TEDMED Breakaway Forum 2013 Talk

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Invited talk at Breakaway Healthcare Forum, held in conjunction with TEDMED, April 16, 2013.

View abstract and video here: http://cognitivecomputing.wordpress.com/2013/04/16/the-patient-portal-conundrum/

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TEDMED Breakaway Forum 2013 Talk

  1. 1. The Patient Portal ConundrumAshwin Ram, PhD, Innovation Fellow"Software is eating the world. Over the next 10years, I expect many more industries to bedisrupted by software.Healthcare and education are next up forfundamental software-based transformation.”—Marc Andreessen, WSJ Essayashwin.ram@parc.comPARC | Ashwin Ram | 1
  2. 2. The Business of Breakthroughs®laser printing EthernetPC workstationAltoWYSIWYG, GUIcorporateethnographymulti-beamlaser diodesubiquitouscomputingcollaborativefilteringAI/ model-basedsystemscontent-centricnetworkingsocio-cognitivecomputingcleantech printed & flexibleelectronicscontent-centricnetworkingincorporated 2002founded 1970PARC | Ashwin Ram | 2
  3. 3. “What people sayMargaret Meadwhat people doand what people say they doare entirely different things.”New modelsfor businessHuman behaviorand contextLeadingtechnologyand know-howBreakthroughs aren’t(just) about technologyPARC | Ashwin Ram | 3
  4. 4. Healthcare CrisisObesity RatesPARC | Ashwin Ram | 4
  5. 5. Where’s the problem?PARC | Ashwin Ram | 5
  6. 6. The healthcare challengeof our generation: Chronic conditions7 out of 10 deathsamong Americans each year arefrom chronic diseasesSource: CDCMore than 75% of health care costsare due to chronic conditionsSource: CDCEmployers’ spending on healthcoverage for workersrose 9% in 2011, tripling the growth in 2010Source: Kaiser Family Foundation and the Health Research & Educational TrustPARC | Ashwin Ram | 6
  7. 7. Opportunity50% of factors related topersonal health are dueto lifestyle.*Sources: *CDC **Hartman PARC | Ashwin Ram | 768% of adults are activelytrying to prevent at least 1major chronic illness.**WellPeople(68% adults)PersonalLifestyle(food, exercise)ActivePrevention(behavior change)
  8. 8. How do people get healthcare info?PARC | Ashwin Ram | 8
  9. 9. Healthcare InformationInternet is the leading sourceof health and wellness information.PARC | Ashwin Ram | 9
  10. 10. “Meaningful Use”Stage 1•  EHRStage 2•  PortalsStickiness•  Quality of CarePARC | Ashwin Ram | 10
  11. 11. Health 1.0 à Health 2.0PARC | Ashwin Ram | 11A recent survey from health-care research firmNational Research found that 96% of the nearly23,000 consumers it surveyed use Facebook togather information about health care, with 28%using YouTube and 22% using Twitter. Hospitals,health-care providers and private insurers also areseeing social media as a tool to engage consumers.NPR Marketplace calls it “the biggest threat tohealthcare portals like WebMD”.
  12. 12. The Patient PortalConundrumStage 1•  EHRStage 2•  PortalsStickiness•  Quality of CareEngagement?PARC | Ashwin Ram | 12
  13. 13. Healthcare Goes Socialrelevantinfogamerewardssocialgraph“Behavior is social. When someoneloses weight, quits smoking, orincreases exercise, the people intheir trusted social network are 34%more likely to do so.”—Dr. N. Christakis, Harvard School of Medicine72% of consumers relyon the Internet forhealth information100s of millions ofconsumers interactand share healthexperiences online100s of hospitals usesocial media1000s of healthcommunities$100M investment ingamification of healthPeople require healthinformation that is timely, relevant,reliable, and easy to understand.— Picker Institute EuropeConsumerismPARC | Ashwin Ram | 13
  14. 14. TrendsPARC | Ashwin Ram | 14“The consumer is the CEOof their own health.”PARC | Ashwin Ram | 14
  15. 15. “Meaningful Use”, revisitedInformationEngagementBehaviorChangePARC | Ashwin Ram | 15Stage 1: EHRStage 2: PortalsStage 3: Quality
  16. 16. ConceptPARC | Ashwin Ram | 16A team social network with personal coachto engage consumers and change behaviors……to improve health outcomes and reducehealthcare costs……at scale (millions of people).personalmodelmobilecoachsocialteam
  17. 17. Sensors + Analytics + Context + SocialDataaggregationGoalsettingPersonalizedCoachingSocialsupportSource: Healthrageous.com= sustainable engagement andbehavioral changePARC | Ashwin Ram | 18
  18. 18. Why Mobile?For the first time in history…more smartphones andtablets will be sold thanPCs worldwideSource: Deloitte Canada, 2011A smartphone in 2011has as much compute poweras a laptop in 2001Source: C. Arthur, Guardian UK, 2011PARC | Ashwin Ram | 19
  19. 19. Why Social?(Christakis & Fowler, 2009) •  Entire clustersquit in concert•  25% more likelyto quit if yoursibling quit•  67% more likelyto quit if yourspouse quit•  34% more likelyto quit if your co-worker quit•  36% more likelyto quit if yourfriend quitsPARC | Ashwin Ram | 20
  20. 20. ImprovedOutcomes& LifestyleAdoptionAchievableGoalsFunPeerSupportIn TheMomentEasy,NaturalProper Goal SettingSocial SciencesEthnographyUnderlying SciencePARC | Ashwin Ram | 21GoalOutcome-goal Behavior-goalFood-goal Activity-goalLose 40 lbsPath-goalDuration-goalEat breakfastEvery dayExercise 5 days/week for 5 weeks(+H <habit-name>goal: <what it achieves>cues: <location, time, people,preceding-action, thoughts/mood>knowledge: <relevant knowledge/ability>actions: <behavior-spec>)(+H-parameters <habit-name>difficulty: δexpectancy: <P>cost: <C>successes: sfailures: f)log(odds(success(Habiti ,Personj )))= match(c, j)c∑ + θikwjk + rikwjkk∑ + α log(t) + vf sfif∑ + pf sfif∑k∑f (θi,w j ,ρij ) = θ0ρij +θi1wi1 ++θiT wjT
  21. 21. ConsumerEngagementSocial NetworkJust-In-TimeInformationPersonalizationBehaviorChangeGamificationPlatformModeling & Analytics PlatformDecisionSupportCognitiveModelingSocialAnalyticsSemanticAnalysisBehaviorModelingMonitoring PlatformContext/ActivityWeb/SocialNetworkEthnography/Field StudiesPARC | Ashwin Ram | 22
  22. 22. Wellness ApplicationPARC | Ashwin Ram | 23fittle.orgTeam social network with personal coachto engage consumers and change behaviors…
  23. 23. VisionConsumer•  EngagementRelevant Information•  Behavior ChangeDashboardDashboardEthnography Analytics/Social Media Context/Activity TrackingCompanyPortalProviderPortalModeling &AnalyticsPlatformFood /NutritionAlternativeMedicineMedicine /SupplementsExercise /ActivityAppsWellness DriversPARCCompetitive EdgePARC | Ashwin Ram | 24
  24. 24. Contactlinkedin.com/in/ashwinramwww.parc.com/ashwinramPARC | Ashwin Ram | 31ashwin.ram@parc.com

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