El 30 de mayo de 2016 organizamos en la Fundación Ramón Areces un Simposio Internacional sobre 'La oportunidad digital de la sanidad'. En él se analizaron las ventajas que ofrecen las nuevas tecnologías en los nuevos canales asistenciales (teleconsultas, gestión remota de enfermedades crónicas y de salud poblacional, herramientas para el autocuidado). También se vio el impacto que tendrá en este campo la aplicación de la inteligencia artificial, el Internet de las Cosas, el Big Data y la computación en la Nube.

1. SIMPOSIO INTERNACIONAL,
La oportunidad digital de la sanidad
Axel Nemetz, Head of Market Entry Strategies – LifeSciences & Healthcare
Madrid, 30 de mayo de 2016
Implications of Watson
and Big Data

2. ©2016 IBM Corporation2 19 October 2016
IBM Watson wins Jeopardy in 2011

3. ©2016 IBM Corporation3 19 October 2016
Watson can read these records in six seconds

4. ©2016 IBM Corporation4 19 October 2016
Memorial Sloan Kettering, est. 1884 & IBM, est. 1911
Memorial Sloan Kettering is the
world’s oldest and largest private
cancer center
• 1’000 attending physicians
• 2’400 nurses
• 22’000 inpatient stays
• 94’000 outpatient visits
• 471 inpatient beds
• 72’000-square-foot surgical
center
• State-of-the-art treatment hub
for outpatient procedures

5. ©2016 IBM Corporation5 19 October 2016
Watson Oncology Advisor

6. ©2016 IBM Corporation6 19 October 2016
1. Provides 2nd opinion based on latest publications,
current medical data and history of patients
2. Allows knowledge transfer of specialist experience,
e.g. from MSK, to other, less specialized hospitals
3. Supports better outcomes, in particular for complex
diseases, with many new clinical experiences and
publications
Some of the benefits of Watson Oncology Advisor
and similar Cognitive Solutions …

7. ©2016 IBM Corporation7 19 October 2016
Outcomes of the currently disconnected mental health
ecosystems in the US …
Data Silos
Fragmented Care
Inconsistent Updates
Uncoordinated Approach
Consumer Engagement
“Medical Necessity”
Approach
Diverse Stakeholders
Residential Hospital MH
Agencies
Housing Criminal
Justice
Managing
Entity
Suboptimal Outcomes
+
Negative
quality of
care and
patient
outcomes
Information
X

8. ©2016 IBM Corporation8 19 October 2016
Software
Change
Management
Technology
Analytics
Data Collaborative
Integrated Care Plan
Holistic View
Real-Time Decision
Support
Miami-Dade County is in a transformational state and
uses data to support improvements in quality of care
Consumer Engagement
Outcome-Driven
Approach
Diverse Stakeholders
Residential Hospital MH
Agencies
Housing Criminal
Justice
Managing
Entity
Improved Outcomes
$
Quality care
Patient
outcomes
Cost
efficiencies
Information
+

9. ©2016 IBM Corporation9 19 October 2016
1. Accesses health data, employs predictive analytics and
coordinates care for patients across different
stakeholders in the healthcare universe
2. Well suited for chronic diseases, e.g. diabetes, asthma,
congestive heart failure
3. Partially already implemented in Spain (Institut Català de la
Salut), ...
Some of the benefits of the Health Care Coordination
Solution …

10. ©2016 IBM Corporation10 19 October 2016
Watson in combination with IBM Apple partnership
Watson engages patients
between visits, keeping
wellness on track and alerting
intervention when needed.
Ties back to care plan Engages the patient

11. ©2016 IBM Corporation11 19 October 2016
IBM believes in significant transformations in the healthcare
system and invested in relevant acquisitions and technologies
• 105 years of
experience
• >600 patents in life sciences,
healthcare and medical devices
• 12 global
research labs
• >8’000 employees specializing in
healthcare and life sciences around
the world
Apple Partnership
Health Kit
Research Kit
World’s largest
Digital Marketing
Agency
Truven, Phytel and Explorys combined offer data for more than
300m patients

12. ©2016 IBM Corporation12 19 October 2016
• … patients would ask their payor or healthcare professional
for a 2nd opinion
• … physicians would have more time engaging with patients
• … payors would require a 2nd opinion before approving an
expensive treatment
• … healthcare outcomes would improve because of more
compliant patients who engage via their mobile devices
• … and health insurance premiums would drop
Imagine ...

13. Thank you for your attention

14. BACKUPs

15. ©2016 IBM Corporation15 19 October 2016
Cúram at Institut Català de la Salut (ICS)
 Healthcare Provider for the region of Catalonia
 ~7 million residents served
 $4 Billion annual budget
 8 Hospitals, 4500 beds, 130 OR, 450 primary care centers
 Phase 1 went live March’2013
– 300 patients, 10-20 Care Coordinators, 30-40 Doctors and others
 Complex Chronic Disease Management
– 25% of population over 65 years
 60% of them have chronic diseases and consume 70% of healthcare resources
– CRG – 7 Rating (3 or more Chronic conditions)
– 2 or more inpatient incidents

16. ©2016 IBM Corporation16 19 October 2016
Providing a holistic view of the patient and guiding
the patient across different stakeholders
 Manage Incoming Referrals
 Providing a holistic view of the patient
– 360ᴼ view of the patient – clinical and functional
– Patient Alerts
 Creating an individualized care plan
– Care Plan based on predefined activities
– Functional and non-clinical assessments
– Activity recommendation based on various assessment result scores
 Care Delivery
– Home visits, phone calls, appointments
– Reassessments, follow ups
– Referrals for clinical services
 Collaboration
– Physicians, nurses, social workers
– Consensus meetings