Paul Rinne - Imperial College London, slides from Connected Health 2015
Title: Improving Accessibility of Mobile Gaming Technologies for Rehabilitation
How Wearables will transform the EHR (Electronic Disease Record), slide deck for presentation by David Doherty (@mHealth) at Wearables Europe, London, 28 May 2015.
eHealth Practice in Europe: where do we stand?chronaki
eHealth as the use of Information and communication technologies in the practice of health care comprises Electronic health records, Healthcare information exchange cross-jurisdictions, Personal health records, Telehealth, telemedicine and remote monitoring.
There are several efforts to reflect and measure the practice of eHealth including efforts by the OECD and WHO, but in general there is little reported sharing of health data particularly with patients. Specific barriers frequently mentioned are supporting policies and coherent widely implemented standards.
The presentation discusses relevant efforts and programs supported by the European Commission such as the eHealth DSI, eStandards, ASSESS CT, and openMedicine aiming at large scale eHealth adoption It calls for engagement of European Society, its national societies, and its members.
eHealth Consumers in the Age of Hyper-Personalizationchronaki
Where the Internet of Things meets healthcare we see a plethora of tools, gadgets, and apps that promise to improve life, health, and independence. As patients, family members ofr friends, we are subsumed under the term "eHealth consumers”. For us it is increasingly hard to navigate in the unfolding digital reality dominated by new gadgets, and fragmented information, data, and knowledge we don’t control. More personalized and targeted products, services, and content could alleviate this. In this slide deck we are specifically focusing on challenges and opportunities for personalization in view of varying eHealth literacy, lifestyle and health goals.
Paul Rinne - Imperial College London, slides from Connected Health 2015
Title: Improving Accessibility of Mobile Gaming Technologies for Rehabilitation
How Wearables will transform the EHR (Electronic Disease Record), slide deck for presentation by David Doherty (@mHealth) at Wearables Europe, London, 28 May 2015.
eHealth Practice in Europe: where do we stand?chronaki
eHealth as the use of Information and communication technologies in the practice of health care comprises Electronic health records, Healthcare information exchange cross-jurisdictions, Personal health records, Telehealth, telemedicine and remote monitoring.
There are several efforts to reflect and measure the practice of eHealth including efforts by the OECD and WHO, but in general there is little reported sharing of health data particularly with patients. Specific barriers frequently mentioned are supporting policies and coherent widely implemented standards.
The presentation discusses relevant efforts and programs supported by the European Commission such as the eHealth DSI, eStandards, ASSESS CT, and openMedicine aiming at large scale eHealth adoption It calls for engagement of European Society, its national societies, and its members.
eHealth Consumers in the Age of Hyper-Personalizationchronaki
Where the Internet of Things meets healthcare we see a plethora of tools, gadgets, and apps that promise to improve life, health, and independence. As patients, family members ofr friends, we are subsumed under the term "eHealth consumers”. For us it is increasingly hard to navigate in the unfolding digital reality dominated by new gadgets, and fragmented information, data, and knowledge we don’t control. More personalized and targeted products, services, and content could alleviate this. In this slide deck we are specifically focusing on challenges and opportunities for personalization in view of varying eHealth literacy, lifestyle and health goals.
Vator Splash Health, Wellness & Wearables 2017
A presentation on the Vator conference in San Francisco, CA. Perhaps one of my favorite conference series in health tech featuring many perspectives: tech, insurance, genomics, behavioral health, diagnostics, devices and more.
The new era of mobile health ushered in by the wide adoption of ubiquitous computing and mobile communications has brought opportunities for governments and companies to rethink their concept of healthcare. Simultaneously, the worldwide urbanization process represents a formidable challenge and attracts attention toward cities that are expected to gather higher populations and provide citizens with services in an efficient and human manner. These two trends have led to the appearance of mobile health and smart cities. In this talk we introduce the new concept of smart health, which is the context-aware complement of mobile health within smart cities. We provide an overview of the main fields of knowledge that are involved in the process of building this new concept. Additionally, we discuss the main challenges and opportunities that s-Health would imply and provide a common ground for further research.
