vitality and the connected consumer in a health 2.0 world
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Engaging in a new Paradigm:
Connected VitalityMark Scrimshire
Director, Internet Channel Strategy
World Health Care Congress - Health Plan Innovation Congress Orlando, March 2010
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@ekivemark #HealthCamp
http://healthca.mp
mscrimshire@gmail.com
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@ekivemark #HealthCamp
http://healthca.mp
@ekivemark
The views expressed here are my own and don't necessarily
represent the positions, strategies or opinions
of CareFirst
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@ekivemark #HealthCamp
http://healthca.mp
Give Up!
@ekivemark
http://healthca.mp4
@ekivemark #HealthCamp
http://healthca.mp
It is tough juggling everything...
when it is treacherous underfoot
@ekivemark
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@ekivemark #HealthCamp
http://healthca.mp
It is time we stopped walking alone
@ekivemark
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@ekivemark #HealthCamp
http://healthca.mp
We have to join in
@ekivemark
http://healthca.mp7
@ekivemark
We thrive on complexity@ekivemark
http://healthca.mp8
@ekivemark But complexity will bury us
@ekivemark
http://healthca.mp9
@ekivemark
We are not getting any younger
$0$1,500$3,000$4,500$6,000$7,500$9,000
Under 5 5 - 17 18 - 24 25 - 44 45 - 64 65+Annual Spend Per Person
Sour
ce: K
aise
r
The ChangingRegional AgeStructureThe term "demographictransition" refers to agradual processwhereby a societymoves from a situationof high rates of fertilityand mortality to one oflow rates. This transitionis characterized first bydeclines in infant andchildhood mortality asinfectious and parasiticdiseases are eradicated.Whole populationsbegin to age whenfertility rates declineand mortality rates atall ages improve.Successive birth cohortsmay eventually becomesmaller and smaller, asseen for North Americain 1980. If projecteddeclines in fertility andmortality throughout thehemisphere proceed asexpected, regionalpopulation agestructures will lose theirtriangular shape, andthe older portion of thepopulation will increase.
!"#!#"$! ! " #! #" $!
!"#!#"$! ! " #! #" $!
%!&'"(')'!('*+"(+)+!(+*""(")"!("**"(*)*!(**,"(,),!(,*$"($)$!($*#"(#)#!(#*"()!(*
! " #! #" $!!"#!#"$!
1980%!&
'"(')'!('*+"(+)+!(+*""(")"!("**"(*)*!(**,"(,),!(,*$"($)$!($*#"(#)#!(#*"()!(*
2025
!"#!#"$! ! " #! #" $!
%!&'"(')'!('*+"(+)+!(+*""(")"!("**"(*)*!(**,"(,),!(,*$"($)$!($*#"(#)#!(#*"()!(*
1980%!&
'"(')'!('*+"(+)+!(+*""(")"!("**"(*)*!(**,"(,),!(,*$"($)$!($*#"(#)#!(#*"()!(*
2025
!"#!#"$! ! " #! #" $!
%!&'"(')'!('*+"(+)+!(+*""(")"!("**"(*)*!(**,"(,),!(,*$"($)$!($*#"(#)#!(#*"()!(*
1980%!&
'"(')'!('*+"(+)+!(+*""(")"!("**"(*)*!(**,"(,),!(,*$"($)$!($*#"(#)#!(#*"()!(*
!"#!#"$! ! " #! #" $!
2025
South America
Male Female Male Female
North America
Male Female Male Female
Central America and the Caribbean
Male Female
Age
Age
Age
AgeMale Female
Age Age
PopulationAgeStructure:1980 and2025(In millions)
Millions
Sour
ce: C
ensu
s Bu
reau
Changing age distribution drives up cost by 22% per person10
@ekivemark
SpendingPopulation
Wellness Pyramid
Care
Manage
Prevent
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@ekivemark
Consumer Care Continuum
Does this look like home?
Is the Patient Centered Medical Home
a misnomer?
@ekivemark
Self Managed
Am
bulatory
Inpatient
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@ekivemark
Consumers have been in the dark
Joachim @ daysoff.wordpress.com
@ekivemark
http://healthca.mp13
@ekivemark
An ultra compact Web 2.0 definition....
Web 2.0 = (Me + Youn)US
http://healthca.mp14
@ekivemarkChoices
....Sort of
@ekivemark
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@ekivemark@ekivemark
How Do We Trigger That Leap of Engagement?
Baldface Lodge
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@ekivemark
Laziness
@ekivemark
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@ekivemark
not
WIIFM
@ekivemark
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@ekivemark
Competitiveness
@ekivemark
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@ekivemark
Health 2.0 = (Me + MD10)US
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@ekivemark
What can Health 2.0 do for you?
• Patients 50% more likely to turn up for appointments they book directly
• 18% of online appointments avoid an ER visit
• Adherence to medication regimes after a heart attack reduces likelihood of re-admittance to hospital by over 60%
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@ekivemark
Tools of Engagement
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@ekivemark
A growingecosystem built around the untethered PHRs
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@ekivemark
We have toempower vitality
Closing
the Loop
in a world where the Patient is the Integrator24
@ekivemark
Take advantage of the growing PHR ecosystem
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@ekivemark
A.P.I.
Application Programming Interface26
@ekivemark
Technology is evolving quickly
O.D.L.
Observations of Daily Living
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@ekivemark
Personalized Sensors,
Filters and Semantics
PHR ODL
API
The Future is a world of
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@ekivemark
“Use simple tools to do great things”
http://healthca.mp29
@ekivemark
The future is mobile
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@ekivemark
Don’t underestimate the power of a simple text...
BP 135/83-62Feeling Good
Did you take your medication?
Reply Y or N
Open MobileHealth Exchange
(OMHE)
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@ekivemark
Everything is becoming connected
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@ekivemark
IndependentlyAging in Place
• Ingestible Sensors
• Personal Monitoring Services
• Online Care
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@ekivemark
EMR
Monitor
HealthApplication
HealthApplication
EHR
Say goodbye to the (relatively) simple life...
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@ekivemark
EMR
Monitors
EHR
HealthApplications
MobileDevices
HealthApplications
HealthApplications
HealthApplications
HealthApplications
HealthApplications
HealthApplications
Expect an explosion of solutions
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@ekivemark
EMR
Monitors
EHR
HealthApplications
MobileDevices
HealthApplications
HealthApplications
HealthApplications
HealthApplications
HealthApplications
HealthApplications
Untethered PHRs willbe a data conduit
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@ekivemark
“D keasODL swam 2 miles in 60 minutes”
“#mydiet food spaghetti pasta with sauce lunch small homemade #keas”
40404
“D keasODL 120/80 p60”
Patients are doing it for themselves
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@ekivemark
Inpatient
Am
bulatory
Self Managed
Tap in to HealthSelf Management
EHR PHR
MobileDevices
ODLs
Reminders
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@ekivemark
Openness is the new tie-in
and must be bi-directional39
A light at the end of the tunnel
estaesmivida.net/
• Embrace the PHR
• Engage the Patient
• Use their measurements
• Bi-directional data flowshttp://healthca.mp
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http://healthca.mp
e: mscrimshire@gmail.como: +1.410.998.4857 t/a/s: @ekivemark
Mark ScrimshireDirector, Internet Channel Strategy
http://www.slideshare.net/ekivemark
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