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Q4 2017/2018 Preview Report: digihealth impact trac - A Quarterly Review of the Global Digital Health Market's Strength and Impact

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Traditionally, we have used investment data to understand the growth and evolution of the digital health market. However, while valuable, funding data, provides limited information about two other important measures of the digital health market’s strength: implementation and impact.

With thousands of organizations, startups, government agencies, universities and others testing, developing and commercializing digital solutions, improving our understanding of the market’s scope requires new data sources, analysis and metrics.

This quarterly report series satisfies these unmet needs.

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Q4 2017/2018 Preview Report: digihealth impact trac - A Quarterly Review of the Global Digital Health Market's Strength and Impact

  1. 1. A Quarterly Review of the Global Digital Health Market’s Overall Strength and Impact Developed by Fard Johnmar, Futurist, Strategist and Researcher A Digital Health Maven Project Publication digihealth impact trac Q4 2017/2018 Trend Preview
  2. 2. Contents 2 About the Author || Page 3 Why digihealth impact trac? || Page 4 Data Source & Methodology || Page 6 Why the Global Digital Health Market Strengthened During Q4 2017 || Pages 7 – 8 Overview: Key Q4 2017 Trends || Page 9 Ecosystem Analysis: Scope || Pages 10 - 11 Ecosystem Analysis: Momentum || Page 12 Ecosystem Analysis: Investments || Page 13 Ecosystem Analysis: Connections || Page 14 Trends That Will Matter in 2018 || Pages 15 – 17 About Enspektos and the Digital Health Maven Project || Page 19 Additional Notes || Page 20 digihealth impact trac | Q4 2017 | published january 30, 2018 digihealth impact trac Q4 2017/2018 Trend Preview
  3. 3. About the Author Fard Johnmar is founder and president of the noted innovation consultancy Enspektos. Fard is a nearly 20-year global health industry veteran and has spent nearly 13 in the digital health arena. He has advised executives, entrepreneurs, medical professionals and others focused on developing groundbreaking digital health tools, technologies, products and services at startups and large organizations such as Johnson & Johnson, Novartis, Sanofi, the CDC and the Canadian government. In addition to speaking regularly about digital innovation trends to audiences globally, Fard and his work have been featured in numerous media outlets, including the Los Angeles Times, NPR and Forbes. He is also a fellow at the Columbia University-affiliated HITLAB. Fard is the co-author of the #1 global bestseller, ePatient 2015: 15 Surprising Trends Changing Healthcare, which explores the impact of digital technologies on health and well-being. He also holds a U.S. patent for a unique analytics engine that measures the impact of digital content exposure on health behavior change. Learn more about Fard at www.fardjohnmar.com. Fard Johnmar Futurist | Strategist Researcher | Inventor 3 digihealth impact trac | Q4 2017 | published january 30, 2018
  4. 4. Why digihealth impact trac? In Q3 2017, Enspektos released the first edition of digihealth impact trac, a quarterly report series designed to improve understanding of how organizations, startups, government agencies, universities and others are testing, developing and commercializing digital solutions globally. This research compliments and expands upon quarterly reports produced by StartUp Health, Rock Health and other organizations focusing on U.S. and global digital health investment activity. While investment data is beneficial, it provides limited information about two important measures of the digital health market’s strength: implementation and impact. Improving our understanding of the market’s scope requires investigating: •  Where people are focused from an implementation perspective: This can include looking at what technologies are receiving significant attention, therapeutic categories of greatest interest and more •  How digital technologies are impacting health, well-being, workflows and other factors: While the jury is still out about whether many digital solutions will have positive benefits on health outcomes, early evidence is emerging that some technologies including virtual reality and mobile, may have significant health benefits The digihealth impact trac quarterly report series can deepen our understanding of and encourage more nuanced analysis about digital health’s global importance and influence. Note: In addition to focusing on Q4 2017 digital health themes, this edition of digihealth impact trac provides insights into key trends that will be important for health industry stakeholders to consider throughout 2018. 4 digihealth impact trac | Q4 2017 | published january 30, 2018