The Smart Health Centers project places trained health information specialists (Navigators) in traditional and non-traditional health facilities to assist patients in connecting to their own medical records and find reliable information about their own conditions. All Navigators are trained in the Smart Health Center Model using this training guide.
The FDA Digital Health Center of Excellence and the Advancement of Digital He...Greenlight Guru
The FDA Digital Health Center of Excellence is part of the planned evolution of the digital health program with the intent to drive synergy for digital health efforts, align strategy with implementation, prepare the FDA for the digital health future, and protect patients and maintain the FDA standards of safety and effectiveness.
Ultimately, the program works to strategically advance science and evidence for digital health technologies that meets the needs of
stakeholders.
This free in-depth webinar, presented by Matthew DiamondChief Medical Officer, Digital Health Center of Excellence, will cover the digital health landscape and areas of application, goals and outcomes, planned services and launch plan, and the current areas of focus - including AI/ML-Based SaMD.
This presentation originally aired during the 2021 State of Medical Device Virtual Summit.
20191203 DOE Data Driven Healthcare- Expert EventDayOne
DayOne Experts - Data-driven healthcare – are we ready?
Data is transforming healthcare. Health data from multiple sources such as electronic health records, genomic testing, imaging and digital tools, combined with advanced analytics can be used to deliver more personalised care, improve outcomes, empower patients and make healthcare more sustainable and efficient. But is the industry ready for these new approaches? What is needed on the policy level and in the regulatory field to enable a new era of data driven health solutions? How will their business models look like?
This is what we discussed at this DayOne Expert Event, which was proudly presented in close collaboration with the Embassy of the Netherlands, fostering the exchange between two world leading healthcare innovation ecosystems.
A look at SxSW Health 2015 through the eyes of the online health ecosystemW2O Group
Presentation shared as a part of the Mayo Clinic Social Media Health Network's monthly webinar for April, 2015. A look at the trends and topics that captured the hearts and minds of the global online health ecosystem.
> Digital health explosion
> What is ‘Digital Therapeutics’ (DTx)?
> History of DTx
> Digital Therapeutics Alliance (DTA)
> How does DTx work?
> Disease Mx via DTx
> Barriers in the adoption of DTx
> DTx market
> DTx in the post-COVID era
> DTx market boom in post-COVID era
> Future of DTx
> Regulatory aspects of DTx - USFDA
> DTx incorporation guidance by other regulators
> Conclusion
The future of healthcare: when mobile disappearsMatteo Penzo
In today’s digital world, mobile devices are the powerful bridges between a connected ecosystem of healthcare professionals, caregivers and patients. New developments in big data, wearable sensors and the application of social layers are shifting an industry that used to focus on curing diseases to one that emphasizes health and wellness. But the mass adoption of connected healthcare will only happen when solutions are designed to be intuitive and technologies are forgotten. The future of healthcare will happen when mobile disappears into the background, placing the patient in the center and in control of their lives.
Digital Therapeutics / Digital Health Innovation Rawane Jabara
Ampersand & Ampersand is a digital health and therapeutics agency based in London. We specialise in co-developing clinically relevant software that puts patients at the heart of their health management. "Digital therapeutics represent a new generation of healthcare that uses innovative, clinically-validated disease management and direct treatment applications to enhance, and in some cases replace, current medical practices and treatments." - Digital Therapeutics Alliance. Check out our work here and get in touch. 3amp.com rawane@3amp.com
Vator Splash Health, Wellness & Wearables 2017
A presentation on the Vator conference in San Francisco, CA. Perhaps one of my favorite conference series in health tech featuring many perspectives: tech, insurance, genomics, behavioral health, diagnostics, devices and more.
The new era of mobile health ushered in by the wide adoption of ubiquitous computing and mobile communications has brought opportunities for governments and companies to rethink their concept of healthcare. Simultaneously, the worldwide urbanization process represents a formidable challenge and attracts attention toward cities that are expected to gather higher populations and provide citizens with services in an efficient and human manner. These two trends have led to the appearance of mobile health and smart cities. In this talk we introduce the new concept of smart health, which is the context-aware complement of mobile health within smart cities. We provide an overview of the main fields of knowledge that are involved in the process of building this new concept. Additionally, we discuss the main challenges and opportunities that s-Health would imply and provide a common ground for further research.
