Care Delivery of the Future - Joseph Smith

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Panel Session: Care Delivery of the Future Moderator: Mike Liebhold, Distinguished Fellow, Institute for the Future
Panelists: - Meredith Baratz, VP Market Solutions, UnitedHealthcare
- Dr. Joseph Smith, CMO and CSO, West Wireless Health Institute
- Stephen Agritelley, Director, Health Research and Innovation, Intel Labs
Fujitsu Labs of America Technology Symposium 2011
Healthcare Technology Convergence: Smart Consumers Meet Care Delivery of the Future
June 01, 2011
Computer History Museum
Mountain View, CA

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  • No surely, we don’t mean continuous care…but there is nothing magic about the 6 weeks or 3 months intervals that are now scheduled (at the convenience of the office staff) – shouldn’t we match the time-constant of the observation and the treatment with that of the underlying disease?
  • Care Delivery of the Future - Joseph Smith

    1. 1. Wireless Health and the Imperative for Change<br />Joseph M. Smith, MD, PhD, FACC<br />Chief Medical Officer & Chief Science Officer<br />West Wireless Health Institute<br />
    2. 2. West Wireless Health Institute<br /><ul><li>An independent, nonprofit medical research organization.
    3. 3. ~ $100 million in funding to date from the Gary and Mary West Foundation.
    4. 4. Primary mission: lower health care costs </li></ul>2<br />
    5. 5. 3<br />US Healthcare is Extraordinary <br />
    6. 6. Demographics Driving Utilization and Costs<br />Aging Demographics: 62+<br />Disease Prevalence by Age<br />Co-morbidities by Age<br />Per Capita Healthcare Spending<br />Sources: Census, CDC, CMS. Medicare to become insolvent by 2017 driven by aging demographics, obesity-related co-morbidities, earlier intervention and advancing technology<br />
    7. 7. 5<br />Demographics – The Graying of America<br />
    8. 8. Supply & Demand Fundamentals Worsening<br />Demand for Care<br />Physicians<br />
    9. 9. Desired Future State<br />Present state: Chronic diseases are episodically diagnosed and intermittently treated, consuming enormous resources driven by exacerbations, clinical decompensations, and complications. <br />Future state: Chronic diseases will be met with coordinated and “continuous” care, improving outcomes and lowering costs by iterative course corrections, prediction and prevention of acute presentations.<br />Path: Near, on, or in-body sensor technology, providing actionable diagnostic information, linked to learning systems and titratable therapies, enabling continuously-tailored, feedback-controlled treatment.<br />Replace costly intermittent rescue with “infrastructure-independent,”<br />coordinated, continuous and cost-effective care.<br />

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