Innovative Business Models in a Post-Industrial Era - Brigitte Piniewski


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Panel Session: Innovative Business Models in a Post-Industrial Era Moderator: Brigitte Piniewski, MD, Chief Medical Officer, PeaceHealth Laboratories
- Anthony Delli Colli, VP Marketing, Elbrys Networks and Vice-Chair, Market Adoption Working Group, Continua Health Alliance
- Cesar Goulart, Executive Director, Health Information Technology, Presbyterian Healthcare Services
- Arthur Brock, Founder, New Currency Frontiers

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

Published in: Technology, Business
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Innovative Business Models in a Post-Industrial Era - Brigitte Piniewski

  1. 1. Brigitte Piniewski, MD Chief Medical Officer<br />PeaceHealth Laboratories, OregonVice Chair MAWG<br />Continua Health Alliance2011 Fujitsu<br />1<br />2011 PeaceHealth Laboratories<br />Innovative Business models <br />in a post industrial era<br />
  2. 2. Technology outpaces Biology<br />2<br />5-6 Million Years<br />30-40 Years<br />The Economist 2003<br />One billion adults overweight world wide<br />
  3. 3. 2011 PeaceHealth Laboratories<br />3<br /> Outdated Man-made constructs: Failure to predict or prevent the human performance gap<br />As modernization advances…<br />Good<br />Yesterday’s<br />Economic Models<br />Advance<br />Performance<br />Gap<br />Assumptions<br />Crowd Performance erodes<br />Poor<br />Time = 1980’s<br />
  4. 4. 2011 PeaceHealth Laboratories<br />4<br />Low expectations for American students.<br />America’s top math students rank 25thout of 30 countries <br />when compared with top students elsewhere in the world. [1] <br />By the end of 8th grade, U.S. students are two years behind in the math<br /> being studied by peers in other countries. [2] <br />Seventy percent of 8th graders can’t read at their grade level, and most will<br /> never catch up. <br />Project at Bristol University shows [3]<br />Kids diet affects IQ perhaps permanently<br />[1] Strong American Schools analysis of data from the Organization for Economic Cooperation and Development.<br /> Based on data from Volume 2, table 6.2a (p. 227). Rank is based on students performing at Level 6 in each country<br /> on the 2006 PISA math assessment.<br />[2] Schmidt, W. (2003, February 4). “Presentation to Mathematics and Science Initiative.” <br />[3]<br />
  5. 5. Wayne Gretzky<br />2011 PeaceHealth Laboratories<br />5<br />“You miss 100% of the shots<br /> you don’t take.”<br />“You miss 100% of the health intelligence<br /> you fail to monetize.” Brigitte Piniewski<br />
  6. 6. 6<br />Modern Crowd health landscape… <br />Age<br />0 25 65 years<br />Illness Pre-Illness Wellness<br />60-80% Preventable<br />Death<br />Crowd Achievable Health<br />Crowd Actual Health Outcomes<br />2011 PeaceHealth Laboratories<br />
  7. 7. 2011 PeaceHealth Laboratories<br />7<br />Health Cost Landscape<br />Age<br />0 25 65<br />$ $ $<br />60-80% Lifestyle<br />Illness Pre-Illness Wellness<br />Unpredictable Health<br />Predictable (Rules-based) Health<br />Death<br />2008<br />7<br />
  8. 8. 2011 PeaceHealth Laboratories<br />8<br />$ $ $<br />Preventive Medicine<br />Age<br />0 25 65<br />$ $ $<br />60-80% Lifestyle<br />Illness Pre-Illness Wellness<br />Unpredictable Health<br />Predictable (Rules-based) Health<br />Death<br />2008<br />8<br />
  9. 9. 2011 PeaceHealth Laboratories<br />9<br />Preventive Health Behavior<br />Age<br />0 25 65<br />Illness Pre-Illness Wellness<br />Unpredictable Health<br />Predictable (Rules-based) Health<br />Death<br />2008<br />9<br />
  10. 10. Key Problem:<br />Mankind is limited through our man-made medium of exchange<br />Old economic models fail to advance at the pace of change<br />Money is a narrow expression of wealth<br />As a result, high yield data sets remain hidden<br />The pure pursuit of profit violates interdependencies crippling system performance<br />Marketplaces are limited in capacity to exchange and build wealth due to an under-performing transactional tool<br />2011 PeaceHealth Laboratories<br />10<br />Solutions from our Panelists<br /><br />