The Smart Health Centers project places trained health information specialists (Navigators) in traditional and non-traditional health facilities to assist patients in connecting to their own medical records and find reliable information about their own conditions. All Navigators are trained in the Smart Health Center Model using this training guide.
The FDA Digital Health Center of Excellence and the Advancement of Digital He...Greenlight Guru
The FDA Digital Health Center of Excellence is part of the planned evolution of the digital health program with the intent to drive synergy for digital health efforts, align strategy with implementation, prepare the FDA for the digital health future, and protect patients and maintain the FDA standards of safety and effectiveness.
Ultimately, the program works to strategically advance science and evidence for digital health technologies that meets the needs of
stakeholders.
This free in-depth webinar, presented by Matthew DiamondChief Medical Officer, Digital Health Center of Excellence, will cover the digital health landscape and areas of application, goals and outcomes, planned services and launch plan, and the current areas of focus - including AI/ML-Based SaMD.
This presentation originally aired during the 2021 State of Medical Device Virtual Summit.
20191203 DOE Data Driven Healthcare- Expert EventDayOne
DayOne Experts - Data-driven healthcare – are we ready?
Data is transforming healthcare. Health data from multiple sources such as electronic health records, genomic testing, imaging and digital tools, combined with advanced analytics can be used to deliver more personalised care, improve outcomes, empower patients and make healthcare more sustainable and efficient. But is the industry ready for these new approaches? What is needed on the policy level and in the regulatory field to enable a new era of data driven health solutions? How will their business models look like?
This is what we discussed at this DayOne Expert Event, which was proudly presented in close collaboration with the Embassy of the Netherlands, fostering the exchange between two world leading healthcare innovation ecosystems.
A look at SxSW Health 2015 through the eyes of the online health ecosystemW2O Group
Presentation shared as a part of the Mayo Clinic Social Media Health Network's monthly webinar for April, 2015. A look at the trends and topics that captured the hearts and minds of the global online health ecosystem.
> Digital health explosion
> What is ‘Digital Therapeutics’ (DTx)?
> History of DTx
> Digital Therapeutics Alliance (DTA)
> How does DTx work?
> Disease Mx via DTx
> Barriers in the adoption of DTx
> DTx market
> DTx in the post-COVID era
> DTx market boom in post-COVID era
> Future of DTx
> Regulatory aspects of DTx - USFDA
> DTx incorporation guidance by other regulators
> Conclusion
The future of healthcare: when mobile disappearsMatteo Penzo
In today’s digital world, mobile devices are the powerful bridges between a connected ecosystem of healthcare professionals, caregivers and patients. New developments in big data, wearable sensors and the application of social layers are shifting an industry that used to focus on curing diseases to one that emphasizes health and wellness. But the mass adoption of connected healthcare will only happen when solutions are designed to be intuitive and technologies are forgotten. The future of healthcare will happen when mobile disappears into the background, placing the patient in the center and in control of their lives.
Digital Therapeutics / Digital Health Innovation Rawane Jabara
Ampersand & Ampersand is a digital health and therapeutics agency based in London. We specialise in co-developing clinically relevant software that puts patients at the heart of their health management. "Digital therapeutics represent a new generation of healthcare that uses innovative, clinically-validated disease management and direct treatment applications to enhance, and in some cases replace, current medical practices and treatments." - Digital Therapeutics Alliance. Check out our work here and get in touch. 3amp.com rawane@3amp.com
John Finnemore, Partner at Nabarro, presentation at "Journeys of Health-Tech Innovation", March 22nd 2016, London, talking about the investment journey, and what type of investment is available and relevant for you.
Jessica Warner, Lansons, giving speech at "Journeys of Health-Tech Innovation", march 22nd, 2016, London, on how to help grow your business using PR and marketing.
Améliorer la service et la fidélité client dans votre club de fitness et les formations, marketing, et ressources LESMILLS COACH. Boostez vos activités de personal training et générer des nouvelles revenus pour votre club.
