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@DrNic1
Healthcare Innovation
Incremental and Exponential
Nick van Terheyden, MD
@drnic1
Founder & CEO, Incremental Healthcare
@DrNic1
• The Future is Bright
@DrNic1
Nick van Terheyden, MD Founder & CEO, Incremental Healthcare
AboutMe http://about.me/obiwan
Twitter http://twitter.com/drnic1
LinkedIn http://www.linkedin.com/in/nickvt
Blog http://www.IncrementalHealthcare.com/
FaceBook http://www.facebook.com/drnic1
E-Mail DrNick@IncrementalHealthcare.com
Google Voice (301) 355-0877
Where you can find me
@DrNic1
Agenda
• Introduction
• Health Declines in the Context of Life
• Telehealth
• Innovation Opportunities Today
• Future Potential
• Questions
@DrNic1
Consumer Statistics
•387 Million globally live with diabetes
•10 million live with Parkinson's
•14 Million new cancer cases added each year
•17 Million people will die annually from heart disease
@DrNic1
• 57% say hospitals as we know them will
become obsolete
• 75% are willing to see a doctor via
videoconference
• 70% would use pill bottle sensors & other
home technology to collect data
• 84% willing to share personal health details to
lower overall health costs
Healthcare consumers are ready to embrace change
Source: Intel Global Innovation Survey, n = 12,000
@DrNic1
Undiagnosed Silent Preventable Killers
• Uncontrolled hypertension leading cause of heart
disease and stroke
• 1 in 3 U.S. adults (70 Mil) have Hypertension
• 13 million U.S. adults aren’t even aware they have
Hypertension
• 84 million people suffer from cardiovascular
disease - causing about 2,200 deaths a day,
averaging one death every 40 seconds
• 8 million adults have undiagnosed diabetes and 87
million have pre-diabetes
@DrNic1
2009 Continua Health Alliance Brigitte Piniewski, MD
0 70
Age
IllnessPre-IllnessWellness
Death
60-80% Lifestyle
Modifiable Health
@DrNic1
© 2016 NTT DATA, Inc.
TeleHealth and TeleMedicine
@DrNic1
The Continuum of Telehealth
• Home Monitoring
• Advanced Monitoring Equipment
• Teledermatology
• Sensing Depression and Brain Injury
• Intelligent Assistants and Virtual Interactions
• RoboDoc/Nurse
• Remote Vitals
@DrNic1
Tele Dermatology
• Whole Body Imaging
• AI Identification of Skin Cancer
• MasSpec Pen – Instant
Identification of Cancer Cells
@DrNic1
Even Assisted Telehealth Intervention
@DrNic1
Telehealth Devices
• Predictive Analytics
• 3D Printing
• In Home Monitoring
• Ultrasound
@DrNic1
© 2016 NTT DATA, Inc.
Wearable's and Internet of
Things
@DrNic1
Wearable's and Internet of Things will surpass
smartphones and personal computers by 2018
Internet of Things
Tablets
Smartphone
Personal
Computers
@DrNic1
The Quantified Self
Meet Chris Dancy and His 10 devices he wears or carries and 13 more
in his home and car
@DrNic1
Quantified Self
• Ubiquitous, low cost, always on sensors
• Seamless tracking with minimal friction and requiring no behavior
change
• Generates interactive easy to understand data and influences behavior
• What Can you Track
• Activity and Weight
• Sleep, Mood
• Cardiac including Heart Rate, Blood Pressure and EKG
• Bloods including Glucose
• DNA and Your MicroBiome
• Incentives
@DrNic1
@DrNic1
@DrNic1
Smartphone Driving Biggest Heart Health Study
http://singularityhub.com/2013/04/03/a-million-smartphones-will-drive-biggest-heart-health-study-in-history
@DrNic1
Next Gen Sensors
Continuous Monitoring
@DrNic1
© 2016 NTT DATA, Inc.
Robotics and Automation
@DrNic1 RP-VITA robots, iRobot Corp
Robotics
@DrNic1
Robot Support
@DrNic1
Fully Autonomous Stitching Robot
@DrNic1
© 2016 NTT DATA, Inc.
Artificial Intelligence
@DrNic1
Can We Predict the Future
@DrNic1
@DrNic1
A Word on Bias
•Reproduce the inherent biases present in the data
they are provided with
•Disproportionately creating a ‘feedback loop’ by
which the predicted outcome simply becomes a
self-fulfilling prophecy
•Models Created with the Bias of the Builders either
intentionally or unintentionally
@DrNic1
Image, facial, voice recognition
PEEK
Speech diagnoses brain concussions, bipolar disorder,…
@DrNic1
© 2016 NTT DATA, Inc.
