PSFK presents
THE FUTURE
OF HEALTH
The Future Of Health 2014 www.psfk.com/future-of-health / #FutureOfHealth
A
Foreword
PIERS FAWKES
Founder & President,
PSF...
The Future Of Health 2014 www.psfk.com/future-of-health / #FutureOfHealth
B
Introduction
As a wide array of health innovat...
The Future Of Health 2014 www.psfk.com/future-of-health / #FutureOfHealth
C
ORCHESTRATED CARE
25
28
31
AUGMENTED TREATMENT...
The Future Of Health 2014 www.psfk.com/future-of-health / #FutureOfHealth
D
Key Trends in the Future of Health
Holistic Tr...
The Future Of Health 2014 www.psfk.com/future-of-health / #FutureOfHealth
E
This report is kindly sponsored by Boehringer ...
www.psfk.com/future-of-health / #FutureOfHealth
BEHAVIORAL
NUDGE
Holistic
Tracking
Game
Therapy
Incentivized
Wellness
The Future Of Health 2014
New tools and incentive systems are promoting a
more proactive model of health by helping people...
www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014
HOLISTIC TRACKING
HOLISTIC TRACKING
46%
of people...
www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014
4
SCALE ANALYSES BEHAVIOR
AND PROVIDES AN OVERALL...
www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014
SUPPORTING DATA
IMPLICATIONS
The Future Of
Health...
www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014
6
25%
of adults aged 25 to 44 said
motivational p...
www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014
7
SERVICE PROVIDES PERKS FOR
MAKING HEALTHIER CHO...
www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014
The Future Of
Health Video
vimeo.com/psfk/foh
SUP...
www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014
9
GAME THERAPY
69%
John Pugh,
Global Innovation L...
www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014
10
EXERCISE EFFECTIVENESS
MONITORED BY GAME CONSO...
www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014
SUPPORTING DATA
IMPLICATIONS
The Future Of
Health...
www.psfk.com/future-of-health / #FutureOfHealth
EMPOWERED
PATIENT
DIY
DIAGNOSIS
CARE
GUIDANCE
SOCIAL SUPPORT
COMMUNITIES
Armed with a greater degree of knowledge about
their lifestyles and conditions, people are taking a
more central role in d...
www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014
14
DIY DIAGNOSIS
of respondents said they used
[h...
www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014
15
THERMOMETER SYNCS WITH
LOCAL ILLNESS MAP
NYC c...
www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014
SUPPORTING DATA
IMPLICATIONS
The Future Of
Health...
www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014
17
CARE GUIDANCE
“Care delivery will become incre...
www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014
18
FREE ONLINE SERVICE DELIVERS
PERSONALIZED MEDI...
www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014
IMPLICATIONS
19
SUPPORTING DATA
“You can go into ...
www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014
20
SOCIAL SUPPORT
COMMUNITIES
37
“The patient exp...
www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014
21
CANCER SUFFERERS FIND OTHERS
LIKE THEM FOR SUP...
www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014
IMPLICATIONS
The Future Of
Health Video
vimeo.com...
ORCHESTRATED
CARE
REMOTE
HOUSE CALLS
DATA-DRIVEN
TREATMENTS
PHYSCIAN-
TO-PHYSCIAN
NETWORK
CLOUD-POWERED
MEDICAL RECORDS
Healthcare providers are using new technologies,
social platforms and data systems to streamline the
way information is di...
www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014
25
REMOTE HOUSE CALLS
160 million
“With the emerg...
www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014
26
PRIVATE PODS OFFER ON-DEMAND
CARE
Ohio healthc...
www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014
IMPLICATIONS
The Future Of
Health Video
vimeo.com...
www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014
28
CLOUD-POWERED
MEDICAL RECORDS
“The transparenc...
www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014
29
DIGITAL PLATFORM CONNECTS FIRST
RESPONDERS AND...
www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014
SUPPORTING DATA
IMPLICATIONS
The Future Of
Health...
www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014
31
PHYSICIAN-TO-PHYSICIAN
NETWORKS
“We’re on a re...
PSFK The Future Of Health Report 2014
PSFK The Future Of Health Report 2014
PSFK The Future Of Health Report 2014
PSFK The Future Of Health Report 2014
PSFK The Future Of Health Report 2014
PSFK The Future Of Health Report 2014
PSFK The Future Of Health Report 2014
PSFK The Future Of Health Report 2014
PSFK The Future Of Health Report 2014
PSFK The Future Of Health Report 2014
PSFK The Future Of Health Report 2014
PSFK The Future Of Health Report 2014
PSFK The Future Of Health Report 2014
PSFK The Future Of Health Report 2014
PSFK The Future Of Health Report 2014
PSFK The Future Of Health Report 2014
PSFK The Future Of Health Report 2014
PSFK The Future Of Health Report 2014
PSFK The Future Of Health Report 2014
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PSFK The Future Of Health Report 2014

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PSFK shares another great report with insights into the #FutureOfHealth.

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PSFK The Future Of Health Report 2014

  1. 1. PSFK presents THE FUTURE OF HEALTH
  2. 2. The Future Of Health 2014 www.psfk.com/future-of-health / #FutureOfHealth A Foreword PIERS FAWKES Founder & President, PSFK Labs labs.psfk.com Imagine a future where wearable technologies track key areas of your life to provide timely prompts about your health, and the data gathered can be uploaded securely to the cloud. Instead of going into the doctor’s office for a checkup, you would schedule a video consultation to discuss your recent readings. In instances when you need further care, your visits would be coordinated by medical records that flow seamlessly between key members of hospital staff and your care would be supported by relevant information that prepares you for what’s next. Your surgeon would be able to look at your results alongside the wider patient population or seek advice from specialists around the world to determine an optimal treatment plan; the effectiveness of which would determine their compensation. While the realities of the current model of healthcare tell a different story, we’re beginning to see exciting signs of change against daunting challenges. The World Economic Forum estimates that unless current trends reverse, five common ‘lifestyle’ diseases— cancer, diabetes, heart disease, lung disease and mental health problems—will cost the world $47 trillion in treatments and lost wages. Add that figure to a system that could see a shortage of 90,000 doctors in the US alone by the end of the decade, and the picture becomes bleak. Rather than view these as insurmountable obstacles, we choose to see a landscape full of opportunity. Despite a slow regulatory process a host of new mobile and social tools, sensor technologies and devices are being developed for an industry in need of change. These innovations are poised to improve health lifestyle choices and change the way care is delivered. We’re excited to share this patient-centered vision in our latest report.
  3. 3. The Future Of Health 2014 www.psfk.com/future-of-health / #FutureOfHealth B Introduction As a wide array of health innovations ranging from wearable trackers to responsive algorithms enter the marketplace, we’re seeing the emergence of a proactive and empowered patient who is more in control of their health. These individuals have more information about their lifestyle choices and conditions, and a desire to share it with the broader community. Armed with this knowledge, they expect their relationships with their doctors to be more personal and collaborative, where they work together to achieve the best outcomes. At the same time, the healthcare system is adopting better tools to ensure streamlined communications and a more efficient use of resources. Information silos are moving to the cloud for universal access and sophisticated algorithms are making sense of this data to enable an individualized level of treatment and care. The result is a new paradigm that thinks about healthcare as an ongoing conversation between people and their extended network, rather than something that happens when someone gets sick. In the following pages, PSFK Labs has summarized 13 trends related to the Future of Health that fit within four larger themes: Behavioral Nudge, Empowered Patient, Orchestrated Care and Augmented treatments. These highlight how consumer technologies, data analytics and information systems are changing the way healthcare is delivered both from a patient and physician perspective. To support this vision, PSFK has described six best-in-class examples to show how these ideas are manifesting within the marketplace. Additionally, each trend page includes quotes from experts who talk about the larger significance of these ideas, relevant stats that convey potential for growth, plus implications that point to what’s possible next. We appreciate the opportunity to share what we hope is a compelling story around the Future of Health and its impact. We look forward to participating in the larger discussion as these new innovations reshape the industry. 7 Lessons for Successful Healthcare Services As people begin to generate a greater volume of personal health data alongside their existing medical records, questions around ownership and portability will loom large. People will want control over this information to ensure that they receive the greatest benefit from shared access whether that be through lower insurance premiums or personalized care. DATA SYNERGY1 As more reliable medical information flows into the healthcare system from patients, the data is added to aggregated research databases that can be mined for deeper insights about individuals and communities. Doctors can use these insides to support better assessments about conditions, treatment effectiveness and warning signs. LIVING HEALTH DATABASE2 Patients will demand the ability to connect with their doctors through a wider variety of platforms and channels—video, online, mobile and social—to receive care that is more personal, regular and convenient. This new level of access will place the relationship between patients and physicians at the center of the healthcare system. INSTANT ACCESS3 As patients broaden their healthcare networks to include wellness experts and patient communities, they’ll require access to personal medical results and resources that are accurate, standardized and easily understood to facilitate discussion and collaboration on treatment plans. INFORMED CONVERSATIONS4 Digitally-savvy patients are looking to their doctors and healthcare providers to be technology and information advisors in the medical space. Whether curating trusted content or recommending relevant mobile apps and wearable devices, these new resources will support a more continuous and responsive model of healthcare. PRESCRIPTION FOR TECHNOLOGY5 As sophisticated health monitoring and analysis technologies develop for the consumer and professional marketplaces, we’ll see a transition to a more responsive model of care that steps in to provide support at key moments. These systems will of automate processes like appointment and medication reminders, and provide prompts when human input is required, such as when a patient is deviating from their treatment. RESPONSIVE CARE SYSTEMS6 CONSUMER- DRIVEN MARKETPLACE As patients take advantage of connected technologies, social tools and information resources to become more knowledgeable about their health and that of their families, there will be a subsequent push for healthcare options that better fit their lifestyle choices. In order to compete in this new marketplace, providers will rethink their offerings to consider plans that include performance incentives, transparency and greater flexibility. 7
