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HIMSS Qatar Keynote: Innovation in Healthcare and Biomedicine for the Future

Shahid N. Shah
December 07, 2017
230

HIMSS Qatar Keynote: Innovation in Healthcare and Biomedicine for the Future

Delivered in Doha, Qatar at HIMSS Qatar 2017

Shahid N. Shah

December 07, 2017
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Transcript

  1. Digital Medicine and ML are here. AI is coming.
    How will innovation in digital
    medicine and biomedicine affect
    the future of healthcare?
    By Shahid N. Shah (@ShahidNShah)
    Health Futurist and Healthcare IT Entrepreneur
    Publisher, Netspective Media LLC

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  2. www.himssqatar.org
    No Conflict of Interest This and many of my other presentations are available at
    www.SpeakerDeck.com/shah
    @ShahidNShah
    [email protected]
    www.ShahidShah.com

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  3. Population health access and
    quality are not easy anywhere.
    What can the USA and Europe
    learn from the Middle East and
    what can the Middle East learn
    from the West?

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  4. Can digital healthcare help Qatar and Middle
    East get onto the startup ecosystem map?
    https://startupgenome.com

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  5. Technology has digitized our experiences
    Last and past decades
    Digitize
    mathematics &
    engineering
    Digitize maps,
    literature, news
    Digitize
    purchasing,
    social networks
    Predict crowd
    behavior
    This and future decades
    Digitize
    biology
    Digitize
    chemistry
    Digitize
    physics
    Predict human
    behavior
    Gigabytes and petabytes, all sharable Petabytes and exabytes, not shareable

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  6. WHAT TECH WILL
    MAKE THE MOST
    DIFFERENCE?
    BLOCKCHAIN
    MACHINE LEARNING & AI
    CONVERSATIONAL UX
    BIOINFORMATICS
    VIRTUAL REALITY
    SELF DIAGNOSTICS
    Cybersecuriy is
    eating IT
    budgets
    Cybersecuriy is
    eating IT
    budgets

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  7. Machine Learning is here, AI is coming soon
    Solves access and quality.

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  8. Computational drug discovery is here, but it’s
    mostly human led – AI based drug development is
    on the way

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  9. “Cybertherapy” is showing great promise in pain
    management without drugs

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  10. In the USA, Digital Medicine is slowed by intermediated
    business models, misunderstood regulations and
    protective regulations such as licensure and credentialing.
    Qatar and the Middle East could avoid these traps.
    Our business
    models are
    harming innovation
    in USA
    Our business
    models are
    harming innovation
    in USA

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  11. Intermediation kills innovation, it is
    growing in many countries, and
    continues inefficient marketplaces
    between beneficiaries and funders.
    Population health requires collaborative engagement (CE), it
    cannot be done by individual institutions on their own.

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  12. “My institution first” approach to patient
    care is harming healthcare in the USA
    Insurer | Payer
    Product 1
    Product 2
    Each population
    requires different
    engagement
    techniques at various
    times.
    But ecosystem
    participants don’t
    work together.
    Tech marketers
    cannot solve these
    problems but they
    can highlight
    inefficiencies and use
    them as conversation
    starters.
    Provider 2
    Provider 1

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  13. Collaborative engagement for shared benefit is
    how investors and innovators in Qatar and the
    Middle East could be more competitive
    Insurer | Payer
    Government
    Product 1
    Product 2
    Product 3
    Each member
    population gets
    personal care through
    their provider or
    other advocate,
    enabled by health
    insurer tools and
    support.
    Provider 2
    Provider 1
    Influencers
    Influencers
    Caregiver

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  14. www.netspective.com
    © 2017 Netspective. All Rights Reserved.
    16
    How do we move from
    “institution first” to “patient
    first” to true “patient centered”
    innovation?
    Hint: it’s not about patient
    engagement. It’s about knowing the
    patient reported outcomes drivers.