Virtual, Augmented Reality and
Gamification
@DrNic1
Augmented Reality and Gaming
•Pokemon Revisited
@DrNic1
Virtual Reality and Augmented
Reality
• Simple Virtual Presentation and Visualization
– CT Scans Projected onto Body
– Teaching and Virtual Experience (Medical Realties,
Anatomy, Virtual Surgery)
• 3D Visualization and Augmented Reality
– EchoPixel
– Proximie
– Accuvein
@DrNic1
Massive Multiplayer Online Role Playing Games
(MMRPOG/MMO)
• $31 Billion Market
• League of Legends – 100 Million
• Heroes in World of Warcraft – 70 Million
• WoW $5 Million in Subscription Fees Every Day
• Steam Concurrent Player Peak – 13 Million
• Gaming is Voluntary and Does not Pay
• WoW Average Player 17-22 Hours per week
• WoW Total of 5.93 Million Years of Player Time
• Equivalent to the time taken for the Human species to evolve
@DrNic1
Virtual Education and Gaming
@DrNic1
Future Innovations
@DrNic1
© 2016 NTT DATA, Inc.
Genomics and Precision
Medicine
@DrNic1
Genomics, Sequencing and Data
• Took $3 Billion and 10 years to
sequence one genome
• Sequence in days even hours and for
<$1,000
• Explosion of data just to sequence the
genome
• Plans to sequence 14M new cancer
patients every year which would
generate 5.6 Exabytes of information.
• But there’s even more data in -omics
@DrNic1
Genapsys
DNA electronics
The era of Personal genome analyzers
@DrNic1
Early Impact - Pharmacogenetics
99% of population surveyed in
Preemptive Testing of Patients
had an Actionable Variant
J Mol Diagn. 2016 May;18(3):438-45. doi:
10.1016/j.jmoldx.2016.01.003. Epub 2016 Mar
3.Preemptive Pharmacogenomic Testing for
Precision Medicine
@DrNic1
Final Thoughts
• Healthcare is in Crisis – Technology and Telehealth is central component to
solving
• Healthcare Needs to be Wellcare
• New Sensors and data Acquisition of Biometric data occurring at an
exponential rate
• For Every 1 Piece of Knowledge we Understand another x50 Questions will
Arise
• Genomics and the Biome will revolutionize our Diagnosis and Treatment of
Disease
• The Future Lies in Augmentation of Human Capability with Technology
@DrNic1
Nick van Terheyden, MD Founder & CEO, Incremental Healthcare
AboutMe http://about.me/obiwan
Twitter http://twitter.com/drnic1
LinkedIn http://www.linkedin.com/in/nickvt
Blog http://www.IncrementalHealthcare.com/
FaceBook http://www.facebook.com/drnic1
E-Mail DrNick@IncrementalHealthcare.com
Google Voice (301) 355-0877
Questions
@DrNic1
Thank you
@DrNic1
Healthcare Innovation
Incremental and Exponential
Nick van Terheyden, MD
@drnic1
Founder & CEO, Incremental Healthcare

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Healthcare Innovation - Incremental and Exponential

  • 1. @DrNic1 Healthcare Innovation Incremental and Exponential Nick van Terheyden, MD @drnic1 Founder & CEO, Incremental Healthcare
  • 3. @DrNic1 Nick van Terheyden, MD Founder & CEO, Incremental Healthcare AboutMe http://about.me/obiwan Twitter http://twitter.com/drnic1 LinkedIn http://www.linkedin.com/in/nickvt Blog http://www.IncrementalHealthcare.com/ FaceBook http://www.facebook.com/drnic1 E-Mail DrNick@IncrementalHealthcare.com Google Voice (301) 355-0877 Where you can find me
  • 4. @DrNic1 Agenda • Introduction • Health Declines in the Context of Life • Telehealth • Innovation Opportunities Today • Future Potential • Questions
  • 5. @DrNic1 Consumer Statistics •387 Million globally live with diabetes •10 million live with Parkinson's •14 Million new cancer cases added each year •17 Million people will die annually from heart disease
  • 6. @DrNic1 • 57% say hospitals as we know them will become obsolete • 75% are willing to see a doctor via videoconference • 70% would use pill bottle sensors & other home technology to collect data • 84% willing to share personal health details to lower overall health costs Healthcare consumers are ready to embrace change Source: Intel Global Innovation Survey, n = 12,000
  • 7. @DrNic1 Undiagnosed Silent Preventable Killers • Uncontrolled hypertension leading cause of heart disease and stroke • 1 in 3 U.S. adults (70 Mil) have Hypertension • 13 million U.S. adults aren’t even aware they have Hypertension • 84 million people suffer from cardiovascular disease - causing about 2,200 deaths a day, averaging one death every 40 seconds • 8 million adults have undiagnosed diabetes and 87 million have pre-diabetes
  • 8. @DrNic1 2009 Continua Health Alliance Brigitte Piniewski, MD 0 70 Age IllnessPre-IllnessWellness Death 60-80% Lifestyle Modifiable Health
  • 9. @DrNic1 © 2016 NTT DATA, Inc. TeleHealth and TeleMedicine