  4. 4. The Future Of Health 2014 www.psfk.com/future-of-health / #FutureOfHealth C ORCHESTRATED CARE 25 28 31 AUGMENTED TREATMENT 39 42 45 34 REMOTE HOUSE CALLS Sharp / TalkSession / HealthSpot / Sherpaa / Grand Rounds / Goderma CLOUD-POWERED MEDICAL RECORDS ZappRx / Tonic Health / Mediview / Medlio / Drchrono / MedChart PHYSICIAN-TO-PHYSICIAN NETWORKS Figure 1 / Doximity / ECHO Project / CrowdMed / Next Wave Connect / Careflow DATA-DRIVEN TREATMENTS Sage Bionetworks / Frame Health / Collaborative Assessment and Recommendation Engine / CancerLinQ / IBM, Sutter Health & Geisinger Health Systems / New York City Mount Sinai Medical Center EMBEDDED VITAL MONITORS University of Illinois & Maste / University of California-San Diego / The Ubicorp Lab / Google / Ecole Polytechnique Fédéral de Lausanne / Proteus Digital Health OVERLAY OR Sony / Fraunhofer Institute & Yokohama City University Hospital / Pristine / Dr. Rafael Grossman / RealView Imaging / Anatomage PRINTED PROCEDURES Robohand & MakerBot / Princeton University / Cornell University / Fripp Design & Research / Handie / BioPen Table Of Contents Themes, Trends & Examples Foreword Introduction Table Of Contents Major Themes Key Takeaways About PSFK About Our Sponsor Boehringer Intelheim Experts Discuss The Future Of Health About / Team A B C D D E E 48 50 BEHAVIORAL NUDGE 03 06 09 EMPOWERED PATIENT 14 17 20 HOLISTIC TRACKING Endotheliometer / Athos / Airo / Ignite Pad / W/Me band / MyBreath INCENTIVIZED WELLNESS Walgreens / FwdHealth / The Vitality Group / Movimento / DietBetter / Evolent GAME THERAPY / MY ASICS / Re-Mission 2 / Children’s National Medical Center / mySugr / Stomps / PIP DIY DIAGNOSIS uChek / Health eHeart / Kinsa / Scanadu Scout / Gene-RADAR / Oxitone CARE GUIDANCE Seoul National University Bundang Hospital / Touchsurgery / Medivizor / Careport Health / Medeel / Wellframe SOCIAL SUPPORT COMMUNITIES Crohnology / Smart Patients / Social Rehub / Cody / IHadCancer / Center for Behavioral and Addiction Medicine at UCLA
  5. 5. The Future Of Health 2014 www.psfk.com/future-of-health / #FutureOfHealth D Key Trends in the Future of Health Holistic Tracking. Wearable technologies are helping people track and manage a wide variety of health data, giving them a clearer understanding of existing conditions and preventative techniques. Incentivized Wellness. Emotional and financial rewards are motivating people to make healthier lifestyle choices and improve their behaviors. Game Therapy. Games keep patients engaged around ongoing therapies to ensure adherence, while adding a layer of enjoyment to the process. DIY Diagnosis. Simple to use technologies offer a ‘good enough’ level of diagnosis about symptoms, helping people determine if they need to seek further medical care. Care Guidance. Platforms are arming patients with relevant information and reminders at key points as they interact with the healthcare system. Social Support Communities. Patient communities are forming around specific conditions to share advice, experiences and support, helping one another on the path to better health. Remote House Calls. In-person checkups are being supplemented by telemedicine options that allow patients to remotely connect with healthcare providers for immediate advice and care. Cloud-Powered Medical Records. Digital platforms are breaking down communications between providers, streamlining the way patient data and records are accessed and shared. Physician-to- Physician Networks. Niche networks are connecting doctors with their peers, offering a way to share medical research and treatment advice. Data-Driven Treatments. Patient data is being analyzed alongside various treatment options to better assess possible outcomes and offer individual recommendations around care. Embedded Vital Monitors. Small and flexible sensors are replacing bulky patient monitors to collect and stream biometric data to physicians and nurses. OVERLAY OR. Visualization and information overlay tools are being developed to assist physicians during complex procedures and supplement current education techniques. Printed Procedures. Advanced 3D printing and fabrication techniques are improving surgery outcomes and making cost-effective prosthetics more accessible. Macro Themes Changing the Health Landscape BEHAVIORAL NUDGE New tools and incentive systems are promoting a more proactive model of health by helping people better track and understand their behaviors and encouraging them to make healthier lifestyle choices. Wearable and mobile technologies are leveraging advanced sensors and algorithms to provide deeper insights and individualized coaching to activate users around their wellness. When paired with game mechanics offered by insurance companies, employers and providers, these feedback loops motivate users to make incremental changes over time. The net effect of this approach is a healthier population that is less reliant on the resources provided by the broader healthcare system. EMPOWERED PATIENT Armed with a greater degree of knowledge about their lifestyles and conditions, consumers are taking a more central role in determining when they interact with the healthcare system and how their care is delivered. Patients are being empowered with technologies and participation in social communities that enable them to gather valuable advice or self-diagnose before visiting a medical professional. As a result, patients are better prepared to collaborate with their doctors during these consultations on the best course of action, which can be further supported by guidance around individual treatment plans to ensure optimal outcomes. ORCHESTRATED CARE Healthcare providers are using new technologies, social platforms and data systems to streamline the way information is disseminated and accessed to deliver a more personalized and distributed model of care. Secure networks are offering a new ‘commons’ for doctors to share research and advice around conditions that fall outside of their expertise, while analytics tools interpret patient data to further support these decisions. Similarly, digital platforms have evolved to ease the communication between doctors, patients and different medical personnel to ensure that pertinent records, treatment plans and face-to-face guidance is readily accessible, cutting down inefficiencies and mistakes. AUGMENTED TREATMENT Doctors are upgrading their medical toolkits with high tech visualization instruments, imperceptible monitoring devices and 3D printing techniques to improve the level of care they can provide to patients. Added biometrics from embedded sensors are aiding in patient diagnosis and tracking. Inside the examination and operating rooms, holographic projections and augmented reality overlays allow physicians and surgeons to offer less invasive and more effective treatments. At the same, 3D printers are enabling medical technicians to produce cost-effective prosthetics and implants that can be tailored to individual patients to ensure greater comfort and functionality and speed recovery times.
  6. 6. The Future Of Health 2014 www.psfk.com/future-of-health / #FutureOfHealth E This report is kindly sponsored by Boehringer Ingelheim. Boehringer Ingelheim is a research-driven company dedicated to developing, manufacturing and marketing pharmaceuticals that improve health and quality of life. They focus on innovative drugs and treatments that represent major therapeutic advances. Boehringer Ingelheim drives progress in the form of medicines, technologies and solutions that help people. They also evaluate innovative models of a healthcare provision and opportunities for cooperative innovation through pilot program, partnerships and investments in the field of integrated healthcare solutions that deliver greater health benefit for patients. Here they are always led by people’s medical needs. Boehringer Ingelheim believes that it is the patients’ partner that makes available innovative medicines for better health. www.facebook.com/boehringeringelheim “As a pharmaceutical company, innovation is a crucial skill for us to nurture and develop. Innovation means we can continue to positively contribute to the health of patients and society at large. We constantly seek to embrace innovation, inside and outside our company, in order to add value for our customers.” — Allan Hillgrove, Board Member. Boehringer Ingelheim About Our Sponsor Boehringer Ingelheim About PSFK Labs The researchers behind the Future of Health report applied the same rigorous process that they use to conduct projects for Apple, BMW, Google, Intel, Philips, Samsung, Target and UNICEF. The PSFK Labs’ Research & Strategy team conducted grounded theory analysis that leveraged thousands of data points and dozens of experts’ opinions to identify the micro and macro trends and develop the recommendations found in this report. SCOTT LACHUT Director, PSFK Labs labs.psfk.com
  7. 7. www.psfk.com/future-of-health / #FutureOfHealth BEHAVIORAL NUDGE Holistic Tracking Game Therapy Incentivized Wellness
  8. 8. The Future Of Health 2014 New tools and incentive systems are promoting a more proactive model of health by helping people better track and understand their behaviors and encouraging them to make healthier lifestyle choices. Wearable and mobile technologies are leveraging advanced sensors and algorithms to provide deeper insights and individualized coaching to activate users around their wellness. When paired with game mechanics offered by insurance companies, employers and providers, these feedback loops motivate users to make incremental changes over time. The net effect of this approach is a healthier population that is less reliant on the resources provided by the broader healthcare system. — Holistic Tracking — Incentivized Wellness — Game Therapy BEHAVIORAL NUDGE
  9. 9. www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014 HOLISTIC TRACKING HOLISTIC TRACKING 46% of people who tracked their health say that it has changed their overall approach to maintaining their health or the health of someone for whom they provide care. — Pew Internet & American Life Project, “Tracking for Health,” 2013 “The use of technology, although taking away some of the human touch from what we do, is actually going to bring us more personalized medicine. These systems are going to change the experience for the patient. The patient is going to be monitored in a variety of ways, including wearable devices that track how much they move, what their temperature is, what their heart rate is, including devices that are included within the packaging of their medication, which will indicate if they’ve taken their medication, or not. But the important thing is not the information in itself. The important thing is what we do, once we have that information.” Dr. David Medina Tato, Senior Manager, Business Model & Healthcare Innovation at Boehringer Ingelheim A new class of wearable devices is entering the marketplace which enables people to capture a wider range of biometric data that goes beyond fitness statistics. By visualizing the data captured in their day-to-day lives, users are better prepared to make informed decisions about their health outcomes. 3 BEHAVIORAL NUDGE
  10. 10. www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014 4 SCALE ANALYSES BEHAVIOR AND PROVIDES AN OVERALL HEALTH NUMBER Ignite wellness in Silicon Valley created a health and wellness device ecosystem comprised of a mobile application and a digital scale that compiles a person’s weight and fitness records into one composite number that signals their overall health. When users stand on the IGNITE Pad device, a connected smartphone registers the person’s weight and inputs that data into the IGNITE mobile app, providing a tangible ‘Life Number’ which fluctuates according to the user’s activities, such as eating, exercise or smoking. Notifications about weight gain or losing their position on a socially-ranked leaderboard helps users stay on track with their goals. By seeing that every action taken affects their Life Number, IGNITE users can proactively take steps to improving their health and overall wellness. www.lunar.com/work-ignite.shtml WRISTBAND SCANS BLOOD AND TRACKS EXACTLY WHAT WEARERS EAT Airo is a health and wellness wristband that captures a range of data points around exercise and stress, eating habits and sleep. Developed by Canadian company AIRO Wellness, the wristband projects LED light into the bloodstream to detect metabolites associated with carbohydrates, proteins, and fats. By scanning the nutrients in the bloodstream, Airo is able to give explicit feedback on how the body processes ‘good’ or ‘bad’ nutrients. In addition, AIRO tracks sleep and exercise by monitoring wrist movement patterns during sleep mode, and heart rate variability and motion when in exercise mode. All the data is collected and visualized on a mobile application, facilitating behavioral change over time using gentle nudges towards better outcomes. www.getairo.com HOLISTIC TRACKING WORKOUT GEAR MEASURES MUSCLE EXERTION AND TRACKS DATA Athletic clothing company Athos has created a full-body workout suit that is embedded with sensors to track a variety of fitness metrics during workouts. The brand’s compression workout apparel is lined with sensors that record heart rate and breathing information, while central ‘core’ units track muscle movement through built-in accelerometers. All of the information is broadcast to a smartphone application where users can see their total muscle effort, reps, and heart rate among eight other composite metrics from their workout. www.liveathos.com BLOOD CELL MONITORING DEVICE ALLOWS EARLY DISCOVERY OF CONDITIONS The Endotheliometer measures key cell layers in blood cells to gather signals of ‘wear and tear’ and gages a person’s overall health as they age. Created by researchers at Lancaster University in the UK, the measurement device is worn on the wrist and examines cell cycle changes in the endothelium a layer of cells that coats the inside of the body’s blood vessels and lymphatic vessels. Due to its proximity to the circulatory and lymphatic systems, the endothelium offers a proxy to their overall health, giving insight into how a patient’s body is aging, particularly with individuals who are predisposed to cardiovascular diseases. This process offers a new approach in estimating a patient’s cardiovascular age which can be helpful when used in contrast with the patient’s overall health, allowing for early discovery of conditions and the ability to take necessary steps to avoid further complications. www.lancaster.ac.uk BEHAVIORAL NUDGE HOLISTIC TRACKING
