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5/23/2017
Irony
The most important thing in human life
is least affected by progress in technology.
Disruption in Healthcare
Today: Health = Disease
Let’s Change: Health = Health
What is the most important problem in healt...
Medicine or Health!
Today: Medicine
• Reactive
• Broad demographic models
• Medicine based cure
• Real time only in ICU
• ...
Important Revolution in Health
In the mid-20th century, the primary causes of death
worldwide shifted from infections to c...
Changing Times.
CDC’s Division of Diabetes Translation. National Diabetes Surveillance System available at
http://www.cdc....
The Effect of Chronic Diseases, 2016*
* Source: CDC
7 of 10 Deaths
Due to chronic diseases
86% of Costs
Driven by treating...
Today’s model is built for INFECTIOUS DISEASES
ILLNESS OCCURS
TEST & DIAGNOSIS
CARE
$3.15
Trillion
• High fixed costs (hos...
Personal Health
Needed: Medical Emancipation
Doctor Knows the Best.
Patient Knows the Best.
Institute for Future Health
Lifestyle
Medical
Environment Social
Medical Knowledge
Future Health
Medical
Devices
Big
Data
...
IFH leverages the power of six rapidly
converging technologies.
Smaller, cheaper, effective
devices that integrate with
sm...
Cybernetics Health
Key Components:
Personal Model
Perpetual Observations
Navigation and Guidance
Desired
State
Personal
Mo...
Challenges
1. Personal Model: Each person is unique.
2. Observations: Knowing the State of the person.
3. Guidance: Help i...
Individual Model
• Rule based modeling of events in different
data streams.
• An individual is modeled as a collection of
...
Data Streams to Individual Models
Perpetual Observations: Personal Event Streams
Daily Activity
Environment
Medical
Emotion
Activity
Food Food Score
Activit...
Can you drive without Navigation Systems?
Life Navigation
Daily Activity
Environment
Medical
Emotion
Activity
Food
Life Navigator
Current
Situation
Different Models...
Future Health: Personalized, Predictive, Precise, Persuasive, and Preventive
Right Moment,
Right Place,
Right Decision,
Ri...
P5 in Action
Health Butler
Your food and
activity scores for
the last 3 days are
on low side.
Coming Soon Near You
Current Status
• Institute for Future Health
• Event Framework getting ready
• First Application is Diabetes
– Next Alzhei...
Invitation
Join us in bringing Future Health.
Rj imminent transformations in health shanghai 170510
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Rj imminent transformations in health shanghai 170510

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Fundamental nature of health is changing. Current healthcare is legacy of caring infectious diseases, while chronic diseases are now the most prevalent in most societies. Health should be considered as a metanexus of genetics, lifestyle, environment, socio-economic situation and medical knowledge

Published in: Health & Medicine
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Rj imminent transformations in health shanghai 170510

  1. 1. 5/23/2017
  2. 2. Irony The most important thing in human life is least affected by progress in technology.
  3. 3. Disruption in Healthcare Today: Health = Disease Let’s Change: Health = Health What is the most important problem in health?
  4. 4. Medicine or Health! Today: Medicine • Reactive • Broad demographic models • Medicine based cure • Real time only in ICU • Anecdotal patient data • Doctor knows the best Tomorrow: Health: Health • Predictive and Preventive • personalized and Precise • Lifestyle + medicine • Real time: Womb to Tomb • 24/7 data collection • Patient knows the best
  5. 5. Important Revolution in Health In the mid-20th century, the primary causes of death worldwide shifted from infections to chronic conditions.
  6. 6. Changing Times. CDC’s Division of Diabetes Translation. National Diabetes Surveillance System available at http://www.cdc.gov/diabetes/statistics Obesity (BMI ≥30 kg/m2) 1994 2000 No Data <14.0% 14.0-17.9% 18.0-21.9% 22.0-25.9% >26.0% 2008 Diabetes No Data <4.5% 4.5-5.9% 6.0-7.4% 7.5-8.9% >9.0% 1994 2000 2008
  7. 7. The Effect of Chronic Diseases, 2016* * Source: CDC 7 of 10 Deaths Due to chronic diseases 86% of Costs Driven by treating chronic diseases Heart Disease Cancer Type 2 Diabetes Brain Diseases Lung Diseases Bone Diseases Chronic Diseases
  8. 8. Today’s model is built for INFECTIOUS DISEASES ILLNESS OCCURS TEST & DIAGNOSIS CARE $3.15 Trillion • High fixed costs (hospitals, equipment) • Hotel model of occupancy for revenue • Relies on intuitive medicine for diagnosis – REACTIVE MEET • Outpatient model is better suited • Extremely expensive to care for a patient in an infectious disease care model – THAT IS WHAT WE DO TODAY Today’s reality is based on CHRONIC DISEASES Heart Disease Cancer Type 2 Diabetes Brain Diseases Lung Diseases Bone Diseases Treating Chronic Disease in an Infectious Disease Model
  9. 9. Personal Health
  10. 10. Needed: Medical Emancipation Doctor Knows the Best. Patient Knows the Best.
  11. 11. Institute for Future Health Lifestyle Medical Environment Social Medical Knowledge Future Health Medical Devices Big Data Personal Model Mobile Genomics Connected Knowledge
  12. 12. IFH leverages the power of six rapidly converging technologies. Smaller, cheaper, effective devices that integrate with smartphone platforms – continuous glucose monitoring Cybernetics and AI change the nature of analytics in healthcare Full genome sequencing to reach sub $100 level within next few years – smartphone sequencing Medical Devices Genomics Big Data Mobile Personal Models Connected Knowledge Use mobile devices to collect and deliver right information, at right time, at right place, and in right way. Model each individual using their data and use these models to guide them in maintaining health All medical, societal, environmental, and facilities knowledge is connected and available
  13. 13. Cybernetics Health Key Components: Personal Model Perpetual Observations Navigation and Guidance Desired State Personal Model Person Current State Sensors Disturbance Disease Disparity Guidance Goal
  14. 14. Challenges 1. Personal Model: Each person is unique. 2. Observations: Knowing the State of the person. 3. Guidance: Help is always with the person. Desire d State Personal Model Person Curren t State Sensors Disturbance Disease Disparity Guidance Go al
  15. 15. Individual Model • Rule based modeling of events in different data streams. • An individual is modeled as a collection of rules. • The Model has long term and short term components.
  16. 16. Data Streams to Individual Models
  17. 17. Perpetual Observations: Personal Event Streams Daily Activity Environment Medical Emotion Activity Food Food Score Activity Score Emotion Score Medical Score Environment Score Health Score = F (Food, Activity, Emotion, Medical, Environment)
  18. 18. Can you drive without Navigation Systems?
  19. 19. Life Navigation Daily Activity Environment Medical Emotion Activity Food Life Navigator Current Situation Different Models: General to Individual Scores: Food, Activity, Emotion, Medical,Environment, Daily Activity Guidance
  20. 20. Future Health: Personalized, Predictive, Precise, Persuasive, and Preventive Right Moment, Right Place, Right Decision, Right way.
  21. 21. P5 in Action
  22. 22. Health Butler Your food and activity scores for the last 3 days are on low side. Coming Soon Near You
  23. 23. Current Status • Institute for Future Health • Event Framework getting ready • First Application is Diabetes – Next Alzheimer – Next Cardiovascular and Asthma • Expect to release first version of Health Butler in 3rd quarter, 2017.
  24. 24. Invitation Join us in bringing Future Health.

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