  5. 5. How to Download This Report This digihealth impact trac quarterly report is not available for download on SlideShare. Access the PDF of this publication via the Digital Health Maven Project’s Website. In addition to downloading this valuable resource, you’ll have access to numerous free innovation tools, including courses, Webinars and videos. You’ll also be notified when new quarterly digihealth impact trac reports are released. Click the button below to get started. Click Here to Download This Report 5 digihealth impact trac | Q4 2017 | published january 30, 2018
  6. 6. Data Source & Methodology Enspektos has developed the world’s largest source of real-time digital health and emerging technology market data. For each report, we analyze this industry-leading data set using a unique methodology designed to aid the rapid and systematic analysis of health innovation ecosystems. 6 Data Source Methodology Data in this report was sourced from the Digihealth Informer real-time database. This is an intelligence and productivity platform with more than 4.5 million data points focusing on the global digital and emerging technology market, including: •  Market Events: Product releases, mergers, acquisitions, pilots and other data on digital and emerging technology implementation •  Investment Activity: Funding events, investors and more •  Partnerships, Pilots and Collaborations: Extensive contextual data on how organizations, startups and others are implementing digital technologies in health and medicine Scope Momentum $ InvestmentsConnections Health Technology Ecosystem Analysis Method: 4 Areas of Focus Global digital and emerging technology market data collected via DigiHealth Informer during Q4 2017 and Q4 2016 was examined (via search queries) using the Health Technology Ecosystem Analysis Methodology. This Enspektos-developed method focuses on four key areas that define innovation ecosystems: scope (global reach), momentum (regional activity volume), investments and connections (partnerships, etc.). Source: Enspektos, LLC 6 digihealth impact trac | Q4 2017 | published january 30, 2018
  7. 7. The Global Digital Health Market Strengthened in Q4 2017 77 digihealth impact trac | Q4 2017 | published january 30, 2018 Infrastructure Focus Methodology and Definitions: For this analysis (except for the financial strength metric), searches of the DigiHealth Informer database were conducted for the following keywords during the Q4 2017 and Q4 2016 time frames: • Infrastructure Focus: References to data interoperability and analytics (Keywords: digital health interoperability; digital health analytics) • Regional Diversity: Number of countries referenced as engaging in digital health innovation (Keyword: digital health) • Health Outcomes Research Emphasis: References to outcomes research (clinical and non-clinical) activities (Keywords: digital health outcomes) • Financial Strength: Global digital health funding levels (as measured by StartUp Health) Higher Lower No Change Interoperability, Analy7cs References (vs. Q4 2016) Regional Diversity Higher Lower No Change Country-Specific Innova7on References (vs. Q4 2016) Health Outcomes Emphasis Higher Lower No Change Health Outcomes Research References (vs. Q4 2016) Stronger Weaker No Change Total Global Investment Volume (vs. Q4 2016) Financial Strength Global Digital Health Strength Index (Q4 2017 vs. Q4 2016): Stronger Source: Enspektos, LLC
  8. 8. Why Did the Global Digital Health Market Strengthen During Q4 2017? 8 The Global Digital Health Strength Index: Q4 2017 Traditionally, the strength of the digital health market has been measured by the level of investment dollars flowing into startups and other firms. While financial strength is a valuable metric, it can provide an incomplete picture of overall market potential. Other factors, specifically whether there is a focus on measuring digital health-related outcomes, improving data infrastructure and global innovation diffusion, also have a significant impact on whether digital technologies are (and will be) successful. To improve understanding of digital health’s impact and scope we created the Global Digital Health Strength Index (displayed on the previous page) in Q3 2017. Analysis of market landscape data collected via the DigiHealth Informer platform indicates that in Q4 2017 (versus Q4 2016) the digital health market strengthened in the