digital health revolution: what it means for employee...
TRANSCRIPT
Digital Health Revolution:
What it Means for Employee Engagement
Ayesha N Khalid, MD, MBA
[email protected]@AYESHANKHALIDMD
H@CKING MEDICINE INSTITUTE
“We cannot solve
problems by using the
same kind of thinking we
used when we created
them.”-Albert Einstein
15%: rate of diagnostic error when first
seeing a physician
2x more likely
TECTONIC SHIFTS ACROSS HEALTHCARE PAYMENTS, INCENTIVES,
DISTRIBUTION, TECH, GLOBAL REACH…
Gap between American Plate and Eurasian PlateH@CKING MEDICINE INSTITUTE
OBSERVE
PITCHDESIGN
TEST
+
LEARN
NEEDS = validated problems = jobs to be done= big, painful
clear biz model
START WITH NEEDSNEEDS>PITCH>FEEDBACK>TEST>DATA
H@CKING MEDICINE INSTITUTE
Systems….
RE-IMAGINING
EMPLOYEE BENEFITS
STATIC TO DYNAMIC
VISITS
RE-INVENTING
EMPLOYEE CHOICE:
Data but outcomes?
H@CKING MEDICINE INSTITUTE
COMPLEXITY OF NETWORKS
Anti-Fragility?
Anti-Fragility?
Prediction of velocity includes an (impossible) estimate of the size of unknown problems
image by cod gabriel
RE-INVENTING
EMPLOYEE ENGAGMENT
H@CKING MEDICINE INSTITUTE
MAP USER JOURNEY
@MITHACKMED
TARGET USER + ADOPTION POINT
EARLY CROWDED MARKET
@MITHACKMED
WEARABLES WHERE?
BUT DON’T START HERE!
H@CKING MEDICINE INSTITUTE
COMPLEMENT WEARABLES
PROBLEM = BOREDOM
H@CKING MEDICINE INSTITUTE
USE CASE BUT HOW LONG?
WEARABLE USE DROPOFF LOOKS LIKE
MEDICATION COMPLIANCEH@CKING MEDICINE INSTITUTE
@MITHACKMEDH@CKING MEDICINE INSTITUTE
CHALLENGES OF
CONSUMER HEALTHCARE
H@CKING MEDICINE INSTITUTE@MITHACKMEDH@CKING MEDICINE INSTITUTE
SEGMENTATION CRITICAL
MAP USE CASE TO BUSINESS MODELH@CKING MEDICINE
INSTITUTE
MEDICINE INSTITUTE
SEGMENT BY DISEASE
PROBLEM
H@CKING MEDICINE INSTITUTEH@CKING MEDICINE INSTITUTE
HEALTHCARE COMPLEXITY
SIMPLIFY BY FOCUS ON PATIENT USEH@CKING MEDICINE INSTITUTE
H@CKING MEDICINE INSTITUTE
Va
lue
Development Time
Market Adoption RiskReimbursement + Consumer Drivers
Physician & Patient Adoption
Distribution
Regulatory RiskSafety & Efficacy
Management Risk
Technology Risk
TEST MARKET RISKWILL CUSTOMERS VALUE + CHANGE BEHAVIOR?
H@CKING MEDICINE INSTITUTE
WHAT IS DIGITAL HEALTH?
HIGH TECH IS INSUFFICIENT!
FASTER
CHEAPER
BETTER
H@CKING MEDICINE INSTITUTE
CHANGE HEALTH
EXPERIENCE
CAPACITY
MAP NEEDS + JOURNEY + VALUE
CONVENIENCE
TRUST
FASTER
CHEAPER
BETTER
HEALTH VENTURE LANDSCAPE
Market Size of Opportunity
Low
C
apital R
equired
Hig
h
Big OpportunitiesComplex Solutions,
Fragmented Services
Philanthropy/NIHBasic Research Grants
Unknown Mechanisms
$100MM $500MM
Large Established Companies
Integrate Whole Solutions
Venture-Backed
CompaniesFocused Teams to
Prioritize & Execute
Discrete Product
Product-Line Extensions
License or Product Acq
Royalties
H@CKING MEDICINE INSTITUTE
H@CKING MEDICINE INSTITUTEH@CKING MEDICINE INSTITUTE
NOT USUAL HEALTH VCs
H@CKING MEDICINE INSTITUTEH@CKING MEDICINE INSTITUTE
AIM FOR MAXIMUM IMPACTENTREPRENEURSHIP IS TOUGH
SMALL IMPACT TAKES SAME EFFORT
time
WIN!