ORourke Industry Keynote For Fitness Australia Industry Forum 2014Bryan K. O'Rourke
Bryan O'Rourke shares his views of the fitness industry and why innovation is so critical to the future. Held in Melbourne Australia in October of 2014, the Fitness Australia industry forum is driving innovation to the future. This content deck reflects global and Australian trends that show the industry growing by 300% in the next decade if the industry prepares for it.
Improve Your Club's Competitive Ability - From IHRSA 2016Bryan K. O'Rourke
Bryan O'Rourke shares his views on how to improve fitness facility's competitive abilities through a variety of tools. Specific examples are included with references to powerful tools that anyone can use. Presented at IHRSA 2016.
Future of The Health Club Industry - Bryan O'Rourke Club Industry 2015Bryan K. O'Rourke
How technology and business model innovation will revolutionize the health club and fitness industry. Presented by Bryan O'Rourke at Club Industry 2015.
With more than 100,000 health apps, rapid growth in wearables and 70 per cent of the UK population now owning a smartphone, there is no doubt that digital technology is set to revolutionise the future of health and social care.
Transforming Healthcare: The Promise of InnovationHealth Catalyst
A number of powerful technologies are on the verge of producing dramatic change in how, when and where care is delivered, including artificial intelligence, genomics, monitoring sensors, robotics, nanotechnology, 3D printing, mobile computing technologies and others. This technology-driven change will dramatically impact all healthcare providers, and it will propel healthcare into the realm of Big Data.
Participants will:
Appreciate the role of innovation in healthcare's future.
Understand the classes of technology that will foster innovation and drive change.
Learn how technology-driven change will support data-driven improvement and population health management.
Know how these technologies will impact analytics.
Understand the application of transformational principles in light of the many engaging practitioner discussions at the recently concluded Health Analytics Summit.
The future is becoming clearer and it promises to be exciting, impactful, and powerful for patients and healthcare providers alike.
Part of the L'Oreal Market Growth Challenge. All students were asked to choose a brand and to develop a digital strategy for that specific brand. The presentation includes market analysis, brand analysis as well as a marketing strategy for Decathlon
Smartphone street observer - Baromètre 2016 d'observation des usages mobiles ...Personae User Lab
Chaque année depuis 3 ans, nous publions le premier baromètre français d'observation des usages mobiles ! Découvrez sans plus attendre la saison 3 !
Comment utilisez-vous votre smartphone ? Comment le tenez-vous ? À une main ? Deux mains ? Marchez-vous dans la rue avec ? L'utilisez-vous en magasin ?
Nous sommes allés à la rencontre des utilisateurs (plus de 1000) possédant un smartphone dans la rue. Nous les avons observés, interrogés.
2016 IBM Interconnect - medical devices transformationElizabeth Koumpan
Emerging technologies such as Internet of Things, 3D Printing are driving the creation of new business models and forcing the Industry for transformation. The product centric model where the Industry main objective was to develop the device, is moving to software and services model, with the focus on Big Data & Analytics, Integration and Cloud.
The maturation of technologies such as social, mobile, analytics, cloud, 3D printing, bio- and nanotechnology are rapidly shifting the competitive landscape. These emerging technologies create an environment that is connected and open, simple and intelligent, fast and scalable. Organizations must embrace disruptive technologies to drive innovation
AI in telemedicine: Shaping a new era of virtual healthcare.pdfStephenAmell4
In a rapidly evolving healthcare landscape, telemedicine has emerged as a transformative force, transforming the way healthcare is delivered and received. Telemedicine, also known as telehealth, is a mode of healthcare delivery that leverages modern communication technology to provide medical services and consultations remotely.
How do we see the healthcare's digital future and its impact on our lives?Jane Vita
"Healthcare is undergoing major changes spurred on by, but not limited to, technology.
Digitalisation is changing the way we think about health, what taking care of it really entails, our personal role in healthcare systems and the way we interact with technology in the context of health.
In many ways, we are entering a post-institutional age of increased personal responsibility, which presents healthcare service providers and other players in the field with major opportunities and great risks. Technology has the potential to empower people and help them become more active in the management of their and their families’ health. This will change the relationship of the patient and the caregiver in profound ways." Mirkka Länsisalo
A co-creation with Mirkka Läansisalo and Sala Heinänen, at Futurice.
