PSFK The Future Of Health Report 2014

PSFK presents
THE FUTURE
OF HEALTH

The Future Of Health 2014 www.psfk.com/future-of-health / #FutureOfHealth
A
Foreword
PIERS FAWKES
Founder & President,
PSFK Labs
labs.psfk.com
Imagine a future where wearable technologies track key areas of
your life to provide timely prompts about your health, and the
data gathered can be uploaded securely to the cloud. Instead of
going into the doctor’s office for a checkup, you would schedule
a video consultation to discuss your recent readings. In instances
when you need further care, your visits would be coordinated
by medical records that flow seamlessly between key members
of hospital staff and your care would be supported by relevant
information that prepares you for what’s next. Your surgeon
would be able to look at your results alongside the wider patient
population or seek advice from specialists around the world to
determine an optimal treatment plan; the effectiveness of which
would determine their compensation.
While the realities of the current model of healthcare tell a different
story, we’re beginning to see exciting signs of change against
daunting challenges. The World Economic Forum estimates that
unless current trends reverse, five common ‘lifestyle’ diseases—
cancer, diabetes, heart disease, lung disease and mental health
problems—will cost the world $47 trillion in treatments and lost
wages. Add that figure to a system that could see a shortage of
90,000 doctors in the US alone by the end of the decade, and the
picture becomes bleak.
Rather than view these as insurmountable obstacles, we choose
to see a landscape full of opportunity. Despite a slow regulatory
process a host of new mobile and social tools, sensor technologies
and devices are being developed for an industry in need of
change. These innovations are poised to improve health lifestyle
choices and change the way care is delivered. We’re excited to
share this patient-centered vision in our latest report.

B
Introduction
As a wide array of health innovations ranging from wearable trackers
to responsive algorithms enter the marketplace, we’re seeing the
emergence of a proactive and empowered patient who is more in control
of their health. These individuals have more information about their
lifestyle choices and conditions, and a desire to share it with the broader
community. Armed with this knowledge, they expect their relationships
with their doctors to be more personal and collaborative, where they
work together to achieve the best outcomes.
At the same time, the healthcare system is adopting better tools
to ensure streamlined communications and a more efficient use of
resources. Information silos are moving to the cloud for universal access
and sophisticated algorithms are making sense of this data to enable an
individualized level of treatment and care. The result is a new paradigm
that thinks about healthcare as an ongoing conversation between people
and their extended network, rather than something that happens when
someone gets sick.
In the following pages, PSFK Labs has summarized 13 trends related to
the Future of Health that fit within four larger themes: Behavioral Nudge,
Empowered Patient, Orchestrated Care and Augmented treatments. These
highlight how consumer technologies, data analytics and information
systems are changing the way healthcare is delivered both from a patient
and physician perspective. To support this vision, PSFK has described six
best-in-class examples to show how these ideas are manifesting within
the marketplace. Additionally, each trend page includes quotes from
experts who talk about the larger significance of these ideas, relevant
stats that convey potential for growth, plus implications that point to
what’s possible next.
We appreciate the opportunity to share what we hope is a compelling
story around the Future of Health and its impact. We look forward to
participating in the larger discussion as these new innovations reshape
the industry.
7 Lessons for Successful Healthcare Services
As people begin to generate a greater volume of personal health data
alongside their existing medical records, questions around ownership and
portability will loom large. People will want control over this information to
ensure that they receive the greatest benefit from shared access whether that
be through lower insurance premiums or personalized care.
DATA
SYNERGY1
As more reliable medical information flows into the healthcare system from
patients, the data is added to aggregated research databases that can be
mined for deeper insights about individuals and communities. Doctors can
use these insides to support better assessments about conditions, treatment
effectiveness and warning signs.
LIVING HEALTH
DATABASE2
Patients will demand the ability to connect with their doctors through a
wider variety of platforms and channels—video, online, mobile and social—to
receive care that is more personal, regular and convenient. This new level
of access will place the relationship between patients and physicians at the
center of the healthcare system.
INSTANT
ACCESS3
As patients broaden their healthcare networks to include wellness experts
and patient communities, they’ll require access to personal medical results
and resources that are accurate, standardized and easily understood to
facilitate discussion and collaboration on treatment plans.
INFORMED
CONVERSATIONS4
Digitally-savvy patients are looking to their doctors and healthcare providers
to be technology and information advisors in the medical space. Whether
curating trusted content or recommending relevant mobile apps and
wearable devices, these new resources will support a more continuous and
responsive model of healthcare.
PRESCRIPTION
FOR TECHNOLOGY5
As sophisticated health monitoring and analysis technologies develop for
the consumer and professional marketplaces, we’ll see a transition to a more
responsive model of care that steps in to provide support at key moments.
These systems will of automate processes like appointment and medication
reminders, and provide prompts when human input is required, such as when
a patient is deviating from their treatment.
RESPONSIVE
CARE SYSTEMS6
CONSUMER-
DRIVEN
MARKETPLACE
As patients take advantage of connected technologies, social tools and
information resources to become more knowledgeable about their health
and that of their families, there will be a subsequent push for healthcare
options that better fit their lifestyle choices. In order to compete in this new
marketplace, providers will rethink their offerings to consider plans that
include performance incentives, transparency and greater flexibility.
7

C
ORCHESTRATED CARE
25
28
31
AUGMENTED TREATMENT
39
42
45
34
REMOTE HOUSE CALLS
Sharp / TalkSession / HealthSpot /
Sherpaa / Grand Rounds /
Goderma
CLOUD-POWERED
MEDICAL RECORDS
ZappRx / Tonic Health /
Mediview / Medlio / Drchrono /
MedChart
PHYSICIAN-TO-PHYSICIAN
NETWORKS
Figure 1 / Doximity /
ECHO Project / CrowdMed /
Next Wave Connect / Careﬂow
DATA-DRIVEN
TREATMENTS
Sage Bionetworks / Frame Health /
Collaborative Assessment and
Recommendation Engine /
CancerLinQ / IBM, Sutter Health &
Geisinger Health Systems /
New York City Mount Sinai
Medical Center
EMBEDDED VITAL MONITORS
University of Illinois & Maste /
University of California-San Diego /
The Ubicorp Lab / Google /
Ecole Polytechnique Fédéral de
Lausanne / Proteus Digital Health
OVERLAY OR
Sony / Fraunhofer Institute & Yokohama
City University Hospital / Pristine /
Dr. Rafael Grossman / RealView Imaging /
Anatomage
PRINTED PROCEDURES
Robohand & MakerBot /
Princeton University /
Cornell University /
Fripp Design & Research /
Handie / BioPen
Table Of Contents
Themes, Trends & Examples
Foreword
Introduction
Table Of Contents
Major Themes
Key Takeaways
About PSFK
About Our Sponsor
Boehringer Intelheim
Experts Discuss
The Future Of Health
About / Team
A
B
C
D
D
E
E
48
50
BEHAVIORAL NUDGE
03
06
09
EMPOWERED PATIENT
14
17
20
HOLISTIC TRACKING
Endotheliometer / Athos /
Airo / Ignite Pad / W/Me band /
MyBreath
INCENTIVIZED WELLNESS
Walgreens / FwdHealth /
The Vitality Group / Movimento /
DietBetter / Evolent
GAME THERAPY
/ MY ASICS / Re-Mission 2 /
Children’s National Medical Center /
mySugr / Stomps / PIP
DIY DIAGNOSIS
uChek / Health eHeart / Kinsa /
Scanadu Scout / Gene-RADAR /
Oxitone
CARE GUIDANCE
Seoul National University Bundang
Hospital / Touchsurgery / Medivizor /
Careport Health / Medeel / Wellframe
SOCIAL SUPPORT
COMMUNITIES
Crohnology / Smart Patients /
Social Rehub / Cody /
IHadCancer /
Center for Behavioral and
Addiction Medicine at UCLA

D
Key Trends in the Future of Health
Holistic Tracking. Wearable
technologies are helping people
track and manage a wide variety
of health data, giving them a
clearer understanding of existing
conditions and preventative
techniques.
Incentivized Wellness. Emotional
and financial rewards are
motivating people to make
healthier lifestyle choices and
improve their behaviors.
Game Therapy. Games keep
patients engaged around
ongoing therapies to ensure
adherence, while adding a layer
of enjoyment to the process.
DIY Diagnosis. Simple to use
technologies offer a ‘good
enough’ level of diagnosis about
symptoms, helping people
determine if they need to seek
further medical care.
Care Guidance. Platforms are
arming patients with relevant
information and reminders at key
points as they interact with the
healthcare system.
Social Support Communities.
Patient communities are forming
around specific conditions to
share advice, experiences and
support, helping one another on
the path to better health.
Remote House Calls.
In-person checkups
are being supplemented
by telemedicine options
that allow patients to
remotely connect with
healthcare providers for
immediate advice
and care.
Cloud-Powered
Medical Records.
Digital platforms
are breaking down
communications
between providers,
streamlining the way
patient data and
records are accessed
and shared.
Physician-to-
Physician Networks.
Niche networks are
connecting doctors
with their peers,
offering a way to share
medical research and
treatment advice.
Data-Driven
Treatments. Patient
data is being analyzed
alongside various
treatment options
to better assess
possible outcomes
and offer individual
recommendations
around care.
Embedded Vital Monitors. Small
and flexible sensors are replacing
bulky patient monitors to collect
and stream biometric data to
physicians and nurses.
OVERLAY OR. Visualization
and information overlay tools
are being developed to assist
physicians during complex
procedures and supplement
current education techniques.
Printed Procedures. Advanced
3D printing and fabrication
techniques are improving
surgery outcomes and making
cost-effective prosthetics more
accessible.
Macro Themes Changing the Health Landscape
BEHAVIORAL NUDGE
New tools and incentive systems are promoting a more proactive model
of health by helping people better track and understand their behaviors
and encouraging them to make healthier lifestyle choices. Wearable and
mobile technologies are leveraging advanced sensors and algorithms to
provide deeper insights and individualized coaching to activate users
around their wellness. When paired with game mechanics offered by
insurance companies, employers and providers, these feedback loops
motivate users to make incremental changes over time. The net effect of
this approach is a healthier population that is less reliant on the resources
provided by the broader healthcare system.
EMPOWERED PATIENT
Armed with a greater degree of knowledge about their lifestyles and
conditions, consumers are taking a more central role in determining when
they interact with the healthcare system and how their care is delivered.
Patients are being empowered with technologies and participation in social
communities that enable them to gather valuable advice or self-diagnose
before visiting a medical professional. As a result, patients are better
prepared to collaborate with their doctors during these consultations on
the best course of action, which can be further supported by guidance
around individual treatment plans to ensure optimal outcomes.
ORCHESTRATED CARE
Healthcare providers are using new technologies, social platforms and data
systems to streamline the way information is disseminated and accessed
to deliver a more personalized and distributed model of care. Secure
networks are offering a new ‘commons’ for doctors to share research
and advice around conditions that fall outside of their expertise, while
analytics tools interpret patient data to further support these decisions.
Similarly, digital platforms have evolved to ease the communication
between doctors, patients and different medical personnel to ensure that
pertinent records, treatment plans and face-to-face guidance is readily
accessible, cutting down inefficiencies and mistakes.
AUGMENTED TREATMENT
Doctors are upgrading their medical toolkits with high tech visualization
instruments, imperceptible monitoring devices and 3D printing techniques
to improve the level of care they can provide to patients. Added biometrics
from embedded sensors are aiding in patient diagnosis and tracking.
Inside the examination and operating rooms, holographic projections
and augmented reality overlays allow physicians and surgeons to offer
less invasive and more effective treatments. At the same, 3D printers are
enabling medical technicians to produce cost-effective prosthetics and
implants that can be tailored to individual patients to ensure greater
comfort and functionality and speed recovery times.

E
This report is kindly sponsored by Boehringer Ingelheim.
Boehringer Ingelheim is a research-driven company dedicated to
developing, manufacturing and marketing pharmaceuticals that
improve health and quality of life. They focus on innovative drugs
and treatments that represent major therapeutic advances.
Boehringer Ingelheim drives progress in the form of medicines,
technologies and solutions that help people. They also evaluate
innovative models of a healthcare provision and opportunities for
cooperative innovation through pilot program, partnerships and
investments in the ﬁeld of integrated healthcare solutions that
deliver greater health beneﬁt for patients. Here they are always
led by people’s medical needs. Boehringer Ingelheim believes
that it is the patients’ partner that makes available innovative
medicines for better health.
www.facebook.com/boehringeringelheim
“As a pharmaceutical
company, innovation is a
crucial skill for us to nurture
and develop. Innovation
means we can continue to
positively contribute to the
health of patients and society
at large. We constantly seek
to embrace innovation, inside
and outside our company, in
order to add value for our
customers.”
— Allan Hillgrove, Board Member.
Boehringer Ingelheim
About Our Sponsor
About PSFK Labs
The researchers behind the Future of Health report applied the
same rigorous process that they use to conduct projects for
Apple, BMW, Google, Intel, Philips, Samsung, Target and UNICEF.
The PSFK Labs’ Research & Strategy team conducted grounded
theory analysis that leveraged thousands of data points and
dozens of experts’ opinions to identify the micro and macro
trends and develop the recommendations found in this report.
SCOTT LACHUT
Director, PSFK Labs
labs.psfk.com

www.psfk.com/future-of-health / #FutureOfHealth
BEHAVIORAL
NUDGE
Holistic
Tracking
Game
Therapy
Incentivized
Wellness

The Future Of Health 2014
New tools and incentive systems are promoting a
more proactive model of health by helping people
better track and understand their behaviors and
encouraging them to make healthier lifestyle choices.
Wearable and mobile technologies are leveraging
advanced sensors and algorithms to provide deeper
insights and individualized coaching to activate
users around their wellness.
When paired with game mechanics offered by
insurance companies, employers and providers, these
feedback loops motivate users to make incremental
changes over time. The net effect of this approach
is a healthier population that is less reliant on the
resources provided by the broader healthcare system.
— Holistic Tracking
— Incentivized Wellness
— Game Therapy
BEHAVIORAL
NUDGE

www.psfk.com/future-of-health / #FutureOfHealthThe Future Of Health 2014
HOLISTIC TRACKING
HOLISTIC TRACKING
46%
of people who tracked their health
say that it has changed their
overall approach to maintaining
their health or the health of
someone for whom they provide
care.
— Pew Internet & American Life Project,
“Tracking for Health,” 2013
“The use of technology, although taking away
some of the human touch from what we do, is
actually going to bring us more personalized
medicine. These systems are going to change the
experience for the patient. The patient is going
to be monitored in a variety of ways, including
wearable devices that track how much they move,
what their temperature is, what their heart rate
is, including devices that are included within
the packaging of their medication, which will
indicate if they’ve taken their medication, or not.
But the important thing is not the information in
itself. The important thing is what we do, once we
have that information.”
Dr. David
Medina Tato,
Senior Manager,
Business Model &
Healthcare Innovation
at Boehringer
Ingelheim
A new class of wearable devices is entering the
marketplace which enables people to capture a wider
range of biometric data that goes beyond fitness
statistics. By visualizing the data captured in their
day-to-day lives, users are better prepared to make
informed decisions about their health outcomes.
3 BEHAVIORAL NUDGE