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  15. www.netspective.com
    © 2017 Netspective. All Rights Reserved.
    17

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  16. www.netspective.com
    © 2017 Netspective. All Rights Reserved.
    18

    View full-size slide

  17. www.netspective.com
    © 2017 Netspective. All Rights Reserved.
    19

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  18. Health Behaviors Clinical Care
    Social & Economic Factors
    Physical Environment
    30% 20%
    40%
    10%
    Access to Care
    Quality of Care
    Education
    Employment
    Income
    Family/Social Support
    Community Safety
    Air & Water Quality
    Housing & Transit
    Source: RWJF/UWPHI.
    Genetics
    Diet & Exercise
    Tobacco Use
    Alcohol & Drug Use
    Sexual Activity
    Sleep
    Population based outcomes drivers

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  19. Vector 2:
    Evidence-Based
    Decisions
    Vector 3:
    B2C Health
    Improvement
    Programs
    Vector 1:
    Next Generation
    Primary Care
    Self-tracking/testing:
    Wearables/Hardware
    Personalized
    Medicine/Genomics
    Health Information
    Care Navigation
    Disease Management
    Peer
    Networks
    Health Coaching
    Decision-Making Tools
    Care Access
    Remote
    Patient
    Monitoring
    Patient
    Engagement
    Health Behaviors
    30%
    Wellness Programs
    Source: RWJF/UWPHI.
    Genetics
    Diet & Exercise
    Tobacco Use
    Alcohol & Drug Use
    Sexual Activity
    Sleep
    Family support & self-
    help patient groups
    Health behaviors outcomes drivers

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  20. Vector 5:
    Analytics and Clinical
    Decision Support
    Vector 2:
    Next Generation
    Primary Care
    Vector 3:
    Value-Based Care
    Vector 4:
    Operational Efficiency
    Vector 1:
    Disease-Specific Care
    Pathways
    Care
    Coordination
    Patient
    Engagement
    Big Data
    Personalized
    Medicine
    Medication
    Management
    Clinical Care
    20%
    Access to Care
    Quality of Care
    Nanotechnology
    Source: RWJF/UWPHI.
    Knowledge
    Sharing
    Clinical care outcomes drivers
    Practice Management,
    EMRs, Pharmacy
    Management
    Transparency
    Tech-enabled
    services
    Retail Clinics,
    DPC
    House Calls

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  21. Advance Directives
    Programs/Services
    Next Gen Benefits
    Social Services
    Access/Management
    Vector 1:
    Equilibrating
    Healthcare Expense
    Vector 2:
    Community-Based
    Health Initiatives
    Vector 3:
    Aging & End-of-Life
    Programs
    Social & Economic Factors
    40%
    Education
    Employment
    Income
    Family/Social Support
    Community Safety
    House Calls
    Hospice Programs
    Virtual Medicine
    Incentive Programs
    Wellness Programs
    Source: RWJF/UWPHI.
    Early ID and prevention
    programs
    Social & economic factors

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  22. GPS-enabled
    sensors
    Physical Environment
    10%
    Air & Water Quality
    Housing & Transit
    Vector 1:
    Targeted Monitoring
    and Rapid Response
    Vector 2:
    Community-Based
    Health Initiatives
    Vector 3:
    Affordable Living and
    Access
    Food , Housing,
    and Transportation
    Access
    Next Generation
    Public Transport
    Environmental
    Response
    Mechanisms
    Continuous
    Monitoring
    Source: RWJF/UWPHI.
    Built Environment
    Design
    Broadband
    connectivity
    Physical environment

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  23. Data must lead the transformation, Middle
    East innovators must lead the data movement
    Manual Data
    Collection
    Manual Data
    Collection
    Systems
    Integration
    Reporting
    and Analytics
    Data Mining
    Predictions
    Machine
    Learning
    Augmented
    Intelligence
    Artificial
    Intelligence
    Docs and nurses
    as clerical staff
    TODAY

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  24. Data must lead the transformation, Middle
    East innovators must lead the data movement
    Manual Data
    Collection
    Systems
    Integration
    Systems
    Integration
    Reporting
    and Analytics
    Data Mining
    Predictions
    Machine
    Learning
    Augmented
    Intelligence
    Artificial
    Intelligence
    PGHD, Med Device
    Connectivity
    TODAY, ACCELERATING

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  25. Data must lead the transformation, Middle
    East innovators must lead the data movement
    Manual Data
    Collection
    Systems
    Integration
    Reporting
    and Analytics
    Reporting
    and Analytics
    Data Mining
    Predictions
    Machine
    Learning
    Augmented
    Intelligence
    Artificial
    Intelligence
    Automating
    retrospective
    visibility
    TODAY

