Centralized Currency, Traditional Medical model, concept of “normal”, Policy and Regulatory model…<br />Transforming Health Value/Cost landscape<br />Modern Health Intelligence Procurement Engines<br />Re-writing history using crowd-based approaches<br />Innovative Business models: Universal Academic Campus use-case and tuition fee lift<br />Global Health Economy<br />2011 PeaceHealth Laboratories<br />2<br />
    3. 3. 2011 PeaceHealth Laboratories<br />3<br /> Outdated Man-made constructs: Failure to predict or prevent the human performance gap<br />As modernization advances…<br />Yesterday’s<br />Economic Models<br />Advance<br />Performance<br />Gaps and<br />Social justice<br />Gaps<br />Good<br />Assumptions<br />Crowd Performance erodes<br />Poor<br />Time = 1980’s<br />
    4. 4. 1964 Thinking…<br />Medical costs are skyrocketing.<br />Doctors are often scarce.<br />Hospitals are misused.<br />The Medical Profession is in Turmoil.<br />4<br />2011 PeaceHealth Laboratories<br />
    5. 5. 2011 PeaceHealth Laboratories<br />5<br />Low expectations for American students.<br />America’s top math students rank 25thout of 30 countries <br />when compared with top students elsewhere in the world. [1] <br />By the end of 8th grade, U.S. students are two years behind in the math<br /> being studied by peers in other countries. [2] <br />Seventy percent of 8th graders can’t read at their grade level, and most will<br /> never catch up. <br />Project at Bristol University shows [3]<br />Kids diet affects IQ perhaps permanently<br />[1] Strong American Schools analysis of data from the Organization for Economic Cooperation and Development.<br /> Based on data from Volume 2, table 6.2a (p. 227). Rank is based on students performing at Level 6 in each country<br /> on the 2006 PISA math assessment.<br />[2] Schmidt, W. (2003, February 4). “Presentation to Mathematics and Science Initiative.” <br />[3] http://www.dailymail.co.uk/health/article-1354683/Junk-food-diet-hits-childs-IQ-reveals-major-UK-study.html<br />
    6. 6. Fall from freedom…<br />6<br />5-6 Million Years<br />30-40 Years<br />The Economist 2003<br />One billion adults overweight world wide<br />2011 PeaceHealth Laboratories<br />
    7. 7. Key Problem:<br />Ignoring biologically-mediated constraints is not without consequence <br />Our pure pursuit of profit violates interdependencies crippling system performance<br />Mankind is limited through our man-made structures; our medium of exchange, policy, medical model, concept of normal and others<br />These old models fail to advance at the pace of change<br />As a result, we remain blind to high yield performance intelligence<br />Marketplaces are limited in capacity to exchange and build wealth due to an under-performing transactional tool<br />2011 PeaceHealth Laboratories<br />7<br />Arthur Brock, Founder, Software designer, Systems Architect at the Geek Gene<br />http://wiki.thetransitioner.org/English/Free_currencies/Free_Currencies:_the_next_global_currency_system<br />
    8. 8. Wayne Gretzky<br />2011 PeaceHealth Laboratories<br />8<br />“You miss 100% of the shots<br /> you don’t take.”<br />“You miss 100% of the health intelligence<br /> you fail to monetize.” Brigitte Piniewski<br />
    9. 9. Out dated Medical model<br />“Traditional acute care model is a relic of a by-gone era.”<br />“Normal is of low utility in a world where we are no longer accidentally well”<br />2011 PeaceHealth Laboratories<br />9<br />
    10. 10. 10<br />Actual<br />Goal<br />Non-modifiable Contributors to Disease (Age, Gender, Genes)<br />Modifiable Contributors to Disease (Lifestyle)<br />Hu et al. Diet, lifestyle and the risk of type 2 Diabetes in women. NEJM 2001 Sep 13;345(11):790-7.<br />Opportunity:60-80% Adverse Health is Modifiable<br />Non-modifiable contributors<br />Age, gender and genes <br />Modifiable contributors<br />Lifestyle choices<br />Today, poor lifestyle choices increasingly are the largest contributors to common adverse health outcomes<br />83% Heart Disease<br />91% Diabetes<br />69% Cancer<br />2011 PeaceHealth Laboratories<br />
    11. 11. Modifiable contributors<br />2011 PeaceHealth Laboratories<br />11<br /><ul><li>58% Reduction in Diabetes with lifestyle modification