4
SCALE ANALYSES BEHAVIOR
AND PROVIDES AN OVERALL
HEALTH NUMBER
Ignite wellness in Silicon Valley created a health and
wellness device ecosystem comprised of a mobile
application and a digital scale that compiles a person’s
weight and fitness records into one composite
number that signals their overall health. When
users stand on the IGNITE Pad device, a connected
smartphone registers the person’s weight and inputs
that data into the IGNITE mobile app, providing a
tangible ‘Life Number’ which fluctuates according
to the user’s activities, such as eating, exercise or
smoking. Notifications about weight gain or losing
their position on a socially-ranked leaderboard helps
users stay on track with their goals. By seeing that
every action taken affects their Life Number, IGNITE
users can proactively take steps to improving their
health and overall wellness.
www.lunar.com/work-ignite.shtml
WRISTBAND SCANS BLOOD AND TRACKS
EXACTLY WHAT WEARERS EAT
Airo is a health and wellness wristband that captures a range of data
points around exercise and stress, eating habits and sleep. Developed by
Canadian company AIRO Wellness, the wristband projects LED light into
the bloodstream to detect metabolites associated with carbohydrates,
proteins, and fats. By scanning the nutrients in the bloodstream, Airo is
able to give explicit feedback on how the body processes ‘good’ or ‘bad’
nutrients. In addition, AIRO tracks sleep and exercise by monitoring wrist
movement patterns during sleep mode, and heart rate variability and
motion when in exercise mode. All the data is collected and visualized
on a mobile application, facilitating behavioral change over time using
gentle nudges towards better outcomes.
www.getairo.com
HOLISTIC TRACKING
WORKOUT GEAR MEASURES MUSCLE
EXERTION AND TRACKS DATA
Athletic clothing company Athos has created a full-body
workout suit that is embedded with sensors to track a variety
of fitness metrics during workouts. The brand’s compression
workout apparel is lined with sensors that record heart rate and
breathing information, while central ‘core’ units track muscle
movement through built-in accelerometers. All of the information
is broadcast to a smartphone application where users can see
their total muscle effort, reps, and heart rate among eight other
composite metrics from their workout.
www.liveathos.com
BLOOD CELL MONITORING DEVICE ALLOWS
EARLY DISCOVERY OF CONDITIONS
The Endotheliometer measures key cell layers in blood cells to
gather signals of ‘wear and tear’ and gages a person’s overall
health as they age. Created by researchers at Lancaster University
in the UK, the measurement device is worn on the wrist and
examines cell cycle changes in the endothelium a layer of cells
that coats the inside of the body’s blood vessels and lymphatic
vessels. Due to its proximity to the circulatory and lymphatic
systems, the endothelium offers a proxy to their overall health,
giving insight into how a patient’s body is aging, particularly
with individuals who are predisposed to cardiovascular diseases.
This process offers a new approach in estimating a patient’s
cardiovascular age which can be helpful when used in contrast
with the patient’s overall health, allowing for early discovery of
conditions and the ability to take necessary steps to avoid further
complications.
www.lancaster.ac.uk
BEHAVIORAL NUDGE
HOLISTIC TRACKING

SUPPORTING DATA
IMPLICATIONS
The Future Of
Health Video
vimeo.com/psfk/foh
5
_ What are the next wave of personal metrics that are
going to be essential for maintaing good health?
_ How do we move from historical tracking to
predictive warnings, and what lifestyle behaviors
should be the focus?
_ How do we standardize the data being gathered
and make it shareable with the wider healthcare
system?
_ As this data is shared with insurance companies
and providers, how do we ensure that consumers
maintain ownership and receive greater value?
_ What new services will be needed to connect and
analyze a wider range of data sources, and deliver
deeper meaning?
_ How can we tap into “in the moment” achievements
or long-term goals to support consumers on their
goal to better health?
“People want to have their own medical readings. They
want to keep their own medical records. They want
to talk about it with others. They want to share it.
They want to compare it. They want to have second
opinions.”
— Jared Heyman, Founder, Crowdmed
“Wearable technology has changed the way we think
about healthy living. With more efforts being put into
understanding how our bodies respond to exercise,
we’ll continue to see fitness technology educate all
of us on how to live a more active lifestyle and take
control of our own health. The technology won’t
make us fit on its own, but it can monitor our
efforts and motivate us to make better choices in our
everyday lives.”
— Shannon Miller, President, Shannon Miller Lifestyle
“Once you start to understand your biometrics and
understand that they enrich your daily life in some
way, you’ll start to expect that the experience gets
richer and richer the more data you have.”
— Dr. Leslie Saxon, Founder and Executive Director,
USC Center for Body Computing
60% of Americans and 53% of UK wearable tech survey
respondents said that wearable tech “helps them feel
more in control of their lives.”
— Centre for Creative and Social Technology at
Goldsmiths University of London, ‘The Human Cloud:
Wearable Technology from Novelty to Productivity,’ 2013
Nearly 50% adults in the UK who self-track with
mobile devices say they’ve experienced strong
behavior change.
— Fitbit, ‘Fitbit Healthy Futures Report,’ 2013
HOLISTIC TRACKINGBEHAVIORAL NUDGE
“We see this huge gap that exists between intention and action—what
people think they’re doing, and what they’re actually doing—and
I think that transparency of seeing that starts to help people
understand what are the patterns that they thought they were
doing, and where can they make adjustments to live the life that
they really want to.”
THE FUTURE OF
HEALTH VIDEO
vimeo.com/psfk/foh
Travis Bogard,
VP Product Management &
Strategy at Jawbone
PULSE SENSOR MONITORS STRESS FOR
HOLISTIC HEALTH ANALYSES
California company Phyode launched the wearable W/Me band
that lets users monitor their autonomic nervous system (ANS) for
signs of illness or poor health devices and stress so that they can
regulate their actions accordingly. When a user places their finger
on the small metallic electrode plate on the band, a highly tuned
pulse sensor can monitor the subtle involuntary, visceral actions
of the internal organs, such as heartbeat and digestive processes.
The band uses its ‘Life Spectrum Analyzer’ sensor to collect data
and transmit it to the user’s smartphone. The data is compiled on
the user’s smartphone and provides them three metrics: mental
state, agility score, and ANS age. These scores reflect user’s heart
and breathing rates and creates composite scores that reflect
their emotional state, flexibility and perceived age due to stress.
www.phyode.com
HEADSET MONITORS BREATHING,
TEACHES NEW WAYS TO EXHALE STRESS
BreathResearch is focused on helping people monitor their
breathing as a way to reduce stress, optimize athletic performance,
lose weight and improve sleep. The company has been working in
California on research that analyzes ‘breath acoustics’, otherwise
known as the quality of one’s breathing. Each breathing sample
is compared against six different metrics as well as the overall
quality of the user’s breathing cycle. Combined with a mobile
app called MyBreath, the headset captures a user’s breathing,
analyzes the patterns, generates a breathing score and provides
recommendations on how to improve breathing habits. This
technology capitalizes on recent studies suggesting that breath
analysis can detect stress levels, bacterial infections, and other
conditions, as well as alleviate stress, asthma and other conditions.
www.breathresearch.com
HOLISTIC TRACKING

6
25%
of adults aged 25 to 44 said
motivational prompts through
their smartphone would have a
huge effect on their health choices.
— Fitbit, ‘Fitbit Healthy Futures Report,’
2013
John Pugh,
Global Innovation Leader at
“For people who choose to opt in and share
their privacy, there’s many different ways that
this data transaction could be seen. They open
the gate to that privacy and in return perhaps
they get lower insurance rates. They may get
access to preferential treatment or branded
medications rather than generic medications. As
you track more aspects of your life and these
transactions arise there could be a proliferation
of opportunities and options for you when it
comes to how you become insured.”
A reward-based model of preventative healthcare
is emerging to reward people for leading healthier
lifestyles. By leveraging data that measures a person’s
activity levels and other metrics, these services provide a
general personal health ranking. This baseline is used to
lower insurance premiums or provide other social
or emotional perks, all with the hope of cutting down
on the associated healthcare costs.
INCENTIVIZED
WELLNESS
INCENTIVIZED WELLNESSBEHAVIORAL NUDGE

7
SERVICE PROVIDES PERKS FOR
MAKING HEALTHIER CHOICES
The Vitality Group has a website for employers and
their health insurance providers that uses a series of
questions to recommend tasks to guide employees to
better health, while supplying rewards. The Chicago-
based company crafts health enhancement plans
that members can access online in order to track
their steps taken in a day, activities completed at the
gym, and general daily activity. Each member can set
health goals and work to achieve them using clinically
tested and approved activities. When a member
reaches a set goal, they are rewarded with incentives
such as iTunes gift cards, movie tickets, and hotel
stays. Rewarding healthy behavior defers the pleasure
from unhealthy activities to positive, regenerative
activities.
www.thevitalitygroup.com
DASHBOARD SYNCS WEARABLE
DEVICE DATA FOR COMMUNITY
GAMES
Movimento, a company from Silicon Valley is offering
a mobile game for smartphone users that lets them
view all of their fitness data and compete with friends
as they work towards better health and lower health
costs. Users can connect their Fitbit, Nike+ FuelBand
or Jawbone UP bracelet to the app and view data,
ranging from number of steps taken, miles walked
or their average amount of sleep. Users can then set
challenges for themselves or their peers using the
app to hold each other accountable for achieving
fitness goals. Movimento explores how doctors could
challenge their patients to make life changes that will
ultimately reduce their risk of health issues, in turn
lowering their insurance rates. While the service has
been using the metrics provided by wearable fitness
devices, the company aims to include more metrics
that can be used to incentivize users as they challenge
themselves and friends to become healthier.
www.movimento.co
RETAILER LINKS FITNESS ACTIVITIES TO
REWARDS, ENCOURAGING COMMUNITY
HEALTH
Shoppers at U.S. pharmacy chain Walgreens can participate in
an online and mobile community support platform that rewards
physical activity with points towards Walgreens purchases.
Members log their physical activities taken from fitness devices on
Walgreens’ online Steps with Balance Rewards Program website
and mobile application. In exchange for their physical activity,
customers earn loyalty reward points that can shave dollars and
cents off everyday Walgreens’ products. Since the end of 2013,
there are over 1 million active ‘Steps’ members interacting with
each other online, sharing stories and working towards badges
around each individual’s goals.
www.walgreens.com/steps
DASHBOARD TRACKS EXERCISE REGIME
FOR LOWER INSURANCE COSTS
A cloud-based health data dashboard platform from FwdHealth
in Chattanooga, Tennessee allows workplace managers to review
their employees’ exercise, diet and sleep patterns in the interest of
lowering health costs. FwdHealth users can connect their various
fitness apps to FwdHealth’s mobile application or website, and
then forward their data to their employers, who confer with
healthcare providers on how to provide the best, most affordable
healthcare plan for both parties. Employers can keep track of
progress using a dashboard to view their employees’ progress
and determine who is on track to meet their goals. Using the
data, employers can incentivize others to be healthier, and tailor
healthcare plans that cut out unnecessary costs. Using the data
collected, companies can submit the information to insurance
companies to further demonstrate that their employees are at a
lower health risk.
www.fwdhealth.co
BEHAVIORAL NUDGE

The Future Of
Health Video
vimeo.com/psfk/foh
SUPPORTING DATA
IMPLICATIONS
“As a doctor, I have to do continual medical education.
I have to do 52 hours every year of reading and
studies and tests and quizzes. It’s a requirement.
I think patients should have a similar type of
requirement. Or it should be an opt in and if they do
that, their insurance rates go down. I think healthcare
needs to start educating people about what’s going
on with their diagnosis. What it means. In a more
systematic and thoughtful way.”
— Dr. Jordan Shlain, Founder, Healthloop
“Numerous studies demonstrate that extrinsic
motivators are not nearly as powerful or sustainable
as their intrinsic counterpart, so incentivized wellness
programs that leverage extrinsic motivators to
jumpstart intrinsic motivation tend to be more
successful in terms of long-term behavioral changes
and health outcomes.”
— Shayne Wood, CEO, FwdHealth
“The science of behavioral economics has found that
when people are offered immediate incentives and
penalties to do the healthy thing, they are more likely
to make the right decision, sort of like having a swear
jar for healthy living.”
— Dr. Celine Grounder, Internist and Infectious
Diseases Specialist, Spencer Cox Center for Health
25% of adults aged 25 to 44 said motivational prompts
through their smartphone would have a huge effect
on their health choices.
— Fitbit, “Fitbit Healthy Futures Report,” 2013
“In 2014, we should begin to see compensation systems
based on positive health outcomes, rather than
procedures. All of these changes are predicated on
engaging the consumer and the healthcare system—
sometimes individually and sometimes together.”
— Paul Slavin, Chief Operating Officer, Everyday Health
70% of people in 8 countries around the world would
be willing to share data from [a] smart toilet if it
would mean lower healthcare costs.
— Intel, “What Information Are We Willing To Share To Improve
Healthcare?”, 2013
75% would be comfortable giving up information
gathered by a health monitor they could swallow.
— Intel, “What Information Are We Willing To Share To Improve
Healthcare?”, 2013
_ Where can brands leverage positive health and
wellness outcomes by meeting people with rewards
and incentives?
_ How can we create a marketplace of non-monetary
or emotional benefits that motivates members to
engage in healthier behaviors?
_ Can we create programs that benefit the workplace
improvements as well as employees’ overall health?
_ How do we ensure that people feel supported rather
than hassled by these incentive programs?
_ How can we use personalized incentives to reduce
a patient’s risk of missing treatment and maintain
adherence ?
_ How should insurance and healthcare companies
redistribute the costs saved from healthier lifestyle
choices back to the wider population?
Halle Tecco
Co-Founder & CEO.
Rock Health
“Patients have a lot more interest in being proactive about their own
care. One of the reasons, and one of the big drivers, is that we have
higher out-of-pocket costs. More of the burden is falling on the patient.
So they’re going to make sure that their biggest expense isn’t their
healthcare that year. They’re financially incentivized to stay healthy.”
COMMUNITY HAS MEMBERS PLACE
BETS ON WEIGHT LOSS SUCCESS
DietBetter is a social dieting game that allows individuals to place
bets on their weight loss, earning money if they win. There are
two main weight-loss programs: the Kickstarter, where users
pledge to lose 4% of their total weight in four weeks, and the
Transformer, where users pledge to lose 10% in six months.
Custom programs can be created and led by users themselves
or by celebrity trainers, like Jillian Michaels of NBC’s ‘The Biggest
Loser’. If a person fails, they must forfeit their money, with the
largest pot reaching $315,825 and growing. The NYC startup
hopes to simplify the motivations for people looking to lose
weight by simply providing cash rewards for people’s efforts and
gamifying the process. In 2013, $3 million was paid out to winners,
a total of 500,000 pounds was dropped among all players, and
96% of them lost weight.
www.dietbetter.com
ALGORITHM DIAGNOSES POPULATION TO
DETERMINE AT-RISK PATIENTS
Virginia-based population health management company Evolent
has designed a system that analyzes patients’ information to
determine high risk cases and recommend medical care that
will lower costs and the chance return visits. By partnering up
with hospitals, Evolent uses its Identiﬁ technology to continually
gather relevant patient records, demographic data and external
sources of information, which are compiled into an algorithm that
determines which patients in a population are most at risk. They
can in turn support providers by sharing insights about patients’
behaviors, including data that ranges from vital signs to whether
or not they processed their pharmacy orders.
www.evolenthealth.com
8 BEHAVIORAL NUDGE

9
GAME THERAPY
69%
John Pugh,
“One thing that wearable trackers can do is
change the way that we behave. Combine that
with gamification techniques and we can see
behavior changing towards a more positive
outcome. Applying motivational techniques to
mundane or ordinary processes to make them
more engaging, fulfilling and exciting, is a really
valid and interesting way of creating better
health outcomes.”
In a study examining the effects of
gaming on health outcomes, video
games improved
Gameplay and mechanics are being integrated into long
term treatment and recovery plans as ways to ensure
patient motivation and adherence. These hybrid therapies
are designed to turn repetitive, foreign and often difficult
tasks into fun activities, while helping patients and their
caregivers track progress over time.
— American Journal of Preventative
Medicine, “Role of Video Games in
Improving Health-Related Outcomes,”
2012
59%
50%
46%
42%
42%
37%
of psychological
therapy outcomes,
of physical therapy
outcomes,
of physical activity
outcomes,
of clinician skills
outcomes,
of health education
outcomes,
of pain distraction
outcomes, and
of disease self-
management
outcomes.
GAME THERAPYBEHAVIORAL NUDGE