1
accelerateaim
bigger!
@MITHACKMEDH@CKING MEDICINE INSTITUTE
SEGMENT USERS
@MITHACKMED
RE-INVENT
HEALTH EXPERIENCES
H@CKING MEDICINE INSTITUTE
RE-INVENT
STETHOSCOPE
H@CKING MEDICINE INSTITUTE
RE-INVENTED
STETHOSCOPE: AliveCor
H@CKING MEDICINE INSTITUTE
RE-INVENT
OTOSCOPE
H@CKING MEDICINE INSTITUTE
RE-INVENT
EAR INFECTION DETECTION
H@CKING MEDICINE INSTITUTE
RE-INVENT
OTOSCOPE: CELL SCOPE
H@CKING MEDICINE INSTITUTE
REINVENT PHARMACY
PILLPACK.COMH@CKING MEDICINE INSTITUTE
REINVENT PHARMACYMULTI-DRUG COMPLIANCE
ZAPPOS
PILLPACK.COM
REINVENT DIABETESMULTI-DRUG COMPLIANCE
ZAPPOS
PILLPACK.COM
AGAMATRIX iBG STAR
SKINNABLE BUSINESS MODEL
BRANDED
PARTNERS:
SANOFI
WALMART
CVS
ALIBABA
ETC.
ONE FDA
APPROVAL
H@CKING MEDICINE INSTITUTEH@CKING MEDICINE INSTITUTE
QMEDIC
ELDERLY MONITORING USE
CASE
DIFFERENTIATE POWER + DATA
H@CKING MEDICINE INSTITUTE
PATIENT ENGAGEMENT
MEDICAL ERRORSCASE
DIFFERENTIATE UNCERTAINTY + FEAR
RESEARCH FROM THE LEAPTFROG GROUP
7.8 Million $ per 10,000 Employees
on extra expenses related to
medical errors and complications
91% of patients stated they can help
reduce medical errors
Digital health can bridge that gap
BIG PICTURE PROBLEMS THAT NEED A
SOLUTION
$17B In healthcare spending for
medical errors
1 in 3Patients feeling
disrespected or not listened
to
3rd Medical errors are third
leading cause of death in the
US
Confidential. Copyright 2015
James JT. Journal of Patient Safety. 2013; 9(3):122–128.
Van Den Bos et al. Health Affairs. 2011; 30(4):596-603.
SSI and The Research Intelligence Group
(TRiG), 2011
FEEDBACK FROM PATIENTS
“I have a lot of questions
and I feel like I don’t have
enough time with my
doctor….”
“I’m always struggling to
remember what they told
me.”
Confidential. Copyright 2015Confidential. Copyright 2015
COMMUNICATION IS PART OF THE PROBLEM
AND THE SOLUTION
GREATER THAN
2/3RDS
OF SERIOUS MEDICAL
ERRORS ARE DUE TO A
BREAKDOWN IN
COMMUNICATION.
Confidetial. Copyright 2015
Agency for Healthcare Research and Quality, Department of Defense. Team strategies and tools to enhance performance
and patient safety (TeamSTEPPS). http://www.ahrq.gov/qual/teamstepps/
Confidential. Copyright 2015
DOCTELLA CHANGES PATIENT -PROVIDER
COMMUNICATION BY PROVIDING YOUR DOCTOR’S
INFO IN THE PALM OF YOUR HAND
Patient Checklists Delivered by Doctors
Mobile Online Print
Evidence-
influenced
content
Customizable by
each doctor with
specific answers
Confidential. Copyright 2015Confidential. Copyright 2015
HACKMED EVENTS +
ECOSYSTEM
HACKATHONS ACCELERATE
PROBLEM VALIDATION + TEAM BUILDING
Why We Can’t Fix Healthcare?
Ayesha Khalid, MD, MBA
Next week!!