Presented at the BDMS Academic Annual Meeting 2018, Bangkok Dusit Medical Services, Bangkok, Thailand on August 15, 2018

1. Digital Health Transformation:
What’s Next?
Nawanan Theera-Ampornpunt, M.D., Ph.D.
www.SlideShare.net/Nawanan

2. 2
What words come to mind when you hear...
Digital Health
Transformation

3. 3https://medium.com/@marwantarek/it-is-the-perfect-storm-ai-cloud-bots-iot-etc-4b7cbb0481bc

4. 4
http://www.ibtimes.com/google-deepminds-alphago-program-defeats-human-go-champion-first-time-ever-2283700
http://deepmind.com/ http://socialmediab2b.com
An Era of Smart Machines

5. 5englishmoviez.com
Rise of the Machines?

6. 6
A Familiar Optimism
https://www.prachachat.net/marketing/news-202693

7. 7
Digitizing Healthcare?
http://www.bloomberg.com/bw/stories/2005-03-27/cover-image-the-digital-hospital

8. 8
Why Aren’t We Talk About These Words?
http://hcca-act.blogspot.com/2011/07/reflections-on-patient-centred-care.html

9. 9
“Big data is like teenage sex:
everyone talks about it,
nobody really knows how to do it,
everyone thinks everyone else is doing it,
so everyone claims they are doing it...”
-- Dan Ariely @danariely (2013)
Substitute “Big data” with “AI”, “Blockchain”, “IoT”
of your choice.
-- Nawanan Theera-Ampornpunt (2018)

10. 10
Hype vs. Hope
Jeremy Kemp via http://en.wikipedia.org/wiki/Hype_cycle
http://www.gartner.com/technology/research/methodologies/hype-cycle.jsp

11. 11
Gartner Hype Cycle 2017
https://www.gartner.com/smarterwithgartner/top-trends-in-the-gartner-hype-cycle-for-emerging-technologies-2017/

12. 12
Digitization 
Digital Transformation

13. 13
Ask your self this...
Why did you come to work in healthcare?
Money?
Light Workload?
The Gadgets?
Or None of the Above...

14. 14
The Goal of Health Care
The answer is already obvious...
“Health”
“Care”

15. 15
Health IT
Health
Information
Technology
Goal
Value-Add
Means

16. 16
High Quality Care
• Safe
• Timely
• Effective
• Patient-Centered
• Efficient
• Equitable
Institute of Medicine, Committee on Quality of Health Care in America. Crossing the quality chasm:
a new health system for the 21st century. Washington, DC: National Academy Press; 2001. 337 p.

17. 17
Examples of Health IT
https://www.youtube.com/watch?v=gxz9ZVvduGc

18. 18
Spectrum of Informatics
Shortliffe (2002)

19. 19
Areas of Health Informatics
Patients &
Consumers
Providers &
Patients
Healthcare
Managers, Policy-
Makers, Payers,
Epidemiologists,
Researchers
Copyright  Nawanan Theera-Ampornpunt (2018)
Clinical
Informatics
Public
Health
Informatics
Consumer
Health
Informatics

20. 20
Incarnations of Health IT
Clinical
Informatics
Public
Health
Informatics
Consumer
Health
Informatics
HIS/CIS
EHRs
Computerized Physician
Order Entry (CPOE)
Clinical Decision
Support Systems
(CDS) (including AI)
Closed Loop
Medication
PACS/RIS
LIS
Nursing
Apps
Disease Surveillance
(Active/Passive)
Business
Intelligence &
Dashboards
Telemedicine
Real-time Syndromic
Surveillance
mHealth for Public
Health Workers &
Volunteers
PHRs
Health Information
Exchange (HIE)
eReferral
mHealth for
Consumers
Wearable
Devices
Social
Media
Copyright  Nawanan Theera-Ampornpunt (2018)

21. 21
Hospital A Hospital B
Clinic D
Policymakers
Patient at
Home
Hospital C
HIE Platform
Health Information Exchange (HIE)

22. 22https://www.youtube.com/watch?v=MuoDaJAqQ6c
YouTube Search: TEDx Nawanan

23. 23
Where We Are Today...
Copyright  Nawanan Theera-Ampornpunt (2018)
Clinical
Informatics
Public
Health
Informatics
Consumer
Health
Informatics
Technology that
focuses on the sick,
not the healthy
Silos of data
within hospitalPoor/unstructured
data quality
Lack of health data
outside hospital
Poor data
integration across
hospitals/clinics
Poor data integration
for monitoring &
evaluation
Poor data quality (GIGO)
Finance leads
clinical outcomes
Poor IT change
management
Cybersecurity
& privacy risks
Few real examples
of precision
medicine
Little access
to own
health data
Poor patient
engagement
Poor accuracy
of wearables Lack of evidence
for health values
Health literacy
Information 
Behavioral
change
Few standards
Lack of health IT
governance

24. 24
Translational Role of Informatics
Sarkar (2010)

25. 25
WHO-ITU eHealth Components

26. 26MoPH (2018)

27. 27
So What’s Next?
Current Status
Envisioned Future
Reform & Transform
Some of the Tools

28. 28
Healthtech Startup Ecosystem
www.facebook.com/HealthTechThailand/ No endorsements implied

29. 29
Trends to Watch
• “Smart Hospital” Gradual Adoption
• The Disillusionment of Technology
• More Knowledge on Proper Roles of AI
• Consumer App’s Clearer Value Offerings
• “Design Thinking”
• More Mature Consumer Health Devices
• Value-based Healthcare
• Hope of Precision Medicine
• Healthtech Startup Successes & Failures

30. 30
My Plea...
Less Fancy Roofs
More Enabling Foundations

31. 31
Less Hype
More Hope
My Plea...