10
EXERCISE EFFECTIVENESS
MONITORED BY GAME CONSOLES
The Pain Medicine Care Complex of the Children’s
National Medical Center in Washington, D.C. is looking
to streamline care by incorporating interactive games
played on motion sensing game consoles like Xbox
Kinect and Nintendo Wii into patient care. By playing
interactive games that use motion-reading sensors,
doctors are able to track up to 24 points on a patient’s
body. While gathering data on patients’ movements,
providers can review progress and monitor data
trends in real-time. The information gathered from
playing these games can effectively gauge specific
exercises’ effectiveness, allowing therapists to tailor
activities and eventually let patients guide their
own therapy remotely, thus lowering the costs of
care while increasing the benefit. The simple motion
tracking technology can help to expedite the correct
diagnoses of the difficult to identify Chronic Pain
Syndrome, as well as spawn games that are designed
to offer new treatments and can be performed in
patients’ homes.
bit.ly/1bUHfGn
DIABETES TREATED AS A GAME
MONSTER NEEDING TO BE TAMED
mySugr is a mobile app from Austria that helps
individuals living with diabetes manage their
condition by engaging in a game. Similar to the daily
logbook already kept by many diabetes patients,
the game portrays diabetes as a monster that can
be tamed simply by logging their blood sugar data
at regular intervals. When a patient logs their levels,
they receive points, which help tame the diabetes
monster. The goal is to tame the monster every day,
thus instilling habitual positive behaviors for the rest
of the user’s life. The app also has a photo-uploading
capability and search functionality so users can refer
back to previous meals to see how to make better
eating decisions. There is a companion app geared
towards children with diabetes, which allows parents
to follow along and monitor their child’s progress
using their smartphones.
www.mysugr.com
GAME THERAPY
MOBILE MONITOR PERSONALIZES
RUNS BASED ON CURRENT STAMINA
MY ASICS is a mobile application for running that
generates adaptive workouts based on the users’
stamina and offers tailored exercise routines as they
progress towards their running goals. MY ASICS logs
run time, distance, pace and gear, and represents the
data in a dashboard on the go and online, allowing
the user to plan future runs and improve their time.
The runner can either carry their phone with them as
they run, or log the data manually. Based on seven
years of training research at the ASICS Institute of
Sport Science in Kobe, Japan, the app uses a network
of algorithms that track improvements or setbacks in
order to customize workouts for each user’s abilities.
Using the MY ASICS app, 78% of runners were able to
achieve their goals, and 91% of professional runners
were able to improve their times.
www.myasics.us
GAME HELPS PATIENTS BRING THE FIGHT TO
CANCER, SPAWNING IMPROVED OUTCOMES
Re-Mission 2 is the second installation of a web-based game
where cancer patients can take part in fighting virtual cancer
cells, engaging them to form positive associations with the
real world treatments that they undergo. Players diagnosed
with cancer can compete in six free online missions that pit
patients against different types of body-invading cancer cells.
The missions parallel medical treatments that patients typically
undergo in their fight against cancer. The game leverages recent
research showing that the rewards gamers get for killing the
cancer invaders increase positive associations and emotions tied
to chemotherapy and antibiotic treatments all while increasing a
player’s adherence to treatment plans. The original Re-Mission,
first launched in 2006, reached almost 250,000 people, and the
new Re-Mission 2, released in April 2013, has already reached
more than 50,000 people worldwide
www.re-mission2.org
BEHAVIORAL NUDGE
GAME THERAPY

SUPPORTING DATA
IMPLICATIONS
The Future Of
Health Video
vimeo.com/psfk/foh
11
“People play games because they are engaging. We are
now starting to understand how games motivate us,
and how to use this motivation to change healthcare.”
— Roger Alitzer, Professor, University of Utah
“Even relatively short play experiences could motivate
healthy behavior change by making young cancer
patients feel more capable of fighting their cancer.
Based on these insights, HopeLab developed a “recipe”
for positive health behavior change through games:
boost positive emotion, increase self-efficacy, and shift
attitudes about cancer treatments.”
— Richard Tate, VP Communications & Marketing, HopeLab Inc.
_ What mental states are important for patients
to maintain during treatment, how can they be
supported in game play?
_ How can daily chronic care activities be made fun
using game mechanics?
_ Are there unhealthy behaviors that can be offset by
daily game usage, which in turn reinforce positive
actions?
_ How can personal profiles and data help to inform
personalized programs?
_ What entertaining activities can be repackaged for
patients and recovering survivors to alleviate their
discomfort and deliver a dose of enjoyment?
_ Can you incorporate social elements to help further
engage patients in treatment adherence or fitness
activities?
GAME THERAPY
“We see this huge gap that exists between intention and action—
what people think they’re doing, and what they’re actually doing—
and I think that transparency of seeing that starts to help people
understand what are the patterns that they thought they were doing,
and where can they make adjustments to live the life that they really
want to.”
PAINT PROGRAM GIVES DISABLED
CHILDREN A CHANCE TO EXPRESS
THEMSELVES
The Kinect Virtual Art Program at Flinders University
in Australia helps disabled children improve their
ability to express themselves while simultaneously
increasing their mobility. The unique art therapy
program used Microsoft Kinect’s motion sensing
technology to create a responsive video game for
children between the ages of 5 and 10 who cannot
communicate verbally. By moving their limbs in front
of the Kinect Sensor they were able to project simple
color line drawings and express themselves using
movement. Different colors correspond to each limb,
allowing researchers to track and study movement
over the course of subsequent sessions. 80% of the
study’s participants showed increased movement and
increased enjoyment after using the game.
www.flinders.edu.au
www.hollandbloorview.ca
bit.ly/1bUOVIO
HAND-HELD SENSOR DETECTS
STRESS AND TEACHES USERS HOW
TO CONTROL IT
The PIP, is a hand-held device that lets users
compete with one another in games geared toward
reducing stress and increasing relaxation. Irish
company Galvanic Ltd. created the small device that
when gripped between the thumb and foreﬁnger,
measures the sweat triggered by the body in stressful
situations. This data is relayed via Bluetooth to the PIP
mobile application, where users are prompted to play
a short game on their device in order to relax. The
app houses a series of games that challenge users
to master their relaxation by learning to be calm in
stressful situations. One such game, called Relax &
Race, can be played between two players and is won
by whomever relaxes the most. The device hopes to
help users quickly understand when they are stressed
and give them tools to realx.
kck.st/1bMlZ0i
www.galvanic.ie
BEHAVIORAL NUDGE
GAME THERAPY
Dr. Samir Damani
Founder & CEO at MD
Revolution Inc.

www.psfk.com/future-of-health / #FutureOfHealth
EMPOWERED
PATIENT
DIY
DIAGNOSIS
CARE
GUIDANCE
SOCIAL SUPPORT
COMMUNITIES

Armed with a greater degree of knowledge about
their lifestyles and conditions, people are taking a
more central role in determining when they interact
with the healthcare system and how their care
is delivered. Patients are being empowered with
technologies and social communities that enable
them to gather valuable advice or self-diagnose
before visiting a medical professional. As a result,
patients are better prepared to collaborate with their
doctors during these consultations which can be
further supported by guidance around individual
treatment plans to ensure optimal outcomes.
EMPOWERED
PATIENT
— DIY Diagnosis
— Care Guidance
— Social Support Communities

14
DIY DIAGNOSIS
of respondents said they used
[health information] websites or
technology as often as they visit
their doctor and about the same
number said they used it instead
of visiting their doctor.
— Royal Philips Electronics, “Consumer
Attitudes Toward HealthCare
Technology,” 2012
25%“What happens when we don’t need the
doctor anymore? What happens when it
can be self-diagnosis, when a machine
can diagnose us or when a program
can detect things and say, ‘Do you know
what? You’ve got high blood pressure.
You need to take this product here or this
medication here or make this lifestyle
change there.’”
John Pugh
Consumer facing health technologies, are enabling people
to analyze their symptoms or conditions to ascertain
diagnoses. This information, which combines sensor
technologies with mobile applications, can be used to
determine the best treatment options or whether a doctor’s
visit is required.
DIY DIAGNOSISEMPOWERED PATIENT

15
THERMOMETER SYNCS WITH
LOCAL ILLNESS MAP
NYC company Kinsa has developed
an oral thermometer that connects to
the user’s smartphone, capturing their
temperature and mapping out other
recorded symptoms and illnesses nearby.
The device is like a regular thermometer
using the headphone jack of an iPhone
to transmit the temperature data to the
mobile application. The application is able
to compile a personal illness history as
well as see the local ‘health weather’ that
show user what illnesses are in the area
that may be afﬂicting them too. Users are
able to create groups based on close-knit
friends, family and co-workers to keep
track on their health or track the origin of
sickness. When used in scale the device
can give a greater level of certainty of
what illness they may have, and can guide
users to a doctor or self-medicate for less
severe illnesses.
www.kinsahealth.com
MICRO DEVICE OFFERS
ALWAYS-ON HEALTH TRACKING
The Scanadu Scout from Silicon Valley is a handheld device that
can capture vital signs and relay them to a mobile phone for
tracking and monitoring. By holding the Scout device to a temple
with foreﬁnger and thumb, users can scan for body temperature,
oxygen levels and heartbeat, with EKGs, EEGs, and blood-pressure
measurements among other health telltales. Since the round
plastic handheld scanner does not have a screen, it relates data
to its companion mobile app to visualize the measurements. The
creators hope that the device’s small size will increase the tracking
of health in such a way that anyone can use it to notice trends on a
daily basis. Medical professionals and nonprofessionals could also
use the tool to regularly check vitals during illnesses.
www.scanadu.com/scout
DIY DIAGNOSIS
APP SCANS URINE TO DETECT
A MULTITUDE OF DISEASES
uChek is a mobile application that allows anyone
to easily check their urine for signs of a number
of diseases. Created by Mumbai-based Myshkin
Ingawale, the app aims to replace invasive blood tests
and the large, expensive machines are currently used
to scan urine samples, putting the power of diagnosis
in the hands of consumers. For $20, patients can
download the app and receive a pack of chemical
strips that change color when dipped into a urine
sample. After a picture of the strip is taken with a
smartphone, the app quickly analyzes the results
based on the color of the strip, producing accurate and
easy-to-understand results. The process is capable of
detecting 10 different key parameters and levels of
glucose, proteins and nitrites, that can indicate the
presence of 25 different medical conditions. Mobile
urine checking could facilitate medical help in regions
where on-site testing resources are limited, as well as
allow patients to accurately diagnose themselves.
www.uchek.in
CHECK-UP BY SMARTPHONE AIMS TO
ESTABLISH REMOTE DIAGNOSISING
The Health eHeart is a University of California a study
investigating how mobile technology can track and
detect cardiovascular disease more easily. The study
offers participants a range of smartphone enabled
devices that can easily track blood pressure, heart
rate, ECG, sleep patterns, and irregular heartbeats
while leveraging the GPS, camera and other
capabilities on users’ phones. Researchers receive
participant information on their screens, which
allows for more frequent data collection and remote
real-time analysis to quickly generate insights from
doctors and patients themselves. The study hopes to
validate the functionality of using digital phones and
connected commercial devices for remote diagnosis.
www.health-eheartstudy.org
EMPOWERED PATIENT
DIY DIAGNOSIS

SUPPORTING DATA
IMPLICATIONS
The Future Of
Health Video
vimeo.com/psfk/foh
16
_ What are the next wave of simple diagnostics tools
and tests that people will come to expect?
_ What are the best methods for guiding people
through medical diagnosis processes?
_ How do these technologies connect with verified
information sources to help alleviate concern about
conditions?
_ Can you create an all-in-one resource for your
customers around common conditions?
_ How can features from consumer technologies be
adapted to offer a ‘good enough’ level of diagnosis?
_ How can you connect appropriate healthcare
providers with the information patients collect
during their self-diagnosis?
“Hacked by evolution, healthcare it will become a
more efficient version of itself, one where the patient
will be discovered as the most underused resource.
The grand theory of diagnosis will welcome new
players next to doctors: machines, algorithms, patient
advocacy communities and the crowd. For centuries
we have been reading our health, now we will start
writing it; changing it in real time, with mobile input.
This Cambrian Revolution of medical devices and
apps is the straw that will break the camel’s back.
Instead of us watching our health all the time, it will
be watching us.”
— Walter De Brouwer, Founder and CEO, Scanadu
“We are really moving from a doctor-centric
society to a patient-centric society. We are trying
to give people control.”
— Samir Damani, Founder, MD Revolution Inc.
“There is a huge appetite for self-diagnostics. It has
the potential to reduce the cost of care and make
healthcare more effective.”
— Alan Hirzel, London Partner, Bain & Co.
1 in 10 Americans (11%) surveyed believe that if it were
not for web-based health information, ‘they might
already be dead or severely incapacitated.’
— Royal Philips Electronics, “Consumer Attitudes Toward Health
Care Technology,” 2012
“For years now, industry stakeholders have
championed the notion of managing their patient
population. As a patient, you were just along for
the ride when it came to having 24/7 access to your
personal health data. But recently, we have begun
to see a seismic shift from this school of thought.
Patients now demand to be empowered and a part of
the process.”
— Shayne Wood, CEO, FwdHealth
DIY DIAGNOSIS
“The data that’s being produced is data about what we do -- how
we sleep, how we eat, how exercise. We need to invite the scientific
world and the medical world to look at this data and give
meaning to the data that individuals are producing. If somebody’s
been less active, telling them they need to be more active. Not just
saying, “Walk more steps,” but how many more steps, and why.
Furthermore, the data needs to come into a platform that can give
meaning to the person with personalized coaching, based on that
data coming in.”
NANO-CHIP OFFERS DIAGNOSES
IN UNDER AN HOUR
Nanobiosym in Cambridge, MA created a disease
detection gadget called Gene-RADAR that delivers
diagnoses directly to patients in under an hour. To
initiate the test, users can place a sample of their
blood, saliva, or other bodily fluid on a nano-chip
and insert it into the book-sized device. The device’s
customizable sensing technology identifies a variety
of pathogens, and is capable of detecting HIV/
AIDS in under an hour. The device does not require
a connected electricity source or running water to
function, meaning that it could be used by anyone at
home or in developing countries where infrastructure
cannot otherwise support this type of analysis. In
the future, founder Anita Goel hopes that the device
would not only determine disease in a fraction of the
time, but would also be available for many areas in
need.
www.nanobiosym.com
WATCH ALERTS WEARER’S DOCTOR
OF IMMINENT HEART ATTACKS
Tel Aviv company Oxitone created a blood oxygen rate
monitor that tracks oxygen saturation in the blood as
a means of predicting heart attacks. Extreme changes
in oxygen levels may cause organ failure and cardiac
arrest, especially in older and at-risk patients. The
Oxitone monitor can be worn like a wristwatch and
comes with a Bluetooth-enabled mobile application
that analyzes blood oxygen levels and pulse rate,
feeding it back to the patient’s doctor, allowing both
parties to prepare in case of an emergency. Unlike the
finger clamp, which is usually used to monitor blood
oxygen levels, the Oxitone band fits unobtrusively into
the wearer’s life while providing a constant stream of
data. The form and location of the device could help
patients monitor their health more frequently and
notice changes that add stress to their cardiovascular
system.
www.oxitone.com
EMPOWERED PATIENT
DIY DIAGNOSIS
Jared Heyman
Founder. Crowdmed

17
CARE GUIDANCE
“Care delivery will become increasingly
dependent upon the preference of patients
as models evolve to deliver integrated
health information across markets,
devices and network systems. This will
transform point of care experience, and
enable various paths within the patient
journey. Opportunities will grow within
alternative self care and tele care as
compliance and regulation evolve.
Patients will have a choice beyond and in
addition to the face to face experience.”
of seniors say they want to com-
municate with their doctors by
e-mail, but only 15% say they can.
— Accenture, “Silver Surfers are
Catching the eHealth Wave,” 2013
Sanskriti Thakur,
Director, US
Marketing Innovation
& Operations at
58%
Patient-centered services are helping individuals better
navigate through the healthcare system before, during
and after their treatments. These personalized tools are
designed to provide people with the right information
as they need it, explaining available options, preparing them
for upcoming procedures and ensuring adherence
to necessary steps afterwards to ensure a better
end-to-end experience.
CARE GUIDANCE17EMPOWERED PATIENT