    12. 12. Tuomilehto, 2001 NEJM 344(18): 1343-50
    13. 13. 60% Less Cancer
    14. 14. De Lorgeril, Arch Int Med 1998;158:1181-87
    15. 15. 83%less Heart Disease
    16. 16. 91%less Diabetes
    17. 17. Nurses Health Study, NEJM 2000;343:16-22, NEJM 2001;345:790-97
    18. 18. 73% less CHD
    19. 19. 69% less Cancer
    20. 20. HALE Project. Knoops JAMA 2004;292:1433-1439
    21. 21. 60% Fewer Cardiac Events
    22. 22. Hambrecht Circulation 2004;109:1371-78
    23. 23. 44% Reduction in total mortality (NNT=16)
    24. 24. Lyon Heart Study, Circulation 1999;99:779-85
    25. 25. 45% Reduction in total mortality (NNT=2.4)
    26. 26. Indian Heart Study, BMJ 1992;304:1015-19
    27. 27. 40% Mortality Reduction
    28. 28. GISSI-Prevenzione, Med.Diet AHA11/01: Marchioli
    29. 29. 67% Mortality Reduction
    30. 30. Indo-Med Study, Lancet 2002;360:1455-61]</li></li></ul><li>2011 PeaceHealth Laboratories<br />12<br />Modern Crowd health landscape… <br />Age<br />0 25 65 years<br />Illness Pre-Illness Wellness<br />60-80% Preventable<br />Death<br />Crowd Achievable Health<br />Crowd Actual Health Outcomes<br />
    31. 31. “Normal” means prevalent not “Optimal”<br />Age<br />0 25 65<br />Illness Pre-Illness Wellness<br />Death<br />2008<br />13<br />13<br />2011 PeaceHealth Laboratories<br />
    32. 32. Transforming Health Cost Landscape<br />“Is there a reciprocal relationship between Health value efficiency and health dollars spent?”<br />“The crowd, not the medical community, <br />controls the card game”<br />2011 PeaceHealth Laboratories<br />14<br />
    33. 33. 2011 PeaceHealth Laboratories<br />15<br />Health Cost Landscape<br />Age<br />0 25 65<br />$ $ $<br />60-80% Lifestyle<br />Illness Pre-Illness Wellness<br />Unpredictable Health<br />Predictable (Rules-based) Health<br />Death<br />2008<br />15<br />
    34. 34. 2011 PeaceHealth Laboratories<br />16<br />Business Model Landscape<br />Age<br />0 25 65<br />60-80% Lifestyle<br />Illness Pre-Illness Wellness<br />$ $ $<br />Unpredictable Health<br />Predictable (Rules-based) Health<br />Death<br />2008<br />16<br />
    35. 35. 2011 PeaceHealth Laboratories<br />17<br />$ $ $<br />Evidence-based Medicine<br />Age<br />0 25 65<br />$ $ $<br />60-80% Lifestyle<br />Illness Pre-Illness Wellness<br />Unpredictable Health<br />Predictable (Rules-based) Health<br />Death<br />2008<br />17<br />
    36. 36. 2011 PeaceHealth Laboratories<br />18<br />High definition living<br />Age<br />0 25 65<br />Illness Pre-Illness Wellness<br />Unpredictable Health<br />Predictable (Rules-based) Health<br />Death<br />2008<br />18<br />
    37. 37. New Currency models:<br />2011 PeaceHealth Laboratories<br />19<br />Money is a narrow expression of wealth<br />Gaming expands our currency skill set<br />Reliable unit of Health value<br />efficiency<br />Centralized <br />Currency<br />Frivolous<br />Gaming<br />
    38. 38. Modern Health Intelligence Procurement Engines<br />“Household and individual data trumps institutional data”<br />“Communities as co-producers of their own health futures”<br />2011 PeaceHealth Laboratories<br />20<br />
    39. 39. 2011 PeaceHealth Laboratories<br />21<br />Modern Knowledge procurement<br />Age<br />0 25 65<br />Crowd-accelerated <br />Strategic Intelligence<br />60-80% Lifestyle<br />Illness Pre-Illness Wellness<br />Legacy Knowledge Systems<br />Death<br />
    40. 40. New Knowledge Paradigm<br />2011 PeaceHealth Laboratories<br />22<br />Historical data<br />“Old stuff”<br />Continua Linked<br />Current per unit<br />co-occurrences<br />Relative Clinical <br />Relevance<br />Lightly-instrumented Crowds<br />Malignant vs. Benign<br />Co-occurrences<br />
    41. 41. 2011 PeaceHealth Laboratories<br />23<br />“Powered” to affect Reachability<br />Reachability Gap<br /><ul><li>High Yield data
    42. 42. Crowd sourcing
    43. 43. Crowd sharing
    44. 44. Modern Knowledge Systems
    45. 45. Abundance Models</li></ul> modernization<br />Good<br />Crowd Performance <br />Poor<br />Time = 1980’s<br />
