Lead Follow, or Get Out of the Way:Technology is Transforming the Delivery of

Healthcare

Dr. Leigh Ann Chandler Poole, PhD, CRNP, FNP-BC, CTCP, CTC

• Discuss the Coming Change and Paradigm Shift in Health and Healthcare

• Review Technological Innovations poised to reshape the healthcare system and the health of our population

• Discuss how these technologies could completely change the healthcare system

Objectives

• Revolution• Disruption• Transformation• Paradigm Shift

Technological Innovations are resulting in a new way to provide healthcare

What Words Would You Use to Describe the Current State of Healthcare?

• Value-Based Care• Quality Care• Improved Access• Decreased Readmission Rates

Telehealth Provides for it All

Key Buzzwords

• Telemedicine growing industry

• Leading Telemedicine experts believe up to 50% of healthcare visits may be conducted by TM within 5 years – Big Changes

Telehealth

• Technology has always outpaced legislation

• Need legislators and regulators to know and understand– Uses, quality, safety, possibilities– About the need to bring parity of HC to all citizens– Interstate practice problems that exist – Licensure and Credentialing issues – The importance of reimbursement

• Should not be dependent upon patients residency status• Should not discriminate against certain types of providers

Telehealth

• Big Players:

• Telemedicine

• Other Technological Innovations

Transformation of Healthcare

• Traditional

• Innovation – Disruption• Paradigm Shift

• New Modern

Healthcare Experiencing a Paradigm Shift

• Personalized Medicine– Individual Genetic Profile

• Prevention, Diagnosis, Tx

• Genetics / Genomics– Human Genome Project– Goal completely map and understand all human

genes– 2003 (3 Billion / 10 years)– Now

Significant Innovations

• 3-D / 4D Printing– Body parts, Organs, Cartilage, Hearing Aids,

Prosthetics, and More

Significant Innovations

Wired.comNews.discovery.com

• Robotics– Remote Practice/Telemedicine– Caretakers, Pets, Exoskeletons, Drones, etc.

Significant Innovations

Blogogist.com

http://techcrunch.com/2011/08/02/japanese-caretaker-robot-to-assist-in-lifting-the-elderly/

• Nanotechnology– Engineering at the molecular scale (1-100 nanometers) – At the nanoscale many materials behave in different and

unexpected ways– Promises from Cancer cures, to regeneration, to faster computers to

cleaner water, & energy crisis solutions– Examples:

• Silver (anti-microbial) Incorporated into products it kills bacteria without altering product.

• Cancer treatment – nanoparticles coated with polymers evade detection and deliver substances to nuclei causing cell death

– Great potential – need to understand how behave, to synthesize reliably, evaluate efficacy and safety

Significant Innovations

http://recent-inventions.lv2lvu.com/nanotechnology-in-medical-science/

#.VDgtsL60kpw

• Optics– Behavior and properties of light and interaction with

matter or construction of instruments that use or detect it

– New laser technologies– Measurement of body temperature, blood chemistry,

less invasive procedures, targeted treatment, more effective imaging and diagnostic procedures

Significant Innovations

http://physicsinventions.com/index.php/new-fiber-optic-technology/

• AI– Human like behaviors in machines or software – In medicine, increase efficiency, safety, productivity, and

outcomes while decreasing costs– Example: IBM Watson

• Virtual Reality / Gaming– Near Reality – Computer generated simulated environment

with interaction capabilities– Seeking care through Avatar representation– Example: Oculus Rift, Sony Project Morpheus, Second life

Significant Innovations

http://www.avatargeneration.com/2012/10/10-ways-artificial-intelligence-can-reinvent-education/

• Wearable's

• Ingestible’s

• Implantable’s

• Big Data

Significant Innovations

http://tommytoy.typepad.com/tommy-toy-pbt-consultin/2011/11/proteus-biomedical-a-biomedical-technology-company-out-of-redwood-city-california-was-selected-as-one-of-the-world-tec.html

• Brain Stimulation

• Cellular Separation

• Stem-Cell Manipulation

Significant Innovations

http://www.treatmentinpoland.com/158-l1-dbs-deep-brain-stimulation.html

• Lab-on-a-chip

• Sensors and Sensing Technologies

• Imaging – Molecular level

Significant Innovations

http://spie.org/x37029.xml

• Sense-making– Giving meaning to experience and enabling us to

investigate and improve interactions between humans and technology. Assists in making sense of complex information

• BCI and BBI• Cognitive Technology

– Example: IBM Watson

• Semantic Web

Significant Innovations

• X-Prize(s)– Life Sciences

• Tricorder, diagnostic technologies• Direct to Health Consumer

– Energy and Environment– Exploration– Global Development– Learning

Incentives Lead to Innovation

• Brain-Machine XPRIZE• Crypreservation XPRIZE• Lie Detector XPRIZE• Organogenesis XPRIZE• Rare Disease XPRIZE• Bionics XPRIZE• Robotic Home Healper XPRIZE

Other Health Related Prizes being considered

• Brain Initiative • Brain Research through Advancing Innovative

Neurotechnologies

• Aim to revolutionize our understanding of the human brain

• Multiagency and Multi-partner’s

• $100 million request for FY 2014

• Recent plans to double to $200 million in FY 2015

Brain Mapping Innovation

• Ask yourself these questions:

• How do you see the world of healthcare changing with the implementation of one or more of these technologies?

• How does direct to consumer marketing change our current paradigm?

To the Future and Beyond …

• Will it matter where our providers physically are?

• Will we need the same type of healthcare providers? • The same numbers?

Questions continued …

Will you:• Lead?• Follow?• Get Out of The Way?

It’s not if there will be a disruption, it’s when. The Future is Here; Impact it, or Be Impacted by It.

The BIG Question

Thank YouContact: Dr. Leigh Ann Chandler PoolePhD, CRNP, RN, FNP-BC, CTCP, CTC

Dr.lacpoole@gmail.comTwitter: @LACPoole