In October 2014, I was fortunate to attend a major CIO breakfast in Tampa, Florida, discussing 5 major technology areas that are disrupting and changing Healthcare. This presentation documents that discussion, includes links to all the technologies discussed, and includes the commentary (in the chart notes) of the speakers. Although it is already April 2014 as of this upload, the trends and information are still relevant, as we all wrestle with keeping up with the hyper-dynamic, technology-driven changes in all of our industries. Thank you to Mark Swanson, Distinguished Engineer, Brighthouse Networks, (Tampa, FL) and Dr. Khalid Moidu, Chief Information Medical Officer of Family Physicians Group, (Orlando, FL) for providing us these insights.
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5 Disruptive Technologies Changing Healthcare - October 2014
1. 5 Disruptive Technologies
Changing Healthcare
Tampa Bay Technology Forum - 10/16/14
Presenters:
Mark Swanson, Distinguished Engineer, Brighthouse
Dr. Khalid Moidu, CIO, Family Physicians Group, Orlando
2. Transcribed by:
• John Sing
• Director of Technology, 4cube – Infrastructure for Tomorrow
• Office: 1-941-306-1428
• Mobile: 1-650-868-9404
• http://www.4cube.com
Mark Swanson: 30yrs of serial entrepreneurship (see his LinkedIn). He was among the first US Army Apache helicopter pilots that were of the “new tech generation soldier pilot” – i.e. Apache (1986) was the first military helicopter that was more about “(weapons) systems management” than it was about flying the helicopter. In that way, he learned that adoption of new technology, properly done, would crush older technology.
Healthcare is one of the last industries that hasn’t been totally disrupted – until now.
Dr. Khalid Moidu: technology is all about making the patient a full and willing PARTNER with the physician. One of the big problems for physicians – the patient not doing what they should *between* appointments – and the doctor having no visibility into that. With technology, we can totally now change that. Imagine for the first time, being able to monitor, communicate, interact with the patients, at internet scale, personalized, for the whole duration of time between appointments. This has never been possible – we are at the tip of the iceberg of being able to do this with technology. *That* will disrupt the healthcare industry.
Personalization:
Clearly, $$$B spent on drugs, but every drug doesn’t work on every person equally. This is why personalization is such a very big deal.
i.e. telemedicine
It will be huge to know/understand/monitor/communicate what the patient is doing/experiencing *between* visits
It will be huge to know what the patient’s vital signs are like *before* they become ill (that’s why wearable devices is so ground-changing).
The great value – is that this extends medical care to a *continuous* mode
Telemedicine actually started in the 1960’s with NASA and the astronauts. But of course, that was too expensive for the general population.
Today, we are approaching true affordability, i.e. ability to monitor population-scale numbers of patients. The chain is: diagnosis -> telepresence -> managed care
There is still and always will be the “lifeboat” syndrome (i.e. triage) but more than ever, we have within our grasp the ability to scale medicine affordably.
This is the equivalent of the “automatic hover” button on a helicopter or “automatic landing” button on an aircraft.
Noteworthy: a ton of innovation here, much of which is originating outside the health system and then brought in.
Dr. Moidu: What technology is doing here, is bring the *obvious* to the practioner’s attention - i.e. filtering the important signal out of the excessive modern noise
This is key, to supplement what we must never lose: the practitioner’s human judgement on top of what the machine tells us. (story of the Indian patient, US doctor gave erroneous $53K leukemia cancer diagnosis vs. correct diagnosis $56 anti-biotic for correct cat scratch fever by Indian doctor)
Machines great at bringing obvious to attention – we always need to trust yet verify.
Dr. Moidu:
Electronic Medical Records /modern medical tech captures the data wonderfully BUT
Current infrastructure was never designed for an Internet of Things kind of world <= this is opportunity and the challenge
Ultimate power of medical technology to keep in mind = proper transfer of knowledge across the silos and across/communication between all peoples involved
Western medicine in past largely chemical based.
Today, physics playing ever larger role.
And as we do that, costs of innovation are still too high to the early adopters – thus causing the “lifeboat syndrome” to continue to exist.
Goal is to produce the innovation at scale to reduce the costs to affordability.
Dr. Moidu: key to all of this technology – is being able to provide all this massive info in digestable, understandable-to-layman terms
Healthcare is now starting to move back towards home-based. Realize that every home today is potentially wired up
(i.e. Brighthouse has 2.5M subscribers, each home box is a potential touch point / tech concentrator/information dispersion box for all the disruptive medical technology discussed today. Brighthouse reps have visibility into many of these initiatives - as the initiatives all require bandwidth.)
Augmented doctor / practitioners are technologists who understand medicine.
Disruptive examples include insurance companies who now become healthcare providers – that’s example of where the business opportunities lie.
Organizationally, the need for “parallel organizations with their own funding” that adopt and prove the new technologies, continue to be needed
This avoids the diversion of needed new investment $ , from being quietly subverted back into paying for the too-few-resource-$ for the existing medical practices that need to change
Driving factor is the continued consumerization expectations, the mobile, the personal groundswell of demand by patients.
The cycle is 3fold:
bottom-up consumer demand competitive pressures driven by spots of brillance
coalesced into competitive-advantage-driven C-level directives
Thus both bottom-up and top-down driven change to bring these technologies to fruition