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2016 Healthcare Trends
This document discusses trends in healthcare in 2016 related to clinical trials and research participation. It notes that new technologies are dramatically increasing the size and scope of clinical trials by making it easier for more people to participate remotely through mobile apps and sensors. Traditional trials typically took a year to recruit 10,000 people across 50 medical centers, while new methods can recruit that number from 30,000 people in just one month.
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2016 Healthcare Trends
- 2. real world science We’re atthe advent of a new age of clinical study, one that will dramatically amplify the size and scope of research.And, you’re invited to join. trend01
- 3. How much effort doesit take to recruit participants for a medical study? 60,000 “We have sent out over 60,000 letters. Those 60,000 letters have netted 305 women.” - Kathryn Schmitz, PhD, University of Pennsylvania Health System
- 4. How much effort doesit take to recruit participants for a medical study? “To get 10,000 people enrolled in a medical study normally, it would take a year and 50 medical centers around the country.” – Alan Yeung, Medical Director, Stanford Cardiovascular Health 50 med centers 12 months 10,000 people
- 5. 50 med centers 12months 10,000 people AppleResearchKit+ StanfordUniversity 0 1 30,000
- 6. Welcome to the trialin your pocket.
- 7. How it works Eachday the app asks simple questions: 1. How user feels 2. If she’s used an inhaler 3. if she’s taken her meds Mount Sinai Asthma App Uses phone sensors to track a multitude of data in the foreground and background Integrates wearable data Data is then sent to researchers on a dashboard
- 8. Review sites are thenew targeted trials.
- 9.
- 10. Iodineis executingthe first large-scale antidepressant study To adda review to Iodine, users start with comparable data by using numbers and buttons to share their topline experience.
- 11. Each review iscombined with others to let searchers see a snapshot of all user experience and then quickly toggle into specific subsets of users or view comments.
- 12. And big brands are noticingthe value. *Brands with patientslikeme partnerships
- 13. The Final Frontier (ForNow)? ElectronicHealth Records
- 14.
- 15. how much? The debatemay be an old one, but it’s re- energized and raging in 2016. Patients, payers, and providers want to know: are these drugs really worth the cost? trend02
- 16.
- 17.
- 18. VS Doctors Rising Drug Costs 100prominent oncologists wrote in the journal Mayo Clinic Proceedings that skyrocketing cost of cancer treatment puts sick Americans in an untenable situation.
- 19. VS Doctors Rising Drug Costs 100prominent oncologists wrote in the journal Mayo Clinic Proceedings that skyrocketing cost of cancer treatment puts sick Americans in an untenable situation. The American Medical Association recently voted to support banning DTC advertising to combat rising drug costs.
- 20. VS Rising Drug Costs Patients The #1health care priority for voters: Making sure that high-cost drugs for chronic conditions, such as HIV, Hepatitis, mental illness and cancer, are affordable to those who need them.
- 21.
- 22.
- 23. Back to the BlackHat? 74%72% 72% of Americans feel that drug costs are unreasonable. 74% of Americans believe that drug companies put profits before people.
- 24. New Equations forValue National Comprehensive Cancer Network efficacy+ safety+ qualityofevidence supportingtherapy+ consistencyof thatevidence+ affordability value of treatment
- 25. New Equations forValue ASCO clinicalbenefits+ sideeffectsof treatmentregimens+ patientsoutof pocketcosts net health benefit score
- 26. healthy getting healthier Already motivated tolive better? Good, we’ve got more stuff for you. But, what about the people who aren’t motivated yet? trend03
- 31. The options forquantifying, encouraging, and tracking have never been greater.
- 32. The Wearables Dream People who needto become healthier will buy wearables, use them consistently, and be motivated by them.
- 33. The Current Reality: About halfof wearable buyers are younger 35 One third earn more than $100,000 Only 10% wear them daily (PWC) Over 50% Stop using them quickly (PWC) 1/2 1/3 10% 50%
- 34. So what’s drivingreal behavior change with those that aren’t as inclined to be healthy?
