IND-1418Medical Device Transformation: How to be Relevant and Bring Value to Healthcare

Session Type : Breakout Session

Date/Time : Wed, 24-Feb, 01:15 PM-02:00 PM

Venue : Mandalay Bay SOUTH

Room : South Seas C

Presenter – Elizabeth Koumpan, IBM

ekoumpan@ca.ibm.com

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1

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Ineffectiveness and inefficiency are driving evolution of the HealthCare environment.

The Current Global Health Care Faces Serious Challenges…

Global Health Care Outlook Common Goals, Competing Priorities. Rep. Deloitte, 2015. Web. 16 June 2015. Roeder, Amy. Reducing Wasteful Health Care Spending Begs the Question, What Is Waste? Harvard, T.H. Chan School of Public Health. Harvard, T.H. Chan School of Public Health. 2015 Global Health Care Outlook Common Goals, Competing Priorities. Rep. Deloitte, 2015. Web. 16 June 2015.

• $7.8T healthcare spend (up to 18% GDP)

• Healthcare spend growing at 2.5X the economy (US)

• Over 1TB of healthcare data per patient

• New clinical insights exceed clinician availability

•Evolving FDA requirements for remote patient monitoring solutions

•18-25% of population have a chronic disease, consuming 80+% of healthcare spend

•20-25+% of major healthcare markets over 65

• Growth of accountable care models

• Increasing Patient-Centered Medical Home initiatives

• 30% of healthcare/social spend is wasted

• 44% of initial cancer treatments are modified

3

Drive to outcome-based,

patient-centric healthcareExploding patient dataChronic disease epidemic

Unsustainable

healthcare spendInefficient care

Shifting

regulatory environment

4

Emerging Technologies are Driving Change through

Economic and Societal ForcesHealthcare based drivers

Increased Competition andRegulations More regulations and compliance

requirements

Technology enabled new competition

Demographics and Lifestyle Expectations for better quality, value

and outcomes

Aging population and escalating incidence of chronic disease

Resource Shortages Shortage of right skills, capabilities

and supplies

Shortage of consumer and provider based services

Technology driven forces

Connected and Open Proliferation of mobile devices and

internet access

Fosters collaboration within the ecosystem

Fast and Scalable Anticipate unknown requirements

and quickly address them

Reduced cost of innovation

Simple and Intelligent Reduced and masked complexity

Analytics and insights to drive decision-making

HEALTHCARETRANSFORMATION

Organizations must embrace disruptive

technologies to drive innovation

SocialMobile

AnalyticsCloud

3-D PrintingNanotech

The global market for

Wearable Medical Devices is

projected to reach US$4.5

billion by 2020, driven by the

growing need for effective

management of chronic

diseases, rising healthcare

awareness, and launch of

innovative health management

devices

Wearable Applications in Healthcare Span Clinical and

Operational Areas

Source: Market Research http://www.strategyr.com/MarketResearch/Wearable_Medical_Devices_Market_Trends.asp#sthash.kF3HKQxq.dpuf4

Technology is the most Important External Force that will

Affect the Enterprise

6

“Healthcare is becoming a more customer-driven

business and younger consumers are being influenced

by other industries, so self-service is key.

These consumers wear FitBits and use their mobile

devices to access data for do-it-yourself diagnoses.

They ‘want it now’ and they’re moving away from making

appointments to on-demand medical care.”

CFO, Healthcare Provider, US

We need technology that provides better visibility into vast amount of data, linking to the patient and securely shared across the enterprise ecosystems.