  11. 11. Our Panelists:<br />Arthur Brock, Founder, Software designer, Systems Architect at the Geek Gene<br />Anthony Delli Colli, VP Sales and Marketing, Elbrys Networks, Inc<br />Cesar Goulart, Executive Director, Health Information Technology, Presbyterian Health Plan<br />2011 PeaceHealth Laboratories<br />11<br />
  12. 12. New Knowledge Paradigm<br />2011 PeaceHealth Laboratories<br />12<br />Historical data<br />“Old stuff”<br />Continua Linked<br />Current per unit<br />co-occurrences<br />Relative Clinical <br />Relevance<br />Lightly-instrumented Crowds<br />Malignant vs. Benign<br />Co-occurrences<br />
  13. 13. 13<br />Modern Knowledge Engines<br />Age<br />0 25 65<br />Crowd-accelerated <br />Strategic Intelligence<br />60-80% Lifestyle<br />Illness Pre-Illness Wellness<br />Legacy Knowledge Systems<br />Death<br />2011 PeaceHealth Laboratories<br />
  14. 14. LaboratorShaohua Chen and Martin Ravallion, The developing world is poorer than we thought, but no less successful in the fight against poverty, World Bank, August 2008 <br />14<br />The future is here. It is just not evenly distributed.<br />At least 80% of humanity lives on less than $10 a day.<br />
  15. 15. Global Health Economy<br />2011 PeaceHealth Laboratories<br />15<br />Community Data <br />Commons<br /> Benchmark<br />Cloud<br />Health Knowledge<br />To leapfrog <br />Sub-Optimal <br />Outcomes<br />Disruptive Innovation<br />
  16. 16. High Yield health data… <br /><ul><li>Weight change
  17. 17. Activity change
  18. 18. Response to </li></ul>nutrition<br />16<br />2011 PeaceHealth Laboratories<br />
  19. 19. 17<br />Crowd Data Lowering the barriers to participate<br />Device Interface<br />XHR Interface<br />Community<br />Data Commons<br />Wireless Pulse Oximeter<br />PHR<br />Weighing Scale<br />Secure PHR<br />Wireless<br />Ultra Low Power<br />Ultra low cost<br />Blood Pressure Monitor<br />2011 PeaceHealth Laboratories<br />
  20. 20. Crowd SharingiWell Study at PeaceHealth Laboratories<br />Web sensors<br /> <br />Activity<br />Employers<br />Personalized motivational Interventions<br />Weight<br />Health <br />Coach<br />Cloud Informatics<br />H-Pod<br />Events, User Content, <br />Measured KPIs<br />Pulse rate &<br />Blood pressure<br />Health Payer<br />(Insurance)<br />+<br />Lab Draws<br />DM program<br />provider<br />Consumers<br />Other device<br />Medical Lab<br />Other device<br />Analytic Engine<br />Recommendation<br />Trainer / Nutritionist / Physicians<br />Other device<br />18<br />2011 PeaceHealth Laboratories<br />
  21. 21. 2011 PeaceHealth Laboratories<br />19<br />Data Aggregation & AnalyticsNew knowledge engines: University of Oregon, Kent State, UNCC<br />Yellow Node = Obesity (i.e BMI)<br />Social Network = Behavior Changes<br />Per-unit<br />Co-Occurrences<br />Personally<br />Relevant Health Knowledge<br />Predictive Individual data from Crowd data<br />
  22. 22. Reachability Gap Management<br />Radical transformation in how we create our information environment or knowledge engines<br />Set of shared, accessible community health resources<br />Citizens are not passive recipients of goods but co-creators of health value<br />Ultra large scale systems continuously evolving and providing sufficient correctness<br />Encourage community custodianship and crowd co-management<br />“One cannot conceive of a crowdsourced systems <br />functionality in terms of “releases” and more than <br />a city has a release.<br />Metropolis Model , A New logic for development of Crowdsourced systems <br />by Rick Kazman and Hong-meiChen, 2010<br />2011 PeaceHealth Laboratories<br />20<br />
  23. 23. 2011 PeaceHealth Laboratories<br />21<br />Brigitte Piniewski, MD<br />Chief Medical Officer<br />PeaceHealth Laboratories<br />1201 Lloyd Blvd, Suite 200<br />Portland, OR 97232<br />503 720 0655 (c)<br />541-222-7461 (o)       541-431-9152 (f)<br /><br /><br />
  24. 24. 2011 PeaceHealth Laboratories<br />22<br />Traditional Medical model: a relic of a bygone era…<br />Yesterday<br />DM<br />Care<br />Today<br />Care<br />