- 35. In previous yearswe tried TELLING people what to do.
- 36.
- 37.
- 38. So in 2016 we’rehelping people DISCOVER what to do.
- 39.
- 40.
- 41.
- 42. any doctor will do In2016, healthcare is happening everywhere. Consumers are finding trusted health professionals in pods, on iPads, in stores, on the couch, and more. trend04
- 43. Telehealth and other alternativesare sweeping the nation 9% 20%13% 45% Sought care using a telehealth service Sought care at a retail health clinic Sought care at an urgent care clinic Of telehealth users were unaware of these services 2-3 years ago
- 44. In the US,64% would try new, non-traditional ways of seeking medical attention and treatment if the price was right 64% And the globe.
- 45. And the globe. InCanada, 52%of patients predict that mobile health (mHealth) will improve the convenience and access of healthcare 52%
- 46. And the globe. InGermany, 43% are willing to accept services and products from non-traditional healthcare providers 43%
- 47. And the globe. Inemerging markets, 54% expect that mHealth will improve the quality of healthcare they receive in the next three years 54%
- 48. Home health isbecoming personalized.
- 49. Designed for: children withreoccurring ear infections
- 50.
- 51. Designed for: caregivers workingwith elderly or frail patients
- 52. And this means BIGsavings Using digital health tools in primary care could save the US healthcare system $10 billion annually —Accenture
- 53. And BIG impactfor the healthcare system —Accenture,2015 PATIENT OFFICE VISIT TIME SAVINGS 37,000 PCPs (18% OF PCP WORKFORCE) ANNUAL VALUE ~$7 BILLION
- 54. Don’t want to stayat home? Grab and go healthcare at the store.
- 55. prescribed prescriptions Payers, administrators, andpatients are ripping away decision making from the point of care. trend05
- 56. “What we’ll payfor” “What we can afford”“What we’ve seen work”
- 57. Consolidation is leadingto new influence LIVES COVERED BY EXPRESS SCRIPTS: 2005 2015 12 MILLION 85 MILLION
- 58. Their reach isbeing found directly within the workflow 29% of physicians report that their EHR automatically restricts prescribing choices due to formulary guidelines. 29%
- 59.
- 60. Increasing reliance on the Directorof Pharmacy role
- 61. Decreased choice, but decreasedhassle 55% of physicians agree that participation in ACOs will constrain the level of choice they have when it comes to what they can prescribe for patients –Manhattan Research, 2015 55%
- 62. Patients are being sticker- shockedinto action 38% 52% 38% of men said they opted out of going to the doctor to save money. 52% of women shared the same sentiment. –eHealth survey, 2015
- 63. Tools employers areproviding to boost consumer-like behavior Self-service decision supporttools Price transparency tools for medical services Medical decisionsupport & secondopinion services Employee advocacy tools & services for claims assistance High-touch health concierge services Patients are encouraged to behave like consumers
- 64.
- 65. team health Consolidation and specializationhave created deep benches of professional talent at many practices. For patients, that means a new player, a new face at every visit. trend06
- 66. In 2015 healthcarewas in a merger frenzy.
- 67. In 2015 healthcarewas in a merger frenzy.
- 68. In 2016, thebuying binge will refocus on the site of care.
- 69. In 2016, thebuying binge will refocus on the site of care.
- 70. Encouraged by evolving physicianattitudes 46% 33% 23% 21% Top physician reasons for consolidation Gain/retain income security Leverage negotiating power with payers Achieve/retain work-life balance taking advantage of organizational infrastructure — Deloitte survey of US physicians
- 71.
- 72.
- 73. “I’M CARING FORYOU” HOURSWORKED OWNING MYPRACTICE “WE’RE CARING FORYOU” IMPACTMADE MULTIPLE EMPLOYERS FROM TO MillennialDoctorsarethrivinginthe shiftinghealthcareenvironment.