  11. 11. www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014 SUPPORTING DATA IMPLICATIONS The Future Of Health Video vimeo.com/psfk/foh 5 _ What are the next wave of personal metrics that are going to be essential for maintaing good health? _ How do we move from historical tracking to predictive warnings, and what lifestyle behaviors should be the focus? _ How do we standardize the data being gathered and make it shareable with the wider healthcare system? _ As this data is shared with insurance companies and providers, how do we ensure that consumers maintain ownership and receive greater value? _ What new services will be needed to connect and analyze a wider range of data sources, and deliver deeper meaning? _ How can we tap into “in the moment” achievements or long-term goals to support consumers on their goal to better health? “People want to have their own medical readings. They want to keep their own medical records. They want to talk about it with others. They want to share it. They want to compare it. They want to have second opinions.” — Jared Heyman, Founder, Crowdmed “Wearable technology has changed the way we think about healthy living. With more efforts being put into understanding how our bodies respond to exercise, we’ll continue to see fitness technology educate all of us on how to live a more active lifestyle and take control of our own health. The technology won’t make us fit on its own, but it can monitor our efforts and motivate us to make better choices in our everyday lives.” — Shannon Miller, President, Shannon Miller Lifestyle “Once you start to understand your biometrics and understand that they enrich your daily life in some way, you’ll start to expect that the experience gets richer and richer the more data you have.” — Dr. Leslie Saxon, Founder and Executive Director, USC Center for Body Computing 60% of Americans and 53% of UK wearable tech survey respondents said that wearable tech “helps them feel more in control of their lives.” — Centre for Creative and Social Technology at Goldsmiths University of London, ‘The Human Cloud: Wearable Technology from Novelty to Productivity,’ 2013 Nearly 50% adults in the UK who self-track with mobile devices say they’ve experienced strong behavior change. — Fitbit, ‘Fitbit Healthy Futures Report,’ 2013 HOLISTIC TRACKINGBEHAVIORAL NUDGE “We see this huge gap that exists between intention and action—what people think they’re doing, and what they’re actually doing—and I think that transparency of seeing that starts to help people understand what are the patterns that they thought they were doing, and where can they make adjustments to live the life that they really want to.” THE FUTURE OF HEALTH VIDEO vimeo.com/psfk/foh Travis Bogard, VP Product Management & Strategy at Jawbone PULSE SENSOR MONITORS STRESS FOR HOLISTIC HEALTH ANALYSES California company Phyode launched the wearable W/Me band that lets users monitor their autonomic nervous system (ANS) for signs of illness or poor health devices and stress so that they can regulate their actions accordingly. When a user places their finger on the small metallic electrode plate on the band, a highly tuned pulse sensor can monitor the subtle involuntary, visceral actions of the internal organs, such as heartbeat and digestive processes. The band uses its ‘Life Spectrum Analyzer’ sensor to collect data and transmit it to the user’s smartphone. The data is compiled on the user’s smartphone and provides them three metrics: mental state, agility score, and ANS age. These scores reflect user’s heart and breathing rates and creates composite scores that reflect their emotional state, flexibility and perceived age due to stress. www.phyode.com HEADSET MONITORS BREATHING, TEACHES NEW WAYS TO EXHALE STRESS BreathResearch is focused on helping people monitor their breathing as a way to reduce stress, optimize athletic performance, lose weight and improve sleep. The company has been working in California on research that analyzes ‘breath acoustics’, otherwise known as the quality of one’s breathing. Each breathing sample is compared against six different metrics as well as the overall quality of the user’s breathing cycle. Combined with a mobile app called MyBreath, the headset captures a user’s breathing, analyzes the patterns, generates a breathing score and provides recommendations on how to improve breathing habits. This technology capitalizes on recent studies suggesting that breath analysis can detect stress levels, bacterial infections, and other conditions, as well as alleviate stress, asthma and other conditions. www.breathresearch.com HOLISTIC TRACKING
  12. 12. www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014 6 25% of adults aged 25 to 44 said motivational prompts through their smartphone would have a huge effect on their health choices. — Fitbit, ‘Fitbit Healthy Futures Report,’ 2013 John Pugh, Global Innovation Leader at Boehringer Ingelheim “For people who choose to opt in and share their privacy, there’s many different ways that this data transaction could be seen. They open the gate to that privacy and in return perhaps they get lower insurance rates. They may get access to preferential treatment or branded medications rather than generic medications. As you track more aspects of your life and these transactions arise there could be a proliferation of opportunities and options for you when it comes to how you become insured.” A reward-based model of preventative healthcare is emerging to reward people for leading healthier lifestyles. By leveraging data that measures a person’s activity levels and other metrics, these services provide a general personal health ranking. This baseline is used to lower insurance premiums or provide other social or emotional perks, all with the hope of cutting down on the associated healthcare costs. INCENTIVIZED WELLNESS INCENTIVIZED WELLNESSBEHAVIORAL NUDGE
  13. 13. www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014 7 SERVICE PROVIDES PERKS FOR MAKING HEALTHIER CHOICES The Vitality Group has a website for employers and their health insurance providers that uses a series of questions to recommend tasks to guide employees to better health, while supplying rewards. The Chicago- based company crafts health enhancement plans that members can access online in order to track their steps taken in a day, activities completed at the gym, and general daily activity. Each member can set health goals and work to achieve them using clinically tested and approved activities. When a member reaches a set goal, they are rewarded with incentives such as iTunes gift cards, movie tickets, and hotel stays. Rewarding healthy behavior defers the pleasure from unhealthy activities to positive, regenerative activities. www.thevitalitygroup.com DASHBOARD SYNCS WEARABLE DEVICE DATA FOR COMMUNITY GAMES Movimento, a company from Silicon Valley is offering a mobile game for smartphone users that lets them view all of their fitness data and compete with friends as they work towards better health and lower health costs. Users can connect their Fitbit, Nike+ FuelBand or Jawbone UP bracelet to the app and view data, ranging from number of steps taken, miles walked or their average amount of sleep. Users can then set challenges for themselves or their peers using the app to hold each other accountable for achieving fitness goals. Movimento explores how doctors could challenge their patients to make life changes that will ultimately reduce their risk of health issues, in turn lowering their insurance rates. While the service has been using the metrics provided by wearable fitness devices, the company aims to include more metrics that can be used to incentivize users as they challenge themselves and friends to become healthier. www.movimento.co INCENTIVIZED WELLNESS RETAILER LINKS FITNESS ACTIVITIES TO REWARDS, ENCOURAGING COMMUNITY HEALTH Shoppers at U.S. pharmacy chain Walgreens can participate in an online and mobile community support platform that rewards physical activity with points towards Walgreens purchases. Members log their physical activities taken from fitness devices on Walgreens’ online Steps with Balance Rewards Program website and mobile application. In exchange for their physical activity, customers earn loyalty reward points that can shave dollars and cents off everyday Walgreens’ products. Since the end of 2013, there are over 1 million active ‘Steps’ members interacting with each other online, sharing stories and working towards badges around each individual’s goals. www.walgreens.com/steps DASHBOARD TRACKS EXERCISE REGIME FOR LOWER INSURANCE COSTS A cloud-based health data dashboard platform from FwdHealth in Chattanooga, Tennessee allows workplace managers to review their employees’ exercise, diet and sleep patterns in the interest of lowering health costs. FwdHealth users can connect their various fitness apps to FwdHealth’s mobile application or website, and then forward their data to their employers, who confer with healthcare providers on how to provide the best, most affordable healthcare plan for both parties. Employers can keep track of progress using a dashboard to view their employees’ progress and determine who is on track to meet their goals. Using the data, employers can incentivize others to be healthier, and tailor healthcare plans that cut out unnecessary costs. Using the data collected, companies can submit the information to insurance companies to further demonstrate that their employees are at a lower health risk. www.fwdhealth.co BEHAVIORAL NUDGE INCENTIVIZED WELLNESS
