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![CONCEPT #3: Replicate for Multiple Conditions
MARKET & CUSTOMERS
• OTHER LONG-TERM CARE PATIENTS
• CARE PRACTICES
• HEALTH MANAGEMENT SYSTEMS
interfaces with patients,
caregivers, care team,
integrates care plans,
data, devices
[DTx Platform]
Reciprocity portfolio
a variety of
robots and robotic
devices provide
physical assistance
and therapy, monitor
movement, dispense
medication, etc.
TBD
integrate with EHR,
imaging analysis, AI
diagnostics, and other
health provider
applications
TBD
end user app
care team app
telehealth functions
data tracking
wearable sensors
assistive robotics
integration
wearable and
biometric devices
track a wide range of
patient data relevant to
the long-term condition
and general health
TBD](https://image.slidesharecdn.com/mar2021-reciprocity-methodsandprocessoverview3-4-210414141001/75/Reciprocity-ROI-LLC-Methods-in-Healthcare-Robotics-and-AI-27-2048.jpg)
Uploaded byPaul Claxton
Reciprocity ROI, LLC Methods in Healthcare, Robotics and AI
The document outlines a strategic approach to innovating within healthcare by integrating robotics and AI through collaborative business development in diverse ecosystems. It emphasizes identifying short-term and long-term opportunities while leveraging external partnerships to generate fresh insights and enhance capabilities in the health and wellness sector. Key concepts include engaging extended teams for exploratory innovation, focusing on new models of care delivery, and utilizing technology for distributed and affordable healthcare solutions.
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Similar to Reciprocity ROI, LLC Methods in Healthcare, Robotics and AI
Reciprocity ROI, LLC Methods in Healthcare, Robotics and AI
- 1. March 2021 BUILDING NEW ECOSYSTEMS @the intersection of healthcare, robotics and AI New Ideas, New Opportunities, New Directions
- 2. IT’S NOT INNOVATION It’sfuture-focused collaborative business development. We surface unique and unexpected business opportunities, short-term and long-term, across a broadly defined health care and wellness domain. We then identify and connect potential partners who can work together to create new value and bring combined offerings to the marketplaces. On the following pages, we describe our approach, methods, and strategies.
- 3. NON-OBVIOUS TIMELINES RADICAL PRESENT Small-scale short-term opportunitiesthat lay the groundwork for long-term growth outside of current business areas. Many innovation programs are excellent at projecting a medium-term future from current business activities. This is useful but misses less-obvious opportunities in the extreme short- and long-term. CHALLENGE Extended (XT) teams made up of diverse participants from a wide range of fields and global ecosystems can explore wider, deeper, and faster to find unexpected opportunities. SOLUTION NEXT 20 YEARS NEXT 10 YEARS NEXT 3 YEARS NEXT YEAR NEXT 3 MONTHS NEXT 3 WEEKS NEXT WEEK MEDIUM FUTURES Medium-term extrapolations of obvious trends in currently-served business areas and ecosystems. RADICAL FUTURES Trends from outside currently-served ecosystems and/or accelerated change.