Healthcare is undergoing major changes spurred on by, but not limited to, technology.
Digitalisation is changing the way we think about health, what taking care of it really entails, our personal role in healthcare systems and the way we interact with technology in the context of health.
In many ways, we are entering a post- institutional age of increased personal responsibility, which presents healthcare service providers and other players in the eld with major opportunities and great risks. Technology has the potential to empower people and help them become more active in the management of their and their families’ health. This will change the relationship of the patient and the caregiver in profound ways.
Rob Halhead - ECO 17: Transforming care through digital healthInnovation Agency
Presentation by Rob Halhead, COO, Docobo: Enabling transformation at ECO 17: Transforming care through digital health on Tuesday 4 December at Lancaster University, Lancaster
Empowering Healthcare Transformation: Unleashing the Potential of Digital Sol...TEWMAGAZINE
Digital Solutions Driving Healthcare Transformation: 1. Electronic Health Records (EHRs) 2. Telemedicine and remote patient monitoring 3. Artificial Intelligence (AI) and Machine Learning (ML) applications 4. Internet of Things (IoT) in healthcare
Information+Integration ? Innovation an HL7/EFMI/HIMSS @eHealthweek2015 in Rigachronaki
Join us to explore “Interoperability in action: information + integration = innovation?” and engage in lively debate on how rethinking interoperability standards and continuing education can bridge divides, change cultures, and open markets!
Perspectives from health management, industry, government, health education, and standardization exemplify challenges and opportunities for liberation of data that can drive desired social and technological innovation.
This is a call for action to explore how the partnership of HL7, EFMI and HIMSS can catalyze the equation “information + integration = innovation” to bridge divides, change culture and open markets.
Victoria Taylor, British Heart Foundation, "Bridging the gap between discovery and commercialisation: A charity's perspective" - slides from Journeys of Health-Tech Innovation: Products to Market
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
2. 2
Publications
Deloitte UK Centre for Health Solutions
Established November 2011 to generate insights and thought leadership based on the key
trends, challenges and encourage collaboration across the health value chain, connecting
the public and private sectors; health providers and purchasers; and consumers and
suppliers.
www.deloitte.co.uk/centreforhealthsolutions
blogs.deloitte.co.uk/health/
3. How technology and cross industry working are
transforming patient care today and tomorrow
Centre for Health Solutions3
Healthcare and Life science predictions 2020
Disrupting traditional healthcare and life science
industries
How digital technology is transforming patient care today
4. Our industry is changing quickly – requiring a bold response that is often
difficult to implement
What we know today and estimate about tomorrow
4
2. 2015 Global Life Sciences Sector Outlook, Deloitte DTTL, 2014
3. Informa Plc Market Line Extracted 181014
5. Patients becoming more like consumers
Informed and demanding patients are now partners in their own
healthcare
5
• Individuals are better informed about their own
genetic profile, their health status and risks.
• Informed consumers demand specific treatments
and the best services.
• Fully engaged with the ‘quantified self’ & prevention
agenda and use information and data to get best
treatments.
• Increasing number of people comfortable
consulting with a doctor or other HCP through
video or skype
• Consumer access to EHRs continues to
increase
• Increasing number of Government initiatives to
empower patients via digital - increase in on-
line patient communities PatientsLikeMe over
300,000 members/ 2,300 conditions.
• In UK still only small % people engaged
• UKs 100,000 genome project; growth in
precision medicine, 23andMe actually
advertising on UK TV
• Insurance companies/employers providing
incentives that reward good behaviour
• Clinicians are becoming more actively
engaged (Dr Now; Babylon)
2020 prediction
Today’s evidence
6. Healthcare delivery systems in 2020
6
• The home is where much of the standard TEC care
takes place.
• Specialist hospital treatment is reserved for trauma
and emergencies – electives largely day surgery.
• Many doctor–patient contacts are now virtual and
informed with real world evidence.
• New funding models including year of care, pooled
budgets capitation, etc.
• PatientKnowsBest ‘patients own their own
healthcare information and decide who they
share it with
• Increasing number of GPs using telephone
triage and eVisits - Kaiser number “e-visits”
has grown from 4.1 million in 2008 to
12 million in 2014.