  • 10. @DrNic1 The Continuum of Telehealth • Home Monitoring • Advanced Monitoring Equipment • Teledermatology • Sensing Depression and Brain Injury • Intelligent Assistants and Virtual Interactions • RoboDoc/Nurse • Remote Vitals
  • 11. @DrNic1 Tele Dermatology • Whole Body Imaging • AI Identification of Skin Cancer • MasSpec Pen – Instant Identification of Cancer Cells
  • 13. @DrNic1 Telehealth Devices • Predictive Analytics • 3D Printing • In Home Monitoring • Ultrasound
  • 14. @DrNic1 © 2016 NTT DATA, Inc. Wearable's and Internet of Things
  • 15. @DrNic1 Wearable's and Internet of Things will surpass smartphones and personal computers by 2018 Internet of Things Tablets Smartphone Personal Computers
  • 16. @DrNic1 The Quantified Self Meet Chris Dancy and His 10 devices he wears or carries and 13 more in his home and car
  • 17. @DrNic1 Quantified Self • Ubiquitous, low cost, always on sensors • Seamless tracking with minimal friction and requiring no behavior change • Generates interactive easy to understand data and influences behavior • What Can you Track • Activity and Weight • Sleep, Mood • Cardiac including Heart Rate, Blood Pressure and EKG • Bloods including Glucose • DNA and Your MicroBiome • Incentives
  • 20. @DrNic1 Smartphone Driving Biggest Heart Health Study http://singularityhub.com/2013/04/03/a-million-smartphones-will-drive-biggest-heart-health-study-in-history
  • 22. @DrNic1 © 2016 NTT DATA, Inc. Robotics and Automation
  • 23. @DrNic1 RP-VITA robots, iRobot Corp Robotics
  • 26. @DrNic1 © 2016 NTT DATA, Inc. Artificial Intelligence
  • 29. @DrNic1 A Word on Bias •Reproduce the inherent biases present in the data they are provided with •Disproportionately creating a ‘feedback loop’ by which the predicted outcome simply becomes a self-fulfilling prophecy •Models Created with the Bias of the Builders either intentionally or unintentionally
  • 30. @DrNic1 Image, facial, voice recognition PEEK Speech diagnoses brain concussions, bipolar disorder,…
  • 31. @DrNic1 © 2016 NTT DATA, Inc. Virtual, Augmented Reality and Gamification
  • 32. @DrNic1 Augmented Reality and Gaming •Pokemon Revisited
  • 33. @DrNic1 Virtual Reality and Augmented Reality • Simple Virtual Presentation and Visualization – CT Scans Projected onto Body – Teaching and Virtual Experience (Medical Realties, Anatomy, Virtual Surgery) • 3D Visualization and Augmented Reality – EchoPixel – Proximie – Accuvein
  • 34. @DrNic1 Massive Multiplayer Online Role Playing Games (MMRPOG/MMO) • $31 Billion Market • League of Legends – 100 Million • Heroes in World of Warcraft – 70 Million • WoW $5 Million in Subscription Fees Every Day • Steam Concurrent Player Peak – 13 Million • Gaming is Voluntary and Does not Pay • WoW Average Player 17-22 Hours per week • WoW Total of 5.93 Million Years of Player Time • Equivalent to the time taken for the Human species to evolve
  • 37. @DrNic1 © 2016 NTT DATA, Inc. Genomics and Precision Medicine
  • 38. @DrNic1 Genomics, Sequencing and Data • Took $3 Billion and 10 years to sequence one genome • Sequence in days even hours and for <$1,000 • Explosion of data just to sequence the genome • Plans to sequence 14M new cancer patients every year which would generate 5.6 Exabytes of information. • But there’s even more data in -omics
  • 39. @DrNic1 Genapsys DNA electronics The era of Personal genome analyzers
  • 40. @DrNic1 Early Impact - Pharmacogenetics 99% of population surveyed in Preemptive Testing of Patients had an Actionable Variant J Mol Diagn. 2016 May;18(3):438-45. doi: 10.1016/j.jmoldx.2016.01.003. Epub 2016 Mar 3.Preemptive Pharmacogenomic Testing for Precision Medicine
  • 41. @DrNic1 Final Thoughts • Healthcare is in Crisis – Technology and Telehealth is central component to solving • Healthcare Needs to be Wellcare • New Sensors and data Acquisition of Biometric data occurring at an exponential rate • For Every 1 Piece of Knowledge we Understand another x50 Questions will Arise • Genomics and the Biome will revolutionize our Diagnosis and Treatment of Disease • The Future Lies in Augmentation of Human Capability with Technology
  • 42. @DrNic1 Nick van Terheyden, MD Founder & CEO, Incremental Healthcare AboutMe http://about.me/obiwan Twitter http://twitter.com/drnic1 LinkedIn http://www.linkedin.com/in/nickvt Blog http://www.IncrementalHealthcare.com/ FaceBook http://www.facebook.com/drnic1 E-Mail DrNick@IncrementalHealthcare.com Google Voice (301) 355-0877 Questions
  • 44. @DrNic1 Healthcare Innovation Incremental and Exponential Nick van Terheyden, MD @drnic1 Founder & CEO, Incremental Healthcare