- 4. THE PRICE OFSUCCESS Many successful companies, expanding organically and through periodic acquisitions, are still missing important opportunities due to their historical pattern of growth. Engage an external group to provide a fresh, unexpected, and future-oriented perspective to generate new insights on near-term and long-term opportunities. CHALLENGE SOLUTION Unexplored Territories Fast-moving trends from outside existing business ecosystems often create huge new areas of opportunity that require new thinking, new relationships, and new investments. Gaps in Customer / Capabilities Matrix There are often hidden opportunities at points where market and technology platforms intersect that are under-served because of existing relationships, organizational silos, and shared orthodoxies. COMMON PAIN POINTS
- 5. INNOVATION ECOSYSTEM Many companieswith highly effective internal innovation teams still have trouble expanding their business ecosystems beyond the “usual suspects”, e.g. research and academic partners. We can use a “community intelligence” approach to systematically engage outside participants using a broad range of virtual collaborative interactions. CHALLENGE SOLUTION Hardware & Software Design Process and System Design But healthcare is a complex “system of systems” requiring multidimensional collaboration. Documentation and Training Testing and Monitoring Regulation and Compliance Basic Research Healthcare Delivery and Funding
- 6. ALREADY ON THEMAP Some trends that are already visible … RADICALLY DISTRIBUTED 🡲 mobile micro-miniaturization of diagnostics and treatment … decline of the hospital and laboratory. • Distributed diagnosis, delivery and monitoring of personalized treatments • Integrated AI-powered analysis across multiple specialties, accessing combined global diagnostic databases • Consumer-friendly and IoT-connected • Targets: Chronic conditions Aging-in-place and home care Urgent care facilities, nursing homes Telehealth and self-care, personalized medicine Wellness, non-invasive and non-pharma treatments RADICALLY LOWER COST 🡲 equipment designs and remote manufacturing facilities. • Design in global teams with diverse perspectives • Streamlined processes and systems • Global documentation and training platforms • Targets: Developing nations or regions Global distribution networks Large retail clinic networks RADICALLY FASTER 🡲 on-demand customization of production lines and equipment • VR + AI + agile design and engineering techniques • Rapid reprogramming of additive and robotic manufacturing • VR and virtual training, process re-design • Targets: Time-critical public health initiatives Pandemic testing, vaccine development Multiple partners beyond traditional hospital and healthcare systems
- 7. EXTENDED TEAMS (XTDEVELOPMENT) The XT concept engages the most relevant outside communities at each step in the process, using a highly structured and efficient interaction design to maximize results and reduce costs. OPPORTUNITY CONCEPT PLAN PROJECT PRODUCT PLATFORM CHALLENGE dedicated team members users, customers, partners, suppliers, industry experts, influencers, policy makers … GOALS Interactions Inputs > Activities > Outputs Phase OUTCOMES Work with XT members to identify shared opportunities and incorporate ecosystem concepts into their future strategies 1 1-on-1 phone industry experience review challenge, capture opportunity areas ~10 areas challenge Consensus on shared opportunity map; initial idea map(s) 2 online survey ~10 areas review, add areas + initial ideas ~20 areas, ~10 ideas opportunity 3 virtual meeting session 1 map based on ~20 areas review, sign off on map, add ideas approved opportunity map ideas 4 virtual session 2 map ~10 ideas brainstorm additional ideas idea map(s) ideas fra me list en collabor ate activ ate ACTIVITY DESIGN EXAMPLE (PARTIAL) INTERACTION FACILITATION MODEL IDEAS
- 8. EXAMPLE ACTIVITIES 2. Mapping Workshops Identifyingnew opportunities adjacent to existing capabilities and customers. 3. Futures Thinking Projecting unique areas of value based on future trends in needs, technologies and markets. 4. Long-Term Program Design Recommendations from the Reciprocity partner network for new programs and processes at to enhance your long-term organizational potential for developing new businesses 1. Discovery Facilitated discussions of focus and scope with selected stakeholders.
- 9. EXAMPLE DESCRIPTIONS 2. MappingWorkshops 3 to 6 virtual design workshops, internal + external participants, structured and facilitated by Reciprocity; w/ interviews, surveys, analysis, visualization. Ecosystem Mapping Identify where successful new ideas in your current organization / ecosystem, and map the typical pathways and obstacles as they move between groups and departments in development. Platform Mapping Build a matrix of your capabilities and customers in the health care domain, and identify gaps as well as areas of opportunity which are extensions of existing strengths. Construction Roadmap Design a near-term plan for improving development pathways and building and/or acquiring new platform extensions. Under- Leveraged Assets Do you have IP or expertise which is underutilized and can be applied to new areas of opportunity?