- 74. first visit, second opinion Patients arecoming into the practice with strong opinions about what’s wrong and what they need to feel better. trend07
- 75. The evolution ofthe empowered patient
- 76. Patientsbecame activelyinvolvedin theircare. 88% feel confidentin their abilities to take responsibility for their health 89% agree that they know where to look and whom to ask if they have health questions or concerns 64% feel that they could be making more decisions about their health and wellness
- 77. This“inconvenient” informedpatient becamethe “expected” patient. 1:5 patients saidthat doctorsare more likelyto ask them to make a finaldecisionabouttreatment comparedto two years ago.
- 78.
- 80.
- 81.
- 82. caregiver crunch Millions of peopleare doing a job they were never trained for: managing the health and wellness of an aging loved one. trend08
- 83. Who are ourcaregivers? 1:10 people in the UK are caregivers 1:6 people in the US are caregivers 1:4 people in Canada are caregivers
- 84. Who are ourcaregivers? 49 years old 60% are female full-time job 24 hours a week caregiving
- 85. We’re approaching a caregivercliff. Thenumberoffamily caregiversavailablefor eachpersonrequiringcare isprojectedtodropfrom 7 to 3
- 86. They need support Around 9in 10 want more opportunities to meet and share knowledge and experiences with. More than 8 out of 10 caregivers say that they could use more information or help on caregiving topics.
- 87. And they are gettingolder Older adults caring for spouses provide an average of nearly 45 hours-a-week of care, nearly twice the average. Caregivers who are 75 or older are less likely to have paid help, are managing their family finances, and act as medical advocates.
- 88.
- 89.
- 90. special thanks Abigail Schmelzer AlexBrock Allison Pignatelli Amanda Joly Amardeep Lally Andreas Reinbolz Andrew Glenn Ann Manousos Brooke Glanzberg Chris Devine Chris Iafolla Christina Blosser Christopher Callahan Dan Smith Dave Sonderman Duncan Arbour Ed Hammerton Eduardo Menendez Elizabeth Stelzer Eric Davis Eric Sabo Francine Carrick Heather Irvine Ilya Tetelman James Tomasino Jason Sankey Jeffrey Giermek Jennifer Fleishman Jennifer Oleski Jessie Brown Joanna Voorhis Joe Desalvo John Mucha Joy Hart Juli Cavnar Kara Kinsey Kevin Coleman Kevin Nalty Kristianne Shanker Leigh Householder Liana Federico Logan Cooper Maggie Janco Marci Piasecki Mark Jazvac Mark Stechschulte Matt Mizer Matthew Bergen Melissa Morrow Michael Bonilla Michelle Casciola Naseem Allaf Nate Lemke Nicholas Capanear Nick Bartlett Nicole Sordell Nina Bressau Pat Etter Patrick Richards Rupert Dooley Salvatore Cannizzaro Sarah Brown Scott Page Stephanie Jones Susan Perlbachs Tom Callan Tom Mullins Tyler Sax Vaneeta Verma Vanessa Rivera Zach Gerber
- 91.
Editor's Notes
- #4 Really highlight the actual numbers from the quotes. ----- Meeting Notes (12/30/15 10:00) ----- move the 10,000 people to the bottom.
- #5 Really highlight the actual numbers from the quotes. ----- Meeting Notes (12/30/15 10:00) ----- move the 10,000 people to the bottom.
- #6 Really highlight the actual numbers from the quotes. ----- Meeting Notes (12/30/15 10:00) ----- move the 10,000 people to the bottom.
- #8 App is automatically tracking things like the GPS location so that it can match back other data, like pollen count, ozone, heat index, and other asthma-triggering conditions. (Could present Sinai Steps in Similar Format as Digital Study, but ideally we have a screencast of the actual app)
- #11 *Can this be told in a screencast vs. text?
- #12 *Can this be told in a screencast vs. text?
- #14 The final frontier is EHRs.
- #17 physicians are waging war. More than 100 prominent oncologists wrote in the journal Mayo Clinic Proceedings that they skyrocketing cost of cancer treatment puts sick Americans in an untenable situation as they’re fighting for their lives.
- #18 Physicians are waging war.
- #19 Physicians are waging war.
- #20 Physicians are waging war.
- #21 Physicians are waging war.