  14. 14. www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014 The Future Of Health Video vimeo.com/psfk/foh SUPPORTING DATA IMPLICATIONS “As a doctor, I have to do continual medical education. I have to do 52 hours every year of reading and studies and tests and quizzes. It’s a requirement. I think patients should have a similar type of requirement. Or it should be an opt in and if they do that, their insurance rates go down. I think healthcare needs to start educating people about what’s going on with their diagnosis. What it means. In a more systematic and thoughtful way.” — Dr. Jordan Shlain, Founder, Healthloop “Numerous studies demonstrate that extrinsic motivators are not nearly as powerful or sustainable as their intrinsic counterpart, so incentivized wellness programs that leverage extrinsic motivators to jumpstart intrinsic motivation tend to be more successful in terms of long-term behavioral changes and health outcomes.” — Shayne Wood, CEO, FwdHealth “The science of behavioral economics has found that when people are offered immediate incentives and penalties to do the healthy thing, they are more likely to make the right decision, sort of like having a swear jar for healthy living.” — Dr. Celine Grounder, Internist and Infectious Diseases Specialist, Spencer Cox Center for Health 25% of adults aged 25 to 44 said motivational prompts through their smartphone would have a huge effect on their health choices. — Fitbit, “Fitbit Healthy Futures Report,” 2013 “In 2014, we should begin to see compensation systems based on positive health outcomes, rather than procedures. All of these changes are predicated on engaging the consumer and the healthcare system— sometimes individually and sometimes together.” — Paul Slavin, Chief Operating Officer, Everyday Health 70% of people in 8 countries around the world would be willing to share data from [a] smart toilet if it would mean lower healthcare costs. — Intel, “What Information Are We Willing To Share To Improve Healthcare?”, 2013 75% would be comfortable giving up information gathered by a health monitor they could swallow. — Intel, “What Information Are We Willing To Share To Improve Healthcare?”, 2013 _ Where can brands leverage positive health and wellness outcomes by meeting people with rewards and incentives? _ How can we create a marketplace of non-monetary or emotional benefits that motivates members to engage in healthier behaviors? _ Can we create programs that benefit the workplace improvements as well as employees’ overall health? _ How do we ensure that people feel supported rather than hassled by these incentive programs? _ How can we use personalized incentives to reduce a patient’s risk of missing treatment and maintain adherence ? _ How should insurance and healthcare companies redistribute the costs saved from healthier lifestyle choices back to the wider population? INCENTIVIZED WELLNESS Halle Tecco Co-Founder & CEO. Rock Health “Patients have a lot more interest in being proactive about their own care. One of the reasons, and one of the big drivers, is that we have higher out-of-pocket costs. More of the burden is falling on the patient. So they’re going to make sure that their biggest expense isn’t their healthcare that year. They’re financially incentivized to stay healthy.” COMMUNITY HAS MEMBERS PLACE BETS ON WEIGHT LOSS SUCCESS DietBetter is a social dieting game that allows individuals to place bets on their weight loss, earning money if they win. There are two main weight-loss programs: the Kickstarter, where users pledge to lose 4% of their total weight in four weeks, and the Transformer, where users pledge to lose 10% in six months. Custom programs can be created and led by users themselves or by celebrity trainers, like Jillian Michaels of NBC’s ‘The Biggest Loser’. If a person fails, they must forfeit their money, with the largest pot reaching $315,825 and growing. The NYC startup hopes to simplify the motivations for people looking to lose weight by simply providing cash rewards for people’s efforts and gamifying the process. In 2013, $3 million was paid out to winners, a total of 500,000 pounds was dropped among all players, and 96% of them lost weight. www.dietbetter.com ALGORITHM DIAGNOSES POPULATION TO DETERMINE AT-RISK PATIENTS Virginia-based population health management company Evolent has designed a system that analyzes patients’ information to determine high risk cases and recommend medical care that will lower costs and the chance return visits. By partnering up with hospitals, Evolent uses its Identifi technology to continually gather relevant patient records, demographic data and external sources of information, which are compiled into an algorithm that determines which patients in a population are most at risk. They can in turn support providers by sharing insights about patients’ behaviors, including data that ranges from vital signs to whether or not they processed their pharmacy orders. www.evolenthealth.com 8 BEHAVIORAL NUDGE INCENTIVIZED WELLNESS
  15. 15. www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014 9 GAME THERAPY 69% John Pugh, Global Innovation Leader at Boehringer Ingelheim “One thing that wearable trackers can do is change the way that we behave. Combine that with gamification techniques and we can see behavior changing towards a more positive outcome. Applying motivational techniques to mundane or ordinary processes to make them more engaging, fulfilling and exciting, is a really valid and interesting way of creating better health outcomes.” In a study examining the effects of gaming on health outcomes, video games improved Gameplay and mechanics are being integrated into long term treatment and recovery plans as ways to ensure patient motivation and adherence. These hybrid therapies are designed to turn repetitive, foreign and often difficult tasks into fun activities, while helping patients and their caregivers track progress over time. — American Journal of Preventative Medicine, “Role of Video Games in Improving Health-Related Outcomes,” 2012 59% 50% 46% 42% 42% 37% of psychological therapy outcomes, of physical therapy outcomes, of physical activity outcomes, of clinician skills outcomes, of health education outcomes, of pain distraction outcomes, and of disease self- management outcomes. GAME THERAPYBEHAVIORAL NUDGE
  16. 16. www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014 10 EXERCISE EFFECTIVENESS MONITORED BY GAME CONSOLES The Pain Medicine Care Complex of the Children’s National Medical Center in Washington, D.C. is looking to streamline care by incorporating interactive games played on motion sensing game consoles like Xbox Kinect and Nintendo Wii into patient care. By playing interactive games that use motion-reading sensors, doctors are able to track up to 24 points on a patient’s body. While gathering data on patients’ movements, providers can review progress and monitor data trends in real-time. The information gathered from playing these games can effectively gauge specific exercises’ effectiveness, allowing therapists to tailor activities and eventually let patients guide their own therapy remotely, thus lowering the costs of care while increasing the benefit. The simple motion tracking technology can help to expedite the correct diagnoses of the difficult to identify Chronic Pain Syndrome, as well as spawn games that are designed to offer new treatments and can be performed in patients’ homes. bit.ly/1bUHfGn DIABETES TREATED AS A GAME MONSTER NEEDING TO BE TAMED mySugr is a mobile app from Austria that helps individuals living with diabetes manage their condition by engaging in a game. Similar to the daily logbook already kept by many diabetes patients, the game portrays diabetes as a monster that can be tamed simply by logging their blood sugar data at regular intervals. When a patient logs their levels, they receive points, which help tame the diabetes monster. The goal is to tame the monster every day, thus instilling habitual positive behaviors for the rest of the user’s life. The app also has a photo-uploading capability and search functionality so users can refer back to previous meals to see how to make better eating decisions. There is a companion app geared towards children with diabetes, which allows parents to follow along and monitor their child’s progress using their smartphones. www.mysugr.com GAME THERAPY MOBILE MONITOR PERSONALIZES RUNS BASED ON CURRENT STAMINA MY ASICS is a mobile application for running that generates adaptive workouts based on the users’ stamina and offers tailored exercise routines as they progress towards their running goals. MY ASICS logs run time, distance, pace and gear, and represents the data in a dashboard on the go and online, allowing the user to plan future runs and improve their time. The runner can either carry their phone with them as they run, or log the data manually. Based on seven years of training research at the ASICS Institute of Sport Science in Kobe, Japan, the app uses a network of algorithms that track improvements or setbacks in order to customize workouts for each user’s abilities. Using the MY ASICS app, 78% of runners were able to achieve their goals, and 91% of professional runners were able to improve their times. www.myasics.us GAME HELPS PATIENTS BRING THE FIGHT TO CANCER, SPAWNING IMPROVED OUTCOMES Re-Mission 2 is the second installation of a web-based game where cancer patients can take part in fighting virtual cancer cells, engaging them to form positive associations with the real world treatments that they undergo. Players diagnosed with cancer can compete in six free online missions that pit patients against different types of body-invading cancer cells. The missions parallel medical treatments that patients typically undergo in their fight against cancer. The game leverages recent research showing that the rewards gamers get for killing the cancer invaders increase positive associations and emotions tied to chemotherapy and antibiotic treatments all while increasing a player’s adherence to treatment plans. The original Re-Mission, first launched in 2006, reached almost 250,000 people, and the new Re-Mission 2, released in April 2013, has already reached more than 50,000 people worldwide www.re-mission2.org BEHAVIORAL NUDGE GAME THERAPY
  17. 17. www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014 SUPPORTING DATA IMPLICATIONS The Future Of Health Video vimeo.com/psfk/foh 11 “People play games because they are engaging. We are now starting to understand how games motivate us, and how to use this motivation to change healthcare.” — Roger Alitzer, Professor, University of Utah “Even relatively short play experiences could motivate healthy behavior change by making young cancer patients feel more capable of fighting their cancer. Based on these insights, HopeLab developed a “recipe” for positive health behavior change through games: boost positive emotion, increase self-efficacy, and shift attitudes about cancer treatments.” — Richard Tate, VP Communications & Marketing, HopeLab Inc. _ What mental states are important for patients to maintain during treatment, how can they be supported in game play? _ How can daily chronic care activities be made fun using game mechanics? _ Are there unhealthy behaviors that can be offset by daily game usage, which in turn reinforce positive actions? _ How can personal profiles and data help to inform personalized programs? _ What entertaining activities can be repackaged for patients and recovering survivors to alleviate their discomfort and deliver a dose of enjoyment? _ Can you incorporate social elements to help further engage patients in treatment adherence or fitness activities? GAME THERAPY “We see this huge gap that exists between intention and action— what people think they’re doing, and what they’re actually doing— and I think that transparency of seeing that starts to help people understand what are the patterns that they thought they were doing, and where can they make adjustments to live the life that they really want to.” PAINT PROGRAM GIVES DISABLED CHILDREN A CHANCE TO EXPRESS THEMSELVES The Kinect Virtual Art Program at Flinders University in Australia helps disabled children improve their ability to express themselves while simultaneously increasing their mobility. The unique art therapy program used Microsoft Kinect’s motion sensing technology to create a responsive video game for children between the ages of 5 and 10 who cannot communicate verbally. By moving their limbs in front of the Kinect Sensor they were able to project simple color line drawings and express themselves using movement. Different colors correspond to each limb, allowing researchers to track and study movement over the course of subsequent sessions. 80% of the study’s participants showed increased movement and increased enjoyment after using the game. www.flinders.edu.au www.hollandbloorview.ca bit.ly/1bUOVIO HAND-HELD SENSOR DETECTS STRESS AND TEACHES USERS HOW TO CONTROL IT The PIP, is a hand-held device that lets users compete with one another in games geared toward reducing stress and increasing relaxation. Irish company Galvanic Ltd. created the small device that when gripped between the thumb and forefinger, measures the sweat triggered by the body in stressful situations. This data is relayed via Bluetooth to the PIP mobile application, where users are prompted to play a short game on their device in order to relax. The app houses a series of games that challenge users to master their relaxation by learning to be calm in stressful situations. One such game, called Relax & Race, can be played between two players and is won by whomever relaxes the most. The device hopes to help users quickly understand when they are stressed and give them tools to realx. kck.st/1bMlZ0i www.galvanic.ie BEHAVIORAL NUDGE GAME THERAPY Dr. Samir Damani Founder & CEO at MD Revolution Inc.