- 10. EXAMPLE DESCRIPTIONS 3. FuturesThinking Series of ideation workshops and research streams, structured and staffed by Reciprocity with our partners and expert network; w/ customer interviews, analysis, and visualizations. Projections / Intersections Extrapolate trends inside and outside of health-related issues; identify critical intersections between trends and identify key “rising challenges” for life science technologies. Systems / Scenarios Create a series of scenarios in which major systemic shifts (in society + economy + technology) combine to reshape the health care, wellness, and life sciences landscape. Future Platforms Describe (medium- and long-term) future additions to the your current matrix of customer and capability platforms, including suggestions for internal development, investments and acquisitions. Benefits Catch and ride big trends + broad long-term growth (20+ years) + agility and foresight in uncertain times
- 11. EXAMPLE DESCRIPTIONS 4. Long-TermProgram Design Surveys, interviews, and program planning work by Reciprocity partners and network, leading to detailed program design recommendations. Ecosystem Management Strategies for improving idea generation, idea-to-development pathways, extended innovation teams, innovation at all steps from challenge to market, next week to 20+ years. IP & Knowledge Management Strategies to systematically leverage research, ideation and intellectually property development for market positioning, development planning. Investments & Acquisitions Detailed roadmaps connecting opportunities (from platform extensions to future scenarios) with potential partnerships, investments and acquisitions. Benefits long-term process and infrastructure readiness + you can own and disseminate program methodologies and insights
- 12. RECIPROCITY TOOLKIT The Reciprocityprocess integrates a variety of tools for identifying areas of opportunity at the intersection of capabilities, objectives, and applications, including: • Intersections Map • Objectives Map • Iterative Roadmap • Opportunity Scenarios • Ecosystem Concepts
- 13. EXAMPLE INTERSECTIONS Healthcare & Wellness AI Robotics, Automation (ICT) advanced telehealth personalized medicine homecare / point of care solutions population, public & community health AI diagnosis robotic therapy AI EHR AI interfaces robotic care assistance remote clinics 3D printing at POC automated testing & manufacturing robotic surgery rapid prototyping & customization CAPABILITIES APPLICATIONS AI R&D AI + 3D printing
- 14. Healthcare & Wellness AI Robotics, Automation (ICT) advanced telehealth personalized medicine home care/ point of care solutions population, public & community health AI diagnosis AI R&D robotic therapy AI EHR AI + 3D printing AI interfaces robotic care assistance remote clinics 3D printing at POC automated testing & manufacturing robotic surgery rapid prototyping & customization EXAMPLE OBJECTIVES New Models for Affordable Care Pandemic Solutions Aging in Place Distributed Care
- 15. WORKING MAPS We maintain“working maps” which are updated as we explore the field and develop relationships. Attached are PDF versions of two examples of our current maps. 15 OBJECTIVES MAP INTERSECTIONS MAP
- 16. ITERATIVE ROADMAP EXPLORATION opportunity scenario andecosystem concept development SHORT-TERM DEVELOPMENT “screwdriver” products + services, no FDA approval MID-TERM DEVELOPMENT ground-up product/service dev, no FDA approval LONG-TERM DEVELOPMENT ground-up dev initiative, requires FDA approval We favor an iterative process which emphasizes agile techniques (e.g. MVPs, codeless application development) in the development of integrated product / service ecosystems, and prioritizes early / easy wins in the first phases of the program.
- 17. ITERATIVE EXPLORATION MAPPING develop anditeratively refine a series of maps (intersections + objectives) to identify areas of opportunity where strong internal + RROI capabilities coincide with strong market potential + white space SCENARIOS Identify and research promising opportunity scenarios and “seed” solutions BUILDING ECOSYSTEMS confirm potential ecosystem partners and develop collaborative relationships, leading to a shared development agenda SPIN OUT PROJECTS Identify high-potential short-term projects to engage with specific areas of opportunity, sooner and at lower risk. EXPLORATION XT (extended team) research and ideation process with core RROI and internal team members CONCEPTS develop ecosystem concepts and identify potential internal roles plus appropriate external partners including RROI portfolio companies and relationships Exploration is both a first step and ongoing process.
- 18. ITERATIVE DEVELOPMENT TYPES 1.SHORT-TERM DEVELOPMENT FOCUS: Look for “screwdriver projects” that only take hardware assembly or repurposing + software integration to bring to market. FDA approvals not required. POTENTIAL STRATEGY: Use JV with RROI partner and portfolio companies as an “agile” development framework for a group of opportunities. Bring in Robotics Hub and IPS as partners. Provide shared services (sales, marketing etc.) to all initiatives, thus lowering operating costs. A quick way to launch, avoiding internal bottlenecks and leveraging an external ecosystem. 2. MID-TERM OPPORTUNITIES FOCUS: Concepts that require ground-up product / service development in specific white spaces, but FDA approval is not required. POTENTIAL STRATEGY: Create a joint investment initiative to build a separate new or existing startup for each opportunity. 3. LONG-TERM OPPORTUNITIES FOCUS: Scenarios and concepts that require ground-up development plus FDA approval. POTENTIAL STRATEGY: Same as mid-term opportunities i.e. creating a startup with joint funding.