Data from Medical Devices is a Disconnected Component

of the Health Care Model

8

Medical Device Companies can Deliver the Compelling Experiences Consumers Demand

• Better Devices with Better Insights – better value for Health care

• Moving from a Product Company to Service Augmented Product Company

• Servicing Multiple Ecosystem Customers Demands a Platform Approach

“I am taking responsibility for My Health”patient centric

Collect device dataPresent data (alerts, readings)Augment (additional devices, logs, journals, surveys)Aggregate (device data repository)

“We are Coordinating Patient Care”provider centric

Present data (alerts, readings)Augment (patient data from various sources)Report

“We are Managing Patient Costs” payer centric

Population ManagementRisk StratificationService UtilizationComparative Effectiveness Research

“We are Innovating/Leading”Med device business unit centric

Trend analyticsCompetitive insightsCustomer satisfactionProduct Life cycle management

“We are collaborating to Improve Standards of Care”ACO ( accountable care organization) model centric

Sharing InsightsIntelligence as a ServicesEcosystem participation

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Device Data which is not Linked to a Patient – are Useless

The use of device data by an information system varies,

presenting problems for users and information exchange.

The device data handling system, which includes the

devices, device intermediaries if any, record systems and

viewing systems must handle clinically important data

and provide access to potentially terabytes of high-

resolution monitored patient data, including multiple

waveform streams over an extended period.

The device data which are not linked to a patient are

useless, and device data linked to the wrong patient are

dangerous.

10

The Healthcare industry is Building an Ecosystem with the

Patient and Consumer at their Core

Note: For the Healthcare industry, the term “consumer” may imply: individual, member, patient, carer or customer

AdherencePersonalized medicine

Workplace safetyEmployee wellness

Community health

Digital hospitalTransitional care

Home careAncillary care

Population analytics

Member wellnessPreventative care

Medical devices have an opportunity to

address the needs by moving from a

product company to service augmented

product company

New Service and Solution Capabilities will be Required to

Deliver Connected Care Solutions

Cloud-enabled Ecosystem

Operating Models

Monitoring &

data collection

Insight-based

Engagement

Analytics

Tra

nsitio

n to

h

igh

er

va

lue

Legacy Internal

Operational Capabilities

Diagnostic Product Enhancement

•Technology/procedure-centric (‘niche’)

•Traditional customers, declining growth

•Traditional capex business model

•Efficient services

Disease Management Solutions

• Patient/disease-centric

• New customers, double-digit growth

• Outcome-based business model

• Solution-centric operations

Provider Coordinated Care Solutions

• Shift to services

• Traditional customers, single-digit growth

• Monetized services

• Hybrid product/service operations

Advanced Clinical Decision Support

Preventative Support

Operational Consulting

Chronic Disease Management

Clinical Consulting

Integrated patient monitoring

Aging in Place

Transformative Healthcare Engages the Ecosystem…

Community healthPopulation analytics

Member wellness

Preventative care

Digital hospital

Transitional care

Home care

Ancillary care

Adherence

Personalizedmedicine

Workplace safety

Employee wellness

14

Medical Devices can deliver Innovative Healthcare

Solutions across Ecosystems

The industry is at an inflection point: we now can address the most difficult problems and

turn insight into action due to advances in data availability, analytics, and connectivity.

Big Data enables the aggregation of a wide variety of information, everything from

individual genetics and personal health records to environmental conditions and studies of

large populations over long periods of time.

Analytics tools, including cognitive systems such as Watson, make it possible to

understand all factors affecting health much more deeply, so all participants across the

continuum of care, including the patients, can make better decisions.

Cloud computing makes it easier for all parties to share and access information.

And a new generation of mobile devices–including fitness trackers and other home

monitoring devices– enables people to gather data about themselves and connect with

health advisors and physicians anywhere, anytime.

The industry needs an open platform--with an agnostic host-- who can convene players

from across all stakeholders: physicians, researchers, insurers and companies focused on

health and wellness solutions

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Medical Devices are Essential Components of Ecosystems

Clinical

data

data

Genomics

data

data

Exogenous

data

Medical

Literature

Guidelines

Institutional

Knowledge

• Patient monitoring

• Alarm data

• Point-of-care devices

• In-home patient monitoring

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Establishing a connected service delivery platform that turns aggregated data into insight and actions enables med tech companies, providers and patients to transform healthcare

An IoT Connected Care Platform serves as the Foundation

for Transformative Healthcare Solutions

Vital Monitoring

WearablesDiagnostic Imaging

Systems

Analytics, Insights

(Intelligence)

