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Future of healthcare
Future of healthcare
Future of healthcare
Future of healthcare
Future of healthcare
Future of healthcare
Future of healthcare
Future of healthcare
Future of healthcare
Future of healthcare
Future of healthcare
Future of healthcare
Future of healthcare
Future of healthcare
Future of healthcare
Future of healthcare
Future of healthcare
Future of healthcare
Future of healthcare
Future of healthcare
Future of healthcare
Future of healthcare
Future of healthcare
Future of healthcare
Future of healthcare
Future of healthcare
Future of healthcare
Future of healthcare
Future of healthcare
Future of healthcare
Future of healthcare
Future of healthcare
Future of healthcare
Future of healthcare
Future of healthcare
Future of healthcare
Future of healthcare
Future of healthcare
Future of healthcare
Future of healthcare
Future of healthcare
Future of healthcare
Future of healthcare
Future of healthcare
Future of healthcare
Future of healthcare
Future of healthcare
Future of healthcare
Future of healthcare
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Future of healthcare

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At Modern Health Talk, we see the future of mHealth as less about Mobile health and more about MODERN healthcare that includes all sorts of solutions for addressing demographic shift of retiring baby …

At Modern Health Talk, we see the future of mHealth as less about Mobile health and more about MODERN healthcare that includes all sorts of solutions for addressing demographic shift of retiring baby boomers and the resulting doctor shortage.

These solutions include mobile technologies (smartphones & tablets) and big broadband support of high-def video calls with medical imaging, as well as new delivery options such as retail clinics and insurance-funded home care (and home modifications), remote sensor monitoring, healthcare robots, Watson-like cloud services, new laws & regulations, support of family caregivers, and more.

The slides hint at the topics I cover as a public speaker but lack the discussion and delivery. To schedule a speaking engagement for your organization, contact me at waynecaswell AT mhealthtalk DOT com.