following areas: •  Infrastructure: Compared to Q4 2016, there was a greater global emphasis on improving interoperability and analytics capabilities in order to derive meaningful insights from genomic, clinical and other Big Health Data. •  Regional Diversity: The spread of digital innovation to health ecosystems across Asia, Southern Europe and other regions is accelerating. •  Health Outcomes Emphasis: We saw a significant jump in references in the digital health literature to outcomes research. Clearly health industry stakeholders are increasingly looking at whether digital solutions deliver clinical, economic and quality of life benefits across various populations. •  Financial Strength: StartUp Health reported record-breaking Q4 2017 investment numbers in its 2017 Year End Report (link). Q4 2017 investments surpassed $2 billion across 227 deals compared to $1.76 billion in investments during Q4 2016. 8 digihealth impact trac | Q4 2017 | published january 30, 2018
  9. 9. Overview: Key Q4 2017 Digital Health Trends 9 Telemedicine’s Transforma0ve Impact Globally, telemedicine solu2ons are having a major impact on access to care, health spending and the prac2ce of medicine. Thinking Global is Vital Regional digital health innova2on ac2vity is accelera2ng. Understanding how health technologies are being deployed in Europe, Asia and other locales is crucial. Investment Winners: Companies With Global Reach Maturing companies with the poten2al to succeed in mul2ple markets are capturing investment dollars. Partnerships Focus on Tech Accelera0on New partnerships focused on digital therapeu2cs and other emerging technologies may help drive global adop2on and research. Scope Momentum Connections $ Investments What were the major digital health trends and themes that drove interest and attention during Q4 2017? As illustrated in the graphic below, during this period, telemedicine’s global impact became more apparent, regional (ex-U.S.) innovation activity accelerated in importance, maturing companies with global reach captured investment dollars and partnerships were formed to drive emerging technology adoption. 700,235 +22% from Q3 2017 *Note: Between 70-80 percent of DigiHealth Informer data is focused on health and medical innovation. Non-health data on mobile, virtual reality, blockchain and other sectors is tracked to monitor their evolution and potential impact on health. Source: Enspektos, LLC 9 digihealth impact trac | Q4 2017 | published january 30, 2018 The number of digital and emerging technology-related social posts, news headlines and full-text articles collected via DigiHealth Informer during Q4 2017.*
  10. 10. What was the breadth of innovation focus (diseases, technology areas, etc.)? Scope Technology Major Themes and Market Events Related to Technology Area (Referenced in Ar0cles/Social Posts Collected During Q4 2017) Mobile/Mobile Health •  Majority of pa2ents interested in using mobile for health communica2on •  Many apps developed during 2017, but concerns persist about quality •  The strong (and growing) link between mobile and telemedicine solu2ons Ar0ficial Intelligence/ Machine Learning •  The use of machine learning in electronic medical records is accelera2ng •  The shiK from hype to real-world solu2ons in health-focused AI Telemedicine •  Telemedicine’s surge toward increased global adop2on •  Telemedicine is transforming how physicians interact with pa2ents: i.e., from bedside to ‘Webside’ manner •  The poten2al nega2ve impacts of U.S. net neutrality’s repeal on telemedicine Big Data •  Prepara2on for the EU’s new data privacy regula2ons (to be implemented in 2018) and worries about how it will impact health Big Data •  How major players, including CVS Health and Epic are using Big Data to tackle rising drug costs in the U.S. Cloud Compu0ng •  Amazon is working with Cerner on a cloud-based popula2on health solu2on •  Royal Phillips buys cloud-based health management company VitalHealth, another indica2on of how health industry players are ac2vely acquiring technology solu2ons to boost their profitability, products and services Top Referenced Technologies: Q4 2017 Below are insights about the most discussed and referenced technologies in the digital health online literature during Q4 2017 along with major themes associated with each. To perform this analysis, DigiHealth Informer was used to identify the top innovations (and themes related to them) referenced in full-text, news and social digital content collected from October 1 to December 31, 2017. Source: Enspektos, LLC Ecosystem Analysis 10 digihealth impact trac | Q4 2017 | published january 30, 2018
