The Digital Health Revolution and Paradigm Shifts in Medicine Dr. Ogan Gurel Digital Health Assembly: Open Innovation 2015

1. Ogan Gurel, MD – Director
Open Innovation Group
ogan.gurel@samsung.com
THE DIGITAL HEALTH
REVOLUTION AND
PARADIGM SHIFTS IN
MEDICINE
10 February 2015

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PARADIGM SHIFTS AND IMPLICATIONS
Parallelization: Multiple sensors, multiple data streams
Wellness – Medical Convergence: no longer separate
Populations  Individuals converging
Explicit  Implicit Logic: Big-Data Driven Medicine
Empowering Primary Care
Decentralization: From hospital to clinic to home
Diagnostic-Therapeutic convergence
Shift from Episodic  Pervasive care
Context enhanced data: Improving accuracy over precision

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DECENTRALIZATION
http://hitconsultant.net/2015/01/14/home-care-samsung-canada-to-power-5000-remote-healthcare-workers/

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PARALLELIZATION
The Simband’s components span the
entire wristband, and the device will
support sensors to measure blood
oxygen and CO2 levels, heart rate,
hydration levels, skin temperature,
galvanic skin response (perspiration),
and, of course, motion.
http://www.techhive.com/article/2198147/samsung-announces-simband-a-wearable-dev-kit-to-cement-leadership-in-digital-health.html

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WELLNESS –
MEDICAL
CONVERGENCE
http://www.practicefusion.com/blog/health-care-and-wellness-converging-concepts/

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IMPLICIT VS.
EXPLICIT LOGIC
http://www.forbes.com/sites/tomgroenfeldt/2011/11/29/recorded-future-big-data-from-the-internet-sees-into-the-future/

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CONTEXT-ENHANCED DATA
http://news.health.com/2014/10/29/home-blood-pressure-monitors-
may-occasionally-miss-the-mark/

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EPISODIC 
PERVASIVE
http://www.ncbi.nlm.nih.gov/pubmed/18473081

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POPULATIONS <>
INDIVIDUALS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3261963/
http://www.nytimes.com/2008/11/12/technology/internet/12flu.html

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EMPOWERING
PRIMARY CARE
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4029126/

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DIAGNOSTIC –
THERAPEUTIC
CONVERGENCE
http://www.nejm.org/doi/full/10.1056/NEJMoa1314474

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SOME MORE EXAMPLES
 Home health care solution
 > 1,650 Tablets (Tab 3 7.0)
 Immediate, anytime access to mHealth apps
 Homecare Homebase solution
 Access patient data, medical history, charge
capture
 Large form factor
 Thin, light, small enough
 Durable, hygienic
 OtterBox for rugged case options
 Home health care solution
 City in Jutland peninsula in Denmark (1.2
million in greater Aarhus area)
 Nurses and general care assistants to use
tablet as a report tool and phone via
headset
 Form factor and mobility key
 S-Pen also an important feature

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S.A.M.I. & SIMBAND
 Intelligence in the cloud
 S.A.M.I. is an ecosystem
 Privacy protected
 Data with a difference
 Beyond smart health

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KEY ISSUES
Privacy & Security: Ethical and regulatory mandate
Low-cost:Age of Austerity; from volume to value
Low Power: “Invisible”, passive devices
Reliability: Critical for health & medicine (no gaps)
Data integration: Value will be in the data
Ease-of-use: Critical for medical applications
Clinical validation

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THE WAY
FORWARD
Expand into wellness; engage doctors & patients at all levels
Use and share data
Embrace new ways of medical thinking
Incorporate wider information streams