Digital Health: no longer an option, but a must to improve healthcare (Berlin, 5 may 2014)

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Presentation given at the 2014 Charité Entrepreneurship Summit in Berlin (5 may 2014, http://www.charite-summit.de/Summit2014.htm) about the 10 digital trends that are already impacting the way care is delivered and medicine is practiced. The presentation shows examples of innovation at Hospital Sant Joan de Déu (Barcelona) to prove that these trends are not futuristic but already here.

Digital Health: no longer an option, but a must to improve healthcare (Berlin, 5 may 2014)

  1. 1. Digital Healthcare: No longer an option, but a must to improve health care Hospital Sant Joan de Deú The Liquid Hospital: Using bits instead of atoms Berlin, 5 May 2014
  2. 2. Director E-Health Innovation Department jfernandez@hsjdbcn.org @HSJDBCN Jorge Juan Fernández @jorgejuan Head of Academics MOEBIO / d·HEALTH jjfernandez@biocat.cat @moebiobarcelona
  3. 3. Generations do differ, but less because people differ than because opportunities do. Clay Shirky was right… “Cognitive Surplus” (2010)
  4. 4. 10 TRENDS IN DIGITAL HEALTH
  5. 5. Digital Health
  6. 6. The Liquid Hospital To go beyond the hospital building Web Health 2.0 Mobile devices eMail Telephone Smartphone Medical devices Telemedicine The Liquid Hospital
  7. 7. E-HEALTH SOCIAL MEDIA ONLINE COMMUNITIES LEARNING & COLLABORATION ONLINE CARE TELE-MEDICINE E-LEARNING COLLABORATIVE INNOVATION A B C D H2O+  Email consultation  Video consultation  Tele-rehabilitation  Tele-monitoring  Second opinion  Services  ReToc (RetCam)
  8. 8. 10 TRENDS IN DIGITAL HEALTH
  9. 9. Virtual visits on the rise #1
  10. 10. Within the Kaiser Permanente Northern California system, the number of virtual physician visits grew from 4.1 million in 2008 to 10.5 million in 2013 Source: http://content.healthaffairs.org/content/33/2/251.abstract
  11. 11. Touchpoints in Patient Experience are mainly digital
  12. 12. Nurses-in-an-iPhone (49,95$ a month)
  13. 13. Patient 2. Tele-monitoring: Diabetes
  14. 14. 0 100 200 300 400 500 600 2003 2004 2005 2006 2007 2008 2009 2010 2011 Casos descompensación Total pacientes atendidos por Unidad Atención Hospital de Día Diabetes (2003-11) Diabetes – Telematic care 3/week Casos descompensación 3/year
  15. 15. Patient-to-patient interactions will strongly outpace provider-to-patient interactions #2
  16. 16. Peer-to-peer health care will change the world
  17. 17. Portal web Newsletter 9. Guía Metabólica
  18. 18. The smartphone is the healthcare platform of today and the future #3
  19. 19. Prescribing more than medicine: Apps&Peripherals Themometer (Kinsa Smart) GeckoCap: improving medication adherence in pediatric asthma NETRA (MIT) Peek Vision iBGStar
  20. 20. 3a. Apps – iPediatric
  21. 21. 3b. Apps – Food Linker
  22. 22. The Next Sensor Will Be IN You: From Wearables to Insideables #4
  23. 23. From the Internet of Things…
  24. 24. … to the Internet of the Bodies Proteus's focus is about getting people to take their medication as prescribed Tech is moving from the outside to the inside of our bodies
  25. 25. You are the interface. The screen is out and skin is in #5
  26. 26. The human body is the next computer interface New 'electronic skin' patches monitor health wirelessly
  27. 27. Big Data in Healthcare: Healthcare is the most data intensive industry in the whole world #6
  28. 28. Big Data & Advanced Analytics: The 7 trillion piece puzzle DNA / RNA Proteins Metabolites Cells / Tissues 25.000 genes 100.000 proteins 2.400 compounds 7 trillion human cells Organs 9 organ- systems 29 organs Body Society 4 basic types of tissues 1 human body 7 billion people Fuente: Siemens AG 2012
  29. 29. Doctors or Algorithms? Artificial intelligence (AI) in medical decision-making #7
  30. 30. Watson? The new Deep Blue (chess, Kasparov, 1997)
  31. 31. Dr. Watson: a new Doc in town “In the next 10 years, data science and software will do more for medicine than all of the biological sciences together”
  32. 32. Pharma companies going Beyond the Pill #8
  33. 33. New approaches: Going Beyond the Pill PATIENT ACTIVATION TO ACHIEVE PATIENT ENGAGEMENT
  34. 34. Funny Friends: The gamification of respiratory tele-rehabilitation
  35. 35. Funny Friends: the gamification of respiratory tele-rehabilitation
  36. 36. Goal: to increase adherence to therapy
  37. 37. Patent + Clinical Study 2010 2011 Patients
  38. 38. Printing Pixels: Before the 3D Printing (hardware) comes the 3D Modeling (software) #9
  39. 39. 3D Printing: Medicine #1 area of application
  40. 40. 3D Printing at HSJD
  41. 41. Hacking Medicine: New players, companies and business models will be the disruptors of HC #10
  42. 42. Welcome all the Big Players!!!
  43. 43. The Medical Tri-Corder: consumers are in charge http://tytocare.com/http://www.scanadu.com/
  44. 44. Conducting a physical examination from the comfort of your home! SOURCE: http://www.businessweek.com/articles/2014-05-01/tyto-care-device-enables-personal-health-exams
  45. 45. In times of disruption…

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