- 19. DEEP SENSING At appropriatepoints in the iterative process, particularly in complex scenarios or where new product adoption require large scale transitions involving multiple, we can add an extra level of “deep sensing” to improve outcomes. We use a variety of tools, including ethnography, “community intelligence” participatory development, and psycholinguistics. For example, we can leverage our psycholinguistics team (including data scientists, clinical psychologists, data analysts and behavioral scientists) to do large-scale profiling of populations across various demographics and disciplines based on their online presence, leveraging AI-based large-data-set analysis. The AI runs incognito, avoiding bias based on a predefined outcome, delivering insights on critical relationship areas such as aptitude, emotional range, values and needs, openness, conscientiousness, extraversion and agreeableness. FOCUS AREAS Team Development Client and Partner Identification Audience Intelligence Data Story Telling Visualization Customer Journey Mapping New Product / Process Adoption
- 20. EXAMPLE OPPORTUNITY SCENARIOS Onthe following pages are three example opportunity scenarios we’ve been working on, which illustrate the potential to address strong areas of opportunity with an ecosystem approach. Safe Spaces Distributed + Affordable Long-Term Telecare
- 21. SCENARIO #1: SafeSpaces Office, schools, warehouses, factories, all closed spaces at risk of spreading infection … How do we gather again in public spaces safely, without public health risks? And how can AI and robotics help?
- 22. CONCEPT #1: SeedSolution Combines Contact Tracing with Spatial Intelligence to track infections and exposures in public spaces, using just the smartphones that employees carry at all times. Exposure Notifications Maps the floorplan and office layout. Employees receive alerts if a co-worker in the same area tested positive. Targeted Decontamination Track alerts on which areas were exposed to infection to help target policies and decontamination efforts. Completely anonymous Users need not divulge their identity to anyone. Tracks devices, not users. No logins. No emails.
- 23. CONCEPT #2: EcosystemSolutions MARKET • OFFICES • FACTORIES • WAREHOUSES map spaces and track people flow, contract tracing Saferle Reciprocity portfolio control disinfection robots and track status of spaces e.g. TIMA robot disinfector byINFOCOM Reciprocity portfolio order food, supplies, packages integrate w/ facility management features e.g. Curant / potential partner end user apps admin control data tracking spatial analysis mobile robotics consulting deliver food, supplies, packages e.g. Macco Reciprocity portfolio TARGET CUSTOMER • PROPERTY MANAGEMENT • LARGE COMMERCIAL OWNERS • FACILITY MANAGERS robotic self-managed parking with EV charging and end-user app e.g. Stak potential partner
- 24. SCENARIO #2: Long-TermTelecare Many long-term conditions require long-term treatments with constant monitoring, consultation, and adjustment of care plans. Long-term hospitalization doesn’t make sense, but managing the process remotely is complex and prone to failure. How can we use AI, robotics, and cloud technologies to help?
- 25. CONCEPT #1: SeedSolution A digital therapeutics platform that enables spine patients and their care team to communicate and collaborate to increase adherence and positive outcomes while decreasing healthcare costs. • Care and Wellness Plans • Treatment Spaces • Clinical Collaboration • Workout Routines and Exercises • Video and Chat Telehealth • Connect Biometric Devices • Spine Wellness Coaches • Family Member Access • Tasks, Reminders, and Check-Ins • Document and Imaging Manager • Reports
- 26. CONCEPT #2: EcosystemSolutions MARKET & CUSTOMERS • SPINE PATIENTS • SPINAL CARE PRACTICES • HEALTH MANAGEMENT SYSTEMS interfaces with patients, caregivers, care team, integrates care plans, data, devices SPINEDTx Reciprocity portfolio rehabilitation robots provide physical assistance, therapy to accelerate recovery TBD integrate with EHR, imaging analysis, AI diagnostics, and other health provider applications TBD end user app care team app telehealth functions data tracking wearable sensors rehabilitation robotics integration wearable and biometric devices track musculoskeletal system to detect any issues with movement and posture patterns. TBD
- 27. CONCEPT #3: Replicatefor Multiple Conditions MARKET & CUSTOMERS • OTHER LONG-TERM CARE PATIENTS • CARE PRACTICES • HEALTH MANAGEMENT SYSTEMS interfaces with patients, caregivers, care team, integrates care plans, data, devices [DTx Platform] Reciprocity portfolio a variety of robots and robotic devices provide physical assistance and therapy, monitor movement, dispense medication, etc. TBD integrate with EHR, imaging analysis, AI diagnostics, and other health provider applications TBD end user app care team app telehealth functions data tracking wearable sensors assistive robotics integration wearable and biometric devices track a wide range of patient data relevant to the long-term condition and general health TBD
- 28. SCENARIO #3: Distributed+ Affordable Technology has the potential to make healthcare … Radically more distributed … so it is available anywhere in the world and as close to the most convenient point of care (home, school, work) as possible. Radically more affordable ... so it is available to all communities without economic limitations. These two goals are complementary and synergistic. How can leverage robotics and AI move them forward together?
