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21st Century Care Enabled by Data

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Presentation by Sumit Nagpal, Board Member, HIMSS at the Smart Health Conference 2018, held at Bally's Las Vegas on the 26-27th of April, 2018.

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21st Century Care Enabled by Data

  1. 1. 21ST CENTURY CARE ENABLED BY DATA Las Vegas, NV – April 26, 2018 SUMIT KUMAR NAGPAL GLOBAL DIGITAL HEALTH STRATEGY LEAD – ACCENTURE CHAIRMAN AND CO-FOUNDER – CAREFULLY CO-FOUNDER – LUMIRADX BOARD MEMBER – HIMSS NA FELLOW – HIMSS
  2. 2. A DECADE OF INVESTMENT, GLOBALLY 2 $1.5 Billion $1.2 Billion $160 Million $54 Million $43 Million $4.34 Billion $100 Million $700 Million $200 Million
  3. 3. A $35 BILLION FOUNDATION 3 • EHR Deployment • “Meaningful Use,” “QOFs,” and Other Measures • Patient Engagement • Health Information Exchange • Population Health Management
  4. 4. UNIVERSAL CHALLENGES • Ripping and Replacing Existing Departmental Systems that Frequently, Generally, Worked • Creating Many Years of Disruption, Care Provider Angst, Financial Stresses • Efficiency, Operations, Regulatory Compliance: Check; Outcomes, Costs, Experience: ?? 4
  5. 5. FOLLOW THE MONEY Long-Term Condition Increase in Prevalence 2003 - 2023 Cost in 2003 Anticipated Cost in 2023 Overall Chronic Disease 42% $1.3 trillion $4.2 trillion Cancers 62% $319 billion $1.1 trillion Diabetes 53% $132 billion $430 billion Hypertension 39% $312 billion $927 billion Pulmonary Conditions 31% $139 billion $384 billion Heart Disease 41% $169 billion $927 billion Behavioral Health Disorders 54% $217 billion $704 billion Stroke 29% $36 billion $98 billion 5
  6. 6. FOLLOW THE MONEY … Long-Term Condition General Prevalence in Western Economies Diabetes 8% Hypertension 24% Asthma 7% COPD 6& Arthritis 21% CHD 6% 6
  7. 7. FOLLOW THE MONEY … LONG-TERM CONDITIONS CONSUME 78% OF U.S. TOTAL HEALTHCARE SPENDING 96¢ PER DOLLAR SPENT ON MEDICARE 83¢ PER DOLLAR SPENT ON MEDICAID INDIVIDUALS WITH A LONG-TERM CONDITION REQUIRE A $6032 SPEND ANNUALLY – 5X THAT FOR INDUVIDUALS WITHOUT SUCH A CONDITION SECONDARY IMPACT ON PRODUCTIVITY AND CLOBAL COMPETITIVENESS IS IN THE HUNDREDS OF BILLIONS 7
  8. 8. 21ST CENTURY CARE 8 Is All About Individuals: Involves Them Moves More Care Closer to Them Coordinates Care Around Them
  9. 9. 21ST CENTURY CARE … 9 Is Informed and Responsive: Longitudinal Records Rapid Diagnostics Biometric Wearables Social Collaborative Networks
  10. 10. 21ST CENTURY CARE 10 Follows the Money Intensity of Personalized Management Number of Patients Improved Care Standards Targeted Care Management Intensive Case Management
  11. 11. 21ST CENTURY CARE … 11 CARE COORDINATION Single Care Plan Transitions of Care Referrals Compliance and Adherence COACHING Prescriptions and Tests Disease-specific Behavior and Lifestyle ACCESS NAVIGATION Registration Scheduling Reminders MONITORING Biomarkers Activity Environment CARE MANAGEMENT Community-based nursing Care Team Coordination DIAGNOSTICS Retail & Community Point of Care Home Ambulance INDIVIDUALS Delivers Supported Self-Care
  12. 12. GAME CHANGERS: DIAGNOSTICS AND WEARABLES 12
  13. 13. GAME CHANGERS: PROTEOMICS 13 Accurately detects and tracks different disease types years before symptoms – e.g. accurately classified confirmed cancer types with 96.2% accuracy up to 8 years before symptoms in a longitudinal study across 50,000 patients
  14. 14. SOME DISRUPTORS .. 14
  15. 15. INVESTMENT TRENDS 15 Following the Money
  16. 16. PREDICTIONS FOR 2018 16 • Don’t Expect Huge IPOs • Startups Will Need to Do More • The Market will Understand More Truth About AI • Big Tech Will Make Big Moves
  17. 17. QUESTIONS AND DISCUSSION 17

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