    46. 46. Reachability Gap Management<br />Radical transformation in how we create our information environment or knowledge engines<br />Set of shared, accessible community health resources<br />Citizens are not passive recipients of goods but co-creators of health value<br />Ultra large scale systems continuously evolving and providing sufficient correctness<br />Encourage community custodianship and crowd co-management<br />“One cannot conceive of a crowdsourced systems <br />functionality in terms of “releases” and more than <br />a city has a release.<br />Metropolis Model , A New logic for development of Crowdsourced systems <br />by Rick Kazman and Hong-meiChen, 2010<br />2011 PeaceHealth Laboratories<br />24<br />
    47. 47. 2011 PeaceHealth Laboratories<br />25<br />Data Aggregation & AnalyticsNew knowledge engines: University of Oregon, Kent State, UNCC<br />Yellow Node = Obesity (i.e BMI)<br />Social Network = Behavior Changes<br />Per-unit<br />Co-Occurrences<br />Personally<br />Relevant Health Knowledge<br />Predictive Individual trend from Crowd trends<br />
    48. 48. Re-writing history using crowd-based approaches<br />“Light instrumentation of the crowd tracking high yield health adjustment and delivering high definition living”<br />2011 PeaceHealth Laboratories<br />26<br />
    49. 49. 2011 PeaceHealth Laboratories<br />High Yield health data… <br /><ul><li>Weight change
    50. 50. Activity change
    51. 51. Response to </li></ul>nutrition<br />27<br />
    52. 52. 28<br />Sync up the biological space with the digital space<br />Old segmentation models:<br />New segmentation models: Digitize units of high yield health contributors that span age,<br /> gender, and diagnostic category …<br /><ul><li>Newborns
    53. 53. Pediatrics
    54. 54. Adult care
    55. 55. Wellness
    56. 56. Chronic disease
    57. 57. Elder care
    58. 58. End of life care</li></ul>Young<br />Modifiable <br />Health<br />60-80%<br />Old<br />Un-modifiable health<br />(Everything else)<br />2011 PeaceHealth Laboratories<br />
    59. 59. 29<br />DNA<br />DNA<br />DNA<br />DNA<br />DNA<br />DNA<br />IR as a common metabolic portal<br />Obesity<br />Diabetes T2<br />Hypertension<br />Cardiovascular Disease<br />Liver Disease<br />Some Cancers<br />Alzheimer's<br />Other adverse health<br />outcomes<br />Insulin<br />Resistance<br />Jerald Reaven MD, 1988 Banting lecture: Insulin Resistance<br />2011 PeaceHealth Laboratories<br />
    60. 60. n = 1 vs. n = many<br />Larger group of people<br />Sally<br />Insulin <br />resistance= X<br />Insulin <br />resistance= X + 2<br />Insulin <br />resistance= X<br />Insulin <br />resistance= X + 2<br />Medical view<br />Average quality of outcome for this group<br />Quality of outcome<br />for Sally<br />Average healthcare costs for this group<br />Healthcare costs<br />for Sally<br />Policy view<br />30<br />2011 PeaceHealth Laboratories<br />
    61. 61. 2011 PeaceHealth Laboratories<br />31<br />Crowd Data Lowering the barriers to participate<br />Device Interface<br />XHR Interface<br />Community<br />Data Commons<br />Wireless Pulse Oximeter<br />PHR<br />Weighing Scale<br />Secure PHR<br />Wireless<br />Ultra Low Power<br />Ultra low cost<br />Blood Pressure Monitor<br />
    62. 62. Crowd SharingiWell Study at PeaceHealth Laboratories<br />Web sensors<br /> <br />Activity<br />Employers<br />Personalized motivational Interventions<br />Weight<br />Health <br />Coach<br />Cloud Informatics<br />H-Pod<br />Events, User Content, <br />Measured KPIs<br />Pulse rate &<br />Blood pressure<br />Health Payer<br />(Insurance)<br />+<br />Lab Draws<br />DM program<br />provider<br />Consumers<br />Other device<br />Medical Lab<br />Other device<br />Analytic Engine<br />Recommendation<br />Trainer / Nutritionist / Physicians<br />Other device<br />2011 PeaceHealth Laboratories<br />32<br />
    63. 63. iMPak; Meridian and Cypak JV<br />33<br />
    64. 64. Activity and Progress Tracking<br />34<br />9/29/2011<br />
    65. 65. Social Network Impact<br />9/29/2011<br />35<br />SPD vs. SN size<br />SPD<br />The larger your social network, the more active you are. <br />SN size<br />
    66. 66. 9/29/2011<br />36<br />
    67. 67. 9/29/2011<br />37<br />
    68. 68. CVD Risk Reduction of 12.3% in 3 months<br />38<br />9/29/2011<br />0 mo<br />3 mos<br />Reduced <br />CVD risk<br />
    69. 69. Diabetes Risk Reduction of 15.8% in 3 months<br />39<br />9/29/2011<br />
