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The Future is Now
The Practice of Medicine Has Left the Patient
House calls by doctors:
• 1960 - 40% of doctor-patient meetings
• 1980 - 0.6...
The Vanishing House Call
Hospitals often acted as sanatoriums and a
place to send sick people keeping them away from
everyone else while we hoped t...
Hospital Care
Hospitals, Asylums and Sanatoriums
20th Century Medicine
Modern medicine became centered around the local
hospital
Hospitals had the facilities for complex c...
Analogy between evolution of medical practice
and the advance of computing technology
Medicine used to be practiced in the...
First computers took up an entire room
Mainframe Computers
Terminals
Micro Computers
Home Computers?
Personal Computers
Personal Computers
IBM Home Computer
Chips With That
DynaTAC
2005
2013
Smartphones go Mainstream
Today’s Technology Used to be for
Superheroes and Science Fiction
Wearables, Trackers, and
Quantified Self
Fitbit Garmin
Wearables, Trackers, and Quantified Self
Apple Does it Again
Hospital High on a Hill
Hospital Consolidation
MERGERS WILL CONTINUE…
MAINFRAME ORGANIZATION:
an entity that incorporates into its own
architecture the essential functions and
information requ...
SMART
What is Blockchain?
• Open-source software upon which Bitcoin and other
cryptocurrencies run
– A technology protocol layer...
Blockchain is…
• A decentralized database, a transaction ledger
• A new form of information technology
• A globally-distri...
The ONC Blockchain Challenge
The “Use of Blockchain in Health
IT and Health-related Research”
Ideation Challenge solicited...
The ONC Blockchain Challenge
Out of more than 70 submitted white papers
ONC received from individuals, organizations,
and ...
Blockchain Health Applications
Immediate Near-Future Longer-term Future
Universal EMR Smart Contracts and
Health Insurance...
We are in yesterday’s future today
10 Finalists
• DYNAMICAL BIOMARKERS GROUP
TAIWAN - TEAM LEADER: CHUNG-
KANG PENG
• FINAL FRONTIER MEDICAL
DEVICES
UNITED S...
Today we use technology to check the news,
the weather, our emails, Facebook, our texts
and our Tweets. Yet, with this wea...
Augmented Reality
Virtual Reality
PatientsLikeM
23andMe
It Is Who We Are
On January 20, 2015, President Obama announced the Precision
Medicine Initiative (PMI) in his State of the Union address. ...
Many disparate data
types and streams Integrated computing
Genomics
Clinical
Claims &
transactions
Meds & labs
Patient
exp...
Genomic Singularity Is Near
Illumina
MyGenome App
Questions?
Future is Now
Future is Now
Future is Now
Future is Now
Future is Now
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Future is Now

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From a talk Brian Ahier gave to a group of students in the informatics masters degree program on November 10, 2016

Published in: Healthcare
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Future is Now