18
FREE ONLINE SERVICE DELIVERS
PERSONALIZED MEDICAL INFORMATION
Medivizor is a digital service that provides chronic illness patients
and caregivers with information updates tailored to their specific
need. After patients complete the registration and describe
their condition, the service promises to deliver curated news
about clinical trials, treatment providers, research studies, and
lifestyle tips, that are relevant, understandable, and actionable to
enable patients to create their own treatment plans. The service
currently offers information on 373 medical conditions, covering
88% of cancer incidents, all of diabetes incidents, and 75% of
cardiovascular disease incidents. The New York based company
hopes to cut down some of the legwork for patients and caretakers
who must wade through a daunting sea of resources to find the
right care information. Having an automated service with tailored
updates eases stresses, empowers decision-making, and saves
subscribers massive amounts of time and energy, which can be
used to concentrate on recovery. A few thousand people have
signed up for Medivizor, which has been in public beta since 2013;
of those signed up, 94% of users recommended Medivizor to a
sick family member or friend.
www.medivizor.com
OUTPATIENT SERVICE
MATCHES PATIENTS WITH
AFTERCARE
Careport is a web-based tool that helps
patients find quality post-acute care that
suits their needs as they are released
from hospitalization. As many patients
discharged from hospitals still require
a number of specific rehabilitation and
treatment services, they often have
difficulty finding the right provider
in the short amount of time allowed.
The Careport platform connects with
hospitals so that patients can easily
search for and compare care providers,
relaying information between the hospital
and post-care center to ensure proper
care. The centralized service opens up
communication between the hospitals,
care providers, and patients, simplifying
an otherwise complicated and confusing
process. With the provider fitted to their
care needs, patients will have less chance
of complications and expensive hospital
readmission.
www.careporthealth.com
CARE GUIDANCE
PATIENTS FAMILIARIZE THEMSELVES
WITH SURGERY THROUGH VIRTUAL
PROCEDURES
UK-based company Kinosis created the Touchsurgery
mobile app, which walks patients through their
procedures with interactive 3D visualization, easing
pre-op anxiety. The developers, surgical residents
themselves, initially intended the app as an educa-
tional tool for other surgeons-in-training. The app
is free to download for patients curious about what
they will be facing. Patients choose their procedure,
bringing them to an extremely detailed simulation,
where they are free to use virtual surgical tools to
poke and cut their way through organs with the
app providing feedback. Because most patients
are unfamiliar with surgical procedures, and people
generally experience stress going into unknown and
risky situations, the app aims to calm their fears
through desensitization. The app could make patients
feel more confident, retain a healthier mental state,
and even recover faster.
www.touch-surgery.com
HOSPITAL HANDLES PATIENTS’ VISITS
WITH MOBILE PATIENT GUIDE
The Seoul National University Bundang Hospital is
a “smart hospital” offering a companion mobile app
called ‘Patient Guide’ to visitors upon entry. The app
was created in collaboration with SK Telecom to
provide patients access to a multitude of IT-based
medical services throughout their visit. As the patient
enters the hospital, the app will handle the check-
in process by pulling up patient records, scheduled
appointments, expected waiting time, and costs.
A GPS-based 3D map is also available to guide the
patient to their appointment or next point-of-care. At
the end of their visit, patients can pay their bill with
the app as well. By incorporating familiar consumer
technology with the patient support experience,
the hospital wants to help patients gather more
information on their visits, creating a more pleasant,
empowered experience.
www.snubh.org
EMPOWERED PATIENT
CARE GUIDANCE

IMPLICATIONS
19
SUPPORTING DATA
“You can go into a hospital and now your smartphone
is going to say turn right or turn left or you’re
supposed to go to this appointment. By the time
you sit down with your doctor, he will have all the
information in front of him and he will be able to
make your time more valuable. All of this will have
significant impact on the way that people experience
healthcare.”
— David Medina, Senior Manager, Business Model & HealthCare
Innovation at Boehringer Ingelheim
“The most extraordinary change we are living through
in healthcare is the role of the patient in healthcare.
The patient is empowered with information and
can have tools to access that information anytime,
anywhere, and share it with their physician. They
are overcoming the silos we have in healthcare; the
patient can now be providing critical information
to their providers for the right diagnosis, the right
treatment and doing so with no errors.”
— Dr. Bettina Experton. President & CEO, Humetrix
“The trend in contextualized care has been driven
by patients empowered with greater access to
information through ubiquitous devices and online
patient services. Research studies have shown that
patients want more information from their healthcare
provider and physician.”
— Jean Nehme, CEO & Founder, Touch Surgery
“Information empowers the patient to better
understand their disease, operation and reduce
their anxiety. We believe this is linked to improved
compliance and ultimately better outcomes.”
— Jean Nheme, CEO & Founder, Touch Surgery
“Current healthcare reform is driving demand for
innovative products and services that people can
manage themselves. Consumer electronics companies
are paying close attention to the rise of a young,
dynamic market for connected health and wellness
devices. As a result, these products allow healthcare
providers to engage with their patients more
effectively and help consumers better self-manage their
own care needs.”
— Gary Shapiro, President and CEO, CEA
“Although a personal wearable device is certainly
a trend, it does not necessarily replace good old
fashioned face-to-face meetings. We see it as a way to
augment care.”
— Nick Martin, VP Innovation and Research,
UnitedHealth Group Inc.
_ At what points during a person’s day can you
meet them with relevant questions and advice to
help them better manage ongoing symptoms and
conditions?
_ How can you further personalize this information
to ensure that every individual is receiving the most
relevant information?
_ How can you relay this information in a way that
is both actionable and easy to understand?
_ Are their opportunities to connect patients with
live support to have their questions and concerns
answered?
_ How can these platforms be used to facilitate
feedback between patients and key stakeholders in
their care?
CARE GUIDANCE
ONLINE PLATFORM LETS PATIENTS
COMPARE AND SHOP FOR HOSPITAL
PROCEDURES
Indian company Medeel is providing a digital service
that allows patients in need of surgical procedures
to choose the best package from different hospitals.
After registering on Medeel, patients their request
speciﬁc treatment upload medical documentation. In
a few days, hospitals will respond with their treatment
offers with details and pricing. Once the patient
accepts an offer, they will be directly connected
with the hospital and make an appointment. Medeel
partners with hospitals so they can approach patients
with tailored, priced procedure packages, allowing
patients to get a scope of their realistic options
and make empowered, cost-effective decisions. The
company hopes that by offering a comparison model
of care that not only rewards transparency but also
price competition among hospitals, patients will
beneﬁt from lower prices and receive better quality
care.
www.medeel.com
DOCTORS SEND TO-DOS TO
PATIENTS’ SMARTPHONES FOR
HOME RECOVERY
Wellframe is a mobile app that allows doctors to
remotely track and help chronic illness patients’
recovery at home. Once a patient is discharged from
the hospital, they will continue to engage with their
doctor by checking off daily, personalized to-do
lists sent to their smartphone. The doctor receives
the patient’s information on a digital dashboard,
and can provide feedback accordingly. This way, the
doctor saves time in instructing and monitoring the
patient’s adherence between visits, and the patient
can independently and accurately follow their after-
care regime.
www.wellfra.me
EMPOWERED PATIENT
CARE GUIDANCE

20
SOCIAL SUPPORT
COMMUNITIES
37
“The patient experience will change as we become
more connected, even on a more fundamental
level. In sharing this information people will
have a significant impact on how things are
approached and how we do things. The fact that
we can share information, that we can connect
online and talk about what people think about a
doctor, or what they think about a hospital will
all affect our decisions and thought process.”
of consumers have used social me-
dia to access health-related con-
sumer reviews (e.g. of treatments
or physicians). Nearly 30% have
supported a health cause, 25% have
posted about their health experi-
ence, and 20% have joined a health
forum or community.
— PWC Health Research Institute,
“Social Media ‘Likes’ Healthcare,” 2012
Dr. David
Medina Tato
Senior Manager,
Business Model &
HealthCare Innovation
at Boehringer Ingelheim
42%
Patients are using niche social networks for those with
similar health-related conditions as a way to
share treatment advice and emotional support.
Beyond supporting one another, these communities can
serve as a valuable resource for medical professionals
looking to understand the effectiveness of therapies and
medications on a wider population as many of these
issues only impact a small number of people who are
geographically dispersed.
SOCIAL SUPPORT COMMUNITIESEMPOWERED PATIENT

21
CANCER SUFFERERS FIND OTHERS
LIKE THEM FOR SUPPORT
IHadCancer.com is a peer-to-peer cancer support
community based in NYC aiming to combat the feeling
of isolation that comes with a cancer diagnosis. The
site features a search engine where patients and their
loved ones can browse others’ profiles and filter by
traits such as age, year diagnosed, type of cancer,
and location to find people with similar experiences.
As cancer patients may often feel misunderstood,
sometimes even by other cancer patients and caring
friends and family, they are much more likely to
experience emotional instability, exacerbating the
effects of their cancer. To make the search easier,
users identify themselves with one of three statuses:
Fighter—patient diagnosed with cancer, Survivor—
person who overcame their cancer, or Supporter—
caregiver of someone with cancer.
www.ihadcancer.com
SOCIAL MEDIA PLATFORM
OVERCOMES STIGMATIZATION OF
DISEASES WHILE ENCOURAGING
SHARING AND FUELING DISCUSSIONS
Researchers at the Center for Behavioral and Addiction
Medicine at UCLA conducted studies to examine
whether gay African-American and Latino men would
use social media groups to get more information
about HIV. Study participants were divided into two
Facebook groups, one for general health information,
and another for HIV prevention education. The HIV
prevention group fostered more actionable results
for the members, while the general health group was
a way to share stories and experiences. The study
achieved its goal of encouraging the men to take
action and order an at-home HIV testing kit, with
members in the prevention group having an 11-times
higher likelihood of requesting a testing kit.
www.uclahealth.org
SOCIAL SUPPORT COMMUNITIES
PEOPLE MAKE PACTS IN MOBILE
GAME TO HOLD EACH OTHER ACCOUNTABLE
FOR BAD HABITS
Social Rehub, a Romanian startup, has a mobile gaming application
that incentivizes friends to kick bad habits by making them pay
when they backslide. Users download the app, input their bad
habit, and invite their friends to join them as they collectively
keep their respective habits in check. Each time a person engages
in their bad habit the app charges them money that is placed in
a ‘tip jar’. The money can then be used by the offender’s friends
for a treat or be given to a charity. When they do not partake
in their habit, the tip jar amount remains the same. Friends are
encouraged to take a picture when they catch one another in the
act and share with the group as proof and further disincentive.
www.socialrehub.com
A SOCIAL NETWORK FOR
FITNESS CONNECTS
MEMBERS THROUGH
EXPERIENCES
Cody is a mobile fitness app that takes
an experience-based, social approach
to help users reach their goals. Unlike
most popular fitness apps that focus on
metrics and measured tracking for fitness
fanatics, Cody opens up opportunities
for discovery, community, and enjoyment
for the average person. Users can share
their goals, connect with other users for
encouragement, choose workout plans
with groups, as well as post their workout
status, photos, and locations. Developers
also hope to analyze user activity to
push personalized content down the
road. While there are many fitness apps
that help users gauge their exercise
with numbers, Cody will allow users to
bank on the psychological rewards of a
connected workout lifestyle. Since there
is no pressure to make numbers, users are
free to self-motivate by simply enjoying
the fitness experience.
www.codyapp.com
EMPOWERED PATIENT

IMPLICATIONS
The Future Of
Health Video
vimeo.com/psfk/foh
SUPPORTING DATA
“In the generation of Facebook, Twitter, social media,
and blogs, patients expect to be able to tap into
knowledge from a broader range of sources. Whereas
in years prior, a patient might just view their doctor
as the sole source of information. But now, people
expect to have lots of sources of information, and less
reliance on individual experts. The physician, now,
is more of a partner with the patient, and it’s less
top-down than it was in the past.”
“‘I think that the biggest benefit for the health industry
is that gathering data on large populations, data that
is collected in the same manner but for everybody,
will help find new cures and new solutions—only by
analyzing that data, by crowdsourcing solutions. The
fact that you are not relying on subjective expression
of individual problems, but measuring it in the same
way for a large population is a means for creating
really a collective intelligence which could change lots
of things in the way to solve problems.”
— Rafi Hadajilan, Founder & CEO, Sen.se
“Patient-to-patient relationships can break down a
lot of those formal barriers that exist in healthcare.
They understand each other better, and feel more
comfortable asking more questions. I believe that
online communities create 24/7 healthcare, and
really give the patients the opportunity to become
empowered.”
— Faith Busch, Manager, Global Digital Innovation at
“I think that ‘social support’ only scratches the surface.
I think mobile and peer-to-peer technology can allow
us to fundamentally change what it means to be a
patient. Living with an incurable condition means
you have to become an experimenter—an experimenter
in learning what treatments work for you.”
— Sean Ahrens, Founder, Crohnology
“‘Crowds’ are much wiser than individual experts,
and intellectually diverse crowds tend to be wiser
than intellectually homogeneous ones.”
About one-third of Americans who go online to
research their health currently use social networks to
find fellow patients and discuss their conditions.
— iCrossing, “How America Searches: Health and Wellness,”
2008
_ How can providers connect patients to others with
similar conditions?
_ What existing social matchmaking services could
be used?
_ What questions can peers and social communities
answer to alleviate demand for care from
healthcare providers?
_ How can mobile phones be used to help track both
good and bad behaviors, and to keep patients
accountable for their actions?
_ What tools can be added to these platforms to
ensure confidentiality and security around shared
data?
_ How can these platforms further act as a resource
for the healthcare community?
_ How can insurance companies connect with
communities to offer incentives that reduce the
overall number of doctor visits?
“I think innovation will certainly come from the people themselves.
Give them medical devices and give them access to medical
literature and their own body. They will probably rewrite the map
of the territory that is medicine. We’ll have an all different sort of
medicine, where you can ask your neighbor and your friend about
what you should do, and who’s the best doctor, and what did you
do when you did this. My trust is in the wisdom of the crowd to
make an alternative form of what we now have as medicine in
healthcare.”
PATIENTS CONNECT AROUND CHRONIC
DISEASE TO SHARE EFFECTIVE TREATMENTS
Crohnology.com is a social network started by Healthy Labs in
San Francisco that helps individuals living with Crohn’s disease, a
chronic inflammation of the bowels, better manage their own care
while sharing best practices. Anyone managing Crohn’s, colitis, or
other types of inflammatory bowel conditions can join the site to
track their day-to-day conditions and recount solutions that have
worked for them. Users enter their medical histories on the site
and track them hour by hour via text. Patient data is compiled
and then visualized as a graph that can be easily understood.
In addition to being a supportive community, Crohnology could
help Crohn’s and colitis patients lower their medical costs by
empowering them with the knowledge of what treatment is best
for them. Patients can also earn ‘karma points’ for answering
surveys and initiating polls on the website that provide valuable
feedback for healthcare providers and medical companies.
www.crohnology.com
ONLINE COMMUNITY AMPLIFIES
PATIENT-TO-PATIENT CONNECTIONS
Smart Patients Inc. out of Silicon Valley has created an online
community and information database for cancer patients and
their caregivers. By signing up for free on the website and joining
the community, patients can use the search engine to find the
latest clinical trials, treatment plans, or existing research on their
condition, regardless of the cancer they have been diagnosed
with. The site hopes to empower its users about their condition
and a support network to help them face the challenges of
treatment as they try to find a path to being a cancer survivor.
www.smartpatients.com
22 EMPOWERED PATIENT
Walter DeBrowouer
CEO, Scanadu

ORCHESTRATED
CARE
REMOTE
HOUSE CALLS
DATA-DRIVEN
TREATMENTS
PHYSCIAN-
TO-PHYSCIAN
NETWORK
CLOUD-POWERED
MEDICAL RECORDS

Healthcare providers are using new technologies,
social platforms and data systems to streamline the
way information is disseminated and accessed to
deliver a more personalized and distributed model of
care.
Secure networks are offering a new ‘commons’
for doctors to share research and advice around
conditions that fall outside of their expertise, while
analytics tools interpret patient data to further
support these decisions.
Similarly, digital platforms have evolved to ease
the communication between doctors, patients and
different medical personnel to ensure that records,
treatment plans and face-to-face guidance is readily
accessible, cutting down inefficiencies and mistakes.
ORCHESTRATED
CARE
— Remote House Calls
— Cloud-Powered Medical Records
— Physician-to-Physician Networks
— Data-Driven Treatments

25
REMOTE HOUSE CALLS
160 million
“With the emergence of a virtual relationship with
a physician, it means that we’re going to be able
to have a relationship with a physician which is
more regular, it’s more consistent, but it’s much
more resource friendly. From the patient’s point
of view it’s going to be more convenient. It’s going
to be much more timely. From the healthcare
system it’s going to be cheaper. It’s going to be
more accurate as we have more decision making
resources behind it. It should eventually lead to
better outcomes, better health.”
patients in the U.S. will be moni-
tored and treated remotely for at
least one chronic condition by 2020.
— Kelly Outsourcing & Consulting Group,
“Medical Devices Begin to Drift Into
Cloud,” 2011
John Pugh
Global Innovation
Leader at
Remote communications platforms are offering more
ways for patients to get in touch with physicians and other
healthcare experts for medical advice and checkups. When
paired with video and other connected technologies, these
appointments can offer a ‘good enough’ level of care, which
can lead to in-person visits if required.
REMOTE HOUSE CALLSORCHESTRATED CARE