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  26. Data must lead the transformation, Middle
    East innovators must lead the data movement
    Manual Data
    Collection
    Systems
    Integration
    Reporting
    and Analytics
    Data Mining
    Predictions
    Machine
    Learning
    Machine
    Learning
    Augmented
    Intelligence
    Artificial
    Intelligence
    Pattern matching
    mastery
    (unsupervised and
    supervised)

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  27. Data must lead the transformation, Middle
    East innovators must lead the data movement
    Manual Data
    Collection
    Systems
    Integration
    Reporting
    and Analytics
    Reporting
    and Analytics
    Data Mining
    Predictions
    Predictions
    Machine
    Learning
    Augmented
    Intelligence
    Artificial
    Intelligence
    Use past knowledge
    to make rudimentary
    predictions about the
    future

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  28. Data must lead the transformation, Middle
    East innovators must lead the data movement
    Manual Data
    Collection
    Systems
    Integration
    Reporting
    and Analytics
    Data Mining
    Data Mining
    Predictions
    Machine
    Learning
    Augmented
    Intelligence
    Artificial
    Intelligence
    Finding known
    needles in haystacks
    and pop health
    TODAY, MAY SKIP FOR ML

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  29. Data must lead the transformation, Middle
    East innovators must lead the data movement
    Manual Data
    Collection
    Systems
    Integration
    Reporting
    and Analytics
    Data Mining
    Predictions
    Machine
    Learning
    Augmented
    Intelligence
    Augmented
    Intelligence
    Artificial
    Intelligence
    Semi autonomous
    intelligence which
    needs humans
    ARRIVING SOON

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  30. Data must lead the transformation, Middle
    East innovators must lead the data movement
    Manual Data
    Collection
    Systems
    Integration
    Reporting
    and Analytics
    Data Mining
    Predictions
    Machine
    Learning
    Augmented
    Intelligence
    Artificial
    Intelligence
    Artificial
    Intelligence
    Real intelligence
    indistinguishable
    from humans and
    fully autonomous
    YEARS AWAY

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  31. Data ushering in Scientific Method 3.0 and
    the Middle East can lead it again
    1.0
    Identify
    phenomenon
    Identify
    phenomenon
    Think about
    nature
    Think about
    nature
    Fit to known
    patterns
    Fit to known
    patterns
    Guess at
    answers
    Guess at
    answers
    3.0
    Identify
    data
    Identify
    data
    Generate
    questions
    Generate
    questions
    Mine data
    Mine data
    Answer
    questions
    Answer
    questions
    2.0
    Identify
    problem
    Identify
    problem
    Ask
    questions
    Ask
    questions
    Collect
    data
    Collect
    data
    Answer
    questions
    Answer
    questions

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  32. How will we know if we’ve reached 3.0 ?

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  33. How will medical roles evolve or be eliminated?
    Find other
    opportunities
    within 2-3 years
    Clerical
    Focus on value-
    added tasks such as
    revenue growth or
    new business
    development within 3-
    5 years
    Administrative
    •Learn data science
    •Seek digital imaging and
    digital pathology
    integration opportunities
    •Become telehealth
    native
    Early career
    clinical
    •Learn to teach computers
    •Become a digital
    transformation change
    agent / leader
    •Drive telehealth across the
    multiple institutions
    Mid career
    clinical • Learn to teach
    computers your
    wisdom
    • Ignore the
    transformation and
    retire early
    Late career
    clinical

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  34. Where Middle East innovators and investors
    should focus their attention with respect to digital
    medicine
    Therapies
    Therapeutic
    Tools
    Diagnostics
    Diagnostic
    Tools
    Patient
    Administration
    Payer Admin
    Clinical
    Professional
    Education
    Public Health
    Education
    Patient
    Education
    Cohort specific
    Personalized
    Risk Data Sharing
    Most regulated
    Least regulated in USA
    More difficult to compete with the USA Easier to compete

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  35. Where Middle East innovators and investors
    should focus their attention with respect to digital
    medicine
    Therapies
    Therapeutic
    Tools
    Diagnostics
    Diagnostic
    Tools
    Patient
    Administration
    Payer Admin
    Clinical
    Professional
    Education
    Public Health
    Education
    Patient
    Education
    Auto Literature Review
    Specialty-specific Content
    Most regulated
    Least regulated in USA
    More difficult to compete with the USA Easier to compete

