Telehealth Failures & Secrets to Success Conference 2017 by VSee Speaker: Paul Smolke Senior Director of Productivity, Worldwide Health of Microsoft More info here: vsee.com/conference

1. Digital
Transformation
in Health
Paul Smolke
Senior Director, Productivity
Worldwide Health
The New Patient Paradigm

2. 2 billion
people aged 60 and over in
2050 (World Health Organization)
$475
billion USD
WW cost of patients not
taking their medications
(Prescriber)
14 million
projected WW shortage of healthcare workers in 2030
(World Health Organization)
10.5%
WW healthcare spending as
a percentage of GDP in 2020
(The Economist Intelligence Unit)
15%
security breaches WW in 2017 involving
healthcare organizations (Verizon Data)
$4 trillion USD
WW healthcare spend on the three leading
causes of death in 2020
- half of the total
(World Health Organization)

3. Cost
• Lower the per
capita cost of
care
Access
• Improve the
wellness of
populations
Quality
• Improve the
patient
experience
Berwick, D. "The Triple Aim" Care, Health, Cost". Health Aff, May 2008 vol. 27 no. 3 759-769

4. Productivity
• Improve the
clinician
experience
Cost
• Lower the per
capita cost of
care
Access
• Improve the
wellness of
populations
Quality
• Improve the
patient
experience
Bodenheimer, T. & Sinsky, C. "From Triple to Quadruple Aim: Care of the patient requires care of the provider" Ann Fam Med Nov/Dec 2014, vol. 12 no. 6 673-576

5. 0
20
40
60
80
100
120
140
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Inpatient admissions per 1,000 people
Outpatient visits per 1,000 people
Inpatient admissions per 1,000 people
Outpatient visits per 1,000 people
1,937
120
Changes in Hospital Inpatient & Outpatient Utilization
Care Within Walls
2,200
2,100
1,900
1,800
Estimated projections
of utilization change
1900
92
Source: PwC Health Research Insights
96
2,171
Digital Transformation
Inpatient care volume on a rapid decline

6. Virtual Health
Care Team Collaboration,
Video consultations,
Secure messaging,
Booking
Population Health
Care Coordination,
Remote patient
monitoring, Clinical
Analytics
Current
Health IT
Market
Expansion
of Health IT
Market
Precision Medicine
Genomics, Clinical
Analytics, Customer &
Product Analysis
Next Gen
Systems of
Insight &
Engagement
Fragmented
systems of
record (EMR,
Imaging, Case
Management)
Global Health
Software
Platform Market
Digital Transformation
Inpatient care volume on a rapid decline

7. Evolution of health solutions
SYSTEMS OF
ENGAGEMENT
SYSTEMS
OF INSIGHT
SYSTEMS
OF RECORD

8. Reactive
Cyclical
Disconnected
Receive
treatment
Give
information
See
doctor
Feel
symptoms
Recover
Go to
hospital
The old
patient
paradigm

9. The new
patient
paradigm
Connected
devices
Proactive
wellness plan
Connected care
partners
Personalized
treatments
Remote
monitoring
Connected
consumers
Preventative
Continuous
Connected

10. 10

11. Health Agents for triage and inquiries
…Can Integrate
• World knowledge
• Location
• Calendar
• Travel
A Bot framework….
• Natural language
processing
• Multi-turn
conversations
• Any end point
• Any API
• Personal health
records
• Prescriptions
• Wearable data
…and with
Third party data & Customer Data
• Authoritative medical protocols
• Service provider lookup and
scheduling

12. Advanced Analytics in Health
REAL-TIME &
PREDICTIVE
ANALYTICS
to shape outcomes
SELF-SERVICE
ANALYTICS
to provide research
on-demand
INTERNET
OF THINGS
to connect devices to
data bases
CLOUD ANALYTICS
to erase historical
boundaries for data

13. Patients
Clinical Teams & Practitioners
Diagnostic
Why did it
happen?
Care teams perform
tests
[Interactive Dashboards]
Actionable
Insight
Prescriptive
What should
I do?
Data scientists use knowledge to make
recommendations
[Recommendations & Automation]
What will
happen?
Predictive
Clinicians compare results
with a cohort of patients
[Machine Learning]
Descriptive
What happened?
Patients present their
health condition(s)
[Reports]
Data
&
Technology
Outcomes
&
Efficiency
Data Interoperability Standards / Clinical & Professional Standards
Predict & Respond Proactively

15. 15