Lead Follow, or Get Out of the Way:Technology is Transforming the Delivery of
Healthcare
Dr. Leigh Ann Chandler Poole, PhD, CRNP, FNP-BC, CTCP, CTC
• Discuss the Coming Change and Paradigm Shift in Health and Healthcare
• Review Technological Innovations poised to reshape the healthcare system and the health of our population
• Discuss how these technologies could completely change the healthcare system
Objectives
• Revolution• Disruption• Transformation• Paradigm Shift
Technological Innovations are resulting in a new way to provide healthcare
What Words Would You Use to Describe the Current State of Healthcare?
• Value-Based Care• Quality Care• Improved Access• Decreased Readmission Rates
Telehealth Provides for it All
Key Buzzwords
• Telemedicine growing industry
• Leading Telemedicine experts believe up to 50% of healthcare visits may be conducted by TM within 5 years – Big Changes
Telehealth
• Technology has always outpaced legislation
• Need legislators and regulators to know and understand– Uses, quality, safety, possibilities– About the need to bring parity of HC to all citizens– Interstate practice problems that exist – Licensure and Credentialing issues – The importance of reimbursement
• Should not be dependent upon patients residency status• Should not discriminate against certain types of providers
Telehealth
• Big Players:
• Telemedicine
• Other Technological Innovations
Transformation of Healthcare
• Traditional
• Innovation – Disruption• Paradigm Shift
• New Modern
Healthcare Experiencing a Paradigm Shift
• Personalized Medicine– Individual Genetic Profile
• Prevention, Diagnosis, Tx
• Genetics / Genomics– Human Genome Project– Goal completely map and understand all human
genes– 2003 (3 Billion / 10 years)– Now
Significant Innovations
• 3-D / 4D Printing– Body parts, Organs, Cartilage, Hearing Aids,
Prosthetics, and More
Significant Innovations
Wired.comNews.discovery.com
• Robotics– Remote Practice/Telemedicine– Caretakers, Pets, Exoskeletons, Drones, etc.
Significant Innovations
Blogogist.com
http://techcrunch.com/2011/08/02/japanese-caretaker-robot-to-assist-in-lifting-the-elderly/
• Nanotechnology– Engineering at the molecular scale (1-100 nanometers) – At the nanoscale many materials behave in different and
unexpected ways– Promises from Cancer cures, to regeneration, to faster computers to
cleaner water, & energy crisis solutions– Examples:
• Silver (anti-microbial) Incorporated into products it kills bacteria without altering product.
• Cancer treatment – nanoparticles coated with polymers evade detection and deliver substances to nuclei causing cell death
– Great potential – need to understand how behave, to synthesize reliably, evaluate efficacy and safety
Significant Innovations
http://recent-inventions.lv2lvu.com/nanotechnology-in-medical-science/
#.VDgtsL60kpw
• Optics– Behavior and properties of light and interaction with
matter or construction of instruments that use or detect it
– New laser technologies– Measurement of body temperature, blood chemistry,
less invasive procedures, targeted treatment, more effective imaging and diagnostic procedures
Significant Innovations
http://physicsinventions.com/index.php/new-fiber-optic-technology/
• AI– Human like behaviors in machines or software – In medicine, increase efficiency, safety, productivity, and
outcomes while decreasing costs– Example: IBM Watson
• Virtual Reality / Gaming– Near Reality – Computer generated simulated environment
with interaction capabilities– Seeking care through Avatar representation– Example: Oculus Rift, Sony Project Morpheus, Second life
Significant Innovations
http://www.avatargeneration.com/2012/10/10-ways-artificial-intelligence-can-reinvent-education/
• Wearable's
• Ingestible’s
• Implantable’s
• Big Data
Significant Innovations
http://tommytoy.typepad.com/tommy-toy-pbt-consultin/2011/11/proteus-biomedical-a-biomedical-technology-company-out-of-redwood-city-california-was-selected-as-one-of-the-world-tec.html
• Brain Stimulation
• Cellular Separation
• Stem-Cell Manipulation
Significant Innovations
http://www.treatmentinpoland.com/158-l1-dbs-deep-brain-stimulation.html
• Lab-on-a-chip
• Sensors and Sensing Technologies
• Imaging – Molecular level
Significant Innovations
http://spie.org/x37029.xml
• Sense-making– Giving meaning to experience and enabling us to
investigate and improve interactions between humans and technology. Assists in making sense of complex information
• BCI and BBI• Cognitive Technology
– Example: IBM Watson
• Semantic Web
Significant Innovations
• X-Prize(s)– Life Sciences
• Tricorder, diagnostic technologies• Direct to Health Consumer
– Energy and Environment– Exploration– Global Development– Learning
Incentives Lead to Innovation
• Brain-Machine XPRIZE• Crypreservation XPRIZE• Lie Detector XPRIZE• Organogenesis XPRIZE• Rare Disease XPRIZE• Bionics XPRIZE• Robotic Home Healper XPRIZE
Other Health Related Prizes being considered
• Brain Initiative • Brain Research through Advancing Innovative
Neurotechnologies
• Aim to revolutionize our understanding of the human brain
• Multiagency and Multi-partner’s
• $100 million request for FY 2014
• Recent plans to double to $200 million in FY 2015
Brain Mapping Innovation
• Ask yourself these questions:
• How do you see the world of healthcare changing with the implementation of one or more of these technologies?
• How does direct to consumer marketing change our current paradigm?
To the Future and Beyond …
• Will it matter where our providers physically are?
• Will we need the same type of healthcare providers? • The same numbers?
Questions continued …
Will you:• Lead?• Follow?• Get Out of The Way?
It’s not if there will be a disruption, it’s when. The Future is Here; Impact it, or Be Impacted by It.
The BIG Question
Thank YouContact: Dr. Leigh Ann Chandler PoolePhD, CRNP, RN, FNP-BC, CTCP, CTC
[email protected]: @LACPoole