    View full-size slide

  36. Where Middle East innovators and investors
    should focus their attention with respect to digital
    medicine
    Therapies
    Therapeutic
    Tools
    Diagnostics
    Diagnostic
    Tools
    Patient
    Administration
    Payer Admin
    Clinical
    Professional
    Education
    Public Health
    Education
    Patient
    Education
    Auto Adjudication
    Fraud Detection
    Quality Compliance
    Contract Adherence
    Most regulated
    Least regulated in USA
    More difficult to compete with the USA Easier to compete

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  37. Where Middle East innovators and investors
    should focus their attention with respect to digital
    medicine
    Therapies
    Therapeutic
    Tools
    Diagnostics
    Diagnostic
    Tools
    Patient
    Administration
    Payer Admin
    Clinical
    Professional
    Education
    Public Health
    Education
    Patient
    Education
    Patient Self Diagnostics
    Unlicensed Pro Diagnostics
    Digitally and Heuristically Guided Diagnostics
    Images (self, guided, consulted)
    Labs and Chemistry (self, guided, consulted)
    Multi-omics (self, guided, consulted)
    Molecular Biology
    Most regulated
    Least regulated in USA
    More difficult to compete with the USA Easier to compete

    View full-size slide

  38. Where Middle East innovators and investors
    should focus their attention with respect to digital
    medicine
    Therapies
    Therapeutic
    Tools
    Diagnostics
    Diagnostic
    Tools
    Patient
    Administration
    Payer Admin
    Clinical
    Professional
    Education
    Public Health
    Education
    Patient
    Education
    Auto Triage for Low-risk
    Augmented Triage for Higher risk
    Infection control / Anti-microbial Stewardship
    Consulted Tele Diagnostics
    Med Device Continuous Diagnostics Most regulated
    Least regulated in USA
    More difficult to compete with the USA Easier to compete

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  39. Where Middle East innovators and investors
    should focus their attention with respect to digital
    medicine
    Therapies
    Therapeutic
    Tools
    Diagnostics
    Diagnostic
    Tools
    Patient
    Administration
    Payer Admin
    Clinical
    Professional
    Education
    Public Health
    Education
    Patient
    Education
    Physical
    Mental (chat, VR, etc.)
    Digital (nutritional, etc.)
    Clinical Research ( “systematic review automation”)
    Drug Development
    Clinical Discovery (unattended and digital)
    Most regulated
    Least regulated in USA
    More difficult to compete with the USA Easier to compete

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  40. Where Middle East innovators and investors should
    focus their attention with respect to data
    Proteomics
    Genomics
    Biochemical
    Imaging
    Behavioral
    Phenotypics
    Admin
    Economics
    Connectivity Integration Transformation Comprehension Enrichment Insights Cognition
    No outcomes driven medicine
    possible without these

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  41. How should machines go through medical
    training? Which medical school will have the
    first machine learning algorithm training
    department?

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  42. HOW DO YOU PREPARE DIGITAL-
    READY LEADERS?
    L
    v
    = (i)K
    c
    + (v)S
    PJ
    + C2 + (a)T
    i
    2 + R
    PFU
    + E(wo)

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  43. Here’s the formula that create the right leaders
    Lv
    → Leadership value = (target a large number greater than 1)
    • Kc
    → inquisitive knowledge of industry led by curiosity about why things are the way they are +
    • Spj
    → visionary strategy informed by problems to be solved and jobs to be done +
    • C2 → communication & coordination +
    • (a)Ti
    2 → application of actionable transformative technology fully integrated into complex workflows +
    • Rpfu
    → understanding performance, financial, and utilization risk (shared, one-sided, two-sided)
    • Ewo
    → execution through workforce optimization
    • SQ → status quo is a constant, the size of which depends upon your organization. It means do no harm,
    focus on patient safety, reliability, intermediation, & maintain eminence and consensus based decision making
    Lv
    =
    SQ
    Kc
    + Spj
    + C2 + (a)Ti
    2 + Rpfu
    + Ewo

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  44. www.himssqatar.org
    How will innovation in digital medicine and
    biomedicine affect the future of healthcare?
    By Shahid N. Shah
    Health Futurist and Healthcare IT Entrepreneur
    Publisher, Netspective Media LLC
    This and many of my other presentations are available at
    www.SpeakerDeck.com/shah
    @ShahidNShah
    [email protected]
    www.ShahidShah.com

    View full-size slide