  11. 11. What was the breadth of innovation focus (diseases, technology areas, etc.)? Scope Disease/Condi0on Top Technologies Being Used for Disease Management/Diagnosis (Referenced in Ar0cles Collected During Q4 2017) 1. Diabetes 1.  Mobile/Smartphones 2.  Ar2ficial Intelligence/Machine Learning* 3.  Digital Therapeu2cs 2. Cancer 1.  Mobile/Mobile Health 2.  Ar2ficial Intelligence* 3.  Telemedicine* 4.  Precision Medicine 3. Aging 1.  Mobile 2.  Internet and IoT Technologies* 3.  Social Media* 4.  Wearables 5.  Ar2ficial Intelligence 4. Depression 1.  Smartphones* 2.  Mobile 3.  Adherence Technologies* 4.  Ar2ficial Intelligence/Machine Learning* 5. Asthma 1.  Mobile/Mobile Health 2.  Sensors 3.  Adherence Technologies 4.  Wearables 5.  Digital Therapeu2cs Top Referenced Diseases/Conditions: Q4 2017 Below is a listing of the most discussed and referenced diseases or conditions in the digital health online literature during Q4 2017. Notably, artificial intelligence, telemedicine and Internet of Things technologies rose in prominence across several disease areas between Q3 and Q4 2017. To perform this analysis, we conducted a search of full text articles in the DigiHealth Informer database, using the keyword “digital health” (and top diseases/conditions), collected between October 1 and December 31, 2017. Source: Enspektos, LLC Ecosystem Analysis *These technologies/innovations rose in prominence between Q3 and Q4 2017. 11 digihealth impact trac | Q4 2017 | published january 30, 2017
  12. 12. Digital health innovations continue to diffuse across Asia, Africa and India. Momentum The map at the left shows the top referenced countries in articles focusing on digital health collected by DigiHealth Informer in Q4 2017. During this period, global innovation activity continued to accelerate across Southern Europe, Africa and India. Below are some of the themes that attracted discussion and attention during Q4 in key global health markets. Top Referenced Geographic Locations in Articles Related to Digital Health: Q4 2017 Country Key Country-Related Digital Health Events: Q4 2017 Singapore •  Singapore Ministry of Health launches Healthhub Track, which provides 6 million ci2zens with free access to digital therapeu2cs technology. Spain •  Spain’s Barcelona has become one of Europe’s top five technology hubs. Also, the country boasts an increasing number of well-regarded accelerators run by Bayer and other organiza2ons. South Africa •  Long-standing South African Na2onal Department of Health mobile ini2a2ve MomConnect integrates Whatsapp into the placorm and drives a 50% increase in user engagement. Israel •  U.S.-based healthcare incubator and innova2on accelerator MATTER partners with Israel-based Sheba Medical Center. Startups will have the opportunity to pilot their technologies at Sheba and gain customers throughout the country. Source: DigiHealth Informer Platform, Enspektos, LLC Source: Enspektos, LLC Ecosystem Analysis 12 digihealth impact trac | Q4 2017 | published january 30, 2018
  13. 13. Where were investors focusing their resources? $ Investments Global digital health investment activity continues to accelerate As discussed in the Q3 2017 edition of digihealth impact trac, regional investors in Europe, Asia and other locations have become more comfortable with aggressive investments in digital health companies — especially those that have the ability to succeed in multiple markets. Below are sample digital health investments that illustrate some of the global scope of digital health investment activity during Q4. (This list includes firms that have global potential.) Company Amount Company Focus Region Biofourmis $5 M Remote Pa2ent Monitoring Singapore DoctoLib $42 M Medical Scheduling France Ada Health $49 M AI-Aided Triage and Diagnosis Germany DocsApp $5.5 M Gene2c Diagnosis India Recursion Pharmaceu0cals $60 M AI-Aided Drug Discovery United States Funding activity accessed via search of social posts/news headlines added to the DigiHealth Informer database between October 1 and December 31, 2017. Keywords: Raise, Funding, Series A Source: Enspektos, LLC Ecosystem Analysis 13 digihealth impact trac | Q4 2017 | published january 30, 2018
  14. 14. 14 Where were health organizations, startups, technology firms and others forging partnerships and collaborations? Connections Frequently-Referenced Partnership Activity: Q4 2017 Below is an Innovation Map (generated via DigiHealth Informer) showcasing key partnerships that received attention during Q4 2017. Partnerships continue to be key in digital health, with new alliances focusing on driving adoption and research related to digital therapeutics and other emerging innovations. The above Innovation Map was generated via DigiHealth Informer. The platform automatically analyzed social posts and news headlines to identify the most persistently referenced content related to digital health partnership-related activity between October 1 and December. 31, 2017. Source: Enspektos, LLC Ecosystem Analysis 14 digihealth impact trac | Q4 2017 | published january 30, 2018