- #22 Advocates and physicians are asking for the following:
- #23 Advocates and physicians are asking for the following:
- #24 Screencast of scrolling through a Google News feed for Turning
- #25 There are also new equations to help patients make decisions and not just view drug costs in isolation..
- #26 There are also new equations to help patients make decisions and not just view drug costs in isolation..
- #34 Healthcare app data.
- #35 So what’s driving real behavior change?
- #36 So what’s driving real behavior change?
- #37 physicians are waging war. More than 100 prominent oncologists wrote in the journal Mayo Clinic Proceedings that they skyrocketing cost of cancer treatment puts sick Americans in an untenable situation as they’re fighting for their lives.
- #38 physicians are waging war. More than 100 prominent oncologists wrote in the journal Mayo Clinic Proceedings that they skyrocketing cost of cancer treatment puts sick Americans in an untenable situation as they’re fighting for their lives.
- #39 So what’s driving real behavior change?
- #40 Google cafeteria insights: Plate size Healthy Stickers Relegating sweet beverages to the bottom and nutritious foods at the front.
- #41 wellcoin
- #42 Focusing on wearables that can be classified as medical devices. Noom + CityMD Samsung S Health Diabetes Program
- #49 Cell scope, Maven,
- #50 $79 device that attaches to iPhone camera. Footage is sent to on call doctors who can prescribe care within two hours.
- #51 Schedule time with a doctor, connect via video, and collect notes from exams.
- #52 Contains bluetooth diagnostic tools.
- #55 Today share of the 10 billion immunization market is 4%, with room to grow (*Can we create icons for each of these menu items?)
- #58 And that influence is increasing thanks to consolidation. If you think about any other aspect of health care, no one has accumulated 85 million lives that they can represent” – Steve Miller
- #60 ACO’s Preferred Practice Formularies.
- #61 to set the treatment policies that guide physician practices throughout the system.
- #62 ACO’s Preferred Practice Formularies.
- #65 Users enter healthcare service they need. Smartshopper finds the prices at high quality local providers. Consumer shares in savings.
- #67 Can we have these logos coming together and then turning into just the one on the left?
- #68 Can we have these logos coming together and then turning into just the one on the left?
- #69 Independent small and midsized practices joining up with management companies, hospitals and integrated delivery systems. Due to structural shifts in NA and euro health care systems AND generational shifts in physicians attitudes toward work-life balance as seen in this chart.
- #70 Independent small and midsized practices joining up with management companies, hospitals and integrated delivery systems. Due to structural shifts in NA and euro health care systems AND generational shifts in physicians attitudes toward work-life balance as seen in this chart.
- #71 Independent small and midsized practices joining up with management companies, hospitals and integrated delivery systems. Due to structural shifts in NA and euro health care systems AND generational shifts in physicians attitudes toward work-life balance as seen in this chart.
- #72 The average cancer patient sees more than 13 different health care providers in a 12 month period. More than 46% of these patients see more than 21 unique health care providers. -Biologics benchmark study
- #74 52% don’t want to own their own practice Want to be a part of teams, outcome based to reach finanical goals, leverage tech.
- #84 the number of family caregivers available for each person requiring care is projected to drop from 7 to 3. That’s the number of available caregivers – not the number who will actually agree to help.
- #85 the number of family caregivers available for each person requiring care is projected to drop from 7 to 3. That’s the number of available caregivers – not the number who will actually agree to help.
- #86 the number of family caregivers available for each person requiring care is projected to drop from 7 to 3. That’s the number of available caregivers – not the number who will actually agree to help. **Can we do an animation with the 7 number dropping to 3?
- #87 the number of family caregivers available for each person requiring care is projected to drop from 7 to 3. That’s the number of available caregivers – not the number who will actually agree to help. professional carers (93%) as well as with other family members and informalcarers (90%)
- #89 the number of family caregivers available for each person requiring care is projected to drop from 7 to 3. That’s the number of available caregivers – not the number who will actually agree to help.
- #90 which the principle investigator called “a considerable survival advantage.”