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The Future of Digital Health and Wearables in Orthopedicsrables

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Orthopedic device companies have responded to payors’ adoption of bundled payments and FDA’s promotion of digital health tools by commercializing products that track patients beyond the O.R. Digital health tools, including wearables, provide device companies with revenue streams that respond to hospitals’ episode of care requirements and patients’ personalized medicine needs, while simultaneously creating a feedback loop for product ideas. Christopher E. Pelt, M.D., a surgeon enrolled in Zimmer Biomet’s mymobility clinical study with the Apple Watch app, offered perspective on the benefits of wearables and shares ways that the technology will impact patients, surgeons and device companies in the future.

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The Future of Digital Health and Wearables in Orthopedicsrables

  1. 1. WEARABLE TECH IN HEALTHCARE AND ORTHOPAEDICS CHRISTOPHER E. PELT, M.D. ASSOCIATE PROFESSOR CHIEF VALUE OFFICER, ORTHOPAEDICS MEDICAL DIRECTOR ORTHOPAEDIC AND TRAUMA SERVICES UNIVERSITY OF UTAH DEPARTMENT OF ORTHOPAEDICS SALT LAKE CITY, UTAH OMTEC 2019 – Chicago, IL
  2. 2. Disclosures • Zimmer Biomet: Consultant, Speaker, Research • Total Joint Orthopedics: Consultant, Royalties • Joint Development, LLC: Stocks • Acelity/KCI: Paid Consultant, Speaker • AAOS and AAHKS: Committees
  3. 3. Points to Address • Learn why and how surgeons are using wearable technology to track patients • Gain insight into ways that wearables and digital health will change the surgeon and patient experience in the coming years
  4. 4. Wearables in Healthcare • Growing field and technology
  5. 5. Wearables in Healthcare • Growing field and technology • Portable health data collection with medical device – Holter Monitor (cardiac) – Capsule Endoscopy (GI)
  6. 6. Wearables in Healthcare • Growing field and technology • Portable health data collection with medical device – Holter Monitor (cardiac) – Capsule Endoscopy (GI) • Next Generation medical devices
  7. 7. Wearables in Healthcare • First generation consumer electronics – activity monitoring • (e.g., step count monitors, FitBit ®)
  8. 8. Next Generation Wearables • Advancing Technology • Advanced Data – Activity, heart rate, ECG tracings – Tremendous amount of information • Non-validated (e.g., ECG not FDA-approved) • What to do with all the info? • Worse yet, what to do if miss something that’s there, but don’t see/use (litigation?)
  9. 9. Does it Improve Outcomes? • Heterogeneous tech, studies, outcomes • To date, wearables haven’t been shown to improve outcomes • But they could
  10. 10. Wearables in Orthpaedics • K-knee • The ultimate wearable
  11. 11. Wearables In Orthopaedics
  12. 12. What are we interested in?
  13. 13. Rehab • Current Rehab/Therapy relies on in-person visits, manual therapies, machines – Time consuming – Intermittent – Costly (time off, transportation, cost of therapy and co-pays) • Biofeedback?
  14. 14. Biofeedback
  15. 15. Move to Wearables? • Wear in own shoes • Constant use available • Realtime feedback • Cost potentially offset if can replace other current expenses (PT?)
  16. 16. Relook at Consumer Market
  17. 17. Summary of Current Wearables in Orthopaedics • Scattered landscape, piecemeal technologies • Most focus on steps/stairs, activity, ROM, and maybe force
  18. 18. The Future • Collect meaningful and actionable data • Realtime feedback • Integrate into EMR (not a duplicate/separate system) • Artificial Intelligence (avoid reliance on manual review) – Data Analytics – Risk Stratification – Patient Optimization – Risk/Concern identification/Avoidance
  19. 19. The Future • Integrate the currently broken technology landscape • Replace low value interventions with technologies that may reduce costs and improve outcomes
  20. 20. Introducing Technology in Healthcare • Must solve a problem • Cannot be additive in time or cost, unnecessary, burdensome or un-useful • Lots of gadgets already

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