26
PRIVATE PODS OFFER ON-DEMAND
CARE
Ohio healthcare innovation company HealthSpot
has created kiosks that are private, walk-in pods
that offer a range of primary care options without
an appointment. All a patient must do is input their
personal information into a digital clipboard, answer
preliminary questions, and then they can speak to
a doctor over video chat. The kiosks have high-
definition video and audio technology to increase
diagnostic abilities. The doctor can provide advice
and even write prescriptions, which can be sent to
a pharmacy of the patient’s choice. The closed-roof
kiosks are enabled with diagnostic tools, from tongue
depressors to odometers, and have the capacity to
stream information to doctors immediately for no
cost and a minimum wait time.
www.healthspot.net
DOCTORS CONNECT TO
EMPLOYEES WITH APPOINTMENTS
ARRANGED ANYWHERE
Employees can now locate and consult with a doctor
about their symptoms or healthcare plans anytime
—on a platform hosted by NYC-based company
Sherpaa. Employers contract Sherpaa’s service to
allow their employees to communicate with doctors
24/7, either via text or email. Employees can also
upload images of their conditions or briefly describe
their problems on Sherpaa.com, and a doctor will
respond with advice and/or a prescription. Doctors
can even meet individuals wherever most convenient,
be it their home, office, or even their local coffee
shop. Sherpaa also offers employers on-the-spot
advice and consultation when an employee gets sick
or injured on the job that can reduce costs and ensure
quicker treatment.
www.sherpaa.com
REMOTE HOUSE CALLS
CHAIR MONITORS HEALTH
AND SENDS VITAL
STATISTICS TO DOCTORS
Electronics manufacturer Sharp has
created a healthcare support chair
that allows for remote counseling
from healthcare providers. Using
compact health measurement devices,
the chair can record weight, blood
pressure, temperature and other health
measurements for users. The chair
is surrounded by three video screen
displays that show health statistics or
can be connected to remote healthcare
professionals for video consultation
sessions. Although the chair is designed
for people who aren’t necessarily ill, but are
interested in maintaining their health, the
chair can securely store health statistics
in the cloud to note health changes over
time. Sharp believes that the chairs could
be placed at frequently visited sites for
people to quickly check their health and
get advice on staying healthy, rather than
only visiting a doctor’s office when they
are in need of help.
www.sharp.co.jp
MENTAL HEALTH PROFESSIONALS MEET
REMOTE PATIENTS
TalkSession is a NYC-based company that connects people online
who are struggling with psychiatric issues to professionals who
can help, no matter where the patient is located. Individuals who
cannot easily find help due to their location or condition can sign
up on TalkSession and start looking for an appropriate medical
professional according to location, insurance, and availability.
Similar to a regular doctor’s office, patients fill a simple form and
answer questions, and are quickly matched to treatment in their
area, saving them from having to spend time searching or traveling
long distances. Additionally, patients can access professionals
online while remaining anonymous, should they want on-demand
access or to maintain their privacy. By October 2013, over 1000
professionals have applied to the TalkSession network, and over
5000 users have ‘reserved’ a therapist.
www.talksession.com
ORCHESTRATED CARE
REMOTE HOUSE CALLS

IMPLICATIONS
The Future Of
Health Video
vimeo.com/psfk/foh
27
SUPPORTING DATA
“I think in the future, there may come a point where
you can actually have a video appointment with a
patient, rather than them driving an hour, coming
into your office, sitting for an hour, and then seeing
you for five minutes. If it’s something that’s relatively
simple, combined with other technologies, you could
have a mobile monitor to get vitals, heart rates and
other data points that you need, and just have a
video call with your patient. Seeing what’s going on,
adjusting their medications, looking at their insulin
pump and making changes that you really don’t need
to have them physically in the office for in order to
make.”
— Dr. Tracy-Ann Moo, MD, Weill Cornell Medical College
“We believe [telemedicine] is the future of healthcare.
There’s a hunger for technology on the part of
patients. They want to have care givers at their
fingertips.”
— Corky Davis, COO, HealthNetConnect
In 2020, at least 160 million patients in the U.S. will
be monitored and treated remotely for at least one
chronic condition.
— Kelly Outsourcing & Consulting Group, “Medical Devices Begin
to Drift Into Cloud,” 2011
“2014 will be a year when doctors and patients begin to
embrace the efficiencies and viability of telemedicine
for the management of both acute and chronic illness.”
— Dr. Travis Stork, Chairman of the Medical Advisory
Board, MDLIVE
“Remote house calls create the opportunity to provide
patients with care at the time and place they need
it most, and further mitigates the risk of lack of
adherence, not seeking help at all, recall bias and
worsening of conditions.”
— Melissa Thompson, CEO & Founder, TalkSession
One in five Americans will suffer from a mental
health challenge or neurological disorder at some
point in their lives, but two-thirds of those people
will never seek treatment.
— Substance Abuse and Mental Health Services Administration,
“Results from the 2010 National Survey on Drug Use and
Health: Mental Health Findings,” 2010
_ How can medical professionals use existing
communication channels to help provide care to
underserved areas?
_ Can consumer technologies be used to connect
general practice technicians with both patients and
specialists to enable a more distributed model of
care?
_ How do emerging diagnostics and monitoring
technologies fit within this remote system of
healthcare?
_ What impact does this have on environments like
pharmacies and other where patients can go to
receive care?
_ How can healthcare companies organize a range of
on-demand providers to enable them to deliver an
accurate and timely level of remote care?
_ What impact do these virtual check-ins in have on
current healthcare plans in terms of pricing and
access?
REMOTE HOUSE CALLS
“Right now, the traditional model is: you see a doctor
three times a year, and communication with your doctor
is confined to those little exam room visits. It’s nonsense.
Healthcare is a conversation. It’s not just an exam room.
If we can say all right, the conversation can happen on
your own terms and on your own time throughout the
year, then that totally, fundamentally changes everything.”Dr. Jay Parkinson,
Co-Founder & CEO.
Sherpaa
HEALTHCARE WEBSITE CLOSES THE GAP
BETWEEN PATIENTS AND SPECIALISTS
San Francisco-based Grand Rounds Inc. is offering a fee-for-
service healthcare platform that connects people suffering
from difficult diseases to medical specialists, regardless of their
location or time zone. Companies can contract the service for their
employees, or individuals can sign up online for either a remote
consultation or an in-person visit, then a physician will respond
with advice based on the latest scientific research. Once signed
up, both individuals and employees will receive expert opinions
and guidance on over 5,000 conditions, including but not limited
to different types of cancers. By seeking help from experts in the
early stages of an issue, individuals are immediately directed to
specialized care, avoiding potentially expensive middlemen.
www.grandroundshealth.com
SITE LETS PATIENTS ANONYMOUSLY
CONNECT WITH A DERMATOLOGIST
German company Goderma lets people consult doctors on skin
conditions quickly and anonymously without ever having to wait
for an appointment. For $39, users answer a series of questions
and upload images of their skin problem to the Goderma website,
then within 48 hours, a certified dermatologist responds with a
diagnosis and advice on next steps. Armed with this information,
patients can make an appointment with their dermatologist or
decide to wait, if they feel reassured. The process can help people
avoid any possible embarrassment they might feel when visiting
the doctor along with long wait times for appointments. In the
dermatology field, up to 90% of skin problems can be successfully
diagnosed via photo analysis by a trained dermatologist. In
Germany, the average waiting time for an appointment at the
dermatologist is 30 days, while patients in rural areas can expect
waiting times of over 3 months.
www.goderma.de
ORCHESTRATED CARE
REMOTE HOUSE CALLS

28
CLOUD-POWERED
MEDICAL RECORDS
“The transparency of information to patient is
of greatest importance. With mobile and digital
health technology, patients’ power to learn
about their disease evolve perceptions and make
choices increases. It’s an opportunity for this new
healthcare environment to leverage.”
of consumers say that they should
have at least some access to their
health records. 61% currently have
no access to their records at all.
— Accenture, “The Virtual Waiting
Room,” 2013
Sanskriti Thakur
Director, US
Marketing Innovation
& Operations at
95%
Hospitals are adopting networked information systems
to streamline the way they manage and distribute patient
files, diagnoses and other medical records. These digital
platforms are designed to cut down on mistakes and
redundancies, while ensuring that important information can
quickly get into the hands of physicians and key members
of staff during emergency situations.
CLOUD-POWERED MEDICAL RECORDSORCHESTRATED CARE

29
DIGITAL PLATFORM CONNECTS FIRST
RESPONDERS AND HOSPITALS
Mediview is a tablet app and system from Beyond
Lucid Technologies in California that aids first
responders on the scene as they communicate
with doctors in hospitals. The application contains
hospital records for frequently occurring transports
and is able to incorporate updates with a patient’s
condition before they arrive at the hospital. Doctors
can track incoming patients’ locations, give guidance
to first responders with complex issues, and begin
readying triage units for the patient’s arrival. The
platform can function without an Internet connection,
making Mediview ideal for rural locations where the
closest medical help is often far away. The connected
stream of information aids in the integration of first
responders with hospital staff, while offering patient
centered care that is contiguous from on-scene to
surgery. Mediview can also be used in large-scale
disasters such as severe weather emergencies and
mass casualty events.
www.beyondlucid.com
DIGITAL INSURANCE CARD
CENTRALIZES CARE RECORDS
FOR PROVIDERS AND PATIENTS
US-based digital healthcare company Medlio has
created a mobile app and cloud-based insurance
care management system that allows patients to
oversee all of their care and easily share medical
records with healthcare providers. After downloading
the application patients can upload their insurance
information and be able to review the benefits that
they are eligible for, find a provider, explore the costs
per treatment before a visit and check in to a specific
providers office. Using the application as a central
source of information, patients can receive and send
medical records to their chosen healthcare providers
with the touch of a button. When a patient’s care
history or general information changes, updates are
pushed out to all of their care providers. Additionally,
patients can easily pay with HSA credit cards for
treatment received using their phone.
www.medl.io
CLOUD-POWERED MEDICAL RECORDS
PRESCRIPTION SERVICE PRE-PROCESSES
APPLICATIONS AT THE PHARMACIST
ZappRx is an e-prescription and mobile healthcare application
company working to streamline the prescription filling process
with a digital system that connects doctors, pharmacies and
patients. A doctor can introduce patients to the system, which
enables them to track their medications while storing all of their
relevant payment and insurance information on their phone. Once
patients are enrolled, affiliated ZappRx pharmacies can pre-
process patients’ information and orders so that when patients
pick-up new medications, they can simply show their app to the
pharmacist. The app also lets patients set reminders and track
when they take their medication. Similarly, doctors are informed
of medication pick-ups so that they are able to support patients
in their adherence to treatment plans.
www.zapprx.com
TABLET QUESTIONNAIRE IMPROVES
COLLECTION, REDUCES DATA ERROR
A startup from Menlo Park, CA called Tonic Health has developed
a medical data collection platform that enables healthcare
providers to make their own custom questionnaires, screeners,
surveys and intake forms, easily deploying them on iPads. Patients
can pick up an iPad to fill out any form needed. Once a form is
completed, all of their digital information is sent securely to an
existing Electronic Health Record (EHR) database. Switching from
paper forms to an iPad interface can reduce question duplication,
ensure higher response rates, collect more accurate data, reduce
data input errors and create a more enjoyable intake process for
patients all around. The platform is currently being implemented
across University of California’s medical centers. Tonic found
that 96% of patients prefer using tablet questionnaires over
pen-and-paper, resulting in a 100% higher completion rate of
forms and questionnaires, especially for follow up surveys that
are completed after a visit. The system also decreases data error
by 50%, making health decisions significantly more accurate and
improving patient care across the enterprise.
www.tonicforhealth.com
ORCHESTRATED CARE

SUPPORTING DATA
IMPLICATIONS
The Future Of
Health Video
vimeo.com/psfk/foh
30
“If you think about wearables and remote monitoring
devices that now measure how much medication we
take while we’re at home or how a patient is behaving,
that information will eventually feed into physicians
or into the healthcare system. Instead of a physician
getting a snapshot of you from the five minutes you’re
in their office, they can actually print out a report or
see on their screen how you have been behaving for
the last three months, for the last six months, since
the last time they saw you. All of these technologies
will actually be providing the system with a lot more
information.”
— Dr. David Medina Tato, Senior Manager, Business Model &
HealthCare Innovation at Boehringer Ingelheim
“We’re moving along the lines of giving patients
more control and having devices develop that give
them that control. Eventually, we’ll move to a
system that allows patients to enter data into their
electronic medical record, whether it’s directly from
a device that’s attached to them or it’s basically them
providing their input. In the future, we’ll actually be
importing data more directly from the patient into
the system than through the provider.”
— Dr. Tracy-Ann Moo, Weill Cornell Medical College
“The cloud can make a huge difference because it
unshackles providers from the tyranny of a closed
system and allows them to find best-in-class solutions
to finally make coordinated patient care a reality.”
— Sterling Lanier, CEO, Tonic for Health
Just over half of consumers with providers who do
not provide access to medical records say they would
consider switching to one who does.
— Accenture, “The Virtual Waiting Room,” 2013
50% U.S. population that had medical information
recorded in electronic health records in some form
in 2010
— National Center for Health Statistics, “Division of HealthCare
Statistics Electronic Medical Record/Electronic Health
Record Systems of Office-based Physicians: United States,
2009 and Preliminary 2010 State Estimates,” 2010
_ Are there frequently occurring processes
during a visit or procedure that can be
streamlined through the use of digital
technology?
_ What passive information systems can be
used to collect patient information in order to
reduce intake times and provide verified data
about patients?
_ What protocols need to be in place to ensure
that patient information is private and
secure?
_ What platforms can hospitals and insurance
companies create to better connect disparate
teams and help them communicate more
efficiently?
_ With clear communication channels, how can
teams be organized to better provide patient
care?
_ How can contextual information be used
to guide patients throughout their care
experiences?
“As a doctor who diagnoses and sends someone out of my
office, I’m more intersested in what’s happening. Most
doctors know what that journey should look like, but we
don’t know what happens until either the wheels come
off and they wind up in the ditch, or they do fine and
we never hear from them. There’s so much friction and
so much ridiculousness in communication technology
in healthcare.”
Dr. Jordan Shlain,
Founder, Healthloop
DOCTORS CAN SHARE INFORMATION
WITH ONE-TOUCH SYSTEM
Drchrono is an electronic health record app that employs Apple
software features to easily and safely share medical documents
between doctors and patients. Using Drchrono, doctors can share
medical records or educational materials with each other or share
materials with patients ahead of an appointment. Apple users
can share files with fellow users over Wi-Fi or Bluetooth. Doctors
can quickly share test results, such as an X-ray or an EKG, with
the tap of a button while respecting HIPAA (Health Insurance
Portability and Accountability Act) regulations on patient privacy.
Patients are not required to download the Drchrono app to view
the information. Removing barriers around the free flow of
information allows patients to be more aware of their health and
easily get second opinions without additional steps.
www.drchrono.com
DIGITAL RECORDS SAFEGUARD PATIENT
PRIVACY WHILE LETTING DOCTORS BRAINSTORM
PATIENT SOLUTIONS
The mobile application medical chart can securely capture the range of
documents and information that doctors use on a daily basis. Any information
a doctor collects from a patient goes directly to Apricot Forest’s MedChart
service, which is stored in the cloud. Chinese mobile health technology
company Apricot Forest aids doctors in sharing information with colleagues
after verifying their medical status and agreeing to keep the information
confidential. After capturing patient information the application allows
doctors to easily block or redact patient information, enabling doctors to
still be respectful when sharing cases and getting advice from peers and
specialists. MedChart hopes to become a daily tool that replaces physical
notebooks, X-ray image print outs and expensive cameras by using the
iPhone’s built-in capabilities.
www.xingshulin.com
ORCHESTRATED CARE

31
PHYSICIAN-TO-PHYSICIAN
NETWORKS
“We’re on a really exciting part of the
curve when it comes to innovation and
healthcare and the convergence of the
two. The big kind of change that we’ve
experienced recently, is the explosion of
social. That’s had massive implications
upon healthcare and how people connect,
not just in the wider context but as doctors
connect with each other, as patients
connect to each other, and as patients
connect to doctors.”
John Pugh,
Global Innovation
Leader, Boehringer
Ingelheim
Physicians and researchers are tapping into the expertise
of their peers through niche networks that enable them
to seek and share advice. These secure platforms allow
medical professionals to solve difficult cases and review
effective treatments, adding to the collective knowledge in
the healthcare industry, while improving the level of care
they can offer to patients.
74%
— Kantar Media, “Sources and
Interactions Study - Medical/Surgical
Edition,” 2013
38%
of the physicians
surveyed use a smart-
phone for professional
purposes, a 9% increase
year on year.
use both a smartphone
and a tablet for profes-
sional purposes.
PHYSCIAN-TO-PHYSCIAN NETWORKSORCHESTRATED CARE

