You are now an active participant in you own care and that shift means patients need to understand medicine in a new way and that our healthcare must catch up to leverage this opportunity.

1. © 2016 Singularity University
Zayna Khayat
The Future of Health

2. Future of Health
@ZaynaKhayat | @REshape | @MaRSDD

3. 3

5. #SUCanPatient
Who? +
What Condition?
5
#SUCanPatient
Grandma – died of sudden heart attack

6. Image source: Daniel KraD (Singularity U)
“Medicine”
“Health”
“Healthcare”
Health living PrevenIon Diagnosis Treatment Homecare

7. Central paradigm:
The System
Reactive, sick-care
1 size fits all
Silo’d, crude, analog
Centralized, paternalistic
$

8. 8
500 BC-
500 AD
Hippocrates
500-
1500
Black
Plague
1670
Microscopy
of cells
1796
Smallpox
vaccination
1799
Anaesthesia
1870s
Microbes
& disease
1628
Human
Anatomy &
Physiology
1895
X rays
1928
Antibiotics
1948
WHO
established
by UN
1953
DNA structure
Watson & Crick
1971
Medical
Imaging -
MRI, CAT
1978
1st "test tube
baby“
1983
HIV virus
causes
AIDS
2008
Digitization
2001
Human
Genome

9. 9

10. Central paradigm:
The System
Reactive, sick-care
1 size fits all [none]
Silo’d, crude, analog
Centralized, paternalistic
$
New paradigm:
Person

11. Future: Person
Proactive, preventative, predictiveReactive, sick careTIMING
Today: System
The Future of Health(care)

12. Where
health
is
created
Drivers of health Where we spend [$7.8T]
Source: NEHI Analytics (2013)
Medical Care
90%
Behaviour 9%
Other 1%
Access to care 9%
Gene:cs
20%
Zip Code
22%
Behaviour
37%
Interac:ons of
above - 15%

13. Source of image: Adapted from Precision Public Health Summit
Public healthPredictalytics
Traditional medicin

14. The Medical Futurist (2017)

16. Future: Person
Proactive, preventative, predictive
Personalized, configurable
Reactive, sick care
1 size fits all [none]
TIMING
TAILORING
Today: System
16
The Future of Health(care)

19. Chakma, Journal of Young InvesIgators. Vol 16, 2009

20. Fast Company

21. Future: Person
Proactive, preventative, predictive
Configurable, personalized
Intelligence-based
Reactive, sick care
1 size fits all [none]
Silo’d, crude, analog
TIMING
TAILORING
PRECISION
Today: System
21
The Future of Health(care)

23. >30% unnecessary spending
= Netherlands’ GDP
Source: Dave Chase and Cascadia LLC; WHO (2009); Institute of Medicine (2009)

24. “Medicine has been a clinical
science supported by data.
… become[ing] a data science
supported by clinicians”
Brad Perkins, Chief Medical Officer

25. ✘ 25% tumor re-occurence

26. Nesta; NEJM Catalyst – Rhoades DR, McFarland KF, Finch WH, Johnson AO. Family Medicine 33(7): 528-32 (2001)
Hours to
manage chronic
illness
(5,800 hrs /
year)
Hours
accessing
formal care

28. “If you can have a
social network of
1.4 billion people,
why can’t you have
a medical network
of billions of
people?” Dr. Eric
Topol

29. Future: Person
Proactive, preventative, predictive
Configurable, personalized
Intelligence-based
Decentralized, democratized
Reactive, sick care
1 size fits all [none]
Silo’d, crude, analog
Centralized, paternalistic
TIMING
TAILORING
PRECISION
POWER
Today: System
The Future of Health(care)

30. People Paper & PensBricks
De-centralized
De-physicalized
De-materialized
Dis-intermediated
Digi-cal
Fax Machines

31. Unbundling
of the
hospital

32. phone

33. “The obedience of a
patient to the
prescriptions of his
physician should be
prompt … [the
patient] should never
permit his own crude
opinions …”
American Medical Association
Code of Ethics (1847)

34. REShape Health InnovaIon Centre, Radboud university medical center (Netherlands)
Providers
Individuals
“Professional
s will
subscribe to
patients’
data”
– Lucien Engelen (REshap

35. Future: Person
Proactive, preventative, predictive
Personalized, configurable
Intelligence-based
Decentralized, democratized
Reactive, sick care
1 size fits all [none]
Silo’d, crude, analog
Centralized, paternalistic
TIMING
TAILORING
PRECISION
POWER
Today: System
The Future of Health(care)

36. 36
Time to reach 50 M users
Vala Afshar; CiI Digital Strategy Team; Michael Felton, The New York Times (in HBR.org)
Average time from
evidence to practice
in medicine:
17 years

38. 38
#SUCanPatient
My Teta might still be with me
#SUCanPatient
What might have
been different?

41. ?? The largest health company owns no clinics or doctors