digital health: take two apps and call me in the morning

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Technologies that Are Shaking Up the Digital Health Industry Robin Raskin, Digital Healthcare Executive Forum

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Presented on March 20 at the Hudson Valley Economic Development Forum on Digital Health Presentation focuses on consumer available gadgets including: fitness and health monitors

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Page 1: Digital Health: Take Two Apps and Call Me in the Morning

Technologies that Are Shaking Up the Digital Health Industry

Robin Raskin, Digital Healthcare Executive Forum

Page 2: Digital Health: Take Two Apps and Call Me in the Morning

The New Office Hours

Take Two Apps And Call Me In The Morning

OR

The Doctor Won’t See You Now

Page 3: Digital Health: Take Two Apps and Call Me in the Morning

More Profitable to Treat Than Prevent • US spends some 18% of gross domestic product on healthcare but ranks 17th on a list of 

17 developed countries by outcome. • 20% of GDP is medical ($28 trillion)• Highest Rate for Hospital Procedures in the World• Shorter Stays/High readmissions• Emergency room is doctor• Under insured population• Aging Demographic • Rules that make no sense in terms of billing• Providers/payees/physicians/patient disconnect

Page 4: Digital Health: Take Two Apps and Call Me in the Morning

Regulatory:  Affordable Health Care Act Economic:  Price Comparison

 Medicine as a CommodityTechnology: Mobile Phones, Sensors, Cloud

The Perfect Storm

Page 5: Digital Health: Take Two Apps and Call Me in the Morning

• Take health into our own hands• Focus on well care, not sick care• Move from intermittent and reactive to 

continuous and proactive

Changes in Attitude

Page 6: Digital Health: Take Two Apps and Call Me in the Morning

Basic Building Blocks of Digital Health

Page 7: Digital Health: Take Two Apps and Call Me in the Morning

Scanadu’s Scout Misfit Shine 

Beam ToothbrushNeurosky EEG and ECG

Page 8: Digital Health: Take Two Apps and Call Me in the Morning

Mo’ Better Sensors

Page 9: Digital Health: Take Two Apps and Call Me in the Morning

Quantified SelfUsing tech devices to measure all bodily input and output. Is quantified self more than a narcissistic indulgence? 

Page 10: Digital Health: Take Two Apps and Call Me in the Morning

A National Habit• Three quarters of online U.S. consumers (75%) own a fitness 

technology product. (UP 61% in 2012) • Pedometers remain the most popular 37%• Others include fitness video games (26%) and portable blood 

pressure monitors (21%)• Price, battery life, size and falling off the wagon are biggest 

obstacles.

Page 11: Digital Health: Take Two Apps and Call Me in the Morning

The Guerilla Patient• Doctors have 5 minutes• Patients can’t absorb the information• Leave office uninformed• Poor adherence and compliance• Liptor vs. Lumena

• Patients going outside of traditional healthcare to educate

• Creating their own trusted networks• Choosing their services and fostering 

competition• Monitoring done in hospital can now 

be done at home

Page 12: Digital Health: Take Two Apps and Call Me in the Morning

Obstacles to Progress• Virtual patient visit will need to be reimbursable• Patients are overwhelmed like when AT&T divested• Don’t ask dr. Google questions. The answer is cancer• Track-aholism• The Graveyard of Dead Devices

Page 13: Digital Health: Take Two Apps and Call Me in the Morning

In Data We Trust Detecting Patterns of Large Numbers of Users• The Driverless Car• The Ingestible Pill• The Lively Sensor • Genetic Markers

Page 14: Digital Health: Take Two Apps and Call Me in the Morning

Big Data Behind Each Individual

Page 15: Digital Health: Take Two Apps and Call Me in the Morning

BioStamp from MC10Bands are just today’s incarnation

Page 16: Digital Health: Take Two Apps and Call Me in the Morning

Genetic Sequencing for all

Page 17: Digital Health: Take Two Apps and Call Me in the Morning

RoboticsParalyzed to walk (rehab) Dementia (5.2 million in US alone)

Page 18: Digital Health: Take Two Apps and Call Me in the Morning

Incentives for Behavior Modification• Gaming – win points for behaving well• Clinical trials out in the open • Crowd-sourcing 

Page 19: Digital Health: Take Two Apps and Call Me in the Morning

The Doctor Will See You NowMedical kiosks will move to companies and places like Walgreens and CVS  

Page 20: Digital Health: Take Two Apps and Call Me in the Morning

New Modes of Interaction• Haptic and Gesture• MultiTouch • Voice• Mind control• Photo Capture• Augmented Reality

Page 21: Digital Health: Take Two Apps and Call Me in the Morning

Natural Interface

Page 22: Digital Health: Take Two Apps and Call Me in the Morning

The Closer to Our Body the More We Look; The Further From Our Body the Longer we Look

Rule of Screens

Page 24: Digital Health: Take Two Apps and Call Me in the Morning

Multi Touch

Page 25: Digital Health: Take Two Apps and Call Me in the Morning

Just Think About It

Page 26: Digital Health: Take Two Apps and Call Me in the Morning

Photos and Scans

Page 27: Digital Health: Take Two Apps and Call Me in the Morning

Augmented Reality

Page 28: Digital Health: Take Two Apps and Call Me in the Morning

At the Center of It All: The Mobile Phone and Tablet• Cheap hardware• Prescribing apps • Gamification to keep people engaged• iPhone does  real EKG • Scales that tweet• Bands that Monitor Your Body • Check up wherever you may be 

Page 29: Digital Health: Take Two Apps and Call Me in the Morning

Technologies that Are Shaking Up the Digital Health Industry

Robin Raskin, Digital Healthcare Executive Forum