The ePatient — Hugo Campos Bon Secours 10/25/2013

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Keynote presentation, Cardiac Surgery Specialists, Bon Secours Richmond Health System. October 25, 2013.

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The ePatient — Hugo Campos Bon Secours 10/25/2013

  1. 1. Hugo Campos @hugooc ! ! ! ! ! Bon Secours October 25, 2013 The ePatient
  2. 2. “ ” Adrian Gropper, MD Health Informatics Entrepreneur, Developer and Consultant Implants are the most personal of personal devices. They should answer first to us, 
 then to our doctors and finally, maybe, 
 to a particular vendor in the cloud. 
 Right now that sequence is reversed.
  3. 3. Syncope
  4. 4. Hypertrophic Cardiomyopathy HCM Normal 1:500
  5. 5. Sudden Cardiac Arrest kills 350,000 people 
 each year. Source: Heart Rhythm Society
  6. 6. Cuser JP, Connelly DT. Implantable defibrillators for life threatening ventricular arrhythmias. Are more effective than antiarrhythmic drugs in selected high risk patients [editorial]. BMJ 1998;317:762–3.
  7. 7. ICD
  8. 8. Data is not made available to the patient who originates it.
  9. 9. Clinic Manufacturer REPORTS Patient DATA
  10. 10. Doctor Experience
  11. 11. Patient Experience
  12. 12. Industry:
 “It does not fit our business model.”
  13. 13. Data is too complex Generate anxiety Overwhelm clinics with calls Cut doctors out of the care circle
  14. 14. empowered equipped engaged enabled ePatients
  15. 15. Patients have
 to engage in the co-production of health intelligence.
  16. 16. Activity $99
  17. 17. Blood Pressure $129
  18. 18. Weight $159
  19. 19. Sleep Quality $149
  20. 20. free
  21. 21. $30,000 No data.
  22. 22. AliveCor ECG Heart Monitor
  23. 23. • HR Variability • Arrhythmia logs • Device integrity
  24. 24. • Sleep patterns • Exercise • Nutrition • Mood
  25. 25. •Post-market • surveillance
  26. 26. Whose data is it? “As a patient myself, I view the data on me as my data.” — Dr. Jeff Shuren, CDRH
  27. 27. Accenture Survey Believe patients should have full access to their EHR Believe patients should have limited access to their EHR Believe patients should have no access to their EHR 65% 4%31% Only a third of U.S. doctors think patients should have full access to their electronic health records. These findings were consistent among 3,700 doctors surveyed by Accenture in eight countries: Australia, Canada, England, France, Germany, Singapore, Spain and the United States.
  28. 28. Patient Portals
  29. 29. • Thank you • @hugooc

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