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The future of empowered patients is in wireless capable medical devices with significant software and data integration

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This presentation was given at the Tenth Annual Healthcare Unbound Conference in Denver. It covers the following topics:

* Things that kill and harm human beings today are very different than just 100 years ago
* Health policy and payments are shifting to deal with new realities
* Marketplace and industry challenges for device vendors
* Why wireless connectivity is good business
* Why wireless connectivity is a disruptive innovation

Key takeaways include:
* Wireless is a business enabler but there’s a lot to consider.
* Hardware, sensors, and software are transient businesses but data lives forever. * He who owns, integrates, and uses data wins in the end.
* Data from devices is too important and specialized to be left to software vendors, managed service providers, and system integrators.

Published in: Health & Medicine, Business
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The future of empowered patients is in wireless capable medical devices with significant software and data integration

  1. 1. How Wireless Networks Empower Patients 10th Annual Healthcare Unbound Conference & Exhibition Shahid N. Shah, CEO
  2. 2. NETSPECTIVE Who is Shahid? • 20+ years of software engineering and multisite healthcare system deployment experience • 12+ years of healthcare IT and medical devices experience (blog at http://healthcareguy.com) • 15+ years of technology management experience (government, non-profit, commercial) • 10+ years as architect, engineer, and implementation manager on various EMR and EHR initiatives (commercial and non-profit) Author of Chapter 13, “You’re the CIO of your Own Office” www.netspective.com 2
  3. 3. NETSPECTIVE Life expectancy is increasing… …but the rate of growth is slowing www.netspective.com 3
  4. 4. NETSPECTIVE Bacteria used to kill us the most… Per 100k population, Historical Statistics of the United States, Millennial Edition www.netspective.com 4
  5. 5. NETSPECTIVE We’ve got most infections beat… …except the flu and pneumonia Per 100k population, Historical Statistics of the United States, Millennial Edition www.netspective.com 5
  6. 6. NETSPECTIVE Infectious diseases used to kill us… …but what’s left seem only to be “manageable” not easily “curable” Top killers in 1900 Pneumonia and influenza TB Diarrhea and enteritis Top killers today Heart disease Cancer Chronic lower respiratory diseases Per 100k population, Historical Statistics of the United States, Millennial Edition www.netspective.com 6
  7. 7. NETSPECTIVE From cures to management… …young people don’t dye of diseases often now Death by age group, 1900 Death by age group, Today http://siteresources.worldbank.org/INTHSD/Resources/topics/Health-Financing/HFRChap1.pdf www.netspective.com 7
  8. 8. NETSPECTIVE Chronic Conditions Almost half the U.S. population needs chronic disease management Source: NCQA State of Healthcare Quality Report 2007 & Wellpoint www.netspective.com 8
  9. 9. NETSPECTIVE Medicine has accepted lack of cures… …we’re now focused on prevention and wellness (below is CDC’s framework) Objectives: • Keep people out of the hospital ($$$) • Keep people from their docs ($$) • Keep people off drugs ($) • Keep people at home http://www.cdc.gov/chronicdisease/resources/publications/AAG/chronic.htm www.netspective.com 9
  10. 10. NETSPECTIVE Keep patients away from hospitals Hospitalization, physician and clinical services total more than $1.2 Trillion today $800 Hospital care, total $700 Physician and clinical services, total $600 Nursing care facilities and continuing care retirement communities, total Prescription drugs, total $500 $400 $300 $200 $100 $0 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 http://www.census.gov/compendia/statab/cats/health_nutrition/health_expenditures.html www.netspective.com 10
  11. 11. NETSPECTIVE Health services centralization tried Source: Jason Hwang, Innosight, via Jeff Selberg of IHI www.netspective.com 11
  12. 12. NETSPECTIVE …now comes decentralization and disruptive innovation Source: Jason Hwang, Innosight, via Jeff Selberg of IHI www.netspective.com 12
  13. 13. NETSPECTIVE Consumers will need do/pay more… www.netspective.com 13
  14. 14. NETSPECTIVE The new world order General Wellness Self Service Physiologics Self Service Monitoring Healthcare Professional Monitoring Care Team Diagnostics Care Team Monitoring Self Service Diagnostics Healthcare Professional Diagnostics www.netspective.com Specific Prevention Hospital Monitoring Hospital Diagnostics 14
  15. 15. NETSPECTIVE Consumerization of physiologics…. www.netspective.com 15
  16. 16. NETSPECTIVE Consumerization of labs / genes Labs on chips www.netspective.com Personal Genomics 16
  17. 17. NETSPECTIVE Consumerization of monitoring www.netspective.com 17
  18. 18. NETSPECTIVE Wireless Body Area Network (BAN) The cornerstone of mHealth www.netspective.com 18
  19. 19. NETSPECTIVE Wireless BAN Ecosystem Source: Qualcomm www.netspective.com 19
  20. 20. NETSPECTIVE Wireless Protocols Comparison http://acamp.ca/alberta-micro-nano/images/docs/Technology-Presentations/Ken-Fyfe-HealthMedical-Dec09.pdf www.netspective.com 20
  21. 21. NETSPECTIVE ANT+ is winning ULP protocol battle http://acamp.ca/alberta-micro-nano/images/docs/Technology-Presentations/Ken-Fyfe-HealthMedical-Dec09.pdf www.netspective.com 21
  22. 22. NETSPECTIVE Needed: diagnostic quality mHealth www.netspective.com 22
  23. 23. NETSPECTIVE Needed: sophisticated analytics www.netspective.com 23
  24. 24. NETSPECTIVE Needed: care team involvement PATIENT/ CONSUMER HEALTHCARE PROVIDER Care Team FAMILY CAREGIVER CALL CENTERS AND REMOTE SUPPORT www.netspective.com HOSPITAL ALTERNATE SITE OF CARE 24
  25. 25. NETSPECTIVE Needed: automated diagnostics www.netspective.com 25
  26. 26. NETSPECTIVE Data changes the questions we ask Simple visual facts www.netspective.com Complex visual facts Complex computable facts 26
  27. 27. NETSPECTIVE Implications for scientific discovery The old way Identify problem Identify data Ask questions Generate questions Collect data Mine data Answer questions www.netspective.com The new way Answer questions 27
  28. 28. http://healthcareguy.com Shahid.Shah@netspective.com Questions? Thank you

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