Transcript View Presentation - Connecting Michigan for Health Conference

THE SHIFT TO
PRECISION
MEDICINE
HEALTHIER POPULATIONS | DAVE BENNETT
JUNE 2016
Industry Trends | New Models for Medicine
▸ From Disease-Centric to
Prevention-Centric
▸ Age of Consumerization –
Promotion, Cognitive Support and
Wellness are demanded
▸ Precise Medicine and Genomics
▸ Social Determinants of Health
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Industry Trends | Determinants of Health - Most Data Exists Outside Medical Systems
A vast amount of untapped data could have a great impact on our health
60%
80%-90%
from exogenous sources
of health determinants are NOT related to health care
30%
Other Determinants of Health:
from genomic sequencing
Environmental
10%
from health systems
Economic
Activities
Nutrition
Social
ONC
Shared nationwide interoperability roadmap
Source: Health Aff (Millwood). 2002 Mar-Apr;21(2):78-93. The case for more active policy attention to health promotion. McGinnis JM, Williams-Russo P, Knickman JR.
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Industry Trends | Digital Me
Perhaps 2Tb of Data
Social Data
Environment
Device Data
Transcriptome
Proteome
Epigenetic
Metabolome
Microbiome
Genome
Imaging
Clinical Data
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Factors Influencing Health
McGinnis et. al. Human Affairs, Vol 22 (2)
Industry Trends | Result is a Health Data Explosion
2012
500 Petabytes
=
10 billion
Four drawer
cabinets
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2020
25,000 Petabytes
=
500 billion
Four drawer
cabinets
The amount of
healthcare data
worldwide is
expected to grow
by 50 times in
8 years
The Impossible Job of a Clinician…
Info from Dr Google
? ? ?
Missing Clinical Data
Minutes
to make a
decision
Soon…a Tsunami
of new data
10101011010101010101011010101010101001101
11010100010110101010101111101010110101010
101010110101010101010101011010101011010
17 New Academic
research papers/day
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15
“Evidence Based
Medicine”
decision
making…??
?
Precise medicine is here today
8th grader
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7th grader
Junior Year
600lbs Tire
Flips
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Senior Year: Captain of Football Team
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Freshmen in College
What’s Needed?
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Amadeus | How Big Data is Handled in Other Industries
HIGH
VOLUME
AND
VELOCITY
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FLEXIBILITY
AND
SCALABILITY
OF DATA
MODEL
DATA
LIQUIDITY
< FUTURE-PROOF ARCHITECTURE
PRIVACY
AND
SECURITY
Amadeus | Open APIs for a Secure, Scalable & Distributed Solution
< FUTURE-PROOF ARCHITECTURE
Device
Mobile
Care Coordination
Applications
Wellness &
Patient Devices
Applications
Browser
Browser
Mobile
Unlimited third party apps
Web App Layer
Domain Logic Layer
Unlimited third
party plugins
Open APIs
Management Layer
Data Access Layer
Database
Reporting
Applications
Patient
Engagement
Applications