  18. 18. www.psfk.com/future-of-health / #FutureOfHealth EMPOWERED PATIENT DIY DIAGNOSIS CARE GUIDANCE SOCIAL SUPPORT COMMUNITIES
  19. 19. Armed with a greater degree of knowledge about their lifestyles and conditions, people are taking a more central role in determining when they interact with the healthcare system and how their care is delivered. Patients are being empowered with technologies and social communities that enable them to gather valuable advice or self-diagnose before visiting a medical professional. As a result, patients are better prepared to collaborate with their doctors during these consultations which can be further supported by guidance around individual treatment plans to ensure optimal outcomes. EMPOWERED PATIENT — DIY Diagnosis — Care Guidance — Social Support Communities
  20. 20. www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014 14 DIY DIAGNOSIS of respondents said they used [health information] websites or technology as often as they visit their doctor and about the same number said they used it instead of visiting their doctor. — Royal Philips Electronics, “Consumer Attitudes Toward HealthCare Technology,” 2012 25%“What happens when we don’t need the doctor anymore? What happens when it can be self-diagnosis, when a machine can diagnose us or when a program can detect things and say, ‘Do you know what? You’ve got high blood pressure. You need to take this product here or this medication here or make this lifestyle change there.’” John Pugh Global Innovation Leader at Boehringer Ingelheim Consumer facing health technologies, are enabling people to analyze their symptoms or conditions to ascertain diagnoses. This information, which combines sensor technologies with mobile applications, can be used to determine the best treatment options or whether a doctor’s visit is required. DIY DIAGNOSISEMPOWERED PATIENT
  21. 21. www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014 15 THERMOMETER SYNCS WITH LOCAL ILLNESS MAP NYC company Kinsa has developed an oral thermometer that connects to the user’s smartphone, capturing their temperature and mapping out other recorded symptoms and illnesses nearby. The device is like a regular thermometer using the headphone jack of an iPhone to transmit the temperature data to the mobile application. The application is able to compile a personal illness history as well as see the local ‘health weather’ that show user what illnesses are in the area that may be afflicting them too. Users are able to create groups based on close-knit friends, family and co-workers to keep track on their health or track the origin of sickness. When used in scale the device can give a greater level of certainty of what illness they may have, and can guide users to a doctor or self-medicate for less severe illnesses. www.kinsahealth.com MICRO DEVICE OFFERS ALWAYS-ON HEALTH TRACKING The Scanadu Scout from Silicon Valley is a handheld device that can capture vital signs and relay them to a mobile phone for tracking and monitoring. By holding the Scout device to a temple with forefinger and thumb, users can scan for body temperature, oxygen levels and heartbeat, with EKGs, EEGs, and blood-pressure measurements among other health telltales. Since the round plastic handheld scanner does not have a screen, it relates data to its companion mobile app to visualize the measurements. The creators hope that the device’s small size will increase the tracking of health in such a way that anyone can use it to notice trends on a daily basis. Medical professionals and nonprofessionals could also use the tool to regularly check vitals during illnesses. www.scanadu.com/scout DIY DIAGNOSIS APP SCANS URINE TO DETECT A MULTITUDE OF DISEASES uChek is a mobile application that allows anyone to easily check their urine for signs of a number of diseases. Created by Mumbai-based Myshkin Ingawale, the app aims to replace invasive blood tests and the large, expensive machines are currently used to scan urine samples, putting the power of diagnosis in the hands of consumers. For $20, patients can download the app and receive a pack of chemical strips that change color when dipped into a urine sample. After a picture of the strip is taken with a smartphone, the app quickly analyzes the results based on the color of the strip, producing accurate and easy-to-understand results. The process is capable of detecting 10 different key parameters and levels of glucose, proteins and nitrites, that can indicate the presence of 25 different medical conditions. Mobile urine checking could facilitate medical help in regions where on-site testing resources are limited, as well as allow patients to accurately diagnose themselves. www.uchek.in CHECK-UP BY SMARTPHONE AIMS TO ESTABLISH REMOTE DIAGNOSISING The Health eHeart is a University of California a study investigating how mobile technology can track and detect cardiovascular disease more easily. The study offers participants a range of smartphone enabled devices that can easily track blood pressure, heart rate, ECG, sleep patterns, and irregular heartbeats while leveraging the GPS, camera and other capabilities on users’ phones. Researchers receive participant information on their screens, which allows for more frequent data collection and remote real-time analysis to quickly generate insights from doctors and patients themselves. The study hopes to validate the functionality of using digital phones and connected commercial devices for remote diagnosis. www.health-eheartstudy.org EMPOWERED PATIENT DIY DIAGNOSIS
  22. 22. www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014 SUPPORTING DATA IMPLICATIONS The Future Of Health Video vimeo.com/psfk/foh 16 _ What are the next wave of simple diagnostics tools and tests that people will come to expect? _ What are the best methods for guiding people through medical diagnosis processes? _ How do these technologies connect with verified information sources to help alleviate concern about conditions? _ Can you create an all-in-one resource for your customers around common conditions? _ How can features from consumer technologies be adapted to offer a ‘good enough’ level of diagnosis? _ How can you connect appropriate healthcare providers with the information patients collect during their self-diagnosis? “Hacked by evolution, healthcare it will become a more efficient version of itself, one where the patient will be discovered as the most underused resource. The grand theory of diagnosis will welcome new players next to doctors: machines, algorithms, patient advocacy communities and the crowd. For centuries we have been reading our health, now we will start writing it; changing it in real time, with mobile input. This Cambrian Revolution of medical devices and apps is the straw that will break the camel’s back. Instead of us watching our health all the time, it will be watching us.” — Walter De Brouwer, Founder and CEO, Scanadu “We are really moving from a doctor-centric society to a patient-centric society. We are trying to give people control.” — Samir Damani, Founder, MD Revolution Inc. “There is a huge appetite for self-diagnostics. It has the potential to reduce the cost of care and make healthcare more effective.” — Alan Hirzel, London Partner, Bain & Co. 1 in 10 Americans (11%) surveyed believe that if it were not for web-based health information, ‘they might already be dead or severely incapacitated.’ — Royal Philips Electronics, “Consumer Attitudes Toward Health Care Technology,” 2012 “For years now, industry stakeholders have championed the notion of managing their patient population. As a patient, you were just along for the ride when it came to having 24/7 access to your personal health data. But recently, we have begun to see a seismic shift from this school of thought. Patients now demand to be empowered and a part of the process.” — Shayne Wood, CEO, FwdHealth DIY DIAGNOSIS “The data that’s being produced is data about what we do -- how we sleep, how we eat, how exercise. We need to invite the scientific world and the medical world to look at this data and give meaning to the data that individuals are producing. If somebody’s been less active, telling them they need to be more active. Not just saying, “Walk more steps,” but how many more steps, and why. Furthermore, the data needs to come into a platform that can give meaning to the person with personalized coaching, based on that data coming in.” NANO-CHIP OFFERS DIAGNOSES IN UNDER AN HOUR Nanobiosym in Cambridge, MA created a disease detection gadget called Gene-RADAR that delivers diagnoses directly to patients in under an hour. To initiate the test, users can place a sample of their blood, saliva, or other bodily fluid on a nano-chip and insert it into the book-sized device. The device’s customizable sensing technology identifies a variety of pathogens, and is capable of detecting HIV/ AIDS in under an hour. The device does not require a connected electricity source or running water to function, meaning that it could be used by anyone at home or in developing countries where infrastructure cannot otherwise support this type of analysis. In the future, founder Anita Goel hopes that the device would not only determine disease in a fraction of the time, but would also be available for many areas in need. www.nanobiosym.com WATCH ALERTS WEARER’S DOCTOR OF IMMINENT HEART ATTACKS Tel Aviv company Oxitone created a blood oxygen rate monitor that tracks oxygen saturation in the blood as a means of predicting heart attacks. Extreme changes in oxygen levels may cause organ failure and cardiac arrest, especially in older and at-risk patients. The Oxitone monitor can be worn like a wristwatch and comes with a Bluetooth-enabled mobile application that analyzes blood oxygen levels and pulse rate, feeding it back to the patient’s doctor, allowing both parties to prepare in case of an emergency. Unlike the finger clamp, which is usually used to monitor blood oxygen levels, the Oxitone band fits unobtrusively into the wearer’s life while providing a constant stream of data. The form and location of the device could help patients monitor their health more frequently and notice changes that add stress to their cardiovascular system. www.oxitone.com EMPOWERED PATIENT DIY DIAGNOSIS Jared Heyman Founder. Crowdmed
  23. 23. www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014 17 CARE GUIDANCE “Care delivery will become increasingly dependent upon the preference of patients as models evolve to deliver integrated health information across markets, devices and network systems. This will transform point of care experience, and enable various paths within the patient journey. Opportunities will grow within alternative self care and tele care as compliance and regulation evolve. Patients will have a choice beyond and in addition to the face to face experience.” of seniors say they want to com- municate with their doctors by e-mail, but only 15% say they can. — Accenture, “Silver Surfers are Catching the eHealth Wave,” 2013 Sanskriti Thakur, Director, US Marketing Innovation & Operations at Boehringer Ingelheim 58% Patient-centered services are helping individuals better navigate through the healthcare system before, during and after their treatments. These personalized tools are designed to provide people with the right information as they need it, explaining available options, preparing them for upcoming procedures and ensuring adherence to necessary steps afterwards to ensure a better end-to-end experience. CARE GUIDANCE17EMPOWERED PATIENT