  15. 15. What trends should industry players watch and capitalize on during 2018? Momentum Source: Enspektos, LLC Trends That Will Matter in 2018 Throughout 2017 we have seen a range of issues, innovations and technologies either gain in prominence or solidify their importance to the global digital health ecosystem. Below are five key trends that were identified via analysis of the more than 1.9 million data points collected via the DigiHealth Informer platform in 2017 that will be important during 2018. Advances in artificial intelligence, robotics, the Internet of Voice and related technologies accelerate the development of technologies that are more responsive, empathetic and human-like, which benefits elder care, mental health and other areas. Empathetic Health Interfaces Mature Policies and Regulations Drive & Threaten Innovation While the U.S. Food and Drug Administration pushes to speed digital health innovation, uncertainty persists re: the impact of net neutrality's repeal and the EU's General Data Protection Regulations. Mobile has become the default technology embedded into tools focused on patient engagement, compliance, clinical trials and other areas. Efforts to improve the vetting and review of mobile applications further drive mobile's central role in health. Mobile Health = Healthcare = With hospital executives, payers and others considering or deploying blockchain solutions, innovators recognize this technology has great potential in healthcare. Blockchain use cases diversify into anti- counterfeiting, health data marketplaces and other areas. Blockchain Health Ecosystem Diversifies The rise of passive biometric and digital tracking technologies, improved data analysis tools and related innovations transform patient-generated data into a high-value resource.Patient-Generated Data Comes of Age Key Digital Health Trends to Watch: 2018 15 digihealth impact trac | Q4 2017 | published january 30, 2018
  16. 16. 16 What trends should industry players watch and capitalize on during 2018? Momentum Source: Enspektos, LLC Trends That Will Matter in 2018 Empathetic Health Interfaces Mature Policies and Regulations Drive & Threaten Innovation Mobile Health = Healthcare = Empathe0c Interfaces: Key Trend Drivers and Impacts As illustrated during CES 2018, ar2ficial intelligence-enhanced, voice-enabled technologies developed by Amazon, Google, Samsung and others are taking center stage due to growing consumer adop2on and ease of use. These innova2ons are having an impact on healthcare as voice assistants, chatbots and robots leverage these technologies to begin to shape the treatment of depression, improve aging, accelerate rehabilita2on and more. Policy and Regula0on: Key Trend Drivers and Impacts Ongoing concerns about data privacy, digital health device/soKware quality and innova2on roadblocks are causing legislators and regulators to take steps to influence the digital health market. In the United States, the Food and Drug Administra2on has been working to provide innovators with clarity about how digital tools will be regulated. However, in Europe, some view the upcoming General Data Protec2on Regula2ons as a poten2al barrier to innova2on, data liquidly and quality. Mobile Health: Key Trend Drivers and Impacts Despite concerns about the quality of mobile health applica2ons, mobile technologies have clearly established their central role in the global health ecosystem. Across diabetes, mental health, asthma and many other condi2ons, mobile is the most frequently-referenced and u2lized technology. In many respects mobile health is becoming healthcare, as its importance con2nues to rise across numerous use cases, industry segments and therapeu2c categories. 16 digihealth impact trac | Q4 2017 | published january 30, 2018