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  • 1. By Wayne Caswell The FUTURE of Health Care © 2013, Modern Health Talk
  • 2. WHICH Future? © 2013, Modern Health Talk
  • 3. “… right now is one of those moments that YOU are influencing the future.” Steve Jobs
  • 4. Social Media Rising Costs Digital Sensors Telemedicine Telepresence Wireless Broadband Aging Boomers Smartphones & Tablets Modern Health Talk © 2013, Modern Health Talk
  • 5. >100 articles
  • 6. © 2013, Modern Health Talk 2.0 2.5 3.0 3.5 4.0 4.5 1909 1919 1929 1939 1949 1959 1969 1979 1989 Live Births per Year (Millions) Baby Bust (41 Million) Baby Boom (76 Million) Echo Boom (64 Million) World Population more than doubled in 65 years. Average Lifespan up 30 years over last century. Living for 1,000 years is possible, futurists say. As 10,000 Boomers turn 65/day, 90,000 Doctor Shortfall. Shortages. Unpaid Family Caretakers pick up slack. Governments, Cities & Homes aren’t ready. Huge RISK
  • 7. $3T/year RAN K COUNTRY LIFE 1 Japan 84.6 2 Andorra 84.2 3 Singapore 84.0 4 Hong Kong 83.8 5 San Marino 83.5 6 Iceland 83.3 7 Italy 83.1 8 Sweden 83.0 9 Australia 83.0 10 Switzerland 82.8 11 Canada 82.5 12 Spain 82.5 13 France 82.3 14 Israel 82.1 15 Luxembourg 82.0 16 Norway 81.9 17 New Zealand 81.7 18 Austria 81.5 19 Netherlands 81.5 20 Ireland 81.4 21 Cyprus 81.2 22 Chile 81.2 23 Germany 81.0 24 Greece 81.0 25 Finland 81.0 26 South Korea 81.0 27 Malta 81.0 28 Belgium 81.0 29 UK 81.0 30 Liechtenstein 80.7 31 Taiwan 80.6 32 Lebanon 80.5 33 Portugal 80.0 34 Slovenia 80.0 35 Costa Rica 79.8 36 United States 79.8 37 Denmark 79.5 38 Cuba 79.4 39 United Arab Emirates 79.2 NEED Reform America … • Spends 2x More (17.9% of GDP) • Has Excellent Sick Care, but profit motive over-tests, over-treats, over-medicates. • Has Poor Health Care, so we live sicker & die younger. • Free Market Capitalism Failure (no choice in emergency) Huge POTENTIAL
  • 8. Flattening The Curve But still not good enough. Chronic disease could be more effectively managed with remote health monitoring. 75% of US healthcare spending on chronic disease. 75% of that is Preventable with Lifestyle Choices.
  • 9. PROFITS And the Corrupting Power of Money in Politics • Immensely Profitable Industry • Patients are Paying Customers • FFS: Treat Symptoms • Resistant to Change • Lobbying Influence • Hospitals • Insurers • Drug Companies • Testing Companies • Equipment Providers © 2013, Modern Health Talk Wrong INCENTIVES
  • 10. Medical School 2.0 “An ounce of prevention is worth a pound of cure.” © 2013, Modern Health Talk Needed Wellness Focus Medical School 1.0 Doctors only learn to Diagnose & Cure. “You have a rare condition called ‘Good Health.” Frankly, I’m not sure how to treat it.”
  • 11. TeleHEALTH & TeleMEDICINE At Kiosk, at Office, at Home, on the Go © Modern Health Talk
  • 12. TeleHEALTH & TeleMEDICINE
  • 13. Broadband Access & Privacy issues Patient, Family, Physician(s) TeleHEALTH & TeleMEDICINE Video images from multiple cameras simultaneously
  • 14. IBM WATSON as Tool Is AI better than a human doctor? Artificial Intelligence applied to: • Healthcare & Medical Research • Medical Records • Medical Imaging • Sensor Data • Genotype
  • 15. IBM Mainframe computer, circa 1972 (System/370 Model 158-3) Apple smartphone, Christmas 2011 (iPhone 4S) COST: ~$3.5 million ($21M in 2015 dollars) COST: $0.00 with 2 year cellular contract PERFORMANCE: 1 MIPS (million instructions per second) PERFORMANCE: 5,000 MIPS (1 GHz dual-core processor rated at 2.5 DMIPS/MHz per core) MEMORY: 4 MB max MEMORY: 512 MB standard STORAGE: typical 1.5 GB (200 MB/drive) STORAGE: 16, 32 or 64 GB © Modern Health Talk
  • 16. IBM Mainframe computer, circa 1972 (System/370 Model 158-3) My Toothbrush (Philips Sonicare) COST: ~$3.5 million ($19M in 2011 dollars) COST: $69.99 PERFORMANCE: 1 MIPS (million instructions per second) PERFORMANCE: 10 MIPS (Zilog Z8 embedded microprocessor) MEMORY: 4 MB max STORAGE: typical 1.5 GB (200 MB/drive) © 2013, Modern Health Talk
  • 17. Siri
  • 18. PHONE as HEALTH GATEWAY • Contact • Temperature/Moisture • Light (vision, blood O2) • Motion (activity, sleep) • Pressure (pulse, blood pressure) • Sound (respiration, ultrasound) • Smell (CO2, off-gassing) • Chemicals (blood glucose) © 2013, Modern Health Talk SENSORS in Homes, Cars & Clothing measure:
  • 19. 2014: • 7.2 billion people • 7 billion mobile subscriptions PHONE as HEALTH GATEWAY
  • 20. PHONE as HEALTH GATEWAY What will Drive Innovation? Most Need? Most Capital? Most Connections?
  • 21. 73% Smartphone penetration (97% among 18-24 year olds) PHONE as HEALTH GATEWAY
  • 22. Minimally Invasive, Continuous Monitoring Monitor Trends to Avoid Lows & Highs Understand Context of Readings Guardian Glucose Monitor © 2013, Modern Health Talk
  • 23. FDA cleared for licensed medical professionals and prescribed patients to record, display, store and transfer single-channel electrocardiogram (ECG) rhythms. Use AliveCor iPhone case to take ECG every day for a year for less than $1/test. Captures more info than a typical ECG at the doctor’s office and costs less. Send 365 ECGs to the doctor for less than the cost to have one done at the hospital. Monitor trends, know context of deviations, and predict (and avoid) problems. $199 AliveCor Heart Monitor © 2013, Modern Health Talk
  • 24. Sense4Baby a technology solution for remote fetal monitoring
  • 25. Owlet Baby Monitor worn on ankle to monitor vitals
  • 26. The devices can pick up heartbeats when stuck on the chest, skeletal muscle activity when on the leg, and brainwaves when on the forehead. © 2013, Modern Health Talk Flexible Patch Biostamp or electronic tattoos University of Illinois – MC10
  • 27. in Clothing
  • 28. in Jewelry
  • 29. in Cars
  • 30. in Your Body
  • 31. Capsule Endoscopy A disposable capsule with video camera can examine parts of the small intestine that standard scopes can’t reach. Video images are received by a recorder work on a belt and then downloaded to a computer for analysis. © 2013, Modern Health Talk
  • 32. Evolution of Mankindin Your Glasses Looking Down at Electronics Looking Up
  • 33. Glucose sensing Contacts Google is developing contacts with continuous monitoring.
  • 34. • Sense other Biomarkers • Augmented Reality • Night Vision • Telephoto Zoom • See UV, IR & Radio
  • 35. 3D Printed Body Parts LIVER EARS BONES Also: • bladder, • trachea, • cartilage, • urine tubes, • spinal cords But it’s still just Research It is now possible to use 3D printers to print cells that can multiply into fully printed tissues used in medical research… and to create organs. © Modern Health Talk
  • 36. ”
  • 37. We’ll be faster AND stronger.
  • 38. © 2013, Modern Health Talk
  • 39. Brain-Computer Interface It’s now possible to Command a Robot with your thoughts …
  • 40. And bulky sensors are no longer needed. Brain-Computer Interface … or to Command a Robot with your thoughts.
  • 41. And our Cars will be Robots too.
  • 42. Bits & Networks INFO Cognitive Science NEURO Genes, Proteins & Chemicals BIO Cells & Atoms NANO 21st Century Medicine Tech & Science Convergence
  • 43. By 2013, a Supercomputer will exceed the computational & analytical power of the Human Brain. (Ray Kurzweil) By 2023, a $1,000 computer will; and by 2037, a $0.01 computer will. By 2049, a $1,000 computer will exceed the computational & analytical power of the Human Race. And by 2059 a $0.01 computer will. What IMPLICATIONS: Health, Career, Social, Political? Technology is advancing . . . EXPONENTIALLY © 2013, Modern Health Talk
  • 44. WayneCaswell@mHealthTalk.com Wayne@IntelligentSleep.com 512-507-6011 The FUTURE of Health Care © 2013, Modern Health Talk
  • 45. © 2013, Modern Health Talk Escape Fire A Place at the Table iPad Graduation Facts about US Healthcare YOUTUBE VIDEOS

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