Valuation $1.8B $3.1B $3.2B $1B $1B 38 healthcare unicorns valued at $90.7B Global VC-backed digital health companies with a private market valuation of $1B+ (7/26/19) UNITED KINGDOM $1.5B MIDDLE EAST $1B Valuation ISRAEL $7B $1B $1.2B $1B $1.65B $1.8B $1.25B $2.8B $1B $1B $2B Valuation $1.5B UNITED STATES GERMANY $1.7B $2.5B CHINA ASIA $3B $5.5B Valuation $5B $2.4B $2.4B France $1.1B $3.5B $1.6B $1B $1B $1B $1B CB Insights, Global Healthcare Reports 2019 2Q
breast cancer with malignant pleural effusions and empyema. The patient timeline at the top of the ﬁgure contains circles for every time-step for which at least a single token exists for the patient, and the horizontal lines show the data type. There is a close-up view of the most recent data points immediately preceding a prediction made 24 h after admission. We trained models for each data type and highlighted in red the tokens which the models attended to—the non-highlighted text was not attended to but is shown for context. The models pick up features in the medications, nursing ﬂowsheets, and clinical notes relevant to the prediction Scalable and accurate deep learning with electronic health A Rajkomar et al. 6 미국 병원, “환자의 재입원율을 예측해서 패널티를 줄이고 싶다”
Food and Drug Administration device classification. Once the glucose values reach HealthKit, they are passively shared with the Epic MyChart app (https://www.epic.com/software-phr.php). The MyChart patient portal is a component of the Epic EHR and uses the same data- base, and the CGM values populate a standard glucose flowsheet in the patient’s chart. This connection is initially established when a pro- vider places an order in a patient’s electronic chart, resulting in a re- quest to the patient within the MyChart app. Once the patient or patient proxy (parent) accepts this connection request on the mobile device, a communication bridge is established between HealthKit and MyChart enabling population of CGM data as frequently as every 5 Participation required confirmation of Bluetooth pairing of the CGM re- ceiver to a mobile device, updating the mobile device with the most recent version of the operating system, Dexcom Share2 app, Epic MyChart app, and confirming or establishing a username and password for all accounts, including a parent’s/adolescent’s Epic MyChart account. Setup time aver- aged 45–60 minutes in addition to the scheduled clinic visit. During this time, there was specific verbal and written notification to the patients/par- ents that the diabetes healthcare team would not be actively monitoring or have real-time access to CGM data, which was out of scope for this pi- lot. The patients/parents were advised that they should continue to contact the diabetes care team by established means for any urgent questions/ concerns. Additionally, patients/parents were advised to maintain updates Figure 1: Overview of the CGM data communication bridge architecture. BRIEF COMMUNICATION Kumar R B, et al. J Am Med Inform Assoc 2016;0:1–6. doi:10.1093/jamia/ocv206, Brief Communication by guest on April 7, 2016 http://jamia.oxfordjournals.org/ Downloaded from JAMIA 2016 Remote Patients Monitoring via Dexcom-HealthKit-Epic-Stanford 제1형 당뇨환자의 혈당을 연속혈당계로 측정하여, 아이폰, EMR을 거쳐 스탠퍼드 대학병원의 의료진이 모니터링한다.
new-age payer’ or ‘a new-age PBM(Pharmacy Benefit Management)’ •기존의 헬스케어 산업의 범주를 뭉개버리는 스타트업 •Oscar는 기존의 payer 역할에서 provider 까지 진출하고 있음 •23andMe 는 유전정보 분석회사에서 제약회사도 되고 있음 •Ginger.io 는 B2B 헬스케어 스타트업에서 provider도 되었음 어떠한 스타트업을 찾고 있는가? Health 2.0 2017 Annual Conference VC’s Talk New Trends in Investing