32
PEER REVIEWS AND WORKSHOPS
SUPPORT REMOTE RURAL CLINICS
WITH SPECIALIST CARE AND
KNOWLEDGE
Dr. Sanjeev Arora has lead the ECHO Project at the
University of New Mexico to create a decentralized
practice model that guides rural clinicians in
providing care to underserved patients with chronic
issues. Leveraging his specialist knowledge in treating
Hepatitis C, he spends two hours per day with a team
of fellow specialists to co-manage patient cases
that remote doctors, nurse practitioners and other
healthcare providers are treating across the state.
Each session consists of a teleconference with 8-10
local healthcare providers that split the time sharing
cases they are working on with specialists and their
peers, as well as receiving educational workshops
from the specialists. These trusted local clinicians
are able to relay lengthy and otherwise difﬁcult
to access treatments to patients, often improving
outcomes due to the lowered stress derived from the
convenience. Starting in 2003 providers have gained
a no-cost education, and have received over 57,000
credit hours of education as of September 2013.
echo.unm.edu
KNOWLEDGE AGGREGATOR
REWARDS MEDICAL WISDOM
WITH PRIZES
CrowdMed from San Francisco is a website where
doctors can attempt to solve real-life medical
mysteries and win money for their efforts. A doctor,
or Medical Detectives as CrowdMed calls them, can
locate a case that matches their expertise, review
the patient’s medical history and compare other
diagnoses before submitting their own diagnosis
and treatment plan. After a case has been live on
CrowdMed for a certain amount of time, the results
are sent to the patient to be reviewed with their own
doctor. The doctor who wagered on the best solution
will be rewarded for their opinion with money, which
they can either keep for themselves or donated
to charity. This program creates opportunities
for doctors to compare possible treatment plans
recommended by their peers and receive added
exposure to unique cases, all while providing patients
with a range of second opinions that would take
much longer to accrue. Since launching publicly in
April 2013, CrowdMed has solved over 120 real-world
medical cases and registered over 5,000 volunteer
Medical Detectives.
www.crowdmed.com
PHYSCIAN-TO-PHYSCIAN NETWORKS
DOCTORS TAG AND COMPARE IMAGES OF
MEDICAL CONDITIONS
Canadian-based Figure 1 is a photo-sharing platform that enables
medical professionals to continue learning about medical
conditions using reference images from their peers and other
healthcare professionals. Developed by the healthcare-focused
mobile development company Movable Science, users can add
pointers and annotations that direct peers to speciﬁc areas
of focus. Photos can be tagged with relevant terms that allow
others to search for conditions or symptoms. Peers can comment
on images, fostering discussion among members. Images can
also be starred, enabling users to save useful images for later
reference. In order to protect patients’ identities, the app uses
facial recognition to block out faces, and users can edit images
to further remove identifying marks and protect their patients’
identity. The platform provides a tool that helps doctors and
students share their knowledge and learn from others in an
engaging way.
www.figure1.com
SOCIAL NETWORK FOR
DOCTORS IMPROVES
CROSS-SPECIALTY
COLLABORATION
Doximity is a specialized social network
for healthcare professionals, which allows
doctors to tap into an online web of
physicians to securely discuss patients’
treatment options. By engaging with
the platform, primary care providers and
healthcare teams have been able to easily
get on the same page regarding patients
that they are seeing and more effectively
collaborate by sharing notes, records and
other information. Similarly, healthcare
professionals can research common
symptoms or look for specialists and
experts that may have more experience
with certain cases. The California-based
service has become a new source of
information and platform for over 100,000
specialists to exchange information,
producing over 1,000 referrals and expert
searches per day.
www.doximity.com
ORCHESTRATED CARE
PHYSICIAN-TO-PHYSICIAN NETWORKS

SUPPORTING DATA
IMPLICATIONS
33
Pagers and other outdated communications systems
cost hospitals $8.3 billion annually in lost productivity
and increased patient discharge times.
— Ponemon Institute, “The Economic and Productivity Impact of
IT Security on Healthcare,” 2013
Deficiencies in communications lengthen patient
discharge time, which currently averages about 101
minutes. 65% of survey respondents believe that secure
text messaging can cut discharge time by 50 minutes,
which could generate more than $3.1 billion in revenue
per year across the healthcare industry.
— Ponemon Institute, “The Economic and Productivity
Impact of IT Security on Healthcare,” 2013
Clinicians estimate that 45% of their time—or about
27 minutes for every hour—is spent with patients
while the remaining 55% is spent communicating and
collaborating with other clinicians, or using electronic
medical records and other clinical IT systems.
— Ponemon Institute, “The Economic and Productivity
Impact of IT Security on Healthcare,” 2013
“Strict information security and regulatory compliance
hampers the adoption of modern technology by IT
departments to the extent that clinicians have started
using non-compliant workarounds.”
— Dr. Jon Shaw, CEO, Careflow
_ How can these networks be leveraged to
share research and diagnoses with a wider
community of medical professionals?
_ How can this research sync with data systems
for aggregation and analysis?
_ What regulations and procedures can you
implement to best help protect patients’ rights
under HIPAA?
_ How can you connect providers with trusted
peers to access real-time resources and advice
around patient care?
_ How can you help connect highly specialized
healthcare providers to spread their
knowledge and share best practices with
professionals outside of their expertise?
_ What additional training can you offer
through these platforms to expand medical
knowledge?
PHYSCIAN-TO-PHYSCIAN NETWORKS
SOCIAL SITE AIMS TO CONNECT HEALTHCARE
WORKER COMMUNITIES
US-based Next Wave Connect is a social network for healthcare
providers to discuss industry wide changes. The platform is
designed for enterprise use in hospitals, allowing employees
to participate in conversations focused by topics that overlap
with peers outside of their own organization. Topics range from
regulatory and legislative changes to educational and specialist
focused information. Each topic and the connected community
following the topic has access to Community Advisors and
Advisory Council Experts, that interpret and focus the information
for healthcare providers that are faced with staying up to date
with an overwhelming amount of information. The platform aims
to be a utility and base of discussion for healthcare professionals
looking to stay on top of their industry.
www.nextwaveconnect.com
NETWORK LETS MEDICAL PROFESSIONALS
CONNECT AND COLLABORATE
UK-based Careflow is a social networking website and
accompanying app with secure Facebook-like and text message
functionalities, respectively, that are geared towards the needs
of medical professionals. The online utility allows doctors to find
colleagues, connect with them, collaborate on cases, and share
medical information in a secure online environment. Doctors can
use the accompanying mobile app to contact each other on the
Careflow platform while they are on the go or in between patient
visits. The application allows professionals to see when colleagues
have read messages and ensuring receipt of information. The
company hopes to provide a secure communication platform
that can update hospitals and healthcare companies that rely in
pagers for verified communications while leaving the remainder
of communication to new insecure and unregulated technologies.
www.careflowapp.com
ORCHESTRATED CARE
PHYSICIAN-TO-PHYSICIAN NETWORKS

34
DATA-DRIVEN
TREATMENT PLANS
“If we now can look in a systematic way into
this data and not only from one hospital but
from several hospitals in several countries, we
can detect special patterns that we would never
have seen elsewhere or that we never could see
before launch. That’s really interesting. The
more we know about the genes, about specific
comorbidities, different treatment patterns they
have, we can really personalize the treatment
more and more. It’s not that you have one patient
and one drug, but you have several or you have a
smaller patient population for a specific drug.”
Dr. Michael Busse
Head of Global
Medicine Coordination,
Hospitals and physicians are leveraging treatment results
from sophisticated data systems to help determine the most
effective diagnosis and treatments for their patients. These
platforms are able to consider a wider range of criteria
from aggregated success rates to individual medical history,
helping augment doctors’ decision-making as they optimize
the overall cost of healthcare and eventually predict
diseases before they strike.
Mount Sinai Hospital has reduced
its 30-day readmissions rate by
— Elissa Levin, Head of Genomics and
Integrative Health Innovations, Mount
Sinai Hospital
56%
by detecting those most at risk
and taking special measures and
precautions.
DATA-DRIVEN TREATMENT PLANSORCHESTRATED CARE

35
TREATMENT OUTCOME DATABASE
PUSHES DATA TO DOCTORS AND
EDUCATES PATIENTS
Researchers at the University of Notre Dame have
built a recommendation engine for doctors to use as
they craft disease prevention and well-being plans
for their patients. The aptly named Collaborative
Assessment and Recommendation Engine (CARE)
uses collaborative filtering to find analogous patient
cases and identifies treatment plans that may work
for similar patients. Doctors can input a patient’s
information and are provided with questions that
may have been overlooked, possible tests for early
detection of conditions, as well as compatible
treatment plans. By collecting a range of information
about patient communities doctors are able to review
a broader sample of possible diagnoses and share this
information with patients. The hope for this program
is to bring down the costs of healthcare through
lowering admissions and creating more patient
centered outcomes that result in healthier lifestyles.
www.nd.edu
WHITE HOUSE INVESTS IN BIG DATA
TO IMPROVE CANCER TREATMENTS
The American Society of Clinical Oncology has
created CancerLinQ, a ‘learning health system’ that
collects and analyzes patient information collected
by physicians in order to recommend possible
treatment outcomes. As part of the 2012 approved
US healthcare legislation and connected funding,
the system collects real-time data directly from
Electronic Health Records, including lab tests and
doctors’ notes. By tapping into data from millions
of patients around the nation, it works to pinpoint
a patient’s characteristics, treatments and possible
outcomes to provide physician suggestions based
on similar cases. The CancerLinQ prototype currently
focuses on breast cancer with “de-identified” data
from 100,000 patients.
www.asco.org
DATA-DRIVEN TREATMENT PLANS
DATA PORTAL STREAMLINES
ANALYSIS AND DELIVERY OF LIFE-SAVING
RESEARCH PROJECTS
Sage Bionetworks is a medical research institute that collects
genomic data from patients who can donate them through
an online platform, called Synapse, and then shares the data
with healthcare providers for further research and treatment
recommendations. The patient-facing component is called
BRIDGE, where patients can login to the site and donate their
data and track its use through the Synapse system. The platform
is free to use for scientists, offering them opportunity to access
to ongoing research studies, contribute their own research data,
review analysis, and share expertise. Research groups can analyze
and collaborate directly from the data, rather than making
inferences based on existing research. Synapse can also integrate
into researchers’ API tools if they have pre-existing data that they
want to open up to colleagues or other specialists. Patients can
also receive information from researchers and doctors on the
latest developments in their conditions.
www.sagebase.org
PERSONALITY TEST
CONNECTS PATIENTS TO
TREATMENTS MATCHING
Frame Health is a personality assessment
platform that connects psychographic
profiles to healthcare providers in order
to better understand patients ensure that
they follow treatment recommendations.
Patients begin by entering into a six-
minute session where the software
assesses key psychological triggers
that could assist healthcare providers
in prescribing treatment. Based on the
already existing behavioral habits of each
patient and by tapping into the world’s
largest psychographic database, Frame
Health has been able to craft patient
profiles that best match up with specific
treatment programs. With over 75% of
all healthcare expenditure originating
from patients with one or more chronic
conditions, ensuring treatment adherence
could greatly reduce the cost of treatment
lapses.
www.framehealth.com
ORCHESTRATED CARE

IMPLICATIONS
The Future Of
Health Video
vimeo.com/psfk/foh
SUPPORTING DATA
In the future, your doctor is not going to rely only on
what you tell him, but you could go to your doctor
with actual figures and quantify things of your life.
He will make decisions based on actual facts, and
not just on how good or bad you remember actually
how you were doing. This is, I think, the actual real
change. Making sensors that will make all things
knowable.”
— Raﬁ Haladijan, Founder & CEO, Sen.se
“The ability to correlate a person’s DNA against the
results of treatment with a certain protocol could be
a huge breakthrough. You’ll be able to look at your
DNA and find out if there are magic bullet treatments
that will address your particular ailment.”
— Bernie Meyerson, VP Innovation, IBM
A survey of 1,000 U.S. residents in 2010 found that
public support for personalized medicine remains
strong. About 58% of respondents saw the value in
using genetic information to help identify which
drugs would work best for them during treatment,
and 65 percent would like to use genetic data to
determine whether they might suffer unwanted
adverse reactions to a drug.
— Cogent Research, “Gogent Genomics, Attitudes & Trends
Study,” 2010
“Today we know very little about the experiences of
most people with cancer because their information is
locked away in unconnected servers and paper files.
Only the 3% of patients who participate in clinical
trials are able to contribute to advances in treatment.”
— Sandra M. Swain, President, American Society
Clinical Oncology
“During the next era of personal computing, the
biologic problem shifts to a computational problem
in the treatment of cancer. Computing doesn’t get
any more personal than when it saves your life.”
— Renee James, President, Intel
_ How can doctors leverage patient medical
history, alongside current symptoms to arrive
at more effective diagnoses and treatment
plans?
_ What additional information can be collected
during patient intake to aid in creating a
more robust patient profile?
_ What patient data can be shared with doctors
on a regular basis to move towards a more
responsive model of diagnosis and care?
_ How do you demonstrate the value of sharing
this information?
_ How can patients be given ownership
over their data? How is it regulated and
standardized?
_ How can patients be incentivized to donate
their data to ongoing research projects?
_ How insurance and healthcare companies
contribute to the development of smarter data
systems that inform better treatment options?
“There are huge benefits and great byproducts of
having a more data-driven system. If we’re able to
make better treatment decisions, if we’re able to better
diagnose diseases earlier because we have the technology
or the data to do so, then we’re ultimately driving down
costs, because we’re taking care of people sooner rather
than later.”
BIG DATA UTILIZED TO PREDICT HEART
DISEASE LONG BEFORE IT STRIKES
IBM, Sutter Health and Geisinger Health Systems have partnered
with the goal of using big data analytics as a tool to uncover
early warning signs of heart disease years before irreversible
damage is done. The two doctor networks and the computing
company are looking to apply grant money to research focused
on patients’ Electronic Health Records (EHR) using data such as
demographics, medical history, and medications taken to ﬁnd
precursor signals of heart disease. Cardiovascular conditions in
general are becoming increasingly common in the United States.
The insights from the analysis will eventually be integrated into
primary care, which will make it easier for doctors to predict which
patients are at highest risk for the disease and thus recommend
care that limits complications down the road.
www.sutterhealth.org
www.geisinger.org
www.ibm.com
HOSPITAL USES BIG DATA TO HELP MAKE
PERSONALIZED DIAGNOSES
New York City Mount Sinai Medical Center is using patient
data gathered from its own hospital records to inform doctor
guidelines and help predict patient needs. By coupling informatics,
patient data input systems, processing power from a $3 million
supercomputer led by an ex-Facebook data scientist, they hope
to better collect and understand the information that surrounds
the half a million patients that Mount Sinai treats every year.
Mount Sinai hopes to expand their network of patient information
and capitalize on the $3 trillion spent every year on healthcare
in the US. The hospital has reduced 30-day readmission rates
for patients by 56% by detecting those most at risk and taking
special measures and precautions.
www.mountsinai.org
ORCHESTRATED CARE
Halle Tecco
Co-Founder & CEO.
Rock Health
36

AUGMENTED
TREATMENT
EMBEDDED VITAL
MONITORS
PRINTED
PROCEDURES
OR OVERLAY

Doctors are upgrading their medical toolkits with
high tech visualization instruments, imperceptible
monitoring devices and 3D printing techniques to
improve the level of care they can provide to patients.
Inside the examination and operating rooms,
holographic projections and augmented reality
overlays allow physicians and surgeons to offer less
invasive and more effective treatments.
At the same, 3D printers are enabling medical
technicians to produce cost-effective prosthetics and
implants that can be tailored to individual patients
to ensure greater comfort and functionality and
speed recovery times.
AUGMENTED
TREATMENT
— Embedded Vital Monitors
— Overlay OR
— Printed Procedures