  24. 24. www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014 18 FREE ONLINE SERVICE DELIVERS PERSONALIZED MEDICAL INFORMATION Medivizor is a digital service that provides chronic illness patients and caregivers with information updates tailored to their specific need. After patients complete the registration and describe their condition, the service promises to deliver curated news about clinical trials, treatment providers, research studies, and lifestyle tips, that are relevant, understandable, and actionable to enable patients to create their own treatment plans. The service currently offers information on 373 medical conditions, covering 88% of cancer incidents, all of diabetes incidents, and 75% of cardiovascular disease incidents. The New York based company hopes to cut down some of the legwork for patients and caretakers who must wade through a daunting sea of resources to find the right care information. Having an automated service with tailored updates eases stresses, empowers decision-making, and saves subscribers massive amounts of time and energy, which can be used to concentrate on recovery. A few thousand people have signed up for Medivizor, which has been in public beta since 2013; of those signed up, 94% of users recommended Medivizor to a sick family member or friend. www.medivizor.com OUTPATIENT SERVICE MATCHES PATIENTS WITH AFTERCARE Careport is a web-based tool that helps patients find quality post-acute care that suits their needs as they are released from hospitalization. As many patients discharged from hospitals still require a number of specific rehabilitation and treatment services, they often have difficulty finding the right provider in the short amount of time allowed. The Careport platform connects with hospitals so that patients can easily search for and compare care providers, relaying information between the hospital and post-care center to ensure proper care. The centralized service opens up communication between the hospitals, care providers, and patients, simplifying an otherwise complicated and confusing process. With the provider fitted to their care needs, patients will have less chance of complications and expensive hospital readmission. www.careporthealth.com CARE GUIDANCE PATIENTS FAMILIARIZE THEMSELVES WITH SURGERY THROUGH VIRTUAL PROCEDURES UK-based company Kinosis created the Touchsurgery mobile app, which walks patients through their procedures with interactive 3D visualization, easing pre-op anxiety. The developers, surgical residents themselves, initially intended the app as an educa- tional tool for other surgeons-in-training. The app is free to download for patients curious about what they will be facing. Patients choose their procedure, bringing them to an extremely detailed simulation, where they are free to use virtual surgical tools to poke and cut their way through organs with the app providing feedback. Because most patients are unfamiliar with surgical procedures, and people generally experience stress going into unknown and risky situations, the app aims to calm their fears through desensitization. The app could make patients feel more confident, retain a healthier mental state, and even recover faster. www.touch-surgery.com HOSPITAL HANDLES PATIENTS’ VISITS WITH MOBILE PATIENT GUIDE The Seoul National University Bundang Hospital is a “smart hospital” offering a companion mobile app called ‘Patient Guide’ to visitors upon entry. The app was created in collaboration with SK Telecom to provide patients access to a multitude of IT-based medical services throughout their visit. As the patient enters the hospital, the app will handle the check- in process by pulling up patient records, scheduled appointments, expected waiting time, and costs. A GPS-based 3D map is also available to guide the patient to their appointment or next point-of-care. At the end of their visit, patients can pay their bill with the app as well. By incorporating familiar consumer technology with the patient support experience, the hospital wants to help patients gather more information on their visits, creating a more pleasant, empowered experience. www.snubh.org EMPOWERED PATIENT CARE GUIDANCE
  25. 25. www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014 IMPLICATIONS 19 SUPPORTING DATA “You can go into a hospital and now your smartphone is going to say turn right or turn left or you’re supposed to go to this appointment. By the time you sit down with your doctor, he will have all the information in front of him and he will be able to make your time more valuable. All of this will have significant impact on the way that people experience healthcare.” — David Medina, Senior Manager, Business Model & HealthCare Innovation at Boehringer Ingelheim “The most extraordinary change we are living through in healthcare is the role of the patient in healthcare. The patient is empowered with information and can have tools to access that information anytime, anywhere, and share it with their physician. They are overcoming the silos we have in healthcare; the patient can now be providing critical information to their providers for the right diagnosis, the right treatment and doing so with no errors.” — Dr. Bettina Experton. President & CEO, Humetrix “The trend in contextualized care has been driven by patients empowered with greater access to information through ubiquitous devices and online patient services. Research studies have shown that patients want more information from their healthcare provider and physician.” — Jean Nehme, CEO & Founder, Touch Surgery “Information empowers the patient to better understand their disease, operation and reduce their anxiety. We believe this is linked to improved compliance and ultimately better outcomes.” — Jean Nheme, CEO & Founder, Touch Surgery “Current healthcare reform is driving demand for innovative products and services that people can manage themselves. Consumer electronics companies are paying close attention to the rise of a young, dynamic market for connected health and wellness devices. As a result, these products allow healthcare providers to engage with their patients more effectively and help consumers better self-manage their own care needs.” — Gary Shapiro, President and CEO, CEA “Although a personal wearable device is certainly a trend, it does not necessarily replace good old fashioned face-to-face meetings. We see it as a way to augment care.” — Nick Martin, VP Innovation and Research, UnitedHealth Group Inc. _ At what points during a person’s day can you meet them with relevant questions and advice to help them better manage ongoing symptoms and conditions? _ How can you further personalize this information to ensure that every individual is receiving the most relevant information? _ How can you relay this information in a way that is both actionable and easy to understand? _ Are their opportunities to connect patients with live support to have their questions and concerns answered? _ How can these platforms be used to facilitate feedback between patients and key stakeholders in their care? CARE GUIDANCE ONLINE PLATFORM LETS PATIENTS COMPARE AND SHOP FOR HOSPITAL PROCEDURES Indian company Medeel is providing a digital service that allows patients in need of surgical procedures to choose the best package from different hospitals. After registering on Medeel, patients their request specific treatment upload medical documentation. In a few days, hospitals will respond with their treatment offers with details and pricing. Once the patient accepts an offer, they will be directly connected with the hospital and make an appointment. Medeel partners with hospitals so they can approach patients with tailored, priced procedure packages, allowing patients to get a scope of their realistic options and make empowered, cost-effective decisions. The company hopes that by offering a comparison model of care that not only rewards transparency but also price competition among hospitals, patients will benefit from lower prices and receive better quality care. www.medeel.com DOCTORS SEND TO-DOS TO PATIENTS’ SMARTPHONES FOR HOME RECOVERY Wellframe is a mobile app that allows doctors to remotely track and help chronic illness patients’ recovery at home. Once a patient is discharged from the hospital, they will continue to engage with their doctor by checking off daily, personalized to-do lists sent to their smartphone. The doctor receives the patient’s information on a digital dashboard, and can provide feedback accordingly. This way, the doctor saves time in instructing and monitoring the patient’s adherence between visits, and the patient can independently and accurately follow their after- care regime. www.wellfra.me EMPOWERED PATIENT CARE GUIDANCE
  26. 26. www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014 20 SOCIAL SUPPORT COMMUNITIES 37 “The patient experience will change as we become more connected, even on a more fundamental level. In sharing this information people will have a significant impact on how things are approached and how we do things. The fact that we can share information, that we can connect online and talk about what people think about a doctor, or what they think about a hospital will all affect our decisions and thought process.” of consumers have used social me- dia to access health-related con- sumer reviews (e.g. of treatments or physicians). Nearly 30% have supported a health cause, 25% have posted about their health experi- ence, and 20% have joined a health forum or community. — PWC Health Research Institute, “Social Media ‘Likes’ Healthcare,” 2012 Dr. David Medina Tato Senior Manager, Business Model & HealthCare Innovation at Boehringer Ingelheim 42% Patients are using niche social networks for those with similar health-related conditions as a way to share treatment advice and emotional support. Beyond supporting one another, these communities can serve as a valuable resource for medical professionals looking to understand the effectiveness of therapies and medications on a wider population as many of these issues only impact a small number of people who are geographically dispersed. SOCIAL SUPPORT COMMUNITIESEMPOWERED PATIENT
  27. 27. www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014 21 CANCER SUFFERERS FIND OTHERS LIKE THEM FOR SUPPORT IHadCancer.com is a peer-to-peer cancer support community based in NYC aiming to combat the feeling of isolation that comes with a cancer diagnosis. The site features a search engine where patients and their loved ones can browse others’ profiles and filter by traits such as age, year diagnosed, type of cancer, and location to find people with similar experiences. As cancer patients may often feel misunderstood, sometimes even by other cancer patients and caring friends and family, they are much more likely to experience emotional instability, exacerbating the effects of their cancer. To make the search easier, users identify themselves with one of three statuses: Fighter—patient diagnosed with cancer, Survivor— person who overcame their cancer, or Supporter— caregiver of someone with cancer. www.ihadcancer.com SOCIAL MEDIA PLATFORM OVERCOMES STIGMATIZATION OF DISEASES WHILE ENCOURAGING SHARING AND FUELING DISCUSSIONS Researchers at the Center for Behavioral and Addiction Medicine at UCLA conducted studies to examine whether gay African-American and Latino men would use social media groups to get more information about HIV. Study participants were divided into two Facebook groups, one for general health information, and another for HIV prevention education. The HIV prevention group fostered more actionable results for the members, while the general health group was a way to share stories and experiences. The study achieved its goal of encouraging the men to take action and order an at-home HIV testing kit, with members in the prevention group having an 11-times higher likelihood of requesting a testing kit. www.uclahealth.org SOCIAL SUPPORT COMMUNITIES PEOPLE MAKE PACTS IN MOBILE GAME TO HOLD EACH OTHER ACCOUNTABLE FOR BAD HABITS Social Rehub, a Romanian startup, has a mobile gaming application that incentivizes friends to kick bad habits by making them pay when they backslide. Users download the app, input their bad habit, and invite their friends to join them as they collectively keep their respective habits in check. Each time a person engages in their bad habit the app charges them money that is placed in a ‘tip jar’. The money can then be used by the offender’s friends for a treat or be given to a charity. When they do not partake in their habit, the tip jar amount remains the same. Friends are encouraged to take a picture when they catch one another in the act and share with the group as proof and further disincentive. www.socialrehub.com A SOCIAL NETWORK FOR FITNESS CONNECTS MEMBERS THROUGH EXPERIENCES Cody is a mobile fitness app that takes an experience-based, social approach to help users reach their goals. Unlike most popular fitness apps that focus on metrics and measured tracking for fitness fanatics, Cody opens up opportunities for discovery, community, and enjoyment for the average person. Users can share their goals, connect with other users for encouragement, choose workout plans with groups, as well as post their workout status, photos, and locations. Developers also hope to analyze user activity to push personalized content down the road. While there are many fitness apps that help users gauge their exercise with numbers, Cody will allow users to bank on the psychological rewards of a connected workout lifestyle. Since there is no pressure to make numbers, users are free to self-motivate by simply enjoying the fitness experience. www.codyapp.com EMPOWERED PATIENT SOCIAL SUPPORT COMMUNITIES
