digital health: take two apps and call me in the morning

Technologies that Are Shaking Up the Digital Health Industry

Robin Raskin, Digital Healthcare Executive Forum

The New Office Hours

Take Two Apps And Call Me In The Morning

OR

The Doctor Won’t See You Now

More Profitable to Treat Than Prevent • US spends some 18% of gross domestic product on healthcare but ranks 17th on a list of 

17 developed countries by outcome. • 20% of GDP is medical ($28 trillion)• Highest Rate for Hospital Procedures in the World• Shorter Stays/High readmissions• Emergency room is doctor• Under insured population• Aging Demographic • Rules that make no sense in terms of billing• Providers/payees/physicians/patient disconnect

Regulatory:  Affordable Health Care Act Economic:  Price Comparison

 Medicine as a CommodityTechnology: Mobile Phones, Sensors, Cloud

The Perfect Storm

• Take health into our own hands• Focus on well care, not sick care• Move from intermittent and reactive to 

continuous and proactive

Changes in Attitude

Basic Building Blocks of Digital Health

Scanadu’s Scout Misfit Shine 

Beam ToothbrushNeurosky EEG and ECG

Mo’ Better Sensors

Quantified SelfUsing tech devices to measure all bodily input and output. Is quantified self more than a narcissistic indulgence? 

A National Habit• Three quarters of online U.S. consumers (75%) own a fitness 

technology product. (UP 61% in 2012) • Pedometers remain the most popular 37%• Others include fitness video games (26%) and portable blood 

pressure monitors (21%)• Price, battery life, size and falling off the wagon are biggest 

obstacles.

The Guerilla Patient• Doctors have 5 minutes• Patients can’t absorb the information• Leave office uninformed• Poor adherence and compliance• Liptor vs. Lumena

• Patients going outside of traditional healthcare to educate

• Creating their own trusted networks• Choosing their services and fostering 

competition• Monitoring done in hospital can now 

be done at home

Obstacles to Progress• Virtual patient visit will need to be reimbursable• Patients are overwhelmed like when AT&T divested• Don’t ask dr. Google questions. The answer is cancer• Track-aholism• The Graveyard of Dead Devices

In Data We Trust Detecting Patterns of Large Numbers of Users• The Driverless Car• The Ingestible Pill• The Lively Sensor • Genetic Markers

Big Data Behind Each Individual

BioStamp from MC10Bands are just today’s incarnation

Genetic Sequencing for all

RoboticsParalyzed to walk (rehab) Dementia (5.2 million in US alone)

Incentives for Behavior Modification• Gaming – win points for behaving well• Clinical trials out in the open • Crowd-sourcing 

The Doctor Will See You NowMedical kiosks will move to companies and places like Walgreens and CVS  

New Modes of Interaction• Haptic and Gesture• MultiTouch • Voice• Mind control• Photo Capture• Augmented Reality

Natural Interface

The Closer to Our Body the More We Look; The Further From Our Body the Longer we Look

Rule of Screens

Gesture

Multi Touch

Just Think About It

Photos and Scans

Augmented Reality

At the Center of It All: The Mobile Phone and Tablet• Cheap hardware• Prescribing apps • Gamification to keep people engaged• iPhone does  real EKG • Scales that tweet• Bands that Monitor Your Body • Check up wherever you may be 

Technologies that Are Shaking Up the Digital Health Industry

Robin Raskin, Digital Healthcare Executive Forum