    70. 70. Innovative Business models:The Universal Academic Campus use-case creates infectious action<br />“Gone are the passively prematurely unwell…<br />“Leveraging connectivity to co-produce your own performance futures”<br />2011 PeaceHealth Laboratories<br />40<br />
    71. 71. Youth as super nodes<br />2011 PeaceHealth Laboratories<br />41<br /><ul><li>Digital natives
    72. 72. Already connected to large numbers
    73. 73. Have influence over each other’s behavior
    74. 74. Used to uniting to get things done
    75. 75. Are early in their health journey
    76. 76. Share information
    77. 77. Comfortable with alternative currencies (gaming)
    78. 78. Have a common enemy : Tuition Fees</li></li></ul><li>2011 PeaceHealth Laboratories<br />42<br />Sample use cases:<br />Flu epidemics<br />Breast Cancer<br />
    79. 79. Global Health Economy<br />2011 PeaceHealth Laboratories<br />43<br />Crowd-relevant<br /> Benchmarking<br />Cloud<br />Health Intelligence<br />To leapfrog <br />Sub-Optimal <br />Outcomes<br />Disruptive Innovation<br />
    80. 80. Who is Connecting?<br />C. Codagnone, Institute for Prospective Technology Studies, EU Commission Spain<br />D. Osimo, Tech4i2,Pursuasive Technologies, Brussels Belgium<br />Trevor Cooper,Connected Embedded Cloud Solutions, Intel US<br />David Kil, SKT Americas, CSO Informatics, Sunnyvale, CA USA <br />Dejing Dou, Associate Professor in the Department of Computer and Information Science, University of Oregon, USA<br />Jessica Greene,Associate Professor in the Department of Planning, Public Policy & Management , U of Oregon, USA<br />Xintao Wu PhD, Associate professor of Computing and Informatics at the University of N Carolina at Charlotte<br />RuomingJin PhD, Assistant professor of Computer Science at Kent State University<br />Prof. Iain E. BuchanDirector NIBHI & NWeH Science, University of Manchester<br />Others…<br />2011 PeaceHealth Laboratories<br />44<br />
    81. 81. 2011 PeaceHealth Laboratories<br />45<br />US EU collaborative technical report, <br />“Nudging lifestyles for better health outcomes: <br />crowdsourced data and persuasive technologies <br />for behavior change”<br />Piniewski et al. EUR 24785 EN - 2011<br />Brigitte Piniewski, MD<br />Chief Medical Officer<br />PeaceHealth Laboratories<br />1201 Lloyd Blvd, Suite 200<br />Portland, OR 97232<br />503 720 0655 (c)<br />541-222-7461 (o)       541-431-9152 (f)<br />bpiniewski@peacehealthlabs.org<br />http://www.peacehealth.org/<br />The END<br />
    82. 82. Extra slides:<br />2011 PeaceHealth Laboratories<br />46<br />
    83. 83. Student Community data commons: Online & Mobile<br />Fast access to goals, guidance, support to stay motivated and connected <br /><ul><li>Real-time Activity Tracking
    84. 84. Personalized Goals
    85. 85. Virtual Coaching
    86. 86. Wellness Games & Competitions
    87. 87. Social Network & Nudging</li></ul>47<br />2011 PeaceHealth Laboratories<br />
    88. 88. System at a Glance: How it Works <br />Sensor network<br />Informatics Engine<br />Consumer touch<br />Simple and effective <br />Identifying behavior-change genes<br />Advanced Activity Capture<br /><ul><li>Dashboard
    89. 89. Wellness meter
    90. 90. Level + role model
    91. 91. SN messages
    92. 92. UGC with social nudging
    93. 93. Virtual coaching
    94. 94. Competition
    95. 95. Games + goals
    96. 96. Steps per minute captured
    97. 97. Automatic wireless data aggregation from additional sensors
    98. 98. Accuracy : SPM to speed, height, weight, and gender
    99. 99. Activity-type recognition
    100. 100. Activity-pattern clustering
    101. 101. Part of recommendation
    102. 102. Complex event processing
    103. 103. User models with predictive algorithms for intent
    104. 104. Adaptive micro intervention
    105. 105. Social network computing
    106. 106. Causal network-based outcomes analytics
    107. 107. Web3 analytics</li></ul>Data<br />Modeling<br />Action<br />Impact<br />48<br />2011 PeaceHealth Laboratories<br />
    108. 108. Social Network Impact<br />9/29/2011<br />49<br />SPD vs. SN size<br />SPD<br />The larger your social network, the more active you are. <br />Mean CVD risk reduction = 12.3%<br />Mean DMII risk reduction =15.8%<br />…in 3 months !!!<br />SN size<br />
    109. 109.