39
EMBEDDED VITAL
MONITORS
“We’ve already seen doctors prescribing
apps in some countries, eventually
we’ll get to the point where you’ll get
prescribed a diagnostic device, the
equivalent of a Fuel band. We will have
more data coming back into the system,
real-life data at that. This data can
replace clinical data that are proxy for
otherwise unattainable real-life data.
When this data is common place we
can be much more informed about the
decisions that we make as healthcare
providers.”
John Pugh,
Global Innovation
Leader at
170 million
As sensor technologies and circuitry become smaller and
more reliable, physicians and researchers are using them
to create increasingly body-complementary devices for
continuous monitoring. These near-imperceptible devices
are being embedded directly onto the skin or even ingested,
to record and communicate a variety of biometrics that
can be used to track general health and improve diagnosis
speed.
Estimates predict that the global
market for wearables in health
and fitness could reach
— GigaOm Research, “The Wearable
Computing Market: A Global
Analysis”, 2012
devices by 2017.
EMBEDDED VITAL MONITORSAUGMENTED TREATMENT

40
TOOTH-EMBEDDED SENSOR RELAYS
EATING HABITS TO DENTISTS
The Ubicorp Lab at the National Taiwan University
has created a sensor that can be planted inside
an artificial tooth and is able to relay patients’ oral
activity to a dentist using Wi-Fi signals. A small
motion sensing accelerometer is placed inside the
dental implant and a patient’s speaking coughing,
chewing, drinking and other daily activities are
recorded. Through the unique oral motion of each
activity healthcare providers can identify with a 94%
accuracy what the patient is doing. The device could
be used to track a patient’s activity between visits
to ensure that they are carrying out instructions by
simply monitoring activities during the long periods
between appointments. The research team hopes to
further shrink the implant, allowing it to be placed in
between teeth, on braces or be seamlessly attached
to other oral implants.
www.mll.csie.ntu.edu.tw
CONTACT LENS MEASURES
BLOOD SUGAR IN TEARS
Silicon Valley tech giant Google has stepped into
the healthcare arena and is now testing a contact
lens that offers diabetes patients a less invasive
way of monitoring glucose levels. So far, all diabetes
patients must endure intrusive routines of pricking
their fingers to test drops of blood to avoid sudden
spikes and drops in their glucose. The contact lens
being developed will contain near-invisible sensors
that measure blood sugar levels in tears, negating
the need for painful pinpricks. Google’s developers
are currently working on technology that will let the
contact lens warn the wearer when their glucose levels
pass certain thresholds. The special contact lens may
take away some of the stress of dealing with an ever-
present illness that requires constant monitoring, and
could fix issues some patients have with adherence.
www.gv.com
FLEXIBLE THERMOMETER BONDS
TO SKIN FOR CONTINUOUS TEMPERATURE
MONITORING
Scientists from the University of Illinois have manufactured
a wearable sensor that can be adhered to people’s skin and
monitor their temperature, hydration levels and circulatory
system changes. The flexible sensor is a composite of gold and
silicon and is attached to a person’s limbs using a light adhesive
that laminates it. Once in place, the thermal conductive natures
of the materials make it easy to monitor skin temperature
(within a thousandth of a degree), cognitive state, and thermal
conductivity (which is a telltale for hydration). Researchers are
looking to add a power source that would increase functionality
and enable better tracking of wearers’ vital signs over time.
www.matse.illinois.edu
www.mc10inc.com
TEMPORARY TATTOO
MEASURES ATHLETE
EXHAUSTION
Researchers at the University of
California-San Diego have developed a
temporary tattoo-like sensor that can
gauge athletes’ physical exertion. The
stick-on patch monitors chemicals in
the wearer’s sweat by calculating the
existence of key compounds, such as
lactate, that denote levels of exercise.
Initially it was designed with the school’s
mascot covering the sensor, but it could
easily be customized. The patch attempts
to replace previous methods that require
collecting a blood sample through
multiple pinpricks to an athlete’s finger.
The patch could be a much less invasive
way to collect data on athletes’ training,
serving as a highly practical advancement
in wearable technology and could aid in
pushing athletes to new limits.
www.ucsd.edu
www.electrozyme.com
AUGMENTED TREATMENT

SUPPORTING DATA
IMPLICATIONS
The Future Of
Health Video
vimeo.com/psfk/foh
“We’ll see a dramatically shift over the next five years
where sensors are becoming commonplace and
allowing people to take charge of their own health.
People are being asked to do more with their own
health. Namely to be accountable for the monitoring
of it and share the responsibility of outcomes between
themselves and their family or their network of
support.”
— Amy McDonough, Director of Business Development, Fitbit
“The core problem that has frustrated skin integration
of advanced semiconductor devices for the last 50
years is that silicon wafers are flat, hard, rigid and
brittle; the skin is curvilinear and textured, soft,
stretchy and physically tough. By constructing devices
that behave, in a physical sense, like the skin, we
can achieve highly functional, intimate modes of
integration.”
— John Rogers, Professor, University of Illinois
“Continuous monitoring of key physiological
parameters, combined with appropriate informatics,
will change the way that healthcare is done.”
“Beyond monitoring, we see intervention and therapies
delivered by the devices, i.e. controlled heating,
drug delivery, electrical stimulation, etc., all done
in a minimally invasive way, transcutaneously. By
constructing devices that behave, in a physical
sense, like the skin, we can achieve highly functional,
intimate modes of integration, in a manner that is
completely ‘invisible’ to the person wearing the device.”
Three-quarters of American healthcare spending goes
toward treating chronic problems like diabetes and
hypertension, and 45% of Americans have a chronic
health condition.
— Robert Wood Johnson Foundation, “Return on Investments in
Public Health: Saving Lives and Money,” 2013
_ What information would be useful to have
regularly tracked in order to monitor patient care
and how can this data collection be streamlined to
alleviate support staff’s workload?
_ Are there diseases or conditions that could benefit
from early warning signals provided by embedded
monitors, reducing demand for care caused by
delayed identification?
_ What chronic conditions could benefit from regular
monitoring, both for a patient’s general awareness
and healthcare providers to ensure the best care?
_ Are there sensitive signals that otherwise
would be altered by using large or disruptive
monitors that could be easily tracked by
devices that are re-engineered using flexible
conductors and technology?
_ What additional sensors could be designed to offer
patients a sixth sense for otherwise imperceivable
changes happening in their bodies?
_ Can patients more easily manage their care
aided by subtle signals or prompts to gently
nudge those who need assistance in monitoring
their conditions?
“We had procedures. We had medications. Now, we have tools
like apps to help you understand your disease and also give us a
little data. If you can come in and give us information about your
headache and what’s going on for them the past month, we can be
better doctors. It is really a new toolkit for us.”
INJECTABLE BLUETOOTH ENABLED CHIP
COULD PREDICT HEART ATTACKS
Engineers at Ecole Polytechnique Fédéral de Lausanne in
Switzerland have developed a Bluetooth-enabled blood
monitoring device that can be inserted under the skin for up-
to-the-minute monitoring of common blood based substances,
and may even being able to predict heart attacks hours before
occurring. Using a needle, the monitor can be implanted into the
patient’s leg, abdomen or arm, where it can be left for months.
Once inserted, the device can track up to ﬁve chemical health
indicators simultaneously, including proteins, pharmaceuticals,
and cholesterol. The collected data can be broadcast to a nearby
device using Bluetooth technology which enables easy tracking
for patients with smartphones, or it can be relayed to healthcare
providers for remote monitoring. Its long-term monitoring
capabilities could be a boon for patients living with diabetes and
other chronic conditions, who regularly need to check their blood
using the painful pinprick methods.
lsi.epfl.ch
STOMACH ACID-POWERED PILL
COLLECTS PATIENT DATA
Northern California company Proteus Digital Health has created a
self-powered ingestible computer in the form of a pill that could
help doctors better diagnose patients. The pills are tiny robots
that travel through the digestive system and monitor everything
from vital signs to blood ﬂow. The pill can wirelessly transmit
results back to a cell phone app, a connected body patch or to a
website. By removing the power module and replacing it with a
simple chemical reaction that utilizes the acids in the stomach to
power its functions, the nano-computer could be slimmed down
to the size of a typical vitamin.
www.proteusdigitalhealth.com
41 AUGMENTED TREATMENT
Dr. Jay Parkinson
Co-Founder & CEO.
Sherpaa

42
OVERLAY OR
Dr. Jordan Shlain,
Founder, Healthloop
“So broadly speaking, I think that all
doctors in training, at the medical school
and residency level, should be learning
about how technology can make them
provide better care. Not look at this new
electronic medical record. Right now,
doctors spend 40 percent of their time
with a patient looking at a screen. I’d like
that to go to zero. I think with voice and
natural language processing, I think that
we’ll go to a place where everything will
be in a watch. The patient will talk. It will
transcribe it and respond in kind. There’ll
be no more screens.”
Physicians are experimenting with the use of heads-up
displays and augmented visualizations to assist them
during complex surgeries. These technologies offer a more
complete view inside their patients, improving surgeons’
ability to map out their procedures and avoid
life-threatening complications.
The mobile Augmented Reality
market is set to increase dramati-
cally from
— Juniper Research, “Mobile Augmented
Reality: Smartphones, Tablets and
Smart Glasses,” 2013
60
200
million unique users
in 2013 to nearly
million in 2018.
OVERLAY ORAUGMENTED TREATMENT

43
MEDICAL TEAM STREAMS VIDEO AND
ACCOMPLISHES CHECKLIST FASTER
Pristine is a remote healthcare technology company
that has developed apps through which disparate
team members can easily communicate using the
head-up display and wearable device Google Glass to
accomplish the range of medical tasks. The EyeSight
and CheckLists apps allow wearers to stream video
to fellow team members and create collaborative
voice-generated to-do lists, respectively. These apps
allow teams to work more efficiently with a range of
specialists and healthcare providers, whether or not
the team is spread throughout a specific hospital
or across the globe. Similarly, shared checklists help
team members to reduce double work and overlap
in responsibilities without missing out on necessary
services, from patient intake to post-op care. For
example, community health specialists could confer
with team members across a region, exchange images
of patients’ symptoms in real-time and create lists of
unique traits to check for at other sites.
www.pristine.io
GOOGLE GLASS PIONEERS
TELEMEDICINE WITH FIRST LIVE
STREAMED SURGERY
US-based Dr. Rafael Grossman performed the first
surgery streamed live via Google Glass to show that it
would be an improved tool in the future of telemedicine
without infringing upon patients’ right to privacy. In
2013 using the heads-up display and wearable device
Google Glass, Grossman streamed video of the simple
endoscopic procedure of inserting a feeding tube via
a private Google Hangout attended by fellow doctors.
The hangout service showed that the doctor was
able to perform the surgery without revealing any
identifying marks or revealing the patient’s identity
in any way, while still being able to share images
taken from inside the patient’s abdomen using the
video captured from the endoscope. Grossman
hoped to show that doctors could use Glass while still
preserving patients’ rights by collecting an informed
consent agreement. Glass, estimated to retail for
approximately $600, would be relatively inexpensive
in comparison to current telemedicine solutions,
which can cost tens of thousands of dollars.
bit.ly/1bZpXI7
OVERLAY OR
HEAD-MOUNTED 3D VIDEO
DISPLAY GIVES SURGEONS A
SHARED VIEW INSIDE
PATIENTS
The HMZ-T2 from Sony is a head-mounted
display unit that gives surgeons virtual
X-ray vision using relayed images from
an endoscopic surgical camera that is
inserted through keyhole incisions. Each
eye is independently shown a colorful
1280 x 720 pixel high-resolution image
on a pair of miniature OLED panels. The
brain combines the images to create
a 3D effect. A team of surgeons can
see shared images and work together
on a less invasive laparoscopic surgery
rather than performing traumatic open
thoracic surgery. Each team member can
flip an image relay so that the person
working across from them can see their
teammate’s point of view in their own
headset and better assist them, as well
as being able to view picture-in-picture
relays from other internal camera angles.
www.sony.net
AUGMENTED REALITY MAP GUIDES
SURGEONS AROUND HIDDEN VEINS
The Munich-based Fraunhofer Institute and a team of surgeons
from Yokohama City University Hospital in Japan have developed
an augmented reality iPad app that allows surgeons to reveal
hidden vessels inside organs while operating. In preparation for
a tumor removal surgery, a CT scan is performed which allows
the team to map out the network of veins and arteries inside
the organ being operated on. The visual information captured is
converted into a detailed 3D image of the organ that surgeons
can review on the iPad to plan possible approaches to the surgery.
Using the camera view during the surgery, the tablet can be held
up and pointed at the exposed area, revealing vessels overlaid
in the proper positions and orientation to the patient’s body,
regardless of the surgeon’s perspective. The simple interface of
the iPad allows surgeons to easily pivot perspectives or change
transparency without having to capture new images or slow
down the procedure.
www.mevis.fraunhofer.de
bit.ly/1bZeatt
AUGMENTED TREATMENT
OVERLAY OR

SUPPORTING DATA
IMPLICATIONS
The Future Of
Health Video
vimeo.com/psfk/foh
“We believe there will come a time, as technology
evolves, when physicians, general practitioners,
will be able to not only quickly see remote images
or information, but be able to view connected
information sources together. Where diagnostics
will be completed and beamed to the physician
with remote visuals.”
— Frank Ball, CEO, Evena Medical
“The biggest challenge isn’t the regulatory environment
or the tech...Technology needs to demonstrate clinical
outcomes and it needs to be adopted by surgeons. I
think it will be adopted because surgeons coming out
of school have spent life on PlayStations and Wiis, so
the novel UI is familiar to them.”
— Simon Karger, Associate Director of Surgical,
Cambridge Consultants
_ What imaging tools can be implemented at scale to
aid doctors in examining remote patients?
_ How can augmented reality be used to enrich
the learning experience for healthcare students
and professionals?
_ What onsite initiatives can insurance companies
implement to ensure healthcare providers are
performing to their best abilities using new visual
imaging or augmented reality?
_ How can shared viewing displays aid healthcare
teams and remote medical providers in delivering
better care by collaborating or by communicating
over vast distances?
_ Can healthcare providers use holographic
imagery to help better prepare, practice or
even perform surgeries?
_ Where can healthcare providers share innovative
practices, research or procedures with their peers
for feedback, input or added perspective?
OVERLAY OR
“What the computer definitely will take over is to help in the
diagnosis and to help in the treatment selection. This is where we
have more and more options in the future and where it’s more
and more difficult and challenging for physicians to find the best
solution for patients.”
3D HOLOGRAMS LETS SURGEONS BE HANDS
ON DURING SURGERY
Surgeons in Israel have used 3D imaging technology to create
holograms of the heart for surgeons to manipulate. Eight patients
in the 2013 clinical pilot underwent minimally invasive surgeries
where doctors were able to examine virtual representations of the
patients’ hearts while in surgery. Surgeons were able to tag, mark,
zoom, reveal different layers and otherwise manipulate the virtual
heart in any way they wanted using their hands or a scalpel-
like tool before the surgery. The technology is a combination
of RealView Imaging holographic technology that recreates the
virtual heart image and Philips’ clinical imaging systems that
captures the medical imagery needed. This process aims to
replace the cumbersome use of X-rays or ultrasound renderings
of the heart. It allows surgeons to better visualize a critical organ
in a non-invasive fashion and perhaps reduce operation time.
www.realviewimaging.com
STUDENTS LEARN AND DISSECT
HUMAN-SCALE VIRTUAL CADAVERS
California company Anatomage has a table that is a 3D interactive
dissection table with a digital interface that allows students and
doctors to manipulate and cut away different elements of a virtual
cadaver’s organs, skin, and bones. The table consists of two
adjoining high-resolution screens and has three viewing modes:
photorealistic, X-ray and opaque hard tissue, all represented in
real-life scale. Users can annotate or cut away any point of the
body and still be able to easily move the virtual body through a
multitude of angles that enable students to isolate and examine
all of the internal systems of the body. MRI and CT scans of real
patients can also be uploaded to the table’s screen and viewed
as a 3D rendering.
www.anatomage.com
44 AUGMENTED TREATMENT
OVERLAY OR
Dr. Michael Busse
Head of Global
Medicine Coordination.

