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.

Transcript

1. How Wireless Networks Empower Patients 10th Annual Healthcare Unbound Conference & Exhibition Shahid N. Shah, CEO
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”
3. NETSPECTIVE www.netspective.com 3 Life expectancy is increasing… …but the rate of growth is slowing
4. NETSPECTIVE www.netspective.com 4 Bacteria used to kill us the most… Per 100k population, Historical Statistics of the United States, Millennial Edition
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
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
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
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
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
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
11. NETSPECTIVE www.netspective.com 11 Health services centralization tried Source: Jason Hwang, Innosight, via Jeff Selberg of IHI
12. NETSPECTIVE www.netspective.com 12 …now comes decentralization and disruptive innovation Source: Jason Hwang, Innosight, via Jeff Selberg of IHI
13. NETSPECTIVE www.netspective.com 13 Consumers will need do/pay more…
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
15. NETSPECTIVE www.netspective.com 15 Consumerization of physiologics….
16. NETSPECTIVE www.netspective.com 16 Consumerization of labs / genes Labs on chips Personal Genomics
17. NETSPECTIVE www.netspective.com 17 Consumerization of monitoring
18. NETSPECTIVE www.netspective.com 18 Wireless Body Area Network (BAN) The cornerstone of mHealth
19. NETSPECTIVE www.netspective.com 19 Wireless BAN Ecosystem Source: Qualcomm
20. NETSPECTIVE www.netspective.com 20 Wireless Protocols Comparison http://acamp.ca/alberta-micro-nano/images/docs/Technology-Presentations/Ken-Fyfe-HealthMedical-Dec09.pdf
21. NETSPECTIVE www.netspective.com 21 ANT+ is winning ULP protocol battle http://acamp.ca/alberta-micro-nano/images/docs/Technology-Presentations/Ken-Fyfe-HealthMedical-Dec09.pdf
22. NETSPECTIVE www.netspective.com 22 Needed: diagnostic quality mHealth
23. NETSPECTIVE www.netspective.com 23 Needed: sophisticated analytics
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
25. NETSPECTIVE www.netspective.com 25 Needed: automated diagnostics
26. NETSPECTIVE www.netspective.com 26 Data changes the questions we ask Simple visual facts Complex visual facts Complex computable facts
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
28. Thank you Questions? http://healthcareguy.com Shahid.Shah@netspective.com