  28. 28. www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014 IMPLICATIONS The Future Of Health Video vimeo.com/psfk/foh SUPPORTING DATA “In the generation of Facebook, Twitter, social media, and blogs, patients expect to be able to tap into knowledge from a broader range of sources. Whereas in years prior, a patient might just view their doctor as the sole source of information. But now, people expect to have lots of sources of information, and less reliance on individual experts. The physician, now, is more of a partner with the patient, and it’s less top-down than it was in the past.” — Jared Heyman, Founder, Crowdmed “‘I think that the biggest benefit for the health industry is that gathering data on large populations, data that is collected in the same manner but for everybody, will help find new cures and new solutions—only by analyzing that data, by crowdsourcing solutions. The fact that you are not relying on subjective expression of individual problems, but measuring it in the same way for a large population is a means for creating really a collective intelligence which could change lots of things in the way to solve problems.” — Rafi Hadajilan, Founder & CEO, Sen.se “Patient-to-patient relationships can break down a lot of those formal barriers that exist in healthcare. They understand each other better, and feel more comfortable asking more questions. I believe that online communities create 24/7 healthcare, and really give the patients the opportunity to become empowered.” — Faith Busch, Manager, Global Digital Innovation at Boehringer Ingelheim “I think that ‘social support’ only scratches the surface. I think mobile and peer-to-peer technology can allow us to fundamentally change what it means to be a patient. Living with an incurable condition means you have to become an experimenter—an experimenter in learning what treatments work for you.” — Sean Ahrens, Founder, Crohnology “‘Crowds’ are much wiser than individual experts, and intellectually diverse crowds tend to be wiser than intellectually homogeneous ones.” — Jared Heyman, Founder, Crowdmed About one-third of Americans who go online to research their health currently use social networks to find fellow patients and discuss their conditions. — iCrossing, “How America Searches: Health and Wellness,” 2008 _ How can providers connect patients to others with similar conditions? _ What existing social matchmaking services could be used? _ What questions can peers and social communities answer to alleviate demand for care from healthcare providers? _ How can mobile phones be used to help track both good and bad behaviors, and to keep patients accountable for their actions? _ What tools can be added to these platforms to ensure confidentiality and security around shared data? _ How can these platforms further act as a resource for the healthcare community? _ How can insurance companies connect with communities to offer incentives that reduce the overall number of doctor visits? SOCIAL SUPPORT COMMUNITIES “I think innovation will certainly come from the people themselves. Give them medical devices and give them access to medical literature and their own body. They will probably rewrite the map of the territory that is medicine. We’ll have an all different sort of medicine, where you can ask your neighbor and your friend about what you should do, and who’s the best doctor, and what did you do when you did this. My trust is in the wisdom of the crowd to make an alternative form of what we now have as medicine in healthcare.” PATIENTS CONNECT AROUND CHRONIC DISEASE TO SHARE EFFECTIVE TREATMENTS Crohnology.com is a social network started by Healthy Labs in San Francisco that helps individuals living with Crohn’s disease, a chronic inflammation of the bowels, better manage their own care while sharing best practices. Anyone managing Crohn’s, colitis, or other types of inflammatory bowel conditions can join the site to track their day-to-day conditions and recount solutions that have worked for them. Users enter their medical histories on the site and track them hour by hour via text. Patient data is compiled and then visualized as a graph that can be easily understood. In addition to being a supportive community, Crohnology could help Crohn’s and colitis patients lower their medical costs by empowering them with the knowledge of what treatment is best for them. Patients can also earn ‘karma points’ for answering surveys and initiating polls on the website that provide valuable feedback for healthcare providers and medical companies. www.crohnology.com ONLINE COMMUNITY AMPLIFIES PATIENT-TO-PATIENT CONNECTIONS Smart Patients Inc. out of Silicon Valley has created an online community and information database for cancer patients and their caregivers. By signing up for free on the website and joining the community, patients can use the search engine to find the latest clinical trials, treatment plans, or existing research on their condition, regardless of the cancer they have been diagnosed with. The site hopes to empower its users about their condition and a support network to help them face the challenges of treatment as they try to find a path to being a cancer survivor. www.smartpatients.com 22 EMPOWERED PATIENT SOCIAL SUPPORT COMMUNITIES Walter DeBrowouer CEO, Scanadu
  29. 29. ORCHESTRATED CARE REMOTE HOUSE CALLS DATA-DRIVEN TREATMENTS PHYSCIAN- TO-PHYSCIAN NETWORK CLOUD-POWERED MEDICAL RECORDS
  30. 30. Healthcare providers are using new technologies, social platforms and data systems to streamline the way information is disseminated and accessed to deliver a more personalized and distributed model of care. Secure networks are offering a new ‘commons’ for doctors to share research and advice around conditions that fall outside of their expertise, while analytics tools interpret patient data to further support these decisions. Similarly, digital platforms have evolved to ease the communication between doctors, patients and different medical personnel to ensure that records, treatment plans and face-to-face guidance is readily accessible, cutting down inefficiencies and mistakes. ORCHESTRATED CARE — Remote House Calls — Cloud-Powered Medical Records — Physician-to-Physician Networks — Data-Driven Treatments
  31. 31. www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014 25 REMOTE HOUSE CALLS 160 million “With the emergence of a virtual relationship with a physician, it means that we’re going to be able to have a relationship with a physician which is more regular, it’s more consistent, but it’s much more resource friendly. From the patient’s point of view it’s going to be more convenient. It’s going to be much more timely. From the healthcare system it’s going to be cheaper. It’s going to be more accurate as we have more decision making resources behind it. It should eventually lead to better outcomes, better health.” patients in the U.S. will be moni- tored and treated remotely for at least one chronic condition by 2020. — Kelly Outsourcing & Consulting Group, “Medical Devices Begin to Drift Into Cloud,” 2011 John Pugh Global Innovation Leader at Boehringer Ingelheim Remote communications platforms are offering more ways for patients to get in touch with physicians and other healthcare experts for medical advice and checkups. When paired with video and other connected technologies, these appointments can offer a ‘good enough’ level of care, which can lead to in-person visits if required. REMOTE HOUSE CALLSORCHESTRATED CARE
  32. 32. www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014 26 PRIVATE PODS OFFER ON-DEMAND CARE Ohio healthcare innovation company HealthSpot has created kiosks that are private, walk-in pods that offer a range of primary care options without an appointment. All a patient must do is input their personal information into a digital clipboard, answer preliminary questions, and then they can speak to a doctor over video chat. The kiosks have high- definition video and audio technology to increase diagnostic abilities. The doctor can provide advice and even write prescriptions, which can be sent to a pharmacy of the patient’s choice. The closed-roof kiosks are enabled with diagnostic tools, from tongue depressors to odometers, and have the capacity to stream information to doctors immediately for no cost and a minimum wait time. www.healthspot.net DOCTORS CONNECT TO EMPLOYEES WITH APPOINTMENTS ARRANGED ANYWHERE Employees can now locate and consult with a doctor about their symptoms or healthcare plans anytime —on a platform hosted by NYC-based company Sherpaa. Employers contract Sherpaa’s service to allow their employees to communicate with doctors 24/7, either via text or email. Employees can also upload images of their conditions or briefly describe their problems on Sherpaa.com, and a doctor will respond with advice and/or a prescription. Doctors can even meet individuals wherever most convenient, be it their home, office, or even their local coffee shop. Sherpaa also offers employers on-the-spot advice and consultation when an employee gets sick or injured on the job that can reduce costs and ensure quicker treatment. www.sherpaa.com REMOTE HOUSE CALLS CHAIR MONITORS HEALTH AND SENDS VITAL STATISTICS TO DOCTORS Electronics manufacturer Sharp has created a healthcare support chair that allows for remote counseling from healthcare providers. Using compact health measurement devices, the chair can record weight, blood pressure, temperature and other health measurements for users. The chair is surrounded by three video screen displays that show health statistics or can be connected to remote healthcare professionals for video consultation sessions. Although the chair is designed for people who aren’t necessarily ill, but are interested in maintaining their health, the chair can securely store health statistics in the cloud to note health changes over time. Sharp believes that the chairs could be placed at frequently visited sites for people to quickly check their health and get advice on staying healthy, rather than only visiting a doctor’s office when they are in need of help. www.sharp.co.jp MENTAL HEALTH PROFESSIONALS MEET REMOTE PATIENTS TalkSession is a NYC-based company that connects people online who are struggling with psychiatric issues to professionals who can help, no matter where the patient is located. Individuals who cannot easily find help due to their location or condition can sign up on TalkSession and start looking for an appropriate medical professional according to location, insurance, and availability. Similar to a regular doctor’s office, patients fill a simple form and answer questions, and are quickly matched to treatment in their area, saving them from having to spend time searching or traveling long distances. Additionally, patients can access professionals online while remaining anonymous, should they want on-demand access or to maintain their privacy. By October 2013, over 1000 professionals have applied to the TalkSession network, and over 5000 users have ‘reserved’ a therapist. www.talksession.com ORCHESTRATED CARE REMOTE HOUSE CALLS
  33. 33. www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014 IMPLICATIONS The Future Of Health Video vimeo.com/psfk/foh 27 SUPPORTING DATA “I think in the future, there may come a point where you can actually have a video appointment with a patient, rather than them driving an hour, coming into your office, sitting for an hour, and then seeing you for five minutes. If it’s something that’s relatively simple, combined with other technologies, you could have a mobile monitor to get vitals, heart rates and other data points that you need, and just have a video call with your patient. Seeing what’s going on, adjusting their medications, looking at their insulin pump and making changes that you really don’t need to have them physically in the office for in order to make.” — Dr. Tracy-Ann Moo, MD, Weill Cornell Medical College “We believe [telemedicine] is the future of healthcare. There’s a hunger for technology on the part of patients. They want to have care givers at their fingertips.” — Corky Davis, COO, HealthNetConnect In 2020, at least 160 million patients in the U.S. will be monitored and treated remotely for at least one chronic condition. — Kelly Outsourcing & Consulting Group, “Medical Devices Begin to Drift Into Cloud,” 2011 “2014 will be a year when doctors and patients begin to embrace the efficiencies and viability of telemedicine for the management of both acute and chronic illness.” — Dr. Travis Stork, Chairman of the Medical Advisory Board, MDLIVE “Remote house calls create the opportunity to provide patients with care at the time and place they need it most, and further mitigates the risk of lack of adherence, not seeking help at all, recall bias and worsening of conditions.” — Melissa Thompson, CEO & Founder, TalkSession One in five Americans will suffer from a mental health challenge or neurological disorder at some point in their lives, but two-thirds of those people will never seek treatment. — Substance Abuse and Mental Health Services Administration, “Results from the 2010 National Survey on Drug Use and Health: Mental Health Findings,” 2010 _ How can medical professionals use existing communication channels to help provide care to underserved areas? _ Can consumer technologies be used to connect general practice technicians with both patients and specialists to enable a more distributed model of care? _ How do emerging diagnostics and monitoring technologies fit within this remote system of healthcare? _ What impact does this have on environments like pharmacies and other where patients can go to receive care? _ How can healthcare companies organize a range of on-demand providers to enable them to deliver an accurate and timely level of remote care? _ What impact do these virtual check-ins in have on current healthcare plans in terms of pricing and access? REMOTE HOUSE CALLS “Right now, the traditional model is: you see a doctor three times a year, and communication with your doctor is confined to those little exam room visits. It’s nonsense. Healthcare is a conversation. It’s not just an exam room. If we can say all right, the conversation can happen on your own terms and on your own time throughout the year, then that totally, fundamentally changes everything.”Dr. Jay Parkinson, Co-Founder & CEO. Sherpaa HEALTHCARE WEBSITE CLOSES THE GAP BETWEEN PATIENTS AND SPECIALISTS San Francisco-based Grand Rounds Inc. is offering a fee-for- service healthcare platform that connects people suffering from difficult diseases to medical specialists, regardless of their location or time zone. Companies can contract the service for their employees, or individuals can sign up online for either a remote consultation or an in-person visit, then a physician will respond with advice based on the latest scientific research. Once signed up, both individuals and employees will receive expert opinions and guidance on over 5,000 conditions, including but not limited to different types of cancers. By seeking help from experts in the early stages of an issue, individuals are immediately directed to specialized care, avoiding potentially expensive middlemen. www.grandroundshealth.com SITE LETS PATIENTS ANONYMOUSLY CONNECT WITH A DERMATOLOGIST German company Goderma lets people consult doctors on skin conditions quickly and anonymously without ever having to wait for an appointment. For $39, users answer a series of questions and upload images of their skin problem to the Goderma website, then within 48 hours, a certified dermatologist responds with a diagnosis and advice on next steps. Armed with this information, patients can make an appointment with their dermatologist or decide to wait, if they feel reassured. The process can help people avoid any possible embarrassment they might feel when visiting the doctor along with long wait times for appointments. In the dermatology field, up to 90% of skin problems can be successfully diagnosed via photo analysis by a trained dermatologist. In Germany, the average waiting time for an appointment at the dermatologist is 30 days, while patients in rural areas can expect waiting times of over 3 months. www.goderma.de ORCHESTRATED CARE REMOTE HOUSE CALLS
