Engaging in a new Paradigm:

Connected VitalityMark Scrimshire

Director, Internet Channel Strategy

World Health Care Congress - Health Plan Innovation Congress Orlando, March 2010

1

@ekivemark #HealthCamp

http://healthca.mp

mscrimshire@gmail.com

2

@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

3

@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

5

@ekivemark #HealthCamp

http://healthca.mp

It is time we stopped walking alone

@ekivemark

6

@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

11

@ekivemark

Consumer Care Continuum

Does this look like home?

Is the Patient Centered Medical Home

a misnomer?

@ekivemark

Self Managed

Am

bulatory

Inpatient

12

@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

15

@ekivemark@ekivemark

How Do We Trigger That Leap of Engagement?

Baldface Lodge

16

@ekivemark

Laziness

@ekivemark

17

@ekivemark

not

WIIFM

@ekivemark

18

@ekivemark

Competitiveness

@ekivemark

19

@ekivemark

Health 2.0 = (Me + MD10)US

20

@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%

21

@ekivemark

Tools of Engagement

22

@ekivemark

A growingecosystem built around the untethered PHRs

23

@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

25

@ekivemark

A.P.I.

Application Programming Interface26

@ekivemark

Technology is evolving quickly

O.D.L.

Observations of Daily Living

27

@ekivemark

Personalized Sensors,

Filters and Semantics

PHR ODL

API

The Future is a world of

28

@ekivemark

“Use simple tools to do great things”

http://healthca.mp29

@ekivemark

The future is mobile

30

@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)

31

@ekivemark

Everything is becoming connected

32

@ekivemark

IndependentlyAging in Place

• Ingestible Sensors

• Personal Monitoring Services

• Online Care

33

@ekivemark

EMR

Monitor

HealthApplication

HealthApplication

EHR

Say goodbye to the (relatively) simple life...

34

@ekivemark

EMR

Monitors

EHR

HealthApplications

Facebook

MobileDevices

HealthApplications

HealthApplications

HealthApplications

Twitter

HealthApplications

HealthApplications

HealthApplications

Expect an explosion of solutions

35

@ekivemark

EMR

Monitors

EHR

HealthApplications

Facebook

MobileDevices

HealthApplications

HealthApplications

HealthApplications

Twitter

HealthApplications

HealthApplications

HealthApplications

Untethered PHRs willbe a data conduit

36

@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

37

@ekivemark

Inpatient

Am

bulatory

Self Managed

Tap in to HealthSelf Management

EHR PHR

MobileDevices

ODLs

Reminders

38

@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

40

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

41