  1. 1. The Future is Now
  2. 2. The Practice of Medicine Has Left the Patient House calls by doctors: • 1960 - 40% of doctor-patient meetings • 1980 - 0.6% of doctor-patient meetings Possible causes for such a steep decline are concerns about: • Time inefficiency • Inconvenience (for the doctor) • Lack of resources in patient’s home We are now starting to see a renewed interest in house calls with the practice of concierge medicine
  3. 3. The Vanishing House Call
  4. 4. Hospitals often acted as sanatoriums and a place to send sick people keeping them away from everyone else while we hoped they got better  Tuberculosis and other infectious disease  Mental health issues  In modern times AIDS The technology available was not advanced and care provided would often seem barbaric by today’s standards
  5. 5. Hospital Care
  6. 6. Hospitals, Asylums and Sanatoriums
  7. 7. 20th Century Medicine Modern medicine became centered around the local hospital Hospitals had the facilities for complex care:  Emergency services  Imaging  Surgery If doctors wanted to practice medicine they needed to be affiliated with a hospital
  8. 8. Analogy between evolution of medical practice and the advance of computing technology Medicine used to be practiced in the community and in peoples homes In order to practice medicine one had to have a terminal into the mainframe (hospital)
  9. 9. First computers took up an entire room
  10. 10. Mainframe Computers
  11. 11. Terminals
  12. 12. Micro Computers Home Computers?
  13. 13. Personal Computers
  14. 14. Personal Computers
  15. 15. IBM Home Computer
  16. 16. Chips With That
  17. 17. DynaTAC
  18. 18. 2005
  19. 19. 2013
  20. 20. Smartphones go Mainstream
  21. 21. Today’s Technology Used to be for Superheroes and Science Fiction
  22. 22. Wearables, Trackers, and Quantified Self Fitbit Garmin
  23. 23. Wearables, Trackers, and Quantified Self Apple Does it Again
  24. 24. Hospital High on a Hill
  25. 25. Hospital Consolidation MERGERS WILL CONTINUE…
  26. 26. MAINFRAME ORGANIZATION: an entity that incorporates into its own architecture the essential functions and information required to do its job. NETWORKED ORGANIZATION: a collection of interconnected entities that share resources and information in order to do its job.
  27. 27. SMART
  28. 28. What is Blockchain? • Open-source software upon which Bitcoin and other cryptocurrencies run – A technology protocol layer like TCP/IP • A decentralized database/ledger – It’s like a huge ‘interactive Google doc spreadsheet’ that anyone can view and administrators (miners) continually verify and update to confirm that each transaction is valid – Secure network where any transaction can be independently confirmed as unique and valid without a centralized intermediary • Blocks (batches) of transactions posted sequentially to a ledger (chain)
  29. 29. Blockchain is… • A decentralized database, a transaction ledger • A new form of information technology • A globally-distributed always-on database system for secure, permanently-recorded independently- validated transactions • A universal organization and coordination system
  30. 30. The ONC Blockchain Challenge The “Use of Blockchain in Health IT and Health-related Research” Ideation Challenge solicited white papers on the topic of Blockchain Technology and the potential use in Health IT to address privacy, security, and scalability challenges of managing electronic health record and resources.
  31. 31. The ONC Blockchain Challenge Out of more than 70 submitted white papers ONC received from individuals, organizations, and vendors, they picked 15 final winners that are awarded a cash prize; Eight winners were invited to present their papers at a workshop co-hosted with the National Institute of Standards and Technology and the ONC
  32. 32. Blockchain Health Applications Immediate Near-Future Longer-term Future Universal EMR Smart Contracts and Health Insurance Blockchain Happiness: Personal Development Chains Health Databanks Smart Property: Drug and Inventory Management Virtual Patient Modeling Quantified Self Data Commons Health Token: HSN, Research Blockchain AI Applications: Big Data File Storage, Access, and Analysis Smarthome, Personal Robotics, QS IOT Friendly AI Health Document Notarization and Tracking Environmental Monitoring Blockchain Deep-Learners Identity Verification Demurrage Redistributions Blockchain Health Advocates Health Vendor RFPs Health Policy Voting Digital Services HSN: Health Social Network, IOT: Internet of Things http://www.amazon.com/Bitcoin-Blueprint-New-World-Currency/dp/1491920491
  33. 33. We are in yesterday’s future today
  34. 34. 10 Finalists • DYNAMICAL BIOMARKERS GROUP TAIWAN - TEAM LEADER: CHUNG- KANG PENG • FINAL FRONTIER MEDICAL DEVICES UNITED STATES - TEAM LEADER: BASIL HARRIS • INTELESENS-SCANADU UNITED KINGDOM - TEAM LEADER: JIM MCLAUGHLIN • AEZON UNITED STATES - TEAM LEADER: TATIANA RYPINSKI • CLOUDDX CANADA - TEAM LEADER: SONNY KOHLI • DANVANTRI INDIA - TEAM LEADER: SRIDHARAN MANI • DMI UNITED STATES - TEAM LEADER: EUGENE CHAN
  35. 35. Today we use technology to check the news, the weather, our emails, Facebook, our texts and our Tweets. Yet, with this wealth of information gathering, we don’t check our bodies. Medical providers around the globe are taxed for resources. It’s time individuals start taking charge of their own health. The Qualcomm Tricorder XPRIZE is making that possible. By virtue of the Qualcomm Tricorder XPRIZE, Team Aezon is taking on the challenge. Aezon formed in September 2012 to tackle the Qualcomm Tricorder XPRIZE and is composed of students from Johns Hopkins University in partnership with the developers of Biomeme, Symcat, Spirosmart, and Aegle.
  36. 36. Augmented Reality
  37. 37. Virtual Reality
  38. 38. PatientsLikeM
  39. 39. 23andMe
  40. 40. It Is Who We Are
  41. 41. On January 20, 2015, President Obama announced the Precision Medicine Initiative (PMI) in his State of the Union address. Through advances in research, technology and policies that empower patients, the PMI will enable a new era of medicine in which researchers, providers and patients work together to develop individualized care.
  42. 42. Many disparate data types and streams Integrated computing Genomics Clinical Claims & transactions Meds & labs Patient experience Personal data
  43. 43. Genomic Singularity Is Near
  44. 44. Illumina MyGenome App
  45. 45. Questions?

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