Care Coordination, Patient Engagement

(Integration)

Foundation

(Instrumentation/Interconnection)

Secu

rity 360°Holistic Patient

View

Advanced Clinical

Decision Support

Coordinated Care

Longitudinal

Patient Record

Predictive Device

Management

Tele-healthDigital Specialist

Aging in Place Chronic Disease Management

Digital Hospital

Post-Acute Transitional Care

Outcome-

based,

patient-centric

healthcare

Exploding

patient data

Chronic

disease

epidemic

Care resource

shortage

New markets for

existing product

categories

New monetized

services with

existing clients

Seamless

patient

experience

Efficient service

delivery for

existing

products

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Deliver Secure Edge-to-Cloud Solutions

Sensor Data History

Sensors

In-memory Analytics

Predictive Analytics

Publish / Subscribe

Cloud Infrastructure

Real-time Analytics

Real-time Analytics

OperationalAnalytics

Big Data Analytics

(no gateway)

Big Data Platform

Big Data Analytics

Smart Gateways for local analytics

TimeSeries Service

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Connected HealthCare Platform Transforms Operational Capabilities to Deliver Solutions, not Technologies

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We need a solid foundation to remove information barriers, automatically capture data and seamlessly integrate it with analytical insights into healthcare processes to enable smarter decisions

Big Data Analytics Requires Integrated Capabilities that Scale

Trusted Relevant Governed

Analyze

Integrate

Manage

External Information

Sources

Cubes

Streams

Hadoop

Master Data

Unstructured Content

Structured Data

StreamingInformation

Quality

Security &Privacy

Lifecycle

Enterprise Data

Warehouse

Standards

Clinical and Transactional

Business Applications

Content & Predictive Analytics

Information Governance

ODS

Data Model

Clinical and Business Analytics

Applications

• Drug database• Public health• Claims data• Social media

• EMR• Labs• Patient Intake• Care coordination• Operational analytics• Patient engagement

• Care coordination• ACO dashboards• Similarity analytics• Predictive analytics

A Next Generation Advanced Analytics Platform

New / Enhanced

ApplicationsData sources

Population Risk Management

RegulatoryApplications

Clinical Applications

Predictive Analytics

Financial Performance

Knowledge Management/Reco

mmendations

IBM Watson Foundations

Big Data & Analytics Strategy, Integration & Managed Services

Big Data & Analytics Infrastructure

What’s

happening?

Discovery

Why

did it

happen?

Reporting &

analysis

What could

happen?

Predictive

analytics

What’s

best?

Cognitive

What action

should I

take?

Decisions

Information Integration,

Security & Governance

Landing, Exploration& Archive data zone

EDW & data mart

zone

Operational data zone

Real-time Data Processing

& Analytics

Deep Analytics data zone

Device Data

EMRs

Pathology Images

Registries

Radiological Images

Emergency Case

Reports

Clinical

Dictation Data

Genomics

Registration

Schedules

Lab /Pharmacy

Financial

Other

“Cognitive computing will fundamentally

change the way the medical patient file is

used and perceived. When we can perform a

true and concrete analysis of the information,

we’ll be able to provide doctors with advice.”

CIO, Healthcare Provider, Belgium

IBM Watson Health Cloud Enables Access of Cognitive

Clinical Decision Support

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Health Data ServicesHealth Data Services

Imaging PACSWearable Data Patient Monitoring Data

Clinical

data

Genomics

data

Exogenous

data

Medical

Literature

Guidelines

Institutional

Knowledge

DATA SOLUTIONS KNOWLEDGE SOLUTIONSDATA & KNOWLEDGE SOLUTIONS

WATSON Health Capabilities

Population Health

Management

Identify care gaps and

enable delivery of timely,

coordinated care

Social

Programs

Ensure that care

approaches address

individuals' social context

Real World

Evidence

Uncover health

interventions to

inform care

approaches

Condition

Specific Care

Apply best care

protocols to manage

chronic conditions

Health

and Wellness

Empower individuals to

live healthier, more

productive lives

Discovery

Solutions

Accelerate research and

improve treatments

options

...Exogenous

dataMed device

Lab &

diag.Clinical Genomic

Payments

& Claims...