45
PRINTED PROCEDURES
“No longer will you have to go to a
physician or to a hospital to have access
to healthcare. You will be able to can
actually access a lot of healthcare and a
lot of healthcare information today from
the comfort of your home. If you think
about 3D printing, you’re not even going
to have to go out of your house to get
something. You can download something
onto your computer and then print it out
and it could be a device. It could be a
tool that could help you achieve a variety
of things, including things in health.
These are the sort of technologies that are
really going to revolutionize the world
moving forward.”
Dr. David
Medina Tato,
Senior Manager,
Business Model &
Healthcare Innovation at
Advanced 3D printing and new cell generation techniques
are enabling healthcare professionals to experiment
with the manufacture of skin, bone and organs for use in
surgeries and other medical implant procedures. These
artificially created body parts cut down on the need for long
wait times on donor lists, often carry lower risk of rejection
and are progressing towards being able to
enhanced or tailored implants that suit the specific
needs of a patient.
By 2019, sales of 3D printed prod-
ucts for the medical and dental
markets will reach
— SmarTech Markets Publishing, “3D
Printing in Medical and Dental
Markets: An Opportunity Analysis and
TenYear Forecast,” 2013
$
2.8 billion
PRINTED PROCEDURESAUGMENTED TREATMENT

46
SPINAL DISCS FABRICATED
FROM STEM CELLS IMPROVE
SPINAL SURGERY
Researchers at Cornell University have created a spinal
surgery technique that uses a 3D printer to fabricate
new spinal discs from stem cells. Once a patient
is prepped for surgery, the printer begins printing
strings of stem cells in the highly specific proportions
of a patient’s spinal disc. In surgery, the disc is placed
in the appropriate location and the stem cells begin
to enact a pre-designed ‘biological programming’ that
replicates new spinal disc tissue for the following two
weeks. By using stem cells, implants can be created
based on the patient’s specific needs. With 30 million
Americans suffering from Degenerative Disc Disease
this technology has the potential to provide a major
breakthrough for spinal procedures that otherwise
decrease patient mobility.
www.cornell.edu
SOFT TISSUE AND 3D PRINTING TECHNIQUES
PRODUCE AFFORDABLE PROSTHETICS RAPIDLY
A new technique called Picsima 3D Printing produces 3D-printed
prosthetics within 48 hours akin to human skin. The technique uses soft
tissue-like materials and 3D color printing to create prostheses for people
with missing ears, noses or other facial regions. The designs are printed
with biocompatible starch and silicone that match the wearer’s skin tone.
The UK-based product design, research and business consultancy Fripp
Design & Research has developed this quick and relatively affordable
method that can help a wide range of patients, especially those in the
developing world who can’t afford typical prosthetics that can be 400
times more expensive. The speed of printing and lower cost could also
open up new cosmetic design opportunities for elective surgeries.
www.frippdesign.co.uk
PRINTED PROCEDURES
3D-PRINTED PROSTHETIC HAND GRANTS
ACCESS TO THOSE IN NEED
Created by an international team of designers, Robohand, a
3D-printed mechanical hand, can be created with under US$3
worth of materials. Using a 3D printer, the team created a
prosthetics model that would work as effectively as a current
medical prosthesis that typically cost approximately $10,000 per
finger. The team paired up with 3D printer manufacturer MakerBot
to 3D-print components at scale, which dramatically sped up the
process of creating a prosthetic as well as being able to lower
the production costs. While offering a completely functioning
mechanical hand, the accessible manufacturing method and
lowered cost of the prosthesis can dramatically increase the
availability of prosthetics to those in need.
www.robohand.net
www.makerbot.com
3D-PRINTED EAR CAN HEAR
BEYOND NORMAL HUMAN
ABILITY
Scientists at Princeton University in
New Jersey have designed a 3D-printed
bionic ear that augments normal human
hearing. To build the device, researchers
3D-printed cells and nanoparticles in the
shape and comparable texture of an ear,
and then combined a small coil antenna
with cartilage to create a bionic version
of the human ear that could be connected
to a patient’s nerve endings. With the
hopes of making an approachable and
human-like technology which extends
normal human abilities the team decided
to use materials that are more natural
than the hard casings and electronic
components typically used. The result
was a fully functional organ that could
hear frequencies a million times higher
than the typical human ear.
www.princeton.edu
AUGMENTED TREATMENT
PRINTED PROCEDURES

SUPPORTING DATA
IMPLICATIONS
The Future Of
Health Video
vimeo.com/psfk/foh
47
The price of a new prosthetic leg can cost anywhere
from $5,000 to $50,000.
— Hospital For Special Surgery,
“The Cost of a New Limb Can Add up Over a Lifetime,” 2013
A home 3D printer can provide a return on investment
of 200% to 40% and can save the average home up to
$2,000 in avoided purchase costs.
— Department of Materials Science & Engineering,
Michigan Technological University, “LifeCycle Economic
Analysis of Distributed Manufacturing with OpenSource
3D Printers,” 2013
“We’re not waiting for a new breakthrough.
We are waiting for [a] cost breakthrough.”
— SmarTech Markets Publishing, “3D Printing in Medical and
Dental Markets: An Opportunity Analysis and Ten-Year
Forecast,” 2013
_ What materials can be used to print new implants
and prosthesis that help match with a person’s skin
tone or style?
_ In what procedures can healthcare providers print
stem cells that use patients’ DNA to help expedite
lengthy recovery processes?
_ With lower cost materials, how can more
personalized designs be implemented to aid with
greater functionality in everyday use or to improve
overall appearance?
_ How can open source communities and open
source design techniques be used to create a new
range of prosthetic parts for patients?
_ Where could on-demand prosthesis be used to
help everyday people as well as patients access
printed enhancements?
_ How can healthcare providers use existing
DNA data or other personal information to
create implants and prostheses ahead of time
or for on-demand use in emergencies?
PRINTED PROCEDURES
“What happens when I get my prescription and I have a biological
replicator in the back? I don’t need to go out for it anymore. I just
get the prescription, feed the code in, and it’s there. We’re moving to
a really distributed model of healthcare.”
AFFORDABLE BIONIC HAND IS
3D-PRINTED AND SYNCS TO SMARTPHONES
Handieisanartiﬁcialhandthatoffersmuchofthesamefunctionality
as a prosthesis but has a greater range of customization options,
can easily be integrated with mobile phones and is considerably
cheaper. The prosthetic hand has been manufactured using
mostly 3D-printed parts. This process means that customization,
design improvements and repairs would be dramatically cheaper.
Handie is powered in part by a companion app that can be
downloaded onto the user’s smartphone, which also cuts costs
from the design itself and allows for increased connectivity and
tracking for users. Handie costs under US$400, while traditional
artiﬁcial hands can currently cost around US$11,000.
bit.ly/1hNht9b
3D PRINTING PEN LETS SURGEONS
DRAW STEM CELLS
The BioPen, developed by the University of Wollongong in
Australia, is a handheld 3D printer capable of generating
functioning bio-tissue that will improve precision and save time
during surgical procedures. The pen shaped device uses ink made
of a combination of cell material, biopolymer growth-factor gel,
and protective outer-layer gel. UV light is attached to the pen
to harden the material as it is dispensed layer by layer onto the
wound site. Once the material settles in its environment, it will
begin to multiply and differentiate into genuine nerve, bone, or
muscle cells. The BioPen is a simple tool for surgeons to make
customized repairs that can cut down on surgery length and
recovery time.
www.uow.edu.au
AUGMENTED TREATMENT
PRINTED PROCEDURES
John Pugh
Global Innovation
Leader. Boehringer
Ingelheim

Experts Discuss The Future Of Health
During the research process, we had the opportunity to speak
with a diverse panel of healthcare experts who generously shared
their vision for the Future Of Health. These interviews with startup
founders, device creators, doctors and brand innovators were
edited into a short video to provide a compelling perspective on
the trends covered in this report. A collection of their insights have
been shared throughout the report, the full video is available to
watch at www.psfk.com/future-of-health.
Travis Bogard
VP of Product Management &
Strategy at Jawbone
@TravisBogard
www.jawbone.com
“We see this huge gap that exists between intention and
action—what people think they’re doing, and what
they’re actually doing—and I think that transparency
of seeing that starts to help people understand what
are the patterns that they thought they were doing,
and where can they make adjustments to live the life
that they really want to.”
Travis Bogard has scaled Jawbone’s product offering from a
single in-market wireless headset to a portfolio of human-
centered products designed to make everyday life better
through a combination of hardware, software, and data.
Dr. Michael Busse
Head of Global Medicine
Coordination at Boehringer
Ingelheim
www.boehringer-ingelheim.com
“What the computer definitely will take over is to help
in the diagnosis and to help in the treatment selection.
This is where we have more and more options in the
future and where it’s more and more difficult and
challenging for physicians to find the best solution
for patients.”
Dr. Busse has served on the Advisory Boards of Altana,
Centocor, Dynavax, Genentech/Novartis, GlaxoSmithKline,
Isis, Merck, Pfizer, Schering, and Wyeth. Dr. Busse also has
research support from the NIH.
48
Dr. Samir Damani
Founder & CEO at MD
Revolution Inc.
@DamaniMD
www.mdrevolution.com
“The data that’s being produced is data about what we
do—how we sleep, how we eat, how exercise. We need
to invite the scientific world and the medical world to
look at this data and give meaning to the data that
individuals are producing. If somebody’s been less
active, telling them they need to be more active. Not
just saying, “Walk more steps,” but how many more
steps, and why. Furthermore, the data needs to come
into a platform that can give meaning to the person
with personalized coaching, based on that data
coming in.”
Dr. Samir Damani has been a ‘change agent’ in healthcare
because of his emphasis on more individualized approaches
to therapy. In addition to serving as CEO of MD Revolution,
he is a practicing cardiologist for Scripps Clinic—a top 50
ranked heart hospital by US News and World Report.
Walter De Brouwer
Founder & CEO at Scanadu
@walterdebrouwer
www.scanadu.com
“Healthcare is going to mutate; hacked by evolution
it will become a more efficient version of itself, one
where the patient will be discovered as the most
underused resource. The grand theory of diagnosis
will welcome new players next to doctors: machines,
algorithms, patient advocacy communities and the
crowd. For centuries we have been reading our health,
now we will start writing it; changing it in real time,
with mobile input. This Cambrian Revolution of
medical devices and apps is the straw that will break
the camel’s back. Instead of us watching our health
all the time, it will be watching us.”
Walter De Brouwer is a Belgian internet and technology
entrepreneur, futurist and semiotician currently developing
hand-held health diagnostic devices, similar to the tricorder
from Star Trek at Scanadu. Previously he served as the CEO
Europe at OLPC (One Laptop Per Child) Foundation and is a
Founding Member of TEDGlobal.
Rafi Haladjian
Founder & CEO at Sen.se
@rafigaro
sen.se
“I think that the biggest benefit for the health
industry is that gathering data on large populations,
data that is collected in the same manner but
for everybody, will help find new cures and
new solutions—only by analyzing that data, by
crowdsourcing solutions. The fact that you are
not relying on subjective expression of individual
problems, but measuring it in the same way for a
large population is a means for creating really a
collective intelligence which could change lots of
things in the way to solve problems.”
Lebanese-born French serial entrepreneur of Armenian origin,
Rafi Haladjian is the founder of numerous technology and
telecom companies. Among others, he is known as the co-
creator of the wireless-connected rabbit Nabaztag one of the
pioneering icons of the Internet of Things.
Jared Heyman
Founder at Crowdmed
@jaredheyman
www.crowdmed.com
“I think people want to know more about it, they
want to have their own medical readings. They
want to keep their own medical records. They want
to talk about it with others. They want to share it.
They want to compare it. They want to have second
opinions.”
Jared is the founder of CrowdMed, an online healthcare
startup harnessing crowd wisdom to solve even the world’s
most difficult medical cases. He is also the chairman of
Infosurv, an online survey company with $20M in cumulative
revenue. Jared has been featured in Inc, WSJ, CNN,
Entrepreneur

49
Dr. David Medina Tato
Senior Manager, Business Model
& Healthcare Innovation at
“The use of technology, although taking away some
of the human touch from what we do, is actually
going to bring us more personalized medicine. These
systems are going to change the experience for the
patient. The patient is going to be monitored in a
variety of ways, including wearable devices that
track how much they move, what their temperature
is, what their heart rate is, including devices that are
included within the packaging of their medication,
which will indicate if they’ve taken their medication,
or not. But the important thing is not the information
in itself. The important thing is what we do, once we
have that information.”
David obtained his MD in Mexico, with his PhD studies
in Pharmacology completed at the University of Bath in the
UK. In his professional career, David has worked for several
years in different positions within the Business Development
arena, specifically within clinical research and now in
healthcare innovation.
Halle Tecco
Co-Founder and CEO at
Rock Health
@halletecco
www.rockhealth.com
“Patients have a lot more interest in being proactive
about their own care. One of the reasons, and one of
the big drivers, is that we have higher out-of pocket
costs. More of the burden is falling on the patient. So
they’re going to make sure that their biggest expense
isn’t their healthcare that year. They’re financially
incentivized to stay healthy.”
Halle is responsible for building partnerships and overseeing
Rock Health’s strategic direction. She previously worked in
finance and business development roles for Intel and Apple.
She earned a BS at Case Western Reserve University and an
MBA at Harvard Business School. Halle was named one of
CNN’s ‘2 Entrepreneurs Reinventing Healthcare’ and Forbes
‘30 under 30’.
“Care will be delivered based on the preferences of
the patients. I think that’s very important. Because
as people begin to care about the preferences of
the patient, and models will evolve to deliver that
preference within a compliant regulated fashion,
it will evolve to where it’s the market need. Those
patients that are comfortable with the telemedicine
approach will entertain that market, and those
patients that continue to want a face-to-face, one-on-
one feeling will entertain that.”
The transparency of this information to the patient is of
greatest importance. With mobile health and digital health
technology, I think that patients are showing power to learn
about their disease states and what’s available to them. It’s an
opportunity for this new health care environment to leverage.
Sanskriti Thakur
Director, US Marketing Innovation
& Operations at Boehringer
Ingelheim
Dr. Tracy-Ann Moo
MD at Weill Cornell Medical
College
www.cornellphysicians.com
“We’re moving along the lines of giving patients
more control and having devices develop that give
them that control. Eventually, we’ll move to a
system that allows patients to enter data into their
electronic medical record, whether it’s directly from
a device that’s attached to them or it’s basically them
providing their input. In the future, we’ll actually be
importing data more directly from the patient into
the system than through the provider.”
Tracy-Ann Moo, MD is an Assistant Professor of Surgery
and Assistant Program Director of Surgical Education at
Weill Cornell Medical College. She is an Assistant Attending
Surgeon at NewYork-Presbyterian/Weill Cornell Medical
Center. An experienced board-certified surgeon, Dr. Moo
specializes in the most advanced, minimally-invasive
treatment of breast cancer and melanoma.
Dr. Jay Parkinson
MD, MPH and Co-Founder at
Sherpaa
@jayparkinson
sherpaa.com
“We had procedures. We had medications. Now, we
have tools like apps to help you understand your
disease and also give us a little data. If you can come
in and give us information about your headache and
what’s going on for them the past month, we can be
better doctors. It is really a new toolkit for us.”
Billed as the Doctor of the Future by Fast Company, Jay the
is co-founder and CEO of Sherpaa, a streamlined model for
healthcare and The Future Well, a creative consultancy that
specialized in healthcare for clients such as Sanofi, Planned
Parenthood, and the National Health Service in the UK.
John Pugh
@JohnPugh
“What happens when we don’t need the doctor
anymore? What happens when it can be self-diagnosis,
when a machine can diagnose us or when a program
can detect things and say, Do you know what? You’ve
got high blood pressure. You need to take this product
here or this medication here or make this lifestyle
change there.”
With a background as a journalist and Internet start-up
entrepreneur, he has over 18 year’s media experience, 12 of
them in digital and is regularly cited as a global thought
leader in his field. His most recent venture is called Syrum,
a social game which educates players on the spread of
deadly disease.
Dr. Jordan Shlain
Physician, Founder at
HealthLoop
@DrShlain
www.healthloop.com
“As a doctor, I have to do continual medical education.
I have to do 52 hours every year of reading and
studies and tests and quizzes. It’s a requirement.
I think patients should have a similar type of
requirement. Or it should be an opt in and if they
do that, their insurance rates go down. I think
healthcare needs to start educating people about
what’s going on with their diagnosis. What it means.
In a more systematic and thoughtful way.”
Jordan Shlain MD is the founder of Healthloop, a practicing
Internal medicine doctor, advisor to the Aspen Institute and
Health Commissioner for the City & County of San Francisco.
He has recently been listed as a healthcare innovator in the
HealthSpottr Top 100 list and is actively involved with digital
health and healthcare policy.

50
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