The future of empowered patients is in wireless capable medical devices with significant software and data integration

3962189473d062fdc76ce9a07cbe89fd?s=47 Shahid N. Shah
July 12, 2013
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The future of empowered patients is in wireless capable medical devices with significant software and data integration

This presentation was given at the Tenth Annual Healthcare Unbound Conference in Denver. It covers the following topics:

* Things that kill and harm human beings today are very different than just 100 years ago
* Health policy and payments are shifting to deal with new realities
* Marketplace and industry challenges for device vendors
* Why wireless connectivity is good business
* Why wireless connectivity is a disruptive innovation

Key takeaways include:
* Wireless is a business enabler but there’s a lot to consider.
* Hardware, sensors, and software are transient businesses but data lives forever. * He who owns, integrates, and uses data wins in the end.
* Data from devices is too important and specialized to be left to software vendors, managed service providers, and system integrators.

3962189473d062fdc76ce9a07cbe89fd?s=128

Shahid N. Shah

July 12, 2013
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Transcript

  1. 2.

    NETSPECTIVE www.netspective.com 2 Who is Shahid? • 20+ years of

    software engineering and multi- site healthcare system deployment experience • 12+ years of healthcare IT and medical devices experience (blog at http://healthcareguy.com) • 15+ years of technology management experience (government, non-profit, commercial) • 10+ years as architect, engineer, and implementation manager on various EMR and EHR initiatives (commercial and non-profit) Author of Chapter 13, “You’re the CIO of your Own Office”
  2. 4.

    NETSPECTIVE www.netspective.com 4 Bacteria used to kill us the most…

    Per 100k population, Historical Statistics of the United States, Millennial Edition
  3. 5.

    NETSPECTIVE www.netspective.com 5 We’ve got most infections beat… …except the

    flu and pneumonia Per 100k population, Historical Statistics of the United States, Millennial Edition
  4. 6.

    NETSPECTIVE www.netspective.com 6 Top killers today Heart disease Cancer Chronic

    lower respiratory diseases Top killers in 1900 Pneumonia and influenza TB Diarrhea and enteritis Infectious diseases used to kill us… …but what’s left seem only to be “manageable” not easily “curable” Per 100k population, Historical Statistics of the United States, Millennial Edition
  5. 7.

    NETSPECTIVE www.netspective.com 7 Death by age group, 1900 Death by

    age group, Today From cures to management… …young people don’t dye of diseases often now http://siteresources.worldbank.org/INTHSD/Resources/topics/Health-Financing/HFRChap1.pdf
  6. 8.

    NETSPECTIVE www.netspective.com 8 Chronic Conditions Almost half the U.S. population

    needs chronic disease management Source: NCQA State of Healthcare Quality Report 2007 & Wellpoint
  7. 9.

    NETSPECTIVE www.netspective.com 9 Medicine has accepted lack of cures… …we’re

    now focused on prevention and wellness (below is CDC’s framework) http://www.cdc.gov/chronicdisease/resources/publications/AAG/chronic.htm Objectives: • Keep people out of the hospital ($$$) • Keep people from their docs ($$) • Keep people off drugs ($) • Keep people at home
  8. 10.

    NETSPECTIVE www.netspective.com 10 Keep patients away from hospitals $0 $100

    $200 $300 $400 $500 $600 $700 $800 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 Hospital care, total Physician and clinical services, total Nursing care facilities and continuing care retirement communities, total Prescription drugs, total Hospitalization, physician and clinical services total more than $1.2 Trillion today http://www.census.gov/compendia/statab/cats/health_nutrition/health_expenditures.html
  9. 14.

    NETSPECTIVE www.netspective.com 14 The new world order General Wellness Specific

    Prevention Self Service Physiologics Self Service Monitoring Self Service Diagnostics Care Team Monitoring Care Team Diagnostics Healthcare Professional Monitoring Healthcare Professional Diagnostics Hospital Monitoring Hospital Diagnostics
  10. 24.

    NETSPECTIVE www.netspective.com 24 Needed: care team involvement HEALTHCARE PROVIDER PATIENT/

    CONSUMER HOSPITAL FAMILY CAREGIVER ALTERNATE SITE OF CARE Care Team CALL CENTERS AND REMOTE SUPPORT
  11. 26.

    NETSPECTIVE www.netspective.com 26 Data changes the questions we ask Simple

    visual facts Complex visual facts Complex computable facts
  12. 27.

    NETSPECTIVE www.netspective.com 27 Implications for scientific discovery The old way

    Identify problem Ask questions Collect data Answer questions The new way Identify data Generate questions Mine data Answer questions