    110. 110. Biological systems: Digitization road map<br />Simple user experience<br />Low cost & scalable<br />easy to track high yield contributors (IR, activity)<br />easy to share (social networking)<br />low security risk (benign data)<br />Wide therapeutic window (lifestyle adjustment strategies)<br /> etc.<br /><ul><li>Complex
    111. 111. Disease specific
    112. 112. Narrow therapeutic window
    113. 113. High security risk (HIV) status)
    114. 114. And so on…</li></ul>2011 PeaceHealth Laboratories<br />51<br />Start here………………………………..and learn how to get…………………….here!!<br />
    115. 115. 2011 PeaceHealth Laboratories<br />52<br />Monetizing a community data commons…<br />Payers sell de-identified claims data to pharmaceutical companies <br />anywhere from $100K to millions of dollars, combining the data with simple<br />research models.Ingenix packages United Healthcare claims data with their analytics components, <br />and charges premium pricing to pharmaceutical companies, <br />Contract Research Organizations (CROs), and other healthcare R&D institutions. Archimedes has an IndiGO engine that basically suggests <br />possible intervention options given claims and lab data.<br /> Active Health Management <br />did the same in the Evidenced Medicine Guideline (EBM) space, <br />charging payers PMPM on the order of <$1.00. <br />Large undefined future landscape for much higher yield health information…<br />
    116. 116. Using Segmentation <br />53<br />2011 PeaceHealth Laboratories<br />
    117. 117. Global Health Economy<br />“Developing nations as late arrivals to western modernization have a health asset ready to be monetized;<br />Crowd-relevant bench-marking data to pull modern nations out of their poor health expression”<br />2011 PeaceHealth Laboratories<br />54<br />
    118. 118. 2011 PeaceHealth Laboratories<br />55<br />The future is here. It is just not evenly distributed.<br />At least 80% of humanity lives on less than $10 a day.<br />
    119. 119. Blue Zones Longevity Society<br />~Emphasis on strong family values~Strong community values~Exclusively plant based diets (little to no animal products)~Whole food lifestyles focused on fruits and veggies~Antioxidants and anti-aging herbs are plentiful~Daily benefits of physical exercise~Everyone knows how to deal with stress~All the elders and centenarians still work~Daily consumption of small amounts of alcohol~A sense of purpose in life (Ikigai is the Japanese word for this)~Spirituality is part of life in all of the blue zones~A complete absence of smoking and obesity~Everyone knows the benefits of a positive attitude<br />2011 PeaceHealth Laboratories<br />56<br />
    120. 120. Making Better Choices??<br />57<br />2011 PeaceHealth Laboratories<br />
    121. 121. G-G-G-G-G-G-G-G-G-G-G-G-G-G<br />G-G-G-G-G-G-G-G-G-G-G-G-G-G<br />G-G-G-G-G-G-G-G-G-G-G-G-G-G<br />Sugar<br />G-G<br />58<br />2011 PeaceHealth Laboratories<br />
    122. 122. Carbs, carbs, and carbs<br />59<br />2011 PeaceHealth Laboratories<br />
    123. 123. Slow food<br />Fast food<br />Insulin Resistance<br />Sedentary<br />Activity<br />60<br />2011 PeaceHealth Laboratories<br />
    124. 124. 2011 PeaceHealth Laboratories<br />61<br />Insulin<br />Insulin Receptor<br />Mitochondria<br />Fat Cell<br />G<br />G<br />G<br />G<br />G<br />G<br />G<br />G<br />G<br />G<br />G<br />Ectopic<br />Fat<br />

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