Transcript 13.55-Richard-Gibson.. - the Future Health Summit

Perspectives on Emerging
Consumer Technologies
in Healthcare
Richard Gibson MD PhD
Research Director
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Contributors to Risk of Premature Death
Individual Behavior
Genetics
Social & Environmental Factors
Healthcare
0%
Schroeder SA 2007: NEJM. 357:1221-8.
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10%
20%
30%
40%
50%
General Education, Reference Material, Triage Applications
Photo: Sharecare.com
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Healthcare
Provider
Applications
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Patient Portals: EHR-tethered and Independent
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Patients who have accessed their electronic health records
YES
YES
NO
NO
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Source: https://www.accenture.com/us-en/insight-research-shows-patients-united-states-want-heavy
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OpenNotes: Seeing the provider’s full visit note
 82% of patients opened a least one of their notes
 1-8% of the patients said the notes caused confusion, worry, offense
 70-80% reported
– Having better understanding
– Taking better care of themselves
Robert Wood Johnson Foundation
– Feeling better prepared for visits
2010
– Feeling more in control
– Taking medications better
http://www.rwjf.org/en/how-we-work/grants/grantees/OpenNotes.html
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19,000 patients
105 GPs
Fitness Trackers
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Fitness Wristbands
Adults under age 70 with device
17% US
9% UK
5% France and Germany
Green=Installed Base in US
Blue=Shipments in US
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Sleep and Alertness
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Source: neuroon.com
Nutrition, Weight, Output
Source: clixlogix.com/wp-content/uploads/2015/06/imcalories.jpg
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Apps used in the last year (US 2016 n=474)
Fitness
Diet/Nutrition
Symptom navigator
Patient portal app
Health/condition tracker
Medication tracker
Chronic condition management
Other
0%
11
10%
20%
30%
40%
Source: https://www.accenture.com/us-en/insight-research-shows-patients-united-states-want-heavy
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50%
60%
Getting Data by Optical Character Recognition
 Pulse
 Blood pressure
 Weight
 Peak flow rate
 Blood glucose
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Used with permission from Validic
Use Data Broker to Collect and Standardize Stream of
Consumer-Collected Data
Validic Cloud
Platform
Used with permission from Validic
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Health System
Patient Portal
Mobile phone ECG
Source: AliveCor
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Mobile phone spirometer
Source: Sparo Labs
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Home devices
 Internet of Things
 Appliances
 Bed sensors
 Activity sensors
 Gait sensors
 Pill box dispensers
 RFID (radio frequency identification) enabled pills
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Source: informationmediary.com/ecap
Medication Adherence
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Source: xhale.com
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Mobile device
applications:
Geisinger’s
Rheum App –
completed by
patient
Used with permission from Geisinger Health System
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Autism and Apple’s ResearchKit
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Source: autismandbeyond.researchkit.duke.edu
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Use of Electronic Health Tools
Websites
Mobile phone/tablet app
Electronic health records
Wearable technology
Social media
Smart scales
Remote consultation
Online support communities
Remote monitoring
Other
None
2016
2014
0%
20
10%
20%
30%
40%
Source: accenture.com/us-en/insight-research-shows-patients-united-states-want-heavy
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50%
60%
Office Visits vs Virtual Visits
Kaiser Permanente Northern Calif 2008-2013
http://www.californiahealthline.org/picture-of-health/2014/how-many-virtual-doctorvisits-were-conducted-at-kaiser-permanente-northern-california
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Video Visits: In-network, pre-arranged
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Video Visits: Retail, on-demand
Source:
American
Well
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$35B
$14B
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marketresearchstore.com/news/global-telemedicine-market-set-for-rapid-growth-to-118
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Home Diagnostic Station
INR (anti-coagulation)
Source: Coaguchek.com
Hemoglobin A1C
cholesterol
Source: ptsdiagnostics.com
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Precision Medicine Initiative
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Summary: What is the value of Patient Engagement?
 Patients expect their providers to know their preferences
 Patients will provide a better history when they have time at home
 In value-based payment, care can be delivered by most appropriate method
 If they care enough to send in readings, they are going to take care of themselves
 Tech allows family & friends to provide care and interact with professional team
 Better community care requires a connected patient
 Patient engagement leads to loyalty
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Thank you!
Perspectives on Emerging
Consumer Technologies
in Healthcare
Gartner delivers the technology-related
insight necessary for our clients to make
the right decisions, every day.
Richard Gibson MD PhD
Research Director
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