• New provider models /entrants ( Walmart,
Apple, Google, Pharma)
The era of digitised medicine - new ideas drive new models
2020 prediction
• Home monitoring of patients with LTCs (COPD
and Diabetes leading way) – but also home
administration of insulin/ warfarin/ chemotherapy
• ACOs with vertically integrated care and care
pathways designed around the patient
overcoming silos - New models of care being
piloted (FYFV)
Today’s evidence
7. Wearables and mHealth applications in 2020
7
• Affordable wearables shape the quality of life
of the 2020 consumer, monitoring & managing
their condition.
• Seamless integration of information from
different devices provide comprehensive view
• New clinician/ patient partnerships based on
more equitable relationships, co-creation and a
focus on prevention.
• Venture funding of biosensors and wearable
technology continues to increase
significantly
• mHealth market revenue reached USD 2.4bn
in 2013 and is projected to grow to USD
26bn by the end of 2017
• Consumer engagement with their own data is
starting to improve medication adherence
and management of chronic disease
Measuring quality of life not just clinical indicators
• Proliferation in health apps and wearables (6%
adult population) with Apple watch latest
gimmick?
• Accuracy and interoperability between devices/
analysis tools still to be addressed
• 50% of people who download apps say its to
improve understanding of own health and well
being
2020 prediction
Today’s evidence
8. How technology and cross industry working are
transforming patient care today and tomorrow
Centre for Health Solutions8
Healthcare and Life science predictions 2020
Disrupting traditional healthcare and life science industries
How digital technology is transforming patient care today
9. In last 5 years healthcare systems in most countries have come under increasing
pressure in terms of costs, funding, demand, supply, access and expectations
9
Escalating
healthcare costs
Increasing care
complexity
A change in patient
Expectations
Evidence for use of
TEC services
• More expensive medicines
• Increasing demand for
diagnostics
• Increasing staff costs and
reducing supply
• Expanding funding deficit
• Aging population
• Rising prevalence of
multiple long term
conditions
• ‘high and increasing bed
occupancy and delayed
discharges
• Patients expect and
demand better quality
care - co-creation
• Support needs to be
patient-centred
• Desire to move to
outcome based/value
based funding
• Mobile and digitally enabled
technology increasingly
seen as a solution to
overcome todays challenges
improving:
‒ productivity
‒ efficiency
‒ cost ?
Why TEC is important and how it can help transform health and social care
10. Deloitte Global Mobile Consumer Survey, 2015
10
Source: UK edition, Deloitte Global Mobile Consumer Survey, May-Jun 2013 & May - Jun 2014