  34. 34. www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014 28 CLOUD-POWERED MEDICAL RECORDS “The transparency of information to patient is of greatest importance. With mobile and digital health technology, patients’ power to learn about their disease evolve perceptions and make choices increases. It’s an opportunity for this new healthcare environment to leverage.” of consumers say that they should have at least some access to their health records. 61% currently have no access to their records at all. — Accenture, “The Virtual Waiting Room,” 2013 Sanskriti Thakur Director, US Marketing Innovation & Operations at Boehringer Ingelheim 95% Hospitals are adopting networked information systems to streamline the way they manage and distribute patient files, diagnoses and other medical records. These digital platforms are designed to cut down on mistakes and redundancies, while ensuring that important information can quickly get into the hands of physicians and key members of staff during emergency situations. CLOUD-POWERED MEDICAL RECORDSORCHESTRATED CARE
  35. 35. www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014 29 DIGITAL PLATFORM CONNECTS FIRST RESPONDERS AND HOSPITALS Mediview is a tablet app and system from Beyond Lucid Technologies in California that aids first responders on the scene as they communicate with doctors in hospitals. The application contains hospital records for frequently occurring transports and is able to incorporate updates with a patient’s condition before they arrive at the hospital. Doctors can track incoming patients’ locations, give guidance to first responders with complex issues, and begin readying triage units for the patient’s arrival. The platform can function without an Internet connection, making Mediview ideal for rural locations where the closest medical help is often far away. The connected stream of information aids in the integration of first responders with hospital staff, while offering patient centered care that is contiguous from on-scene to surgery. Mediview can also be used in large-scale disasters such as severe weather emergencies and mass casualty events. www.beyondlucid.com DIGITAL INSURANCE CARD CENTRALIZES CARE RECORDS FOR PROVIDERS AND PATIENTS US-based digital healthcare company Medlio has created a mobile app and cloud-based insurance care management system that allows patients to oversee all of their care and easily share medical records with healthcare providers. After downloading the application patients can upload their insurance information and be able to review the benefits that they are eligible for, find a provider, explore the costs per treatment before a visit and check in to a specific providers office. Using the application as a central source of information, patients can receive and send medical records to their chosen healthcare providers with the touch of a button. When a patient’s care history or general information changes, updates are pushed out to all of their care providers. Additionally, patients can easily pay with HSA credit cards for treatment received using their phone. www.medl.io CLOUD-POWERED MEDICAL RECORDS PRESCRIPTION SERVICE PRE-PROCESSES APPLICATIONS AT THE PHARMACIST ZappRx is an e-prescription and mobile healthcare application company working to streamline the prescription filling process with a digital system that connects doctors, pharmacies and patients. A doctor can introduce patients to the system, which enables them to track their medications while storing all of their relevant payment and insurance information on their phone. Once patients are enrolled, affiliated ZappRx pharmacies can pre- process patients’ information and orders so that when patients pick-up new medications, they can simply show their app to the pharmacist. The app also lets patients set reminders and track when they take their medication. Similarly, doctors are informed of medication pick-ups so that they are able to support patients in their adherence to treatment plans. www.zapprx.com TABLET QUESTIONNAIRE IMPROVES COLLECTION, REDUCES DATA ERROR A startup from Menlo Park, CA called Tonic Health has developed a medical data collection platform that enables healthcare providers to make their own custom questionnaires, screeners, surveys and intake forms, easily deploying them on iPads. Patients can pick up an iPad to fill out any form needed. Once a form is completed, all of their digital information is sent securely to an existing Electronic Health Record (EHR) database. Switching from paper forms to an iPad interface can reduce question duplication, ensure higher response rates, collect more accurate data, reduce data input errors and create a more enjoyable intake process for patients all around. The platform is currently being implemented across University of California’s medical centers. Tonic found that 96% of patients prefer using tablet questionnaires over pen-and-paper, resulting in a 100% higher completion rate of forms and questionnaires, especially for follow up surveys that are completed after a visit. The system also decreases data error by 50%, making health decisions significantly more accurate and improving patient care across the enterprise. www.tonicforhealth.com ORCHESTRATED CARE CLOUD-POWERED MEDICAL RECORDS
  36. 36. www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014 SUPPORTING DATA IMPLICATIONS The Future Of Health Video vimeo.com/psfk/foh 30 “If you think about wearables and remote monitoring devices that now measure how much medication we take while we’re at home or how a patient is behaving, that information will eventually feed into physicians or into the healthcare system. Instead of a physician getting a snapshot of you from the five minutes you’re in their office, they can actually print out a report or see on their screen how you have been behaving for the last three months, for the last six months, since the last time they saw you. All of these technologies will actually be providing the system with a lot more information.” — Dr. David Medina Tato, Senior Manager, Business Model & HealthCare Innovation at Boehringer Ingelheim “We’re moving along the lines of giving patients more control and having devices develop that give them that control. Eventually, we’ll move to a system that allows patients to enter data into their electronic medical record, whether it’s directly from a device that’s attached to them or it’s basically them providing their input. In the future, we’ll actually be importing data more directly from the patient into the system than through the provider.” — Dr. Tracy-Ann Moo, Weill Cornell Medical College “The cloud can make a huge difference because it unshackles providers from the tyranny of a closed system and allows them to find best-in-class solutions to finally make coordinated patient care a reality.” — Sterling Lanier, CEO, Tonic for Health Just over half of consumers with providers who do not provide access to medical records say they would consider switching to one who does. — Accenture, “The Virtual Waiting Room,” 2013 50% U.S. population that had medical information recorded in electronic health records in some form in 2010 — National Center for Health Statistics, “Division of HealthCare Statistics Electronic Medical Record/Electronic Health Record Systems of Office-based Physicians: United States, 2009 and Preliminary 2010 State Estimates,” 2010 _ Are there frequently occurring processes during a visit or procedure that can be streamlined through the use of digital technology? _ What passive information systems can be used to collect patient information in order to reduce intake times and provide verified data about patients? _ What protocols need to be in place to ensure that patient information is private and secure? _ What platforms can hospitals and insurance companies create to better connect disparate teams and help them communicate more efficiently? _ With clear communication channels, how can teams be organized to better provide patient care? _ How can contextual information be used to guide patients throughout their care experiences? CLOUD-POWERED MEDICAL RECORDS “As a doctor who diagnoses and sends someone out of my office, I’m more intersested in what’s happening. Most doctors know what that journey should look like, but we don’t know what happens until either the wheels come off and they wind up in the ditch, or they do fine and we never hear from them. There’s so much friction and so much ridiculousness in communication technology in healthcare.” Dr. Jordan Shlain, Founder, Healthloop DOCTORS CAN SHARE INFORMATION WITH ONE-TOUCH SYSTEM Drchrono is an electronic health record app that employs Apple software features to easily and safely share medical documents between doctors and patients. Using Drchrono, doctors can share medical records or educational materials with each other or share materials with patients ahead of an appointment. Apple users can share files with fellow users over Wi-Fi or Bluetooth. Doctors can quickly share test results, such as an X-ray or an EKG, with the tap of a button while respecting HIPAA (Health Insurance Portability and Accountability Act) regulations on patient privacy. Patients are not required to download the Drchrono app to view the information. Removing barriers around the free flow of information allows patients to be more aware of their health and easily get second opinions without additional steps. www.drchrono.com DIGITAL RECORDS SAFEGUARD PATIENT PRIVACY WHILE LETTING DOCTORS BRAINSTORM PATIENT SOLUTIONS The mobile application medical chart can securely capture the range of documents and information that doctors use on a daily basis. Any information a doctor collects from a patient goes directly to Apricot Forest’s MedChart service, which is stored in the cloud. Chinese mobile health technology company Apricot Forest aids doctors in sharing information with colleagues after verifying their medical status and agreeing to keep the information confidential. After capturing patient information the application allows doctors to easily block or redact patient information, enabling doctors to still be respectful when sharing cases and getting advice from peers and specialists. MedChart hopes to become a daily tool that replaces physical notebooks, X-ray image print outs and expensive cameras by using the iPhone’s built-in capabilities. www.xingshulin.com ORCHESTRATED CARE CLOUD-POWERED MEDICAL RECORDS
  37. 37. www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014 31 PHYSICIAN-TO-PHYSICIAN NETWORKS “We’re on a really exciting part of the curve when it comes to innovation and healthcare and the convergence of the two. The big kind of change that we’ve experienced recently, is the explosion of social. That’s had massive implications upon healthcare and how people connect, not just in the wider context but as doctors connect with each other, as patients connect to each other, and as patients connect to doctors.” John Pugh, Global Innovation Leader, Boehringer Ingelheim Physicians and researchers are tapping into the expertise of their peers through niche networks that enable them to seek and share advice. These secure platforms allow medical professionals to solve difficult cases and review effective treatments, adding to the collective knowledge in the healthcare industry, while improving the level of care they can offer to patients. 74% — Kantar Media, “Sources and Interactions Study - Medical/Surgical Edition,” 2013 38% of the physicians surveyed use a smart- phone for professional purposes, a 9% increase year on year. use both a smartphone and a tablet for profes- sional purposes. PHYSCIAN-TO-PHYSCIAN NETWORKSORCHESTRATED CARE

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