emerging techologies and their impact on primary care
TRANSCRIPT
Emerging Techologies and Their Impact on Primary Care
Damon Broyles, MD FAAFPVP, Clinical Innovation MTS
10/4/2019
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Helping to pioneer
Nearly 70
10 MillionPatient records supported
Hospitals served
70,000 Epic users supported
A new model of care
1,000Technology Co-workers
EXTENDING MISSION THROUGH TECHNOLOGY For hospitals coast to coast.
About Mercy Technology ServicesWho We Are
Relevant Financial Disclosure:
Co-Founder & Chief Medical Officer of Where4.Care
©2019 Mercy Health. This material contains confidential and copyrighted information of Epic Systems Corporation. No part of this document can be stored, transmitted, photocopied or reproduced, electronically or otherwise, without the express consent of Mercy Health.
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Voice & Conversational Interactions, Gestures and Virtualized Environments
New UI Tools Will Crash Like a Wave and Sweep Old Models of Human-Computer Interaction
Out to Sea Quickly
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This Photo by Unknown Author is licensed under CC BY-SA
When Katsushika Hokusai created The Great Wave off Kanagawa series, Japanese politicians and art merchants did not view it as ‘real art’. Original wood block prints now regularly command $40K to $60K, and it is arguably one of the most recognizable works in all of Asian art history. The wave depicted is in fact not a tidal wave or tsunami, but rather a rouge wave.
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Xerox PARC, ca. 1979As part of a deal that allowed Xerox to buy one hundred thousand shares of Apple in December 1979, Steve Jobs is given permission to see what the PARC engineers are working on. Amongst these innovations was the GUI and mouse…
It is fair to say that Xerox did not fully appreciate the fundamentally transformational aspects of the new developments they had actually created – or at the very least could not figure out how to find commercial value in new inventions that were not directly related to photocopying or printing.
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Reducing EHR-Mediated Harm & Caregiver Burden
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‘Hey Epic’ Voice Assistant Development Roadmap
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Ambient Voice Recognition
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Ambient Voice Recognition
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This Photo by Unknown Author is licensed under CC BY-SA
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…Further Transformation of the Provider & Patient HCI
Virtual/Augmented/Mixed Reality – Examples of Potential Use Cases in Medicine
• Virtual – The entirety of the user experience is synthetic and all visual input is computer generated (‘Ready Player One’)
• Augmented – The physical world is represented with overlaid graphical interface, information or additions (‘Pokemon Go’)
• Mixed – [Spatial Computing] Digital augmentation of real space that has the capacity to respect the geometries of physical objects and respond appropriately to human activity. (‘Chess’)
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Virtual/Augmented/Mixed Reality – Examples of Potential Use Cases in Medicine
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Virtual/Augmented/Mixed Reality – Examples of Potential Use Cases in Medicine
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Virtual/Augmented/Mixed Reality – Examples of Potential Use Cases in Medicine
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Virtual/Augmented/Mixed Reality – Examples of Potential Use Cases in Medicine
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Virtual/Augmented/Mixed Reality – Examples of Potential Use Cases in Medicine
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Virtual/Augmented/Mixed Reality – Examples of Potential Use Cases in Medicine
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Virtual/Augmented/Mixed Reality – Examples of Potential Use Cases in Medicine
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We Have Many Miles to Go…But Hopefully We are on the Right Path
“How Many Laws of Good UX Does Your EHR Currently Violate…”
User Centered Design Becomes More Prominent
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Color use and selection goes well beyond aesthetics and branding – it can directly impact safety
Remove unnecessary and potentially dangerous scanning eye motion & cognitive tunneling (these are well established principles and practices in high reliability organizations)
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Clinical Team Members Move Away From Low Value Tasks
Robots and Robotic Process Automation (RPA)
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BREAKING NEWS!!! Robot Invasion Underway!!!
• (Not Really)
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Knowledge Transfer & Complex Processes Taught By Your Best Staff Without Losing Your Best Staff to Teaching
Training Automation and Workforce Solutioning*
Your New Health Technology Pitch Is Not Complete Without One of These Phrases…
AI and Machine Learning
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“The World’s Most Valuable Resource is No Longer Oil…It’s Data.”
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AI and the Practice of Medicine – “Primum Non Nocere”
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Area Deprivation Index
• The deprivation index is on a Census block group-level, utilizing data consistent with the neighborhood of the patient
• Factors accounted for in the index include poverty, housing, employment, education
• The resulting index is standardized, setting the mean equal to 100 and the standard deviation equal to 20
• Statistical models incorporating the area deprivation index improve the accuracy of patient outcome predictions and help guide the process to improve them
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Deprivation Index Visualized
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Why not zip code?
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Care Shifts to Virtual and Towards Home
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The Entrance of a New Diagnostic Science
Machine Vision Developments
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Chatbots and Natural Language Processing*
Assisting with Self Service Needs and Unlocking Unstructured Data
Bespoke Biology
3D Printing and Additive Engineering
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Interesting Developments At Press Time
Autonomous Delivery, Aeronautics & Transportation
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Meanwhile…
Investment in the Consumer Health Sphere by Large Companies Continues & Integrated mIoT will Become
Ubiquitous
Interesting Developments in the mIoT Realm
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IoT – Internet of ThingsEmerging Technology
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IoT in HealthcareEmerging Technology
Designed to remind individuals to take their medication at the right time and to ease the burden of complex medication regimens, electronic pill dispensers alert both the patient and their caregivers.
Wireless smart pill bottles measure the volume of tablets or liquid left in a bottle, while some use light and sound to signal when it’s time to take your medication. Inhaler attachments monitor where and when an inhaler is used.
Administer controlled doses of a drug at precisely the right time via a microchip inserted on the waist.
Ingestible sensors, as small as a grain of sand. Embedded in a tablet, sensors communicate with a patch worn on the stomach. This then relays information to your phone, and further to your support network and care providers.
Already designed to act as a health and fitness companion with all the capabilities of a fitness tracker, smart watches have the potential to integrate with multiple technologies.
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Shifting Compute Away from Consolidated Centers to Power Connected Networks
5G and Fog/Edge Computing
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FDA – Focus on New Tech and Real World Evidence
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Mercy Leads the Healthcare World in Real World Insights
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Product Information Integrated into Epic
Critical Step
Drozda JP Jr, et al., JAMIA 2018
Multiple Stakeholders with Multiple Valid Visions for Accessibility and Concerns: Government, Payors, Providers,
Tech and Consumer Advocates
Patient Privacy Concerns and the 3rd Party App Takeoff
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Transparency & Medico(techno)legal considerations
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Obstacles Encountered with Proposed Dissolution of UPI Ban, Though Strong Support May Eventually Prevail
Legislative Action Related to
‘Unique Patient Identifier’
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Critical Mass for Propelling New Enterprise, Industries and Developments
St. Louis Gains Traction as a Dynamic Health and Biotech Aggregator
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The St. Louis Innovation Ecosystem is Thriving – Exciting Times for Tech
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Linkedin.com/in/damon-broyles-md-faafp-54208347
Questions?