  17. 17. 17 What trends should industry players watch and capitalize on during 2018? Momentum Source: Enspektos, LLC Trends That Will Matter in 2018 Blockchain and Health: Key Trend Drivers and Impacts Currently, blockchain is one of the most an2cipated and discussed technologies of the moment. Also, health execu2ves, payers and others are either considering or deploying blockchain-based solu2ons. During 2018 the blockchain ecosystem may evolve in two ways. First, many blockchain products and services will be deployed to solve long-standing issues in healthcare, but fail because they are simply adding a blockchain layer to exis2ng technologies and solu2ons that have not performed well in the past. In 2018 people will begin to look past the hype and recognize that blockchain is far from a cure-all. Second, health organiza2ons and innovators will find specific areas where blockchain not only performs well, but adequately solves or accounts for the associated adop2on, privacy, security and interoperability issues associated with its deployment. Key areas to watch in blockchain include electronic medical records, interoperability, data marketplaces, ar2ficial intelligence and supply chain management. Pa0ent-Generated Data: Key Trend Drivers and Impacts Tradi2onally, pa2ent-generated health data has had a poor reputa2on because it was difficult to collect, prone to inaccuracies and of limited clinical relevance. Today, these concerns are being addressed partly due to innova2ons such as (ever-cheaper) sensors embedded into tamoos, wearables, patches and other devices. During 2018, pa2ent-generated data will increase in importance in the area of clinical trials and popula2on health. And, advances in data analy2cs will help transform the flood of data from wearables and other devices from a liability into an asset. Blockchain Health Ecosystem Diversifies Patient-Generated Data Comes of Age 17 digihealth impact trac | Q4 2017 | published january 30, 2018
  18. 18. The trends presented in this report represent only the tip of the digital health iceberg. Want to better understand the market forces impacting your specific product, service, company or industry? Here’s how. Scope Momentum $ InvestmentsConnections Health Technology Ecosystem Analysis Method: 4 Areas of Focus What Next: Access Personalized Analysis & Insights Data in this report is from Digihealth Informer. This platform features the world’s largest data set on digital and emerging technologies in health, including funding, tech and partnerships. Interested in understanding how and why these and other trends matter to your specific company, sub-sector and more? Get in contact to book a customized and insightful live talk. Learn More & Request Demo Book Speaking Engagement 18 digihealth impact trac | Q4 2017 | published january 30, 2018
  19. 19. About Enspektos and the Digital Health Maven Project Enspektos is a globally respected innovation consultancy. Founded in 2005, Enspektos delivers technology, strategy, analysis and non-obvious insights to executives, entrepreneurs, health professionals, government officials and others globally focused on using digital and emerging technologies to re-shape health. Learn more about Enspektos at www.enspektos.com. A global initiative supporting and accelerating digital innovation in health. Founded in 2014 by Enspektos, the Digital Health Maven Project delivers research, education, events, training and more to support digital innovation in health. To date, the project’s outputs have reached and benefited more than 40,000 people globally. Learn more about the Project at www.digitalhealthmaven.com. 19 digihealth impact trac | Q4 2017 | published january 30, 2018
  20. 20. Digital Health Definition: Enspektos defines digital health as the use of multiple technologies (software, analytics, genomics, devices, etc.) to track, improve, support and modify health. Key digital health technology centers include mobile, social media, Big Data and wearables. Data Sources: Insights featured in this report are based on publicly available social and news data published during Q4 2017 and Q4 2016. Data Reliability: Enspektos makes every effort to ensure that data is from reliable and reputable online sources. However, we cannot warrant the ultimate reliability and validity of data obtained via our automated data collection and processing techniques. Use of Data: This report is provided for informational purposes and was prepared in good faith on the basis of public information available at the time of publication without independent verification. Enspektos does not guarantee or warrant the reliability or completeness of the data nor its usefulness in achieving any particular purposes. Enspektos shall not be liable for any loss, damage, cost or expense incurred by reason of any persons use or reliance on this report. This report is a proprietary aggregation of publicly available data and shall not be reproduced without the written consent of Enspektos, LLC. Learn more about Enspektos at www.enspektos.com. Additional Notes ®

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