Base: All respondents, UK, 2015: 4,000, 2014: 4,000, 2013: 4,020
In 2015 Smartphone and tablet penetration in UK has continued to
increase, fitness bands and smart watches still very low penetration
N/A
76%
62%
36% 29%
1%
75% 70%
50%
31%
1% 2%
79% 76%
60%
31%
2% 4%
0%
50%
100%
Laptops Smartphone Tablet eReader Smart watches Fitness bands
Penetrationrate
2013 2014 2015
16%
23%
14%
8%
3%
15%
25%
19%
5% 4% 5%
16%
26%
19%
4%
6% 6%
0%
5%
10%
15%
20%
25%
30%
Laptops Smartphone Tablet eReader Smart watches Fitness Band
Penetrationrate
N/A
Q. Which of the following devices, if any, are you likely to buy in the next 12 months?
Q. Which, if any, of the following devices do you own or have ready access to?
11. Bio-sensing wearables
Functionality is expanding and use is becoming increasingly unobtrusive
11
Hearing device to boost
hearing
Heart rate monitor patch
Wrist band that monitors
heart beat, blood
pressure, calories burnt
Insole sensor that
measures weight
bearing, balance and
temperature
Contact lenses that
monitor glucose levels
Smart pills that monitor
medication intaking
behaviours and body
response
12. Tackling the barriers to the uptake of digital health
In 2014 the European commission launched a stakeholder consultation that
identified the following barriers to wider digital health adoption
Source EC consultation on mHealth Green paper 201412
Barriers to
mHealth
adoption
Lack of data protection, privacy, and security standards
Concerns over patient safety, quality and liability and
need for a clear legal and regulatory framework
Limited cost effectiveness evidence
Lack of interoperability and interoperability standards
Inadequate funding or reimbursement models
Cultural resistance from healthcare providers
13. Connected patients: shifting the balance of power
Digital technology empowers people to understand and manage their own health
and the health of others
13
75 per cent of the UK population are going online for health information
• This can be an important enabler of self-management for patients with chronic
disease and provide vital support for a growing number of carers
• It is helping shift healthcare delivery, from a traditional paternalistic approach,
towards shared ownership
Traditional paternalistic model of care Empowered patient sharing ownership
Empowered
Doctor
Empowered
Patient
Empowered
Doctor
Empowered
Patient
Health tech
• Patient completely reliant on HCP to provide
information, diagnosis and referral
• Difficult for patients to navigate within and between
health and social care
• Interventions usually in response to physical
evidence from patient
• Fragmented commissioning limited patient choice
or financial incentives to prescribe mHealth
• Patients informed whenever & wherever using their
interoperable electronic health record
• Co-creation of care packages, proactive prevention
and rapid access to services
• Technology enabled supported discharge/ self
management
• New business models for commissioning TEC at
scale and delivering choice
14. Connected providers: transforming ways of working
GP practices have led the way in the move from paper to digital record-keeping but
they are still slow to adopt technology in their interface with patients
14
GPs were the first to adopt:
However: The full potential for technology to support primary care is widely under-developed
• Digital record keeping
• Email consultations
• Telephone appointments
& triage
• Text messaging
How TEC is benefitting providers
Airedale NHS Foundation Trust:
• 210 care homes
• 113 in discussion
Hospital
• 35% reduction in Hospital
admissions, A&E use fell by
53%, Hospital bed days
decreased by 59%• Telehealth hub accessed by
over 6,000 residents
15. Connected providers: transforming home and
community care
Supporting prevention, early intervention & early discharge from hospital
15
Supporting care at home – COPD
Used by 150 patients
40% savings compared to ‘usual care’ = £100,000
26% decrease in GP appointments
70% decrease in hospital admissions
86% reduction in local out of hours services
Virgin Care – a mobile working solution for nurse
community visits
Patient face-time increased by 29%
nurses were seeing ~ 2 more patients/ day
60% reduction in paperwork time
Home care TEC initiatives can support
people with LTCs
TEC can support community care staff and
improve services to patients
Wireless blood
pressure,
weight & pulse
monitors
Data stored in
patients
‘HomePod’
Data transferred to
physician who
responds
accordingly
Hospital
GP
Patient
Community Nurse
16. How technology and cross industry working are
transforming patient care today and tomorrow
Centre for Health Solutions16
Healthcare and Life science predictions 2020
Disrupting traditional healthcare and life science
industries
How digital technology is transforming patient care today
17. Future developments in digital health
The rise of TEC is enabling new entrants to better understand customer
requirements and enter the provider market as stand-alone providers or partners
17
Solutions that store and
integrate health & fitness data
Examples include:
• Apple HealthKit
• Google Fit
• Microsoft health vault
• PatientsLikeMe
Scope to use this technology to
allow health providers to receive
and transmit data from health
check-ups
Apple’s launch of ResearchKit in
which users decide if they want
to participate in a clinical trial and
how their data is shared
Medical Device/ diagnostic
technology
• Google are partnering with
Novartis, to develop smart
contact lenses, which can
monitor glucose levels and
transmit real time information to
a doctor
• Google are also working on a
nanoparticle pill that could
identify cancers, heart attacks
and other diseases before they
become a problem.
• IBM Watson partnering with
Apple, Johnson & Johnson and
Medtronic among others to
develop a health platform.
Pharma using technology to
aid care delivery
• Pharma among the most
active mHealth app publisher;
but impact is low – 12
companies have published
over 700 apps to educate
/assist or monitor treatment
compliance
• Pharma still clarifying ‘best fit’
within the digital health space
• Opportunities include
online repeat
prescriptions
tele-monitoring
compliance
live dose adjustment
based on real-time
monitoring
early diagnosis – early
prescription