This document discusses how technology can help put patients first by improving healthcare delivery through electronic medical records, telemedicine, mobile health apps, and other digital innovations. However, it notes that meaningful change requires addressing challenges such as interoperability issues, usability problems, engaging patients, changing behaviors, and demonstrating clear returns on investment. Overall, technology must be developed and implemented carefully in partnership with doctors to truly benefit patients.

2. Using IT to put patients first
Dr. Aniruddha Malpani

3. MedTech advances
• EMRs and PHRs
• Apps and Chatbots
• Telemedicine ad mHealth
• VR , AR and 3D imaging
• Robotics
• Genomics, Informatics and Biotechnology
• Big Data and Cloud Computing
• Blockchain
• Sensors and Implants

4. Digital disruption
• Will Dr Watson make doctors
obsolete ?

12. Doctors are reinventing
themselves!

16. Toys for Boys
• Playing with cutting edge advances is
cool
• Often this is a problem in search of a
solution
• Dreaming big is fine , but start small
• Focus on basics

17. The google smart contact lens
fiasco

18. What does a doctor want ?
•More patients !

19. Low hanging fruit
• Patients use Dr Google !
• Create websites for doctors so
they can reach out to patients
• EMRs and PHRs

20. Doctors are confused
and worried
• Will a website be considered to be
advertising ?
• Can I do a consultation online ? Will I
be legally liable if anything goes
wrong ?

21. Help the doctor to become
more productive !
• Respect the doctor’s workflow
• Healthcare interoperability is a huge pain
– none of the EMRs/PHRs talk to one
another !
• UX is not user-friendly
• No redundancy and backups
• Offline and online hybrid models needed

22. Doctors use smartphones more
than they use stethoscopes !
• Everyone uses Whatsapp -
- both for patient care;
and for socialising
• They can do a lot more with
the computer in your pocket !

23. The next generation !

24. Heartbuds – using the smartphone
as a stethoscope

25. Peek – Smartphone-based
Eye-testing kit

28. Hope, hype and harm
• Engineers fall In love with the
newest shiny new object
• Some doctors also want to be the
first to use the latest tech toys
• Tendency to overuse, abuse and
misuse technology

29. • Solve one pain point at a time
• Hard to change behaviour
• Doctors have burned their fingers in
the past – don’t trust engineers
• Think they don’t understand
anything about patient care

30. Alert Fatigue:
A Clear and Present Danger
• One month in UCSF ICUs (70 beds)
– 2,558,760 alerts
– One audible alert every 7 minutes
– What would get a nurse scared?
• vs. Boeing’s thoughtful approach to
alerts
– The principles of user-centered design
Drew B. Plos One 2014

31. Adaptive vs. Technical Problems
“… problems that require people
themselves to change. In adaptive
problems, the people are the problem and
the people are the solution.
– Ronald Heifetz, Kennedy School of
Government

32. Partner with doctors
• Get them to mentor healthcare startups
so you can teach and learn from them
• Doctors as an angel investors
• Help them to remain on the cutting edge
of medicine !

33. Doctor vs Engineer
Bridge the gap !
• Doctors are conservative – if it’s not
broken, why fix it ? Cannot afford to
experiment with our patients !
• Engineers want to break stuff and put it
apart again !
• But not at the expense of patients !

34. “The difference between a doctor
and a machine is like the
difference between a private
banker and an ATM machine”
- Walter De Brouwer

35. Helping patients directly
• Patient engagement is the holy grail
• Patients will usually do what their doctor says
• Most are not active or empowered to do stuff
for themselves

36. What do patients use smartphones
for ?

37. Fetal monitor at home

38. Smartphone based ECG
monitor

39. Well vs ill
• Don’t confuse the two !

40. Corporate wellness
• Who will pay ?
• Seen as a cost center
• Health Insurers
• HRAs
• ROI unproven

41. Doctor at Home -
Qualcomm Tricorder XPRIZE
competition

42. Wearables
• Hype is dying out
• High drop out rate
• Used by a very small minority

43. Healthcare apps
• App fatigue
• Focussed disease specific apps are
helpful
• How do they make money ?

44. Where are the HIT success
stories ?
• No Olas and Flipkarts in the digital
health world so far
• Practo has been richly funded, but
where’s the ROI for the investors ?
• Or for the patients and doctors ?
• No change in quality of medical care

45. Digital health is dead
• Rob Coppedge, CEO of Echo Health Ventures in
Seattle , has been investing and working in
health care for 20 years.
• Since 2014, about $16 billion in VC funding
has gone into over 800 digital health
companies.
• Entrepreneurs and investors need to take a
step back to see how this will play out over
the next decade.

46. Verticals
• Health insurers – disease
management
• Hospitals
• Pharma
• Government
• Medical R&D
• Biotech

47. Health insurers
• Population health management
• Chronic diseases such as hypertension,
CCF and asthma are expensive. Need to
keep the patient out of the hospital
• Apps for diabetes and asthma, but
changing behaviour is hard

48. Pharma – beyond the pill
• Information Therapy for Patient
education
• Improve patient compliance
• Medication reminders , tracking
and logging

49. Government needs to promote
digital health
• Current health expenditure very low
• Create a website which prescribes
Information Therapy - the right care to
the patient at the right time
• Empower patients, so they can find the
best doctor
• Reduce wasteful health expenditure
• Telemedicine