Terminology

& taxonomy

Published

texts

Scientific

journals

Medical

guidelines

Patient cohortsDisease

progression

Risk

FactorsPopulation

Analytics

Adverse events Drug efficacyComparative

effectiveness

Pricing models

Provider

segmentation

Sales deploymentMarketing

effectivenessOff-label use

Patient-trial

Matching

Site Selection

Insights as a service delivered by Watson Health platform

Data and Knowledge Ingested by Watson health Platform

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To support transformation, Industry needs a technology partner that can deliver a new analytical ecosystem

Turn data into insights to drive business and care outcomes• Reduce the number of preventable errors

• Deliver improved outcomes at lower costs

• Reduce re-admissions

• Align resources for the best care possible in the most cost effective way

• Integrate and analyze varieties of data, structured, unstructured

• Analyze at scale and interact in natural language processing

• Leverage cognitive computing systems

Enable new ways to engage individuals and across the enterprise• Engage Individuals and families in health and wellness, across care

continuum and the enterprise

• Extend reach and capacity with mHealth initiatives

• Assure comprehensive privacy and secure connectivity across device,

technology, venues

• Improve patient satisfaction

Essential Partner for Healthcare Enterprises

Remake the enterprise to support transformation• Drive business agility to meet changing demand, new business models,

partnerships and services with cloud

• Optimize to lower costs; support transformational initiatives

• Apply dynamic models for consumption and delivery of business and IT

services

• Transfer fixed costs to variable costs for new demands and service

opportunities 28

IBM Brings Knowledge and Data Together• Provide an open platform for partners, researchers,

providers, payers, pharma, and medical devices companies

to develop new solutions and discoveries around Health

• Brings together Knowledge and Data – building upon IBM’s

strengths in cognitive computing, analytics, security and

cloud

• The Watson Health Cloud: an open, highly scalable and

secure data platform to provide clients, partners and medical

researchers with access to clinical, research and social

health data

• New relationships with leading companies such as Apple,

Johnson & Johnson and Medtronic

• Three acquisitions: Explorys , Phytel & Merge – advancing

our healthcare analytics capabilities

• A new business unit: IBM Watson Health dedicated to the

advancement of innovation in health insight and solutions

IBM is a technology partner that can deliver a new analytical ecosystem that

supports the entire spectrum of traditional and big data analytical workloads in

collaborative way, while keeping data governed and everything integrated.

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Use Case: The Ottawa Hospital Brings Mobile Technology

Bedside to Achieve Better Care Challenges

The Ottawa Hospital had an aggressive goal of becoming a

top 10 percent performer in quality of care and patient safety

in North America. Care teams were struggling to compensate

for manual processes that could be highly variable.

Solution

IBM provided a care management platform, improving

coordination of and visibility into changing patient and hospital

conditions, allowing practitioners to collaborate and spend

more time with patients.

Benefits

Improvements in patient flow through electronic closed-loop

consults and easy access to patient information

Improves quality of care, patient safety, access to

specialized resources and the overall patient experience.

“I have never had care process improvement

initiatives that were as positive as this one, the

stakeholders were riveted to our meetings. They

were extremely excited about the options they

were being presented with.”

~ Glen Geiger,

Chief Medical Information officer,

The Ottawa Hospital

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Envision the Future

The combination of rapid technology developments together

with the expectations of patients and providers is driving lasting

changes and transformation in the medical device space.

This model where capabilities, such as disease management,

are delivered as services through a shared IT Platform, can be

extended globally.

In this future, Medical device companies can be trusted

providers of chronic disease management services, such as for

diabetes, congestive heart failure and sleep disorders,

partnering with IT Solution Partners for an underlying shared IT

platform and business process services

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Change the future today

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