- 29. Non-Invasive Treatments Emphasize solutions, from wellnessto home care to DNA therapy, that don’t require expensive surgical treatments and hospital stays. ENABLING TECHNOLOGIES Artificial Intelligence Shorten time to diagnosis, reduce need for expensive specialists, speed up research and personalization Smart Clinics Small distributed facilities (street, village, retail, school, work) that are highly connected, automated, and authorized for a wide range of healthcare scenarios. Robotics / Automation / Reduce costs for staff and monitoring, easier to monitor by AI or remotely. Micro / Miniaturization & Simplification More compact, lower-cost, possible to install in small clinics, in the home, in mobile devices. Telehealth, Mobile, IoT Connected solutions that reduce travel time and the need for centralized facilities, and enable home care and aging-in-place. These technologies are also complementary and synergistic. How can we maximize the synergies as they are being developed?
- 30. DATA POINTS A lotof work is being done on gene therapy related to aging, which may seem like a luxury. But it can reduce healthcare costs drastically by avoiding care interventions and hospitalizations related to chronic conditions. A few data points from recent news. Reductions in size and cost of medical equipment open up many possibilities for more distributed and affordable care. There are recent developments… here’s a portable X-ray device. The value of technology in addressing home care and aging-in-place is huge, particularly in a locked-down world. An article on technologies that make remote caregiving more effective.
- 31. Virtual Incubators with Extended Teams CONCEPT#1: Research Ecosystem “Coalition for Affordable & Distributed Healthcare” Spinouts and Startups, Ecosystem Development Consortium of Partners (researchers, developers, providers, consumers) Shared Research Agenda and Scenario Development Integration Prototypes & Pilot Projects
- 32. CONCEPT #2: LastMile Ecosystem Technical & Medical Expertise Connectivity & Infrastructure Maintenance and Support All of these solutions, however, have a common weakness … BARRIERS … the “last mile” from centralized sources of expertise and technology support to the distributed point of care. This is a major challenge, especially as solutions become more sophisticated and integrated. Home Local Clinic Office School Nursing Home
- 33. CONCEPT #2: IntegratedPlatform Social connectivity If we partner to develop an integrated platform, we can “own” the last mile … BARRIERS Family caregiving Non-medical interventions and monitoring (diet, fitness) Medication dispensing and monitoring Medical diagnosis and consultation Specialized testing and prescriptions Specialized non-surgical interventions Personalized medicine Emergency medicine … and broker a wide range of solutions to distributed points of care. Home Local Clinic Office School Nursing Home
- 34. CONCEPT #2: Service& Support A central component might be a sophisticated “service and support” stack with proprietary integration and management software. SERVICE & SUPPORT STACK Patient support & training Caregiver support & training Clinic staff support & training Software installation and testing Hardware installation and testing Performance and outcomes monitoring Solution integration software development Patient, provider and services management Home Local Clinic Office School
- 35. NEXT STEPS Here’s apossible on-ramp to the iterative roadmap: EXPLORATION opportunity scenario and ecosystem concept development 1. Discuss goals and framework for collaboration. 2. Share current interests, projects. 3. Decide on scope of exploration phase: a) Time b) Schedule c) Budget 4. Agree on criteria for selecting opportunities and concepts for further development.